Efficacy of Aragwadhadi Varti in the Management of Pilonidal Sinus: A Pre-Post Study
DOI:
https://doi.org/10.70066/jahm.v13i1.1548Abstract
Introduction-Pilonidal sinus is an epithelium lined tract, situated short in the sacrococcygeal region, containing hairs and unhealthy granulation tissue. It is due to penetration of hairs through the skin into subcutaneous tissue, causing a spectrum of clinical presentations, ranging from asymptomatic hair containing cysts and sinuses to large symptomatic abscesses. Many surgical and para surgical treatments are available for this condition. In Ayurveda, salyaja nadivrana can be compared with Pilonidal sinus on the basis of its etiopathogenesis, signs and symptoms. Ayurveda classics mentioned the use of varthi in the management of salyaja nadi vrana, which are having good healing property. One among them is Aragwadhadi varthi mentioned in Bhaishajya Ratnavali. Material and methods-The aim of the study is to evaluate the healing effect of Aragwadhadi varthi in Pilonidal sinus. An interventional open trial study was conducted in 15 participants. Sampling method is consecutive sampling. Participants of age group 15–40 years having Pilonidal sinus are selected.Results- Results shows that both subjective and objective parameters were statistically significant with P <0.001.Discussion and conclusion-By analysing the data and results obtained from the study there is significant improvement in the subjective and objective parameters, and can be concluded that clinically and statistically, study is significant.
References
Sriram BM(editor). SRB’s manual of surgery, Fifth edition, New Delhi: Jaypee ;The Health Sciences Publisher; 2016 : 967.
Johnson EK, Vogel JD, Cowan ML, Feingold DL, Steele SR. Clinical Practice Guidelines Committee of the American Society of Colon and Rectal Surgeons, The American Society of Colon and Rectal Surgeons’ Clinical Practice Guidelines for the Management of Pilonidal Disease: Dis Colon Rectum, 2019 Feb;62(2):146–57.
K.R. Srikanthamurthy. Illustrated Suśruta saṁhitā, Vol.1(Sutrasthana). Sutrastana, chapter 11, verse no: 3, Varanasi: Chaukhambha Orientalia;2016:66.
Anjana.S.vijayan. Rajam R. A Comprehensive Review on Varti Kalpana, Int J Ayurveda Pharma Res, 2022 Sep 9;77–82.
Govinda Dasj(editors). Bhaishajya Ratnavali; vol.2, Commentary by Vaidya Shri Ambika Datha Shasthri, Choukamba Sanskrit Academy Varanasi;2009: 780.
Yadavji Trivikramji. Sushruta Sahmita of Sushruta with Nibandhasangraha ,commentary of Dalhanacharya and Nyayachandrika Panjika of Gayadasacharya on Nidana Sthana, Sutrasthana ,chapter 23 ,verse no.68, 2ndedition, Varanasi : Choukambha Orientalia; 2019:79.
Deoghare D, Rewdkar-kole m. Ayurvedic management of dushta vrana w.s.r to non healing wound, Int J Sci Res, 2024 Jul 1:24–7.
Kumar V, Nesari TM, Ghildiyal S, Sherkhane R. Pharmacodynamic appraisal of wound-healing herbs of Sushruta Samhita. Ayu. 2021;42(1):1–18.
Bhavamisra. Bhavprakasha Nighantu, Dr. K C Chunekar, Chaukhambha Bharti Academy, Varanasi;2004: 68.
Bhavamisra. Bhavprakasha Nighantu, Dr. K C Chunekar, Chaukhambha Bharti Academy, Varanasi ;2004:69.
Bhavamisra. Bhavprakasha Nighantu by Dr. K C Chunekar, Chaukhambha Bharti Academy, Varanasi; 2004:788
Sharma Anantaram. Sushrutha Samhita, Sutrasasthana, Chapter 45, verse no.58,2nd edition, Chaukhambha Surbharati Prakashan, Varanasi ;2009:230
Garg P. Tube in tract technique, a simple alternative to a loose draining seton in the management of complex fistula-in-ano--a video vignette. Colorectal Dis Off J Assoc Coloproctology G B Irel;2016 Jan;18(1):107.
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