स्याद्रण्डमाला बहुभिश्ष गण्डै:।च.चि.१२॥। 

कर्कन्धुकोलामलकप्रमाणै: कक्षांसमन्यागलवड्क्षणेषु॥ 

मेद:कफाभ्यां चिरमन्दपाकैः स्याद्‌ 

गण्डमाला बहुभिश्ष गण्डै: ।मा.नि.३८/८,९॥ 

Gandamala is a pathological condition which presents as swelling in the neck. While Galaganda is a single swelling occurring on the side of the neck, gandamala is a series of similar swellings in the neck which looks like a garland of swellings.Ganda means a swelling having the shape of button, boil, pimple, cheekbone, bubble or bladder. Mala means garland. Garland of swellings around the neck is called Gandamala.

Aggravated kapha and meda (fat) cause many swellings which suppurate slowly and gradually in the axilla (arm pit), scapular region, and nape of the neck, neck and groins. These swellings are of the shape of small jujube fruit, big jujube fruit or gooseberry. This pathological condition is called as Gandamala.

Though kapha and meda are mainly involved in the causation of the disease the other doshas i.e. vata and pitta too get associated with the disease.

According to Bhoja, Gandamala is a type of Apachi, another swelling disorder. In Gandamala there are multiple swellings around the neck, heart region and joints of the jaw.

कर्कन्धु – कोलामलकप्रमाणैः कक्षांस – मन्या – गल – वङ्क्षणेषु || ८ ||

मेदः – कफाभ्यां चिर – मन्दपाकैः स्याद्गण्डमाला बहुभिश्च गण्डैः |

The Gandamala  signifies the condition in which more than one swelling (ganda) appears in the

• Axilla,

• Shoulders,

• Sides of the neck,

• Front of the neck, or the groin.

Varying in size from that of Karkandhu and fruit of Jujube (Kola) to that of goose berry, the fruit of plant Phyllanthus emblica (Aamalaka). It is also associated with the kapha and fat (medas) and there is suppuration in it after a long period.

Treatment

The treatment principles for Gandamala are same as those of Galaganda. These principles can be adopted in the treatment of this disease as and when needed skillfully and according to the situation of the disease and diseased.

·         Siravedha – venesection

·         Purgation

·         Nasal instillation

·         Medicated smoking

·         Oral consumption of ghee

1.   AUSHADHI

Kanchanara Kwatha

Decoction of Kanchanara bark – Bauhinia variegata consumed with Ginger powder

Alternatively 48 grams or 24 grams Kanchanara root ground with rice water and consumed.

Varuna Kwatha

Decoction Varuna roots – Crataeva nurvula consumed with honey.

Aindri – Girikarnika Prayoga

Aindri roots– Bacopa monnieri or Girikarnika – Clitoria ternatea ground with cow’s urine and consumed.

Alambusha Prayoga

Juice of tender leaves of Alambusha – Sphaeranthus indicus should be consumed.

2.   EXTERNAL MEDICATION

Chakramarda Taila

Mustard oil cooked with 48 grams of Chakramarda root paste and Bhringaraja juice – Eclipta alba on mild fire. When contents are processed properly ¼ quantity of Sindura – vermilion should be added. Application of this Chakramarda Taila will cure Gandamala.

Gunja Taila

Oil is prepared with roots and fruits paste of Gunja – Abrus precatorius and water – twice the quantity of the paste. This oil is used for massage and as nasal drops in Gandamala.

Sarshapadi Lepa

Paste prepared from the below mentioned ingredients made in sour buttermilk should be applied on gandamala –

·         Mustard– Brassica nigra

·         Shigru bija – seeds of Moringa oleifera

·         Shana bija – Crotalaria verrucosa

·         Atasi bija – Linum usitatissimum

·         Barley – Hordeum vulgare

·         Mulaka bija – seeds of Raphanus sativus

Aragvadha Prayoga

Aragvadha root bark – Cassia fistula ground with rice water and paste is prepared.

Chuchundari Taila

Oil processed with Chuchundari meat – a type of mouse is used for massaging Gandamala swellings.

3.   NASAL MEDICATION

Below mentioned medicaments used for nasal drops –

·         Nirgundi roots – Vitex negundo rubbed with water

·         Koshataki juice– Luffa acutangula mixed with Pippali powder – Piper longum

·         Tumbi juice– Lagenaria siceraria mixed with Pippali powder

·         Oil prepared from Neem

·         Powder of Vacha – Acorus calamus and Pippali mixed in honey

·         Aragvadha root bark– Cassia fistula ground with rice water.

·         Oil prepared from Shakotaka – Streblus asper

·         Oil prepared from Bimbi – Coccinia indica

·         Oil prepared from Ashvamara – Nerium indicum

·         Oil prepared from Nirgundi – Vitex negundo