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असन्धिभग्ने रूढे तु विषमोल्बणसाधिते । आपोथ्य भङ्गं यमयेत्ततो भग्नवदाचरेत् ॥ ३१ ॥
A fracture which is not located in the joints and has healed improperly (malunion) and aggravated, should be treated by breaking (compressing) the fracture again, made to restrain and treat on the lines of treating fractures properly.
english translation
भग्नं नैति यथा पाकं प्रयतेत तथा भिषक् । पक्वमांससिरास्नायुः सन्धिः श्लेषं न गच्छति ॥३२॥
The physician should make all attempts, so as to not allow ripening (suppuration) in the fracture site; since muscle, veins, tendons, joints which develop pus do not stick together.
english translation
वातव्याधिविनिर्दिष्टान् स्नेहान् भग्नस्य योजयेत् । चतुष्प्रयोगान् बल्यांश्च वस्तिकर्म च शीलयेत् ॥३३॥
In treatment of fractures, medicated fat described in the treatment of Vata Vyadhi (chapter 21 of Cikitsa Sthana) should be made use for the four therapies (drinking, nasal drops, anointing and enema), which give strength to the body and enema therapy should be adopted.
english translation
शाल्याज्यरसदुग्धाद्यैः पौष्टिकैरविदाहिभिः । मात्रयोपचरेद्भग्नं सन्धिसंश्लेषकारिभिः ॥ ३४ ॥
The patient of fracture should be served with proper quantities of foods such as rice, ghee, juice of meat, milk etc. which are nourishing the body, which do not cause heartburn and which bestow sturdiness to the joints.
english translation
ग्लानिर्न शस्यते तस्य सन्धिविश्लेषकृद्धि सा । लवणं कटुकं क्षारमम्लं मैथुनमातपम् । व्यायामं च न सेवेत भग्नो रूक्षं च भोजनम् ॥३५॥
Exertion (over-activity of the fractured part) is not good for him; for it will produce dislocation of the joint. The patient of fracture should not indulge in things which are salty, pungent, alkaline and sour; copulation, exposure to sunlight, exercise and dry (non-fatty).
english translation