Changes

Mainly three resembling diseases occur in the abdominal cavity viz. ''udara roga, gulma'' and ''pliha dosha'' which require differential diagnosis. ''Udararoga'' comprises of eight diseases which cause general enlargement of the abdomen. Five types of ''gulma'' have protruding and palpable localized swellings related to the abdominal organs and appendages. Under ''pliha dosha'' benign enlargement of spleen or liver occurs (''Bhavaprakasha Chikitsa-Prakarana'' chapter 33). Therefore, on the basis of these clear demarcations, it may not be difficult to differentiate these three kinds of diseases clinically.

Mainly three resembling diseases occur in the abdominal cavity viz. ''udara roga, gulma'' and ''pliha dosha'' which require differential diagnosis. ''Udararoga'' comprises of eight diseases which cause general enlargement of the abdomen. Five types of ''gulma'' have protruding and palpable localized swellings related to the abdominal organs and appendages. Under ''pliha dosha'' benign enlargement of spleen or liver occurs (''Bhavaprakasha Chikitsa-Prakarana'' chapter 33). Therefore, on the basis of these clear demarcations, it may not be difficult to differentiate these three kinds of diseases clinically.

==== Chikitsa sutra (principles of management) of gulma ====

==== ''Chikitsa sutra'' (principles of management) of ''gulma'' ====

Prinicples: 1. Anulomana 2. Pachana  

'''Principles''': 1. ''Anulomana'' 2. ''Pachana''

Panchakarma:

'''Main drugs''': 1. ''Bhallataka'' 2. ''Lashuna'' 3. Castor oil 4. ''Tamra bhasma''

Virechana Castor oil 20-40 ml Morning 1 time Milk

=== Glossary ===

=== Glossary ===