Abstract

A SINGLE CLINICAL CASE REPORT ON AYURVEDIC SURGICAL MANAGEMENT OF INFECTED SEBACEOUS CYST WITH SHASTIUPAKRAMA WITH SPECIAL REFERENCE TO CHEDANA, SEEVANAKARMA AND VISRAVANA

Dr. Vinayaka S.N.*, Dr. Bharathi D. Anvekar, Dr. Shankar S.

Abstract

Epidermoid cysts, often referred to as “sebaceous cysts” in clinical practice, are benign, slow-growing cystic lesions that commonly present as smooth, mobile, rounded swellings. Although generally associated with minimal morbidity, they may cause cosmetic concerns, discomfort, or complications such as inflammation and rupture. Surgical excision remains the definitive treatment for symptomatic or cosmetically significant lesions. In Ayurveda, an epidermoid cyst may be clinically correlated with Kaphaja Granthi based on similarities in its clinical characteristics. Classical features described in Kaphaja Granthi include Pashanavat Samhanana (firm or stone-like consistency), Alpa Vedana or Vedana Rahita (mild pain or absence of pain), Savarna or Vivarna (normal or altered skin coloration), Sheeta (coldness to touch), Chirabhivruddhi (slow and gradual growth), Kanduyukta (associated itching), and Shukla Ghana Srava (thick, whitish discharge). These features may show clinical correspondence with epidermoid cysts, particularly their firm consistency, slow growth, minimal or absent pain, normal or altered overlying skin coloration, occasional itching, and the presence of thick, whitish keratinous material, particularly following rupture or surgical opening. The observed similarities support a possible clinical correlation between epidermoid cyst and Kaphaja Granthi. However, this correlation should be interpreted on the basis of individual clinical features rather than as a direct equivalence between the two conditions.

Keywords: Sebaceous cyst, Kaphaja Granthi, Chedana Karma.