MANAGEMENT OF SHALYAJA NADI VRANA (PILONIDAL SINUS) BY GUGGULU APAMARG KSHAR- SUTRA: A CASE STUDY

Dr. Urvashi*, Dr. Sunil Kumar oshi, Dr. Ajay Kumar Gupta and Dr. Vimal Kumar

ABSTRACT

Nadi Vrana has been described by Maharishi Sushruta in Nidana Sthana and Chiktsa Sthana of Sushruta Samhita. Shalyaja Nadi Vrana which is one among the eight types of Nadi Vrana can be correlated with pilonidal sinus which occurs more often in males than females. People who are in younger age are most commonly affected. There are several methods to treat Pilonidal sinus but the recurrence rate is more in modern surgical interventions. Modern surgeons face many therapeutic challenges while treating the pilonidal sinus. So it is utmost priority to be acquainted with detailed description of Shalyaja Nadi Vrana, especially its etio-pathogenesis and management aspect through Ayurveda. Maharishi Sushruta described the various methods including ‘Kshar-Sutra’ and application of different kinds of medicated ‘Taila’ and ‘Varti’ for the management of Shalyaja Nadi Vrana.

Keywords: Shalyaja Nadi Vrana, Pilonidal Sinus, Kshar- Sutra, Varti.