• D Prasadshakti G Gannur
• Dr Sachin Patil

Nadi Vrana is a hollow tubelike structure or a blind track, which has excessive pus infiltration where pus burrows deeply. In Nadi Vrana, due to copious flow it is known as Gati and as it flows like a drain, that’s why it is known as Nadi.[1] Nadi Vrana is a type of Vrana. Nadi means a track and Vrana means an ulcer. According to Shabdakalpadruma, an ulcer which has track is called Nadi-Vrana.[2] According to Amarkosha the word Nadi refers to a deformity where an abnormal track formation occurs, which has continuous discharge.[3] According to Acharya Sushruta and Acharya Vagbhata, if Vrana-Shopha is not timely drained in Pakvaavastha or if it is neglected at particular stage, then it invades into deeper tissue resulting in formation of Nadi Vrana.[4,5] Nadi-Vrana can be correlated to Sinuses in the modern science. The sinus is defined as a blind tract which leading from surface down into the tissue and lined either by granulation tissue or by epithelium. It persists due to presence of foreign body, non-dependant drainage and infection.[6] Ayurvedic classics has described various treatment modalities for Nadi-Vrana such as surgical procedures like Chedana or Vidarana,[7] para-surgical procedures like Kshara Sutra application,[8] other procedures like Lepana,[9] Varti,[10] Prakshalana etc. Varti Kalpana is a unique Ayurvedic dosage form and it is an Upakalpana of Kalka Kalpana mentioned in Panchavidha kashaya kalpana. Its mode of action and administration is different from Vati Kalpana even though it has similar physical structure and method of preparation. Varti prayoga is included in Stanika chikitsa (local treatment) but it can impart local as well as systemic effect. Varties are prepared by are triturating powdered medicaments and made into the shape of a wick of lamp which is thicker at middle and thinner at its ends. Ayurvedic treatise like Gadanigraha, Vangasena Samhita, Sharngadhara Samhita, Yogaratnakara, Bhava prakasha, Bhaishajya ratnavali, Rasa tarangini Chakradutta and Basavarajeeya had mentioned about various types of Vartis in the context of Nadivrana.

Nadivrana, Sinus, Varti Chikitsa, Pilonidal sinus Kshrasutra.

"A Critical Review On Different Varties for Nadivrana", International Journal of Emerging Technologies and Innovative Research (www.jetir.org), ISSN:2349-5162, Vol.12, Issue 5, page no.d956-d958, May-2025, Available :http://www.jetir.org/papers/JETIR2505459.pdf

"A Critical Review On Different Varties for Nadivrana", International Journal of Emerging Technologies and Innovative Research (www.jetir.org | UGC and issn Approved), ISSN:2349-5162, Vol.12, Issue 5, page no. ppd956-d958, May-2025, Available at : http://www.jetir.org/papers/JETIR2505459.pdf