Changes

=== ''Shadkriyakala'' (lifecycle) of ''Gulma'' ===

=== ''Shadkriyakala'' (lifecycle) of ''Gulma'' ===

#''Sanchaya-Vata'' accumulates in ''vatasthana'' (''pakwashaya'', or the intestines) with the consumption of ''vatika'' food and activities such as excessive exercise, suppressing emergent urges etc., further aggravating it.

#''Sanchaya-[[Vata]]'' accumulates in ''vatasthana'' (''pakwashaya'', or the intestines) with the consumption of ''vatika'' food and activities such as excessive exercise, suppressing emergent urges etc., further aggravating it.

#''Prakopa''- Consumption of ''ruksha, khara'' and ''sheeta'' food for prolonged periods of time reduces the ''snigdha'' quality of '''strotas''' while stimulating excess ''vata'' to overflow from its ''sthana''.

#''Prakopa''- Consumption of ''ruksha, khara'' and ''sheeta'' food for prolonged periods of time reduces the ''snigdha'' quality of '''strotas''' while stimulating excess ''[[vata]]'' to overflow from its ''sthana''.

#''Prasara''-In this stage aggravated ''vata'' dislodges from its accumulated site and spreads all over the body.

#''Prasara''-In this stage aggravated ''[[vata]]'' dislodges from its accumulated site and spreads all over the body.

#''Sthanasanshraya''- This is the stage in which the ''dosha'' stays at a particular locus and comes in contact with ''dushya''. In case of ''gulma'', the ''mahastrotas'' are the principal loci, with an absence of ''dushya'' in their formation. The vitiated ''vata'' and other ''doshas'' have an affinity towards specific loci such as ''hridaya, nabhi, basti'' etc. to get lodged there. Prodromal symptoms of ''gulma'' such as anorexia, aversion for food, weakness etc. also become apparent at this stage.

#''Sthanasanshraya''- This is the stage in which the ''[[dosha]]'' stays at a particular locus and comes in contact with ''[[dushya]]''. In case of ''gulma'', the ''mahastrotas'' are the principal loci, with an absence of ''[[dushya]]'' in their formation. The vitiated ''[[vata]]'' and other ''[[dosha]]s'' have an affinity towards specific loci such as ''hridaya, nabhi, basti'' etc. to get lodged there. Prodromal symptoms of ''gulma'' such as anorexia, aversion for food, weakness etc. also become apparent at this stage.

#''Vyakti''- Clinical features of different types of ''gulma'' manifest at this stage so management can be done depending upon specific ''dosha'' characteristics.

#''Vyakti''- Clinical features of different types of ''gulma'' manifest at this stage so management can be done depending upon specific ''[[dosha]]'' characteristics.

#''Bheda''-When the ''gulma'' is not treated at the fourth and fifth stage, complications like ''bradhna roga'' (inguinal swelling), ''jwara'' (fever), ''vidbheda'' (loose stools/diarrhea), and suppuration (in case of ''pittaja gulma'') occur where surgical intervention could be necessary.  

#''Bheda''-When the ''gulma'' is not treated at the fourth and fifth stage, complications like ''bradhna roga'' (inguinal swelling), ''[[jwara]]'' (fever), ''vidbheda'' (loose stools/diarrhea), and suppuration (in case of ''pittaja gulma'') occur where surgical intervention could be necessary.

=== Location of ''gulma'' ===

=== Location of ''gulma'' ===