Science of Marma

SCIENCE OF MARMA SCIENCE OF MARMA (In Ayurvedic Diagnosis and (In Ayurvedic Diagnosis and

Treatment)Treatment)

Dr. Srinivas Hejmadi AcharyaDr. Srinivas Hejmadi Acharya B.S.A.M., M.D. (Ayu), Ph.D B.S.A.M., M.D. (Ayu), 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

JamnagarJamnagar

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~

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, are every day and to treat the affliction, are the means to care Marma. the means to care Marma.

(Charaka Samhita. Sidhi Sthana 9th chapter 10th 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 - manipulating & treating Marma Chikitsa - manipulating & treating Marma in the management of diseases.Marma in the management of diseases. b. Marma Nidana - utilizing Marma Pariksha in b. Marma Nidana - utilizing Marma Pariksha in diagnosis of illnesses.diagnosis of illnesses.

CONTEXT OF PRANA -1CONTEXT OF PRANA -1

• PranaPrana though prevailing ubiquitously in entire body, it though prevailing ubiquitously in entire body, it performs the functions according to the organs performs the functions according to the organs situated in the local regions.situated in the local regions.

• In the local regions also, In the local regions also, PranaPrana gets more centralised gets more centralised in specific parts which can be called as its seat or chief in specific parts which can be called as its seat or chief centre. Apart from this, there are lesser centres centre. Apart from this, there are lesser centres belonging to that local region where belonging to that local region where PranaPrana keeps keeps moving to aid (moving to aid (Sanchara SthanaSanchara Sthana) the functions of those ) the functions of those body parts. Such movements by currents of Prana may body parts. Such movements by currents of Prana may also have specific directions. This is elucidated in also have specific directions. This is elucidated in adjoining picture. adjoining picture.


• When When PranaPrana gets disturbed in localised regions only, gets disturbed in localised regions only, then the disturbed function of that related region shall then the disturbed function of that related region shall be exhibited. This may happen as a consequence to be exhibited. This may happen as a consequence to many causes (etiological factors) that hamper the local many causes (etiological factors) that hamper the local regional pathways of regional pathways of PranaPrana. This is true with the sense . This is true with the sense that certain local packets of that certain local packets of Prana (Marma)Prana (Marma) are also are also affected during such event. It may be hypothesised, affected during such event. It may be hypothesised, that by tactful stimulation of local centres of that by tactful stimulation of local centres of PranaPrana, the , the paths for movement of paths for movement of PranaPrana become cleared and become cleared and normal functioning ensues. This hypothesis is further normal functioning ensues. This hypothesis is further discussed in the forth coming chapters. discussed in the forth coming chapters.




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).


• The Agni, Soma and Vayu are seemingly important The Agni, Soma and Vayu are seemingly important basis through which the multiple functions of Prana basis through which the multiple functions of Prana (life energy) in the body is made possible. (life energy) in the body is made possible.

• Thus Marma Vastu is also considered by the Thus Marma Vastu is also considered by the predominence of Agni, Soma, and Vayu. predominence of Agni, Soma, and Vayu.


Marma

Types of MarmaTypes 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 opinionsopinions 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 PranaharaSadhya Pranahara Death by 7 daysDeath by 7 days

Kalantara PranaharaKalantara Pranahara Death by fortnight or Death by fortnight or monthmonth

VishalyaghnaVishalyaghna Death as soon foreign Death as soon foreign body removedbody removed

VaikalyakaraVaikalyakara DeformingDeforming

Rujakara Rujakara Sever painSever pain

Some comparison of Martial Some comparison of Martial Marma with the classical ones.Marma with the classical ones.

AyurvedaAyurveda KulabhyasaKulabhyasa TamilTamil

SthapaniSthapani ThrikoodhyakamThrikoodhyakam ThilaskklaThilaskkla

ShankhaShankha SirasayamSirasayam ChivukkuttyChivukkutty

ApangaApanga KannunthiKannunthi NaksatramNaksatram

MatrikaMatrika KazhuthukochiKazhuthukochi VilankuVilanku

VastiVasti JalpandumJalpandum MoothiramMoothiram

IndrabastiIndrabasti NadypathyNadypathy NadupauthaNadupautha

HridayaHridaya ThilakusyThilakusy NeeramarmaNeeramarma

Marma NidanaMarma 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 described in the previous chapter. The patient must lie in a relaxed posture before physician must lie in a relaxed posture before physician starts palpating. It is always preferable to starts palpating. It is always preferable to examine `Marma' in the morning hours after examine `Marma' in the morning hours after raising from the bed. Physician must make sure raising from the bed. Physician must make sure that the patient is not fasting neither of full that the patient is not fasting neither of full stomach and he has attended morning toilette. stomach and he has attended morning toilette.

Palpation of Marma• The doctor has to look for Marma points carefully one by one The doctor has to look for Marma points carefully one by one

making sure that he is palpating the Marma place and not any making sure that he is palpating the Marma place and not any other injured tender part near by. Charaka says Marma are the other injured tender part near by. Charaka says Marma are the sites of Chetana nibaddha i.e., specific places of Chetana sites of Chetana nibaddha i.e., specific places of Chetana (consciousness) and hence they are comparatively tender in (consciousness) and hence they are comparatively tender in nature. The pain originating in these Marma places (on nature. The pain originating in these Marma places (on affliction?) are sever in comparison to the other places of body affliction?) are sever in comparison to the other places of body (Charaka Samhita. Siddhi Sthana. 9th chapter 3rd Sloka). Thus (Charaka Samhita. Siddhi Sthana. 9th chapter 3rd Sloka). Thus feeling of pain on slight pressure is the only reliable index to feeling of pain on slight pressure is the only reliable index to identify as well to assess the vitiation of Marma. The physician identify as well to assess the vitiation of Marma. The physician must be attentive enough to assess the degree of tenderness. must be attentive enough to assess the degree of tenderness. This one has to acquire only by constant practice and expertise. This one has to acquire only by constant practice and expertise. The tenderness being a varying factor related to the constitution The tenderness being a varying factor related to the constitution of the patient and also illness. This phenomenon is similar to of the patient and also illness. This phenomenon is similar to that of examining and grading bodily reflexes of the patient in that of examining and grading bodily reflexes of the patient in neurological practice where without proper practice reflexes can neurological practice where without proper practice reflexes can not elicited. Vagbhata adds to above information that the Marma not elicited. Vagbhata adds to above information that the Marma are the places where pulsations (Spandanam) are found along are the places where pulsations (Spandanam) are found along with some degree of tenderness. with some degree of tenderness.

Examination of AmsakootaExamination of Amsakoota

Examination of AmsapalakaExamination of Amsapalaka

Examination of Sphik MarmaExamination of Sphik Marma

Examination of kukundaraExamination of kukundara

Examination of ParshvasandhiExamination of Parshvasandhi

Examination of Indrabasti in legsExamination of Indrabasti in legs

Examination of Aani MarmaExamination of Aani Marma

Examination of Koorchashira in legsExamination of Koorchashira in legs

Examination of Indrabasti in handsExamination of Indrabasti in hands

Examination of KrikatikaExamination of Krikatika

Examination of AdhipatiExamination of Adhipati

Self Palpation of ShankhaSelf Palpation of Shankha

General signs of Injuries to MarmaGeneral signs of Injuries to Marma

Bhrama Srasthangata Pralapa Murcha Patanam Urdhva Vata Pramoha Teevra RujaVicheshtanam Mamsodaka SravaSamlayanam Sarvaindriyartha

UparamaUshnata

Signs of affliction to Hridaya Signs of affliction to Hridaya Marma Marma

• When Hridaya gets afflicted (Abhihate) with the vitiated Dosha in When Hridaya gets afflicted (Abhihate) with the vitiated Dosha in the body the following features supervene - cough and the body the following features supervene - cough and dyspnoea, reduced strength of the body (strength for exertion), dyspnoea, reduced strength of the body (strength for exertion), dryness in the throat, peculiar extracting pain in lungs dryness in the throat, peculiar extracting pain in lungs (Klomakarshana), protrusion of the tongue, dryness of buccal (Klomakarshana), protrusion of the tongue, dryness of buccal cavity (Mukhatalu Shosha), convulsions (Apasmara), psychosis cavity (Mukhatalu Shosha), convulsions (Apasmara), psychosis (Unmada), delirium (Pralapa), disorientation (Cittanasha). (Unmada), delirium (Pralapa), disorientation (Cittanasha).

• Signs & symptoms shown above simulate cardiac arrest, shock, Signs & symptoms shown above simulate cardiac arrest, shock, and also sever respiratory crisis, leading to neuro psychological and also sever respiratory crisis, leading to neuro psychological disturbances. It will be a deviation from the main topic to disturbances. It will be a deviation from the main topic to consider the pathophysiological discussions here. However, an consider the pathophysiological discussions here. However, an intelligent physician can grasp the underlying clinical picture by intelligent physician can grasp the underlying clinical picture by the above quotations.the above 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 features supervene when shiro Marma is vitiated by Dosha (intrinsic factors) - torsion of the neck like that of torticolis (intrinsic factors) - torsion of the neck like that of torticolis (Manyastambha), facial paralysis / transient paresis of half side of (Manyastambha), facial paralysis / transient paresis of half side of body (Ardita), visual disturbances (Cakshuvibhrama), delusion body (Ardita), visual disturbances (Cakshuvibhrama), delusion (Moha) binding ache in head (Veshtanam), loss of function in body (Moha) binding ache in head (Veshtanam), loss of function in body parts (Chestanasha), cough, dyspnoea (Gadgada), drooping of eye parts (Chestanasha), cough, dyspnoea (Gadgada), drooping of eye lids, tics (Ganda Spandanam), excessive yawning (Jrambhanam), lids, tics (Ganda Spandanam), excessive yawning (Jrambhanam), dribbling of saliva from mouth, loss of pitch of the voice i.e. dribbling of saliva from mouth, loss of pitch of the voice i.e. monotonous (Svarahani), torsion or spastic facial muscles monotonous (Svarahani), torsion or spastic facial muscles (Vadana Jihmatva) etc. (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 the Marma. Therefore it is not astonishing that the state of mind influence upon Marma points in the body. It is also true mind influence upon Marma points in the body. It is also true that the three qualities such as Sattva, Rajas, and Tamas are that the three qualities such as Sattva, Rajas, and Tamas are also found in the Marma which are three contents of the mind also found in the Marma which are three contents of the mind itself. This makes an easy explanation that why the status of itself. This makes an easy explanation that why the status of mind & its disturbances are reflected upon Marma. More the mind & its disturbances are reflected upon Marma. More the mind is susceptible & sensitive, so is the state of Marma. mind is susceptible & sensitive, so is the state of Marma. Following are the examples of certain psychosomatic and Following are the examples of certain psychosomatic and neurotic condition where the Marma are generally noted neurotic condition where the Marma are generally noted affected in our hospital.affected in our hospital.

The Clinical Applications of MarmaThe 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 utilisation of Marma Pareeksha in clinical examination and assessment of the patients. We have discussed and assessment of the patients. We have discussed that morbidity at the site of Marma has direct relation that morbidity at the site of Marma has direct relation with the vitiated Dosha & Dhatu of the body. Therefore, with the vitiated Dosha & Dhatu of the body. Therefore, the vitiated Marma is desirably related to the the vitiated Marma is desirably related to the pathogenesis of particular diseases. Many a time pathogenesis of particular diseases. Many a time Marma Pareeksha becomes a valuable tool for Marma Pareeksha becomes a valuable tool for differential diagnosis. The subtitle running below differential diagnosis. The subtitle running below incorporates clinical details as experienced by the 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 DisesesRelation 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 – Kshipra,Talahridaya, Inflammatory conditions & Ama – 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 --- Krikatika, Utkshepa,Sthapani Epilepsy, psychosis --- Krikatika, Utkshepa,Sthapani etc.etc.

Marma ChikitsaMarma 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 TreatmentGeneral 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 MarmaTreatment 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 In general, while prescribing drug regimen

for Marma Vikara the Physician shall have to for 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

bodybody b.b. The substance quality of Marma relating The substance quality of Marma relating

to vitiation (which include the Dhatu of to vitiation (which include the Dhatu of Marma)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 face. But for the deeper Marma also, in some instances treatments are given locally upon the instances treatments are given locally upon the superficially referring anatomical area above them. superficially referring anatomical area above them. Such treatments include oil applications, Abhyanga Such 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 Palpation of Marma locally, however, counts first in the treatment of Marma existing superficially. the treatment of Marma existing superficially. Applying comfortable pressure and stroking with Applying comfortable pressure and stroking with fingers and palms upon the Marma sites is a best fingers and palms upon the Marma sites is a best way to treat them. The knowledge of accupressure way to treat them. The knowledge of accupressure may be helpful for the practitioners willing to use may be helpful for the practitioners willing to use the knowledge of Marma. the knowledge of Marma.

Some Useful local remediesSome 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 ExternallyBenefits of Treating Externally

• Establish proper nutrients to marma sites which Establish proper nutrients to marma sites which are basically made of Dhatu (metabolic discete) are 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 Rasavahini situated at the site , which convey the Dosha. the Dosha.

• The qualities of the medicaments used in Taila The qualities of the medicaments used in Taila shall also counteract the morbid factors shall also counteract the morbid factors vitiating the Marma.vitiating the Marma.

The Psychological ComponentThe 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 aspect also. Physician should observe for the source of mental stress by counselling the source of mental stress by counselling with patient. The patient must be appraised with patient. The patient must be appraised of the gravity/or the role of mental grief, of the gravity/or the role of mental grief, tension etc. in the physical disturbances. tension etc. in the physical disturbances. Psychosomatic illnesses for instance Psychosomatic illnesses for instance provide enough material to understand the provide enough material to understand the relation of Marma with mind. Obviously relation of Marma with mind. Obviously certain Medhya Rasayana (brain certain Medhya Rasayana (brain rejuvenators) drugs and treatments like rejuvenators) drugs and treatments like Shirodhara are note worthy at this context. Shirodhara are note worthy at this context. These assist in bringing the mind to relaxed These assist in bringing the mind to relaxed state. state.

Yoga – in treating MarmaYoga – 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 The relative terms like Prana. Nadi and Vata in respect of Marma are already discussed, in respect of Marma are already discussed, there is no need to highlight Prana & Nadi there is no need to highlight Prana & Nadi Shudhi in the care of Marma. Preservation of Shudhi in the care of Marma. Preservation of Prana through the control over mental Prana through the control over mental activities & relaxed state of body & mind is activities & relaxed state of body & mind is an important aspect, in the treatment of an important aspect, in the treatment of Marma too. 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.

Science of Marma

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