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Open Access Full Text Article  Review Article

Ayurvedic View of Management of Atisara and Krimiroga in Children

Dr. Nikhil Sharma ¹*, Dr. Ritu Narang²

¹ B.A.M.S, M.D (Ayu), Medical Officer, Ayurveda Government of Jammu and Kashmir, India.

² B.A.M.S, M.D (Ayu), Medical Officer, Ayurveda Government of Punjab, India.

 

 

INTRODUCTION 

The term "Krimi" refers to endoparasites that live in the human digestive tract and is etymologically derived from Krinathihimsathiithi. In poor countries Krimi Roga poses serious health hazards to children. It is primarily caused by consuming sweets or contaminated food and drink. Ayurveda divides Krimi into two habitat based categories Bahya and Abhyantara. Bahya is external while Abhyantara is internal types of Krimi. These further divided into various categories including Raktaja, Kaphaja/Shlesmaja and Purisaja [1-3].

There are various clinical signs of intestinal worm infestation, which includes various gastrointestinal signs like nausea, vomiting, abdominal pain, indigestion and diarrhea, etc. The anal and perianal sign includes intense itchiness, particularly at night. Systemic signs include anemia, weight loss, fever and general weakness. The skin and hair manifestations may include continuous scratching, localized skin rashes and damage to the nails, etc [3-5].

Atisara, which is described as the excessive passing of watery feces, closely resembles diarrhea, which kills many children world widely. Atisara, which has its roots in Mandagni and the buildup of Ama, is brought on by 

 

inadequate hygiene, careless eating and intestinal diseases. Ayurvedic classifications of Atisara are based on Dosha involvement, such as Vataj, Pittaj, Kaphaj, Sannipataj and Shokaj Atisara as depicted in Table 1 [4-6]. 

Table 1: Clinical features of various types of Atisara  

Shunthi Kalpa, Vachadi Yoga, Musta kwath and Samangadi kwath are examples of Ayurvedic formulations with Deepana, Pachana and Grahi qualities that are used in an integrative strategy to manage Atisara.

AYURVEDIC MANAGEMENT OF KRIMI ROGA:

Three main Ayurvedic principles which include Apakarshana, Prakriti Vighata and Nidana Parivarjana are used to treat Krimi Roga, or worm infestation. Pathogens and vitiated Doshas are removed physically or therapeutically in Apakarshana. Abhyantara Krimi is eliminated by specific Shodhana treatments [5-7]: 

• Asthapana Basti, Shirovirechana uses strong, warm medications to remove sinus and nasal parasites. 
• Virechana uses Krimighna medications to paralyze and expel intestinal parasites. 
• Vamana remove Kaphaja Krimi from the stomach. 
• Asthapana Basti's Kashaya and Karshana qualities actively prevent parasite growth.

Prakriti Vighata approach uses herbs with Katu, Tikta, Kashaya and Ushna properties that contrast with the Kapha and Purisha environments that worms prefer in order to modify the host environment and avoid recurrence. 

Nidana Parivarjana emphasizes avoiding the underlying reasons, such as Divashayana and consuming heavy, sugary foods like yogurt and jaggery. According to Pathya rules, sour foods should be avoided, while bitter and astringent flavors, goat milk and cow ghee should be recommended. Table 2 suggested some Ayurvedic drugs considered beneficial for Krimi Roga in children [6-8]. 

 

Table 2: Ayurvedic Krimighna Drugs and Formulations

AYURVEDIC MANAGEMENT OF ATISARA:

The treatment of Atisara uses a methodical strategy that starts with Nidana Parivarjana to remove food triggers in order to address Mandagni and Ama. The core therapies of Atisara are depicted in Figure 1. 

 

Figure 1: Core therapies of Atisara

Application of Langhana, Deepana and Pachana therapies helps in strengthening Agni and calming Vata and Pitta. These therapies acts as appetite stimulant and improves digestive power. Depending on the stage of condition, treatment differs greatly as mentioned below [8-10]:

• Amavastha is treated with Langhana, Pachana and mild purgative decoctions. 
• Stambhana and Grahi preparations such as Mocharas and Jatifala with buttermilk are recommended until the condition reaches Pakvavastha, the mature stage where Ama is cleared. 
• Balchaturbhadra Churna, Gangadhar Churna, Dhanya Panchak Kwath and Samangadi Kwath are common classical formulations used for childhood diarrhea, along with a Pathya regimen of light and easily digested foods. Some Ayurvedic drugs presented in Table 3, which offers beneficial effects in the management of Atisara.   

 

Table 3: Ayurvedic Drugs for the treatment of Atisara

 

CONCLUSION 

Krimiroga is a significant global public health issue, affecting large number of population of school-age children. There is a growing trend for herbal and Ayurvedic alternatives in such types of conditions. Ayurvedic principles, particularly Nidana Parivarjana and Prakriti Vighata, provide safe, low side effect options for managing Krimiroga in pediatric populations. In a similar way, the Ayurvedic framework for Atisara offers a thorough approach by assessing its Samprapti. Nidana Parivarjana, Agni restoration, Langhana, Deepana and Pachana are the main objectives of management of Atisara in Ayurvedic therapeutics. This multifaceted approach successfully restores intestinal balance, promotes healing and averts pediatric difficulties when combined with Shodhana Chikitsa and electrolyte rehydration therapy.

REFERENCES 

1. Kantadev R. Shabdhakalpadruma, 3rd edition, Chaukhambha Sanskrit Series Office, Varanasi, 1967; 178. 
2. SK Rai, Gurung CK. Intestinal parasitic infection in high school level students of Birgunj city. J Inst Med (Nepal), 1986; 8: 33-8.
3. Sharangadhar Samhita, Purvakhand, Chapter 7 verse 14-18, Jiwanapradahindi commentary by Dr. Smt. Shailja Srivastava, Published by ChaukhambhaOrientalia, Varanasi, reprint edition: 2011. 
4. Sushruta Samhita Uttaratantra; KrimirogapratishedhaAdhyaya: Chapter 54 verse 7, Sushruta Samhita edited with “Ayurveda TattvaSandipika” Hindi commentary by KavirajAmbikadattaShastri, Part-II, Chaukhambha Sanskrit Sansthan, Varanasi, edition reprint; 2012. 
5. Shastri SN., editor. Charakasamhita, Vimansthana, Adhyaya, 7/10, Reprint, ChaukhambhaBharati Academy, Varanasi, 2009; 726-727.
6. Jadavji TA. Charaka Samhita of Agnivesa, Elaborated by Charaka and Drinhbala with the Ayurveda Dipika commentry by Cakrapanidatta. Chawkhambha Vidyabhawan, Varanasi 2011. 
7. Shri Laxmipatishastri, Yogaratnakara along with Vidyotini Hindi commentary, Atisaranidan Adhaya, reprint edition, Chaukhamba Prakashana, Varanasi 2009, pg. 260.
8. Deshmukh U P, Raut D W BRU. Role of Musta in management of Pediatric Diarrhea. Int Ayurvedic Med J. 2015; 3(7): 1923–33 9. 
9. B. Dash, R. K. Sharma (2017), Charak Samhita, in Sutrasthan, volume 1, Shloka 5, reprint, Varanasi: Chaukambha Sanskrit series Prakashan, p.208.
10. Neeraj Tripathi, Beena Tiwari KN. A clinical study on the management of Bal Atisara with an ayurvedic formulation (Samangadi Kwath) in compare to homemade fluid. Ayur pharm International J Ayurveda allied Sci. 2015; 4(8): 145–51.