World Journal of
Pharmaceutical and Life Sciences

KATUPILA (FLUEGGEA LEUCOPYRUS) AVACHURNANA: A NOVEL AND EFFECTIVE APPROACH TO PILONIDAL SINUS MANAGEMENT- A CASE SERIES

Dr. Shilpa P. N., 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 pain and discomfort. 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 and economical which can be performed on OPD basis but the patient has to visit OPD regularly for Kshara sutra ligation and dressing until the wound is completely healed. Kshara sutra ligation is a painful procedure does have its own limitations and recurrence (5%) too. The study involves topical application of Katupila (Flueggea leucopyrus) churna over the sinus to counter the limitations and enhance the healing rate of the sinus effectively.

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