Krimighna (anthelmintic) role of Neem Oil (medicated oil of Azadirachta indica Linn.) and adjuvant Ayurvedic therapies in the management of anal myiasis: A case report.

Myiasis is an uncommon pathology of parasitic infestation in live mammals by fly larvae (maggots). The fly grows and gets nourished by invading host tissue. Epidemiology of Myiasis has been recorded in tropical regions of world. No any documentation has been found on Ayurvedic intervention for anal myiasis management. The study is about a 49-year male having anal myiasis along and interno-external piles together. The case was managed by local application of Neem oil (Medicated oil of Azadirachta indica Linn.) soaked gauze piece once a day on daily bases in the invaded tissues of myiasis along with Ksharasutra ligation in the base of pile mass once during the treatment protocol. Internal medicines like Pippali (Piper longum Linn.), Erand Bhrisht Haritaki (Terminalia chebula Retz. roasted with castor oil) and Vidanga (Embelica ribes Burm. f.) were prescribed along with the local management during the course of the treatment. The case was completely cured and was relieved in 29 days. Neem oil revealed Krimighna (anthelmintic) effect which helped in tissue debridement and enhanced wound healing. Neem oil remains less irritant on local application and also gives soothing effect and kills the maggots as well.