1PG Scholar, Department of Kayachikitsa, KAHER's Shri BMK Ayurveda Mahavidyalaya, Belgavi, Karnataka, India.
https://orcid.org/0009-0001-9972-9058
2Professor, Department of Kayachikitsa, KAHER's Shri BMK Ayurveda Mahavidyalaya, Belgavi, Karnataka, India.
https://orcid.org/0000-0003-1648-5180
Hidradenitis Supparativa (HS) also known as Acne Inversa is a chronic, recurring, inflammatory dermatomal disorder of apocrine gland bearing areas that is characterized by painful subcutaneous nodules, abscess, sinus tracts/ fistulae, and scarring. Current conventional therapies which includes antibiotics, biologics and surgery are often unsatisfactory with recurrent recurrence and psychosocial impact. This review explore the links between HS and Ayurvedic classical entities Nadivrana, review available Ayurvedic case reports on HS. Evidence suggests that approaches involving Ksharasutra, topical Kshara and medicated oils and internal Ayurvedic formulations based on Nadivrana chikitsa principles can give the better results. Considering the pathophysiology of HS, which progresses from follicular occlusion to chronic inflammation, sinus formation and fibrosis, an integrative Ayurvedic protocol is proposed as a rational therapeutic model. Ayurvedic management appears promising, cost effective and well accepted among patients, though robust clinical studies with larger sample sizes are required to confirm long term outcomes.
Keywords: Hidradenitis Supparativa, Acne Inversa, Ayurveda, Nadivrana, Integrative Approach
How to cite this article: Sarakale G, Kumari S.An Integrative Ayurvedic Perspective on Hidradenitis Suppurativa: Nosological Correlation with Nadīvrana and Proposal of a Stage-Wise Therapeutic Protocol. Int J Drug Deliv Technol. 2026;16(6s): 466-470; DOI: 10.25258/ijddt.16.6s.48.
Source of support: Nil
Conflict of interest: None