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| *''Tridoshaja gulma'' includes most of the malignant lesions of different organs of abdomen, adenocarcinoma of gall bladder, carcinoma ovary etc. | | *''Tridoshaja gulma'' includes most of the malignant lesions of different organs of abdomen, adenocarcinoma of gall bladder, carcinoma ovary etc. |
| *''Raktaja gulma'' features are found in hydatidiform mole and chorio-carcinoma. | | *''Raktaja gulma'' features are found in hydatidiform mole and chorio-carcinoma. |
| + | |
| + | === Table showing different features of gulma === |
| + | |
| + | {| class="wikitable" |
| + | |- |
| + | | rowspan="1" style="text-align: center;" | Symptoms |
| + | | rowspan="1" style="text-align: center;" | vātagulma |
| + | | rowspan="1" style="text-align: center;" | pittagulmaḥ |
| + | | rowspan="1" style="text-align: center;" | ślēṣmagulma |
| + | |- |
| + | | rowspan="2" style="vertical-align: top;"| |
| + | | rowspan="1" style="text-align: center;" | sa muhurādhamati (sometimes aggravates) |
| + | | rowspan="1" style="text-align: center;" | |
| + | | rowspan="1" style="text-align: center;" | avipāka (indigestion) |
| + | |- |
| + | | rowspan="1" style="text-align: center;" | Muhuralpatvamāpadyatē(sometimes is diminished) |
| + | | rowspan="1" style="text-align: center;" | |
| + | | rowspan="1" style="text-align: center;" | sthairya (non movable)kāṭhinya (hardness) |
| + | |- |
| + | | rowspan="1" style="text-align: center;" | |
| + | | rowspan="1" style="text-align: center;" | Aniyata vipula aṇuvēdanaśca (having unstable severe and mild pain) |
| + | | rowspan="1" style="text-align: center;" | vidahyamāna |
| + | | rowspan="1" style="text-align: center;" | staimitya gaurava |
| + | |- |
| + | | rowspan="2"| Pain/ vedana |
| + | | rowspan="1" style="text-align: center;" | muhuḥ pipīlikā sampracāra ivāṅgēṣu(sensation of ants crawling) |
| + | | rowspan="2" style="text-align: center;" |vidahati kukṣau hr̥dyurasi kaṇṭhē (burning sensation in belly cardiac region, chest and throat) |
| + | | rowspan="1" style="text-align: center;" | aṅgamarda (body ache) |
| + | |- |
| + | | rowspan="1" style="text-align: center;" | Tōda (piercing) Bhēda (breaking)sphuraṇ (twitching)āyāma (extension), saṅkōca (contraction) supti (numbness)harṣa (hyperaesthesia) |
| + | | rowspan="1" style="text-align: center;" |gaurava (heaviness)avagāḍha (deep-seated and numbness)<hr>harṣa (horripilation)suptatāḥ |
| + | |- |
| + | | rowspan="1" style="text-align: center;" | |
| + | | rowspan="1" style="text-align: center;" |pralayōdayabahulaḥ |
| + | | rowspan="1" style="text-align: center;" | |
| + | | rowspan="1" style="text-align: center;" | |
| + | |- |
| + | | rowspan="2" |patient feels |
| + | | rowspan="1" style="text-align: center;" |pierced with sūcyēva (needle)śaṅkunēva (nail) |
| + | | rowspan="1" style="text-align: center;" |Sa dhūmam ivōdgāram udgiraty amlānvitaṁemits out smoky and sour eructations) |
| + | Sa dhūmam ivōdgāram udgiraty amlānvitaṁ(emits out smoky and soureructations) |
| + | | rowspan="1" style="text-align: center;" |hr̥drōga (heart disease)cchardi ( vomiting)nidrā (excess sleep)ālasya (lassitude) śirōbhitāpa (heaviness and distress in head) |
| + | |- |
| + | | rowspan="1" style="text-align: center;" |Divasāntē Jvaryatē (evening rise of temperature) |
| + | | rowspan="1" style="text-align: center;" |gulmāvakāśaścāsya |
| + | dahyatē(burning sensation)dūyatē (pain)dhūpyatē(sense of fuming) ūṣmāyatē(warmness)svidyati (sweating)klidyat (moistening)śithila (laxity) |
| + | | rowspan="1" style="text-align: center;" |Śītajvara (fever beginning with cold) |
| + | |- |
| + | | rowspan="1" style="text-align: center;" | |
| + | | rowspan="1" style="text-align: center;" |śuṣyati cāsyāsyam, (dryness of mouth) |
| + | | rowspan="1" style="text-align: center;" | |
| + | | rowspan="1" style="text-align: center;" | ārōcaka (anorexia) |
| + | |- |
| + | | rowspan="1" style="text-align: center;" | |
| + | | rowspan="1" style="text-align: center;" | Ucchvāsaścōparudhyatē |
| + | | rowspan="1" style="text-align: center;" | |
| + | | rowspan="1" style="text-align: center;" | |
| + | |- |
| + | | rowspan="1" style="text-align: center;" | |
| + | | rowspan="1" style="text-align: center;" |hr̥ṣyanti cāsya rōmāṇi |
| + | vēdanāyāḥ (horripilation at the onset of pain) |
| + | | rowspan="1" style="text-align: center;" |Sparśāsaha (tenderness)ō'lparōmāñcaśca (slight horripilation) |
| + | | rowspan="1" style="text-align: center;" | |
| + | |- |
| + | | rowspan="1" style="text-align: center;" | Upadrava |
| + | | rowspan="1" style="text-align: center;" | plīhā (spleen enlargement) |
| + | āṭōpa (distension)āntrakūjana (gurgling sound in abdomen)avipāka (indigestion)udāvarta (upward movement of Vata)aṅgamarda (body ache) manyāśiraḥśaṅkhaśūla (pain in lateral side of neck,head and temporal area)bradhnarōgā (swellings of inguinal region) |
| + | | rowspan="1" style="text-align: center;" |jvara fever |
| + | bhrama giddinessdavathu (burning pain)pipāsā (thirst)gala tālu mukha śōṣa (dryness of throat, palate and mouth)pramōha (fainting)viḍbhēdāśca,(diarrhea) |
| + | | rowspan="1" style="text-align: center;" |kāsa (cough)śvāsa (dyspnoea) pratiśyāyān (coryza)rājayakṣmāṇaṁ cātipravr̥ddhaḥ, (phthisis may also complicate) |
| + | |- |
| + | | rowspan="1" style="text-align: center;" |Varna / colour of tvak (skin) |
| + | nakha (nails) nayana ( eyes) vadana (face ) mūtra( urine) purīṣaśca(faeces) |
| + | | rowspan="1" style="text-align: center;" | kr̥ṣṇa (blackness) |
| + | aruṇa (reddishness)paruṣatvaṅ (roughness) |
| + | | rowspan="1" style="text-align: center;" |Harita (greenish)hāridra(yellowish) |
| + | | rowspan="1" style="text-align: center;" | śvaityaṁ (whiteness) |
| + | |- |
| + | | rowspan="1" style="text-align: center;" | Upasaya/ Anupasaya |
| + | | rowspan="1" style="text-align: center;" | nidānōktāni cāsya nōpaśēratē, viparītāni cōpaśērata (unsuitability towards the etiological factors and suitability to the contrary ones) |
| + | | rowspan="1" style="text-align: center;" | nidānōktāni cāsya nōpaśēratē, viparītānyupaśērata |
| + | | rowspan="1" style="text-align: center;" | nidānōktāni cāsya nōpaśēratē, viparītāni cōpaśērat |
| + | |- |
| + | |} |
| | | |
| === Researches done === | | === Researches done === |
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| Thesis work done- Ultrasonographic and other radiological investigative studies on gulma in relation to malignancy (Kumar Satish et al in 1986). | | Thesis work done- Ultrasonographic and other radiological investigative studies on gulma in relation to malignancy (Kumar Satish et al in 1986). |
| | | |
− | === Books === | + | === Reference Books === |
| | | |
| *[[Charaka Samhita]], translation by Acharya P. V. Sharma. | | *[[Charaka Samhita]], translation by Acharya P. V. Sharma. |
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| • Artava (phonetic Artava Sanskrit अ तव);; One of the updhatu of rasa dhatu.indicative of either menstrual fluid or ovum.it is dominant of Agni dhatu. | | • Artava (phonetic Artava Sanskrit अ तव);; One of the updhatu of rasa dhatu.indicative of either menstrual fluid or ovum.it is dominant of Agni dhatu. |
| • glāniḥ ((phonetic Glani Sanskrit ग्लानिः ); Mental fatigue/Regret; Fatigue in mind leading to dislike towards thinking. | | • glāniḥ ((phonetic Glani Sanskrit ग्लानिः ); Mental fatigue/Regret; Fatigue in mind leading to dislike towards thinking. |
| + | |
| • Shwayathu(phonetic Shwayathu Sanskrit श्वयथु);; Swelling ; oedema | | • Shwayathu(phonetic Shwayathu Sanskrit श्वयथु);; Swelling ; oedema |
| + | |
| • Romaraji; (phonetic Romaraji Sanskrit रोमराजि); Appearance of hairy lines | | • Romaraji; (phonetic Romaraji Sanskrit रोमराजि); Appearance of hairy lines |
| + | |
| • Vidaha ((phonetic Vidaha Sanskrit विदाह); Heartburn) An abnormal condition characterized by heartburn. | | • Vidaha ((phonetic Vidaha Sanskrit विदाह); Heartburn) An abnormal condition characterized by heartburn. |
| + | |
| • Basti (phonetic Basti Sanskrit बस्ति); bladder | | • Basti (phonetic Basti Sanskrit बस्ति); bladder |
| + | |
| • Apacayam (phonetic Apacayam Sanskrit अपचयम) Decrease, get shrink, not nourishing; The term signifies decrease of the body constituents which are abnormally increased. | | • Apacayam (phonetic Apacayam Sanskrit अपचयम) Decrease, get shrink, not nourishing; The term signifies decrease of the body constituents which are abnormally increased. |
| + | |
| </div> | | </div> |
− | === Table showing different features of gulma ===
| |
− | {| class="wikitable"
| |
− | |-
| |
− | | rowspan="1" style="text-align: center;" | Symptoms
| |
− | | rowspan="1" style="text-align: center;" | vātagulma
| |
− | | rowspan="1" style="text-align: center;" | pittagulmaḥ
| |
− | | rowspan="1" style="text-align: center;" | ślēṣmagulma
| |
− | |-
| |
− | | rowspan="2" style="vertical-align: top;"|
| |
− | | rowspan="1" style="text-align: center;" | sa muhurādhamati (sometimes aggravates)
| |
− | | rowspan="1" style="text-align: center;" |
| |
− | | rowspan="1" style="text-align: center;" | avipāka (indigestion)
| |
− | |-
| |
− | | rowspan="1" style="text-align: center;" | Muhuralpatvamāpadyatē(sometimes is diminished)
| |
− | | rowspan="1" style="text-align: center;" |
| |
− | | rowspan="1" style="text-align: center;" | sthairya (non movable)kāṭhinya (hardness)
| |
− | |-
| |
− | | rowspan="1" style="text-align: center;" |
| |
− | | rowspan="1" style="text-align: center;" | Aniyata vipula aṇuvēdanaśca (having unstable severe and mild pain)
| |
− | | rowspan="1" style="text-align: center;" | vidahyamāna
| |
− | | rowspan="1" style="text-align: center;" | staimitya gaurava
| |
− | |-
| |
− | | rowspan="2"| Pain/ vedana
| |
− | | rowspan="1" style="text-align: center;" | muhuḥ pipīlikā sampracāra ivāṅgēṣu(sensation of ants crawling)
| |
− | | rowspan="2" style="text-align: center;" |vidahati kukṣau hr̥dyurasi kaṇṭhē (burning sensation in belly cardiac region, chest and throat)
| |
− | | rowspan="1" style="text-align: center;" | aṅgamarda (body ache)
| |
− | |-
| |
− | | rowspan="1" style="text-align: center;" | Tōda (piercing) Bhēda (breaking)sphuraṇ (twitching)āyāma (extension), saṅkōca (contraction) supti (numbness)harṣa (hyperaesthesia)
| |
− | | rowspan="1" style="text-align: center;" |gaurava (heaviness)avagāḍha (deep-seated and numbness)<hr>harṣa (horripilation)suptatāḥ
| |
− | |-
| |
− | | rowspan="1" style="text-align: center;" |
| |
− | | rowspan="1" style="text-align: center;" |pralayōdayabahulaḥ
| |
− | | rowspan="1" style="text-align: center;" |
| |
− | | rowspan="1" style="text-align: center;" |
| |
− | |-
| |
− | | rowspan="2" |patient feels
| |
− | | rowspan="1" style="text-align: center;" |pierced with sūcyēva (needle)śaṅkunēva (nail)
| |
− | | rowspan="1" style="text-align: center;" |Sa dhūmam ivōdgāram udgiraty amlānvitaṁemits out smoky and sour eructations)
| |
− | Sa dhūmam ivōdgāram udgiraty amlānvitaṁ(emits out smoky and soureructations)
| |
− | | rowspan="1" style="text-align: center;" |hr̥drōga (heart disease)cchardi ( vomiting)nidrā (excess sleep)ālasya (lassitude) śirōbhitāpa (heaviness and distress in head)
| |
− | |-
| |
− | | rowspan="1" style="text-align: center;" |Divasāntē Jvaryatē (evening rise of temperature)
| |
− | | rowspan="1" style="text-align: center;" |gulmāvakāśaścāsya
| |
− | dahyatē(burning sensation)dūyatē (pain)dhūpyatē(sense of fuming) ūṣmāyatē(warmness)svidyati (sweating)klidyat (moistening)śithila (laxity)
| |
− | | rowspan="1" style="text-align: center;" |Śītajvara (fever beginning with cold)
| |
− | |-
| |
− | | rowspan="1" style="text-align: center;" |
| |
− | | rowspan="1" style="text-align: center;" |śuṣyati cāsyāsyam, (dryness of mouth)
| |
− | | rowspan="1" style="text-align: center;" |
| |
− | | rowspan="1" style="text-align: center;" | ārōcaka (anorexia)
| |
− | |-
| |
− | | rowspan="1" style="text-align: center;" |
| |
− | | rowspan="1" style="text-align: center;" | Ucchvāsaścōparudhyatē
| |
− | | rowspan="1" style="text-align: center;" |
| |
− | | rowspan="1" style="text-align: center;" |
| |
− | |-
| |
− | | rowspan="1" style="text-align: center;" |
| |
− | | rowspan="1" style="text-align: center;" |hr̥ṣyanti cāsya rōmāṇi
| |
− | vēdanāyāḥ (horripilation at the onset of pain)
| |
− | | rowspan="1" style="text-align: center;" |Sparśāsaha (tenderness)ō'lparōmāñcaśca (slight horripilation)
| |
− | | rowspan="1" style="text-align: center;" |
| |
− | |-
| |
− | | rowspan="1" style="text-align: center;" | Upadrava
| |
− | | rowspan="1" style="text-align: center;" | plīhā (spleen enlargement)
| |
− | āṭōpa (distension)āntrakūjana (gurgling sound in abdomen)avipāka (indigestion)udāvarta (upward movement of Vata)aṅgamarda (body ache) manyāśiraḥśaṅkhaśūla (pain in lateral side of neck,head and temporal area)bradhnarōgā (swellings of inguinal region)
| |
− | | rowspan="1" style="text-align: center;" |jvara fever
| |
− | bhrama giddinessdavathu (burning pain)pipāsā (thirst)gala tālu mukha śōṣa (dryness of throat, palate and mouth)pramōha (fainting)viḍbhēdāśca,(diarrhea)
| |
− | | rowspan="1" style="text-align: center;" |kāsa (cough)śvāsa (dyspnoea) pratiśyāyān (coryza)rājayakṣmāṇaṁ cātipravr̥ddhaḥ, (phthisis may also complicate)
| |
− | |-
| |
− | | rowspan="1" style="text-align: center;" |Varna / colour of tvak (skin)
| |
− | nakha (nails) nayana ( eyes) vadana (face ) mūtra( urine) purīṣaśca(faeces)
| |
− | | rowspan="1" style="text-align: center;" | kr̥ṣṇa (blackness)
| |
− | aruṇa (reddishness)paruṣatvaṅ (roughness)
| |
− | | rowspan="1" style="text-align: center;" |Harita (greenish)hāridra(yellowish)
| |
− | | rowspan="1" style="text-align: center;" | śvaityaṁ (whiteness)
| |
− | |-
| |
− | | rowspan="1" style="text-align: center;" | Upasaya/ Anupasaya
| |
− | | rowspan="1" style="text-align: center;" | nidānōktāni cāsya nōpaśēratē, viparītāni cōpaśērata (unsuitability towards the etiological factors and suitability to the contrary ones)
| |
− | | rowspan="1" style="text-align: center;" | nidānōktāni cāsya nōpaśēratē, viparītānyupaśērata
| |
− | | rowspan="1" style="text-align: center;" | nidānōktāni cāsya nōpaśēratē, viparītāni cōpaśērat
| |
− | |-
| |
− | |}
| |
| | | |
| === References === | | === References === |