Acute Strains and Sprains usually come from awkward movements, sleeping improperly or lifting heavy things. It can be associated with muscular tension, weakness of the joints, spasms of the tendons etc.

The primary treatment is moving the Blood, clearing obstruction and easing pain. It can be seen that internal medicines for acute Sprains and Strains are usually based on Blood-moving herbs. Heat-clearing (Anti-inflammatory) and Diaphoretic (Sweat-inducing) herbs may be combined too.

The application of Cold or Ice is appropriate in the initial stages to prevent swelling and stop bleeding. However, after the initial stage of swelling has stopped, warmth and stimulating medicines are indicated. Likewise cooling herbs can be used topically in poultices, washes, fomentations and cataplasms in the initial stage of Trauma, whereas Blood-moving and stimulating medicines are used after the initial stage.

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1. Vinegar and warm water topically.
2. Boil Basil in vinegar and apply topically.
3. Alum and Zedoary as a paste 
4. ‘… take the whites of eggs brayed well, and temper amongst it the powder of Wormwood as much as you please, and so lay them upon the bruised place’. (Wirtzung)
5. Of Celandine: ‘Some of the old writers believe that this agent is superior to Arnica or Hamamelis, as an external application to bruises and sprains’ (Ellingwood).
6. Comfrey Wrap: A strong Infusion is made by steeping 2 heaped teaspoonfuls of Comfrey root in 250 mls of boiling water; a cloth or small towel is soaked in this infusion and applied to the place while warm, and left until cool. This may be repeated several times daily for 3 or 4 days if needed. Other herbs can also be added according to need.

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Formulas

Vulnerary Decoction
Vulnerary Decoction (Wirtzung)
Universal Vulnerary Decoction (Joseph Du Chesne)
Tincture of Myrrh
Tincture of Celandine
Elixir of Camphor
Ointment for Trauma
Ointment for Congealed Blood

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Special Formulas