IJRAP International Journal of Research in Ayurveda and Pharmacy 2277-4343 Moksha Publishing House DOI: 10.7897/2277-4343.1106175 MANAGEMENT OF RECURRENT PILONIDAL SINUS WITH KSHARALEPA: A CASE REPORT Poornima Jalawadi * Aiyanna PP 11 -0001 4 6 Pilonidal Sinus (PNS) is a commonest presentation in surgical practice with a high prevalence rate at more than 1 million cases per year in India, where as incidence is about 26 per 1,00,000 population. A 30-year-old male patient presented with PNS after an unsuccessful excision followed by antibiotic therapy. The challenge in this case was not only to excise the tract but also preventing its recurrence. Adopting the principles of Vranopakramas using Ksharakarma, Utsadana karma described in Ayurveda helped to manage the PNS effectively without any recurrence after 32 months of follow-up. Pilonidal Sinus (PNS) Vranopakramas Ksharakarma Utsadana karma