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In ''vata-kapha'' dominant ''gulma'' if there is acute pain, distension of abdomen and constipation then it should be treated with suppositories, pills and powders which are prepared from ''vata'' and ''kapha'' pacifying drugs [30]
 
In ''vata-kapha'' dominant ''gulma'' if there is acute pain, distension of abdomen and constipation then it should be treated with suppositories, pills and powders which are prepared from ''vata'' and ''kapha'' pacifying drugs [30]
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==== Virechana in vata gulma ====
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==== ''Virechana'' in ''vata gulma'' ====
    
पित्तं वा यदि संवृद्धं सन्तापं वातगुल्मिनः|  
 
पित्तं वा यदि संवृद्धं सन्तापं वातगुल्मिनः|  
 
कुर्याद्विरेच्यः स भवेत् सस्नेहैरानुलोमिकैः||३१||
 
कुर्याद्विरेच्यः स भवेत् सस्नेहैरानुलोमिकैः||३१||
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pittaṁ vā yadi saṁvr̥ddhaṁ santāpaṁ vātagulminaḥ|  
 
pittaṁ vā yadi saṁvr̥ddhaṁ santāpaṁ vātagulminaḥ|  
 
kuryādvirēcyaḥ sa bhavēt sasnēhairānulōmikaiḥ||31||
 
kuryādvirēcyaḥ sa bhavēt sasnēhairānulōmikaiḥ||31||
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pittaM vA yadi saMvRuddhaM santApaM vAtagulminaH|  
 
pittaM vA yadi saMvRuddhaM santApaM vAtagulminaH|  
 
kuryAdvirecyaH sa bhavet sasnehairAnulomikaiH||31||
 
kuryAdvirecyaH sa bhavet sasnehairAnulomikaiH||31||
In vata gulma if increased pitta causes burning sensation then virechana should be done with laxative drugs mixed with unctuous substances [31]
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In ''vata gulma'' if increased ''pitta'' causes burning sensation then ''virechana'' should be done with laxative drugs mixed with unctuous substances [31]
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==== Blood-letting in vata gulma ====
 
==== Blood-letting in vata gulma ====