The Diagnosis of Krimi (Intestinal Worms)

Verse 1 (garuda.1.165.1)

श्रीगरुडमहापुराणम् १६५ धन्वन्तरिरुवाच । क्रिमयश्च द्विधा प्रोक्ता बाह्यभ्यन्तरभेदतः । बहिर्मलकफासृग्विट्जन्मभेदाच्चतुर्विधाः

śrīgaruḍamahāpurāṇam 165 dhanvantariruvāca krimayaśca dvidhā proktā bāhyabhyantarabhedataḥ bahirmalakaphāsṛgviṭjanmabhedāccaturvidhāḥ

Dhanvantari said: Worms are said to be of two kinds, by the division into external and internal; and again, by their origin from waste-matter, phlegm, blood, and stool, they are of four kinds.

Verse 2 (garuda.1.165.2)

नामतो विंशतिविधा बाह्यास्तत्र मलोद्भवाः । तिलप्रमाणसंस्थानवर्णाः केशाम्बराश्रयाः

nāmato viṁśatividhā bāhyāstatra malodbhavāḥ tilapramāṇasaṁsthānavarṇāḥ keśāmbarāśrayāḥ

By name they are twenty kinds. Among these, the external worms born of waste-matter are the size, shape, and colour of sesame seeds, and they lodge in the hair and in clothing.

Verse 3 (garuda.1.165.3)

बहुपादाश्च सूक्ष्माश्च यूका लिक्षाश्च नामतः । द्विधा ते कोष्ठपिडिकाः कण्डूगण्डान्प्रकुर्वते

bahupādāśca sūkṣmāśca yūkā likṣāśca nāmataḥ dvidhā te koṣṭhapiḍikāḥ kaṇḍūgaṇḍānprakurvate

They are many-legged and minute, and by name are called yuka (lice) and liksha (nits) — thus two kinds; they produce pustules and itchy swellings on the body.

Verse 4 (garuda.1.165.4)

कुष्ठैकहेतवोऽन्तर्जाः श्लेष्मजा बाह्यसम्भवाः । मधुरान्नगुडक्षीरदधिमत्स्यनवौदनैः

kuṣṭhaikahetavo'ntarjāḥ śleṣmajā bāhyasambhavāḥ madhurānnaguḍakṣīradadhimatsyanavaudanaiḥ

The internal worms are, by themselves, a cause of kushtha. The worms born of kapha enter the body from without, through sweet food, jaggery, milk, curd, fish, and freshly cooked rice —

Verse 5 (garuda.1.165.5)

कफादामाशये जाता वृद्धाः सर्पन्ति सर्वतः । पृथुब्रध्ननिभाः केचित्केचिद्गण्डूपदोपमाः

kaphādāmāśaye jātā vṛddhāḥ sarpanti sarvataḥ pṛthubradhnanibhāḥ kecitkecidgaṇḍūpadopamāḥ

— and, born of kapha in the stomach, when grown they crawl about everywhere; some resemble a broad radish, others resemble earthworms.

Verse 6 (garuda.1.165.6)

रूढधान्याङ्कुराकारास्तनुदीर्घास्तथाणवः । श्वेतास्ताम्रावभासाश्च नामतः सप्तधा तु ते

rūḍhadhānyāṅkurākārāstanudīrghāstathāṇavaḥ śvetāstāmrāvabhāsāśca nāmataḥ saptadhā tu te

Some are shaped like sprouted grain, some thin and long, and some minute; they are white or copper-coloured, and by name they are of seven kinds —

Verse 7 (garuda.1.165.7)

अन्त्रादा उदरावेष्टा हृदयादा महागुदाः । च्युरवो दर्भकुसुमाः सुगन्धास्ते च कुर्वते

antrādā udarāveṣṭā hṛdayādā mahāgudāḥ cyuravo darbhakusumāḥ sugandhāste ca kurvate

— antrada (gut-eaters), udaravestha (belly-coilers), hridayada (heart-eaters), mahaguda, chyurava, darbhakusuma, and sugandha; these produce —

Verse 8 (garuda.1.165.8)

हृल्लासमास्यश्रवणमविपाकमरोचकम् । मूर्छाच्छर्दिज्वरानाहकार्श्यक्षवथुपीनसान्

hṛllāsamāsyaśravaṇamavipākamarocakam mūrchācchardijvarānāhakārśyakṣavathupīnasān

— nausea, drooling from the mouth, indigestion, loss of appetite, fainting, vomiting, fever, constipation, emaciation, sneezing, and catarrh.

Verse 9 (garuda.1.165.9)

रक्तवाहिशिरास्थानरक्तजा जन्तवोऽणवः । अपादा वृत्तताम्राश्च सौक्ष्म्यात्केचिददर्शनाः

raktavāhiśirāsthānaraktajā jantavo'ṇavaḥ apādā vṛttatāmrāśca saukṣmyātkecidadarśanāḥ

The minute creatures born of blood dwell in the blood-carrying veins; they are footless, round, and copper-coloured, and some, owing to their minuteness, cannot even be seen.

Verse 10 (garuda.1.165.10)

केशादा रोमविध्वंसा रोमद्वीपा उदुम्बराः । षट्ते कुष्ठैककर्माणः सहसौरसमातरः

keśādā romavidhvaṁsā romadvīpā udumbarāḥ ṣaṭte kuṣṭhaikakarmāṇaḥ sahasaurasamātaraḥ

Kesada (hair-eaters), romavidhvamsa (hair-destroyers), romadvipa, and udumbara — these, six in number together with sausura and matri, act singly to produce kushtha.

Verse 11 (garuda.1.165.11)

पक्वाशये पुरीषोत्था जायन्तेऽथोविसर्पिणः । वृद्धास्ते स्युर्भवेयुश्च ते यदामाशयोन्मुखाः

pakvāśaye purīṣotthā jāyante'thovisarpiṇaḥ vṛddhāste syurbhaveyuśca te yadāmāśayonmukhāḥ

Worms born of stool arise in the large intestine and then begin to spread; when grown, they may also move upward toward the stomach —

Verse 12 (garuda.1.165.12)

तदास्योद्गारनिः श्वामविड्गन्धानुविधायिनः । पृथुवृत्ततनुस्थूलाः श्यावपीतसितासिताः

tadāsyodgāraniḥ śvāmaviḍgandhānuvidhāyinaḥ pṛthuvṛttatanusthūlāḥ śyāvapītasitāsitāḥ

— and then, imparting the odour of stool to the belching and breath, they appear broad, round, thin, or thick, and of dusky, yellow, white, or black colour.

Verse 13 (garuda.1.165.13)

ते पञ्चनाम्ना क्रिमयः ककेरुकमकेरुकाः । सौसुरादाः सशूलाख्या लेलिहा जनयन्ति हि

te pañcanāmnā krimayaḥ kakerukamakerukāḥ sausurādāḥ saśūlākhyā lelihā janayanti hi

These worms are five by name — kakeruka, makeruka, sausurada, sashula, and leliha; and they produce —

Verse 14 (garuda.1.165.14)

वङ्भेदशूलविष्टम्भकार्श्यपारुष्यपाण्डुताः । रोमहर्षाग्निसदनं गुदकण्डूंर्विमार्गगाः

vaṅbhedaśūlaviṣṭambhakārśyapāruṣyapāṇḍutāḥ romaharṣāgnisadanaṁ gudakaṇḍūṁrvimārgagāḥ

— stool passing in broken fragments, colic pain, constipation, emaciation, roughness of the skin, pallor, horripilation, weak digestion, and, when they stray into the wrong passage, itching at the anus.