European Journal of Biomedical and Pharmaceutical Sciences

REVOLUTIONIZING PILONIDAL SINUS TREATMENT: THE EFFICACY OF TILVALA TEEKSHNA PRATISARNIYA KSHARA

Swati R. Yedke* and Mahesh S. Jayabhaye

ABSTRACT

Pilonidal sinus disease, marked by the formation of painful cysts or abscesses near the sacrococcygeal region, continues to present therapeutic challenges in clinical practice. This study investigates the efficacy of Tilvaka Teekshna Pratisaraneeya Kshara, a traditional Ayurvedic formulation, in the management of pilonidal sinus. A clinical trial was conducted involving patients diagnosed with the condition, who were treated with this Kshara preparation. Key outcome measures included healing duration, pain reduction, recurrence rate, and overall patient satisfaction. Findings revealed a significant reduction in healing time, with complete wound closure observed by Day 25, and a marked decrease in pain within the first week of treatment. Notably, no recurrence was reported during the follow-up period, and discharge had completely ceased by Day 10 in all patients. The Kshara, prepared from Tilvaka (Symplocos racemosa Roxb.), effectively debrided necrotic tissue and supported healthy granulation, facilitating rapid recovery. Given its minimally invasive application and encouraging clinical outcomes, this Ayurvedic intervention may offer a promising alternative in pilonidal sinus management. However, larger-scale studies are warranted to further substantiate these results and explore its integration into mainstream therapeutic protocols, with the aim of enhancing patient care and long-term outcomes.

Keywords: Pilonidal sinus, Tilvala Teekshna Pratisaraneeya Kshara, Ayurvedic treatment, Healing time, Recurrence rate.