Neem Oil and Ayurvedic therapies in managing anal myiasis: Case report.

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Journal name: Journal of Ayurveda and Integrative Medicine
Original article title: Krimighna (anthelmintic) role of Neem Oil (medicated oil of Azadirachta indica Linn.) and adjuvant Ayurvedic therapies in the management of anal myiasis: A case report
The Journal of Ayurveda and Integrative Medicine (JAIM) is an open-access publication promoting collaboration between Ayurveda, traditional medicine, and biomedicine, publishing research on integrative health sciences
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Author:

Foram P. Joshi


Journal of Ayurveda and Integrative Medicine:

(A monthly peer-reviewed publication)

Full text available for: Krimighna (anthelmintic) role of Neem Oil (medicated oil of Azadirachta indica Linn.) and adjuvant Ayurvedic therapies in the management of anal myiasis: A case report

Year: 2022 | Doi: 10.1016/j.jaim.2022.100661

Copyright (license): CC BY-NC-ND 4.0


Download the PDF file of the original publication


Glossary definitions and references:

Scientific and Ayurvedic Glossary list for “Neem Oil and Ayurvedic therapies in managing anal myiasis: Case report.”. This list explains important keywords that occur in this article and links it to the glossary for a better understanding of that concept in the context of Ayurveda and other topics.

1) Table:
In the context of the study, 'Table' refers to organized data representation presenting health metrics and treatment protocols for the patient suffering from anal myiasis and hemorrhoids. Tables provide a visual format for comparing pre- and post-treatment results, aiding in the clear communication of clinical outcomes and findings.

2) Neem:
'Neem' refers to the medicinal plant Azadirachta indica, known for its various health benefits including its antimicrobial, anti-inflammatory, and anthelmintic properties. In the study, neem oil was used as a local treatment for myiasis due to its effectiveness in killing maggots and promoting wound healing, making it a vital therapeutic agent.

3) Ksharasutra (Ksarasutra, Kshara-sutra):
'Kshara-sutra' reappears here, emphasizing its significance as an Ayurvedic intervention for hemorrhoids. This method showcases the application of alkaline materials in surgery, reinforcing the dual nature of Ayurvedic treatment, which includes both surgical and herbal methodologies for effective patient management.

4) Gupta:
'Gupta' is a prominent surname of the author referenced throughout the text. The authors contribute to the literature on medical conditions like myiasis, underscoring the importance of scholarly work in advancing understanding and treatment of parasitic infections and their complications in human medicine.

5) Water:
'Water' is integral in numerous therapeutic procedures, such as sitz baths used in the treatment protocol. It plays a role in hygiene and wound care, promoting cleanliness which is crucial for healing. Water assists in diluting medicinal decoctions like neem, increasing their efficacy and comfort during application.

6) Post:
'Post' in this context typically refers to events or procedures conducted after a certain point in the treatment timeline. For instance, post-operative care and follow-up are critical in assessing recovery, indicating the significance of ongoing observation for complications after surgical interventions, ensuring patient well-being.

7) Haritaki:
'Haritaki' refers to Terminalia chebula, a well-regarded herb in Ayurveda known for its digestive and detoxifying properties. It may have been used in the treatment to support gut health and maintain regular bowel movement, reflecting its role in the holistic Ayurvedic approach to managing anal disorders.

8) Dressing:
'Dressing' refers to the application of medicated materials to wounds for protection and healing. In the case study, dressing with neem oil was critical for promoting tissue healing and hydrating the ulceration, showcasing the importance of appropriate wound care in the treatment of myiasis and associated lesions.

9) Disease:
'Disease' in this text encompasses the pathological conditions the patient experienced, specifically anal myiasis and hemorrhoids. Understanding the nature of these diseases informs treatment decisions and highlights the need for effective management strategies, guiding clinical practices aimed at improving patient outcomes in similar scenarios.

10) Vidanga (Vidamga):
'Vidanga,' or Embelica ribes, is a herb used in Ayurveda for its anthelmintic properties. It was included in the treatment regime to enhance gut health and support the elimination of parasites, demonstrating its role in the comprehensive treatment of infestations such as myiasis and in promoting overall digestive health.

11) Sthana:
'Sthana' refers to locations or positions described in classical texts. In Ayurvedic terminology, it could denote the specific site of disease. Understanding 'sthana' helps in targeted treatment planning, ensuring therapies are accurately aligned with the anatomical site of concern for optimal therapeutic outcomes.

12) Powder:
'Powder' generally refers to the form in which medicinal herbs, like haritaki or pippali, are administered. In this case, powdered forms facilitate easier digestion and absorption of the beneficial properties of the plants, aligning well with Ayurvedic practices which emphasize potency and efficacious delivery of herbal remedies.

13) Ayurveda (Ayus-veda):
'Ayurveda' is a traditional medicinal system originating from India, emphasizing a holistic approach to health. It combines diet, herbal treatments, and lifestyle modifications. In the study, its principles guide the management of anal myiasis and associated disorders, showcasing the continuing relevance of ancient practices in modern medicine.

14) Medicine:
'Medicine' in this text relates to the broader field of healing, referring to both the medical practices employed in treating myiasis and the specific herbal formulations used. The focus on plant-based remedies reflects a growing interest in integrative approaches to health, merging traditional knowledge with contemporary medical understanding.

15) Pippali (Pippalin):
'Pippali,' or Piper longum, is an herb recognized in Ayurveda for its medicinal properties, particularly assisting digestion and promoting metabolic health. It was likely used in the treatment for its role as a digestive aid, illustrating the holistic perspective in Ayurvedic therapies that consider multiple bodily functions.

16) Ulcer:
'Ulcer' refers to the break in skin or mucous membrane associated with the patient's anal condition. In the context of myiasis, the presence of ulcers can complicate treatment, and addressing these effectively is crucial, highlighting the need for tailored interventions to promote healing in such lesions.

17) Azadirachta indica:
'Azadirachta indica,' commonly known as neem, is a significant medicinal plant in both traditional and modern medicine. Known for its diverse therapeutic properties, it has been used in managing various conditions, including infections, which makes it a central element in the treatment protocols outlined in this study.

18) Agnivesha (Agnivesa, Agni-vesha):
'Agnivesha' refers to an ancient scholar in Ayurveda, credited with significant contributions to Ayurvedic texts. His works are foundational in understanding Ayurvedic practices and principles, which influence contemporary treatments, thus illustrating the historical depth and continued relevance of classical texts in modern therapeutic contexts.

19) Samhita:
'Samhita' denotes a collection of texts in Ayurveda presenting comprehensive knowledge on medicine. The information contained within samhitās is critical for understanding Ayurvedic principles and treatments, thereby guiding practitioners in their clinical decisions and reinforcing the importance of ancient practices in contemporary healthcare.

20) Kshara (Ksara):
'Kshara' refers to alkali substances used in Ayurvedic treatments known for their therapeutic cutting properties. They facilitate non-invasive surgical interventions for conditions like hemorrhoids, such as Ksharasutra, making them essential in contemporary Ayurvedic applications, demonstrating the synergy of traditional and surgical healing methods.

21) Vimana:
'Vimana' refers to the section of Ayurvedic texts detailing surgical procedures and instrumentation. This knowledge is crucial for understanding surgical practices in Ayurveda, reflecting the depth of surgical interventions alongside herbal treatments in managing health conditions like anal myiasis, showcasing the integrative approach of Ayurvedic medicine.

22) Patil:
'Patil' is another surname associated with healthcare practitioners or researchers noted in the text. The inclusion of multiple authors signifies collaborative efforts in research, highlighting their contributions toward enhancing the understanding of complex medical conditions and the ethnopharmacological significance of traditional treatments.

23) Study (Studying):
'Study' here refers to the comprehensive clinical investigation undertaken to explore the management of anal myiasis. It signifies the importance of research in validating traditional practices and documenting effective treatment protocols, fostering a deeper understanding of combining traditional and modern medical practices in managing unusual conditions.

24) Pain:
'Pain' denotes a significant symptom experienced by the patient, often associated with both myiasis and piles. Understanding pain's impact is vital in clinical practice, as alleviating it can markedly improve the patient's quality of life, directing treatment towards comprehensive pain management strategies.

25) Terminalia chebula:
'Terminalia chebula,' also known as haritaki, is recognized in Ayurveda for its numerous health benefits, including digestive support and detoxification. Its incorporation into treatment underlines the strategy of using multi-faceted herbal remedies to promote healing and restore balance within the body, illustrating holistic Ayurvedic practices.

26) Piper longum:
'Piper longum,' known as pippali, is an herb widely utilized in Ayurveda. It is acknowledged for promoting digestion, respiratory health, and enhancing overall metabolic functions. As part of the treatment plan, it underscores the emphasis on balancing bodily systems for effective recovery from ailments like anal myiasis.

27) Krimighna (Krmighna, Krimi-ghna):
'Krimighna' refers to the property of substances that are anti-parasitic or anthelmintic in Ayurvedic terminology. The study's emphasis on krimighna actions signifies the centrality of using specific herbs to combat parasitic infestations, advocating for a targeted approach in managing conditions like myiasis effectively.

28) Apamarga:
'Apamarga' refers to Achyranthes aspera, a herb often utilized in Ayurveda for its therapeutic effects. Its application in treatment showcases Ayurvedic principles by harnessing local flora to provide holistic healing solutions, thereby validating traditional methods in addressing various health ailments, including the management of myiasis.

29) Varanasi (Varanashi):
'Varanasi' is a city in India known for its historical and cultural significance, including contributions to Ayurvedic medicine. Its mention underscores the roots of traditional practices, linking specific regions to the broader historical narratives of Ayurvedic knowledge, often recognized for fostering medicinal studies and healing traditions.

30) Bhrishta (Bhrsta):
'Bhrishta' denotes a status of being burned or roasted in Ayurvedic practice, often used to enhance the pharmacological properties of herbs. This technique is significant in preparing herbal medicines, ensuring the maximization of their benefits, reflecting the meticulous practices followed in traditional herbal formulations.

31) Prakriti (Prakrti):
'Prakriti' refers to the inherent constitution or nature of an individual as outlined in Ayurvedic philosophy. Its understanding is pivotal in personalized medicine, allowing practitioners to tailor treatments based on a patient’s unique constitution, thereby optimizing therapeutic efficacy and aligning interventions with individual health characteristics.

32) Activity:
'Activity' refers to the biochemical or therapeutic actions of substances used in treatments. Recognizing the specific activities of herbs like neem and vidanga strengthens the understanding of how traditional treatments exert their effects, bridging the gap between efficacy and the scientific rationale behind their usage.

33) Vighata:
'Vighata' refers to counteracting or opposing factors causing disease in Ayurveda. The application of vighata principles is vital in treatment protocols, addressing underlying causes beyond symptoms and guiding holistic treatment approaches, thus enhancing the effectiveness of healing strategies employed in managing conditions like myiasis.

34) Species:
'Species' in this context refers to biological classifications used to identify different plants or organisms, emphasizing the significance of biodiversity in medicinal applications. The effective utilization of various species ensures a broad spectrum of therapeutic options within Ayurvedic practices for treating ailments such as anal myiasis.

35) Hygiene (Hygienic):
'Hygiene' relates to practices that maintain health and prevent disease, particularly important in managing conditions like myiasis. Maintaining cleanliness and personal hygiene can prevent complications and contribute to successful recovery, underscoring the integration of hygienic measures in conventional and traditional treatment protocols.

36) Science (Scientific):
'Scientific' denotes the systematic and evidence-based approach used in evaluating and validating traditional practices. Emphasizing the scientific method in research encourages the discovery of reliable outcomes, bridging the gap between ancient knowledge and modern medical practices, promoting trust in holistic treatments.

37) Taila (Thaila):
'Taila' refers to oils in Ayurvedic practice, often used for their therapeutic properties in treatments. The application of neem oil as part of the treatment for myiasis highlights the use of oils in promoting healing, demonstrating the synergistic effects of topical applications in aiding recovery processes.

38) Joshi (Josi):
'Joshi' is the surname of the author responsible for the case study. Recognizing author contributions not only honors individual scholarship but reinforces the collaborative nature of research, promoting dialogue between scholars in traditional and modern medical fields focusing on common health challenges.

39) Honey:
'Honey' is often included in Ayurvedic formulations for its health benefits, including its antibacterial and anti-inflammatory properties. In the described treatments, honey served as a medium for administering pippali, enhancing its palatability and medicinal effects, illustrating the versatile uses of natural substances in holistic therapies.

40) Shalyatantra (Salyatantra, Shalya-tantra, Shalyatamtra):
'Shalyatantra' signifies the surgical branch of Ayurveda, which combines traditional surgical practices with herbal medicine. Its role in the case study highlights the blend of surgical interventions and medicinal treatments in effectively addressing complex conditions like anal myiasis and thereby reinforcing the discipline's comprehensive approach.

41) Apakarshana (Apakarsana):
'Apakarshana' denotes the act of removing unwanted entities, such as maggots in this context. This principle is crucial in treating infestations effectively, reinforcing the importance of direct intervention in addressing parasitic concerns, which aligns with the holistic approach of Ayurveda to restore health and balance.

42) Upadhyaya:
'Upadhyaya' is a common surname among scholars and practitioners in Indian medicine. Its presence indicates the cultural backdrop of Ayurvedic studies, emphasizing the continuity of teaching, learning, and sharing of knowledge through various generations, vital for sustaining traditional practices.

43) Tamilnadu (Tamil-nadu):
'Tamilnadu' is a state in India known for its rich cultural heritage and contributions to traditional medicine. Recognizing regional connections to ancient healing practices reinforces the notion that specific geographic areas contribute significantly to the evolution and preservation of medicinal knowledge, including Ayurveda.

44) Nighantu (Nighamtu):
'Nighantu' refers to traditional Ayurvedic systematic classifications of medicinal plants and their properties. Nighantu texts serve as essential references in the identification and application of herbal remedies, providing foundational knowledge for practitioners to utilize plant-based resources effectively in treatments.

45) Bleeding:
'Bleeding' is a significant symptom observed in the case study, associated with anal myiasis and piles. Addressing bleeding promptly is crucial for patient care, emphasizing the need for effective treatment strategies that not only manage the infestation but also control complications like bleeding, ensuring comprehensive health management.

46) Avagaha:
'Avagaha' refers to a therapeutic sitz bath, wherein a part of the body is submerged in warm herbal-infused water. This practice is essential for alleviating discomfort and promoting healing in anal conditions, showcasing the importance of holistic and localized therapies in Ayurvedic treatment protocols.

47) Cutting:
'Cutting' in this context relates to the therapeutic effects of ksharasutra ligation. The technique is designed to safely remove morbid tissue, showcasing the surgical facet of Ayurveda. Such methods underscore the balance of surgical interventions with herbal treatments in achieving patient recovery without extensive surgical trauma.

48) Itching:
'Itching' is a common symptom accompanying anal conditions like myiasis. Understanding and addressing itching through targeted medicinal and hygienic measures are crucial for patient comfort, underscoring the significance of symptom management in holistic healthcare, where relief leads to improved quality of life.

49) Rupiya:
'Rupiya' refers to a form of currency but is also used metaphorically in texts to denote measures and values in various contexts, including medicine. Its mention signals the financial aspects of healthcare, highlighting how economic factors influence treatment approaches and patient accessibility to care.

50) Nidana:
'Nidana' refers to etiological factors contributing to disease development in Ayurveda. Understanding nidana is critical for effective treatment, prompting practitioners to address root causes rather than merely alleviating symptoms, which is key in designing holistic management strategies for conditions like myiasis and other disorders.

51) Castor:
'Castor' refers to castor oil derived from the seeds of Ricinus communis, used in traditional medicine for its therapeutic benefits, particularly in digestive health. Its application in treatment showcases the integration of various natural substances in addressing health issues holistically, reflecting Ayurvedic practices.

52) Animal:
'Animal' signifies the host organism, such as humans, affected by myiasis, wherein fly larvae invade living tissues. This connection underscores the impact of parasitic infestations on mammals, prompting the need for effective biological and ecological interventions to manage such health threats in veterinary and human contexts.

53) Sutra:
'Sutra' denotes threads or aphorisms in the context of Ayurveda, often summarizing essential principles or instructions. The term is significant in Ayurvedic texts, conveying the wisdom embedded in succinct guidelines that practitioners can apply in treatments, ensuring adherence to traditional philosophies of healing.

54) Krimi (Krmi):
'Krimi' refers to worms or parasites in Ayurveda, specifically pertaining to conditions such as myiasis. The focus on krimi in treatment protocols reflects the need to address parasitic infestations directly, utilizing specific therapies aimed at eliminating these organisms and restoring health effectively.

55) Varga:
'Varga' signifies groups or categories in Ayurvedic classification systems, which assist practitioners in the identification and categorization of diseases or treatments. Recognizing these classifications allows for structured approaches to healthcare, guiding effective treatments within the vast system of Ayurvedic knowledge.

56) India:
'India' is the geographical and cultural origin of Ayurveda, highlighting its deep-rooted traditions and practices that span thousands of years. The country's rich diversity in medicinal plants and healing practices underscores the relevance of Ayurvedic methods and their ongoing evolution in modern healthcare systems.

57) Kumar:
'Kumar' is a common Indian surname that may refer to a researcher or practitioner noted in the study. Its presence highlights the contributions of various individuals in advancing the understanding of Ayurvedic principles, fostering a community that supports the integration of traditional practices into contemporary settings.

58) Patel:
'Patel' is another surname signifying individuals often involved in healthcare or community leadership roles. Their mention emphasizes the collaborative work necessary in research and practice that furthers treatment efficacy and patient care, reinforcing collective knowledge within the framework of traditional medicine.

59) Arshas (Arsa, Arsha, Arsas):
'Arsha' refers to the clinical term for hemorrhoids in Ayurveda. Understanding arsha is essential for effective treatment planning, as it denotes a specific condition requiring targeted interventions, showcasing the importance of accurate diagnosis and management strategies in promoting patient relief and healing.

60) Rules:
'Rules' denote the guidelines established within the Ayurvedic framework that govern practices and treatments. They ensure adherence to principles that enhance the safety and efficacy of interventions, reinforcing the structured methodology that Ayurveda adopts to maintain integrity in health practices.

61) Latta:
'Latha' is often a name associated with authors or researchers in the field. Their contribution is significant in enriching the literature and advancing traditional practices, marking the importance of individual roles in fostering knowledge and sharing insights in the study of herbal and medicinal science.

62) Male:
'Male' specifies the gender of the patient in the study, reinforcing the relevance of demographic factors in healthcare research. Gender considerations are critical in understanding health conditions, symptom expression, and treatment responses, influencing how healthcare is tailored to individual patient needs.

63) Life:
'Life' signifies the broad context of health and wellness that the study aims to enhance. It stresses the importance of achieving quality of life through effective treatments, drawing attention to the overall well-being patients pursue beyond mere symptom relief, encapsulating holistic healthcare principles.

64) Peer review:
'Peer review' indicates the evaluation process where experts assess the research quality and validity before publication. This process maintains scientific integrity and ensures that findings contribute reliably to the field, ultimately enhancing trust in the results shared within the academic and medical communities.

65) Bhavaprakashanighantu (Bhavaprakasanighantu, Bhavaprakasha-nighantu):
'Bhavaprakasha-nighantu' refers to an important text in Ayurveda that compiles information on medicinal plants and their properties. Such texts serve as vital resources for practitioners, enabling the accurate identification and application of herbs for treatment, thereby supporting classical Ayurvedic practices with evidence-based knowledge.

66) Vimanasthana (Vimana-sthana):
'Vimana-sthana' is a section in Ayurvedic texts providing guidelines on surgical procedures, crucial for understanding surgical interventions within the Ayurvedic framework. The importance of this knowledge lies in its role in bridging traditional practices with modern surgical techniques, promoting comprehensive treatment approaches.

67) Ksharataila (Ksarataila, Kshara-taila):
'Kshara-taila' refers to medicated oils infused with alkali properties used in Ayurvedic practices. Their inclusion showcases the practical application of herbal knowledge in treating conditions, highlighting the importance of such oils in promoting recovery and enhancing patient care in various health scenarios.

68) Green gram:
'Green gram' refers to a nutritious pulse often emphasized in Ayurvedic dietary recommendations. Its role in the treatment plan suggests the importance of food choices in supporting recovery and reinforcing the holistic approach of Ayurveda, balancing dietary habits with therapeutic interventions.

69) Discussion:
'Discussion' refers to the section in research where findings are interpreted and contextualized within existing literature. It provides insights into the implications of the study, enhancing understanding of treatment effectiveness and explaining the significance of the results in broader medical contexts.

70) Anulomana:
'Anulomana' refers to a therapeutic action aimed at promoting normal bowel movement and digestive health. Its consideration within treatment protocols illustrates the importance of supporting natural processes in the body as part of holistic health management strategies found in Ayurveda.

71) Teaching:
'Teaching' signifies the transmission of knowledge within the Ayurvedic tradition. The emphasis on this concept underlines the importance of education in preserving and advancing Ayurvedic medicine, ensuring that foundational principles are conveyed to future generations of practitioners and researchers.

72) Sanskrit:
'Sanskrit' refers to the classical language of ancient India, in which many Ayurvedic texts are written. The connection to Sanskrit highlights the depth of historical knowledge and the evolution of medical practices over time, anchoring contemporary practices in their rich linguistic heritage.

73) Eranda (Eramda):
'Eranda' refers to castor oil in Ayurveda, recognized for its purgative and therapeutic properties. Its use in treatment illustrates the integration of specific oil preparations in managing health issues, ensuring a balance of dietary and topical therapies in Ayurvedic health practices.

74) Repair:
'Repair' signifies the healing processes involved in recovery from physical ailments. In this study, the focus on repair underscores the importance of restoring bodily functions and integrity after an injury or illness, reflecting a fundamental goal in both modern and traditional medicine.

75) Labour (Labor):
'Labour' relates to the patient's profession, referring to physically demanding work. This context adds a dimension to his medical condition, emphasizing how occupational factors may influence health outcomes and recovery processes, reflecting the need for personalized care approaches in diverse populations.

[Note: The above list is limited to 75. Total glossary definitions available: 89]

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