Changes

These are fixed, solid abdominal lumps associated with heaviness, vomiting, mild pain and poor appetite. Further, if the exposure to etiological factors is continued, the patient may develop cough, breathing difficulty and rajayakshma (tuberculosis) etc. Such swellings can be compared with solid tumours of the abdomen which may or may not be associated with obstructive features of the gastrointestinal tract.

These are fixed, solid abdominal lumps associated with heaviness, vomiting, mild pain and poor appetite. Further, if the exposure to etiological factors is continued, the patient may develop cough, breathing difficulty and rajayakshma (tuberculosis) etc. Such swellings can be compared with solid tumours of the abdomen which may or may not be associated with obstructive features of the gastrointestinal tract.

Sannipataja gulma –

==== ''Sannipataja gulma'' ====

These swellings are progressively increasing in size, fixed, deep rooted, covered with prominent veins, bulged out, and associated with weakness, nausea, vomiting, fever and thirst. Such features can be seen in malignant abdominal tumours.

These swellings are progressively increasing in size, fixed, deep rooted, covered with prominent veins, bulged out, and associated with weakness, nausea, vomiting, fever and thirst. Such features can be seen in malignant abdominal tumours.

Raktaja gulma- 

==== ''Raktaja gulma'' ====

These exhibit symptoms similar to those of pregnancy, so it is essential to differentiate them from the point of view of treatment:

These exhibit symptoms similar to those of pregnancy, so it is essential to differentiate them from the point of view of treatment:

Raktaja gulma Garbha (Pregnancy)

Raktaja gulma Garbha (Pregnancy)

Slight movement may be present in later stage  

Slight movement may be present in later stage  

It may be associated with fever, cough, pain etc.        Presence of other constitutional features of pregnancy, including bodily changes

It may be associated with fever, cough, pain etc.        Presence of other constitutional features of pregnancy, including bodily changes

The features of Hydatidiform mole and chorionic carcinoma closely resemble the features of raktaja gulma.

The features of Hydatidiform mole and chorionic carcinoma closely resemble the features of ''raktaja gulma''.

A study was conducted in 50 patients of abdominal swellings, gulmas were analysed using clinical tests and radio-imaging techniques such as plain X ray abdomen, Barium studies, USG, intra-operative findings and HPE of the lumps.  

 

o The study showed that vataja gulma has chronic obstructive lesions associated with gastrointestinal tract as in the cases of intestinal tuberculosis, pyloric obstruction due to carcinoma of the stomach, etc.

o Pittaja gulma includes nonspecific inflammatory lesions such as cholecystitis presenting as mucocele or empyema of gall bladder, appendicitis , etc.

 

o Kaphaja gulma includes benign lesions such as ovarian cyst, lipoma etc. Some are of specific chronic inflammatory types such as tubercular mesenteric lymphadenopathy.

A study was conducted in 50 patients of abdominal swellings, ''gulmas'' were analyzed using clinical tests and radio-imaging techniques such as plain X ray abdomen, Barium studies, USG, intra-operative findings and HPE of the lumps.  

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.

*The study showed that ''vataja gulma'' has chronic obstructive lesions associated with gastrointestinal tract as in the cases of intestinal tuberculosis, pyloric obstruction due to carcinoma of the stomach, etc.

*''Pittaja gulma'' includes nonspecific inflammatory lesions such as cholecystitis presenting as mucocele or empyema of gall bladder, appendicitis , etc.

*''Kaphaja gulma'' includes benign lesions such as ovarian cyst, lipoma etc. Some are of specific chronic inflammatory types such as tubercular mesenteric lymphadenopathy.

*''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.

=== Researches done ===

=== Researches done ===