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कफं च पित्तं च स दुष्टवायुरुद्धूय मार्गान् विनिबद्ध्य ताभ्याम्। हृन्नाभिपार्श्वोदरबस्तिशूलं करोत्यथो याति न बद्धमार्गः ॥६॥
[General Pathogenesis of gulma] The provoked vata takes out kapha and pitta from their sites and in turn gets blocked its own passage by them. Thus, blocked vata is unable to move properly leading to pain in the regions of heart, umbilicus, both sides of abdomen and urinary bladder
english translation
पक्वाशये पित्तकफाशये वा स्थितः स्वतन्त्रः परसंश्रयो वा। स्पर्शोपलभ्यः परिपिण्डितत्वाद्गुल्मो यथादोषमुपैति नाम ॥७॥
[Cardinal Signs of Gulma] Formation of a palpable mass in colon, gall-bladder or stomach which may be independent or associated with other dosha is known as gulma. It is named according to the dosha involved.
english translation
बस्तौ च ना भ्यां हृदि पार्श्वयोर्वा स्थानानि गुल्मस्य भवन्ति पञ्च। पञ्चात्मकस्य प्रभवं तु तस्य वक्ष्यामि लिङ्गानि चिकित्सितं च ॥८॥
[Five sites of gulma] Five places of gulma are urinary bladder (hypogastric region), umbilical region (nabhi), cardiac region (hridi) and two flanks (parshva). Henceforth I will explain the causes, symptoms and the treatment of these five types of gulma
english translation
रूक्षान्नपानं विषमातिमात्रं विचेष्टितं वेगविनिग्रहश्च। शोकोऽभिघातोऽतिमलक्षयश्च निरन्नता चानिलगुल्महेतुः ॥९॥
[Causative factors of vata dominant gulma] Excessive use of dry articles of food and drinks, excessive or wrong body activities, suppression of natural urges, excessive grief, too-much diminution of feces, trauma and excessive fasting are the causes of vata-gulma
english translation
यः स्थानसंस्थानरुजां विकल्पं विड्वातसङ्गं गलवक्त्रशोषम्। श्यावारुणत्वं शिशिरज्वरं च हृत्कुक्षिपार्श्वांसशिरोरुजं च ॥१०॥
[Symptoms of vata gulma] 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 color of body, fever with chills, pain in the cardiac, umbilical, flanks and shoulder regions and headache are the sign and symptoms of vata gulma.
english translation