Changes

The word ''gulma'' stands for an entity that encircles, envelops or covers something. Situations such as panic, stress, or grief, usually associated with chaotic, cataclysmic event would lead to vitiation of ''vata'' causing the appearance of vata-dominant diseases like ''gulma'', etc. The vitiated ''vata'', in conjunction with other ''doshas'', gets into the ''mahasrotas'' and get lodged either in the ''amashaya'' (stomach), ''pittashaya'' (gall bladder), ''pakwashaya'' (cecum) or in other regions like ''hridaya'' (epigastric), ''basti'' (bladder) and ''nabhi'' (umblicus) leading to formation of deep-rooted shrub-like mass. As mentioned earlier, ''gulma'' afflicts the gastrointestinal region between the heart and the bladder. Depending upon the region it afflicts, it can be classified into four general types common to males and females: ''vata gulma'', ''pitta gulma'', ''kapha gulma'', and ''sannipatik gulma''.

The word ''gulma'' stands for an entity that encircles, envelops or covers something. Situations such as panic, stress, or grief, usually associated with chaotic, cataclysmic event would lead to vitiation of ''vata'' causing the appearance of vata-dominant diseases like ''gulma'', etc. The vitiated ''vata'', in conjunction with other ''doshas'', gets into the ''mahasrotas'' and get lodged either in the ''amashaya'' (stomach), ''pittashaya'' (gall bladder), ''pakwashaya'' (cecum) or in other regions like ''hridaya'' (epigastric), ''basti'' (bladder) and ''nabhi'' (umblicus) leading to formation of deep-rooted shrub-like mass. As mentioned earlier, ''gulma'' afflicts the gastrointestinal region between the heart and the bladder. Depending upon the region it afflicts, it can be classified into four general types common to males and females: ''vata gulma'', ''pitta gulma'', ''kapha gulma'', and ''sannipatik gulma''.

Since ''gulma'' can occur as complication of ''raktapitta'' (bleeding disorders) Charaka describes this chapter after the ''raktapitta'' chapter. ''Jwara'' is the disease of ''rasavah srotas'' whereas, ''raktapitta'' is a disease of ''raktavah srotas'', in that sequence ''gulma'' is a disease of ''mansavah srotas'' and further ''prameha'' is of ''medavah srotas''. However, this chapter seems to be designed with greater implication and term mahasrotasa has been used because manifestation of disease is in the viscera/ organs up to uterus. Even then the involvement of vata dosha and mansa dhatu is predominant in final manifestation of disease gulma.

Since ''gulma'' can occur as complication of ''raktapitta'' (bleeding disorders) Charaka describes this chapter after the ''raktapitta'' chapter. ''Jwara'' is the disease of ''rasavah srotas'' whereas, ''raktapitta'' is a disease of ''raktavah srotas'', in that sequence ''gulma'' is a disease of ''mansavah srotas'' and further ''prameha'' is of ''medavah srotas''. However, this chapter seems to be designed with greater implication and term ''mahasrotasa'' has been used because manifestation of disease is in the viscera/ organs up to uterus. Even then the involvement of ''vata dosha'' and ''mansa dhatu'' is predominant in final manifestation of disease ''gulma''.

It should also be noted that the same pathogenesis route and treatment procedure should be kept in mind for the disease of the mahasrotasa occurring without the true manifestation of growth/tumor. Hence peptic ulcer and ulcer dyspepsia should be treated like pitta gulma etc.

 

Gulma is defined as a palpable round compact lump in the abdomen. Thus, all the localized palpable masses in the abdomen are classified under gulma, but they are named depending upon the dominance of dosha or the place. Its four types belong to dosha i.e. three of single doṣha and one of a combination of all the three dosha and the fifth one is rakta gulma which occurs only in females in uterine cavity (garbhashayashroni). Sannipata Gulma has been given synonym as nichaya-gulma.  

It should also be noted that the same pathogenesis route and treatment procedure should be kept in mind for the disease of the ''mahasrotasa'' occurring without the true manifestation of growth/tumor. Hence peptic ulcer and ulcer dyspepsia should be treated like ''pitta gulma'' etc.

 

''Gulma'' is defined as a palpable round compact lump in the abdomen. Thus, all the localized palpable masses in the abdomen are classified under ''gulma'', but they are named depending upon the dominance of ''dosha'' or the place. Its four types belong to ''dosha'' i.e. three of single ''dosha'' and one of a combination of all the three ''dosha'' and the fifth one is ''rakta gulma'' which occurs only in females in uterine cavity (''garbhashayashroni''). ''Sannipata Gulma'' has been given synonym as ''nichaya-gulma''.

 

===Sanskrit text, Transliteration and English Translation===

===Sanskrit text, Transliteration and English Translation===