SCIENCE OF MARMA SCIENCE OF MARMA

(In Ayurvedic Diagnosis and (In Ayurvedic Diagnosis and

Treatment) Treatment)
Dr. Srinivas Hejmadi Acharya Dr. Srinivas Hejmadi Acharya
B.S.A.M., M.D. ( B.S.A.M., M.D. (Ayu Ayu), ), Ph.D Ph.D
Program Officer & Head, International Center Program Officer & Head, International Center
for Ayurvedic Studies; for Ayurvedic Studies;
Head of Panchakarma Department Head of Panchakarma Department
Gujarat Ayurved University Gujarat Ayurved University
Jamnagar Jamnagar
Abadhavarjanam Abadhavarjanam Nityam Nityam Svasthavrittanuvartanam Svasthavrittanuvartanam
Utpannartivighatascha Utpannartivighatascha Marmanam Marmanam Paripalanam Paripalanam. .
~~aibiidviji^nio aibiidviji^nio * *nityio nityio
svisWiviVttiini#viti^nio svisWiviVttiini#viti^nio
utpinnii utpinnii* *ti ti^* ^*viGiitiSci viGiitiSci
mimi^Niiopi mimi^Niiopi* *rpiilinio rpiilinio~~
To defy from dangers to Marma, To defy from dangers to Marma,
to follow the hygienic measures to follow the hygienic measures
every day and to treat the affliction, every day and to treat the affliction,
are the means to care Marma. are the means to care Marma.
(Charaka Samhita. Sidhi Sthana 9
th
chapter 10
th
Sloka)
Science of Marma
(In India and Abroad)
1. Knowledge of Marma related to martial art & warfare 1. Knowledge of Marma related to martial art & warfare
medicine. medicine.
2. Knowledge of Marma with surgical importance. 2. Knowledge of Marma with surgical importance.
3. Knowledge of Marma with medical importance 3. Knowledge of Marma with medical importance
a. a. Marma Chikitsa Marma Chikitsa - - manipulating & treating manipulating & treating
Marma in the management of diseases. Marma in the management of diseases.
b. Marma Nidana b. Marma Nidana - - utilizing Marma Pariksha in utilizing Marma Pariksha in
diagnosis of illnesses. diagnosis of illnesses.
CONTEXT OF PRANA CONTEXT OF PRANA - -11
Prana Prana though prevailing ubiquitously in entire body, it though prevailing ubiquitously in entire body, it
performs the functions according to the organs situated in performs the functions according to the organs situated in
the local regions. the local regions.
In the local regions also, In the local regions also, Prana Prana gets more centralised in gets more centralised in
specific parts which can be called as its seat or chief specific parts which can be called as its seat or chief
centre. Apart from this, there are lesser centres belonging centre. Apart from this, there are lesser centres belonging
to that local region where to that local region where Prana Prana keeps moving to aid keeps moving to aid
((Sanchara Sthana Sanchara Sthana) the functions of those body parts. Such ) the functions of those body parts. Such
movements by currents of Prana may also have specific movements by currents of Prana may also have specific
directions. This is elucidated in adjoining picture. directions. This is elucidated in adjoining picture.
CONTEXT OF PRANA CONTEXT OF PRANA - -22
When When Prana Prana gets disturbed in localised regions only, then gets disturbed in localised regions only, then
the disturbed function of that related region shall be the disturbed function of that related region shall be
exhibited. This may happen as a consequence to many exhibited. This may happen as a consequence to many
causes (etiological factors) that hamper the local regional causes (etiological factors) that hamper the local regional
pathways of pathways of Prana Prana. This is true with the sense that certain . This is true with the sense that certain
local packets of local packets of Prana (Marma) Prana (Marma) are also affected during are also affected during
such event. It may be hypothesised, that by tactful such event. It may be hypothesised, that by tactful
stimulation of local centres of stimulation of local centres of Prana Prana, the paths for , the paths for
movement of movement of Prana Prana become cleared and normal become cleared and normal
functioning ensues. This hypothesis is further discussed in functioning ensues. This hypothesis is further discussed in
the forth coming chapters. the forth coming chapters.
CONTEXT OF PRANA CONTEXT OF PRANA - -33
CONTEXT OF PRANA CONTEXT OF PRANA - -44
CONTEXT OF PRANA CONTEXT OF PRANA - -55
Marma Vastu (Matrix) Marma Vastu (Matrix)
The site of Marma constitutes some physical The site of Marma constitutes some physical
substances of the body. These are five in number substances of the body. These are five in number
viz. viz.
1.Mamsa (muscle)
2.Sira (vessels conveying body fluids &
impulses).
3.Snayu (flat tapering substances like tendons)
4.Asthi (bone) and
5.Sandhi (articulative points especially bone
joints).
Marma Vastu (Matrix) Marma Vastu (Matrix)
The Agni, Soma and Vayu are seemingly important basis The Agni, Soma and Vayu are seemingly important basis
through which the multiple functions of Prana (life energy) through which the multiple functions of Prana (life energy)
in the body is made possible. in the body is made possible.
Thus Marma Vastu is also considered by the predominence Thus Marma Vastu is also considered by the predominence
of Agni, Soma, and Vayu. of Agni, Soma, and Vayu.
Marma Vastu (Matrix) Marma Vastu (Matrix)
Marma
Types of Marma Types of Marma
a) Superficial (Uttana) Marma
b) Deep (Gambheera) Marma b) Deep (Gambheera) Marma
c) Neither superficial nor deep c) Neither superficial nor deep
(Ubhaya) Marma (Ubhaya) Marma
( (such such opinions opinions are not prompted in classical books are not prompted in classical books
of Ayurveda. of Ayurveda.))
Types of Marma Types of Marma
Physical Matrix
Mamasa Marma Eleven in number
Sira Marma Fourty one in number
Snayu Marma Twenty Seven in number
Asthi Marma Eight in number
Sandhi Marma Twenty in number
Dhamani Marma Nine in number (as per
Vagbhata)
Types of Marma Types of Marma
Special Features
Sadhya Pranahara Sadhya Pranahara Death by 7 days Death by 7 days
Kalantara Pranahara Kalantara Pranahara Death by fortnight or Death by fortnight or
month month
Vishalyaghna Vishalyaghna Death as soon foreign Death as soon foreign
body removed body removed
Vaikalyakara Vaikalyakara Deforming Deforming
Rujakara Rujakara Sever pain Sever pain
Some comparison of Martial Some comparison of Martial
Marma with the classical ones. Marma with the classical ones.
Ayurveda Ayurveda Kulabhyasa Kulabhyasa Tamil Tamil
Sthapani Sthapani Thrikoodhyakam Thrikoodhyakam Thilaskkla Thilaskkla
Shankha Shankha Sirasayam Sirasayam Chivukkutty Chivukkutty
Apanga Apanga Kannunthi Kannunthi Naksatram Naksatram
Matrika Matrika Kazhuthukochi Kazhuthukochi Vilanku Vilanku
Vasti Vasti Jalpandum Jalpandum Moothiram Moothiram
Indrabasti Indrabasti Nadypathy Nadypathy Nadupautha Nadupautha
Hridaya Hridaya Thilakusy Thilakusy Neeramarma Neeramarma
Marma Nidana Marma Nidana
(Investigation to pathognomy of Marma) (Investigation to pathognomy of Marma)
Examination of Marma (marma pareeksha)
Signs of Affliction to Marma
Understanding the relation of Marma with
mind
Clinical application of Marma
Palpation of Marma
The method for palpating specific Marma are The method for palpating specific Marma are
described in the previous chapter. The patient must described in the previous chapter. The patient must
lie in a relaxed posture before physician starts lie in a relaxed posture before physician starts
palpating. It is always preferable to examine palpating. It is always preferable to examine
`Marma' in the morning hours after raising from the `Marma' in the morning hours after raising from the
bed. Physician must make sure that the patient is bed. Physician must make sure that the patient is
not fasting neither of full stomach and he has not fasting neither of full stomach and he has
attended morning toilette. attended morning toilette.
Palpation of Marma
The doctor has to look for Marma points carefully one by one making The doctor has to look for Marma points carefully one by one making
sure that he is palpating the Marma place and not any other injured sure that he is palpating the Marma place and not any other injured
tender part near by. Charaka says Marma are the sites of Chetana tender part near by. Charaka says Marma are the sites of Chetana
nibaddha i.e., specific places of Chetana (consciousness) and hence nibaddha i.e., specific places of Chetana (consciousness) and hence
they are comparatively tender in nature. The pain originating in these they are comparatively tender in nature. The pain originating in these
Marma places (on affliction?) are sever in comparison to the other Marma places (on affliction?) are sever in comparison to the other
places of body (Charaka Samhita. Siddhi Sthana. 9th chapter 3rd places of body (Charaka Samhita. Siddhi Sthana. 9th chapter 3rd
Sloka). Thus feeling of pain on slight pressure is the only reliable Sloka). Thus feeling of pain on slight pressure is the only reliable
index to identify as well to assess the vitiation of Marma. The index to identify as well to assess the vitiation of Marma. The
physician must be attentive enough to assess the degree of physician must be attentive enough to assess the degree of
tenderness. This one has to acquire only by constant practice and tenderness. This one has to acquire only by constant practice and
expertise. The tenderness being a varying factor related to the expertise. The tenderness being a varying factor related to the
constitution of the patient and also illness. This phenomenon is constitution of the patient and also illness. This phenomenon is
similar to that of examining and grading bodily reflexes of the patient similar to that of examining and grading bodily reflexes of the patient
in neurological practice where without proper practice reflexes can in neurological practice where without proper practice reflexes can
not elicited. Vagbhata adds to above information that the Marma are not elicited. Vagbhata adds to above information that the Marma are
the places where pulsations (Spandanam) are found along with some the places where pulsations (Spandanam) are found along with some
degree of tenderness. degree of tenderness.
Examination of Amsakoota Examination of Amsakoota
Examination of Amsapalaka Examination of Amsapalaka
Examination of Sphik Marma Examination of Sphik Marma
Examination of kukundara Examination of kukundara
Examination of Parshvasandhi Examination of Parshvasandhi
Examination of Indrabasti in legs Examination of Indrabasti in legs
Examination of Aani Marma Examination of Aani Marma
Examination of Koorchashira in legs Examination of Koorchashira in legs
Examination of Indrabasti in hands Examination of Indrabasti in hands
Examination of Krikatika Examination of Krikatika
Examination of Adhipati Examination of Adhipati
Self Palpation of Shankha Self Palpation of Shankha
General signs of Injuries to Marma General signs of Injuries to Marma
Bhrama Srasthangata
Pralapa Murcha
Patanam Urdhva Vata
Pramoha Teevra Ruja
Vicheshtanam Mamsodaka Srava
Samlayanam Sarvaindriyartha
Uparama
Ushnata
Signs of affliction to Hridaya Marma Signs of affliction to Hridaya Marma
When Hridaya gets afflicted (Abhihate) with the vitiated Dosha in the When Hridaya gets afflicted (Abhihate) with the vitiated Dosha in the
body the following features supervene body the following features supervene -- cough and dyspnoea, cough and dyspnoea,
reduced strength of the body (strength for exertion), dryness in the reduced strength of the body (strength for exertion), dryness in the
throat, peculiar extracting pain in lungs (Klomakarshana), protrusion throat, peculiar extracting pain in lungs (Klomakarshana), protrusion
of the tongue, dryness of buccal cavity (Mukhatalu Shosha), of the tongue, dryness of buccal cavity (Mukhatalu Shosha),
convulsions (Apasmara), psychosis (Unmada), delirium (Pralapa), convulsions (Apasmara), psychosis (Unmada), delirium (Pralapa),
disorientation (Cittanasha). disorientation (Cittanasha).
Signs & symptoms shown above simulate cardiac arrest, shock, and Signs & symptoms shown above simulate cardiac arrest, shock, and
also sever respiratory crisis, leading to neuro psychological also sever respiratory crisis, leading to neuro psychological
disturbances. It will be a deviation from the main topic to consider the disturbances. It will be a deviation from the main topic to consider the
pathophysiological discussions here. However, an intelligent pathophysiological discussions here. However, an intelligent
physician can grasp the underlying clinical picture by the above physician can grasp the underlying clinical picture by the above
quotations. quotations.
Signs of affliction to Shiro Marma Signs of affliction to Shiro Marma
The name of Shiro Marma is not used in the list of 107 Marma. It The name of Shiro Marma is not used in the list of 107 Marma. It
possibly refer collectively the important Marma found on the head possibly refer collectively the important Marma found on the head
(Shiras). Shiro Marma does not refer to the organs on the head like (Shiras). Shiro Marma does not refer to the organs on the head like
eyes, nose, ear etc. But more truly to the brain. The following eyes, nose, ear etc. But more truly to the brain. The following
features supervene when shiro Marma is vitiated by Dosha (intrinsic features supervene when shiro Marma is vitiated by Dosha (intrinsic
factors) factors) -- torsion of the neck like that of torticolis (Manyastambha), torsion of the neck like that of torticolis (Manyastambha),
facial paralysis / transient paresis of half side of body (Ardita), visual facial paralysis / transient paresis of half side of body (Ardita), visual
disturbances (Cakshuvibhrama), delusion (Moha) binding ache in disturbances (Cakshuvibhrama), delusion (Moha) binding ache in
head (Veshtanam), loss of function in body parts (Chestanasha), head (Veshtanam), loss of function in body parts (Chestanasha),
cough, dyspnoea (Gadgada), drooping of eye lids, tics (Ganda cough, dyspnoea (Gadgada), drooping of eye lids, tics (Ganda
Spandanam), excessive yawning (Jrambhanam), dribbling of saliva Spandanam), excessive yawning (Jrambhanam), dribbling of saliva
from mouth, loss of pitch of the voice i.e. monotonous (Svarahani), from mouth, loss of pitch of the voice i.e. monotonous (Svarahani),
torsion or spastic facial muscles (Vadana Jihmatva) etc. torsion or spastic facial muscles (Vadana Jihmatva) etc.
There is no need to point out that above features indicate various There is no need to point out that above features indicate various
kinds of organic neurological problems. kinds of organic neurological problems.
Signs of affliction to Basti Marma Signs of affliction to Basti Marma
When the vitiated Dosha in the body afflict the Basti When the vitiated Dosha in the body afflict the Basti
Marma the following features appear. Retention of Marma the following features appear. Retention of
flatus, retention of urine & faecal matter, pain in the flatus, retention of urine & faecal matter, pain in the
regions of groin genitals & bladder, rotating & regions of groin genitals & bladder, rotating &
constricting pain as that of obstructive uropathy due constricting pain as that of obstructive uropathy due
to prostatitis (Kundala), group of signs occurring to prostatitis (Kundala), group of signs occurring
due to Avarana of Apana (udavarta), due to Avarana of Apana (udavarta),
tumor/hyperplasia of Vata origin (Ashteela), stillness tumor/hyperplasia of Vata origin (Ashteela), stillness
in bladder (Upastambha), restrictive pain (Graha) in in bladder (Upastambha), restrictive pain (Graha) in
umbilicus abdomen, rectum & pelvis etc. umbilicus abdomen, rectum & pelvis etc.
The above sings & symptoms are indicative of The above sings & symptoms are indicative of
anomalies in bladder and obstructive uropathic anomalies in bladder and obstructive uropathic
conditions associated with consequences. conditions associated with consequences.
Relation of Marma with Mind Relation of Marma with Mind
In majority of the psychosomatic illness ,the involvement of In majority of the psychosomatic illness ,the involvement of
different Marma in the body is invariably found. The mind different Marma in the body is invariably found. The mind
exhibits proximal relations with the Marma zones. Ayurvedic exhibits proximal relations with the Marma zones. Ayurvedic
classics state that mind prevails throughout the body and its classics state that mind prevails throughout the body and its
seat is Hridaya (Marma). The channels of mind in the body are seat is Hridaya (Marma). The channels of mind in the body are
ubiquitous & cannot be specified as in case of Tridosha too. ubiquitous & cannot be specified as in case of Tridosha too.
Prana has intricate relation with mind and Vata is the sole Prana has intricate relation with mind and Vata is the sole
cause for motivating & controlling the mind (Charaka Samhita. cause for motivating & controlling the mind (Charaka Samhita.
Sutra Sthana. 12th chapter. 8th Sloka). We have discussed Sutra Sthana. 12th chapter. 8th Sloka). We have discussed
enough in earlier chapters regarding Prana / Vata in relation to enough in earlier chapters regarding Prana / Vata in relation to
the Marma. Therefore it is not astonishing that the state of mind the Marma. Therefore it is not astonishing that the state of mind
influence upon Marma points in the body. It is also true that the influence upon Marma points in the body. It is also true that the
three qualities such as Sattva, Rajas, and Tamas are also found three qualities such as Sattva, Rajas, and Tamas are also found
in the Marma which are three contents of the mind itself. This in the Marma which are three contents of the mind itself. This
makes an easy explanation that why the status of mind & its makes an easy explanation that why the status of mind & its
disturbances are reflected upon Marma. More the mind is disturbances are reflected upon Marma. More the mind is
susceptible & sensitive, so is the state of Marma. Following are susceptible & sensitive, so is the state of Marma. Following are
the examples of certain psychosomatic and neurotic condition the examples of certain psychosomatic and neurotic condition
where the Marma are generally noted affected in our hospital. where the Marma are generally noted affected in our hospital.
The Clinical Applications of Marma The Clinical Applications of Marma
Under this title author wishes to emphasise on the Under this title author wishes to emphasise on the
utilisation of Marma Pareeksha in clinical examination and utilisation of Marma Pareeksha in clinical examination and
assessment of the patients. We have discussed that assessment of the patients. We have discussed that
morbidity at the site of Marma has direct relation with the morbidity at the site of Marma has direct relation with the
vitiated Dosha & Dhatu of the body. Therefore, the vitiated vitiated Dosha & Dhatu of the body. Therefore, the vitiated
Marma is desirably related to the pathogenesis of particular Marma is desirably related to the pathogenesis of particular
diseases. Many a time Marma Pareeksha becomes a diseases. Many a time Marma Pareeksha becomes a
valuable tool for differential diagnosis. The subtitle running valuable tool for differential diagnosis. The subtitle running
below incorporates clinical details as experienced by the below incorporates clinical details as experienced by the
author & clinical datas are used wherever needed. author & clinical datas are used wherever needed.
Relation of Marma with some Diseses Relation of Marma with some Diseses
Lumbar Degenerative Diseases and Sciatica Lumbar Degenerative Diseases and Sciatica --- ---
Indrabasti,Katikataruna,Kukundara,Nitamba Indrabasti,Katikataruna,Kukundara,Nitamba
Inflammatory conditions & Ama Inflammatory conditions & Ama Kshipra,Talahridaya, Kshipra,Talahridaya,
Kurchashira, Indrabsti. Kurchashira, Indrabsti.
Different Headaches Different Headaches --- ---
Shankha,Krikatika,Utkshepa,Avarta,Sthapani Shankha,Krikatika,Utkshepa,Avarta,Sthapani
Cervial pain (spondylosis) Cervial pain (spondylosis)--- ---
Krikatika,Amsapalaka,Amsakoota. Krikatika,Amsapalaka,Amsakoota.
Epilepsy, psychosis Epilepsy, psychosis --- --- Krikatika, Utkshepa,Sthapani etc. Krikatika, Utkshepa,Sthapani etc.
Marma Chikitsa Marma Chikitsa
(The Care of Marma) (The Care of Marma)
Abadhavarjanam Nityam Svasthavrittanuvartanam Abadhavarjanam Nityam Svasthavrittanuvartanam
Utpannartivighatascha Marmanam Paripalanam. Utpannartivighatascha Marmanam Paripalanam.
~aibiidviji^nio *nityio ~aibiidviji^nio *nityio
svisWiviVttiini#viti^nio svisWiviVttiini#viti^nio
utpinnii*ti^*viGiitiSci utpinnii*ti^*viGiitiSci
mimi^Niiopi*rpiilinio~ mimi^Niiopi*rpiilinio~
1. Abadavarjanam (Preventive Aspect) 1. Abadavarjanam (Preventive Aspect)
2. Svasthavrittanuvartanam (Towards Positive Health) 2. Svasthavrittanuvartanam (Towards Positive Health)
3. Treating Diseases of Marma (utpannartivighata) 3. Treating Diseases of Marma (utpannartivighata)
General line of Treatment General line of Treatment
Principally, the treatment should involve the
replenishment of basic physical matrix
(Dhatu) of Marma, the control of Vata Dosha
& pacifying the Pitta Dosha, which in turn
supplement the loss of Prana too. In case of
traumatic conditions, healing drugs & blood
coagulants are to be used. Thus the
medicines having the properties of Snigdha,
Madhura, Tikta, Jeevaneeya, Balya,
Brimhana, Vata Shamaka, Pitta Shamaka , are
utilised in the treatment. Only if specified,
tactful removal of Kapha is performed.
Treatment of Marma Treatment of Marma
The treatment to the problems of The treatment to the problems of
Marma can be superficially understood Marma can be superficially understood
under the following categories, under the following categories,
I. I. The internal treatment given by oral The internal treatment given by oral
and other routes. and other routes.
II. II. The treatments given locally at the The treatments given locally at the
site of Marma site of Marma
III. III. However, thirdly the psychological However, thirdly the psychological
component should be remembered by component should be remembered by
the physician. the physician.
I. I. The internal treatment The internal treatment
In general, while prescribing drug regimen for In general, while prescribing drug regimen for
Marma Vikara the Physician shall have to Marma Vikara the Physician shall have to
take into account following points ; take into account following points ;
a. a. The general state of Dosha vitiation in the The general state of Dosha vitiation in the
body body
b. b. The substance quality of Marma relating to The substance quality of Marma relating to
vitiation (which include the Dhatu of Marma) vitiation (which include the Dhatu of Marma)
c. c. The Srotas or Ashaya (system) to which the The Srotas or Ashaya (system) to which the
specific Marma belongs specific Marma belongs
d. d. Preferably, the specific type of Vata (out of Preferably, the specific type of Vata (out of
the five) which resides in that Marma. the five) which resides in that Marma.
I. I. The internal treatment The internal treatment
Some Imporatant Herbs
Bala (Abitulum indicum)
Rasna (Vanda Roxbhurgi)
Amalaki (Embelica officianalis)
Arjuna (Terminalia arjuna)
Ashwagandha (Withenia somnifera)
Jeevanti (Leptadena reticulata)
Taila (Sesum oil) / Eranda (Castor Oil)
Milk and Ghee
Some Mineral & herbo-mineral Preparations
Ajasthi Bhasma (Goat bone Bhasma)
Kacchapaprishta Bhasma (Tortoise shell Bhasma )
Peranda Bhasma
Kapardhika Bhasma
Muktashukti Bhasma (Pearl shell Bhasma)
Jaharmohar Pishti
Rajata Bhasma (Silver Bhasma)
Suvarna Bhasma (Gold Bhasma)
Navajeevana Rasa
Marma Gutika
II. II. The treatments given locally The treatments given locally
The Marma are also treated locally at the site. This The Marma are also treated locally at the site. This
suites more preferably for the superficial Marma suites more preferably for the superficial Marma
largely existing on extremities, back and some on largely existing on extremities, back and some on
face. But for the deeper Marma also, in some instances face. But for the deeper Marma also, in some instances
treatments are given locally upon the superficially treatments are given locally upon the superficially
referring anatomical area above them. Such referring anatomical area above them. Such
treatments include oil applications, Abhyanga treatments include oil applications, Abhyanga
(massage), heat applications/Agnikarma (cautery) in (massage), heat applications/Agnikarma (cautery) in
the surrounding area, upanaha (hot poultice), Dhara, the surrounding area, upanaha (hot poultice), Dhara,
Lepa, Udvartana etc. Lepa, Udvartana etc.
Palpation of Marma locally, however, counts first in the Palpation of Marma locally, however, counts first in the
treatment of Marma existing superficially. Applying treatment of Marma existing superficially. Applying
comfortable pressure and stroking with fingers and comfortable pressure and stroking with fingers and
palms upon the Marma sites is a best way to treat palms upon the Marma sites is a best way to treat
them. The knowledge of accupressure may be helpful them. The knowledge of accupressure may be helpful
for the practitioners willing to use the knowledge of for the practitioners willing to use the knowledge of
Marma. Marma.
Some Useful local remedies Some Useful local remedies
Marma lepam Marma lepam
Ghee, Milk, Cool water, Mud, Mahanarayana Taila, Ksheerabala Tailam etc. Ghee, Milk, Cool water, Mud, Mahanarayana Taila, Ksheerabala Tailam etc.
Some useful Therapies under Panchakarma Some useful Therapies under Panchakarma
Abhyanga (particularly over Marma) Abhyanga (particularly over Marma)
Unmardana Unmardana
Dhara Chikitsa (including Piszhichil) Dhara Chikitsa (including Piszhichil)
Pinda Sveda Pinda Sveda
Shirodhara Shirodhara
Shirobasti Shirobasti
Urobasti Urobasti
Katibasti Katibasti
Pichu Dharana Pichu Dharana
Alepa (poultice) etc. Alepa (poultice) etc.
Marma Kshobe Lepa Marma Kshobe Lepa
This is a compound herbal mixture recommended especially for Marma external This is a compound herbal mixture recommended especially for Marma external
application mentioned in the book of Sahasrayoga (2nd chapter under Gutika application mentioned in the book of Sahasrayoga (2nd chapter under Gutika
Prakarana). Prakarana).
Benefits of Treating Externally Benefits of Treating Externally
Establish proper nutrients to marma sites which are Establish proper nutrients to marma sites which are
basically made of Dhatu (metabolic discete) basically made of Dhatu (metabolic discete)
Help in cleaning the channels (Srotas) or Help in cleaning the channels (Srotas) or
Rasavahini situated at the site , which convey the Rasavahini situated at the site , which convey the
Dosha. Dosha.
The qualities of the medicaments used in Taila shall The qualities of the medicaments used in Taila shall
also counteract the morbid factors vitiating the also counteract the morbid factors vitiating the
Marma. Marma.
The Psychological Component The Psychological Component
Thirdly, the intricate relation of Marma with Thirdly, the intricate relation of Marma with
mind has to be considered in treatment mind has to be considered in treatment
aspect also. Physician should observe for the aspect also. Physician should observe for the
source of mental stress by counselling with source of mental stress by counselling with
patient. The patient must be appraised of the patient. The patient must be appraised of the
gravity/or the role of mental grief, tension etc. gravity/or the role of mental grief, tension etc.
in the physical disturbances. Psychosomatic in the physical disturbances. Psychosomatic
illnesses for instance provide enough illnesses for instance provide enough
material to understand the relation of Marma material to understand the relation of Marma
with mind. Obviously certain Medhya with mind. Obviously certain Medhya
Rasayana (brain rejuvenators) drugs and Rasayana (brain rejuvenators) drugs and
treatments like Shirodhara are note worthy at treatments like Shirodhara are note worthy at
this context. These assist in bringing the this context. These assist in bringing the
mind to relaxed state. mind to relaxed state.
Yoga Yoga in treating Marma in treating Marma
The replenishment of physical content of The replenishment of physical content of
Marma is a beneficial point by Yogasana. Marma is a beneficial point by Yogasana.
However, the effect of Yogasana and However, the effect of Yogasana and
Pranayama are not limited to the physical Pranayama are not limited to the physical
exercises. They are closely related with exercises. They are closely related with
movement of Prana in different Nadi of the movement of Prana in different Nadi of the
body. body.
The relative terms like Prana. Nadi and Vata in The relative terms like Prana. Nadi and Vata in
respect of Marma are already discussed, there respect of Marma are already discussed, there
is no need to highlight Prana & Nadi Shudhi in is no need to highlight Prana & Nadi Shudhi in
the care of Marma. Preservation of Prana the care of Marma. Preservation of Prana
through the control over mental activities & through the control over mental activities &
relaxed state of body & mind is an important relaxed state of body & mind is an important
aspect, in the treatment of Marma too. aspect, in the treatment of Marma too.
There are specific Mudra which help in There are specific Mudra which help in
purifying specific Chakra in the body,so that purifying specific Chakra in the body,so that
the Prana moves freely in channels (Nadi) the Prana moves freely in channels (Nadi)
unobstructed. unobstructed.