Pilonoidal sinus is the disease that commonly arises in the hair follicles of the natal cleft of sacro coccygeal area, incidence is reported 26/100,000 population. Usually affects hairy adult males than females, it usually presents as an abscess or chronically discharging painful sinus tract. Inspite of mode of presentation, painful nature of condition causes significant morbidity, often with a protracted loss of normal activity.

 In Ayurveda shalyaja nadi vrana explained by Sushruta can be correlated with Pilonidal sinus by considering its clinical features.

In Modern Science, the management option varies from Phenol injection,  lancing, exision of the  tract and complex rotation flap. All these   modalities are more invasive, not cost effecticve, require hospitalization and are not free from post operative complications and moreover they have high recurrence rate. Hence, it has been thought of to evaluate simple, safe and effective principle from the doctrines of Ayurveda for the management of nadivrana w.s.r.to Pilonidal sinus.

 In Ayurveda different   effective treatment modalities for Shalyaja Nadi Vrana have been explained. Many works have been done on ksharasutra at various cetres across the country. Mechanical introduction of kshara sutra is complex and painful procedure and   it is aiso having some limitations in its use as in multiple sinuses.  Varti kalpana is one of conservative line of management mentioned in classics and can be practiced at OPD level. After Varti Chikitsa  patient can do his routine work without any disturbance.

In Bhaishajya Ratnavali,  Snuhyadi Varti (Ref: .Bhaisajya Ratnavali,Chapter 51,Bhagandharrogadikara adyaya,p839) is mentioned for treatment of Nadivruna and Bhagandara¹

As there is recurrence with existing surgical and other modalities of Modern Science, the need of the hour is to search for an effective and innovative treatment modality which can fulfill criteria of an ideal treatment which can prevent recurrence, cost effective and doesnot require hospitalization. 

 Varti Chikitsa has been ear marked by all the Acharyas and is found to be very effective in Nadi Vrana and also to avoid its recurrence. Therefore, in the present study, it has been planned to evaluate the efficacy of Snuhyadi Varti in the screened patients of Nadi Vrana wsr to Pilonidal Sinus and its efficacy will be assessed and compared with already established Apamarga Kshara Sutra varti in the management of Nadivrana.