Susruta Samhita - Mandhata Global

Chap, XV.] NIDANA STHANAM. 99
case of the PicUoMtim kind which is often found to
be marked by a great swelling. The case where the
covering or skin of the bone (periosteum) is cast or
splintered off is called the Asthi-chchalUtatn. The
case where the completely broken or severed bone? are
found to project through the local skin, is called Killda-
bhag^nam (compound). The case where a fragment of
the fractured or broken bone is found to pierce into the
bone and dig out the marrow, is called JVEljjaaugatam,
(Impacted fracture). The case where the fractured bone
droops or hangs down is called Ati-patitam. The case
where the unloosened bone (from its position) is bent
down in the form of an arch is called Vakram The
case where only one articular extremity of the bone is
severed is called Chhinnan. The case where the bone
is slightly fractured and pierced with a large number
of holes, is called Patitam, an excruciating pain being
the leading indication. The case where the bone largely
cracked and swollen becomes painful as if stuffed with
the bristles of a Suka insect is called Sphutitam (Green-
stick fracture). Of the several kinds of fracture, cures
are effected with extreme difficulty in a case of the
Churnitam, Chhinnam, Ati-pdtitam or Majjanugatam
kind. A casa of displacement or laxation occurring
in a child or in an old or weak patient or in one suffer-
ing from asthma (Svasa) or from any cutaneous affec-
tion (Kushtha^ or Kshata-Kshina disease is difficult to
cure. 8.
Memorable verses : —The following cases
are to b3 given up a^ h^p^leis — ;y/.3. fracture of the
pelvic bone (or of bones that are of this description,
wherever they may be situated) ; dislocation of the
pelvic joints ; compound
fracture of the thigh bone or
of the flat bones) ; fracture into small pieces of the