Ayurvedic Management of Delayed Fracture Union: A Comparative Study of Asthi-sangharadi Churna and Pancharasa Therapy

Author

Dr. Kamalakanta Ghadei, Dr. Supriya Priyadarshini


Abstract

 Background: 

Delayed fracture union is associated with prolonged morbidity and impaired functional recovery. Ayurvedic management of Bhagna incorporates internal medications and local therapeutic measures intended to support Asthi-sandhana and alleviate associated symptoms.

Objective: 

To compare the clinical and radiographic outcomes of Asthi-sangharadi Churna and Pancharasa therapy in delayed fracture union.

Materials and Methods: 

Thirty patients aged 21–70 years with delayed fracture union were enrolled in a comparative clinical study and divided into two groups of 15. Group A received Asthi-sangharadi Churna, 6 g with 10 g Ghrita and cow milk, orally once daily after food for 45 days. Group B received local Pancharasa application with gentle massage and hot-air treatment for 15–20 minutes daily in seven-day treatment periods separated by seven-day intervals over 45 days. Pain, swelling, joint movement, muscle power and radiographic callus formation were assessed at baseline and on days 15, 30 and 45.

Results: 

Both groups showed improvement in pain, swelling, joint movement and muscle power over 45 days. At the final assessment, complete relief from pain and swelling was recorded in 14/15 patients (93.3%) receiving Pancharasa therapy and 13/15 patients (86.7%) receiving Asthi-sangharadi Churna. The highest joint-movement category was attained by three patients in the Pancharasa group and none in the Asthi-sangharadi group. Among the 12 patients per group included in the radiographic tables, hard-callus formation was recorded in 10 patients (83.3%) receiving Asthi-sangharadi Churna and two patients (16.7%) receiving Pancharasa therapy.

Conclusion: 

Clinical improvement was observed with both Asthi-sangharadi Churna and Pancharasa therapy in patients with delayed fracture union. Pancharasa therapy showed favourable outcomes in pain, swelling and joint movement, whereas hard-callus formation was more frequent in the radiographically assessed Asthi-sangharadi group. These preliminary findings warrant further evaluation in larger, methodologically rigorous studies.



Keywords

Bhagna; delayed union; Asthi-sangharadi Churna; Pancharasa; callus formation; Ayurveda.



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References


  1. Sushruta Samhita with Nibandhasangraha commentary of Dalhana. Acharya YT, editor. Varanasi: Chaukhamba Surbharati Prakashan; 2008. Nidanasthana, chapter 15, Bhagnanidana.
  2. Ashtanga Hridaya with Sarvangasundara and Ayurvedarasayana commentaries. Paradakara HSS, editor. Varanasi: Chaukhamba Sanskrit Series; 2009. Uttarasthana, chapter 27, Bhanga Pratishedha.
  3. Sushruta Samhita with Nibandhasangraha commentary of Dalhana. Acharya YT, editor. Varanasi: Chaukhamba Surbharati Prakashan; 2008. Chikitsasthana, chapter 3, Bhagnachikitsa.
  4. Charaka Samhita. Sutrasthana, chapter 4, Shadvirechanashatashritiya, Sandhaniya Mahakashaya Sanskrit electronic text. Maharishi International University, Vedic Reserve [cited 2026 Oct 31].
  5. Einhorn TA, Gerstenfeld LC. Fracture healing: mechanisms and interventions. Nat Rev Rheumatol. 2015;11(1):4
  6. Bowers KM, Anderson DE. Delayed union and nonunion: current concepts, prevention, and correction: a review. Bioengineering (Basel). 2024;11(6):525.
  7. Bhavaprakasha. Madhyakhanda, chapter 48, Bhagnadhikara, verse 27  Sanskrit electronic text. Wikisource [cited 2026 Oct 31].
  8. Bhavaprakasha Nighantu. Guduchyadi Varga, verses 226–227.
  9. Bhavaprakasha Nighantu. Haritakyadi Varga, Laksha, verses 193–195.
  10. Bhavaprakasha Nighantu. Dhanya Varga, verses 31–34.
  11. Bhavaprakasha Nighantu. Vatadi Varga, verses 26–27.
  12. Bhavaprakasha Nighantu. Ghrita Varga, verses 1–6.
  13. Bhavaprakasha Nighantu. Dugdha Varga, opening description of Kshira.¹
  14. Bhavaprakasha Nighantu. Taila Varga, verses 22–25.¹
  15. Charaka Samhita. Sutrasthana, chapter 14, Swedadhyaya, verses 3–6. In: Shree Gulabkunverba Ayurvedic Society, translator. Charaka Samhita. Jamnagar: Shree Gulabkunverba Ayurvedic Society; 1949.

 

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