Causes and kinds of gulma

Five severe kinds of gulma arise from vata, pitta, kapha, all three, and in women from menstrual blood; the blood type shows pitta signs and all the signs of pregnancy, but unlike a foetus, whose limbs move without pain, it throbs as a lump with pain. Footnotes define gulma as a round knot between the heart and the bladder and say the blood type, once old, is easily curable and is treated after ten months.