Gulma Nidana: Difference between revisions

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o Tridoshaja gulma includes most of the malignant lesions of different organs of abdomen, adenocarcinoma of gall bladder, carcinoma ovary etc.
o Tridoshaja gulma includes most of the malignant lesions of different organs of abdomen, adenocarcinoma of gall bladder, carcinoma ovary etc.
o Raktaja gulma features are found in hydatidiform mole and chorio-carcinoma.
o Raktaja gulma features are found in hydatidiform mole and chorio-carcinoma.
=== Table showing different features of gulma ===
{| class="wikitable"
|-
| rowspan="1" style="text-align: center;" | Symptoms
| rowspan="1" style="text-align: center;" | vātagulma
| rowspan="1" style="text-align: center;" | pittagulmaḥ
| rowspan="1" style="text-align: center;" | ślēṣmagulma
|-
| rowspan="2" style="vertical-align: top;"|
| rowspan="1" style="text-align: center;" | sa muhurādhamati (sometimes aggravates)
| rowspan="1" style="text-align: center;" | 
| rowspan="1" style="text-align: center;" |  avipāka (indigestion) 
|-
| rowspan="1" style="text-align: center;" | Muhuralpatvamāpadyatē(sometimes is diminished)
| rowspan="1" style="text-align: center;" | 
| rowspan="1" style="text-align: center;" |  sthairya (non movable)kāṭhinya (hardness)
|-
| rowspan="1" style="text-align: center;" | 
| rowspan="1" style="text-align: center;" | Aniyata vipula aṇuvēdanaśca (having unstable severe and mild pain)
| rowspan="1" style="text-align: center;" | vidahyamāna
| rowspan="1" style="text-align: center;" | staimitya gaurava   
|-
| rowspan="2"| Pain/ vedana
| rowspan="1" style="text-align: center;" | muhuḥ pipīlikā sampracāra ivāṅgēṣu(sensation of ants crawling)
| rowspan="2" style="text-align: center;" |vidahati  kukṣau hr̥dyurasi kaṇṭhē (burning sensation in belly cardiac region, chest and throat)
| rowspan="1" style="text-align: center;" | aṅgamarda (body ache)
|-
| rowspan="1" style="text-align: center;" |  Tōda  (piercing) Bhēda (breaking)sphuraṇ (twitching)āyāma (extension), saṅkōca (contraction) supti (numbness)harṣa (hyperaesthesia)
| rowspan="1" style="text-align: center;" |gaurava (heaviness)avagāḍha (deep-seated and numbness)<hr>harṣa (horripilation)suptatāḥ 
|-
| rowspan="1" style="text-align: center;" |
| rowspan="1" style="text-align: center;" |pralayōdayabahulaḥ
| rowspan="1" style="text-align: center;" |
| rowspan="1" style="text-align: center;" |
|-
| rowspan="2" |patient feels
| rowspan="1" style="text-align: center;" |pierced with sūcyēva (needle)śaṅkunēva (nail)
| rowspan="1" style="text-align: center;" |Sa dhūmam ivōdgāram udgiraty amlānvitaṁemits out smoky and sour eructations)
Sa dhūmam ivōdgāram udgiraty amlānvitaṁ(emits out smoky and soureructations)
| rowspan="1" style="text-align: center;" |hr̥drōga (heart disease)cchardi ( vomiting)nidrā (excess sleep)ālasya (lassitude) śirōbhitāpa (heaviness and distress in head)
|-
| rowspan="1" style="text-align: center;" |Divasāntē Jvaryatē (evening rise of temperature)
| rowspan="1" style="text-align: center;" |gulmāvakāśaścāsya
dahyatē(burning sensation)dūyatē (pain)dhūpyatē(sense of fuming) ūṣmāyatē(warmness)svidyati (sweating)klidyat (moistening)śithila (laxity)
| rowspan="1" style="text-align: center;" |Śītajvara (fever beginning with cold)
|-
| rowspan="1" style="text-align: center;" | 
| rowspan="1" style="text-align: center;" |śuṣyati cāsyāsyam, (dryness of mouth)
| rowspan="1" style="text-align: center;" |
| rowspan="1" style="text-align: center;" | ārōcaka (anorexia)
|-
| rowspan="1" style="text-align: center;" | 
| rowspan="1" style="text-align: center;" | Ucchvāsaścōparudhyatē
| rowspan="1" style="text-align: center;" |
| rowspan="1" style="text-align: center;" |
|-
| rowspan="1" style="text-align: center;" | 
| rowspan="1" style="text-align: center;" |hr̥ṣyanti cāsya rōmāṇi
vēdanāyāḥ (horripilation at the onset of pain)
| rowspan="1" style="text-align: center;" |Sparśāsaha (tenderness)ō'lparōmāñcaśca (slight horripilation)
| rowspan="1" style="text-align: center;" |
|-
| rowspan="1" style="text-align: center;" | Upadrava
| rowspan="1" style="text-align: center;" | plīhā (spleen enlargement)
āṭōpa (distension)āntrakūjana (gurgling sound in abdomen)avipāka (indigestion)udāvarta (upward movement of Vata)aṅgamarda (body ache) manyāśiraḥśaṅkhaśūla (pain in lateral side of neck,head and temporal area)bradhnarōgā (swellings of inguinal region)
| rowspan="1" style="text-align: center;" |jvara fever
bhrama giddinessdavathu (burning pain)pipāsā (thirst)gala tālu mukha śōṣa (dryness of throat, palate and mouth)pramōha (fainting)viḍbhēdāśca,(diarrhea)
| rowspan="1" style="text-align: center;" |kāsa (cough)śvāsa (dyspnoea) pratiśyāyān (coryza)rājayakṣmāṇaṁ cātipravr̥ddhaḥ, (phthisis may also complicate)
|-
| rowspan="1" style="text-align: center;" |Varna / colour of tvak (skin)
nakha (nails) nayana ( eyes) vadana (face ) mūtra( urine) purīṣaśca(faeces)
| rowspan="1" style="text-align: center;" | kr̥ṣṇa (blackness)
aruṇa (reddishness)paruṣatvaṅ (roughness)
| rowspan="1" style="text-align: center;" |Harita (greenish)hāridra(yellowish)
| rowspan="1" style="text-align: center;" | śvaityaṁ (whiteness)
|-
| rowspan="1" style="text-align: center;" | Upasaya/ Anupasaya
| rowspan="1" style="text-align: center;" | nidānōktāni cāsya nōpaśēratē, viparītāni cōpaśērata (unsuitability towards the etiological factors and suitability to the contrary ones)
| rowspan="1" style="text-align: center;" | nidānōktāni cāsya nōpaśēratē, viparītānyupaśērata
| rowspan="1" style="text-align: center;" | nidānōktāni cāsya nōpaśēratē, viparītāni cōpaśērat
|-
|}


=== Researches done ===
=== Researches done ===