A Review on Salyajanya Nadi Vrana (pilonidal sinus) with clinical approach

Dr. Rajasree G.; Dr. Anita K. Patel

doi:10.21760/jaims.v4i02.600

Dr. Rajasree G. Assistant Professor, Dept. of Shalya Tantra, Govt. Ayurveda College, Tripunithura, Kerala, INDIA.
Dr. Anita K. Patel Associate Professor, Dept. of Shalya Tantra, Sri Jayendra Saraswathi Ayurveda College, Chennai, Tamil Nadu, INDIA.

DOI: https://doi.org/10.21760/jaims.v4i02.600

Keywords: Pilonidal Sinus, Salyajanya Nadi Vrana, Kshara, Kshara Sutra

Abstract

A Pilonidal Sinus is a common disease of the natal cleft. Pilonidal Sinus is a track which contains hairs. The incidence of the disease is calculated to be 26 per 100,000 people. Pilonidal disease has a male predominance with a ratio of 3:1. There are several methods to treat pilonidal sinus, but the recurrence rate is more in modern surgical interventions. According to Ayurveda it can be correlated to Salyajanya Nadi Vrana (pilonidal sinus), a type of Nadi Vrana (sinus). Whose etiopathology is described in Nidanasthana and treatment aspect in Chikitsasthana of Susrutha Samhita. Susrutha mentioned the application of Kshara (caustic alkali) and Ksharasutra (Seton) in the management of Nadivrana. Studies shows that by Ayurvedic treatment, it helps to reduce recurrence rate, even though Nadivrana is said to be Kricchrasadhya (difficult to cure). Hence sucessful management of this disease depends on the knowledge of pathogenesis, patients presentation and knowledge on treatment aspects.

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