Gulma Nidana: Difference between revisions

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With respect to the ''adhishthana'' (location) of ''gulma'', five major sites have been mentioned , including the ''hridaya, nabhi, basti,'' and ''parshwadwaya'' (flanks). In the context of this chapter, ''hridaya'' should be taken as the upper part of the abdominal cavity rather than the thoracic cage as described in [[Sharira Sthana]]. ''Vata gulma'' most commonly occurs in ''basti'', while ''pittagulma'' occurs most commonly in the ''nabhi'' region, and ''kaphagulma'' in the ''hridaya'' and ''parshwadwaya'' regions. The ''yakrita gulma'' occurs in the region of ''hridaya, ashtheela gulma'' in the region of ''kukshi'' (hypogastrium), ''pleeha gulma'' in the ''madhya'' (central) region, ''chandravivardhaka gulma'' in the region of ''basti'' , and ''granthi gulma'' afflicts the region of ''nabhi''.

The pathogenesis of pittaja and kaphaja gulma takes place in amashaya that lies in the region between hridaya and basti. Thus these two variants of gulma (i.e., pittaja and kaphaja) cannot occur in basti. The five sites of gulma can be mapped to the following anatomical sites of the abdomen:

The pathogenesis of ''pittaja'' and ''kaphaja gulma'' takes place in ''amashaya'' that lies in the region between ''hridaya'' and ''basti''. Thus these two variants of ''gulma'' (i.e., ''pittaja'' and ''kaphaja'') cannot occur in ''basti''. The five sites of ''gulma'' can be mapped to the following anatomical sites of the abdomen:

Types of gulma Adhisthana Anatomical site Charaka Sushruta ~~Vagbhat~~ Harita

Vataja Basti ~~lower~~ abdomen Does not specify Does not specify Same Not mentioned

{|class = "wikitable"

|-

!scope = "col"| Types of ''gulma''

!scope = "col"| ''Adhisthana''

!scope = "col"| Anatomical site

!scope = "col"| ''Charaka''

!scope = "col"| ''Sushruta''

!scope = "col"| ''Vagbhata''

!scope = "col"| ''Harita''

|-

|''Vataja''

|''Basti''

| Lower abdomen

| Does not specify

| Same

| Not mentioned

|-

|}

Pittaja Nabhi mid Abdomen Does not specify Does not specify same Not mentioned

Kaphaja hridaya upper abdomen Does not specify Does not specify same Not mentioned

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 With respect to the ''adhishthana'' (location) of ''gulma'', five major sites have been mentioned , including the ''hridaya, nabhi, basti,'' and ''parshwadwaya'' (flanks). In the context of this chapter, ''hridaya'' should be taken as the upper part of the abdominal cavity rather than the thoracic cage as described in [[Sharira Sthana]]. ''Vata gulma'' most commonly occurs in ''basti'', while ''pittagulma'' occurs most commonly in the ''nabhi'' region, and ''kaphagulma'' in the ''hridaya'' and ''parshwadwaya'' regions. The ''yakrita gulma'' occurs in the region of ''hridaya, ashtheela gulma'' in the region of ''kukshi'' (hypogastrium), ''pleeha gulma'' in the ''madhya'' (central) region, ''chandravivardhaka gulma'' in the region of ''basti'' , and ''granthi gulma'' afflicts the region of ''nabhi''.
-The pathogenesis of pittaja and kaphaja gulma takes place in amashaya that lies in the region between hridaya and basti.  Thus these two variants of gulma (i.e., pittaja and kaphaja) cannot occur in basti. The five sites of gulma can be mapped to the following anatomical sites of the abdomen:
+The pathogenesis of ''pittaja'' and ''kaphaja gulma'' takes place in ''amashaya'' that lies in the region between ''hridaya'' and ''basti''. Thus these two variants of ''gulma'' (i.e., ''pittaja'' and ''kaphaja'') cannot occur in ''basti''. The five sites of ''gulma'' can be mapped to the following anatomical sites of the abdomen:
-Types of gulma 	Adhisthana	Anatomical site	Charaka	Sushruta	Vagbhat	Harita
-Vataja	Basti	lower abdomen	Does not specify	Does not specify	Same 	Not mentioned
+{|class = "wikitable"
+|-
+!scope = "col"| Types of ''gulma''
+!scope = "col"| ''Adhisthana''
+!scope = "col"| Anatomical site
+!scope = "col"| ''Charaka''
+!scope = "col"| ''Sushruta''
+!scope = "col"| ''Vagbhata''
+!scope = "col"| ''Harita''
+|-
+|''Vataja''
+|''Basti''
+| Lower abdomen
+| Does not specify
+| Does not specify
+| Same
+| Not mentioned
+|-
+|}
 Pittaja	Nabhi	mid Abdomen	Does not specify	Does not specify	same	Not mentioned
 Kaphaja	hridaya 	upper  abdomen	Does not specify	Does not specify	same	Not mentioned