The third chapter of Chikitsasthana of Sushruta Samhita is called as Bhagña Cikitsita Adhyaya. This chapter offers with Therapy of Fractures.
अथातोभग्नानांचिकित्सितंव्याख्यास्यामः।।१।।
यथोवाचभगवान्धन्वन्तरिः।।२।।
We are going to now expound Bhagña Cikitsita – therapy of fracture of bones; as revealed by the venerable Dhanvantari.
Bhagna krchra sādhya – fracture troublesome to treatment
अल्पाशिनोऽनात्मवतोजन्तोर्वातात्मकस्यच।।
उपद्रवैर्वाजुष्टस्यभग्नंकृच्छ्रेणसिध्यति।।३।।
Fractures get cured with problem in –
– individuals who partake much less amount of meals,
– those that aren’t disciplined (in all their actions)
– those that have predominance of vāta and
– those that are troubled by issues (different illnesses)
Indicated and contraindicated meals and actions in fractures
लवणंकटुकंक्षारमम्लंमैथुनमातपम्।।
व्यायामचनसेवेतभग्नोरुक्षान्नमेवच।।४।।
शालिमा॑सरसःक्षीरंसर्पिर्यूषःसतीनजः।।
बृंहणंचान्नपानंस्याद्देयंभग्नायजानता।।५।।
Under talked about are contraindicated for the individuals having fractures –
– meals that are salty, pungent, alkaline and bitter,
– copulation,
– publicity to daylight,
– extreme indulgence in bodily train and
– extreme consumption of dry meals
Under talked about are the indications for the individuals having fractures –
– rice
– meat soup
– milk
– ghee
– soup of lentil
– stoutening meals and drinks
Kusa – splints
मधूकोदुम्बराश्वत्थपलाशककुभत्वचः।।
वंशसर्जवटानांचकुशार्थमुपसंहरेत्।।६।।
Barks of the beneath talked about bushes must be collected and used as kusa i.e. splints –
– Madhooka,
– Udumbara
– Asvattha
– Palasa
– Kakubha
– Vamsa
– Sarja
– Vata
Alepa – pastel plaster
आलेपनार्थंमनिष्ठामधुकंरक्तचन्दनम्।।
शतधौतघतोन्मिश्रेशालिपिष्टंचसंहरेत्।।७।।
Medicinal pastes have to be utilized as plasters. For the aim of getting ready these pastes for utilizing as plasters the beneath talked about shall be collected beforehand –
– Manjistha
– Madhuka
– Raktachandana
– Satadhauta Ghrta and
– Rice flour
Bandhana – bandaging
सप्ताहादथसप्ताहात्सौम्येष्वतुषुबन्धनम्।।
साधारणेषुकर्तव्यंपञ्चमेपञ्चमेऽहनि।।८।।
आग्नेयेषुत्र्यहात्कुर्याद्भग्नदोषवशेनवा।।
| Season wherein bandaging is completed | As soon as in what number of days? |
| Saumya Rtu – Chilly seasons | As soon as in seven days |
| Sadharana Rtu – Temperate seasons | As soon as in 5 days |
| Agneya Rtu – Scorching seasons | As soon as in three days or relying on the situation of doshas / signs |
Reasonable bandaging
तत्रातिशिथिलंबढेसन्धिस्थैर्यनजायते।।९।।
गाढेनापित्वगादीनांशोफोरुक्पाकएवच।।
तस्मात्साधारणंबन्धभग्नेशंसन्तितद्विदः।।१०।।
Very unfastened software of bandage doesn’t induce stability within the union of fractures. Likewise, very tightly utilized bandage causes oedema of the pores and skin and many others. ache and ulceration. Due to this fact, reasonable bandaging is really helpful to be achieved by the consultants who’ve experience in bandaging.
Pariseka – bathing the world
न्यग्रोधादिकषायंतुसुशीतंपरिषेचने।।
पञ्चमूलीविपक्वंतुक्षीरंकुर्यात्सवेदने।।११।।
सुखोष्णमवचार्यवाचक्रतैलंविजानता।।
विभज्यकालंदोषंचदोषघ्नौषधसंयुतम्।।१२।।
परिषेकप्रदेहंचविदध्याच्छीतमेवच।।
Recipes for bathing / pouring over the fractures –
– Nyagrodhadi Kashayam – must be poured chilly over the world of fractures.
– Milk boiled with Hrsva Panchamula – for assuaging ache within the area of fracture.
– Cakra Taila – oil freshly extracted in an oil mill – for bathing the fracture space.
Bathing the fracture areas with liquids and making use of medicinal pastes over them must be thought of solely after contemplating the minute points of doshas and kala i.e. time issue or seasons. The liquids and paste used must be chilly and acceptable to the doshas.
गृष्टिक्षीरंससर्पिष्कंमधुरौषधसाधितम्।।
शीतलंलाक्षयायुक्तंप्रातर्भग्नःपिबेन्नरः।।१३।।
The affected person of fracture must be served each morning with the Gristi Ksira – milk of the cow which is delivered inside seven days. This milk must be boiled with herbs having a candy style and Laksa – lac. It must be added with ghee and served chilly.
Savraņa bhagña cikitsa – fracture with a wound
सव्रणस्यतुभग्नस्यव्रणंसर्पिर्मधूत्तरैः।।
प्रतिसार्यकषायैस्तुशेषंभग्नवदाचरेत्।।१४।।
In case of presence of wound in affiliation with fracture, a mix of ghee and extra amount of honey must be smeared on the wound. Later, paste of astringent herbs must be lined over the wound. Following this, therapy of fracture shall be achieved accordingly.
Sandhāna kāla – time for union
प्रथमेवयसित्वेवंभगंसुकरमादिशेत्।।
अल्पदोषस्यजन्तोस्तुकालेचशिशिरात्मके।।१५।।
प्रथमेवयसित्वेवंमासात्सन्धिःस्थिरोभवेत्।।
मध्यमेद्विगुणात्कालादुत्तरेत्रिगुणात्स्मृतः।।१६।।
Treating fractures in kids is comparably simple, primarily in Sisira Rtu i.e. late winter, the season being chilly. The opposite purpose is that there’s much less quantity of doshas within the physique of the youngsters. Because of this, the union of fractures turns into secure in a single month, in kids.
In center aged individuals the time taken for the union of fractures to turn out to be secure and agency is twice that wanted for kids i.e. in these individuals, it might take two months. In aged people (who’re above seventy years of age, it takes thrice the time i.e. three months for the union of fractures to turn out to be secure.
Svasthāna sthāpana – putting in regular place
अवनामितमुन्नहॊदुन्नतंचावपीडयेत्।।
आञ्छेदतिक्षिप्तमधोग्रतंचोपरिवर्तयेत्।।१७।।
| Impact of fracture on the bone | Manipulation |
| Downward displacement – a part of the bone bent down due to fracture | It must be lifted up |
| Upward displacement – a part of bone raised up / elevated due to fracture | It must be pulled down |
| Sideward displacement – a part of bone bend side-wards due to fracture | It must be rotated and that a part of the bone which is overlapping must be pulled and made straight |
The bones must be positioned of their regular place by these manipulations after which bandaged.
Strategies of putting the joints in correct place
आञ्छनैःपीडनैश्चैवसङ्केपैर्बन्धनैस्तथा।।१८।।
सन्धीञ्छरीरेसार्वांस्तुचलानप्यचलानपि।।
एतैस्तुस्थापनोपायैःस्थापयेन्मतिमान्भिषक्।।१९।।
In case of dislocation, a smart doctor ought to place (change) each movable and immovable joints of their regular place with beneath talked about manipulations / strategies –
– Pulling (forwards),
– Urgent (downwards)
– Contracting / flexing
– Binding / bandaging and
– Such different strategies of putting them in correct place
Treating Utpista and Vislista Sandhis
उत्पिष्टमथविश्लिष्टंसन्धिवैद्योनघट्टयेत्।।
तस्यशीतान्परीषेकान्प्रदेहांश्चावचारयेत्।।२०।
अभिघातेहृतेसन्धिःस्वांयातिप्रकृतिपुनः।।
घृतदिग्धेनपट्टेनवेष्टयित्वायथाविधि।।२१।।
पट्टोपरिकुशान्दत्त्वायथावद्वन्धमाचरेत्।।
The utpista i.e. crushed and vislista i.e. barely dislocated joints shouldn’t be pressed or manipulated by the doctor. These joints must be handled by bathing them with chilly medicinal liquids and likewise by software of pastes of herbs that are heat i.e. heat poultice.
These joints that are injured by assault would come again to regular on their very own accord in the end of time. These joints must be lined with bands of fabric that are soaked in ghee. Later splints must be positioned over it and bandaging must be achieved as indicated.
Pratyañga bhagña cikitsā – therapy of various fractures
प्रत्यङ्गभग्नस्यविधिरतऊर्ध्वंप्रवक्ष्यते।।२२।।
After this, remedies of fractures of various pratyangas i.e. minor elements shall be described.
Nakhasandhi (nail mattress)
नखसन्धिसमुत्पिष्टंरक्तानुगतमारया।।
अवमथ्यस्रुतेरक्तेशलिपिष्टेनलेपयेत्।।२३।।
In instances of utpista nakha sandhi i.e. crushing of nail mattress, accompanied with accumulation of blood, it shall be punctured with an ara i.e. thick needle. The tip of the finger must be lined with moist flour of rice and bandaged after the blood flows out.
Anguli (finger)
भग्नांवासन्धिमुक्तांवास्थापयित्वाऽङ्गुलीसमाम्।।
अणुनाऽऽवेष्टयपट्टेनघृतसेकंप्रदापयेत्।।२४।।
When a finger is fractured or when its joints are dislocated, it must be introduced again to its regular place. Later it must be tied spherical with a band of skinny material. After this, it must be bathed with ghee.
Padatala (sole)
अभ्यज्यसर्पिषापादंतलभग्नंकुशोत्तरम्।।
वस्त्रपट्टेनबध्नीयान्नचव्यायाममाचरेत्।।२५।।
Talabhagña means fracture of the only real of the foot or fracture of metatarsal bones. This fracture must be handled by anointing the foot with ghee. Kusa – splint must be positioned beneath the fractured half and bandaged with material. Any sort of foot-related actions must be prohibited and the affected person ought to adhere to it.
Jañghā (foreleg) – and ürū (thigh)
अभ्यज्यायामयेज्जङ्घामूलंचसुसमाहितः।।
दत्त्वावृक्षत्वचःशीतावस्त्रपट्टेनवेष्टयेत्।।२६।।
Therapy for fracture of foreleg or thigh must be handled within the beneath talked about means –
– firstly, it must be anointed with ghee after which
– pulled forwards and positioned within the regular place and
– must be made straight and even following which
– splints of barks of bushes of chilly efficiency are positioned throughout the fractured space after which
– bandaged with band of fabric
Urvasthi (thigh bone)
मतिमांश्चक्रयोगेनह्याञ्छेदूर्वस्थिनिर्गतम्।।
स्फूटितंपिच्चितंचापिबध्नीयात्पूर्ववद्धिषक्॥२८॥
Following cracking or crushing kind of fracture, when the urvasthi i.e. femur bone is seen protruding out, it must be pulled forwards utilizing a wheel. Later the leg must be bandaged as described earlier by tying bands of fabric soaked in ghee, putting the splints after which bandaging it.
Kațibhagña – fracture of waist (hip)
आञ्छेदूर्ध्वमधोवाऽपिकटिभग्नंतुमानवम्।।
ततःस्थानस्थितेसंधौबस्तिभिःसमुपाचरेत्।।२८।।
Katibhagna means fracture of waist or hip bone (pelvic bone or lumbar vertebrae). When there may be katibhagna, it must be pulled both in ahead or upward or downward route as discovered needed on the time of manipulation after which introduced again to its regular place. Following this, the affected person must be handled with lubricating and strengthening enemas.
Parśuka bhagña – fracture of ribs
पर्शुकास्वथभग्नासुघृताभ्यक्तस्यतिष्ठतः।।
दक्षिणास्वथवावामास्वनुमृज्यनिबन्धनीः।।२९।।
ततःकवलिकांदत्त्वावेष्टयेत्सुसमाहितः।।
तैलपूर्णेकटाहेवाद्रोण्यांवाशाययेन्नरम्।।३०।।
In case of fracture of ribs, the flanks must be anointed with ghee. The affected person ought to now be made to sit down. Now the surgeon shall tie nibhandhini round it. Nibhandhini means controller which is within the type of a broad band of leather-based or thick robust material. It shall be tied from the correct or left aspect. That is achieved to limit motion throughout respiration, coughing, laughing and many others. actions. Kavalika i.e. gentle pads ready with interior fibres of barks or from cotton threads – gauze and lint, are positioned in between after which bandaged. Later, the affected person must be made to lie down in an oil crammed tub or cauldron.
Amsādi sañdhi cyuti – dislocation of the shoulder joint and many others.
मुसलेनोत्क्षिपेत्कक्षामंससन्धौविसंहते।।
स्थानस्थितंचबध्नीयात्स्वस्तिकेनविचक्षणः।।३१।।
कौर्परंतुतथासन्धिमङ्गुष्ठेनानुमार्जयेत्।।
अनुमृज्यततःसन्धिपीडयेत्कूर्पराच्च्युतम्।।३२।।
प्रसार्याकुञ्चयेच्चैनस्नेहसेकंचदापयेत्।।
एवंजानुनिगुल्फेचमणिबन्धेचकारयेत्।।३३।।
In case of dislocation of the shoulder joint, it must be lifted up from the armpit (axilla) with the assistance of a wood rod after which positioned in its regular place. Later it’s bandaged utilizing Swastika kind of bandage.
If there may be dislocation of the elbow joint, the joint must be kneaded by the fingers after which positioned in its regular place. The joint must be prolonged and flexed. Following this, heat oil is poured over the joint in streams. Related therapy must be achieved in dislocation of knee, ankle and wrist joints additionally.
Hasta tala bhagña – fracture of bones of palm (metatarsals)
उभेतलेसमेकृत्वातलभग्नस्यदेहिनः।।
बध्नीयादामतैलेनपरिषेकंचकारयेत्।।३४।।
मृत्पिण्डंधारयेत्पूर्वंलवणंचततःपरम्।।
हस्तेजातबलेचापिकुर्यात्पाषाणधारणम्।।३५।।
When the bones of the palms get fractured, the doctor ought to appropriate the fracture and each the palms (palms) must be made related. Following this, uncooked oil is used to wash the world after which bandaged. The affected person is then instructed to carry a mud ball in his hand first, for some days. Later he ought to maintain a ball of salt for just a few days and later a stone ball. He ought to proceed holding the stone ball for some days even after he regains power in his palms / palms.
Akşakästhi cyuti – dislocation of clavicles
सन्नमुन्नमयेत्स्विन्नमक्षकंमुसलेनतु।।
तथोन्नतंपीडयेच्चबध्नीयाद्गाढमेवच।।३६।।
In case of dislocation of clavicles (collar bones), the world must be anointed with oil and later fomentation must be achieved on the world. Later, the bone is lifted up utilizing a wood pestle or pushed down whether it is bulging up. A good bandage is tied over it later.
Bāhubhagña – fracture of arm
ऊरुवच्चापिकर्तव्यंबाहुभग्नचिकित्सितम्।।
The road of therapy for fracture of Bahvasthi – arm bone (humerus) is identical as for fracture of Urvasthi – thigh bone.
Grivavivrtti – twisting of the neck
ग्रीवायांतुविवृत्तायांप्रविष्टायामधोऽपिवा।।३७।।
अवटावथहन्वोश्चप्रगृह्योन्नमयेन्नरम्।।
ततःकुशांसमंदत्त्वावस्त्रापट्टेनवेष्टयेत्।।३८।।
उत्तानंशाययेच्चैनंसप्तरात्रमतन्द्रितः।।
Under talked about are the steps wherein the doctor / surgeon ought to soak up dealing with the neck which has been discovered twisted or sunk into the chest –
– he ought to maintain the top on the avatu – nape of the neck and hanu – decrease jaw and
– pull the neck upwards and later
– apply the splints as appropriate after which
– do the bandaging with bands of fabric following which
– he ought to instruct the affected person to sleep in supine place, protecting his face up, for a interval of seven days with out laxity
Hanu sandhi cyuti – dislocation of decrease jaw
हन्वस्थिनीसमानीयहनुसन्धौविसंहते।।३९।।
स्वेदयित्वास्थितेसम्यक्पञ्चाङ्गीवितरेद्भिषक्।।
वातघ्नमधुरैःसर्पिःसिद्धंनस्येचपूजितम्।।४०।।
Under talked about are the steps which the doctor / surgeon ought to soak up dealing with the dislocation of the joint of the decrease jaw
– he ought to first anoint the world across the joint of decrease jaw with oil after which give fomentation following which he ought to
– place the decrease jaw in its regular place by bodily manipulation after which
– apply Pancangi Bandha – 5 tailed bandage and also needs to
– instil drops of oil ready with vata mitigating and candy herbs into the nostrils which can also be significantly useful in these circumstances
Dalita cāla – shaky enamel
अभग्रांश्चलितान्दन्तान्सरक्तानवपीडयेत्।।
तरुणस्यमनुष्यस्यशीतैरालेपयेद्वहिः।।४१।।
सिक्त्वाऽम्बुभिस्ततःशीतैःसन्धानीयैरुपाचरेत्।।
उत्पलस्यचनालेनक्षीरपानंविधीयते।।४२।।
जीर्णस्यतुमनुष्यस्यवर्जयेच्चलितान्द्विजान्।
Shaky enamel of younger individuals which aren’t fractured, if accompanied by bleeding must be handled as talked about beneath –
– paste of herbs must be smeared chilly over the enamel adopted by
– sprinkling chilly water externally after which
– the paste of herbs belonging to sandhaniya group (which repair the enamel of their socket, similar to Kashaya dravyas – astringent tasting herbs) and
– the affected person is instructed to drink milk by means of hole reed of Utpala – lily flower
Then again, the shaky enamel in outdated individuals must be pulled out and discarded.
Nāsābhañga- fracture of the nostril
नासांसन्नांविवृत्तांवाऋज्वींकृत्वाशलाकया।।४३।।
पृथङ्गासिकयोर्नाड्यौद्विमुख्यौसंप्रवेशयेत्।।
ततःपट्टेनसंवेष्टयघृतसेकंप्रदापयेत्।।४४।।
The nostril which has been discovered sunk inside or distorted must be made straight with the assistance of an iron rod. Then, hole tubes with openings at each ends are launched into the nostrils, one tube into every nostril, anointed with ghee, bandaged after which must be bathed with ghee.
Karnabhagna – fracture of the ear
भग्नंकर्णंतुबघ्नीयात्समंकृत्वाघृतप्लुतम्।।
सद्यःक्षतविधानंचततःपश्चात्समाचरेत्।।४५।।
The pinna of the ear which has been discovered fractured (minimize) shall be positioned in its regular place. Later it must be bathed with ghee and bandaged. For bandaging, a material soaked in ghee must be taken. Within the later interval, it shall be handled on the strains of treating a contemporary wound.
Śirah kapāla bhagña– fracture of cranium bones
मस्तुलुङ्गाद्विनाभिन्नेकपालेमधुसर्पिषी।।
दत्त्वाततोनिबध्नीयात्सप्ताहंचपिबेघृतम्।।४६।।
In case of fracture of flat bones of the cranium (Kapala asthi) whereby the mastulunga i.e. mind matter has not come out, the world must be bathed with combination of ghee and honey after which bandaged. The affected person ought to eat solely (medicated) ghee as meals, for seven days.
Śünāñga cikitsa – therapy of swollen physique half
पतनादभिघाताद्वाशूनमङ्गंयदक्षतम्।।
शीतान्प्रदेहान्सेकांश्चभिषक्तस्यावचारयेत्।।४७।।
When as a result of both falling from an excellent peak or being assaulted by weapons, when swelling happens in any a part of the physique even with out the wound occurring, shita pradeha – software of paste of herbs having chilly efficiency must be utilized chilly on the half. Alternatively chilly medicinal liquids must be poured over that half for a while.
Jañghä – ūrubhagña – fracture of thigh and foreleg
अथजङ्गोरुभग्नानांकपाटशयनंहितम्।।
कीलकाबन्धनार्थंचपञ्चकार्याविजानता।।४८।।
यथानचलनंतस्यभग्नस्यक्रियतेतथा।।
सन्धेरुभयतोद्वौद्वौतलेचैकश्चकीलकः।।४९।।
When the bones of the foreleg i.e. tibia and fibula and that of the thigh i.e. femur are fractured, Kapata Sayana – mendacity in a specifically ready wood field is useful and must be adopted. This field would have 5 kila – pegs that are used to lock the affected person tightly which is not going to permit the motion of the affected half (immobilization). The distribution of the pegs shall be – two pegs on both aspect and one peg down, beneath the heels.
श्रोण्यांवापृष्ठवंशेवावक्षस्यक्षकयोस्तथा।।
भग्नसन्धिविमोक्षेषुविधिमेनंसमाचरेत्।।५०।।
सन्धींश्चिरविमुक्तांस्तुस्निग्धान्स्विन्नान्मृदूकतान्।।
उक्तैर्विधानैर्बुद्ध्याचसम्यक्प्रकृतिमानयेत्।।५१।।
Kapata Shayana methodology defined above must be adopted even in instances of fracture or dislocation of bones of –
– sroni – pelvis,
– prsthavamsa – vertebral column,
– vaksa – chest and
– aksaka – clavicle
The joints which have been dislocated (fractured) for a very long time (persistent) must be softened by administration of oleation and sudation therapies. Later they need to be lowered and put again to their locations following the above mentioned methodology or in line with one’s (doctor’s) expertise.
Vişama ropaņa – malunion of fractures
काण्डभनेप्ररूढेतुविषमोल्बणसंहिते।।
आपोथ्यसमयेद्भग्रंततोभगवदाचरेत्।।५२।।
Even after therapeutic of fracture of shaft of lengthy bones, if they’re discovered irregular / uneven or bulged up as a result of malunion of fracture –
– the bone must be damaged as soon as once more,
– the ends of the bones must be positioned correctly and
– then handled like a brand new case of fracture.
Savraņa bhagña cikitsa – therapy of fracture with wound
कल्पयेन्निर्गतंशुष्कंव्रणान्तेऽस्थिसमाहितः।।
सन्ध्यन्तेवाक्रियांकुर्यात्सव्रणेव्रणभगवत्।।५३।।
If on the website of fracture, there’s a wound and if the items of bone are projecting out of that wound,
– the items of dry bone projecting out of the wound must be minimize and eliminated whereas
– taking care that one other wound isn’t created close by and later
– it must be handled as a fracture with wound (as described in verse 14)
Añya cikitsa – supplementary remedies
ऊर्ध्वकायेतुभग्नानांमस्तिष्क्यंकर्णपूरणम्।।
घृतपानंहितंनस्यंप्रशाखास्वनुवासनम्।।५४।।
Therapies like Mastiskya – a kind of Sirovasti (oil pooling over the top) and Karna purana – filling the ear with medicaments are useful in fractures of bones of the higher portion of the physique.
Ghrtapana – consumption of medicated ghee, Nasya – nasal instillation of medicines and Anuvasana Vasti – oil / ghee (unctuous) enema are helpful and must be adopted as wanted.
Gandha taila
अतऊर्ध्वंप्रवक्ष्यामितैलंभग्नप्रसाधकम्।।
रात्रौरात्रौतिलान्कृष्णान्वासयेदस्थिरेजले॥५५॥
दिवादिवाशोषयित्वागवांक्षीरेणभावयेत्।।
तृतीयंसप्तरात्रंतुभावयेन्मधुकाम्बुना।।५६।।
काकोल्यादिसयष्ट्याह्नमञ्जिष्ठांसारिवांतथा।।५७।।
कुष्ठंसर्जरसंमांसीसुरदारुसचन्दनम्।।
शतपुष्पांचसंचूर्ण्यतिलचूर्णेनयोजयेत्।।५८।।
पीडनार्थंचकर्तव्यंसर्वगन्धशृतंपयः।।
चतुर्गुणेनपयसातत्तैलंविपचेद्भिषक्।।५९।।
एलामंशुमतीपत्रंजीवकंतगरंतथा।।
रोधंप्रपौण्डरीकंचतथाकालानुसारिवाम्।।६।।
सैरेयकंक्षीरशुक्लामनन्तांसमधूलिकाम्।।
पिष्टवाशृङ्गाटकंचैवपूर्वोक्तान्यौषधानिच।।६१।।
एभिस्तद्विपचेत्तैलंशास्त्रविन्मृदुनाऽग्निना।।
एतत्तैलंसदापथ्यंभग्नानांसर्वकर्मसु।।६२।।
आक्षेपकेपक्षघातेतालुशोषेतथाऽर्दिते।।
मन्यास्तम्भेशिरोरोगेकर्णशूलेहनुग्रहे।।६३।।
बाधिर्येतिमिरेचैवयेचस्त्रीषुक्षयंगताः।।
पथ्यंपानेतथाऽभ्यङ्गेनस्येबस्तिषुभोजने।।६४।।
ग्रीवास्कन्धोरसांवृद्धिरमुनैवोपजायते।।
मुखंचपद्मप्रतिमंससुगन्धिसमीरणम्।।६५।।
गन्धतैलमिदंनाम्नासर्ववातविकारनुत्।।
राजाहमेतत्कर्तव्यंराज्ञामेवविचक्षणैः।।६६।।
After this, I shall describe the preparation of oil for selling and therapeutic the fractures often called Gandha Taila.
Krishna Tila i.e. black sesame seeds must be soaked in asthira jala – flowing water at evening. It must be taken out subsequent morning and as soon as once more soaked in cow’s milk. The identical process and steps are adopted and continued for the subsequent two weeks.
Within the third week, the sesame seeds must be soaked in Madhuka Kashaya at evening. Throughout morning time, the identical shall be stored soaked in cow’s milk.
The seeds are actually dried properly and powdered.
Powder of the beneath talked about must be combined with the tila churna – sesame powder –
– Kakolyadi Gana,
– Yasthi,
– Manjistha,
– Sariva,
– Kustha,
– Sarjarasa,
– Mamsi,
– Suradaru
– Candana and
– Satapushpa
Later, this powder is macerated with the milk boiled with Sarvagandha i.e. aromatic herbs.
Then, medicated oil must be ready with oil – 4 instances the amount of the powder after including the paste of the beneath talked about herbs –
– Ela
– Ansumati – Saliparni,
– Patra,
– Jivaka,
– Tagara,
– Rodhra,
– Prapaundarika,
– Kalanusarya,
– Saireyaka,
– Krisnasukla,
– Ananta,
– Madhulika,
– Srngataka and
– Herbs like Kakolyadi and many others talked about earlier
The doctor who’s properly versed within the science ought to prepare dinner this on gentle fireplace after which protect it.
This oil is called Gandha Taila.
Advantages of Gandha Taila –
This oil is at all times useful in therapy of every kind of fractures.
Different advantages of Doctor – Gandha Taila can also be useful in treating the beneath talked about circumstances –
– Convulsions,
– Hemiplegia,
– Dryness of palate,
– Facial palsy,
– Wryneck,
– Ache / illnesses of the top – complications,
– Earache,
– Lockjaw,
– Deafness,
– Blindness,
– Lack of semen,
– Lack of menstrual blood in ladies
It may be used within the beneath talked about types –
– Consuming
– Anointing,
– Nasal treatment,
– Enema and
– Combined with meals
This oil can also be very useful for progress and growth of the neck, shoulders and chest. It could make the face seem like a lotus flower and make the breath aromatic.
It’s helpful to treatment all vata illnesses and is claimed to be greatest suited to kings. It shall be ready for the kings and by kings solely.
न्नपुसाक्षप्रियालानांतैलानिमधुरैःसह।।
वसांदत्त्वायथालाभंक्षीरेदशगुणेपचेत्।।६७।।
स्नेहोत्तममिदंचाशुकुर्याद्भग्नप्रसाधनम्।।
पानाभ्यञ्जननस्येषुबस्तिकर्मणिसेचने।।६८।।
Under talked about are cooked collectively to organize oil –
– Oil of Trapusa, Aksa and Priyala
– Herbs predominant in candy style, as many accessible
– Vasa – muscle fats and
– Milk – 10 elements
This oil is greatest to unite fractures shortly, when used within the beneath talked about types –
– Consuming,
– Anointing,
– Nasal drops
– Enema and
– Bathing the affected half (fractured half)
भग्नंनैतियथापाकंप्रयतेततथाभिषक्।।
पक्वमांससिरास्नायुतद्धिकृच्छ्रेणसिध्यति।।६९।।
If in case of fractures, suppuration of muscle tissues, veins and ligaments happen, the fractures turn out to be very troublesome to treatment. Due to this fact, the physicians ought to attempt their greatest to stop suppuration from occurring within the fractures.
Samyak sandhita lakṣaṇa — options of correct union
भग्नंसन्धिमनाविद्धमहीनाङ्गमनुल्बणम्।।
सुखचेष्टाप्रचारंचसंहितंसम्यगादिशेत्।।७०।।
Fractures must be thought of as correctly united when –
– The union of fractures isn’t bulged up (on the website of union),
– Not having lack of physique elements,
– Not elevated and
– Able to all actions comfortably
इतिसुश्रुतसंहितायांचिकित्सास्थानेभग्नचिकित्सितंनामतृतीयोऽध्यायः।।३।।
Thus ends the Third chapter by title Bhagña cikitsita in Cikitsā sthāna of Susruta Samhita.
