Abstract

Suneet Roy* and Jitendra Kumar

ABSTRACT

Ayurveda identifies 107 marma points, with Vitapa Marma located between the groin (Vankshana) and Testis (Vrishan). It is associated with tendons (Snayu), though vessels (Sira), bones (Asthi), joints (Sandhi), and muscles (Mamsa) are also involved. According to Acharya Sushruta, it is a Snayu Marma, while Acharya Vagbhata considers it a Sira Marma. Injury to this marma leads to Shandata (impotence) or Alpa Shukrata (oligospermia), and it is classified under Vaikalyakara Marma, as damage may result in deformity or dysfunction of lower limb structures.In modern medicine, this area corresponds anatomically to the inguinal region, which includes critical reproductive and vascular structures like the spermatic cord. Disorders such as varicocele, cord torsion, hydrocele, inguinal hernias, and male infertility (e.g., oligospermia) are associated with this region. The area is also surgically important in vasectomy and hernia repairs (herniorrhaphy or hernioplasty).