Changes

The ''gulma'' with symptoms of burning sensation, much pain, very much irritation and discomfort, loss of sleep and fever indicates that it is about to suppurate. In this condition ''upanaha'' (poultice) is indicated. [41]

The ''gulma'' with symptoms of burning sensation, much pain, very much irritation and discomfort, loss of sleep and fever indicates that it is about to suppurate. In this condition ''upanaha'' (poultice) is indicated. [41]

==== Symptoms of suppurated gulma ====

==== Symptoms of suppurated ''gulma'' ====

विदाहलक्षणे गुल्मे बहिस्तुङ्गे समुन्नते|  

विदाहलक्षणे गुल्मे बहिस्तुङ्गे समुन्नते|  

श्यावे सरक्तपर्यन्ते संस्पर्शे बस्तिसन्निभे||४२||                                

श्यावे सरक्तपर्यन्ते संस्पर्शे बस्तिसन्निभे||४२||  

निपीडितोन्नते स्तब्धे सुप्ते [४] तत्पार्श्वपीडनात्|  

निपीडितोन्नते स्तब्धे सुप्ते [४] तत्पार्श्वपीडनात्|  

तत्रैव पिण्डिते शूले सम्पक्वं गुल्ममादिशेत्||४३||  

तत्रैव पिण्डिते शूले सम्पक्वं गुल्ममादिशेत्||४३||  

vidāhalakṣaṇē gulmē bahistuṅgē samunnatē|  

vidāhalakṣaṇē gulmē bahistuṅgē samunnatē|  

śyāvē saraktaparyantē saṁsparśē bastisannibhē||42||        

śyāvē saraktaparyantē saṁsparśē bastisannibhē||42||

nipīḍitōnnatē stabdhē suptē [4] tatpārśvapīḍanāt|  

nipīḍitōnnatē stabdhē suptē [4] tatpārśvapīḍanāt|  

tatraiva piṇḍitē śūlē sampakvaṁ gulmamādiśēt||43||  

tatraiva piṇḍitē śūlē sampakvaṁ gulmamādiśēt||43||  

vidAhalakShaNe gulme bahistu~gge samunnate|  

vidAhalakShaNe gulme bahistu~gge samunnate|  

shyAve saraktaparyante saMsparshe bastisannibhe||42||  

shyAve saraktaparyante saMsparshe bastisannibhe||42||  

nipIDitonnate stabdhe supte [4] tatpArshvapIDanAt|  

nipIDitonnate stabdhe supte [4] tatpArshvapIDanAt|  

tatraiva piNDite shUle sampakvaM gulmamAdishet||43||  

tatraiva piNDite shUle sampakvaM gulmamAdishet||43||  

If gulma protrudes pointing toward outside and skin over the lesion becomes stiff and numb and its colour changes to dusky with red margins. On palpation, the lump resembles as bladder filled with water, pitting on pressure, but on pressing from side the mass becomes tense with mild pain, otherwise it feels compressed mass with acute pain; all these signs and symptoms indicate that the gulma has suppurated [42-43]

If ''gulma'' protrudes pointing toward outside and skin over the lesion becomes stiff and numb and its color changes to dusky with red margins. On palpation, the lump resembles as bladder filled with water, pitting on pressure, but on pressing from side the mass becomes tense with mild pain, otherwise it feels compressed mass with acute pain; all these signs and symptoms indicate that the ''gulma'' has suppurated [42-43]

   

   

तत्र धान्वन्तरीयाणामधिकारः क्रियाविधौ|  

तत्र धान्वन्तरीयाणामधिकारः क्रियाविधौ|  

The above mentioned symptoms also occur in suppurating (pachyamana) internal gulma. Only difference is that in the internal gulma there is swelling in cardiac region of the abdomen while exterior gulma protrudes towards sides of abdomen [45]

The above mentioned symptoms also occur in suppurating (pachyamana) internal gulma. Only difference is that in the internal gulma there is swelling in cardiac region of the abdomen while exterior gulma protrudes towards sides of abdomen [45]

 

==== Management of pus discharging gulma ====

==== Management of pus discharging gulma ====