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करोति जीर्णेऽभ्यधिकं प्रकोपं भुक्ते मृदुत्वं समुपैति यश्च। वातात् स गुल्मो न च तत्र रूक्षं कषायतिक्तं कटु चोपशेते ॥११॥
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
english translation
कट्वम्लतीक्ष्णोष्णविदाहिरूक्षक्रोधातिमद्यार्कहुताशसेवा। आमाभिघातो रुधिरं च दुष्टं पैत्तस्य गुल्मस्य निमित्तमुक्तम् ॥१२॥
[Causative factors and pathogenesis of pitta dominant gulma] 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
english translation
ज्वरः पिपासा वदनाङ्गरागः शूलं महज्जीर्यति भोजने च। स्वेदो विदाहो व्रणवच्च गुल्मः स्पर्शासहः पैत्तिकगुल्मरूपम् ॥१३॥
[Symptoms of pitta-gulma] Fever, thirst, redness of mouth and other organs, excessive pain during digestion, sweating, burning sensation and tenderness in the lesion like that of ulcer are the signs and symptoms of pitta-gulma
english translation
शीतं गुरु स्निग्धमचेष्टनं च सम्पूरणं प्रस्वपनं दिवा च। गुल्मस्य हेतुः कफसम्भवस्य सर्वस्तु दिष्टो निचयात्मकस्य ॥१४॥
[Causative factors of kapha-gulma and nichaya-gulma] Excessive intake of food articles having cold, heavy and unctuous properties and excessive eating, sedentary life style and day-sleep are the causative factors of kapha-gulma. All the causative factors mentioned for all the above three types of dosha gulma are also of nichaya (tridosha)-gulma
english translation
स्तैमित्यशीतज्वरगात्रसादहृल्लासकासारुचिगौरवाणि। शैत्यं रुगल्पा कठिनोन्नतत्वं गुल्मस्य रूपाणि कफात्मकस्य ॥१५॥
[Symptoms of kapha dominant gulma] Feeling as covered by wet cloth, fever with chills, exhaustion of limbs, nausea, cough, anorexia, heaviness, cold and mild pain with palpable hard and protruded mass are the signs and symptoms of kaphaja-gulma
english translation