Abstract

EVALUATE THE EFFICACY OF APAMARGA KSHAR, SNUHI KSHEERA AND HARIDRA CHURNA VARTI IN MANAGEMENT OF POST OPERATIVE WOUND OF PILONIDAL SINUS -A CASE STUDY

Vd. Kause Krishna Eknath*, Vd. Shekokar A. V. and Vd. Shekokar K. A.

.

Abstract

Pilonidal sinus occurs in the cleavage between the buttocks[1] (Natal cleft) and can cause discomfort, embarrassment and absence from work.[2] it is more common in men (As they have more hair) than in women.[3] the most commonly used surgical techniques for this disorder include excision and primary closure and excision with reconstructive flap.[4] However, the risk of recurrence or of developing an infection of the wound after the operation is high. Also the patient requires longer hospitalization, and the procedure is expensive.[5] There is similarity between Shalyaja nadi vrana described in sushruta Samhita and pilonidal sinus.[6] Sushruta has advocated a minimally invasive para-surgical treatment, viz, Kshar varti procedure, for Nadi vrana.[7] para-surgical procedure planned with ultimately fulfils all the lacunas or pitfalls encountered in the present day management. Hence this therapy was tried in Pilonidal sinus, and is described in this case report. The efficacy of an Ayurvedic treatment protocol using Apamarga kshar (Achyranthes aspera), Snuhi Ksheera (Euphorbia nerifolia latex), and Haridra Churna (Turmeric) is evaluated. The combination of these agents aims to promote wound healing, prevent infection, and reduce the chances of recurrence. Kshar varti treatment not only minimizes complications and recurrence but also enables the patient to resume work quicker and with less discomfort, impact upon body image and self -esteem as well as reduced cost.[8]

Keywords: Pilonidal Sinus, Shalya Tantra, Nadi Vrana Chikitsa, Vrana, Ksharvarti.