Approach to Krimi Roga (Worm Infestation) in Pediatrics

Abstract

In Ayurveda, Krimi Rogahas been described as one of the most common disorders among children due to their delicate physiology, irregular dietary habits, and immature digestive capacity. The condition corresponds to worm infestation or parasitic infection in modern science, which is a significant cause of morbidity among pediatric populations worldwide. The Ayurvedic concept of Krimi includes both Antarj? Krimi (internal) and B?hya Krimi (external), depending on their site of manifestation. Pediatric Krimi Roga primarily affects the gastrointestinal tract, leading to symptoms such as abdominal pain, itching around the anus, loss of appetite, disturbed sleep, and general weakness. The Ayurvedic management of Krimi Roga emphasizes a comprehensive approach, combining Nid?na Parivarjana (removal of causative factors), Apakarshana (expulsion of worms), Prakriti Vigh?ta (modification of the environment unfavorable to worms), and Nid?na Vipar?ta Chikits? (opposite treatment to causative factors). This paper discusses the pathophysiology, classification, clinical manifestations, and Ayurvedic as well as contemporary management approaches to KrimiRoga in pediatric practice.

KEYWORDS: Krimi Roga, Pediatrics, Worm Infestation, Ayurveda, Krimighna Dravya, Anthelmintic Therapy