Changes

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

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

! rowspan="1"| Types of gulma

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

! rowspan="1"| Adhisthana

parshwadwaya     (dakshin parshwa and  vama parshwa) right  and left flank

! rowspan="1"| Anatomical site

Shonitaja garbhashaya and yoni uterus and vagina Same same same Not mentioned  

! rowspan="1"| Charaka

Sannipataja Not specified Not specified Not specified Not specified Not specified Not mentioned

! rowspan="1"| Sushruta

Yakrita gulma hridaya upper abdomen Not mentioned Not mentioned Not mentioned Same

! rowspan="1"| Vagbhat

Ashtheela gulma Kukshi mid abdomen Not mentioned Not mentioned Not mentioned Same

! rowspan="1"| Harita

Pleeha gulma Madhya bhaga   mid abdomen Not mentioned Not mentioned Not mentioned Same

Chandravivardhaka  gulma Basti lower abdomen Not mentioned Not mentioned Not mentioned same

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

Granthi gulma Nabhi umbilical region Not mentioned Not mentioned Not mentioned Same

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

| Kaphaja || hridaya parshwadwaya(dakshin parshwa and  vama parshwa) || upperabdomen right  and left flank || Does not specify || Does not specify || same || Not mentioned

| Shonitaja || garbhashaya and yoni || uterus and vagina || Same || same || same || Not mentioned

| Sannipataja || Not specified || Not specified || Not specified || Not specified || Not specified || Not mentioned  

| Yakrita gulma || hridaya || upper abdomen || Not mentioned || Not mentioned || Not mentioned || Same  

| Ashtheela gulma || Kukshi || mid abdomen || Not mentioned || Not mentioned || Not mentioned || Same  

| Pleeha gulma || Madhya bhaga ||   mid abdomen || Not mentioned || Not mentioned || Not mentioned || Same  

| Chandravivardhaka  gulma || Basti || lower abdomen || Not mentioned || Not mentioned || Not mentioned || same

| Granthi gulma || Nabhi || umbilical region || Not mentioned || Not mentioned || Not mentioned || Same  

Prognosis –''Sannipatika gulma'' is incurable, rest four are curable when treated timely.  

Prognosis –''Sannipatika gulma'' is incurable, rest four are curable when treated timely.  

Management- All the four types of ''gulma'' can be managed according to the prevalent ''doshas''. In emergency conditions if there is no time to diagnose the type of ''gulma, vata dosha'' should be managed first as it is prevalent in all types of ''gulma''.

Management- All the four types of ''gulma'' can be managed according to the prevalent ''doshas''. In emergency conditions if there is no time to diagnose the type of ''gulma, vata dosha'' should be managed first as it is prevalent in all types of ''gulma''.

Considering the various clinical features of ''gulma'' it can be said that the majority of ''gulmas'' are non-inflammatory and non-malignant intra-abdominal swellings.  But some ''gulmas'' show indications of inflammatory swellings, some benign while some show the characteristics of malignant growths.  

Considering the various clinical features of ''gulma'' it can be said that the majority of ''gulmas'' are non-inflammatory and non-malignant intra-abdominal swellings.  But some ''gulmas'' show indications of inflammatory swellings, some benign while some show the characteristics of malignant growths.

==== ''Vataja gulma'' ====   

==== ''Vataja gulma'' ====