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viparItAni copasherata iti shleShmagulmaH||11||

viparItAni copasherata iti shleShmagulmaH||11||

Such aggravated ''vata'' along with vitiated ''kapha'', when accumulated in the amashaya (upper part of abdomen) region or a part of it, causes the same types of painful symptoms as mentioned for vatagulma. Kapha causes fever accompanied with cold sensation, anorexia, indigestion, bodyache, horripilation, heart disease, vomiting, excess sleep, lassitude, sweating, and a feeling of heaviness and distress in the head. In the region where the gulma is located, there is fixity, heaviness, hardness, and numbness. Complications could occur such as cough, dyspnoea, coryza and even tuberculosis in much advanced stages. In terms of physical appearance, the patient develops whiteness in skin, nails, face, urine and faeces. The disease aggravates due to these etiological factors and pacifies due to opposite factors. . This variant of gulma is called kaphagulma. [11]

Such aggravated ''vata'' along with vitiated ''kapha'', when accumulated in the ''amashaya'' (upper part of abdomen) region or a part of it, causes the same types of painful symptoms as mentioned for ''vata gulma''. ''Kapha'' causes fever accompanied with cold sensation, anorexia, indigestion, bodyache, horripilation, heart disease, vomiting, excess sleep, lassitude, sweating, and a feeling of heaviness and distress in the head. In the region where the ''gulma'' is located, there is fixity, heaviness, hardness, and numbness. Complications could occur such as cough, dyspnoea, coryza and even tuberculosis in much advanced stages. In terms of physical appearance, the patient develops whiteness in skin, nails, face, urine and feces. The disease aggravates due to these etiological factors and pacifies due to opposite factors. This variant of ''gulma'' is called ''kapha gulma''. [11]

==== ''Tridosha'' dominant ''gulma'' ====

==== ''Tridosha'' dominant ''gulma'' ====