Page:Sushruta Samhita Vol 3.djvu/277

Chap. XLII ] any suppurative process in its mass or body. The Gulmas are the products of either the several or concerted actions of the three Doshas, while in females a separate class of tumours (such as the ovarian or uterine tumours) intimately connected with the deranged or vitiated condition of the blood (catamenial fluid, etc) is also recognised. 3 — 5. Primonitory Symptoms:— A sense of lassitude, dulness of appetite, pain and rumbling in the intestines, suppression of stool, urine and flatus, incapacity to take food to the full, aversion to food, and an upward coursing of the internal Váyu are the indications which may be set down as the premonitory symptoms of Gulma, 6.

Specific Symptoms:— Pain (Śula) in the region of the heart and the belly (Kukshi), dryness of the throat and of the mouth, suppression of Váyu (flatus), irregularity of digestion and all other symptoms which specifically indicate the deranged condition of the bodily Váyu are the characteristics of the Vátaja-Gulma. Fever, perspiration, defective digestion, burning sensation, thirst, redness of the body (Anga-rága), bitter taste in the mouth and all other specific symptoms of the deranged Pitta mark the Pittaja type of the disease. A sensation of wetness all over the body, an aversion to food, lassitude, vomiting, water-brash, sweet taste in the mouth and all other specific indications of the deranged Kapha are exhibited in the Kaphaja type of the disease. The Tri-doshaja type exhibits the symptoms specifically belonging to each of the preceding ones and should be regarded as incurable. 7 — 9.

Symptoms of Raktaja-Gulma:— The symptoms of Raktaja-Gulma are mentioned below. The bodily Váyu of a woman newly delivered of a child as