Treatment of Costochondritis with Herbal Remedies


Some ailments require early interventions, if not treated at initial stage will progress into serious disorders one such ailment is costochondritis. It is an inflammatory condition that affects normal functioning of our body. Ayurveda focus on going to root level of the cause and then follow “nidanparivarjan chikitsa” (avoiding the root cause of disease). So let's discuss in detail how ayurveda deals with such types of ailments.


It is defined as inflammation of the cartilage that connects the rib to the breastbone. Ribs are twelve paired bones that form the protective cage to the thoracic cavity. They are articulated with the vertebral columns from the posterior side and on anterior side they are attached with a breastbone that is also known as ‘sternum’. It is a long flat bone located in the central part of the chest. Together ribs and breastbone form the rib cage that protects organs of the thoracic cavity (majorly heart and lungs).

According to Ayurveda this disorder is considered to arise due to vitiation of all three dosha of the body vata, pitta and kapha but there is a dominance of pitta dosha as it is an inflammatory condition in nature.

It is defined as inflammation of the cartilage that connects the rib to the breastbone. Ribs are twelve paired bones that form the protective cage to the thoracic cavity

Etiological Factors

These are the main causes (nidan as per ayurveda) that results in formation of an ailment.

The cause is usually not known, but we can consider following below listed causes

  • Trauma
  • Muscle strain
  • Repeated injury
  • Strenuous weight lifting exercises.
  • Coughing with full force
  • Infections

Underlying associated diseases

  • Scoliosis
  • Ankylosing spondylitis
  • Rheumatoid arthritis
  • Osteoarthritis
  • Fibromyalgia
  • Neoplasm either benign and malignant

According to Ayurveda

Some ailments require early interventions, if not treated at initial stage will progress into serious disorders one such ailment is costochondritis

  • Intake of ruksh (rough), sheetal (cold), alap (in less amount) food .
  • Langhan (over fasting)
  • Asatamya ahaar (unhealthy dietary habits)
  • Over consumption of katu (spicy), tikat (bitter), kashyay (astringent) food items.
  • Strenuous physical exercises.
  • Chinta (stress)
  • Vegdharan (suppressing natural urges of the body)
  • Ratri jagran (who doesn't sleep at night) 
  • Krodh (anger)
  • Injury to the vital organs.
  • Falling down from elephants, horses and other fast vehicles

Clinical Features

It includes the signs and symptoms. A symptom means the general complaints along with patients present in front of the physician. Signs: It means what a physician notices himself by observing the patient's condition.

They are as follow

  • Pain
  • Tenderness
  • Difficulty in coughing
  • Fatigue and malaise
  • Chest ache
  • Dyspnoea (difficulty in breathing)

In this particular disease following below listed signs are noticed by a physician

  • Rubor (means redness over the affected area)
  • Calor (means heat, affected area appears hot due to presence of inflammation the temperature of that site got elevated)
  • Dolor (presence of pain)
  • Functio laesa (loss of function of the diseased site)

Differential Diagnosis

In this we will differentiate two or more conditions that share similar signs and symptoms.

  • Heart attack
  • Pericarditis
  • Gastritis
  • Ankylosing spondylitis
  • Pneumonia
  • Pneumothorax


  • Detailed physical examination of the patient by using inspection, palpation, percussion and auscultation techniques.
  • Laboratory findings: Complete blood count test: As it is an infectious condition there will be a rise in white blood cells count (WBC)

Radiological investigations

  • X ray
  • MRI (magnetic resonance imaging)
  • CT scan (computed tomography).

According to ayurveda- The two most preferred diagnostic procedures used by a physician are as follow

Trividh pariksha(Group of 3 diagnostic procedures)

  • Darsha- Diagnosis is made by visual examination of the symptoms.
  • Sparshan- Physician uses tactile examination to evaluate whether skin is cold/hot
  • Prashan- Physicians ask direct questions from the patient, to evaluate the root cause of the disease i.e. history taking.

Asthavidh pariksha (set of 8 examination procedure)

  • Nadi pariksha- By palpating the pulse rate of the patient.
  • Mutra pariksha- By examining the urine of the patient.
  • Mal pariksha- By stool examination.
  • Jivha pariksha- By examining the tongue whether coated or not.
  • Shabad pariksha- By listening to the natural sounds within the body like intestinal sound (peristalsis) sounds of moving body fluids.
  • Sparsh pariksha- By observing the patient skin texture whether it is cool, wet or dry.
  • Drik pariksha- When a physician inspects patient symptoms through his/her eyes.
  • Akriti pariksha- When a physician evaluates the general appearance of a patient whether he/she looks dull, lethargic or fatigued etc.


Medication Therapy

  • Anti-inflammatory drugs- Non steroidal anti-inflammatory drugs (NSAIDS) helps to relieve inflammation in the affected site.
  • Analgesics - to aid in pain associated with this.

As in the modern system of medicines the only focus is on giving symptomatic relief to the patient so by using ayurvedic treatment we can surely manage the further advancement of disease.

As per ayurveda

Ayurveda deals with such ailment by using two treatment modalities. One is panchakarma therapy (detoxification procedures) and another is sanshaman chikitsa (in this oral medication is given to the patient to balance the vitiated three principle energies of our body vata, pitta and kapha)

(A).   Sanshodhan Chikitsa (detoxification procedure)

  • Deepan- Power of digestive fire (Agni) is increased by using deepan herbs like….
  • Paachan- Digestive medicine is given by oral route to assimilate undigested food particles within the body.
  • Sanehan- Smoothing the body dosha’s by using herbal ghrit/oil.
  • Svedan- Semi-hot medicated kwath is sprayed on the patient's body by a specially made swedan yantra (instrument).
  • Vaman (emesis) - emetic medicines are given to the patient to take out the vitiated dosha of the body.
  • Virechana (purgation) is the best technique to release out the pitta dosha from the body by anal route.
  • Basti (Enema) - It is the best procedure for balancing the vata dosha within the body. In this herbal kwath (decoction) is inserted into the anal route of the patient and it will take out the pacified vata dosha with the faecal matter.

(B).Sanshaman Chikitsa

(by oral medication) - In this we control the disease by subsiding dosha within the body itself. Some classical herbal formulations we can use in costochondritis are as follow:

1. Rasa/ bhasma

  • Vata Chintamani rasa 
  • Rasraj ras

Dosage: 125-250 mg with honey after meal.

2. Churna

  • Ashwagandha churna

Dosage: 2-5 gram with lukewarm water or honey after a meal.

3. Kawath

  • Maharasnadi kwath
  • Mashbalaadi kwath

Dosage: 20-40 ml with lukewarm water.

4. Tail for local application

  • Rason tail
  • Bala tail

Dosage: Apply lukewarm oil locally through gentle massage over the affected leg.

5. Guggul

  • Yograj guggul
  • Sinhnaad guggul

Dosage: 500gram to 1 gram with plain water after meals.

6. Rasayana yog

  • Brahma rasayana
  • Chyawanprash

Dosage: 5-10 gram with milk or water.

List of planet ayurveda herbal formulations

Planet ayurveda is a leading herbal manufacturing unit serving people worldwide with their holistic approach of healing. Their herbal products are made under the guidance of ayurveda experts and are very effective in maintaining a healthy and sound body as they are completely pure and organic in nature. They offer various herbal formulations that work really well in costochondritis and are as follow

  1. Boswellia curcumin
  2. OsteoPlan
  3. Sinhnaad Guggul 
  4. Hakam Churna 

Products Description

1. Boswellia-Curcumin

This herbal formulation is an effective combination of shallaki (Boswellia serrata) and haridra (Curcuma longa) extracts prepared by Planet Ayurveda. It possesses great anti-inflammatory properties that will assist in reducing inflammatory processes present in costochondritis. It also has antifungal property thus proves very good for skin functioning.  It also keeps the functioning of the nervous system healthy & helps you to fight with pathogens of costochondritis.

Dosage: 2 capsules twice daily with plain water after meals.

2. Osteo Plan

This herbal formulation is a potent blend of herbs such as

  • Ashwagandha (Withania somnifera)
  • shatavari (Asparagus racemosus)
  • hadjod (Cissus quadrangularis)
  • arjuna (Terminalia arjuna).

All these herbs have cold potency (sheet virya) that will assist very profoundly in reducing inflammation associated with costochondritis.  The herb hadjod is known for its anti osteoporotic property and it helps in reducing the osteoporosis further advancement so this herbal medicine works really well in conditions like costochondritis.

Dosage: 1 capsule twice daily with plain water after meals.

3. Sinhnaad Guggul

This herbal tablet is an efficacious blend of medicinal herbs such as

  • amla (Emblica officinalis),
  • haritaki (Terinalia chebula),
  • bibhitaki (Terminalia bellirica)
  • shudhha gandhak
  • shuddha guggulu
  • errand oil.

These herbs are very effective in relieving pain associated in costochondritis. It also contains great anti-inflammatory properties that will aid in reducing inflammation present in this ailment.

Dosage: 2 tablets twice daily with plain water after meals.

4. Hakam Churna

This powdered herbal formulation helps in regulating healthy body metabolism of the body. It also works as a very good painkiller as herbs present in it have great vata shamak property and in ayurveda the main cause of pain is vata dosha. It contains natural herbs such as

  • kalonji (Nigella sativa)
  • methi (Trigonella foenum graecum)
  • chandrashoor (Lepidium sativum)
  • ajwain (Trachyspermum ammi).

Dosage: 1 teaspoonful, twice daily with plain water after meals.

Contact my assistant to provide you the costing / ordering and delivery information at - [email protected] or call at +91-172-5214030 Or Check Website -


Thus we can conclude that in an inflammatory condition such as costochondritis, with ayurvedic herbs such as Boswellia curcumin capsule and other herbal formulations of planet ayurveda we can surely manage the further deterioration of patient health. If you are opting to go for ayurvedic treatment planet ayurveda is a very good option. Their herbal medicines are very efficacious. You can directly visit us at our clinic in Mohali, Punjab. Feel free to approach us.

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