A REVIEW ON NADI VRANA (PILONIDAL SINUS) WITH CLINICAL APPROACH

Abstract

Pilonidal Sinus is a frequent illness of the natal cleft. Pilonidal Sinus is a tract with hairs. The illness has an estimated incidence of 26 per 100,000 persons. Pilonidal illness is predominately male, with a 3:1 ratio. There are numerous ways for treating pilonidal sinuses, although newer surgical treatments have a higher recurrence rate. According to Ayurveda, it is associated with Salyajanya Nadi Vrana (pilonidal sinus), a form of Nadi Vrana (sinus). The etiology of which is addressed in Nidanasthana and the therapy aspect in Chikitsasthana of Susrutha Samhita. Susrutha mentioned using Kshara (caustic alkali) and Ksharasutra (seton) to regulate Nadivrana. Despite the fact that Nadivrana is considered Kricchrasadhya (difficult to cure), studies demonstrate that Ayurvedic therapy helps to lower recurrence rates. As a result, successful illness management is dependent on understanding the pathophysiology, patient presentation, and therapy options.

KEYWORDS – Pilonidal Sinus, Nadi Vrana, Kshara, Kshara Sutra, etc.