1

DWIDOSHAJA GULMA LAKSHANA

Because of the combination of etiological factors of 2 or 3 Doshas, other varieties of Gulma, having signs and symptoms of the respective Doshas are manifested. These are called DviDoshaja (2 Doshas are simultaneously vitiated). [16]

2

SANNIPATAJA GULMA LAKSHANA

1. Maha rujam: Excruciating pain

2. Daha: Excessive burning sensation

3. Ashma vad: Stone-like compact elevation of the affected part,

4. Vidahi: Quick sloughing

5. Darunam: Seriousness of the condition and

6. Disappearance of the strength of the mind, body and digestion as well as metabolism. This variety of Gulma is incurable.[17]

3

PRICIPAL OF CHIKITSA

DWANDWAJA GULMA CHIKITSA:

If in a patient of Vataja Gulma, Kapha is aggravated, leading to

Agnisada – low digestion strength

Aruchi – anorexia, Hrullasa – nausea, Gaurava – heaviness, Tandra – drowsiness, fatigue, then he is administered Vamana – emetic therapy.

If Gulma is caused by the predominance of Vata and Kapha, and if it is associated with colic pain, Anaha (distension of the abdomen) and constipation, then the patient is given Varti (rectal suppository), pills and powders which alleviate both Kapha and Vata.[29-31]

4

PROGNOSIS OF GULMA

Tumor associated with the features of breathlessness, abdominal pain, thirst, anorexia, body ache, stiffness, and debility are critical; likewise, the tumor with the features of all the three Doshas is also incurable.

INCURABILITY AND COMPLICATIONS

When Gulma, gradually accumulated, surrounds a large area, deep-rooted, when it is engrossed with veins, when it is elevated like a tortoise and when it is associated with weakness, anorexia, Nausea, Cough, vomiting, Arati (Disliking for every thing), fever, morbid thirst, drowsiness as well as coryza, it becomes incurable.

Oedema in cardiac region, umbilical region and upper as well as lower limbs in a patient of Gulma who is afflicted with fever, dyspnoea, vomiting and diarrhoea drag him towards death.

5

MANAGEMENT OF GULMA (GASEOUS TUMOR)

All measures are undertaken to control Vata. To achieve this,

Snehana – oleation,

Swedana – sudation (sweating therapy),

Mild purgation,

Asthapana Basti – Decoction enema,

and sour mixed sweet eatables are recommended.

6

SINGLE DRUGS RECOMMENDED

1. Lashuna – garlic – Allium sativa Linn.

2. Hapusha – Juniperus communis Linn.

3. Hingu – asafetida – Ferula narthex Boiss.

4. Draksha – raisins – Vitis vinifera Linn.

5. Vacha – Acorus calamus Linn.

6. Eranda – castor- Ricinus communis Linn.

7. Ajamoda – Celery – Trachyspermum roxburghianum (DC.) Sprague.

8. Saindhava lavana – rock salt

9. Pippali-long pepper- Piper longum Linn.

10. Chavya- Piper chaba Hunter.

11. Danti – Baliospermum montanum (Willd.) Muell. Arg.

12. Haritaki – chebulic myrobalan – Terminalia chebula Retz.

13. Varuna – Crataeva nurvala Buch-Hem. etc

7

AYURVEDIC MEDICINES

1. Dashamoola kwatha

2. Hapushadi ghrita

3. Hingwadi choorna

4. Hingusauvarchala ghrita

5. Pippalyadi ghrita

6. Lashuna ksheerapaka

7. Shankha vati

8. Vaishwanara choorna

9. Agnimukha choorna

10. Dantiharitaki lehya

11. Chavikasava

12. Pravala Panchamrita rasa

13. Dashamoola ghrita

14. Varunadi kwatha

15. Kumaryasava

16. Ksheera Shatpala ghrita etc.

WHOLESOME DIET AND HABITS

1. Purana shali (old rice)

2. Kulattha (horse gram)

3. Jangala mamsa (desert animals)

4. Kooshmanada (ash gourd)

5. Amalaki (goose berry)

6. Dadima (pomegranate)

7. Eranda taila (castor oil)

8. Ardraka (ginger)

9. Jiraka (cumin seeds)

10. Hingu (asa foetida)

11. Deepana (easily digestible, carminative food) etc

UNWHOLESOME FOOD AND HABITS

1. Guru ahara (heavy food)

2. Viruddha Ahara (incompatible food)

3. Vishama Ahara (improper food)

4. Shushka shaka (dry vegetable)

5. Shushka mamsa (dried meat)

6. Kanda moola (tubers and roots)

7. Matsya (fish)

8. Vegadharana (suppression of the urges) etc.

GULMAHARA KASHAYAS

A. DASAMOOLADI KASHAYAM

Ref – Sahasrayogam, Kashaya Prakaranam,

Dashamula (Ten roots)

Ginger (Zingiber officinale)

Devadaru (Cedrus Deodara)

The decoction prepared with these ingredients should be served fresh

uses-1. Gulma – abdominal tumors

B. CHITRAKADI KASHAYAM

Ref – Sahasrayogam, Kashaya Prakaranam,

Chitraka (Plumbago zeylanica)

Pippali mula (Roots of Piper longum)

Eranda (Ricinus communis)

Ginger (Zingiber officinale)

The decoction prepared with these ingredients should be served fresh

uses- 1. Gulma – abdominal tumors

C. VARSHABVADI KASHAYAM

Ref – Sahasrayogam, Kashaya Prakaranam,

Rakta Punarnava (Boerhavia diffusa, red variety )

Bilwa (Aegle Marmelos)

Horse gram (Dolichos biflorus )

Castor (Ricinus communis )

Sahachara (Strobilanthes heynianus)

Ginger (Zingiber officinale )

Agnimantha (Clerodendrum phlomidis )

The decoction prepared with these ingredients should be served fresh with jaggery, rock salt, Piper longum and asafetida

uses-1. Constipation 2. Indigestion 3. Severe pain in vagina 4. Pain in the cardiac region 5. Pain in flanks 6. Backache 7. Pelvic pain 8. Enlargement of prostate gland 9. Abdominal tumors 10. Enlargement of spleen

D. KANADI KASHAYAM

Ref – Sahasrayogam, Kashaya Prakaranam,

Pippali (Piper longum)

Shatahva (Anethum graveolens)

Dwi Karanja (Pongamia pinnata & Caesalpinia crista)

Devadaru (Cedrus deodara)

Bharangi (Cerodendron serratum)

Horse gram (Dolichos biflorus)

Sesame (Sesamum indicum / sesame )

Garlic (Allium sativum)

The decoction prepared with these ingredients should be served fresh with powder of asafetida

uses-1. Abdominal tumor caused by vitiated blood

RASODHI/BHASMA/PISTI-(120-250MG WITH MADHU/USHNODAKA)

- Gulmakuthar rasa-(parad,gandhak,hartal,tamra,tankan,yavkshar,trikatu)

- Badvanal rasa-(parad,gandhak,tamra,abhrak,tankan,samundri lavana,yavakshar,vatsanabh,palashkshar,apamarga)

- Agnikumar rasa-(parad,gandhak,tankan,vatsanabh,raka bhasma,karpada bhasma)

- Kravyadi rasa-(parad,gandhak,tamra,loha,panchkola,tankan)

- Rasayanamrit loha-(triphala,trikatu,trimada,trivrita,danti,saindhav,abhrak)

- Praval panchamrit-(praval,mukta,shankh,sukti,varatika)

- Panchanan ras-(rakt gulma)(parad,gandhak,tuthya,jaypal,pippali,amaltas)

- Pranballabha rasa-(loha,tamra,varat,tuthya,hingu,triphala)

- Sarveshver rasa-(svarna,tamra,triphala,trikatu,loha)

VATI-(250-500MG WITH USHNA JALA)

- Hingvadi vati-(hing,ajmoda,amlaveta,vrikshamla,pippali)

- Kankayan gutika-(kacura,pushkarmula,dantimula,chitrak,sonth,vacha,nisoth,hinga)

CURNA-(3-6GM WITH MADHU/USHNODAKA)

- Hingvadi curna-(hing,trikatu,patha,haubera,harad,ajmoda)

- Shatyadi curna-(kachra,pushkermula,hing,amlavet,yavkshar,dhaniya)

- Nagaradi curna-(south,krishna tila,guda)

- Vachadi curna-(vacha,harad,hinga,saindhav,yavkshar,ajwain)

- Yamanyadi curna-(ajvain,hing,saindhav,yavkshar,sauvarchal,harad)

- Lavangadi curna-(lavang,danti,trivrit,yamani,sunthi,kutaj beej)

KVATHA/ASAV/ARISTHA-(20-30ML WITH JALA)

- Til kvath-(sonf,karanjchal,devdaru,bharangi)

- Panchmul kwatha-(brihat panchmoola)

- Draksha-triphala kvath-(draksha,triphala,guda)

- Lehsuna ksheera-(lehsun,guda)

- Varunadi kvatha-(varun,agatsya,bilvachal,apamarga,chitrak)

- Kumaryasava-(kumari,chitrak,triphala,loha,tamra)

GHRITA/TAILA-(15-20ML WITH USNA JALA/MILK)

- Triyushnadhya ghrita-(trikatu,triphala,guda,goghrita)

- Hingusouvarchladhya ghrita-(hing,souchar namak,jeera,anardana,ajvain)

- Pippaliyadhya ghrita-(pippali,anardana,dhaniya)

- Drakshadhya ghrita-(amla,ikshu,goghrita,harad)

- Vasa ghrita-(adusha)

- Dashamuladi ghrita-(dashmula,pipper,sunthi,yavakshar)