Abstract

Dhara Patel* (MD Rachana Shareera)

ABSTRACT

In Ayurveda, Marma points are crucial vital spots, with a total of 107 identified. These can be categorized into five types: Mamsa (muscle), Sira (vein), Snayu (ligament), Asthi (bone), and Sandhi (joint) Marma. Damage to these Marma points can lead to deformity, death, or paralysis. Acharya Sushruta and Acharya Vaghabhatta have described these points in detail in their texts. During surgical procedures, it is essential to accurately locate and measure the Marma point before making any incisions to avoid harming these sensitive areas. The field of Shalya Tantra encompasses much of the knowledge related to Marma points. Marmas are considered the seats of Vayu (air), Soma (moon) and Tejas (fire), in relation to the three fundamental qualities: Sattva (goodness), Rajas (passion) and Tamas (ignorance). Among the 107 Marma points, the Kurchashira Marma is located in each limb. In the upper extremity, it is found in located below Manibandha Marma on both side of hand. The aim of our study is to examine the anatomical structures and vitality associated with the Kurchashira Marma site. This Marma measures 1 Anguli in Pramana (diameter) and is classified as a Rujakara Marma due to its potential for causing pain and inflammatory condition. Positioned at below Manibandha Marma on both side of hand. Kurchashira Marma is categorized under Snayu Marma and Urdhvashakhagat Marma classification. Ruja (pain) and Shopha (swelling or edema) is a condition that results from an injury to the Kurchashira Marma. This injury can lead to complications such as severe pain and swelling or edema. The Kurchashira Marma regulates Alochaka Pitta (the visual power of the eyes), Agni (digestive power), and the stomach. It also governs Pachaka Pitta, Kledaka Kapha and Samana Vayu, which are related to digestion and influence the head, mind and nervous systems, as well as calming Vata. The thumb is considered a manifestation of Agni, representing not only digestive power but also Prana (vital life force) and the soul. This makes it a crucial point for managing various forms of bodily fire. The vitality of the Kurchashira Marma involves the balance of Vata, Pitta and Kapha Dosha, and Mahabhuta (elements) of Vayu and Agni. Key anatomical structures in the Kurchashira Marma are include the apex of the palmar aponeurosis, median nerve, flexor digitorium superficialis and profundus, superficial and deep palmar arch, palmar and dorsal intercarpal ligaments and the tendons of the extensor digitorium and extensor indicis muscles. Among these, the median nerve and the apex of the palmar aponeurosis are particularly significant.