Changes

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 and 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.

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 and 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'') =====

   

   

Ayurvedic management of parasites is recommended for expulsion of worms/parasites from gut, skin and wounds. Most of the drugs mentioned for the management are for the intestinal worms. Some drugs have also been specified for parasites of skin like lice. A long list of drugs is available in various classical texts, however following few drugs has been used widely by Ayurvedic researchers. Most commonly used drugs are:

Ayurvedic management of parasites is recommended for expulsion of worms/parasites from gut, skin and wounds. Most of the drugs mentioned for the management are for the intestinal worms. Some drugs have also been specified for parasites of skin like lice. A long list of drugs is available in various classical texts, however following few drugs has been used widely by Ayurvedic researchers. Most commonly used drugs are:

One day panchkarma has been used for removal of krimi but because of availability of effective oral anti-parasitic agents, it is seldom used.

In comparison to modern medicine, the removal of parasites in Ayurveda seems to be inconvenient to the patient. The drugs are to be used in larger doses with limited efficacy. Modern medicine drugs, for removal of common parasites are effective with convenient dosage schedule. However, these drugs are potentially toxic and are to be used with careful watch of physician.  

Prakritivighata [creation of unfavourable condition preventing recurrence]- Prakritvighata means to create the environment so that dosha cannot lodge themselves in the dhatus/krimi. This includes measures promoting agni and nourishing dhatus with rasayana therapy. The role of the rasayana is to create the healthy tissues so that vitiated dosha cannot lodge (sthana samshraya). As per the Ayurvedic concept, increased dosha circulates in the body and on finding a weak and suitable tissue they lodge there causing the initiation of disease process. Use of certain herbs like Shigru, Paribhadra etc may create an environment to prevent growth of parasitic ova/cyst.

 

One day [[Panchakarma]] has been used for removal of ''krimi'' but because of availability of effective oral anti-parasitic agents, it is seldom used.

 

In comparison to modern medicine, the removal of parasites in [https://en.wikipedia.org/wiki/Ayurveda Ayurveda] seems to be inconvenient to the patient. The drugs are to be used in larger doses with limited efficacy. Modern medicine drugs, for removal of common parasites are effective with convenient dosage schedule. However, these drugs are potentially toxic and are to be used with careful watch of physician.  

 

''Prakritivighata'' (creation of unfavorable condition preventing recurrence)- ''Prakritvighata'' means to create the environment so that ''dosha'' cannot lodge themselves in the ''dhatus''/''krimi''. This includes measures promoting ''agni'' and nourishing ''dhatus'' with ''rasayana'' therapy. The role of the ''rasayana'' is to create the healthy tissues so that vitiated dosha cannot lodge (sthana samshraya). As per the Ayurvedic concept, increased dosha circulates in the body and on finding a weak and suitable tissue they lodge there causing the initiation of disease process. Use of certain herbs like Shigru, Paribhadra etc may create an environment to prevent growth of parasitic ova/cyst.

Mass deworming is done by World Health Organization in certain areas of the world where helminthiasis is common. Although deworming improves the health of an individual, outcomes from mass deworming campaigns, such as reduced deaths or increases in cognitive ability, nutritional benefits, physical growth, and performance, are uncertain or not apparent.

Mass deworming is done by World Health Organization in certain areas of the world where helminthiasis is common. Although deworming improves the health of an individual, outcomes from mass deworming campaigns, such as reduced deaths or increases in cognitive ability, nutritional benefits, physical growth, and performance, are uncertain or not apparent.

Ayurveda recognizes and describes a less-known concept of ojas (vital essence of the body) which gives biological strength (including immunity). Ojas is the final product of tissue nourishment and is the final product of all the seven dhatus namely rasa, rakta, mamsa, meda, asthi, majja, and shukra. Ojas is of two types called para ojas and apara ojas. Para ojas is subtle and present in very minute quantity in the heart while apara ojas is gross and amounts to handful in quantity, spread all over the body. Para ojas is vital to life and any damage or vitiation to it can result in sudden death. Apara ojas gives gross immune strength to the body and can be compared to immunity described by modern medical science. This immune strength is also called ojbal and is categorized to be of three kinds: sahaja bala or primary immunity, kalaja bala or acquired immunity through environmental factors and yuktikrit bala or artificially-induced immunity by rasayan, lifestyle and suitable diet. The classics prompt to utilize these three resources to enhance the bala/immunity in order to prevent all ailments especially chronic diseases and contagious diseases.  

Ayurveda recognizes and describes a less-known concept of ojas (vital essence of the body) which gives biological strength (including immunity). Ojas is the final product of tissue nourishment and is the final product of all the seven dhatus namely rasa, rakta, mamsa, meda, asthi, majja, and shukra. Ojas is of two types called para ojas and apara ojas. Para ojas is subtle and present in very minute quantity in the heart while apara ojas is gross and amounts to handful in quantity, spread all over the body. Para ojas is vital to life and any damage or vitiation to it can result in sudden death. Apara ojas gives gross immune strength to the body and can be compared to immunity described by modern medical science. This immune strength is also called ojbal and is categorized to be of three kinds: sahaja bala or primary immunity, kalaja bala or acquired immunity through environmental factors and yuktikrit bala or artificially-induced immunity by rasayan, lifestyle and suitable diet. The classics prompt to utilize these three resources to enhance the bala/immunity in order to prevent all ailments especially chronic diseases and contagious diseases.  

Three categories of bala-dosha or immune disorders are described in the Ayurvedic texts which are comparable to three categories of immune disorders described in modern medical system 1. Oja-vyapat (immune-aberrations and allergies), 2. Oja-visransa (dislodged immunity and autoimmune disorders) and 3. Oja-kshaya (immunodeficiency). There are specific methods and approaches to tackle the categories of immune disorders. It is evident from the description of ojabala and bala-dosha that immunology was highly advanced in samhita period of Ayurveda and the knowledge in this field was comparable to the current knowledge of immunology.

Three categories of bala-dosha or immune disorders are described in the Ayurvedic texts which are comparable to three categories of immune disorders described in modern medical system 1. Oja-vyapat (immune-aberrations and allergies), 2. Oja-visransa (dislodged immunity and autoimmune disorders) and 3. Oja-kshaya (immunodeficiency). There are specific methods and approaches to tackle the categories of immune disorders. It is evident from the description of ojabala and bala-dosha that immunology was highly advanced in samhita period of Ayurveda and the knowledge in this field was comparable to the current knowledge of immunology.

==== Microbiology in Ayurveda ====

==== Microbiology in Ayurveda ====