Pilonidal sinus is a common disease of the natal cleft in the sacrococcygeal region with weak hair accumulation occurring in the hair follicles, which can be chronic and undergo acute exacerbation. The patient presents with the complaints, which are characteristics of inflammation-a painful swelling, redness, local temperature raised or with a sinus discharge. In Ayurvedic science Pilonidal sinus is better correlated and treated as the Nadi vrana. Acharya Sushruta had explained Shastra Chikitsa with the intervention of kshar sutra as one of the treatment for Nadi vrana. This study elicits a case report of a recurrent pilonidal sinus treated by the intervention of kshar sutra, which cured and demolished the recurrence of the symptoms.
Pilonidal sinus, kshar sutra, Nadi vrana.