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Taila (Cauterization with Oil) an Innovative Approach in Pilonidal Sinus

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Journal name: Ancient Science of Life
Original article title: Taila (Cauterization with Oil) an Innovative Approach in Pilonidal Sinus
The ANSCI is a peer-reviewed, open-access journal focused on Ayurveda and traditional medicines. It publishes original research, reviews, and literary studies linking traditional knowledge with modern science, covering disciplines like botany, ethnomedicine, pharmacology, and clinical research.
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Original source:

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Author:

Rabinarayan Tripathy, Neelima Sherly John, Sreedevi Vijayalekshmi, NJ Anuja Nair, Suresh Pasupalan


Ancient Science of Life:

(A quarterly multi-disciplinary scientific research journal in Ayurveda)

Full text available for: Taila (Cauterization with Oil) an Innovative Approach in Pilonidal Sinus

Year: 2016

Copyright (license): CC BY-NC-SA


Summary of article contents:

Introduction

Pilonidal sinus is a chronic inflammatory condition located in the midline of the natal cleft, often associated with hair and skin debris. It primarily affects middle-aged obese males, with an incidence rate of 26 cases per 100,000 people. Despite various treatment modalities such as excision and wound care, pilonidal sinus is notorious for its recurrence and potential complications. This case study presents an innovative treatment approach known as Taila (cauterization with hot oil) combined with excision and medicated oil, highlighting its effectiveness and minimally invasive nature.

Innovative Treatment Approach: Taila

The primary treatment in this study involved a 28-year-old male patient diagnosed with pilonidal sinus, which manifested as painful pustules and pus discharge. Following excision of the sinus tract, the authors utilized Taila , a method integrating heated ⲹṣṭ taila (licorice oil) mixed with powdered copper sulfate. This thermal cauterization technique aimed to achieve immediate hemostasis and promote rapid wound healing. The procedure demonstrated good outcomes, with minimal invasion and reduced potential for recurrence, contrasting traditional methods that typically require prolonged hospitalization and are often associated with pain and complications.

Conclusion

The case study showcases Taila as a viable treatment for pilonidal sinus, offering a cost-effective solution with significantly improved quality of life for patients. While traditional surgical interventions remain common, this innovative approach provides an alternative that minimizes patient discomfort and reduces the risk of secondary infections. Further research is necessary to standardize the procedure and establish definitive protocols, as the findings suggest a promising direction in the management of pilonidal sinus through Ayurvedic techniques.

FAQ section (important questions/answers):

What is the incidence rate of pilonidal sinus in the population?

Pilonidal sinus has an incidence rate of 26 cases per 100,000 persons worldwide, with higher prevalence among hairy, middle-aged obese males.

What traditional method is used to treat pilonidal sinus?

The traditional Ayurvedic treatment includes Kṣārasūtra therapy and thermal cauterization with hot oil known as Taila , which aims at effective wound healing.

What are the symptoms associated with a pilonidal sinus?

Symptoms may include pain in the natal cleft, presence of pustules, and occasional pus discharge, often accompanied by a palpable tract and infected hair.

What were the outcomes of the innovative treatment studied?

The innovative treatment resulted in good haemostasis, minimal invasion, cost-effectiveness, and uneventful wound healing, ultimately improving the patient's quality of life.

Glossary definitions and references:

Scientific and Ayurvedic Glossary list for “Taila (Cauterization with Oil) an Innovative Approach in Pilonidal Sinus�. This list explains important keywords that occur in this article and links it to the glossary for a better understanding of that concept in the context of Ayurveda and other topics.

1) Taila:
Taila refers to oil in Ayurveda, which is a central component in various therapeutic practices. It is considered a potent medium for delivering healing properties to tissues and is used in treatments like Taila dāha (cauterization with hot oil) for its ability to aid in wound healing, promote skin health, and provide nourishment due to its fatty acids.

2) Ayurveda (Ayus-veda):
Ayurveda is a traditional system of medicine originating from India, emphasizing balance in bodily systems using diet, herbal treatment, and yogic breathing. It encompasses a holistic approach, considering physical, emotional, and spiritual health. The practices within Ayurveda include various surgical and non-surgical techniques aimed at maintaining health and treating ailments.

3) Samhita:
Samhita translates to 'collection' or 'compendium' and is often used to refer to classical texts of Ayurveda that compile medical knowledge, treatment guidelines, and philosophical insights. Key texts like Susruta Samhita and Charaka Samhita are foundational to Ayurvedic practice, providing comprehensive methodologies for diagnosis and therapy.

4) Yashtimadhu (Yastimadhu, Yashti-madhu):
۲ṣṭ, or Glycyrrhiza glabra, is an herb valued in Ayurveda for its sweetness and medicinal properties. It is known for its anti-inflammatory effects, promoting wound healing, soothing gastrointestinal issues, and harmonizing the body. It is a common ingredient in formulations aimed at enhancing treatment outcomes.

5) Amrita (Amrta):
Amrita refers to the 'nectar of immortality' in Ayurvedic vocabulary, often symbolizing treatments or substances believed to confer longevity and health. The term signifies the inclusion of restorative elements in healing practices, aligning with the goal of achieving a long and healthy life.

6) Sharman (Sarma, Sharma, Sarman):
Sharma is a common surname in India, particularly associated with scholars and practitioners of traditional knowledge, including Ayurveda. In the context of Ayurveda, it typically signifies individuals who have contributed to the field, often as authors of significant texts or researchers in Ayurvedic practices.

7) Shalyatantra (Salyatantra, Shalya-tantra, Shalyatamtra):
Shalyatantra is a specialized field within Ayurveda focusing on surgical interventions. It encompasses a wide array of surgical techniques, providing detailed methodologies and practices to ensure effective treatment of conditions requiring surgical resolutions while minimizing patient trauma.

8) Tantra (Tamtra, Tantrism):
Tantra means 'woven together' and signifies a systematic approach in various fields, including Ayurveda. Within the Ayurvedic context, it encompasses methodologies, texts, and practices that promote healing and balance. Tantra often refers to the art of applying knowledge through ritualistic methods for achieving wellness.

9) Shalya (Salya):
Śⲹ refers to surgery in Ayurveda, embodying the techniques and knowledge necessary for surgical intervention and management of diseases. This discipline focuses on safe, effective practices that align with Ayurvedic principles, integrating various methods to improve patient outcomes.

10) Daha:
Daha translates to 'burning', indicating its relevance in medical contexts where heat is used therapeutically. In Ayurveda, it involves techniques that apply thermal energy to treat ailments, control bleeding, and facilitate healing, demonstrating the importance of controlled heat in treatment protocols.

11) Cauterisation (Cauterization):
Cauterization refers to the process of burning a tissue to either remove it or stop bleeding. In Ayurveda, it is commonly performed using heated substances like oil, allowing control over the wound and stimulating healing processes. This method is vital in certain surgical interventions.

12) Vrana:
հṇa translates to 'wound' in Ayurveda, encompassing a broad spectrum of injuries and lesions. The management of vraṇa involves understanding its nature and applying appropriate treatments for healing, which can include topical applications, surgical intervention, and supportive care to promote optimal recovery.

13) Sushruta-samhita (Susruta-samhita):
Susruta-samhita is one of the foundational texts of Ayurveda, attributed to the ancient physician Susruta. This text primarily focuses on surgical techniques, instruments, and methods, detailing extensive information on various conditions, diagnoses, and therapeutic practices, establishing a basis for Ayurvedic surgical practices.

14) Sutrasthana (Sutra-sthana):
Sutrasthana, found within the Susruta-samhita, outlines fundamental principles, techniques, and guidelines related to surgery and treatment protocols. This section serves as a theoretical framework for Ayurvedic practitioners, providing essential insights into the philosophical underpinnings of surgical intervention.

15) Arunadatta:
Arunadatta is a revered author and commentator on Ayurvedic texts, particularly known for elucidating the Susruta-samhita. His interpretations and expansions on classical methodologies have contributed significantly to the understanding and practice of Ayurvedic surgery, bridging ancient wisdom with contemporary applications.

16) Ashtanga (Astanga, Ashtan-anga):
Ashtanga refers to the 'eightfold' path within Ayurveda, combining multiple disciplines for a comprehensive approach to health. This includes concepts of diagnosis, treatment, surgery, and therapeutics, integrating various elements that work synergistically to promote overall wellness and recovery from illness.

17) Hridaya (Hrdaya):
Hridaya translates to 'heart' in Sanskrit and often signifies the core or essence of various Ayurvedic texts, especially the Ashtanga Hridaya, which integrates surgical and medicinal aspects. The term embodies the central principles guiding Ayurvedic practices, aiming at healing and maintaining life.

18) Hemadri (Heman-adri):
Hemadri is known for his commentaries on Ayurvedic texts, particularly the Ashtanga Hridaya. His works are significant in elaborating classic Ayurvedic concepts, providing detailed explanations and interpretations that help practitioners understand and apply ancient knowledge effectively in clinical settings.

19) Sthana:
Sthana refers to 'location' or 'place' in Ayurveda and can emphasize the importance of context in therapeutic practices. It is essential for diagnosing and treating ailments based on the specific circumstances and conditions surrounding an individual's health, highlighting a personalized approach to care.

20) Ksharasutra (Ksarasutra, Kshara-sutra):
Ksharasutra is a specialized treatment method utilizing a medicated thread in Ayurveda, particularly for managing sinuses and fistulas. This approach is valuable for its non-invasive characteristics and efficacy, integrating natural medicaments to promote healing without significant scarring.

21) Nadivrana (Nadi-vrana):
Nadivrana is a specific term referring to sinus-like conditions within Ayurveda. It is of profound significance, guiding practitioners to comprehend the chronic inflammatory pathways and the necessary interventions for managing these conditions to ensure effective and sustainable healing.

22) Quality:
Quality refers to the standard of treatment outcomes in Ayurvedic practices. It encompasses factors like effectiveness, patient satisfaction, and overall wellbeing, stressing the necessity of evidence-based approaches and continuous refinement of practices for optimal results in patient care.

23) Anuja:
Anuja is a common Indian name that may refer to individuals in various contexts, including authors or practitioners in the Ayurvedic field. Each Anuja's contributions can enrich the understanding and application of Ayurveda, reflecting the diversity and expertise within this ancient medical tradition.

24) Nadi (Nadin):
ḍi translates to 'channel' or 'nerve' in Ayurveda, referring to the pathways through which bodily energies flow. Understanding nāḍis is pivotal in Ayurveda for diagnosing imbalances and implementing therapies aimed at restoring harmony, essential for maintaining health and preventing diseases.

25) Post:
Post refers to the period after a specific event, particularly post-operative care in medical contexts. Emphasizing the importance of recovery processes, it highlights the necessity of monitoring, follow-up, and specific therapeutic interventions aimed at promoting healing and preventing complications.

26) Burning sensation:
Burning sensation is a common symptom in various medical conditions, including post-surgical or inflammatory scenarios. In Ayurveda, understanding the root cause of this sensation aids in selecting appropriate treatments, such as soothing herbal formulations, to alleviate discomfort and promote overall healing.

27) Ashtangahridaya (Astangahrdaya, Ashtanga-hridaya):
Ashtanga-hridaya is a key Ayurvedic text that synthesizes various aspects of Ayurveda, including surgical and medicinal principles. It serves as a guide for practitioners, offering a comprehensive approach to diagnosis, treatment, and management, thereby establishing protocols that integrate traditional wisdom with clinical applications.

28) Uttaratantra (Uttara-tantra):
Uttaratantra is a significant text in Ayurveda that elaborates on advanced surgical techniques and philosophical insights. It serves as a compilation of surgical wisdom, providing guidance on managing complex conditions and reflecting the holistic approach inherent in Ayurvedic practices.

29) Nidanasthana (Nidana-sthana):
Nidanasthana refers to the section of Ayurvedic texts that focus on the diagnosis and identification of diseases. This portion is crucial for understanding the underlying causes of conditions, guiding practitioners in developing precise treatment plans rooted in thorough evaluation and insight.

30) Medicine:
Medicine encompasses the science and practice of diagnosing, treating, and preventing diseases. In Ayurveda, traditional concepts are applied to restore balance in the body, employing various forms of treatment including herbs, surgical procedures, and holistic practices aimed at improving health outcomes.

31) Guggulu:
Guggulu is a resin derived from the Commiphora mukul tree, extensively used in Ayurveda for its medicinal properties. It is valued for its anti-inflammatory, analgesic, and cholesterol-lowering effects and plays a critical role in formulations targeting metabolic and chronic conditions.

32) Science (Scientific):
Scientific denotes the systematic study and investigation in medicine. It emphasizes the integration of empirical evidence and traditional practices within Ayurveda, fostering a comprehensive understanding that bridges ancient knowledge with modern medical standards for effective health outcomes.

33) Dahana:
na denotes the act of burning or cauterization. In Ayurvedic medicine, it involves using heat to manage wounds, control bleeding, and treat conditions that require thermal intervention, emphasizing the role of this technique in surgical practice and tissue management.

34) Honey:
Honey is a natural substance revered for its therapeutic properties in Ayurveda. Known for its antibacterial and wound-healing abilities, it serves as a valuable ingredient in various remedies, enhancing the efficacy of treatments while providing nourishment and promoting overall health.

35) Coma:
Coma is a profound state of unconsciousness where a patient cannot be awakened. In Ayurveda, understanding the causes and implications of coma is essential for formulating appropriate interventions aimed at rehabilitation and recovery, particularly surrounding post-traumatic care.

36) Glycyrrhiza glabra:
Glycyrrhiza glabra, or ۲ṣṭ, is an important herb in Ayurveda used for its soothing properties. Its applications include treating respiratory disorders, ulcers, and inflammation. It aids in promoting healing and managing conditions related to digestive and skin health.

37) Triphalaguggulu (Triphala-guggulu):
հ󲹱-ܱܲ is a traditional Ayurvedic formulation combining հ󲹱, a trio of fruits, with Guggulu, a medicinal resin. This blend is renowned for its detoxifying and rejuvenating properties, making it an effective remedy for various ailments and enhancing overall health.

38) Vranaropana (Vrana-ropana):
հṇaropaṇa encompasses techniques and practices in Ayurveda directed towards the healing of wounds. It provides a framework for approaching various types of wounds, emphasizing natural therapies, herbal applications, and surgical interventions designed to enhance the body's inherent healing processes.

39) Inflammation:
Inflammation is a biological response to harmful stimuli, often characterized by redness, heat, swelling, and pain. In Ayurveda, understanding inflammation's role is crucial for managing conditions effectively, allowing practitioners to tailor treatments that address and soothe these symptoms.

40) Sharngadhara (Sarngadhara, Sharnga-dhara):
Sarngadhara refers to an influential Ayurvedic text that provides insights into various therapeutic procedures and herbal formulations. Its teachings emphasize the integration of traditional knowledge with clinical applications, guiding practitioners toward effective treatment strategies in managing health ailments.

41) Aragvadadi:
refers to a specific combination of Ayurvedic herbs used for therapeutic purposes. These herbs are selected for their synergistic effects, targeting specific ailments and promoting holistic healing as part of a broader Ayurvedic treatment strategy.

42) Bhagandara (Bhagamdara):
Bhagandara denotes a term used in Ayurveda to refer to particular fistulous conditions often involving complications. Its treatment involves surgical interventions, demonstrating the necessity of understanding complex conditions for effective management and enhancing patient outcomes.

43) Discussion:
Discussion refers to the section in academic articles that evaluates findings and interpretative insights. It is crucial in drawing connections between clinical observations and theoretical underpinnings, contributing to ongoing research and enhancement of treatment protocols in Ayurveda.

44) Antibiotic (Antibacterial):
Antibiotic refers to substances that combat bacterial infections. In Ayurveda's context, the approach may include herbal formulations with antimicrobial properties. Understanding antibiotics enables integrating contemporary solutions with Ayurvedic practices for managing infections and promoting overall health.

45) Virecana:
Virecana is a form of medicinal purgation in Ayurveda designed to eliminate toxins and restore balance in the body. This therapeutic method is vital in many treatment regimens, facilitating detoxification and addressing underlying health issues.

46) Triphala (Tri-phala):
հ󲹱 is a renowned Ayurvedic formulation composed of three fruits (Amalaki, Bibhitaki, and Haritaki) known for their synergistic health benefits. It promotes digestion, detoxification, and overall wellbeing, reflecting the holistic approach of Ayurveda in supporting multiple bodily functions.

47) Sweating (Sweat):
Sweating is a natural physiological process that aids in temperature regulation and detoxification. In Ayurveda, understanding sweating's importance helps in devising treatments aimed at balancing bodily humors, emphasizing personalized approaches to health.

48) Chedana:
Chedana refers to excision or surgical intervention in Ayurveda. This technique involves accurately removing pathological tissues or obstructions, which is central to the practice of Shalya-tantra, reflecting the discipline's goal of restoring health through precise surgical strategies.

49) Lekhana:
Lekhana translates to the act of scraping or debridement in Ayurveda. It involves removing unhealthy tissues from a wound to facilitate healing by promoting healthy tissue regeneration and is a critical component of effective wound care practices.

50) Cikitsa:
侱쾱ٲ refers to medical treatment or therapy in Ayurveda. It encompasses a wide range of interventions, including dietary changes, herbal remedies, and surgical procedures, focusing on holistic wellness and addressing the root causes of ailments for effective management.

51) Hygiene (Hygienic):
Hygiene emphasizes cleanliness and practices preventing disease transmission. In Ayurveda, maintaining hygiene is crucial for overall health, especially for preventing infections and promoting healing, reflecting the integral connection between cleanliness and wellness in traditional medical practices.

52) Dravya:
Dravya translates to 'substance' or 'material' in Ayurveda. It encompasses various medicinal components, including herbs, minerals, and animal products, utilized in formulations to promote health and treat ailments, emphasizing the diversity of materials employed in Ayurvedic healing.

53) Sukshma (Suksma, Shukshma):
ūṣm means 'subtle' in Ayurveda, indicating the fine, intricate elements of bodily systems and treatments. It underlines the need for practitioners to comprehend the subtle aspects of health and disease, guiding their interventions toward achieving balance and harmony.

54) Patana:
Patana refers to downwards movement or the act of 'letting go'. In Ayurvedic surgery, it may pertain to techniques of ensuring proper drainage or the purposeful evacuation of materials from the body, essential for facilitating healing and recovery.

55) Ropana:
DZ貹ṇa means 'healing' or 'restoration' in Ayurveda, focusing on techniques and practices that promote recovery from illness and injury. It serves as a guiding principle in formulating treatments aimed at supporting bodily repair processes.

56) Shastra (Sastra):
Śٰ signifies tools or instruments, often in the context of surgical practices in Ayurveda. It includes both physical tools for procedures and the knowledge systems that guide their application, emphasizing precision and expertise in Ayurvedic surgical interventions.

57) Visada (Vishada, Visha-da):
վṣa岹 means 'pure' or 'cleansing' and indicates the importance of purity in therapeutic practices. In Ayurveda, it emphasizes the necessity of utilizing pure substances and methods to promote healing, highlighting the connection between the quality of materials used and effective health outcomes.

58) Tikshna (Tiksna):
īṣṇ translates to intense or sharp, often used in the context of describing potent herbs or treatments in Ayurveda. The term signifies the effectiveness of specific formulations that can lead to rapid therapeutic actions, reflecting a core aspect of Ayurvedic principles.

59) Kashaya (Kasaya):
ṣҲ refers to astringent substances in Ayurveda known for their ability to dry or tighten tissues. These substances are critical in managing various ailments, particularly in conditions requiring binding or toning effects to restore balance within the body's systems.

60) Madhu:
Madhu translates to 'honey' and is celebrated in Ayurveda for its numerous health benefits. Known for its antibacterial, anti-inflammatory, and nourishing properties, it serves as an essential ingredient in various formulations aimed at enhancing health and facilitating healing.

61) Ghrita (Ghrta):
ҳṛt means 'clarified butter' (ghee) in Ayurveda, recognized for its nutritional and therapeutic properties. It serves as a carrier for herbs, enhancing their efficacy while also nourishing the body, promoting digestion, and supporting the immune system.

62) Curna:
ūṇa refers to powdered herbs or substances in Ayurveda, emphasizing the importance of fine particle size for effective administration and absorption. This format is crucial for ensuring that herbal properties are readily bioavailable and facilitate intended therapeutic actions.

63) Blood:
Blood is vital for maintaining physiological functions and health. In Ayurveda, the understanding of blood's role is essential for diagnosing and managing conditions, particularly in relation to circulatory issues, inflammation, and overall wellness.

64) Hara:
Hara refers to the act of 'removing' or 'purifying' in Ayurveda. It encompasses the principles of detoxification and cleansing, emphasizing methods and treatments designed to expel toxins from the body, thereby fostering improved health and balance.

65) Dosha (Dosa):
ٴṣa are fundamental concepts in Ayurveda that denote bodily humors responsible for health. Understanding the balance and interplay between the three doshas—Vata, Pitta, and Kapha—is essential for diagnosis and treatment in maintaining wellness and preventing disease.

66) Ghi (Ghee):
Ghee is a clarified form of butter, recognized in Ayurveda for its health benefits and culinary uses. It is regarded for its nourishing, digestible quality, and is used in various formulations to enhance the effectiveness of herbs and treatments.

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Discover the significance of concepts within the article: �Taila Daha (Cauterization with Oil) an Innovative Approach in Pilonidal Sinus�. Further sources in the context of Science might help you critically compare this page with similair documents:

Nadivrana, Copper-sulphate, Complication, Quality of life, Chronic inflammatory disorder, Surgical Procedure, Pilonidal Sinus, Haemostasis, Excised wound, Medicated seton, Yashtimadhu taila, Invasive treatment.

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