Abstract

CLINICAL EFFECT OF CHEDAN AND KSHARA KARMA IN THE MANAGEMENT OF NADIVRANA WITH SPECIAL REFERENCE TO PILONIDAL SINUS (PNS): A CASE STUDY

Dr. Rajendra M. Sonekar*, Dr. Satvashil B. Bansode and Dr. Aruna Sonekar

Abstract

Pilonidal disease is a common anorectal problem that typically affects young people. Pilonidal sinus describes a hair-filled cavity in the subcutaneous fat of the post sacral inter gluteal region known as the natal cleft. Here we reported a new case of the pilonidal sinus, presented with boil with slight seropurulent foul discharge from post anal region in the natal cleft. A male patient of surgical techniques for pilonidal sinus includes excision with primary closure and excision with reconstructive flap with their own limitation (PNS). In Ayurveda acharya Sushruta has considered it under shalyaj nadi vrana (sinus). Sushruta mentioned the chedana as well as ksharkarma in the management of Nadivrana. Hence the study concluded that excision & ksharkarma in pilonidal sinus is one of the potential treatment option to avoid recurrence.

Keywords: Apamarg kshara, Nadivrana, Pilonidal sinus.