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Dr. Vikram Chauhan - MD (Ayurveda)

Sunday, October 25, 2020

Pilonidal Sinus Treatment in Ayurveda with Herbal Remedies

Pilonidal sinus is a tunnel or small hole in the skin of the top of buttocks area where they tend to divide (at tailbone). This area can also be termed as cleft. Usually it does not cause any signs or symptoms unless the infection invades. This abnormal pocket in the skin of buttocks area can contain skin and hair in it and take a form of cyst. This cyst can later become infected containing pus or fluid and turn into an abscess. Patient can have severe pain the particular area, as the infection and inflammation progresses. In this article we will be learning all about the Pilonidal sinus, causes, signs and symptoms, diagnosis and its herbal treatment.

Pilonidal Sinus


Pilonidal sinus is an abnormal pocket in the skin above cleft region of buttocks which usually occurs in men as compared to women. These sinuses have tendency to reoccur as well. People involved in jobs which include long sitting period like drivers are more prone to develop Pilonidal sinus. These sinuses occur due to puncture of skin by hair where it becomes imbedded. Infection of Pilonidal sinus results in formation of Pilondial cyst that has debris, hair, pus or fluid in it and become extremely painful.


In early stages there are no signs or symptoms develop due to Pilonidal sinus only beside a small dimple near the cleft of buttocks which goes unnoticed but as infection occur and it develops into abscess, the symptoms are seen. Some of the common signs and symptoms are:

  • Red inflamed skin
  • Severe pain
  • Draining of foul smelling pus
  • Fever usually low grade
  • Pain while standing or sitting
  • Fluid, pus or blood oozing from the sinus
  • Hair coming out from the sinus
  • Tracts of sinuses developing over time


Long sitting activities causes a prolonged friction over buttock area which forces the hair growing around to go back into the skin. When this hair goes back into the skin our body recognizes it as a foreign material and launches a defense action against it leading to inflammation of the area. When this inflammation goes further, there occurs a formation of cyst which is prone to infection and as infection prevails, symptoms worsen. However, the exact cause of Pilondial cyst is not known but certain factors that can lead to it are:

  • Hormonal changes during and after puberty
  • Hair growth
  • Repeated friction
  • Long sitting jobs

Certain risk factors also increases the tendency to develop Pilonidal sinus like obesity, sedentary lifestyle, male gender, young age, and excessive hair growth on body.


Diagnosis is based on the clinical history and physical examination of the patient. A hole which usually has hair protruding present near top of cleft of the buttocks and filled with pus and blood indicates towards the Pilonidal sinus and further history confirms it.


Usually the sinus is drained by making a small incision after numbing the area with local anesthesia. Pus is drained out and antibiotics are given to treat the infection. However the reoccurrence is very common and which can further be treated by more extensive surgery further but which again do not ensures no reoccurrence.

Ayurveda can help here by managing and treating the sinus completely and preventing its further occurrence. Herbs and other natural methods are used to treat the sinus which naturally helps in healing the sinus. As per the Ayurveda, vitiation of any of the three doshas, Vata, Pitta and Kapha results in diseases and restoring this balance treats the disease and prevents further occurrence as well.


Planet Ayurveda is a very well known name in the field of herbal pharmaceuticals that deals with the manufacturing of the herbal products which are further prescribed by the expert Ayurveda doctors for treating various complex and chronic diseases. Chemicals, preservatives, colors, dye, fillers and additives are completely absent in these herbal medicines which increases their efficacy and safety for the patients. Best quality of herbs are used in all the herbal formulations and are prepared under strict supervision of MD Ayurveda doctors. For Pilonidal sinus as well Planet Ayurveda offers a combination of herbal medicines which helps in treating the condition naturally.

P-Sinus Care Pack

Herbal Remedies for Pilonidal Sinus, P-Sinus Care Pack


1. Kaishore Guggul

Kaishore guggul tablets are the prepared from combination of several herbs like Amalaki (Emblica officinalis), Bibhitaki (Terminalia bellerica), Haritaki (Terminalia chebula), Guggul (Commiphora mukul), Ginger (Zingiber officinale) etc. All these herbs in combinations work synergistically to eliminate the accumulated debris in the sinus, relieve congestion and inflammation of the sinus and clear the toxins from the body.

Dosage- Take 2 tablets twice daily after meals with plain water.

2. Neem Capsules

Azadirachta indica or neem is a single herb used in standardized form to prepare neem capsules. As we all are very well aware of multitherapeutic properties of neem, these capsules also help in purifying the blood, clearing the accumulated toxins from the body, helps in treating the infection of the sinus and soothes the inflamed area naturally.

Dosage- Take 1 capsule twice daily after meals with plain water.

3. Gandhak Rasayan

This is a mineral tablet prepared from purified sulphur (Shuddh gandhak) and possesses many medicinal properties like antibacterial, antifungal, anti-inflammatory, anti tumor, etc. All the properties helps in treating the sinus by relieving inflammation and preventing and treating infection in the sinus.

Dosage- Take 2 tablets twice daily after meals with plain water.

4. Boswellia Curcumin

Shallkai (Boswellia serrata) and active compound of Curcumin (Curcuma longa) are used in the standardized form to prepare these herbal tablets that work as a strong pain reliever and treats inflammation and infection of the sinus.

Dosage- Take 1 capsule twice daily after meals with plain water.

5. Dashang Lepa

Shirisha (Albizia lebbeck), Licorice (Glycyrrhiza glabra), Sandalwood (Santalum album), Cardamom (Elettaria cardamomum), Turmeric (Curcuma longa) etc. are the herbs used in preparation of Dasahang lepa which is an Ayurvedic powdered formulation that helps in treating various types of skin problems and similarly helps to heal Pilonidal sinus as well.

Direction- Take some amount of powder and mix it with clarified butter. Make a paste and apply on the sinus.

6. Nirgundi Oil

This herbal oil is prepared from single herb called Vitex negundo (Nirgundi) which is a well known anti inflammatory and anti bacterial in nature that helps in relieving inflamed sinus and treats the infection in it.

Direction- Take some amount of oil and apply on the affected area with some cotton.

*Note- You can also mix Dashang lepa in nirgundi oil and apply locally on sinus at night.


Pilonidal sinus is a condition which can trouble a patient lot not only by signs and symptoms but also reoccurrence but with the help of proper Ayurvedic treatment this sinus can be treated and reoccurrence can be stopped naturally.

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