A Randomised Controlled Clinical Trial To Study The Effect Of Yashtimadhu in Asthibhagna With Special Reference To Closed Undisplaced Fracture

An evolution of human life began thousands of decades ago. As humans got evolved they dealed with health issues and to overcome this Ayurveda too took birth with humans. Ayurveda has maintained its herbal, panchabhautika therapies from that era till today. A frame work of body is formed by Asthi dhatu and due to trauma asthi dhatu gains discontinuation which is well stated in its nirukti .

अस्थिविश्लेषोऽत्र भङ्गेऽभिप्रेतः।

मा. नि. मधुकोष टीका (४४/१)

There are main two types of bhagna namely sandhimukta and kandbhagna which are further classified into 6 and 12 types respectively . Fracture not only restricts the physical movements but also cuts the social, economical, psychological movements of the patient. If proper management of Asthibhagna in suitable period is not done then it may leads to the permanent disability. Similarly, minimise the immobilisation period and early recovery with proper healing is the aim of fracture management. The principal of management of fracture includes pain management, reduction, immobilization and rehabilitation. Sushruta has been described the same principle like Anchhana (Traction), Peedana (Counter traction), Sankshepana (Correction of deformity) and Bandhana (Immobilisation) for Bhagna. A fracture is a break in the continuity of a bone. Fractures come under orthopedics branch which deals with the deformities, discontinuation related to bone. Open reduction and internal fixation are the procedures which are carried out when fractures are open but even some close fractures to need internal fixation. In this study, closed un-displaced fractures are going to be considered with POP slab.In Ayurveda management of fracture is done with immobilizing fracture with kusha (splint) which was prepared with application of lepa of wound-healing medicines with internal medication prepared from medicines having sandhaneeya effect. Apart from this many herbo-organic drugs are prescribed for early healing of fracture. Yashtimadhu is simple, easily available, cost effective and potent. The scientific evaluation of such drugs along with their fundamental principles is essential for their universal acceptance.  Yashtimadhu  being described by CHARAK SAMHITA as a medication which is given internally to the patients having fractures. Rasa, guna, virya, vipak of Yashtimadhu acts on dosha dhatu so that it can help in healing of bone. Yashtimadhu being a drug which even has its Sandhaneey and anti-inflammatory properties.