🔺CASE STUDY NO : 52 🔺 PART NO : 1 🔺 KRIMI ROGAS ( WORM INFESTATION) 🔺NIDANAM (ETIOLOGY) -Major Causative Factors: -Excessive intake of madhura, guru, abhishyandi, kapha-prakopaka ahara -Ajirna (indigestion) -Mala sanchaya (accumulation of waste) -Alpa vyayama (lack of exercise) -Diwasvapna (day sleeping) -Poor hygiene Astanga Hṛdaya – Uttara Tantra, Chapter 4 (Krimi Roga Nidana & Cikitsa)Bhavaprakasa – Krimi Roga NidānaCharaka Saṁhita – Cikitsa Sthana 7 (Some krimis under Kustha) 🔺PURVAROOPAM (Premonitory Symptoms) -Mandagni (poor digestion) -Tandra (drowsiness) -Gaurava (heaviness of the body) -Aruchi (anorexia) -Udarashula (abdominal pain) -Kandu (itching around anus) -sita kama (craving for cold things) -sunya hridayata (emptiness in chest/heart region) -A.H. Uttara Tantra 4/6–7 🔺LAKSHANA (Symptoms) -Krimi Roga is broadly of 2 types: -Bahya Krimi Present in eyes, ears, nose, skin -Abhyantara Krimi (Internal): Especially in GI tract -Abhyantara Krimi (Main focus): -Purisaja Krimi (intestinal worms) -Udarasula (colicky pain) -Ghrana daurgandhya (foul breath) -Kasa (cough), svasa (dyspnea) -Jvara (fever), chardi (vomiting) -Antra kudila sabda (bowel sounds) -Aruchi, vibandha, dāha -Raktaja Krimi -Kandu, Daha, Raga, Puya srava (skin lesions with pus) -Associated with Kushṭha roga and skin disorders 🔺GENERAL EXAMINATION (AYURVEDIC & MODERN) 📌 Patient History -Poor hygiene -Improperly cooked or contaminated food -Close contact with infected persons or animals -Habit of playing barefoot in contaminated soil (in children) 📌Physical Examination -Pallor (anemia) -Emaciation (in chronic cases) -Skin rashes or eczema -Distended abdomen -Itching around the anus or skin folds 🔺 LABORATORY INVESTIGATIONS 📌Stool Examination Microscopy for ova, cysts, larvae, or parasites *Occult blood test (if amoebic dysentery is suspected) *Concentration techniques (e.g., floatation/sedimentation) to improve sensitivity 📌Complete Blood Count (CBC) *Eosinophilia (elevated eosinophils suggest parasitic infestation) *Anemia (especially with hookworm) 📌 Serological Tests *ELISA or other antibody tests for Giardia, Entamoeba histolytica, Toxoplasma, etc. 📌Imaging (if required) *Ultrasound/CT in hydatid disease (Echinococcus) *X-ray or CT scan for cysticercosis (Taenia solium) 🔺 DIFFERENTIAL DIAGNOSIS (with Modern Correlations) *Irritable Bowel Syndrome (IBS) *Inflammatory Bowel Disease * *Giardiasis *Amoebiasis *Hookworm Infestation *Pinworm Infestation (Enterobiasis) *Celiac Disease 🛑https://chat.whatsapp.com/KLufxKFrXwbIIAXLxXDqOB