Abstract

*Dr. Pankaj Potalia, Dr. Rajesh Kumar Gupta and Dr. Vishnudutt Sharma

ABSTRACT

Nadivrana is such a common and painful medical entity from which mankind suffered. Pilonidal sinus means nest of hairs in Greek term. Pilonidal sinus disease is a disease of inter-gluteal region. Formation of sinus in the cleft of the buttocks. The track of sinus goes in vertical direction between the buttocks. Acharya sushruta described about nadivrana in sushruta samhita nidan sthan adhyaya dashama "Visharpanadistanaroga nidana adhyay. Acharya Sushruta given lot of chikitsa siddhant for management of Nadivrana one of them application of varti is most common and famous principle of treatment. In Sushruta samhita Chikitsa sthan acharya described about Lavnottam Vartika for management of Nadivrana, lavnottam vartika is made by madhu & saindhav lavana.Madhu has been described as having the ability to promote phagocytosis, detoxification, and proteolyses. Madhu has Vranaropaka properties as per the principles of the sixty Upakramas of Vrana management described in the Sushruta Samhita. Madhu have Sodhana (purification), Ropana (healing), and Sandhana (union) actions. & Saindhav lavan have lekhan, shodhan and vranaropana properties.