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=== Abstract ===

=== Abstract ===

The third chapter of [[Nidana Sthana]] titled [[Gulma Nidana]] describes  the etiology, pathogenesis, clinical features and therapeutics effective in treating ''gulma''. ''Gulma'', a (stable or transitory) growth that could occur anywhere in the body is primarily caused by a vitiated ''vata''. The description given in the text cannot be correlated with any single entity of modern medicine but denotes localized intra-abdominal swellings of multiple origin in terms of their cause, site, features etc. In patients weakened by or recuperating from diseases or cleansing therapies (''vamana'', etc.), or suffering from very stressful conditions, vata gets vitiated and enters the mahasrotas (gastrointestinal tract) causing the formation of gulma. Amongst the five types of gulma, sannipatika gulma is incurable whereas remaining can be managed according to ''dosha'' involvement.  

The third chapter of [[Nidana Sthana]] titled [[Gulma Nidana]] describes  the etiology, pathogenesis, clinical features and therapeutics effective in treating ''gulma''. ''Gulma'', a (stable or transitory) growth that could occur anywhere in the body is primarily caused by a vitiated ''vata''. The description given in the text cannot be correlated with any single entity of modern medicine but denotes localized intra-abdominal swellings of multiple origin in terms of their cause, site, features etc. In patients weakened by or recuperating from diseases or cleansing therapies (''vamana'', etc.), or suffering from very stressful conditions, ''vata'' gets vitiated and enters the ''mahasrotas'' (gastrointestinal tract) causing the formation of ''gulma''. Amongst the five types of ''gulma, sannipatika gulma'' is incurable whereas remaining can be managed according to ''dosha'' involvement.  

'''Keywords''': Gulma, mahasrotas, koshtha, dhatukshaya, avarana, abdominal lumps.  

'''Keywords''': ''Gulma, mahasrotas, koshtha, dhatukshaya, avarana'', abdominal lumps.

=== Introduction ===

=== Introduction ===