Charak Samhita

Gulma Chikitsa: Difference between revisions

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Mainly three resembling diseases occur in the abdominal cavity viz. ''udara roga, gulma'' and ''pliha dosha'' which require differential diagnosis. ''Udararoga'' comprises of eight diseases which cause general enlargement of the abdomen. Five types of ''gulma'' have protruding and palpable localized swellings related to the abdominal organs and appendages. Under ''pliha dosha'' benign enlargement of spleen or liver occurs (''Bhavaprakasha Chikitsa-Prakarana'' chapter 33). Therefore, on the basis of these clear demarcations, it may not be difficult to differentiate these three kinds of diseases clinically.
Mainly three resembling diseases occur in the abdominal cavity viz. ''udara roga, gulma'' and ''pliha dosha'' which require differential diagnosis. ''Udararoga'' comprises of eight diseases which cause general enlargement of the abdomen. Five types of ''gulma'' have protruding and palpable localized swellings related to the abdominal organs and appendages. Under ''pliha dosha'' benign enlargement of spleen or liver occurs (''Bhavaprakasha Chikitsa-Prakarana'' chapter 33). Therefore, on the basis of these clear demarcations, it may not be difficult to differentiate these three kinds of diseases clinically.


==== Chikitsa sutra (principles of management) of gulma ====
==== ''Chikitsa sutra'' (principles of management) of ''gulma'' ====


Prinicples: 1. Anulomana 2. Pachana  
'''Principles''': 1. ''Anulomana'' 2. ''Pachana''
Main drugs: 1. Bhallataka 2. Lashuna 3. Castor oil 4. Tamra bhasma
Internal medicines:
Type Medicine Dose Time of administration Anupana
Vata dominant 1. Lashunadi vati 500 to 1000 mg Before meals two times Lemon water
2. Vata vidhvansa 250 to 500 mg Before meals two times Lemon water
3. Chukra oil 20-40 drops Before meals two times Milk
Pitta dominant 1. Praval panchamrutam 250- 500 mg Before and after meals four times Milk + sugar
2. Shatavari-truna panchamula decoction 20 to 40 ml Between two meals two times Milk
3. Shatavari mandura 500-1000 mg Before meals two times Milk
Kapha dominant 1. Swarna vasant 250-500 mg After meals Milk
2. Bhallataka oil 5 to 10 drops Before meals two times Milk
3. Arogya kshara mixture 500-1000 mg Before meals two times Kumaryasava
Raktaja 1. Shatavari-truna panchamula decoction 20 to 40 ml Between two meals two times Milk
2. Loha parpati mixture 500-750 mg Before meals two times Honey
Sannipatika Varunadi kwatha 20-40 ml Between two meals two times Milk


Panchakarma:
'''Main drugs''': 1. ''Bhallataka'' 2. ''Lashuna'' 3. Castor oil 4. ''Tamra bhasma''
Type Formulation Dose Time Anupana
Virechana Castor oil 20-40 ml Morning 1 time Milk
Virechana decoction 20-40 ml Morning 1 time Milk
Niruha Dashamula decoction 320 ml Morning 1 time
Anuvasana Sahachara oil 40 to 70 ml Morning 1 time
Anulomana Triphala mixture 1 to 3 grams Frequently Honey
Blood letting 100 to 150 ml


=== Glossary ===
=== Glossary ===
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