TYPES

1. Vataja

2. Pittaja

3. Kaphaja

4. Tridoshic

5. Raktaja (in female, refers to uterine fibroids)

1

INTRODUCTION

Ayurveda refers one more specific kind of disease with the term – Gulma.

Ayurvedic scholars define it as the abdominal lump which is caused due to aggravation and encapsulation of Vata Dosha (kupita Anila moodhatwat) which does not give clue about its site of origin (Goodha Gulmodaya) which spreads widely like the shrubs (Gulmavat vishalatwaat). It is usually known as gaseous tumour of abdomen.

2

NIDANA-

1. Excess intake of Vata aggravating foods (dry, light, rough, spicy)

2. Constipation or improper bowel habit

3. Suppression of natural urges

4. Pressure exerted by external causes like injury, hit, compression etc

5. Excess food intake

6. Grief / stress

7. Improperly carried Panchakarma treatment

SAPEKSH NIDANA-

A) UDAR SHOOLA-Sampurna udar utsega

GULMA-Sthanic udar utsega

B)SHOOLA ROGA-Shoola without lump

GULMA-Shoola with lump

C)VIDRADHI-1.rasa-raktadi mula 2.Rasa,mamsa ashrita 3.paka

GULMA-1.mula absent 2.dosha make gulma 3.paka absent

D)ARBUDA-1.kapha prakopa 2,anywhere present Apaki,alpa pida, sthira,gambhira, vishal,mula yukta

GULMA-1.vata prakopa 2.5adhisthan, sashoola,apaki,chal,variable,mula absent

E)GARBHA-1.anga yukta pinda 2.praramb se sula rahit spandan 3. masanumasik vriddhi 4.prasav tak(9month)

RAKT GULMA- 1.anga rahit pinda 2.vilamb se sashoola spanda 3.variable 4.10month baad bhi

Treatment 10 month baad hi dena chahiye in rakt gulma

3

LAKSHANA

1. Variable abdominal lump

2. Anorexia

3. Obstruction of urine,faeces & flatus)

4. Anaha(flatulence)

5. Udgar(excessive belching)

4

SAMPRAPTI-

The causative factors lead to severe aggravation of Vatadosha at the level of abdomen. This further vitiates Pitta and Kapha in the localized area and obstruct the passage of the channels. Due to the blockage of the morbid factor, they are stagnated and localized in abdominal organs like intestines, liver. According to the site and Dosha involvement, the features are exhibited. Usually, the condition is manifested in epigastrium, umbilicus, pelvic cavity and in lumbar/iliac regions.

Nidana sevana-> vata prakopa-> kapha-pitta dusti-> vayu marga avrodha-> kupita vayu udhargaman-> parshv-hriday-basti-udar-nabhi shoola utpatti-> paripindit vayu ka gulmavat hona-> gulma

5

SAMPRAPTI GHATAKA

DOSHA- tridosha

DUSHYA- nirashraya

ADHISTHANA- parshv,hriday,nabhi,basti

SHROTAS- annavaha & mahashrotas

SVABHAVA-chirkari

SADHYAASADHYATA- sadhya

6

GULMA STHANA-(5)

1. hridaya

2. nabhi

3. parshv 2

6. basti

7

STAGES OF GULMA

1. IMMATURE (RECENT ONSET) TUMOURS:

Tumours are heavy, hard, situated beneath the muscles, without change or colour and fixed firmly.

2. MATURING TUMOURS:

The Tumours are burning, painful, causing agony, loss of sleep, irritation, and fever.

3. MATURED (SUPPURATED) GASEOUS TUMORS:

The tumors are burning, bluish red in colour, palpable like bladder and severe painful in nature.

8

PURVRUPA

- Udgar bahulya

- Constipation-fullness of abdomen-asamarthya

- Antra kunjan(gargaling sound)-atopa-adhyamana

- Indigestion-weakness