EFFECT OF MANJISHTADI LEPA AND LAKSHADI KSHEERAPAKA IN THE MANAGEMENT OF COLLE’S FRACTURE

Abstract

Background: Sushruta has explained very clearly about the diagnosis and management of bhagna stating clearly the basic principles involved in handling these cases with the most methodical approach like Anchana (Traction) Peedana (Counter traction) Sankshepana (Correction of deformity) and Bandhana (Immobilisation).  Sushruta also stressed the features of ideally healed bone and Physiotherapy by using different substances like Mrutpinda, Lavanapinda and lastly after gaining strength Pashana Dharana should be done. Aims and objectives: To evaluate the effect of manjistadi lepa and lakshadi ksheerapaka in the management of Colle’s fracture. Materials and methods: The selected patients were subjected to realignment of the fractured ends by reduction techniques of conventional closed methods by shake hand method as in Colle’s fracture. After reduction, Manjistadi lepa was applied. To maintain this reduced position, splints prepared out of bamboo sticks covered with cotton roll were placed in position with roller gauge kept in collar sling. The bandha was changed once in week without disturbing the fracture alignments. This treatment was continued for 6 weeks. Results: pain, swelling, tenderness and loss of function was very effectively reduced within one week of treatment, which is statistically proved with p-value <0.001. Conclusion: Administration of Laksha Ksheerapaka is effective in early bone healing. This ancient management is safe, easily available, less complications, and better acceptability.