Abstract

AYURVEDIC REVIEW ON NADI VRANA W.S.R TO PILONIDAL SINUS

Dr. Surendra Prasad Puta*, Prof. Dr. Hrudaya Ranjan Mohanty and Dr. Tapan Kumar Nayak

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Abstract

A natal cleft in the sacrococcygeal region, Pilonidal sinus can be acute or chronic and causes weak hair accumulation in the hair follicles. The Patient report experiencing painful swelling, redness, an elevated local temperature or nasal discharge as a result of inflammation. The risk of disease can be increased by prolonged sitting, having a deep birth cleft, being obese, causing irritation to the hair and having a family history of the condition. It is associated with Shalyaja nadi vrana (Pilonidal sinus), which is an ayurvedic variant of nadi vrana. Its etiology is described in Nidana sthana and treatment is described in Chikitsa sthana by Maharshi Sushruta in Sushruta Samhita. Acharya Sushruta mentioned treating Nadi vrana with kshara (caustic alkali), kshara varti and ksharasutra (seton). Studies indicate that although Nadi vana is said to be krichhra sadhya (difficult to cure), Ayurvedic therapy may help to reduce the recurrence rate. Therefore, understanding the etiology, patient presentation and therapy facets is essential for the effective management of this illness. This article aimed at focusing a light into the disease and the various treatment procedures from as both ayurvedic and modern aspect.

Keywords: Pilonidal sinus, Nadivrana, Ksharavarti, Ksharasutra, Krichhicasadhya.