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.
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