Sardeshmukh Sadanand P, Hardikar Sharad, Prakash S, Nimbalkar Ranjit G, Pawar Anil T, Baheti Akshay M, Nimbalkar Manasi R
Ayurved Hospital and Research Centre, Wagholi, Pune, India.
Deccan Hardikar Multispeciality Hospital, Pune, India.
J Ayurveda Integr Med. 2025 May 23;16(3):101105. doi: 10.1016/j.jaim.2024.101105.
In the present case, a 29-year-old male met with a road traffic accident and sustained a closed comminuted fracture of the upper third (U/3) of the tibia of his left leg. The patient was operated (Open Reduction Internal Fixation, ORIF) with internal nailing. Even after 18 months, the fracture line was visible in the X-ray, so he was re-operated (ORIF) and the nail was replaced by plate fixation. However, after the second operation, the patient developed foot drop and hyperesthesia due to peroneal nerve injury. In view of this complicated history, the patient was suggested to take supportive Ayurvedic medicines and Panchakarma to hasten the healing process. The Ayurvedic medicines Lakshadi guggul 500 mg, Mashadi Yoga 500 mg and Asthi majja yoga 500 mg three times a day were started. The follow-up X-ray examination after eight months of treatment didn't show considerable callus at the fracture site, so Panchakarma therapy was given for 21 days. Callus formation was seen within 3 weeks after completing Panchakarma treatment. The oral medications were continued and a follow-up X-ray examination on two more months of treatment showed near complete healing (Fracture line was obliterated because of considerable callus). The medicine was continued for two more months. Afterwards, the patient came back after one year and the follow-up X-ray examination showed complete healing. The internal plate was removed and complete fracture recovery was reported. Thus, a patient with a non-union fracture of the tibia was treated successfully with add-on Ayurvedic medicines and Panchakarma therapy.
在本病例中，一名29岁男性遭遇道路交通事故，导致左腿胫骨上三分之一处闭合性粉碎性骨折。患者接受了手术（切开复位内固定术，ORIF）并进行了髓内钉固定。即使在18个月后，X线片上仍可见骨折线，因此他再次接受手术（ORIF），将髓内钉更换为钢板固定。然而，第二次手术后，患者因腓总神经损伤出现足下垂和感觉异常。鉴于这一复杂病史，建议患者服用支持性的阿育吠陀药物并接受潘查卡玛疗法以加速愈合过程。开始每天三次服用阿育吠陀药物拉克沙迪古古勒500毫克、马沙迪瑜伽500毫克和阿斯提马贾瑜伽500毫克。治疗八个月后的随访X线检查显示骨折部位没有明显的骨痂形成，因此给予潘查卡玛疗法21天。完成潘查卡玛治疗后3周内可见骨痂形成。继续口服药物治疗，再治疗两个月后的随访X线检查显示接近完全愈合（由于大量骨痂形成，骨折线消失）。药物继续服用两个月。之后，患者一年后复诊，随访X线检查显示完全愈合。取出内固定钢板，报告骨折完全恢复。因此，一名胫骨骨不连患者通过附加阿育吠陀药物和潘查卡玛疗法成功治愈。
