Abstract

A COMPREHENSIVE APPROACH TO PILONIDAL SINUS MANAGEMENT: INTEGRATING BHEDAN KARMA AND APAMARGA KSHAR APPLICATION

Jyoti Chauhan* and Vijay P. Ukhalkar

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Abstract

Pilonidal sinus is an infective condition between the natal cleft most common in younger men. It is rarely found in individuals, of over the age of forty, in children and adolescents. The male female ratio is 6:1.[1] Pilonidal is defined to pertaining a “nest of hairs “, that pilo comes from. The ward pilus which means hairs and nidal comes from nidus that means, nest. In this regard the meaningful ward is called as nest of hairs.[2] It is also called as the Jeep driver’s disease. Nadivrana is nothing but a tract due to not being treated the Vranashopha as per Ayurveda. The nadivrana may be correlated with the sinus tract at any part of the body tissue.[3] Pilonidal sinus is one kind of sinus and that may be correlated with Nadivrana. Nadivrana is said to be Kricchrasadhya (difficult to treat) and in present era the pilonidal sinus is also complex one and difficult to treat due to its recurrence nature. Sushruta has advocated a minimally invasive para-surgical treatment, viz. Kshar application procedure, for nadi vrana. Hence Bhedana karma along with kshara application was tried in Pilonidal sinus.[4] The application of Kshar treatment not only reduces complications and recurrence but also facilitates a faster return to work with less discomfort, ultimately lowering costs and positively influencing body image and self-esteem. The patient attended Shalya tantra OPD of government Ayurvedic college and hospital nanded, maharashtra and was treated with Application of Apamarga kshar on the track after excision of pilonidal sinus.

Keywords: Nadivrana, Kshar, Bhedan karma, Pilonidal sinus.