Gulma Nidana: Difference between revisions
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*''Tridoshaja gulma'' includes most of the malignant lesions of different organs of abdomen, adenocarcinoma of gall bladder, carcinoma ovary etc. | *''Tridoshaja gulma'' includes most of the malignant lesions of different organs of abdomen, adenocarcinoma of gall bladder, carcinoma ovary etc. | ||
*''Raktaja gulma'' features are found in hydatidiform mole and chorio-carcinoma. | *''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 === | ||
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Thesis work done- Ultrasonographic and other radiological investigative studies on gulma in relation to malignancy (Kumar Satish et al in 1986). | Thesis work done- Ultrasonographic and other radiological investigative studies on gulma in relation to malignancy (Kumar Satish et al in 1986). | ||
=== Books === | === Reference Books === | ||
*[[Charaka Samhita]], translation by Acharya P. V. Sharma. | *[[Charaka Samhita]], translation by Acharya P. V. Sharma. | ||
| Line 524: | Line 608: | ||
• Artava (phonetic Artava Sanskrit अ तव);; One of the updhatu of rasa dhatu.indicative of either menstrual fluid or ovum.it is dominant of Agni dhatu. | • Artava (phonetic Artava Sanskrit अ तव);; One of the updhatu of rasa dhatu.indicative of either menstrual fluid or ovum.it is dominant of Agni dhatu. | ||
• glāniḥ ((phonetic Glani Sanskrit ग्लानिः ); Mental fatigue/Regret; Fatigue in mind leading to dislike towards thinking. | • glāniḥ ((phonetic Glani Sanskrit ग्लानिः ); Mental fatigue/Regret; Fatigue in mind leading to dislike towards thinking. | ||
• Shwayathu(phonetic Shwayathu Sanskrit श्वयथु);; Swelling ; oedema | • Shwayathu(phonetic Shwayathu Sanskrit श्वयथु);; Swelling ; oedema | ||
• Romaraji; (phonetic Romaraji Sanskrit रोमराजि); Appearance of hairy lines | • Romaraji; (phonetic Romaraji Sanskrit रोमराजि); Appearance of hairy lines | ||
• Vidaha ((phonetic Vidaha Sanskrit विदाह); Heartburn) An abnormal condition characterized by heartburn. | • Vidaha ((phonetic Vidaha Sanskrit विदाह); Heartburn) An abnormal condition characterized by heartburn. | ||
• Basti (phonetic Basti Sanskrit बस्ति); bladder | • Basti (phonetic Basti Sanskrit बस्ति); bladder | ||
• Apacayam (phonetic Apacayam Sanskrit अपचयम) Decrease, get shrink, not nourishing; The term signifies decrease of the body constituents which are abnormally increased. | • Apacayam (phonetic Apacayam Sanskrit अपचयम) Decrease, get shrink, not nourishing; The term signifies decrease of the body constituents which are abnormally increased. | ||
</div> | </div> | ||
=== References === | === References === | ||