A CONCEPTUAL STUDY ON THE EFFECT OF GUGGULU BASED GANDHAMLIYA YASHADA KSHARA SUTRA IN SHALYAJA NADI VRANA

Kshara Sutra is a unique para surgical procedure mentioned in Ayurveda. Kshara Sutra is defined as a medicated thread coated with herbal alkaline drugs. Kshara Sutra prayoga is mentioned by Acharya Sushrutha in the management of Shalyaja Nadi Vrana. Acharya Sushrutha has explained Shalyaja Nadi Vrana as a complication of Vrana Shopha. Shalyaja Nadi Vrana is manifested due to presence of Bala (hairs) and puya (pus) in Twagadi dhatus. Pilonidal Sinus can be correlated with Shalyaja Nadi Vrana as they have same clinical features. Pilonidal Sinus is managed by radical excision of tract or Z plasty or by using rhomboidal flap of skin. Even by all these management in contemporary science expected results is not seen. To overcome the complications like recurrence, hospitalization and long-term post-op dressing, a Kshara Sutra can be used as a better treatment modality as it minimizes many of the complications. Many established herbal Kshara Sutras are available in market. Guggulu based Gandhamliya yashada kshara sutra has Gandhamliya yashada as Kshara which is a Rasaushadi. Gandhamliya Yashada Kshara has properties which will be helpful in lysis of tissues, reduces the discharge and also helps in wound healing in Shalyaja Nadi Vrana. So, this study is taken up to explore the combined effect of a herbo mineral Gug-gulu based Gandhamliya yashada kshara sutra in Shalyaja Nadi Vrana.