(Stable Colle’s Fracture)
1,2. Assistant Professor, 3. Associate Professor & HOD
*Corresponding Author: Dudhamal T. S.,
ancient classics there is very
Colles’ fracture is named after Abraham Colles, an Irish surgeon, who first described this condition. Colles' fracture is a broken radius bone in the arm near the wrist. It happens when a person slips or stumbles and puts out an open hand to break fall. Incidences are more in an older person whose bones are weakened and brittle mostly in menopausal women with osteoporosis. The symptoms may include sudden pain, bruising, swelling, disfigurement of the wrist (dinner fork deformity). The diagnosis was made by X-Rays of the forearm and wrist. Stabilization of these fractures includes cast immobilization or surgical options like internal fixation, external fixation, percutaneous pinning, and bone substitutes.(3) A Colles' fracture usually takes up to 8 weeks to heal completely. X-Rays may be taken from time to time during recovery to see how it is healing. When the cast or splint is removed, the affected wrist and the fingers, hand, and shoulder on that side may be stiff for several weeks. So it requires exercise and physical therapy.(4)
For immobilization of a fracture; cast application and POP is the most common method for fracture healing. Now-a-days synthetic casts are using which are stronger, lighter, more durable, radioluscent, and water resistant but more expensive than POP.(5) Due to POP complications like rashes, itching, dermatitis and cutaneous ulcerations may develops.(6) Limitations of POP are it has considerable weight and may lead to stiffness due to restricted movement in child. The setting of unmodified plaster starts about 10 minutes after mixing and is complete in about 45 minutes; however, the cast is not fully dry for 72 hours.(7) Recently water proof fiberglass casts adds approximately 2 to 3 more minutes to application time of the cast and increases the cost.(8)
Though there are many devices or material to immobilize the part the principle behind that is the same which Sushruta has mention for the treatment of fracture. So here an aim of immobilization has been fulfilled by using the herbal plaster i.e. Lakshadi plaster.
Lakshadi plaster was prepared from following ingredients which were used traditionally in Gujarat state for bone setting as well some drugs was having very good properties of bone healing as per Ayurvedic classic. For the purpose of immobilization Sushruta had mentioned the splints of different plants like Madhuk, Udumbar, Ashvatha etc which are tough in consistency.(9) He has also emphaszed principle of the rehabilitation after bhagna for normal functioning of the organ and fractured part.(10)
Ingredients of Lakshadi plaster:
1. Laksha (Resin of Laccita lacca)
2. Asthishrinkala (Cissus quadrangularis Linn.)
3. Multani Mitti (Fullers earth)
4. Sudha Pashana (Talk Powder)
5. Guggulu (Commiphora mukul Engl.)
6. Kumari Ghana (Aloe vera Linn.)
indicated in the
Ingredients of Laksha Guggulu:
1. Laksha: (Laccita lacca)- 1 part
2. Asthishrinkhala: (Cissus quadrangularis Linn.) - 1 part
3. Kakubha: (Terminalia arjuna W. &A.) - 1 part
4. Nagabala : (Grevia hirsuta Vahl.) - 1 part
5. Ashwagandha : (Withania somnifera (L.) Dunal) - 1 part
6. Shuddha Guggulu : (Commiphora mukul Engl.) - 5 part
In this case; there was
Left wrist X-ray of patient after 2nd day of history of falling which shows fracture of lower end of radius with minimum displacement of fractured end.
Left wrist X-ray of patient after Lakshadi Plaster application after 4 weeks which shows old fracture lower end of radius with good union.
Lakshadi plaster was kept for total 4 weeks.
Then patient underwent for murivenna abhyanga (Oliation) and
parisheka (Pouring of oil) for 15 days. The
plaster was not too tight so the patient was complete cured without any
deformity or stiffness after one and half months. Laksha
Guggulu, 250 mg 4
Guggulu was given 1 gm three
times a day internally with luke
warm water for one month having the systemic
Guggulu has Shothahara (anti-inflammatory)
properties like Bhagna sandhana (Bone healing), Vranaropaka (Wound healing), Rakta Stambhaka (Hemostasis).
constitutes the properties of Balya, Rasayana, Vedanasthapana
Nagabala is having Madhura, Kashaya Rasa, Guru, Snigdha and Pichchhila Guna, Shheta Veerya and Madhura Vipaka and Rasayana (21) properties.
having Raktastambhaka, Sandhaniya, Vranaropaka, Raktaprasadana properties. It is useful in fractures, ulcers,
Asthishrinkhala has Sandhaniya, Dipana, Pachana, krimighna, Rakta-Stambhaka, Rakta Shodhaka karma so it is very useful in Asthibhanga, Abhighataja sotha and Raktasrava. Experimental and clinical studies reveal that Cissus quadrangularis Linn. is antioxidant (23) analgesic (24) anti-inflammatory (25) antipyretic, anti-microbial (26) activities. It contains natural steroids and vitamin (27) so it is very useful for early bone healing. (28, 29)
So it can be said that Laksha Guggulu (30) has combined effects on bone healing without any multivitamins and calcium.
In this case Lakshadi
Merits of Lakshadi Plaster:
Ø LP showed minimal side
Ø LP provided Vedana shamaka (Pain-killer)
Ø LP having Sandhaniya (Healing) properties with Laksha, Asthishrinkhala, and Guggulu, which helped in healing of fractured
Demerits of Lakshadi Plaster:
Ø LP is useful
only in un-displaced,
As this is a single case study, it can be conclude that in replace of POP we can use Lakshadi Plaster and Laksha Guggulu for immobilization and bone healing for Bhagna (un-displaced fracture)
1. Yadavji Trikamji , Sushruta’s Sushruta Samhita, Chikitsa Sthan
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