🔺CASE STUDY NO : 52 🔺 PART NO : 2 🔺 KRIMI ROGAS ( WORM INFESTATION) 🔺 SAMPRATHI (PATHOGENESISI) -Nidana sevana -Agnidaurbalya -Mala sanchaya - Kapha prakopa - Krimi utpatti -Improper food & lifestyle → Agni mandya → Accumulation of mala -Kapha + mala + manda agni → environment for Krimi to thrive -Krimi multiply and move into rasa, rakta, mamsa, purisa, leading to systemic or localized symptoms 🔺UPASAYA (Relieving Factors) -Use of tikta, kaṭu, kashaya rasa dravyas -Krimighna dravyas like Vidanga, Ajamodā, Palasa -Deepana, Pachana, mild Virechana -Yogurt, buttermilk with krimighna herbs -Fasting and langhana 🔺 ANUPASAYA (Aggravating Factors) -Guru, snigdha, madhura, abhishyandi aahara -Sleeping during daytime (diwasvapna) -Cold environment -Suppression of natural urges -Poor hygiene and irregular bowel habits 🔺 SAMANYA CHIKISTA (General Treatment) -Aharachikitsa (Dietary management) -Light, digestible food -Avoid kapha-promoting food (milk, sweets, curd, heavy meat) -Use of buttermilk + Vidanga churna -A.H. Uttara Tantra 4/26–35 *Dravyas (Herbs/Medications) -Vidanga (Embelia ribes) – best krimighna -Palasa (Butea monosperma) – seeds and bark -Ajamoda (Carum roxburghianum) -Krimimudgara rasa, Krimighna vati * Panchakarma -Virechana (purgation therapy) -Best for internal krimi -Vamana: in kapha-dominant krimi -Basti: in chronic conditions 🔺 VISHESHA CHIKITSA (Specific Treatment Based on Type) *Purishaja Krimi - Vidanga churna with warm water (A.H. U.T. 4/29) - Krimighna Vati Palasa churna or churna - Mild virechana with trivṛt *Raktaja Krimi - Raktashodhana drugs: -Manjishtha, Neem, Haridra Use of Tiktaka ghrita - External application with Nimba taila - Basti with Tikta kshaya *Bahya Krimi - Eye drops, ear drops with Nimba, Triphala decoctions - Lepana with Haridra, Daruharidra *Kaphaja Krimi - Vamana indicated - Use of deepana-pachana herbs like Trikatu, Chitraka 🔺FORMULATION EXAMPLES: 📌Krimimudgara Rasa – 125–250 mg twice daily 📌Palasa beeja churna – for purgation (1–3g with honey) 📌Vidanga (Embelia ribes) *Form: Powder (Churna) or decoction *Dose: 3–6 grams of churna with warm water, once or twice daily before food 📌Krimimudgar Ras Tablet (Herbo-mineral preparation) Dose: 125–250 mg twice daily with honey or warm water 📌Ajamodadi Churna *Form: Powder *Dose: 3–6 grams with warm water after meals, twice daily 📌Vidangarishta *Form: Arishta (fermented liquid) *Dose: 15–30 ml with equal water after meals, twice daily 📌Aragwadhadi Kashayam *Form: Decoction *Dose: 15–30 ml with warm water before food, twice daily 📌 Palasha (Butea monosperma) Seed Powder *Dose: 3–5 grams early morning on an empty stomach with warm water 📌Purgation (Virechana) *Trivrit Lehyam / Castor oil may be used as mild purgatives 🛑https://chat.whatsapp.com/KLufxKFrXwbIIAXLxXDqOB