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→Sites of gulma
In conclusion, ''vataja gulma'' are mobile swellings of waxing and waning nature due to partial obstructive lesions of gut lumen. ''Pittaja gulma'' are intraperitoneal or extraperitoneal inflammatory or suppurative lesions of abdomen whereas ''kaphaja gulma'' are non inflammatory benign lesions of abdominal wall. ''Tridoshaja gulma'' seems to be malignant intra-abdominal lesions with poor prognosis.
In conclusion, ''vataja gulma'' are mobile swellings of waxing and waning nature due to partial obstructive lesions of gut lumen. ''Pittaja gulma'' are intraperitoneal or extraperitoneal inflammatory or suppurative lesions of abdomen whereas ''kaphaja gulma'' are non inflammatory benign lesions of abdominal wall. ''Tridoshaja gulma'' seems to be malignant intra-abdominal lesions with poor prognosis.
==== Sites of gulma ====
==== Sites of ''gulma'' ====
Five regions of the abdomen where gulma occurs are hrid (epigastric), nabhi (umbilical), basti (hypogastric) and two parshva (right and left flanks). If both flanks are further subdivided into three urdhva (upper), madhya (middle) and adho (lower), then whole abdomen is divided into 9 parts which is similar to the modern clinical method where abdomen is also divided into nine parts as shown in Table-1. Some of the organs situated in these regions as mentioned by Warner (1964) are also depicted therein and on that basis exact location of the Gulma can be traced.
Five regions of the abdomen where ''gulma'' occurs are ''hrid'' (epigastric), ''nabhi'' (umbilical), ''basti'' (hypogastric) and two ''parshva'' (right and left flanks). If both flanks are further subdivided into three ''urdhva'' (upper), ''madhya'' (middle) and ''adho'' (lower), then whole abdomen is divided into 9 parts which is similar to the modern clinical method where abdomen is also divided into nine parts as shown in Table-1. Some of the organs situated in these regions as mentioned by Warner (1964) are also depicted therein and on that basis exact location of the Gulma can be traced.
Table1. Nine division of abdomen according to Ayurveda and allopathic medicine:
Table1. Nine division of abdomen according to Ayurveda and allopathic medicine:
(Left iliac)
(Left iliac)
Organs: Sigmoid colon, left ureter, left spermatic cord in male & left ovary in female
Organs: Sigmoid colon, left ureter, left spermatic cord in male & left ovary in female
==== Differential diagnosis of gulma ====
==== Differential diagnosis of gulma ====