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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]
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==== Blood-letting in pitta dominant gulma ====
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==== Blood-letting in ''pitta'' dominant ''gulma'' ====
    
तृष्णाज्वरपरीदाहशूलस्वेदाग्निमार्दवे|  
 
तृष्णाज्वरपरीदाहशूलस्वेदाग्निमार्दवे|  
 
गुल्मिनामरुचौ चापि रक्तमेवावसेचयेत्||३६||  
 
गुल्मिनामरुचौ चापि रक्तमेवावसेचयेत्||३६||  
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tr̥ṣṇājvaraparīdāhaśūlasvēdāgnimārdavē|  
 
tr̥ṣṇājvaraparīdāhaśūlasvēdāgnimārdavē|  
 
gulmināmarucau cāpi raktamēvāvasēcayēt||36||  
 
gulmināmarucau cāpi raktamēvāvasēcayēt||36||  
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tRuShNAjvaraparIdAhashUlasvedAgnimArdave|  
 
tRuShNAjvaraparIdAhashUlasvedAgnimArdave|  
 
gulminAmarucau cApi raktamevAvasecayet||36||  
 
gulminAmarucau cApi raktamevAvasecayet||36||  
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The patient of pitta-gulma if having thirst, fever, burning sensation, pain, perspiration, impaired digestion and anorexia is treated with bloodletting [36]
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The patient of ''pitta-gulma'' if having thirst, fever, burning sensation, pain, perspiration, impaired digestion and anorexia is treated with bloodletting [36]
    
छिन्नमूला विदह्यन्ते न गुल्मा यान्ति च क्षयम्|  
 
छिन्नमूला विदह्यन्ते न गुल्मा यान्ति च क्षयम्|  
 
रक्तं हि व्यम्लतां याति, तच्च नास्ति न चास्ति रुक्||३७||
 
रक्तं हि व्यम्लतां याति, तच्च नास्ति न चास्ति रुक्||३७||
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chinnamūlā vidahyantē na gulmā yānti ca kṣayam|  
 
chinnamūlā vidahyantē na gulmā yānti ca kṣayam|  
 
raktaṁ hi vyamlatāṁ yāti, tacca nāsti na cāsti ruk||37||
 
raktaṁ hi vyamlatāṁ yāti, tacca nāsti na cāsti ruk||37||
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chinnamUlA vidahyante na gulmA yAnti ca kShayam|  
 
chinnamUlA vidahyante na gulmA yAnti ca kShayam|  
 
raktaM hi vyamlatAM yAti, tacca nAsti na cAsti ruk||37||
 
raktaM hi vyamlatAM yAti, tacca nAsti na cAsti ruk||37||
Provoked rakta is responsible for inflammation (Vidaha) which is removed by bloodletting; thus when root-cause is removed then there will be no inflammation resulting in vanishing of swelling and pain [37]
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Provoked ''rakta'' is responsible for inflammation (''vidaha'') which is removed by bloodletting; thus when root-cause is removed then there will be no inflammation resulting in vanishing of swelling and pain [37]
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==== Diet after blood-letting ====
 
==== Diet after blood-letting ====