Abstract

Dr. Aakanksha Kaintura*, Dr. Manish Bartwal and Dr. Naresh Kumar

ABSTRACT

Ayurveda is one of the most reliable and complete medical science. In Ayurveda, Marma is also known as Shalyavishya-ardha. Marma was first documented by Acharya Charaka, and its detailed description is mentioned in Samhita’s as in Sushruta Samhita and Astanga Hridayam. Acharya Sushruta explained Marma Viddha Lakshanam in detail. Human body when expose to trauma shows various signs and symptoms depending upon severity and type of trauma. Marma is an important consideration as per Ayurveda which plays a significant clinical role when correlated with Anatomical structure like, organs, nerves etc. Marma are the critical points in human body where Mamsa, Sira, Snayu, and Sandhi anastomose together. Its detailed knowledge is important from surgical point of view. As per our Acharya’s any injury to Marma will lead to Vikalta (Injury) or Mrityu (death). The total number are 107 in number. According to prognostic classification, Jaanu comes under Vaikalyakara Marma and Gulpha comes under Rujhakara Marma whereas according to structural classification both are present under Sandhi Marma. Talking about Vaikalyakara Marma, it is an ancient surgical anatomy of orthopedic surgery and neurosurgery. Rujhakara Marma creates pain with an injury at the level of tissue damage. This work is an attempt to present proper guideline of exact location, composition, structural anatomy of Jaanu and Gulpha Marma in relation to its Vidha Lakshan in comparison to modern science.