Abstract

TO STUDY THE EFFICACY OF CHHEDAN KARMA AND APAMARG KSHAR APPLICATION IN THE MANAGEMENT OF NADIVRANA WITH SPECIAL REFERENCE TO PILONIDAL SINUS - A CASE STUDY

Dr. Rajendra Sonekar*, Dr. Sagar T. Ballal and Dr. Aruna Sonekar

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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 intergluteal 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 the natal cleft region. A male patient of surgical techniques for pilonidal sinus includes excision with primary closure and excision with reconstructive flap with their own limitation. In Ayurveda acharya Sushruta has considered it under shalyaj Nadivrana (Sinus). Sushruta mentioned the Chhedan 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. Aim: To evaluate the efficacy of Chhedan Karma and Apamarg Kshar Application in the management of Nadivran w.s.r to Pilonidal Sinus. Methodology: Here we present case of Nadivran with comparing the symptoms before and after Chhedan Karma & Apamarg Kshar application. Result: Patient get symptomatic relief. Conclusion: The prevalence of Nadivran increasing day by day. Ayurvedic management is effective in slow down the disease progression and breakdown the pathology.

Keywords: Apamarg Kshara, Nadivrana, Pilonidal Sinus.