Krimi Roga in Children: Changing Epidemiology and the Ayurvedic
Abstract
Background: Krimi Roga (parasitic and worm infestations) is one of the most commonly
described pediatric disorders in classical Ayurvedic literature, particularly under Kaumarbhritya.
While modern public health interventions have reduced the burden of severe helminthic
infestations, changing environmental conditions, urbanization, altered dietary habits, antibiotic
exposure, and hygiene practices have significantly modified the epidemiology and clinical
presentation of pediatric parasitic diseases.
Objective: To provide a comprehensive narrative review of Krimi Roga in children by integrating
classical Ayurvedic concepts with contemporary epidemiological trends and pediatric health
perspectives.
Methods: A narrative review was conducted using authoritative Ayurvedic texts (Charaka
Samhita, Sushruta Samhita, Ashtanga Hridaya, Kashyapa Samhita) and modern biomedical
literature related to pediatric parasitic infections, gut health, nutrition, and immunity. Relevant
review articles, epidemiological reports, and clinical studies were thematically synthesized.
Results: Ayurveda describes Krimi Roga as a multifactorial disease arising from Agnimandya,
Ama formation, Kapha predominance, and unhygienic practices, particularly in children with
immature digestion. Modern epidemiology shows a shift from overt heavy infestations to chronic,
low-grade, recurrent infections with significant nutritional and immunological consequences.
Ayurvedic management emphasizes Apakarshana, Prakriti Vighata, Nidana Parivarjana, and
long-term preventive care.
Conclusion: The Ayurvedic framework of Krimi Roga remains highly relevant in the context of
changing pediatric epidemiology. Its holistic, digestion-centered, and preventive approach
complements modern deworming strategies and may reduce recurrence and long-term morbidity.
Keywords
Krimi Roga; Pediatric Parasitic Infections; Kaumarbhritya; Ayurveda; Intestinal Worms; Child Nutrition