Cakradatta (Cikitsasangraha) 48: Adhikāra 48

At first, knowing [the bone] to be fractured, one should sprinkle it with cold water; / an application of mud must be made, and a bandage fitted with splints. / Looking at what was stated by Suśruta regarding fractures, one should carry out bandaging and the like. // 1

What is depressed should be raised up, and what is raised should be pressed down; / what has shifted too far should be pulled straight, and what has moved downward should be rolled upward. // 2

For plastering: mañjiṣṭhā and madhuka ground with sour gruel; / and an application of rice flour mixed with hundred-times-washed clarified butter. // 3

Releasing [the bandage] should be done after every seven nights in cool seasons, / and after every three nights in hot seasons by the discerning [physician]. // 4

And in a season of moderate cold and heat, he should release it after five nights. / And a cool decoction of nyagrodha and others is for sprinkling. // 5

When painful, milk cooked with the lesser five roots should be given, / or lukewarm wheel-oil should be poured on by the discerning [physician]. // 6

Meat, meat juice, clarified butter, milk, soup containing sesame, / and nourishing food and drink should be given to the fractured person by the discerning [physician]. // 7

Milk of a cow with her first calf, with clarified butter, prepared with sweet drugs, / cooled and combined with raisins, a man with a fracture should drink in the morning. // 8

Asthisaṃhāra with clarified butter, lākṣā, wheat, and arjuna, / a man should drink with milk for a dislocated joint and a bone fracture. // 9

For those who eat equal parts of garlic, honey, lākṣā, clarified butter, and white sugar paste, / union of severed, crushed, and displaced bones takes place without delay. // 10

Two or three guñjās of powder of yellow cowrie shell / drunk with unboiled milk causes the healing of fractured bones. // 11

Milk with lākṣā, madhuka, and clarified butter / is restorative and brings comfort; / or the fractured patient may drink the bark of arjuna with milk, / or wheat powder with clarified butter. // 12

Powdered lākṣā, asthisaṃhṛt, kakubha, aśvagandhā, / nāgabalā, and guggulu / destroys the pain of fractured and joined bones / and makes the limbs like diamond. // 13

Here, because it is seen elsewhere too, guggulu is equal in quantity to the powder. // 14

With ābhā, the three fruits, and the three pungents, all made equal in parts, / an equal quantity of guggulu should be added; it accomplishes the setting of fractured joints. // 15

For a compound fracture, having dusted the wound / with clarified butter and best honey, and with decoctions, one should treat the rest as a fracture. // 16

The physician should strive so that a fracture does not undergo suppuration; / he should apply here the unctuous substances prescribed for diseases of vāta. // 17

Night after night one should steep black sesame seeds in flowing water; / drying them by day in this way, one should impregnate them with milk. // 18

And for a third period of seven nights, one should impregnate them with madhuka water; / then, having drunk milk again and being thoroughly dried, the physician should powder them. // 19

The kākolyādi group, śvadaṃṣṭrā, mañjiṣṭhā, and likewise śārivā, / kuṣṭha, sal resin, māṃsī, devdār, along with sandalwood, // 20

and śatapuṣpā—having powdered these, one should combine them with the sesame powder; / and for pressing, milk boiled with all fragrant substances should be prepared. // 21

With four times the amount of milk, one should boil that oil again, / [adding] cardamom, aṃśumatī, cinnamon leaves, cumin, and tagara, // 22

lodhra, prapauṇḍarīka, and likewise kālānuśārivā, / śaileyaka, kṣīraśuklā, anantā, along with madhūlikā, // 23

and having ground śṛṅgāṭaka and the previously mentioned drugs, / with these, one knowing the medical treatises should cook that oil over a gentle fire. // 24

This oil is always wholesome in all procedures for fractured patients, / in convulsion, hemiplegia, emaciation of limbs, and facial paralysis, // 25

in torticollis, diseases of the head, earache, lockjaw, / in deafness, cataracts, and those who have suffered depletion through women. // 26

It is wholesome in drinking, massage, nasal medication, and enemas; / development of the neck, shoulders, and chest arises from this alone, // 27

and the face becomes lotus-like, with fragrant breath. / This, named Gandhataila, removes all disorders of vāta. // 28

Fit for kings, this should be made by wise men only for kings; / the combined powder is desired to be one-fourth the quantity of sesame powder. // 29

Salt, pungent, alkali, sour, sexual intercourse, sunlight, / exercise, and dry food, a fractured person should not resort to. // 30