The symptoms of Raktaja-Gulma are mentioned below. The bodily Vayu of a woman newly delivered of a child as well as that of a woman who has recently miscarried, or of a woman in her courses is deranged by the use of unwholesome or injudicious food (and regimen of conduct), and by supressing the discharge of the blood (lochia) it gives rise to Gulma attended with pain and burning sensation. A Gulma of this type is easily mistaken for a case of conception, which exhibits all the symptoms of. pregnancy as well as those which are peculiar to the state of the Pittaja type, with the exception that the abdomen does not enlarge and there is no movement (in the womb). The medical treatment of a Gulma of the present type should be taken in hand after the lapse of the natural term of gestation and this is known as the Raktaja-Gulma * by the experienced physician. 10.
A person suffering from an attack of Va'taja Gulma should be duly treated with a Sneha, purged with any fatty purgative and then treated in the proper time with Nirudha and Anuvasana Vastis. In a case of Pittaja type of the disease, the patient should be treated (rubbed) with clarified butter duly prepared and cooked with the drugs of the Kakolyadi group and then being properly purged with the compounds of sweet drugs (of the Aragvadhadi group) he should be treated with Nirudha Vastis. In a case of the Kaphaja type, the patient should be first anointed with a medicated Ghrita duly cooked and prepared with the drugs of the Pippalyadi group, then purged with a strong (Tikshna) purgative and then treated with Nirudha Vastis of the same character. In a Tri-doshaja type, measures held to be remedial for each of the Doshas should be adopted or employed. Measures laid down in connection with the Pittaja type of the disease should be as well employed in cases of Raktaja (blood-origined) Gulma in female patients. Now hear me describe the recipes of the medicines which would particularly lead to the disintegration of the blood (in cases of Raktaja Gulma). Clarified butter duly cooked and prepared with the alkaline preparation of Palds'a wood (water charged with the burnt ashas of Palas'a) should be internally administered, and the medicated clarified butter known as the Pippalyadi Ghrita should be employed after the manner of an Uttara-vasti. In the alternative, the discharge (of blood) should be induced with the help of the drugs of heat-making (Ushna) potency (e.g., Pippalyadi group) and measures laid down in connection with menorr-hagia (Asrigdara) should be adopted after the flow has fairly set in. II
* This Raktaja Gulma is peculiar to the females only. But some authorities are of opinion that a kind of Raklaja (blood-origined) Gulma due to the vitiated blood of the organism may be possible both in the males and females.
Anuvasana: - The use of curd, clarified butter, oil, lard (Vasa) and marrow of Anupa (such as boar buffalo, etc.) and Audaka (aquatic) animals, boiled together and applied after the manner of an Anuvasana-Vasti, proves beneficial in a case of Va'taja-Gulma. The application of similar Vastis charged with a solution of clarified butter and the lard of animals of the Jangala and Eka-s'apha groups proves efficacious in the Pittaja type of the disease, while the application of these containing solutions of oil and the marrow of any Jangala animal will prove beneficial in a case of the Kpahaja type *. 12-15.
* Dallana recommendi the use of Vayu-subduing, Pitta-subduing and Kapha-subduing drugs as Kalka in the preparation of these three Vasti respectively.
In a case of the Vataja type of Gulma, the patient should be made to use the medicated Ghrita duly cooked with the expressed juice of Amalaka and with the Kalka of the six drugs * and with the admixture of sugar and Saindhava (as an after-throw). I 5.