Abstract / Summary
Amoebiasis, caused by the protozoan Entamoeba histolytica, remains a significant global public health concern, contributing to considerable morbidity and mortality. A 35-year-old male presented with altered bowel habits, including semi-solid stools with mucus discharge, mild lower abdominal pain and distension, a sensation of incomplete evacuation, anal itching, and loss of appetite for one month, along with emaciation. He was diagnosed with Pureeshaja krimi. Treatment was planned according to the krimi chikitsa protocol, which includes Apakarshana (elimination of parasites) through Yoga basti (a structured 8-day course of Anuvasana Basti 80 mL (oil enema) and Erandamooladi Niruha Basti 510 mL (decoction enema)), Prakriti vighata (disruption of the parasite-supportive environment), and Nidana Parivarjana (elimination of causative factors) through dietary and lifestyle modifications. The patient reported absence of Entamoeba histolytica on stool examination, with regular bowel habits and no mucus, and complete resolution of abdominal pain, distension, and anal itching and no recurrence over three months of follow-up. This structured classical krimi chikitsa provides evidence for the potential role of the krimi chikitsa protocol in managing amoebiasis by addressing both disease pathology and the host environment. However, this is a single case report; larger controlled clinical studies are required to standardise the treatment protocol.