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Thus fifth chapter named [[Gulma Chikitsa]] in [[Chikitsa Sthana]] in the treatise compiled by Agnivesha and revised by Charak is completed [5]
 
Thus fifth chapter named [[Gulma Chikitsa]] in [[Chikitsa Sthana]] in the treatise compiled by Agnivesha and revised by Charak is completed [5]
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=== ''Tattva Vimarsha'' ===
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=== ''Tattva Vimarsha'' / Fundamental Principles===
    
*''Gulma'' occurs predominantly due to excessive excretion of feces, ''kapha'' and ''pitta'' or due to pressure exerted by their excessive aggravation and other causes leading to vitiation of ''vata dosha''.
 
*''Gulma'' occurs predominantly due to excessive excretion of feces, ''kapha'' and ''pitta'' or due to pressure exerted by their excessive aggravation and other causes leading to vitiation of ''vata dosha''.
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*''Rakta gulma'' should be treated only after observation for 10 months. This waiting period is essential for achieving a stage suitable for intervention. The patient should be given unctuous ''virechana''  after preparing with ''snehana'' and ''swedana''.
 
*''Rakta gulma'' should be treated only after observation for 10 months. This waiting period is essential for achieving a stage suitable for intervention. The patient should be given unctuous ''virechana''  after preparing with ''snehana'' and ''swedana''.
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=== ''Vidhi Vimarsha'' ===
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=== ''Vidhi Vimarsha'' / Applied Inferences===
    
==== Contemporary understanding of ''gulma'' ====
 
==== Contemporary understanding of ''gulma'' ====