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The third bankruptcy of Chikitsasthana of Sushruta Samhita is called as Bhagña Cikitsita Adhyaya. This bankruptcy offers with Treatment of Fractures.
अथातोभग्नानांचिकित्सितंव्याख्यास्यामः।।१।।
यथोवाचभगवान्धन्वन्तरिः।।२।।
We will now expound Bhagña Cikitsita – remedy of fracture of bones; as published by way of the venerable Dhanvantari.
Bhagna krchra sādhya – fracture tough to remedy
अल्पाशिनोऽनात्मवतोजन्तोर्वातात्मकस्यच।।
उपद्रवैर्वाजुष्टस्यभग्नंकृच्छ्रेणसिध्यति।।३।।
Fractures get cured with issue in –
– individuals who partake much less amount of meals,
– those that don’t seem to be disciplined (in all their actions)
– those that have predominance of vāta and
– those that are bothered by way of headaches (different illnesses)
Indicated and contraindicated meals and actions in fractures
लवणंकटुकंक्षारमम्लंमैथुनमातपम्।।
व्यायामचनसेवेतभग्नोरुक्षान्नमेवच।।४।।
शालिमा॑सरसःक्षीरंसर्पिर्यूषःसतीनजः।।
बृंहणंचान्नपानंस्याद्देयंभग्नायजानता।।५।।
Below discussed are contraindicated for the individuals having fractures –
– meals that are salty, smelly, alkaline and bitter,
– copulation,
– publicity to daylight,
– over the top indulgence in bodily workout and
– over the top intake of dry meals
Below discussed are the symptoms for the individuals having fractures –
– rice
– meat soup
– milk
– ghee
– soup of lentil
– stoutening food and drinks
Kusa – splints
मधूकोदुम्बराश्वत्थपलाशककुभत्वचः।।
वंशसर्जवटानांचकुशार्थमुपसंहरेत्।।६।।
Barks of the under discussed timber will have to be gathered and used as kusa i.e. splints –
– Madhooka,
– Udumbara
– Asvattha
– Palasa
– Kakubha
– Vamsa
– Sarja
– Vata
Alepa – pastel plaster
आलेपनार्थंमनिष्ठामधुकंरक्तचन्दनम्।।
शतधौतघतोन्मिश्रेशालिपिष्टंचसंहरेत्।।७।।
Medicinal pastes wish to be carried out as plasters. For the aim of making ready those pastes for the usage of as plasters the under discussed will be gathered previously –
– Manjistha
– Madhuka
– Raktachandana
– Satadhauta Ghrta and
– Rice flour
Bandhana – bandaging
सप्ताहादथसप्ताहात्सौम्येष्वतुषुबन्धनम्।।
साधारणेषुकर्तव्यंपञ्चमेपञ्चमेऽहनि।।८।।
आग्नेयेषुत्र्यहात्कुर्याद्भग्नदोषवशेनवा।।
| Season through which bandaging is finished | Once in what number of days? |
| Saumya Rtu – Cold seasons | Once in seven days |
| Sadharana Rtu – Temperate seasons | Once in 5 days |
| Agneya Rtu – Hot seasons | Once in 3 days or relying at the situation of doshas / signs |
Moderate bandaging
तत्रातिशिथिलंबढेसन्धिस्थैर्यनजायते।।९।।
गाढेनापित्वगादीनांशोफोरुक्पाकएवच।।
तस्मात्साधारणंबन्धभग्नेशंसन्तितद्विदः।।१०।।
Very unfastened utility of bandage does no longer induce steadiness within the union of fractures. Likewise, very tightly carried out bandage reasons oedema of the surface and so forth. ache and ulceration. Therefore, reasonable bandaging is really helpful to be performed by way of the mavens who’ve experience in bandaging.
Pariseka – bathing the realm
न्यग्रोधादिकषायंतुसुशीतंपरिषेचने।।
पञ्चमूलीविपक्वंतुक्षीरंकुर्यात्सवेदने।।११।।
सुखोष्णमवचार्यवाचक्रतैलंविजानता।।
विभज्यकालंदोषंचदोषघ्नौषधसंयुतम्।।१२।।
परिषेकप्रदेहंचविदध्याच्छीतमेवच।।
Recipes for bathing / pouring over the fractures –
– Nyagrodhadi Kashayam – will have to be poured chilly over the realm of fractures.
– Milk boiled with Hrsva Panchamula – for easing ache within the area of fracture.
– Cakra Taila – oil freshly extracted in an oil mill – for bathing the fracture house.
Bathing the fracture spaces with liquids and making use of medicinal pastes over them will have to be regarded as simplest after making an allowance for the minute sides of doshas and kala i.e. time issue or seasons. The liquids and paste used will have to be chilly and suitable to the doshas.
गृष्टिक्षीरंससर्पिष्कंमधुरौषधसाधितम्।।
शीतलंलाक्षयायुक्तंप्रातर्भग्नःपिबेन्नरः।।१३।।
The affected person of fracture will have to be served each and every morning with the Gristi Ksira – milk of the cow which is delivered inside of seven days. This milk will have to be boiled with herbs having a candy style and Laksa – lac. It will have to 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 will have to be smeared at the wound. Later, paste of astringent herbs will have to be coated over the wound. Following this, remedy of fracture will be performed accordingly.
Sandhāna kāla – time for union
प्रथमेवयसित्वेवंभगंसुकरमादिशेत्।।
अल्पदोषस्यजन्तोस्तुकालेचशिशिरात्मके।।१५।।
प्रथमेवयसित्वेवंमासात्सन्धिःस्थिरोभवेत्।।
मध्यमेद्विगुणात्कालादुत्तरेत्रिगुणात्स्मृतः।।१६।।
Treating fractures in youngsters is comparably simple, principally in Sisira Rtu i.e. overdue wintry weather, the season being chilly. The different explanation why is that there’s much less quantity of doshas within the frame of the youngsters. As a end result, the union of fractures turns into strong in a single month, in youngsters.
In center elderly individuals the time taken for the union of fractures to transform strong and company is two times that wanted for kids i.e. in those other folks, it will take two months. In elderly people (who’re above seventy years of age, it takes three times the time i.e. 3 months for the union of fractures to transform strong.
Svasthāna sthāpana – hanging in customary position
अवनामितमुन्नहॊदुन्नतंचावपीडयेत्।।
आञ्छेदतिक्षिप्तमधोग्रतंचोपरिवर्तयेत्।।१७।।
| Effect of fracture at the bone | Manipulation |
| Downward displacement – a part of the bone bent down as a result of fracture | It will have to be lifted up |
| Upward displacement – a part of bone raised up / increased as a result of fracture | It will have to be pulled down |
| Sideward displacement – a part of bone bend side-wards as a result of fracture | It will have to be circled and that a part of the bone which is overlapping will have to be pulled and made instantly |
The bones will have to be positioned of their customary place by way of those manipulations after which bandaged.
Methods of hanging the joints in correct place
आञ्छनैःपीडनैश्चैवसङ्केपैर्बन्धनैस्तथा।।१८।।
सन्धीञ्छरीरेसार्वांस्तुचलानप्यचलानपि।।
एतैस्तुस्थापनोपायैःस्थापयेन्मतिमान्भिषक्।।१९।।
In case of dislocation, a sensible doctor will have to position (substitute) each movable and immovable joints of their customary place with under discussed manipulations / strategies –
– Pulling (forwards),
– Pressing (downwards)
– Contracting / flexing
– Binding / bandaging and
– Such different strategies of hanging them in correct place
Treating Utpista and Vislista Sandhis
उत्पिष्टमथविश्लिष्टंसन्धिवैद्योनघट्टयेत्।।
तस्यशीतान्परीषेकान्प्रदेहांश्चावचारयेत्।।२०।
अभिघातेहृतेसन्धिःस्वांयातिप्रकृतिपुनः।।
घृतदिग्धेनपट्टेनवेष्टयित्वायथाविधि।।२१।।
पट्टोपरिकुशान्दत्त्वायथावद्वन्धमाचरेत्।।
The utpista i.e. beaten and vislista i.e. quite dislocated joints will have to no longer be pressed or manipulated by way of the doctor. These joints will have to be handled by way of bathing them with chilly medicinal liquids and in addition by way of utility of pastes of herbs that are heat i.e. heat poultice.
Those joints that are injured by way of attack would come again to customary on their very own accord in the end of time. These joints will have to be coated with bands of material that are soaked in ghee. Later splints will have to be positioned over it and bandaging will have to be performed as indicated.
Pratyañga bhagña cikitsā – remedy of various fractures
प्रत्यङ्गभग्नस्यविधिरतऊर्ध्वंप्रवक्ष्यते।।२२।।
After this, remedies of fractures of various pratyangas i.e. minor portions 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 will be punctured with an ara i.e. thick needle. The tip of the finger will have to be coated with wet 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 will have to be introduced again to its customary place. Later it will have to be tied spherical with a band of skinny material. After this, it will have to be bathed with ghee.
Padatala (sole)
अभ्यज्यसर्पिषापादंतलभग्नंकुशोत्तरम्।।
वस्त्रपट्टेनबध्नीयान्नचव्यायाममाचरेत्।।२५।।
Talabhagña approach fracture of the only real of the foot or fracture of metatarsal bones. This fracture will have to be handled by way of anointing the foot with ghee. Kusa – splint will have to be positioned under the fractured phase and bandaged with material. Any more or less foot-related actions will have to be prohibited and the affected person will have to adhere to it.
Jañghā (foreleg) – and ürū (thigh)
अभ्यज्यायामयेज्जङ्घामूलंचसुसमाहितः।।
दत्त्वावृक्षत्वचःशीतावस्त्रपट्टेनवेष्टयेत्।।२६।।
Treatment for fracture of foreleg or thigh will have to be handled within the under discussed manner –
– at the start, it will have to be anointed with ghee after which
– pulled forwards and positioned within the customary place and
– will have to be made instantly or even following which
– splints of barks of timber of chilly efficiency are positioned all over the fractured house after which
– bandaged with band of material
Urvasthi (thigh bone)
मतिमांश्चक्रयोगेनह्याञ्छेदूर्वस्थिनिर्गतम्।।
स्फूटितंपिच्चितंचापिबध्नीयात्पूर्ववद्धिषक्॥२८॥
Following cracking or crushing form of fracture, when the urvasthi i.e. femur bone is noticed sticking out out, it will have to be pulled forwards the usage of a wheel. Later the leg will have to be bandaged as described previous by way of tying bands of material soaked in ghee, hanging the splints after which bandaging it.
Kațibhagña – fracture of waist (hip)
आञ्छेदूर्ध्वमधोवाऽपिकटिभग्नंतुमानवम्।।
ततःस्थानस्थितेसंधौबस्तिभिःसमुपाचरेत्।।२८।।
Katibhagna approach fracture of waist or hip bone (pelvic bone or lumbar vertebrae). When there may be katibhagna, it will have to be pulled both in ahead or upward or downward course as discovered essential on the time of manipulation after which introduced again to its customary place. Following this, the affected person will have to 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 will have to be anointed with ghee. The affected person will have to now be made to sit down. Now the surgeon shall tie nibhandhini round it. Nibhandhini approach controller which is within the type of a large band of leather-based or thick robust material. It will be tied from the precise or left aspect. This is finished to limit motion right through breathing, coughing, guffawing and so forth. actions. Kavalika i.e. comfortable pads ready with internal fibres of barks or from cotton threads – gauze and lint, are positioned in between after which bandaged. Later, the affected person will have to be made to lie down in an oil stuffed bathtub or cauldron.
Amsādi sañdhi cyuti – dislocation of the shoulder joint and so forth.
मुसलेनोत्क्षिपेत्कक्षामंससन्धौविसंहते।।
स्थानस्थितंचबध्नीयात्स्वस्तिकेनविचक्षणः।।३१।।
कौर्परंतुतथासन्धिमङ्गुष्ठेनानुमार्जयेत्।।
अनुमृज्यततःसन्धिपीडयेत्कूर्पराच्च्युतम्।।३२।।
प्रसार्याकुञ्चयेच्चैनस्नेहसेकंचदापयेत्।।
एवंजानुनिगुल्फेचमणिबन्धेचकारयेत्।।३३।।
In case of dislocation of the shoulder joint, it will have to be lifted up from the armpit (axilla) with the assistance of a picket rod after which positioned in its customary place. Later it’s bandaged the usage of Swastika form of bandage.
If there may be dislocation of the elbow joint, the joint will have to be kneaded by way of the palms after which positioned in its customary place. The joint will have to be prolonged and flexed. Following this, heat oil is poured over the joint in streams. Similar remedy will have to be performed 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 fingers get fractured, the doctor will have to right kind the fracture and each the fingers (arms) will have to be made an identical. Following this, uncooked oil is used to wash the realm after which bandaged. The affected person is then suggested to carry a dirt ball in his hand first, for some days. Later he will have to dangle a ball of salt for a couple of days and later a stone ball. He will have to proceed protecting the stone ball for some days even after he regains energy in his arms / fingers.
Akşakästhi cyuti – dislocation of clavicles
सन्नमुन्नमयेत्स्विन्नमक्षकंमुसलेनतु।।
तथोन्नतंपीडयेच्चबध्नीयाद्गाढमेवच।।३६।।
In case of dislocation of clavicles (collar bones), the realm will have to be anointed with oil and later fomentation will have to be performed at the house. Later, the bone is lifted up the usage of a picket pestle or driven down whether it is bulging up. A decent bandage is tied over it later.
Bāhubhagña – fracture of arm
ऊरुवच्चापिकर्तव्यंबाहुभग्नचिकित्सितम्।।
The line of remedy for fracture of Bahvasthi – arm bone (humerus) is equal to for fracture of Urvasthi – thigh bone.
Grivavivrtti – twisting of the neck
ग्रीवायांतुविवृत्तायांप्रविष्टायामधोऽपिवा।।३७।।
अवटावथहन्वोश्चप्रगृह्योन्नमयेन्नरम्।।
ततःकुशांसमंदत्त्वावस्त्रापट्टेनवेष्टयेत्।।३८।।
उत्तानंशाययेच्चैनंसप्तरात्रमतन्द्रितः।।
Below discussed are the stairs through which the doctor / surgeon will have to soak up dealing with the neck which has been discovered twisted or sunk into the chest –
– he will have to dangle the pinnacle on the avatu – nape of the neck and hanu – decrease jaw and
– pull the neck upwards and later
– observe the splints as appropriate after which
– do the bandaging with bands of material following which
– he will have to instruct the affected person to sleep in supine place, retaining his face up, for a length of 7 days with out laxity
Hanu sandhi cyuti – dislocation of decrease jaw
हन्वस्थिनीसमानीयहनुसन्धौविसंहते।।३९।।
स्वेदयित्वास्थितेसम्यक्पञ्चाङ्गीवितरेद्भिषक्।।
वातघ्नमधुरैःसर्पिःसिद्धंनस्येचपूजितम्।।४०।।
Below discussed are the stairs which the doctor / surgeon will have to soak up dealing with the dislocation of the joint of the decrease jaw
– he will have to first anoint the realm across the joint of decrease jaw with oil after which give fomentation following which he will have to
– position the decrease jaw in its customary position by way of bodily manipulation after which
– observe Pancangi Bandha – 5 tailed bandage and will have to additionally
– instil drops of oil ready with vata mitigating and candy herbs into the nostrils which may be a great deal really useful in those stipulations
Dalita cāla – shaky tooth
अभग्रांश्चलितान्दन्तान्सरक्तानवपीडयेत्।।
तरुणस्यमनुष्यस्यशीतैरालेपयेद्वहिः।।४१।।
सिक्त्वाऽम्बुभिस्ततःशीतैःसन्धानीयैरुपाचरेत्।।
उत्पलस्यचनालेनक्षीरपानंविधीयते।।४२।।
जीर्णस्यतुमनुष्यस्यवर्जयेच्चलितान्द्विजान्।
Shaky tooth of younger individuals which don’t seem to be fractured, if accompanied by way of bleeding will have to be handled as discussed under –
– paste of herbs will have to be smeared chilly over the tooth adopted by way of
– sprinkling chilly water externally after which
– the paste of herbs belonging to sandhaniya crew (which repair the tooth of their socket, similar to Kashaya dravyas – astringent tasting herbs) and
– the affected person is suggested to drink milk via hole reed of Utpala – lily flower
On the opposite hand, the shaky tooth in outdated individuals will have to be pulled out and discarded.
Nāsābhañga- fracture of the nostril
नासांसन्नांविवृत्तांवाऋज्वींकृत्वाशलाकया।।४३।।
पृथङ्गासिकयोर्नाड्यौद्विमुख्यौसंप्रवेशयेत्।।
ततःपट्टेनसंवेष्टयघृतसेकंप्रदापयेत्।।४४।।
The nostril which has been discovered sunk inside of or distorted will have to be made instantly with the assistance of an iron rod. Then, hole tubes with openings at each ends are offered into the nostrils, one tube into each and every nose, anointed with ghee, bandaged after which will have to be bathed with ghee.
Karnabhagna – fracture of the ear
भग्नंकर्णंतुबघ्नीयात्समंकृत्वाघृतप्लुतम्।।
सद्यःक्षतविधानंचततःपश्चात्समाचरेत्।।४५।।
The pinna of the ear which has been discovered fractured (reduce) will be positioned in its customary place. Later it must be bathed with ghee and bandaged. For bandaging, a fabric soaked in ghee will have to be taken. In the later length, it will be handled at the traces 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) through which the mastulunga i.e. mind topic has no longer pop out, the realm will have to be bathed with mix of ghee and honey after which bandaged. The affected person will have to devour simplest (medicated) ghee as meals, for seven days.
Śünāñga cikitsa – remedy of swollen frame phase
पतनादभिघाताद्वाशूनमङ्गंयदक्षतम्।।
शीतान्प्रदेहान्सेकांश्चभिषक्तस्यावचारयेत्।।४७।।
When because of both falling from an excellent peak or being assaulted by way of guns, when swelling happens in any a part of the frame even with out the wound happening, shita pradeha – utility of paste of herbs having chilly efficiency will have to be carried out chilly at the phase. Alternatively chilly medicinal liquids will have to be poured over that phase 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 picket field is really useful and will have to be followed. This field would have 5 kila – pegs that are used to lock the affected person tightly which won’t permit the motion of the affected phase (immobilization). The distribution of the pegs shall be – two pegs on all sides and one peg down, under the heels.
श्रोण्यांवापृष्ठवंशेवावक्षस्यक्षकयोस्तथा।।
भग्नसन्धिविमोक्षेषुविधिमेनंसमाचरेत्।।५०।।
सन्धींश्चिरविमुक्तांस्तुस्निग्धान्स्विन्नान्मृदूकतान्।।
उक्तैर्विधानैर्बुद्ध्याचसम्यक्प्रकृतिमानयेत्।।५१।।
Kapata Shayana means defined above will have to be followed even in instances of fracture or dislocation of bones of –
– sroni – pelvis,
– prsthavamsa – vertebral column,
– vaksa – chest and
– aksaka – clavicle
The joints that have been dislocated (fractured) for a very long time (persistent) will have to be softened by way of management of oleation and sudation treatments. Later they will have to be decreased and put again to their puts following the above stated means or in step with one’s (doctor’s) talents.
Vişama ropaņa – malunion of fractures
काण्डभनेप्ररूढेतुविषमोल्बणसंहिते।।
आपोथ्यसमयेद्भग्रंततोभगवदाचरेत्।।५२।।
Even after therapeutic of fracture of shaft of lengthy bones, if they’re discovered abnormal / asymmetric or bulged up because of malunion of fracture –
– the bone will have to be damaged as soon as once more,
– the ends of the bones will have to be positioned correctly and
– then handled like a brand new case of fracture.
Savraņa bhagña cikitsa – remedy of fracture with wound
कल्पयेन्निर्गतंशुष्कंव्रणान्तेऽस्थिसमाहितः।।
सन्ध्यन्तेवाक्रियांकुर्यात्सव्रणेव्रणभगवत्।।५३।।
If on the web page 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 will have to be reduce and got rid of whilst
– taking care that every other wound isn’t created within sight and later
– it will have to be handled as a fracture with wound (as described in verse 14)
Añya cikitsa – supplementary remedies
ऊर्ध्वकायेतुभग्नानांमस्तिष्क्यंकर्णपूरणम्।।
घृतपानंहितंनस्यंप्रशाखास्वनुवासनम्।।५४।।
Therapies like Mastiskya – one of those Sirovasti (oil pooling over the pinnacle) and Karna purana – filling the ear with medicaments are really useful in fractures of bones of the higher portion of the frame.
Ghrtapana – consumption of medicated ghee, Nasya – nasal instillation of medications and Anuvasana Vasti – oil / ghee (unctuous) enema are helpful and will have to be followed 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 referred to as Gandha Taila.
Krishna Tila i.e. black sesame seeds will have to be soaked in asthira jala – flowing water at night time. It will have to be taken out subsequent morning and as soon as once more soaked in cow’s milk. The identical process and steps are adopted and persevered for the following two weeks.
In the 3rd week, the sesame seeds will have to be soaked in Madhuka Kashaya at night time. During crack of dawn, the similar will be stored soaked in cow’s milk.
The seeds are actually dried neatly and powdered.
Powder of the under discussed will have to be blended 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 will have to be ready with oil – 4 occasions the volume of the powder after including the paste of the under discussed herbs –
– Ela
– Ansumati – Saliparni,
– Patra,
– Jivaka,
– Tagara,
– Rodhra,
– Prapaundarika,
– Kalanusarya,
– Saireyaka,
– Krisnasukla,
– Ananta,
– Madhulika,
– Srngataka and
– Herbs like Kakolyadi and so forth discussed previous
The doctor who is definitely versed within the science will have to cook dinner this on delicate fireplace after which keep it.
This oil is referred to as Gandha Taila.
Benefits of Gandha Taila –
This oil is all the time really useful in remedy of a wide variety of fractures.
Other advantages of Physician – Gandha Taila may be really useful in treating the under discussed stipulations –
– Convulsions,
– Hemiplegia,
– Dryness of palate,
– Facial palsy,
– Wryneck,
– Pain / illnesses of the pinnacle – complications,
– Earache,
– Lockjaw,
– Deafness,
– Blindness,
– Loss of semen,
– Loss of menstrual blood in ladies
It can be utilized within the under discussed bureaucracy –
– Drinking
– Anointing,
– Nasal medicine,
– Enema and
– Mixed with meals
This oil may be very really useful for expansion and construction of the neck, shoulders and chest. It would make the face appear to be a lotus flower and make the breath aromatic.
It comes in handy to remedy all vata illnesses and is claimed to be best possible suited for kings. It will be ready for the kings and by way of kings simplest.
न्नपुसाक्षप्रियालानांतैलानिमधुरैःसह।।
वसांदत्त्वायथालाभंक्षीरेदशगुणेपचेत्।।६७।।
स्नेहोत्तममिदंचाशुकुर्याद्भग्नप्रसाधनम्।।
पानाभ्यञ्जननस्येषुबस्तिकर्मणिसेचने।।६८।।
Below discussed are cooked in combination to arrange oil –
– Oil of Trapusa, Aksa and Priyala
– Herbs primary in candy style, as many to be had
– Vasa – muscle fats and
– Milk – 10 portions
This oil is best possible to unite fractures briefly, when used within the under discussed bureaucracy –
– Drinking,
– Anointing,
– Nasal drops
– Enema and
– Bathing the affected phase (fractured phase)
भग्नंनैतियथापाकंप्रयतेततथाभिषक्।।
पक्वमांससिरास्नायुतद्धिकृच्छ्रेणसिध्यति।।६९।।
If in case of fractures, suppuration of muscle mass, veins and ligaments happen, the fractures transform very tough to remedy. Therefore, the physicians will have to take a look at their best possible to stop suppuration from happening within the fractures.
Samyak sandhita lakṣaṇa — options of correct union
भग्नंसन्धिमनाविद्धमहीनाङ्गमनुल्बणम्।।
सुखचेष्टाप्रचारंचसंहितंसम्यगादिशेत्।।७०।।
Fractures will have to be regarded as as correctly united when –
– The union of fractures isn’t bulged up (on the web page of union),
– Not having lack of frame portions,
– Not increased and
– Capable of all actions with ease
इतिसुश्रुतसंहितायांचिकित्सास्थानेभग्नचिकित्सितंनामतृतीयोऽध्यायः।।३।।
Thus ends the Third bankruptcy by way of title Bhagña cikitsita in Cikitsā sthāna of Susruta Samhita.
