A Case Report- Ayurvedic Management of Recurrent Pilonidal Sinus using Udumber Ksheerasutra

Ayurveda

A Pilonidal Sinus (PNS) is located in the cleavage between the buttocks (natal cleft) which can result in discomfort, embarrassment, and missed work. Men are more likely than women to get it since they have more hair. According to Ayurveda, it is associated with Shalyajanya Nadivrana (Pilonidal Sinus), a form of Nadivrana (sinus). The etiology of which is addressed in Nidanasthana and the therapy aspect in Chikitsasthana of Sushruta Samhita using minimally invasive Parasurgical treatment like Ksheerasutra (seton) procedure to regulate Nadivrana. Although many surgical techniques have been documented in contemporary medical science, disease recurrence is common worldwide. In addition, the surgery is costly and the patient needs a longer stay in the hospital. A 33 Year old Male arrived with the main complaints of Pilonidal Sinus since 15 days having history of incision and drinage of Pilonidal Sinus in January 2022.The reccurent Pilonidal Sinus is treated with Udumber Ksheerasutra described in this case study. Treatment with Ksheersutra not only reduces complications and recurrence but also speeds recovery and eases the patient's return to work, improves body image and self-esteem, and is less expensive.

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