Published Paper Details:

Ksharasutra is a proven hallmark technique of Ayurvedic surgery. Presently Ksharasutra is the answer to some of the surgically treatable disease(s) which have high recurrence rates post-surgery especially in disease like Pilonidal sinus. International surgical texts have also not failed to mention the usage and benefits of Ksharasutra. The present-day management of pilonidal sinus is based on the removal of causative factors which include complete radical excision of the track. Post operatively patients will have severe pain, discomfort, need long hospital stay and require prolonged dressings along with antibiotics. Recurrence is very common even with adequate excision of the tract and proper surgical wound management. Complications like post-op infection, wound dehiscence, seroma can be seen along with recurrence. In the past two-decades various researches are being carried out with respect to various Kshara and Ksharasutra. This Pilonidal sinus can be correlated to Shalyaja nadi vrana. Application of Ksharasutra has been explained as treatment modality in Nadivrana by Acharya Sushrutha and Acharya Chakrapanidatta. Recent researches are aiming to produce Ksharasutra out of available Kshara drugs. one such combination is Guggulu based Palasha ksharasutra. Guggulu as a base material is slowly replacing Snuhi ksheera due to availability, affordability and analgesic action. Due to its abundance Palasha tops the list of kshara drug. This paper intends to throw an insight on role of Guggulu based Palasha ksharasutra in the management of Shalyaja nadi vrana through a single case study.