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During ''ritu-kala'' (ovulation period) if a woman does fasting or takes dry food articles or indulges in fear and suppression of natural urges; or misuses styptic (''stambhana'') drugs i.e. try to stop the menstrual bleeding; improper conduction of vomiting therapy and disorders of genital organs, all these may lead to formation of ''rakta gulma'' in women [18]
 
During ''ritu-kala'' (ovulation period) if a woman does fasting or takes dry food articles or indulges in fear and suppression of natural urges; or misuses styptic (''stambhana'') drugs i.e. try to stop the menstrual bleeding; improper conduction of vomiting therapy and disorders of genital organs, all these may lead to formation of ''rakta gulma'' in women [18]
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==== Symptoms of rakta gulma ====
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==== Symptoms of ''rakta gulma'' ====
    
यः स्पन्दते पिण्डित एव नाङ्गैश्चिरात् सशूलः समगर्भलिङ्गः|  
 
यः स्पन्दते पिण्डित एव नाङ्गैश्चिरात् सशूलः समगर्भलिङ्गः|  
 
स रौधिरः स्त्रीभव एव गुल्मो मासे व्यतीते दशमे चिकित्स्यः||१९||
 
स रौधिरः स्त्रीभव एव गुल्मो मासे व्यतीते दशमे चिकित्स्यः||१९||
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yaḥ spandatē piṇḍita ēva nāṅgaiścirāt saśūlaḥ samagarbhaliṅgaḥ|  
 
yaḥ spandatē piṇḍita ēva nāṅgaiścirāt saśūlaḥ samagarbhaliṅgaḥ|  
 
sa raudhiraḥ strībhava ēva gulmō māsē vyatītē daśamē cikitsyaḥ||19||
 
sa raudhiraḥ strībhava ēva gulmō māsē vyatītē daśamē cikitsyaḥ||19||
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yaH spandate piNDita eva nA~ggaishcirAt sashUlaH samagarbhali~ggaH|  
 
yaH spandate piNDita eva nA~ggaishcirAt sashUlaH samagarbhali~ggaH|  
 
sa raudhiraH strIbhava eva gulmo mAse vyatIte dashame cikitsyaH||19||
 
sa raudhiraH strIbhava eva gulmo mAse vyatIte dashame cikitsyaH||19||
The lump slowly grows in the form of round mass which has pulsation as a whole but not in its part. It is associated with acute pain and signs and symptoms mimicking pregnancy. Raktaja gulma occurs only in women and should be treated after the completion of ten months [19]
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The lump slowly grows in the form of round mass which has pulsation as a whole but not in its part. It is associated with acute pain and signs and symptoms mimicking pregnancy. ''Raktaja gulma'' occurs only in women and should be treated after the completion of ten months [19]
    
क्रियाक्रममतः सिद्धं गुल्मिनां गुल्मनाशनम्|  
 
क्रियाक्रममतः सिद्धं गुल्मिनां गुल्मनाशनम्|  
 
प्रवक्ष्याम्यत ऊर्ध्वं च योगान् गुल्मनिबर्हणान्||२०||  
 
प्रवक्ष्याम्यत ऊर्ध्वं च योगान् गुल्मनिबर्हणान्||२०||  
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kriyākramamataḥ siddhaṁ gulmināṁ gulmanāśanam|  
 
kriyākramamataḥ siddhaṁ gulmināṁ gulmanāśanam|  
 
pravakṣyāmyata ūrdhvaṁ ca yōgān gulmanibarhaṇān||20||  
 
pravakṣyāmyata ūrdhvaṁ ca yōgān gulmanibarhaṇān||20||  
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kriyAkramamataH siddhaM gulminAM gulmanAshanam|  
 
kriyAkramamataH siddhaM gulminAM gulmanAshanam|  
 
pravakShyAmyata UrdhvaM ca yogAn gulmanibarhaNAn||20||  
 
pravakShyAmyata UrdhvaM ca yogAn gulmanibarhaNAn||20||  
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Now onward first the successful line of treatment shall be described for the cure of gulma. Thereafter, the remedies and recipes for its cure shall be described [20]
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Now onward first the successful line of treatment shall be described for the cure of ''gulma''. Thereafter, the remedies and recipes for its cure shall be described [20]
    
==== Treatment of Vata-Gulma ====
 
==== Treatment of Vata-Gulma ====