Article by Prof. MS Krishnamurthy. MD (Ayu)., PhD.
We get the reference of various kinds of abdominal lumps with different names like cysts, tumour, herniation, fibroid, inflamed conditions, abscess etc. According to the site of manifestation and specific features they are termed Granthi, Arbuda, Vriddhi, Abhyantara Shopha, Vidradhi etc in Ayurvedic system of medicine.
Ayurveda refers one more specific kind of disease with the term – Gulma.
Ayurvedic scholars define it as the abdominal lump which is caused due to aggravation and encapsulation of Vata Dosha (kupita Anila moodhatwat) which does not give clue about its site of origin (Goodha Gulmodaya) which spreads widely like the shrubs (Gulmavat vishalatwaat). It is usually known as gaseous tumour of abdomen.
Table of Contents
Causative factors
1. Excess intake of Vata aggravating foods (dry, light, rough, spicy)
2. Constipation or improper bowel habit
3. Suppression of natural urges
4. Pressure exerted by external causes like injury, hit, compression etc
5. Excess food intake
6. Grief / stress
7. Improperly carried Panchakarma treatment
Origin of the disease
The causative factors lead to severe aggravation of Vatadosha at the level of abdomen. This further vitiates Pitta and Kapha in the localized area and obstruct the passage of the channels. Due to the blockage of the morbid factor, they are stagnated and localized in abdominal organs like intestines, liver. According to the site and Dosha involvement, the features are exhibited. Usually, the condition is manifested in epigastrium, umbilicus, pelvic cavity and in lumbar/iliac regions.
Types
1. Vataja
2. Pittaja
3. Kaphaia
4. Tridoshic
5. Raktaja(in female, refers to uterine fibroids)
![abdominal pain](https://www.easyayurveda.com/wp-content/uploads/2015/08/abdominal-pain1.jpg)
Stages of Gulma
1. Immature (recent onset) tumours:
Tumours are heavy, hard, situated beneath the muscles, without change or colour and fixed firmly.
2. Maturing tumours:
The Tumours are burning, painful, causing agony, loss of sleep, irritation, and fever.
3. Matured (suppurated) gaseous tumors:
The tumors are burning, bluish red in colour, palpable like bladder and severe painful in nature.
Specific features
1. Vatic Gulma
Obstruction of flatus, dryness of the throat and mouth, shivering, fever, pain in heart and abdominal sides, shoulder and head, aggravates on empty stomach and relieved on ingestion of food; the condition is worsened by dry-astringent-bitter and pungent substances.
2. Pittaja gulma
In the condition, fever, thirst, redness of the face, pain, sweating, burning and tenderness are complained by the patients.
3. Kaphaja gulma
This produces inertia, shivering, fever, body ache, nausea, cough, tastelessness, heaviness, and hard elevated non inflammatory masses.
4. Dwidoshaja and sannipataja
According to the dosha involvement mixed features are observed.
5. Raktaja gulma
Menstruating women indulging in fasting or using excess of dry food, facing the fearsome events, suppressing the natural urges, subjecting to therapies which arrest the free outgoing of blood and vomiting, suffering from uterine dysfunction etc, cause the vitiation of menstrual blood. This, in turn lead to the occurrence of Raktaja gulma (fibroid).
Here, pulsating tumour, gradually taking the shape of a round mass, with pain and producing the features or pregnancy (like amenorrhoea, pigmented nipples, morning sickness etc).
Often this produces this pain and burning sensation with the features of Pittaja Gulma.
Prognosis of Gulma
Tumor associated with the features of breathlessness, abdominal pain, thirst, anorexia, body ache, stiffness, and debility are critical; likewise, the tumor with the features of all the three Doshas is also incurable.
Management of Gulma (gaseous tumor)
All measures are undertaken to control Vata. To achieve this,
Snehana – oleation,
Swedana – sudation (sweating therapy),
Mild purgation,
Asthapana Basti – Decoction enema,
and sour mixed sweet eatables are recommended.
Single drugs recommended
1. Lashuna – garlic – Allium sativa Linn.
2. Hapusha – Juniperus communis Linn.
3. Hingu – asafetida – Ferula narthex Boiss.
4. Draksha – raisins – Vitis vinifera Linn.
5. Vacha – Acorus calamus Linn.
6. Eranda – castor- Ricinus communis Linn.
7. Ajamoda – Celery – Trachyspermum roxburghianum (DC.) Sprague.
8. Saindhava lavana – rock salt
9. Pippali-long pepper- Piper longum Linn.
10. Chavya- Piper chaba Hunter.
11. Danti – Baliospermum montanum (Willd.) Muell. Arg.
12. Haritaki – chebulic myrobalan – Terminalia chebula Retz.
13. Varuna – Crataeva nurvala Buch-Hem. etc
Ayurvedic medicines
1. Dashamoola kwatha
2. Hapushadi ghrita
3. Hingwadi choorna
4. Hingusauvarchala ghrita
5. Pippalyadi ghrita
6. Lashuna ksheerapaka
7. Shankha vati
8. Vaishwanara choorna
9. Agnimukha choorna
10. Dantiharitaki lehya
11. Chavikasava
12. Pravala Panchamrita rasa
13. Dashamoola ghrita
14. Varunadi kwatha
15. Kumaryasava
16. Ksheera Shatpala ghrita etc.
Wholesome diet and habits
1. Purana shali (old rice)
2. Kulattha (horse gram)
3. Jangala mamsa (desert animals)
4. Kooshmanada (ash gourd)
5. Amalaki (goose berry)
6. Dadima (pomegranate)
7. Eranda taila (castor oil)
8. Ardraka (ginger)
9. Jiraka (cumin seeds)
10. Hingu (asa foetida)
11. Deepana (easily digestible, carminative food) etc.
According to Yogaratnakara
One year old red rice, sugar candy, horse gram soup, soup of meat of animals living in desert areas, alcohol, goat milk, cow milk, raisins, falsa fruit, buttermilk, castor oil, garlic, tender radish, pattura vegetable, Mexican tea, drumstick, citron fruit, chebulic myrobalan and substances that help in downward movement of vata dosha.
Unwholesome food and habits
1. Guru ahara (heavy food)
2. Viruddha Ahara (incompatible food)
3. Vishama Ahara (improper food)
4. Shushka shaka (dry vegetable)
5. Shushka mamsa (dried meat)
6. Kanda moola (tubers and roots)
7. Matsya (fish)
8. Vegadharana (suppression of the urges) etc.
According to yogaratnakara
Black gram etc. pulses, barley etc. grains, dried meat, radish, fish, sweet fruits, suppressing the urges of flatus, feces, urine, deep breath after exercise and tears, emesis, excessive intake of water etc.
Gaseous tumor (Gulma) is a condition which is very difficult to equate any particular disease kind of modern medicinal system. Often this is found as a feature in so many acute and chronic diseased conditions. But it is commonly found in the patients who often indulge in unwholesome diet and take multiple medicaments or food varieties at a time. So, one should be careful while making the combination of medicines and food and beverages.
Addition By Dr Raghuram Y.S. MD (Ay) & Dr Manasa, B.A.M.S
Effective Decoctions For Abdominal Tumors From Sahasrayogam
1. Gulmahara Kashayas
a. Dasamooladi Kashayam
Ref – Sahasrayogam, Kashaya Prakaranam, 43a
Ingredients | Botanical Name | Method of using | Indications |
Dashamula | Ten roots | The decoction prepared with these ingredients should be served fresh | 1. Gulma – abdominal tumors |
Ginger | Zingiber officinale | ||
Devadaru | Cedrus Deodara |
Read – Kashayam (Kwath) – Herbal Teas Preparation [Video], Benefits, Usage
b. Chitrakadi Kashayam
Ref – Sahasrayogam, Kashaya Prakaranam, 43a
Ingredients | Botanical Name | Method of using | Indications |
Chitraka | Plumbago zeylanica | The decoction prepared with these ingredients should be served fresh | 1. Gulma – abdominal tumors |
Pippali mula | Roots of Piper longum | ||
Eranda | Ricinus communis | ||
Ginger | Zingiber officinale |
Read – 50 Great Decoctions Explained By Master Charaka – Maha Kashaya
c. Varshabvadi Kashayam
Ref – Sahasrayogam, Kashaya Prakaranam, 43b
Ingredients | Botanical Name | Method of using | Indications |
Rakta Punarnava | Boerhavia diffusa, red variety | The decoction prepared with these ingredients should be served fresh with jaggery, rock salt, Piper longum and asafetida | 1. Constipation 2. Indigestion 3. Severe pain in vagina 4. Pain in the cardiac region 5. Pain in flanks 6. Backache 7. Pelvic pain 8. Enlargement of prostate gland 9. Abdominal tumors 10. Enlargement of spleen |
Bilwa | Aegle Marmelos | ||
Horse gram | Dolichos biflorus | ||
Castor | Ricinus communis | ||
Sahachara | Strobilanthes heynianus | ||
Ginger | Zingiber officinale | ||
Agnimantha | Clerodendrum phlomidis |
Read – Should Kashayams Be Given Necessarily Before Food?
d. Kanadi Kashayam
Ref – Sahasrayogam, Kashaya Prakaranam, 43c
Ingredients | Botanical Name | Method of using | Indications |
Pippali | Piper longum | The decoction prepared with these ingredients should be served fresh with powder of asafetida | 1. Abdominal tumor caused by vitiated blood |
Shatahva | Anethum graveolens | ||
Dwi Karanja | Pongamia pinnata & Caesalpinia crista | ||
Devadaru | Cedrus deodara | ||
Bharangi | Cerodendron serratum | ||
Horse gram | Dolichos biflorus | ||
Sesame | Sesamum indicum / sesame | ||
Garlic | Allium sativum |
Read – Sesame and Sesame Oil Benefits – Total Ayurveda Details
2. Vidaryadi Kashayam (Swasa-Kasahara Kashaya)– Read more here
3. Varunadi Gana Siddha Kashayam (Vidradhihara Kashayam)
Ref – Sahasrayogam, Kashaya Prakaranam, 41
Ingredients | Botanical Name | Method of using | Indications |
Varuna | Crateva nurvula | The decoction prepared with these ingredients should be served fresh | 1. Abdominal tumors 2. Kapha disorders 3. Cures indigestion, gout, headache, internal abscesses |
Saireyaka yugma | Two types of Barleria prionitis | ||
Shatavari | Asparagus racemosus | ||
Chitraka | Plumbago zeylanica | ||
Murva | Marsdenia tenacissima | ||
Bilwa | Aegle marmelos | ||
Karkatashringi | Pistacia chinensis | ||
Brihati | Solanum indicum | ||
Kantakari | Solanum xanthocarpum | ||
Karanja | Pongamia pinnata | ||
Chirabilva | Holoptelea integrifolia | ||
Agnimantha | Clerodendrum phlomidis / Premna integrifolia | ||
Haritaki | Terminalia chebula | ||
Shigru | Moringa oleifera | ||
Darbha | Desmostachya bipinnata | ||
Rujakara | Barleria prionitis / Semicarpus anacardium / |
Read – Ayurvedic Liquid Remedies In The Management of Shwasa, Dyspnoea
4. Chiruvilvadi Kashayam (Arshohara Kashaya)–Read more here
Ref – Sahasrayogam, Kashaya Prakaranam, 35b
Read – Chirabilva- Holoptelea integrifolia, Uses, Research, Remedies, Side Effects
5. Vidal Chitramooladi Kashayam
Ref – Sahasrayogam, Parishishta Prakaranam, 65
Ingredients | Botanical Name | Method of using | Indications |
Roots of Vidanga | Embelia ribes | The decoction prepared with these ingredients should be served fresh with rock salt and asafetida | 1. Cures abdominal tumors |
Roots of Chitraka | Plumbago zeylanica | ||
Ginger | Zingiber officinale | ||
Sesame | Sesamum indicum | ||
Bark of Palasha | Bark of Butea monosperma | ||
Bark of Paribhadra | Bark of Erythrina indica |
Read – Palasha – Butea monosperma Uses, Dose, Research
6. Plasintoladi Kashayam
Ref – Sahasrayogam, Parishishta Prakaranam, 69
Ingredients | Botanical Name | Method of using | Indications |
Bark of Palasa | Butea monosperma – 24 grams | The decoction prepared with these ingredients should be served fresh with rock salt | 1. Painful abdominal tumors (relieves pain) 2. Swelling |
Punarnava | Boerhavia diffusa – 16 grams | ||
Ginger | Zingiber officinale – 8 grams |
Read – 10 Punarnava Remedies: Urinary Calculi, Pedal Edema, UTI
7. Pacchotri Kuvaladi Kashayam
Ref – Sahasrayogam, Parishishta Prakaranam, 70
Ingredients | Botanical Name | Method of using | Indications |
Roots of Lodhra | Symplocos racemosa | The decoction prepared with these ingredients should be served fresh | 1. Pain during menstruation 2. Abdominal tumors |
Roots of Bilwa moola | Aegle marmelos | ||
Licorice | Glycyrrhiza glabra | ||
Bharangi | Clerodendron serratum | ||
Sesame | Sesamum indicum |
8. Trayantyadi Kashayam – Read more
Ref – Sahasrayogam, Parishishta Prakaranam, 111
Read – Daha Prashamana Gana – Burning Sensation Relieving Group Of Herbs
9. Pathyadi Kashayam (Mahodarahara Kashaya)
Ref – Sahasrayogam, Kashaya Prakaranam, 45
Ingredients | Botanical Name | Method of using | Indications |
Haritaki | Terminalia chebula | The decoction prepared with these ingredients should be served fresh with alkali of barley and asafetida | 1. Cures Abdominal tumors 2. Cures piles, enlargement of spleen, indigestion, enlargement of prostate, flatulence, colic caused by vata and kapha, ascites |
Putikaranja | Pongamia pinnata / Holoptelea integrifolia | ||
Ginger | Zingiber officinale | ||
Chitraka | Plumbago zeylanica | ||
Pippali | Piper longum | ||
Roots of Pippali | Piper longum | ||
Chavya | Piper retrofractum | ||
Ajagandha | Cleome gynandra | ||
Rakta Punarnava | Boerhavia diffusa, red variety | ||
Bilwa | Aegle marmelos | ||
Horse gram | Dolichos biflorus | ||
Castor | Ricinus communis | ||
Sahachara | Strobilanthes heynianus | ||
Ginger | Zingiber officinale | ||
Agnimantha | Clerodendrum phlomidis |
Other Yogas from Sahasra Yoga Text Book
Gulmahara Kashaya
Swasakasahara Kashaya
Arsohara Kashaya
Tiktaka Ghrita
Mahatiktaka Ghrita
Panchatiktaka Guggulu Ghrita
Indukanta Ghrita
Sukumara Ghrita
Dathryadi Ghrita
Vrisha Ghrita
Dasanga Ghrita
Sasa vasadi Ghrita
Patha Karanjadi Ghrita
Dhanvantari Ghrita
Varunadi Ghrita
Kusmanda Ghrita
Mahakusmanda Ghrita
Dhanvantara Taila
Amrutottara Taila
Sahacharadi Taila
Ashta Choorna
Lavangadi Choorna
Maha Khandava Choorna
Trikatwadi Choorna
Naracha Choorna
Hapushadi Choorna
Nilini Choorna
Patoladi Choorna
Chukkilirattyadi Choorna
Trilavana pasugandhadi Choorna
Abhraka Gandhadi Choorna
Nimbadi Choorna
Hinguvachadi Choorna
Yogaraja Choorna
Guggulu Panchapala Choorna
Karpooradi Choorna
Bala soolari Choorna
Kukkuta Choorna
Kalyana Kshara
Vidangadi Kshara
Sudha Khandadi Kshara
Pippalyasava
Punarnavasava
Lohasava
Kumaryasava
Manibhadra Guda
Madhu snuhi Rasayana
Pulim Kuzhambu
Agasthya Rasayana
Danti Haritakyavaleha
Gandhaka Rasayana
Vyaghryadi Leha
Dasamoolahareetaki Lehya
Chitraka Guda
Gudardraka
Matala Rasayana (Dadima)
Kaisora Guggulu
Yogaraja Guggulu
Chandabhaskara Rasa
Neelakantha Rasa
Gulmakulantaka Rasa
Sankhapani Rasa
Marichadi Gutika
Anthrakuthara Rasa
Madhukadi Ghrita
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10 comments on “Gulma- Abdominal Tumor- A Unique Disease In Ayurveda”
vijay kumavat
very good article
Caroline
Is there a remedy when you cook milk and garlic together or maybe this is for distention of stomach?
Shikhar
What is something one can do on a daily basis at home to heal stomach ulcers? I have seen that taking cumin boiled water every morning helps a lot. Is there anything we can put in our daily diet such as hing, cumin and garlic that will help or something separately to be done on a daily basis
Dr J V Hebbar MD(Ayu)
Please read here – https://www.easyayurveda.com/2011/01/05/ayurvedichome-remedies-for-acidity-and-gastritis/
All the tips there can be easily followed on daily basis.
drashok naikar
really it is awonderfull artical.
Varun
Cure for sebacious cysts ???
Pramod
Sir, gulma is different from ulcers or both are same? Curable? How long will it take to heal?
Home remedies for curing gulma?
Thank you
Dr J V Hebbar MD(Ayu)
They are different. The healing time depends on the extent of disease.
Sarjina p
Please tell me ayurvedic medicine for raktaja gulma
lakshmi
hello doctor for fibroids of 6cm what medicines do you suggest.Please reply.