Management of pilonidal sinus using homoeopathic medicine in combination with Kshar Solution: A case report of a novel approach
Pilonidal sinus (PNS) occurs beneath the skin in the gluteal cleft just above the anus. It continues to pose a number of therapeutic challenges and its treatment is mostly surgical. A 33-year-old male shopkeeper consulted the homeopathy outpatient department of AYUSH with complaints of mild pain and...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2022-01-01
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| Series: | Journal of Surgical Specialties and Rural Practice |
| Subjects: | |
| Online Access: | http://www.jssrp.org/article.asp?issn=2772-3143;year=2022;volume=3;issue=3;spage=70;epage=73;aulast=Dixit |
| _version_ | 1797775429505908736 |
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| author | Ashish Kumar Dixit Danish Javed Nibha Giri |
| author_facet | Ashish Kumar Dixit Danish Javed Nibha Giri |
| author_sort | Ashish Kumar Dixit |
| collection | DOAJ |
| description | Pilonidal sinus (PNS) occurs beneath the skin in the gluteal cleft just above the anus. It continues to pose a number of therapeutic challenges and its treatment is mostly surgical. A 33-year-old male shopkeeper consulted the homeopathy outpatient department of AYUSH with complaints of mild pain and bloody pus (serosanguinous) from the sinus tract and intermittent mild fever, for the past 2 years. The patient was apprehensive about the surgery and did not want it. We devised a therapy strategy for the patient. Depilation of the tract followed by the adding of a Kshar solution to spontaneously cauterize the scar tissue was performed. Finally, the homeopathic drug Silicea 200 was given for 3 months period, and the case was followed for more than 9 months. The case exhibited a marked reduction in probing of the tract (1.7–0 cm), Visual Analog Scale (VAS) for pain (3-0), and discharge (+++ to NIL) after 3 months of treatment. The Outcome in Relation to Impact on Daily Living scale score was +4, indicating that he is back to normal in terms of both the main complaint and overall well-being. At the final visit, the Modified Naranjo Criteria for Homeopathy score was +8 on a scale of −6 to +13. Homeopathy in combination with the Kshar solution can be an effective alternative approach to the management of PNS. As a result, controlled clinical trials are warranted. |
| first_indexed | 2024-03-12T22:35:37Z |
| format | Article |
| id | doaj.art-8c2eb44192754ed6a58d8f229ffda776 |
| institution | Directory Open Access Journal |
| issn | 2772-3143 2772-3151 |
| language | English |
| last_indexed | 2024-03-12T22:35:37Z |
| publishDate | 2022-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Surgical Specialties and Rural Practice |
| spelling | doaj.art-8c2eb44192754ed6a58d8f229ffda7762023-07-21T12:44:07ZengWolters Kluwer Medknow PublicationsJournal of Surgical Specialties and Rural Practice2772-31432772-31512022-01-0133707310.4103/jssrp.jssrp_9_22Management of pilonidal sinus using homoeopathic medicine in combination with Kshar Solution: A case report of a novel approachAshish Kumar DixitDanish JavedNibha GiriPilonidal sinus (PNS) occurs beneath the skin in the gluteal cleft just above the anus. It continues to pose a number of therapeutic challenges and its treatment is mostly surgical. A 33-year-old male shopkeeper consulted the homeopathy outpatient department of AYUSH with complaints of mild pain and bloody pus (serosanguinous) from the sinus tract and intermittent mild fever, for the past 2 years. The patient was apprehensive about the surgery and did not want it. We devised a therapy strategy for the patient. Depilation of the tract followed by the adding of a Kshar solution to spontaneously cauterize the scar tissue was performed. Finally, the homeopathic drug Silicea 200 was given for 3 months period, and the case was followed for more than 9 months. The case exhibited a marked reduction in probing of the tract (1.7–0 cm), Visual Analog Scale (VAS) for pain (3-0), and discharge (+++ to NIL) after 3 months of treatment. The Outcome in Relation to Impact on Daily Living scale score was +4, indicating that he is back to normal in terms of both the main complaint and overall well-being. At the final visit, the Modified Naranjo Criteria for Homeopathy score was +8 on a scale of −6 to +13. Homeopathy in combination with the Kshar solution can be an effective alternative approach to the management of PNS. As a result, controlled clinical trials are warranted.http://www.jssrp.org/article.asp?issn=2772-3143;year=2022;volume=3;issue=3;spage=70;epage=73;aulast=Dixitayurvedic medicinehomeopathykshar solutionpilonidal sinus silicea |
| spellingShingle | Ashish Kumar Dixit Danish Javed Nibha Giri Management of pilonidal sinus using homoeopathic medicine in combination with Kshar Solution: A case report of a novel approach Journal of Surgical Specialties and Rural Practice ayurvedic medicine homeopathy kshar solution pilonidal sinus silicea |
| title | Management of pilonidal sinus using homoeopathic medicine in combination with Kshar Solution: A case report of a novel approach |
| title_full | Management of pilonidal sinus using homoeopathic medicine in combination with Kshar Solution: A case report of a novel approach |
| title_fullStr | Management of pilonidal sinus using homoeopathic medicine in combination with Kshar Solution: A case report of a novel approach |
| title_full_unstemmed | Management of pilonidal sinus using homoeopathic medicine in combination with Kshar Solution: A case report of a novel approach |
| title_short | Management of pilonidal sinus using homoeopathic medicine in combination with Kshar Solution: A case report of a novel approach |
| title_sort | management of pilonidal sinus using homoeopathic medicine in combination with kshar solution a case report of a novel approach |
| topic | ayurvedic medicine homeopathy kshar solution pilonidal sinus silicea |
| url | http://www.jssrp.org/article.asp?issn=2772-3143;year=2022;volume=3;issue=3;spage=70;epage=73;aulast=Dixit |
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