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→Location of gulma
|''Madhya bhaga''
|''Madhya bhaga''
| Mid-abdomen
| Mid-abdomen
| Not mentioned
| Not mentioned
| Not mentioned
| Same
|-
|''Chandravivardhaka gulma''
|''Basti''
| Lower-abdomen
| Not mentioned
| Not mentioned
| Not mentioned
| Same
|-
|''Granthi gulma''
|''Nabhi''
| Umbilical region
| Not mentioned
| Not mentioned
| Not mentioned
| Not mentioned
|-
|-
|}
|}
Prognosis –Sannipatika gulma is incurable, rest four are curable when treated timely.
'''Prognosis''' –''Sannipatika gulma'' is incurable, rest four are curable when treated timely.
Management- All the four types of gulma can be managed according to the prevalent doshas. In emergency conditions if there is no time to diagnose the type of gulma, vata dosha should be managed first as it is prevalent in all types of gulma.
Considering the various clinical features of gulma it can be said that the majority of gulmas are non-inflammatory and non-malignant intra-abdominal swellings. But some gulmas show indications of inflammatory swellings, some benign while some show the characteristics of malignant growths.
'''Management'''- All the four types of ''gulma'' can be managed according to the prevalent ''doshas''. In emergency conditions if there is no time to diagnose the type of ''gulma, vata dosha'' should be managed first as it is prevalent in all types of ''gulma''.
Vataja gulma-
Considering the various clinical features of ''gulma'' it can be said that the majority of ''gulmas'' are non-inflammatory and non-malignant intra-abdominal swellings. But some ''gulmas'' show indications of inflammatory swellings, some benign while some show the characteristics of malignant growths.
==== ''Vataja gulma'' ====
Vataja gulma are mostly irregular, transitory swellings. These are accompanied with different intensities of colicky pain. Complications like inguinal swelling (bradhna roga) gurgling sound in the intestines (antrakoojana), fever/elevated temperature in the evenings, splenomegaly (pleehavriddhi), difficulty in breathing, bodyache (angamarda), and headache are commonly in the advanced stages of gulma. The above clinical features can be seen in chronic intestinal obstruction, intestinal tuberculosis, pyloric stenosis and in mobile caecum. Intestinal tuberculosis is a chronic condition with common symptoms including transitory nodules of varying sizes occuring due to partial intestinal obstruction, often accompanied with gurgling sounds from the abdomen, poor appetite, and evening fevers, as seen in the advanced stages of vatika gulma. Mobile upper abdominal lump, with nausea and breathing difficulty are the features present in the case of pyloric stenosis. In mobile caecum there is also chronic progressive pain in the right flank and in the lower abdomen.
Pittaja gulma-
Pittaja gulma-
They are painful abdominal lumps characterised with fever, sweating, thirst, burning sensations and burning eructations. These features are suggestive of inflammatory and suppurative changes in the intra-abdominal lump. In due course of time, pittaja gulma develops yellow discoloration of nail, eyes and skin, fever, and vertigo as an added complication. These features can be seen in obstructive biliary tract.
They are painful abdominal lumps characterised with fever, sweating, thirst, burning sensations and burning eructations. These features are suggestive of inflammatory and suppurative changes in the intra-abdominal lump. In due course of time, pittaja gulma develops yellow discoloration of nail, eyes and skin, fever, and vertigo as an added complication. These features can be seen in obstructive biliary tract.