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Astanga Hrudaya

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पातघातादिभिर्द्वेधा भङ्गोऽस्थ्नां सन्ध्यसन्धितः । प्रसारणाकुञ्चनयोरशक्तिः सन्धिमुक्तता ॥ १ ॥

Bones get broken (fractured) from a fall from height, assault etc.; it is of two kinds, a. Sandhigata- localized in the joint and b. Asandhigata – in places other than the joints; inability for expansion (extension) and contraction (flexion etc.) and dislocation of the joint are the features of the first kind;

english translation

इतरस्मिन् भृशं शोफः सर्वावस्थास्वतिव्यथा । अशक्तिश्चेष्टितेऽल्पेऽपि पीड्यमाने सशब्दता ॥ २

whereas in the second kind, profound swelling and severe pain in all positions, inability even for slight movement, production of cracking sound on rubbing are the features of fractures in brief.

english translation

समासादिति भङ्गस्य लक्षणं बहुधा तु तत् । भिद्यते भङ्गभेदेन तस्य सर्वस्य साधनम् ॥ ३ ॥

It is of many kinds, classified based on the nature of fractures. Those treatments which are common to all kinds

english translation

यथा स्यादुपयोगाय तथा तदुपदेक्ष्यते । प्राज्याणुदारि यत्त्वस्थि स्पर्शे शब्दं करोति यत् ॥४॥

and which are useful as a routine will be described here. The bone which has been crushed into very small pieces, that which causes sound on touching,

english translation

यत्रास्थिलेशः प्रविशेन्मध्यमस्थ्नो विदारितः । भग्नं यच्चाभिघातेन किञ्चिदेवावशेषितम् ॥ ५ ॥

in which pieces of bones that are broken have entered into the marrow cavity, the fracture which is caused due to injury, the fractured portion of bone is left inside the body,

english translation