Maggot Therapy or Krimi Utpattikara Chikitsa: A Review of History and Clinical Applications

Abstract

Maggot therapy is a technique that involves the use of live maggots to treat chronic wounds. Krimi utpatti kara chikitsa means the creation of a swarm of flies over a wound to debride the unhealthy granulation tissue for healthy wound healing. This has to mention in the Indian surgical treatise Susruta Samhita in the management of kaphaja arbuda chikitsa. We summarize the history and technique of maggot therapy, as well as its uses for different indications and contraindications. The use of maggots for wound debridement, antibacterial activity, and promotion of wound healing are discussed, along with the mechanism of action and potential side effects. Finally, the potential of Maggot therapy to become a mainstream treatment option for chronic wounds is being discussed. Overall, this review highlights the promising benefits and the growing interest in maggot therapy as a viable alternative or adjunct to traditional wound care management.