A Review on Krimiroga with special reference to Udara Krimi

[Find the meaning and references behind the names: Dosha, Harbour, Code, Class, India, Human, Key, Child, Care, Date, Mild, Pur, Body, Poor, Wide, Present, Base, Show, Acharya, Development, Cases, Basic, Viz, Large, Shelter, Data, Under, Mala, Micro, Major, Person, Viru, Ova, Quick, Udara, Due, Take, Feb, Krimi, Rather, Thorat, Strong, Roga, Factor, Socio, Jan, Suhas, Ours, Common]

REVIEW ARTICLE Jan-Feb 2021 Journal of Ayurveda and Integrated Medical Sciences | Jan - Feb 2021 | Vol. 6 | Issue 1 89 A Review on Krimiroga with special reference to Udara Krimi Dr. Suhas Bajirao Thorat 1 , Dr. Samrajita Suhas Thorat 2 1 Associate Professor, Dept. of Kaumarabrutya, 2 Assistant Professor, Dept. of Stri Roga & Prasuti Tantra, Maharashtra, INDIA. I NTRODUCTION The Krimi Roga is one of the most common disease found in paediatric practice. Udara Krimis (Intestinal parasites) have been considered a major public health problem throughout the world [WHO, 1967] [1] In our country also this problem is more important because it adversely affects the nutritional status of a person but neglected due to poor socio-economic status. It affects the children more frequently than adults (CCRAS, 1987). Number of incidences runs into Address for correspondence: Dr. Suhas Bajirao Thorat Associate Professor, Dept. of Kaumarabrutya, Maharashtra, INDIA. E-mail: drsuhasthorat 26@gmail.com Submission Date: 18/01/2021 Accepted Date: 12/02/2021 Access this article online Quick Response Code Website: www.jaims.in Published by Maharshi Charaka Ayurveda Organization, Vijayapur, Karnataka (Regd) under the license CCby-NC-SA millions and in tropical countries like ours, percentage of affected cases is estimated to exceed 80% yet surprisingly, large number of cases affected with Krimi Roga are asymptomatic. Its eradication becomes difficult as people continue to harbour Krimis without seeking medical help. That is why it seems that Charaka , in the section which precedes Krimi Roga , has warned that a person afflicted with a major disease may appear as if suffering from a mild malady [2] Children cannot take their care. There are so many epidemic diseases, which can interrupt their growth and development. Krimi Roga is one of them. India is a developing country where thousands of children suffer from epidemics due to atmosphere, social problems and economic problems. Krimis produce a variety of symptoms. It is rather easy, when encountered with symptoms related to Mahasrotas , to have stools investigated and have Krimi identified as a causative factor. But Krimis also must be thought of at the first instance in a child, showing unexplained nervous excitement, or in a child A B S T R A C T Krimiroga is one of the most common disease. Krimi word has wide meaning. All the organism which are dependent for food and shelter upon the human body can come under the title of Krimi . Our Acharyas described different classification of Krimi . This classification concludes all the micro organism, bacteria, virus, protozoa and helminths, which totally depend upon human body. Acharya Charaka has described three folded treatment of Krimiroga viz. Apakarshana , Prakritivighata and Nidanparivarjana . Apakarshana means to scratch the Dosha, Mala and Krimi Sanghata forcefully. It contains most vigorous Shamshodhan viz . Virechana, Vamana, Shirovirechana and Asthapana . Prakriti Vighata means destruction of susceptible environment of Krimi . Nidan Parivarjana means to avoid the causative factor. Shamshodhan is considered as a basic treatment of Krimiroga while Prakriti Vignata and Nidan Parivarjana eradicate Krimiroga from the base. After Samsodhan if any ova and cyst remain in Kostha than this Prakriti Vighata and Nidana Parivarjana suppress the growth of Krimi and prevent recurrence of Krimiroga . Hence this present article reviews about Krimiroga with special reference to Udara Krimi. Key words: Krimiroga, Udarakrimi, Intestinal parasites.

[Find the meaning and references behind the names: Step, Modern, Four, Pada, Vit, Karma, Broad, Life, Day, Normal, Worm, Move, Fever, Sahaja, Walk, Ims, Root, Live, Flora, Blood, Few, Span, Material, Hard, Living, Female, Bahya, Cover, Canal, Tiny, Right, Veda, Weight]

Dr. Suhas Bajirao Thorat et al. A Review on Krimiroga with special reference to Udara Krimi ISSN: 2456-3110 REVIEW ARTICLE Jan-Feb 2021 Journal of Ayurveda and Integrated Medical Sciences | Jan - Feb 2021 | Vol. 6 | Issue 1 90 provided with adequate nutrients yet not gaining weight. An average child doing poor at school, harmful antibiotics are poured in unnecessarily to the child suffering from cough and fever than suspected of manifestations of larvae of Krimis migrating through the lungs. Krimis are the unsuspected and undetected villains responsible for exposing the victims to a large number of diseases by robbing them of their hard-earned nutrients, thus lowering their body defense. Hookworm, suck 0.4 ml of blood per worm per day, there by cause anemia and make them physically weak, remain unhealthy throughout their life span. Acharya Charaka has beautifully described threefold Chikitsa for Krimi Roga viz . Apakarshana, Prakritivighata and Nidan Parivarjana . Remarkably, in Apakarshana of Krimis , most vigourous Samshodhana viz . Virechana , Vamana, Shirovirechana and Asthapana all of the four Karmas have been advocated. But Samshodhana in children is not desirable, So, this article reviews the Krimiroga and the possible treatment modality that can be incorporated in children. A IMS AND O BJECTIVES To compile the scattered material regarding Krimiroga and arrange them according to sequence. M ETHODOLOGY All available Ayurvedic classical texts, journals and research papers were referred and the collected references were critically studied to fulfill the objectives. Etymology The word Krimi is unclear term used to denote tiny living being in Vedic and Ayurvedic literatures. Even though a few views regarding the derivation of the word Krimi are available in various texts, it doesn’t cover the entire group of living being referred to as Krimis . Popular Sanskrit dictionaries Amarakosa , Halayudhakosa and Vacchaspathyam stated that the word Krimi is derived from the root “ Kramu ” which means to step or to walk. “ Kramati Kramu Pada Viksepe ”, means those which move with the legs are termed as Krimi [3] Classification The Krimis dwell as parasite upon the human body were classified into different groups since vedic period. Acharya Charaka classified Krimis into two broad groups i.e., Sahaja and Vaikarika . Sahaja Krimi Which live in human body right from birth until death. They are also called as Avaikarik Krimi . The name itself indicate that they are not harmful but helpful to human body. They are numerous in number and live in the buccal cavity, alimentary tract as well as in Vaginal canal of female as a normal bacterial flora. From the modern physiological views, there is a bacterial flora in the intestine which induce the formation of Vit. B 12 Vaikarika Krimi They are exactly opposite to the above-mentioned Sahaja Krimi . Because they are harmful or cause disease or deformity in body i.e., pathogenic in nature. According to Acharya Charak under Vaikarika Krimi two sub groups are classified as Bahyakrimi and Abhyantara Krimi which literally means external and internal respectively. Those Krimis which live on the skin outside the body are Bahya Krimi and those live inside the body are Abhyantara Krimis, Charaka and Vagbhatta had mentioned Bayha Krimis while Sushruta had not mentioned Bahyakrimi . Acharya Sushruta classified Abhyantar Krimi i.e., 20 in two groups (i) Drushya (ii) Adrushya . According to him Sleshmaja and Purishaja Krimi are Drushya and Raktaja are Adrushya . Among the Raktaja Krimi Keshada and Romada are Asadhya. [4] Another classification is according to media in which Krimi grows and survives. According to which Charaka and Vagabhatt had classified Krimi as Raktaja - Kaphaja, Purishaja and Malaja .

[Find the meaning and references behind the names: Charma, Sweta, Scholar, Bha, Tota, Yuka, Krishna, Vrana, Given, Table, Msa, Carman, Madhava]

Dr. Suhas Bajirao Thorat et al. A Review on Krimiroga with special reference to Udara Krimi ISSN: 2456-3110 REVIEW ARTICLE Jan-Feb 2021 Journal of Ayurveda and Integrated Medical Sciences | Jan - Feb 2021 | Vol. 6 | Issue 1 91 Table 1: Showing total number of Abhyantara Krimis and their variety. S N Name Abhyantara Krimi Tota l Tota l Kaphaj a Purishj a Raktaj a 1. Charaka 18 7 5 6 20 2. Harita 6 - - - 13 3. Bhela - - - - 20 4. Sushruta 20 6 7 7 20 5. Vagbhatta 18 7 5 6 20 6. Madhavakara 18 7 5 6 20 7. Sharangadha ra 18+ 1 7 5 6 22 8. Bhavamishra 18 7 5 6 20 As per the above table all Acharyas agreed on total number of Krimis to be 20, except Acharya Harita and Acharya Sharngdhara . Acharya Harita describes 6 type of Abhyantara Krimis specifically. Acharya Sharngdhara increased the total number Krimi to twenty two with the addition of two Krimis , Snayuka and Vrana Krimi in Abhyantara Krimi group. Acharya Charaka Vagabhatta, Madhava and Bhavamishra described same number of Abhyantara Krimi while Acharya Sushruta described total 20, Abhyantara Krimis . Table 2: Showing nomenclature of Krimis given by different Scholar. S N Charaka [5] Vagbhatta [6] Sushruta [7] Harita Bahya Bahya 1 Yuka Yuka - Krishna 2 Pipllika Leeksha - Sweta Abhyantara Charma Yutika 1. Antrada Antrada Mahapush pa Binduki 2. Hridayada Hridayada Praloona Matkuna 3. Udarada Udarvestha Chipita Yastika 4. Churu Churu Pipilika Plavangika 5. Mahaguda Mahakuha Daruna 6. Saugandhik a Sugandha Abhyantara 7. Darbhakusu ma Darbhakusum a Darbhapus hpa Prithumunda Purishaja Krimi Dhanyankurni bha 1. Kakeruka Kakeruka Ajawa Suchimukha 2. Makeruka Makeruka Vijawa Kinchuka sanibha 3. Sausurada Sausurada Kipya Anavaha 4. Saushulka Saluna Chipya Sukshmaha 5. Leliha Leliha Gandupad 6. Churu 7. Dwimukha ha Raktaja Krimi 1. Keshada Keshada Keshada 2. Lomada Lomavidhava msa Romada 3. Lomadwipa Lomadwipa Nakhada 4. Saurasa Saurasa Dantada 5. Udumbara Udumbara Kikkisha 6. Jantumatra Matraha Kushtaja Parisarpaja

[Find the meaning and references behind the names: Every, Masha, Act, Taila, Diet, Guru, Bisa, Guda, Tila, Amla, Sura, Quality, Taste]

Dr. Suhas Bajirao Thorat et al. A Review on Krimiroga with special reference to Udara Krimi ISSN: 2456-3110 REVIEW ARTICLE Jan-Feb 2021 Journal of Ayurveda and Integrated Medical Sciences | Jan - Feb 2021 | Vol. 6 | Issue 1 92 Nidana (Etiological factor) Similar to each and every disease, the etiology of Krimiroga two types - Viprakrusta Nidan and Sannikrusta Nidan . A continuous use of unwholesome diet or regimens may act as their Viprakrusta Nidan . In Krimiroga the vitiated Dosha depending upon Purisa, Kapha and Rakta are responsible for onset of disease. There for the Sannikrusta Nidan of Krimiroga include Purisa, Kapha and Rakta vitiated by Dosha. Table 3: Showing Samamya Nidana of Abhyantara Krimi. SN Samanya Nidan Sushruta Harita Madhavakara [8] Sarangadhara [9] Bhavamishra [10] Physical factors 1. Avyayam + - + 2. Diwaswapna + + + Diet articles 3. Godhuma - + - 4. Masha + - - 5. Vidala + - - 6. Pishtanna + + + 7. Prithuka + - - 8. Bisa + - - 9. Shaluka + - - 10. Kasheruka + - - 11. Patrashaka + - - 12. Kshira + + - 13. Dadhi + - - 14. Guda + + + 15. Sura + - - 16. Sukta + - - 17. Palala + - - 18. Pishita + - - 19. Anupamamsa + - - 20. Ikshu + - - Taste & Quality of Diet 21. Madhura - + + 22. Amla + - + 23. Ruksha - + - 24. Guru + - - 25. Pichhila + + - 26. Drava + + + 27. Shitala + - - 28. Tapodaka - + - Table 4: Showing Vishishta Nidan a of Abhyantar Krimi . S N Habitat Charak a Sushrut a Vagbhatt a Bhav . M.N . 1. Sleshmaja Krimi Kshira + + + + + Guda + + + + + Tila taila + + - + - Mamsa - + + + + Masha - + + + - Matsya + - - - + Anupmams a + - - - + Pistamma + - - - -

[Find the meaning and references behind the names: Dhanya, Shak, Jwara, Malaise, Pain, Bhaya, Rupa, General]

Dr. Suhas Bajirao Thorat et al. A Review on Krimiroga with special reference to Udara Krimi ISSN: 2456-3110 REVIEW ARTICLE Jan-Feb 2021 Journal of Ayurveda and Integrated Medical Sciences | Jan - Feb 2021 | Vol. 6 | Issue 1 93 Paramanna + - - - - Kusumbha + - - - - Bhojana Snehajeern a + - - - - Putikrinna + - - - - Shankirna + - - - - Viruddha + - - - - Asatmya + - - - - Dadhi - + + + + Sukta - - - + + Saktu - - + - - Odana - - + - - Madhuran na - - + - - 2. Purishaja Krimi Charak a Sushrut a Vagbhatt a Bhav . M.N . Masha + - + + Vidala + - - - Pishtanna + - + + Parnashaka + + + + Guda - - + + Amla - - + + Lavana - - + + Dhanya- Bahumalka ra - + - - Ulaka - + - - 3. Raktaja Krimi Charaka Sushruta Vagbhatta Bhav. M.N. Virudha Bhojan - + - + + Ajeerna - + - + + Shak - + - + + Rupa of Krimi Roga Acharya Sushruta , Madhava , Bhavamishra and Vangasena described general symptomatology of Krimiroga first and then the specific symptoms. In Harita Samhita and in Yogaratanakara only general symptomatology are available while Acharya Charaka and Vagabhatta described only specific symptomatology of Sleshmaja, Raktaja, Purishja and Bhaya Krimi. Table 5: Showing Samanya Rupa of Abhyantara Krimi. SN Symptom Su. Harita M.N. B.P. Vangasena Y.R. 1. Jwara + + + + + 2. Vivarnata (discolouration) + + + + + 3. Shoola (acute pain) + + + + + 4. Hridroga + + + + + 5. Bhrama (vertigo) + + + + + 6. Bhaktadwesha + + + + + 7. Atisara (diarrhea) + - + + + 8. Sadana (malaise) + - + + - 9. Vami (vomiting) - + - + + 10. Jathargarjanam - + - - -

[Find the meaning and references behind the names: Just, Rob, Guna, Form, Circle, Liver, Organ, Part, Rasa, Ama, Place, Host, Grow, Manual, Non, Lower, Mishra, Small, Katu, Seven, Reside]

Dr. Suhas Bajirao Thorat et al. A Review on Krimiroga with special reference to Udara Krimi ISSN: 2456-3110 REVIEW ARTICLE Jan-Feb 2021 Journal of Ayurveda and Integrated Medical Sciences | Jan - Feb 2021 | Vol. 6 | Issue 1 94 11. Mandagni - + - - - 12. Pipasa - + - - - 13. Pitanetra - + - - - Samprapti of Krimiroga Due to the Nidan seven Agnimandya create. It vitiates Dosha . Doshita Dosha create Dusti of Rasa , Purisha and Rakta and it leads to Srotodusti . Due to the Dusti of Srotasa Krimi takes place in their particular habitat and rob sizable portion of the nourishment available to the host and produced Samanya and Vishishta Lakshana of Krimiroga . This live organism further lead to Agnimandya and Amotapati and this vicious circle keeps on continuing. Krimiroga Chikitsa Acharya Charaka described Samanya Shidhanta of Krimiroga in three fold 1. Apakarsana 2. Prakriti Vighata 3. Nidana Parivarjana Apakarsana Apakarshana means to scratch the Dosha , Mala and Krimisanghata forcefully. Any process by which the unwanted elements are removed or extracted from the body is consider as Apakarsana . Apakarsana of Krimis includes the manual and Instrumental removal of them where it is applicable. Apakarsana of the Bahya Krimi and Abhyantarakrimi , which are migrated out to the external surface should be done by manual method Apakarsana of Abhayantara Krimi, which reside in their usual habitat should be done by the elimination method such as : (1) Vamana (2) Virechana (3) Shirovirechana (4) Asthapana Prakriti Vighatana Prakriti Vighata means the producing environment should be destroyed. After doing Samshodhan Chikitsa (with the help of Apakarshan ) the Doshas , Mala Sanghata and Krimis are no doubt eliminated out of the body but if their Prakriti is not altered the Anubandha of disease will occurs. Prakriti Vighata is the counter acting on the factors responsible for the production of Krimis by Dravyas , having Katu, Tikta, Kasaya, Kshara and Ushna Guna and also other drugs which having contrary properties to Purish and Kapha . Nidana Parivarjana Nidana Parivarjana means to eliminate the causative factor which help in germinating and the growing of the Krimi . Hence all the factor listed as etiological factor and Apathya should be avoid. DISCUSSION Description of Krimi in Samhita Granthas are in combine form. We can conclude all the microorganism parasite, helminth, bacteria and virus. Under the concept of Krimiroga but protozoa and helminth are more nearer. Acharya Charak classified Krimi as Sahaja and Vaikarika means they were also aware about nonpathogenic nature of Krimi . Ayurved is science of life but in cortex of Krimis we can say that description of only Vaikarika Krimis is available. Acharyas just mention non-pathogenic worms by its name as Sahaja . Under the Vaikarika Krimi two subgroups are described as Bahya and Abhayantara Krimi . It means external Krimis can also create disease condition Acharyas further divided internal Krimis in three groups (1) Raktaja (2) Purishaja and (3) Sleshmaja according to their habitat and the media in which Krimis grow. Shleshamaja Krimi is one class of Krimi which grow on the Ama and live-in stomach, small intestine or upper part of gastro intestinal tract. Purishaja Krimi is one class of Krimi which grow on fecal material and live in Pakawasaya , large intestine or the lower part of gastro intestinal tract. Raktaja Krimi live in blood and blood forming organ (liver). Acharya Bhava Mishra described Raktaja Krimi as an causative factor of skin disease.

[Find the meaning and references behind the names: Plan, Work, Bharati, Cite, Gupta, Shastri, Joshi, Sci, Kosh, Original, Pandey, Tripathy, Vaidya, Open, Soil, Progress, Nil, Med, Geneva, Author, Prakashan, Lake, None]

Dr. Suhas Bajirao Thorat et al. A Review on Krimiroga with special reference to Udara Krimi ISSN: 2456-3110 REVIEW ARTICLE Jan-Feb 2021 Journal of Ayurveda and Integrated Medical Sciences | Jan - Feb 2021 | Vol. 6 | Issue 1 95 CONCLUSION Krimi can be considered all microorganism helminth protozoa, parasite, virus bacteria. Acharyas classified Krimi as Sahaja and Vaikarika means they also know about nonpathogenic nature of Krimi . Sleshmaja Krimi is a class of Krimi which lives in upper part of Gastro intestinal tract and grow on Ama . Purishaya Krimi is a class of Krimi which lives in lower part of Gastro intestinal tract and survive on fecal material. Raktaja Krimi live in Blood and Blood forming organs like (liver). It is very difficult to correlate Ayurvedic terms regarding the Krimi with modern term due to lake of detail description of each Krimi . REFERENCES 1 WHO. Soil-transmitted Helminthiases. Eliminating Soiltransmitted Helminthiasis as a Public Health Problem in Children: Progress Report 2001-2010 and Strategic Plan 2011-2020. Geneva: World Health Organisation, 2012; 3-4. 2 Shastri SN., editor. Charakasamhita, Vimansthana, Adhyaya, 7/10, Reprint, Chaukhambha Bharati Academy, Varanasi, 2009; 726-727. 3 https://www.scribd.com/collections/3567269/ Halayudha-Kosha (Jaishankar Joshi, Halayudha Kosh) edition 2 nd,242. 4 Vaidya YT., editor. Sushruta Samhita of Sushruta, Uttara Tantram, Krimirogapratishedham Adhyayam, 54/18, reprint, Chaukhambha Surbharati Prakashan, Varanasi, 2003; 773. 5 Shastri SN., editor. Charakasamhita, Vimansthana, Adhyaya, 7/10, Reprint, Chaukhambha Bharati Academy, Varanasi, 2009; 726-727. 6 Gupta AD. Astanga Hridayam (Nidanasthanam). Varanasi: Chaukhamba Prakashan; 2009.p.373. 7 Vaidya YT., editor. Sushruta Samhita of Sushruta, Uttara Tantram, Krimirogapratishedham Adhyayam, 54/18, reprint, Chaukhambha Surbharati Prakashan, Varanasi, 2003; 773. 8 Tripathy BN. Madhava Nidanam (Roga Viniscaya, Madhukosa). Vol-I. Varanasi: Chaukhamba Surbharati Prakashan; 2014. P. 300, 304-306 9 Pandey DS. Sharangadhara Samhita (Purvakhanda). Varanasi: Chukhamba Sanskrit Series Office. 1966. P.71 10 Mishra BS. Bhavaprakash (Chikitsa Prakaranam). Vol-II. Varanasi: Chaukhamba Sanskrit Sansthan; 2003. P. 94, 95, 96. ******************************* How to cite this article: Dr. Suhas Bajirao Thorat, Dr. Samrajita Suhas Thorat. A Review on Krimiroga with special reference to Udara Krimi. J Ayurveda Integr Med Sci 2021;1:89-95. Source of Support: Nil, Conflict of Interest: None declared. Copyright © 2021 The Author(s); Published by Maharshi Charaka Ayurveda Organization, Vijayapur (Regd). This is an open-access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Other Health Sciences Concepts:

[back to top]

Discover the significance of concepts within the article: ‘A Review on Krimiroga with special reference to Udara Krimi’. Further sources in the context of Health Sciences might help you critically compare this page with similair documents:

Sushruta-samhita, Charakasamhita, Udarakrimi, Krimiroga, Krimichikitsa, Raktaja Krimi, Purishaja krimi, Acharya Sushruta, Acharya Charaka, Nidana Parivarjana, Acharya Charak, Acharya Vagbhatta, Prakriti Vighata, Nidan Parivarjana, Samshodhan Chikitsa, Bahya Krimi, Abhyantara Krimi, Vaikarika Krimi, Intestinal parasite, Samanya Nidan, Krimi classification, Krimi Sanghata, Agnimandya create.