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2.19 Mode of Administration of sneha according to sites of vata gulma.2.18 Benefit of swedana therapy for vata-gulma.2.13 Signs and symptoms of tri-doshaja gulma.2.10 Causative factors of kapha-gulma and nichaya-gulma.2.8 Causative factors and pathogenesis of pitta dominant gulma.2.6 Causative factors of vata dominant gulma.2.1 Management of Gulma (abdominal lumps).2 Sanskrit text, Transliteration and English Translation.Keywords: Gulma (abdominal lumps), Pathya (whole some), Raktamokshana (bloodletting), Apathya (unwholesome) Wholesome ( pathya) food and drinks, avoidance of etiological factors, continuous protection of digestive power ( agni) and the instructions for a patient who undergoes snehana are discussed in detail. A surgical procedure for rakta gulma, which occurs only in women is also described. Bloodletting followed by cauterization of the gulma as a last resort is explained. Upanaha (poultice), shodhana and surgical measures for suppurated and internally ruptured gulma have also been described.įor kapha gulma snehana, swedana, bhedana (puncturing), langhana (lightening therapy), vamana, virechana, medicated ghee, basti, pills, powder, arishta, and kshara are described. For the treatment of pitta gulma, the ghrita prepared with bitter ( tikta) drugs, virechana, recipes for niruha basti, blood-letting ( raktamokshana), use of milk, counseling ( ashvasana) and oral recipes have been elaborated.
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The treatment of vata gulma includes snehana (oleation), swedana (sudation), brimhana (repletion), basti with ghee, virechana, vamana and preparations in the form of powders, pills and medicated ghrita and as a last resort bloodletting. This chapter on the treatment of gulma (abdominal lumps) first describes its general etiological factors and pathogenesis along with five places in the abdomen where the swelling occurs. Such swellings are either transitory or static, and display the properties of spontaneous regression and reappearance. Gulma is defined as large palpable, rounded, intra- abdominal swellings between hridaya (cardiac region) and the basti (bladder) regions, which develop due to excess accumulation of doshas with predominance of vata.