Changes

If ''gulma'' does not subside even after proper treatment of ''vata'' etc. mentioned above then bloodletting is advised to cure it [32]

If ''gulma'' does not subside even after proper treatment of ''vata'' etc. mentioned above then bloodletting is advised to cure it [32]

==== Treatment of pitta dominant gulma ====

==== Treatment of ''pitta'' dominant ''gulma'' ====

स्निग्धोष्णेनोदिते गुल्मे पैत्तिके स्रंसनं हितम्|  

स्निग्धोष्णेनोदिते गुल्मे पैत्तिके स्रंसनं हितम्|  

रूक्षोष्णेन तु सम्भूते सर्पिः प्रशमनं परम्||३३||  

रूक्षोष्णेन तु सम्भूते सर्पिः प्रशमनं परम्||३३||  

snigdhōṣṇēnōditē gulmē paittikē sraṁsanaṁ hitam|  

snigdhōṣṇēnōditē gulmē paittikē sraṁsanaṁ hitam|  

rūkṣōṣṇēna tu sambhūtē sarpiḥ praśamanaṁ param||33||  

rūkṣōṣṇēna tu sambhūtē sarpiḥ praśamanaṁ param||33||  

snigdhoShNenodite gulme paittike sraMsanaM hitam|  

snigdhoShNenodite gulme paittike sraMsanaM hitam|  

rUkShoShNena tu sambhUte sarpiH prashamanaM param||33||  

rUkShoShNena tu sambhUte sarpiH prashamanaM param||33||  

If pitta gulma is caused by indulging in unctuous and hot substances then virechana is beneficial. But if it is caused by indulging in dry and hot substances then ghee is a choice of drug [33]

If ''pitta gulma'' is caused by indulging in unctuous and hot substances then ''virechana'' is beneficial. But if it is caused by indulging in dry and hot substances then ghee is a choice of drug [33]

पित्तं वा पित्तगुल्मं वा ज्ञात्वा पक्वाशयस्थितम्|  

पित्तं वा पित्तगुल्मं वा ज्ञात्वा पक्वाशयस्थितम्|  

कालविन्निर्हरेत् सद्यः सतिक्तैः क्षीरबस्तिभिः||३४||  

कालविन्निर्हरेत् सद्यः सतिक्तैः क्षीरबस्तिभिः||३४||  

पयसा वा सुखोष्णेन सतिक्तेन विरेचयेत्|  

पयसा वा सुखोष्णेन सतिक्तेन विरेचयेत्|  

भिषगग्निबलापेक्षी सर्पिषा तैल्वकेन वा||३५||

भिषगग्निबलापेक्षी सर्पिषा तैल्वकेन वा||३५||

pittaṁ vā pittagulmaṁ vā jñātvā pakvāśayasthitam|  

pittaṁ vā pittagulmaṁ vā jñātvā pakvāśayasthitam|  

kālavinnirharēt sadyaḥ satiktaiḥ kṣīrabastibhiḥ||34||  

kālavinnirharēt sadyaḥ satiktaiḥ kṣīrabastibhiḥ||34||  

payasā vā sukhōṣṇēna satiktēna virēcayēt|  

payasā vā sukhōṣṇēna satiktēna virēcayēt|  

bhiṣagagnibalāpēkṣī sarpiṣā tailvakēna vā||35||

bhiṣagagnibalāpēkṣī sarpiṣā tailvakēna vā||35||

pittaM vA pittagulmaM vA j~jAtvA pakvAshayasthitam|  

pittaM vA pittagulmaM vA j~jAtvA pakvAshayasthitam|  

kAlavinnirharet sadyaH satiktaiH kShIrabastibhiH||34||  

kAlavinnirharet sadyaH satiktaiH kShIrabastibhiH||34||  

payasA vA sukhoShNena satiktena virecayet|  

payasA vA sukhoShNena satiktena virecayet|  

bhiShagagnibalApekShI sarpiShA tailvakena vA||35||

bhiShagagnibalApekShI sarpiShA tailvakena vA||35||

If pitta or pitta-gulma is situated in colon, the physician expert in proper and timely treatment should eliminate it by giving kshira-basti mixed with bitter drugs immediately. The physician aiming to increase the digestive power should perform virechana with milk mixed with bitter drugs or with tilvaka ghrita [34-35]

 

If ''pitta'' or ''pitta-gulma'' is situated in colon, the physician expert in proper and timely treatment should eliminate it by giving ''kshira-basti'' mixed with bitter drugs immediately. The physician aiming to increase the digestive power should perform ''virechana'' with milk mixed with bitter drugs or with ''tilvaka ghrita'' [34-35]

==== Blood-letting in pitta dominant gulma ====

==== Blood-letting in pitta dominant gulma ====