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#Management principles given for ''krimi'' are ''nidana parivarjana'' (removal of causative factor), ''apakarshana'' (removal of ''krimi'') and ''prakritivighata'' (eradicating favorable environment for growth of ''krimi''). This is collectively a complete management principle (''Chikitsa Sutra'') in [[Charaka Samhita]] in all aspects, as all other principles are ''ekangika'' (pertaining only to one or two components of disease process).
#Management principles given for ''krimi'' are ''nidana parivarjana'' (removal of causative factor), ''apakarshana'' (removal of ''krimi'') and ''prakritivighata'' (eradicating favorable environment for growth of ''krimi''). This is collectively a complete management principle (''Chikitsa Sutra'') in [[Charaka Samhita]] in all aspects, as all other principles are ''ekangika'' (pertaining only to one or two components of disease process).
=== Vidhi Vimarsha ===
=== ''Vidhi Vimarsha'' ===
==== Part A ====
==== Part A ====
==== Part B ====
==== Part B ====
Ayurveda describes two kinds of organisms, namely prakrita (non-pathogenic), and vaikrita (pathogenic). Also described are two categories of pathogens/parasites, namely, external and internal. The internal organisms are mainly of three categories in terms of their natural environments: those that thrive on mucus (shleshma), those thriving in fecal matter, and those thriving in blood. Some of these, particularly the ones thriving in fecal matter seem to be intestinal parasites while others simulate microbes. The texts repeatedly advocate protecting surgical wounds from these organisms. There is also a clear description of vector borne diseases and that diseases such as leprosy, tuberculosis, conjunctivitis and fever as contagious diseases spread by contact with other patients or vectors.
[https://en.wikipedia.org/wiki/Ayurveda Ayurveda] describes two kinds of organisms, namely ''prakrita'' (non-pathogenic), and ''vaikrita'' (pathogenic). Also described are two categories of pathogens/parasites, namely, external and internal. The internal organisms are mainly of three categories in terms of their natural environments: those that thrive on mucus (''shleshma''), those thriving in fecal matter, and those thriving in blood. Some of these, particularly the ones thriving in fecal matter seem to be intestinal parasites while others simulate microbes. The texts repeatedly advocate protecting surgical wounds from these organisms. There is also a clear description of vector borne diseases and that diseases such as leprosy, tuberculosis, conjunctivitis and fever as contagious diseases spread by contact with other patients or vectors.
It is interesting to note that these ancient texts recognized the existence of “friendly” non-pathogenic organisms and their functions - something that is only now being considered the greatest discovery in microbiology. It is claimed by modern scientists that our living body is made up of 10 trillion somatic cells and is home to some 100 trillion friendly microbes. This “empire” of microbes is called Microbiome. Understanding the relationship between the microbiome and the human being, the animal and the environment - is as important as unravelling human genome. The microbiome is like a well-structured organ with unique functions and hence needs to be protected in the same way as we protect our other vital organs like liver, heart or kidney.
Management: Since [[Charaka Samhita]] was written, there has been enormous advancement in the field of infectious diseases, especially in the last one hundred years. This advancement is mainly in the field of Apakarshan (removal of micro-organisms and parasites) but old principles of prevention are still current. This edition of [[Charaka Samhita]] has brief mention of those and reader is referred to infectious disease books for detailed knowledge.
This recognition of the existence of these friendly ''prakrita'' (non-pathogenic organisms) by [https://en.wikipedia.org/wiki/Ayurveda Ayurveda] thousands of years ago is of great historical significance.
==== Management of ''krimi roga'' ====
Since [[Charaka Samhita]] was written, there has been enormous advancement in the field of infectious diseases, especially in the last one hundred years. This advancement is mainly in the field of ''Apakarshana'' (removal of micro-organisms and parasites) but old principles of prevention are still current. This edition of [[Charaka Samhita]] has brief mention of those and reader is referred to infectious disease books for detailed knowledge.
The management principles of krmi roga are unique and applicable for management of all diseases. The three components of treatment are –
The management principles of ''krimi roga'' are unique and applicable for management of all diseases. The three components of treatment are:
#''Nidana Parivarjana'' (removal of cause)
#''Apakarshana'' (removal of ''krimi'')
#''Prakritivighata'' (eradication of favorable condition preventing recurrence)
#Enhancing ''yuktikrita bala'' or artificially-induced immunity.
===== ''Nidana Parivarjana'' (removal of cause) =====
The most important aspect of the management of any disease specifically krimi roga is the avoidance of aetiological factors by following good hygiene like clean water & food and avoid transmission from direct contact like clothing and physical contact etc. Infestation by parasites is common in people who eat food before the digestion of previous meals, excessive sweet and sour food prepared of flour, jaggery like cake/pastries etc. and sedentary lifestyle. Hence consumption of these items can be avoided for the proper treatment and prevention of re-infestation.
==== Apakarshana [removal of krimi] ====
==== Apakarshana [removal of krimi] ====