Efficacy of Aragwadhadi Varti in the Management of Pilonidal Sinus: A Pre-Post Study

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.