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Frequent change in the site, shape and pain of the lump along with obstruction of feces and flatus, dryness in throat and mouth, dusky-red colour of body, fever with chills, pain in the cardiac, umbilical, flanks and shoulder regions and headache are the sign and symptoms of ''vata gulma''. The symptoms decrease on taking of food but increase on completion of digestion as well as by taking dry substances or having astringent, bitter and pungent tastes [10-11]
 
Frequent change in the site, shape and pain of the lump along with obstruction of feces and flatus, dryness in throat and mouth, dusky-red colour of body, fever with chills, pain in the cardiac, umbilical, flanks and shoulder regions and headache are the sign and symptoms of ''vata gulma''. The symptoms decrease on taking of food but increase on completion of digestion as well as by taking dry substances or having astringent, bitter and pungent tastes [10-11]
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==== Causative factors and pathogenesis of pitta dominant gulma ====
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==== Causative factors and pathogenesis of ''pitta'' dominant ''gulma'' ====
    
कट्वम्लतीक्ष्णोष्णविदाहिरूक्षक्रोधातिमद्यार्कहुताशसेवा|  
 
कट्वम्लतीक्ष्णोष्णविदाहिरूक्षक्रोधातिमद्यार्कहुताशसेवा|  
 
आमाभिघातो  रुधिरं च दुष्टं पैत्तस्य गुल्मस्य निमित्तमुक्तम्||१२||  
 
आमाभिघातो  रुधिरं च दुष्टं पैत्तस्य गुल्मस्य निमित्तमुक्तम्||१२||  
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kaṭvamlatīkṣṇōṣṇavidāhirūkṣakrōdhātimadyārkahutāśasēvā|  
 
kaṭvamlatīkṣṇōṣṇavidāhirūkṣakrōdhātimadyārkahutāśasēvā|  
āmābhighātō rudhiraṁ ca duṣṭaṁ paittasya gulmasya     nimittamuktam||12|| kaTvamlatIkShNoShNavidAhirUkShakrodhAtimadyArkahutAshasevA|  
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āmābhighātō rudhiraṁ ca duṣṭaṁ paittasya gulmasya nimittamuktam||12||  
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kaTvamlatIkShNoShNavidAhirUkShakrodhAtimadyArkahutAshasevA|  
 
AmAbhighAto [2] rudhiraM ca duShTaM paittasya gulmasya nimittamuktam||12||  
 
AmAbhighAto [2] rudhiraM ca duShTaM paittasya gulmasya nimittamuktam||12||  
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Taking of food articles having pungent and sour tastes and piercing, hot, irritant (vidahi) and dry properties; excessive wines; exposure to sun and heat; indulgence in anger, affliction by ama and vitiation of rakta are the causative factors of pitta-gulma [12]
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Taking of food articles having pungent and sour tastes and piercing, hot, irritant (''vidahi'') and dry properties; excessive wines; exposure to sun and heat; indulgence in anger, affliction by ''ama'' and vitiation of ''rakta'' are the causative factors of ''pitta-gulma'' [12]
    
==== Symptoms of pitta-gulma ====
 
==== Symptoms of pitta-gulma ====