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Year : 2022  |  Volume : 3  |  Issue : 3  |  Page : 70-73

Management of pilonidal sinus using homoeopathic medicine in combination with Kshar Solution: A case report of a novel approach

1 Department of AYUSH, All India Institute of Medical Sciences, Bhopal, Madhya Pradesh, India
2 Department of Homoeopathy, State Homoeopathic Dispensary, Ghazipur, Uttar Pradesh, India

Correspondence Address:
Ashish Kumar Dixit
All India Institute of Medical Sciences, Bhopal, Madhya Pradesh
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jssrp.jssrp_9_22

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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.

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