World Journal of
Pharmaceutical and Life Sciences

AN INTEGRATIVE APPROACH IN THE MANAGEMENT OF SHALYAJA NADIVRANA WITH SPECIAL REFERENCE TO PILONIDAL SINUS- A CASE SERIES

Dr. Shilpa P. N. and Dr. Sanjay S. Bevinkatti*

ABSTRACT

Pilonidal Sinus is an epithelial tract which is often hair filled and located in the skin of the natal cleft just beyond the anus is mostly seen in second decade with an incidence of 26 per 1,00,000 populations. The disease is more common in males than in females in the ratio of approximately 4:1. According to Acharya Sushruta, hair is one of the contributory factors in the development of sinus. Present day management of Pilonidal sinus is based on removal of causative factors which include radical excision of the tract. Patients complain of severe pain, discomfort and need long stay in hospital until the wound gets healed. Recurrence is about 20% with adequate excision of the tract and proper post surgical wound management. Ayurvedic line of treatment includes para surgical management like Kshara sutra ligation, Taila daha and Varti prayoga. These procedures are simple, effective, economical and safe which can be performed on OPD basis. Therefore, an effort is made to develop a holistic treatment that ultimately enhances the quality of life. The present case series portrays the management of Pilonidal sinus with Apamarga ksharasutra ligation, Yashtimadhu tailadaha under local Anesthesia with 2% Lignocaine Hydrochloride Injection, Sitz bath in Panchavalkala kwatha, Yoga therapy with Vajrasana and malasana along with appropriate dietetics.

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