Abstract
Introduction:
Worm infestations, especially soil-transmitted helminths such as Ascaris lumbricoides, hookworms, and Enterobius vermicularis, are common in Indian children, causing malnutrition, anemia, and cognitive delays. Modern anthelmintics are effective but face challenges of reinfection and resistance. Ayurveda, through Krimi Chikitsa, offers a holistic approach integrating detoxification, digestive correction, and herbal therapy.
Methods:
An integrative review was conducted using Ayurveda classics, WHO data, and contemporary literature, correlating traditional Krimi Roga concepts with modern clinical classifications.
Results:
Modern drugs such as albendazole, mebendazole, and pyrantel pamoate are standard, but Ayurveda prescribes a threefold strategy—Apakarshana, Prakriti Vighata, and Nidana Parivarjana. Classical formulations like Vidangadi Kashayam, Krimi Sudarshana Churna, Vidangarishtam, Panchatikta Ghrita, and Krimighna Vati possess krimighna, deepana, and rasayana properties, aiding parasite clearance and recurrence prevention.
Discussion:
Ayurvedic measures complement pharmacotherapy by restoring gut health, enhancing immunity, and promoting preventive practices. Clinical validation through controlled trials is essential.
Conclusion:
Integrating modern anthelmintics with Krimi Chikitsa offers a comprehensive, sustainable strategy for managing pediatric worm infestations in endemic regions.