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In case of excessive increase of ''pitta'' and ''rakta'' or due to unavailability of proper treatment, if suppuration occurs then surgery should be performed by the surgeon [39]
 
In case of excessive increase of ''pitta'' and ''rakta'' or due to unavailability of proper treatment, if suppuration occurs then surgery should be performed by the surgeon [39]
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==== Apakva gulma (intial non-suppurative stage) ====
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==== ''Apakva gulma'' (intial non-suppurative stage) ====
    
गुरुः कठिनसंस्थानो गूढमांसान्तराश्रयः|  
 
गुरुः कठिनसंस्थानो गूढमांसान्तराश्रयः|  
 
अविवर्णः स्थिरश्चैव ह्यपक्वो गुल्म उच्यते||४०||
 
अविवर्णः स्थिरश्चैव ह्यपक्वो गुल्म उच्यते||४०||
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guruḥ kaṭhinasaṁsthānō gūḍhamāṁsāntarāśrayaḥ|  
 
guruḥ kaṭhinasaṁsthānō gūḍhamāṁsāntarāśrayaḥ|  
 
avivarṇaḥ sthiraścaiva hyapakvō gulma ucyatē||40||
 
avivarṇaḥ sthiraścaiva hyapakvō gulma ucyatē||40||
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guruH kaThinasaMsthAno gUDhamAMsAntarAshrayaH|  
 
guruH kaThinasaMsthAno gUDhamAMsAntarAshrayaH|  
 
avivarNaH sthirashcaiva hyapakvo gulma ucyate||40||
 
avivarNaH sthirashcaiva hyapakvo gulma ucyate||40||
Immovable lump of gulma which is deeply situated under the flesh and hard and heavy to palpate and whose colour remains unchanged is considered as apakva i.e. non-suppurative [40]
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Immovable lump of ''gulma'' which is deeply situated under the flesh and hard and heavy to palpate and whose color remains unchanged is considered as ''apakva'' i.e. non-suppurative [40]
    
==== Symptoms of suppurating (vidahamana) gulma ====
 
==== Symptoms of suppurating (vidahamana) gulma ====