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Research progress on the mechanism and clinical application of Drynariae Rhizoma and its active components in promoting fracture healing
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DOI   10.11656/j.issn.1672-1519.2026.06.20
Key Words   Drynaria Rhizoma;fracture healing;flavonoids;osteoblasts;osteoporosis
Author NameAffiliationE-mail
ZHANG Xi Tianjin Hospital, Tianjin University, Tianjin 300211, China  
ZHU Chunxia Tianjin Hospital, Tianjin University, Tianjin 300211, China  
SUN Jie Tianjin Hospital, Tianjin University, Tianjin 300211, China  
REN Zhipeng Tianjin Hospital, Tianjin University, Tianjin 300211, China  
YUAN Yu Tianjin Hospital, Tianjin University, Tianjin 300211, China tjyycsk@163.com 
Abstract
    Drynaria Rhizoma is a traditional and commonly used Chinese herbal medicine renowned for its efficacy in promoting fracture healing and tonifying kidney to strengthen bones. Studies indicate that its primary bioactive constituents,flavonoids(with naringin as the representative compound),facilitate bone healing through multiple mechanisms,including:increasing bone mineral density,enhancing osteoblast differentiation and mineralization,regulating signaling pathways such as BMP- 2,inhibiting osteoclast activity,and promoting angiogenesis. Clinical practice and preliminary research demonstrate that Drynaria Rhizoma,used alone or in combination,can improve bone density and accelerate healing in patients with osteoporotic fractures,exhibiting a favorable safety profile. Current investigations predominantly focus on flavonoid components;future studies should explore the roles of other chemical constituents and conduct more rigorous clinical trials to establish optimal therapeutic protocols.

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