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Marma - vital points in ayurveda

Assistant Professor em Rajiv Gandhi Ayurveda Medical College, Mahe,
11 de Aug de 2021
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Marma - vital points in ayurveda

  1. Dr.Syyed Mohammed JAlaludeen BAMS, MS(Ay)PhD 1 Dr.Syyed Mohammed Jalaludeen A STUDY ON MARMAS vital points
  2. 2 Vital points In the Ayurvedic literature, the word MARMA is used to denote certain vital structures of the human body which are with structural and clinical significance. Dr.Syyed Mohammed JAlaludeen BAMS, MS(Ay)PhD
  3. Definition - Vital spot, - vulnerable points, - any secret of mystery, the care of anything etc.  Marma - king and warriors. battlefields to hit and achieve maximum fatal effect against their enemies. both in warfare and surgery.  Word marma - meaning ‘ma’ means prana or vayu, the repha indicates house or seat. Hence the word marma means seat of vayu or prana. Dr.Syyed Mohammed JAlaludeen BAMS, MS(Ay)PhD 3
  4. Dr.Syyed Mohammed JAlaludeen BAMS, MS(Ay)PhD 4 The Marmas if injured, result in serious complications or death,which may be instant / latent. In the normal physiological conditions,they play a vital role in the maintenance of bodily functions.
  5. Dr.Syyed Mohammed JAlaludeen BAMS, MS(Ay)PhD 5 Marmas are the seat of Soma Kapha (liquid) Maruta Vayu (Vata) Tejas Fire (Pitta) Rajas Satva Tamas Bhootatma Mind (Manas) Panchabhootas
  6. Dr.Syyed Mohammed JAlaludeen BAMS, MS(Ay)PhD 6 Inference Marmas are certain vital structures of the body. They may result in death, serious functional impairment or deformities upon injuries. Structurally they are composed of all the components of the human body in different propositions. Injury to Marmas result in neurological disorders, as the injury may predispose atrophy, paralysis etc. Equilibrium of Tridoshas are deranged on injuries. Injury also result in psychic imbalance.
  7. CLASSIFICATION 1. Structural classification (nivesha bheda) – mamsa marma, dhamanee marma etc. 2. Prognostic aspect According to traumatology / (vyapath bheda) – Sadyapranahara etc. 3. Regional classification According to location / site (anga bheda) – Udara marma etc. 4. Numerical classification According to metrics (samkhya bheda) – eka samkhya etc. 5. Dimensional classification According to size (mana bheda) – ex. Panithalonmana Dr.Syyed Mohammed JAlaludeen BAMS, MS(Ay)PhD 7
  8. Dr.Syyed Mohammed JAlaludeen BAMS, MS(Ay)PhD 8 Mamsa Marmas 10 Asthy Marmas 8 Snayu Marmas 23 Dhamani Marmas 9 Sira Marmas 37 Sandhy Marmas 20 107 Ashtanga Hridaya Structural Classification - II
  9. Dr.Syyed Mohammed JAlaludeen BAMS, MS(Ay)PhD 9 Sadya Pranahara Agneya Kalantara Pranahara Agneya+Saumya Visalyakhna Vayu Vaikalyakara Saumya Rujakara Agni+Vayu Composition
  10. Dr.Syyed Mohammed JAlaludeen BAMS, MS(Ay)PhD 10 Pathogenesis. Intensity of the trauma has an important role in prognosis. Even though Marmabhighatha is of Agantuka in nature, in the later phases,they result in imbalance of the the Tridoshas also.
  11. Dr.Syyed Mohammed JAlaludeen BAMS, MS(Ay)PhD 11 Clinical Significance. Susrutha give much importance to the dimensional aspect,since he belongs to the surgical school.He advises to be very cautious in surgical procedure to avoid hurting even the periphery of Marmas, as they may lead to grave consequences.
  12. Injury -General symptoms Appearance of pain Irregular throbbing Loss of sensation Heaviness of body Delusions Sweating Fainting Vomiting Dyspnoea Dr.Syyed Mohammed JAlaludeen BAMS, MS(Ay)PhD 12
  13. Shaka marmas 44 1. Thalahrut 2. Kshipra 3. Kurcha 4. Kurchasiras 5. Manibanda 6. Indravasthi 7. Koorpara 8. Aani 9. Urvi 10. Lohita 11. Kakshadruk Dr.Syyed Mohammed JAlaludeen BAMS, MS(Ay)PhD 13 1. Thalahrut 2. Kshipra 3. Kurcha 4. Kurchasiras 5. Gulpha 6. Indravasthi 7. Janu 8. Aani 9. Urvi 10. Lohita 11. Vitapa Lower limb * 2 Upper limb * 2
  14. Dr.Syyed Mohammed JAlaludeen BAMS, MS(Ay)PhD 14 1. Thalahrut Anga Nivesha Vyapat Mana Sankhya Sakha Mamsa Kalantara Ardhangula chatur
  15. Carpal tunnel syndrome Dr.Syyed Mohammed JAlaludeen BAMS, MS(Ay)PhD 15
  16. Dr.Syyed Mohammed JAlaludeen BAMS, MS(Ay)PhD 16 2. Kshipra Anga Nivesha Vyapat Mana Sankhya Sakha Śnâyu Kalantara Ardhangula Chatur
  17. Dr.Syyed Mohammed JAlaludeen BAMS, MS(Ay)PhD 17 Metatarsalgia
  18. Dr.Syyed Mohammed JAlaludeen BAMS, MS(Ay)PhD 18 3. Kurcha Anga Nivesha Vyapat Mana Sankhya Sakha Śnâyu Vaikalya Atmapani chatur
  19. Kurcha Tendonitis Carpal tunnel syndrome Tenosynovitis Flat foot---- the ligaments and tendons becomes weakened, the height of medial longitudinal arch may fall resulting flat foot. Daw foot---- in this medial longitudinal arch is abnormally elevate Hallux rigidus Dr.Syyed Mohammed JAlaludeen BAMS, MS(Ay)PhD 19
  20. Dr.Syyed Mohammed JAlaludeen BAMS, MS(Ay)PhD 20 4. Kurchasiras Anga Nivesha Vyapat Mana Sankhya Sakha Śnâyu Rujakara Ekangula Chatur
  21. Dr.Syyed Mohammed JAlaludeen BAMS, MS(Ay)PhD 21 5.Gulpha Anga Nivesha Vyapat Mana Sankhya Sakha Sandhi Rujakara Dwirangula Dvi
  22. 6. Indravasthi Dr.Syyed Mohammed JAlaludeen BAMS, MS(Ay)PhD 22 Anga Nivesha Vyapat Mana Sankhya Sakha Mamsa Kalantara ardhangula chatur
  23. Dr.Syyed Mohammed JAlaludeen BAMS, MS(Ay)PhD 23 7. JANUMARMA Maŕma Anga Nivesha Vyapat Mana Sankhya Janu Sakha Sandhi Vaikalya thrayngu Dvi
  24. Dr.Syyed Mohammed JAlaludeen BAMS, MS(Ay)PhD 24 Maŕma Anga Nivesha Vyapat Mana Sankhya Ani Sakha Śnâyu Vaikalya ardhangula chatur
  25. Dr.Syyed Mohammed JAlaludeen BAMS, MS(Ay)PhD 25 9. Urvi Maŕma Anga Nivesha Vyapat Mana Sankhya Urvi Sakha Sira Vaikalya ekangula chatur
  26. Dr.Syyed Mohammed JAlaludeen BAMS, MS(Ay)PhD 26 10. Lohita Maŕma Anga Nivesha Vyapat Mana Sankhya Lohita Sakha Sira Vaikalya ardhangula Dvi
  27. Dr.Syyed Mohammed JAlaludeen BAMS, MS(Ay)PhD 27 11. Vitapa Maŕma Anga Nivesha Vyapat Mana Sankhya Vitapa Sakha Sira Vaikalya ekangula Dvi
  28. Dr.Syyed Mohammed JAlaludeen BAMS, MS(Ay)PhD 28 12. Manibanda Marma Maŕma Anga Nivesha Vyapat Mana Sankhya Manibanda Sakha Sandhi Rujakara dwirangula Dvi
  29. Dr.Syyed Mohammed JAlaludeen BAMS, MS(Ay)PhD 29 13. KOORPARA MARMA Maŕma Anga Nivesha Vyapat Mana Sankhya Kurpara Sakha Sandhi Vaikalya thrayngu Dvi
  30. Dr.Syyed Mohammed JAlaludeen BAMS, MS(Ay)PhD 30 Maŕma Anga Nivesha Vyapat Mana Sankhya Kakshatruk Sakha Sira Vaikalya ekangula Dvi 14. Kakshadhara
  31. Dr.Syyed Mohammed JAlaludeen BAMS, MS(Ay)PhD 31 Anga Nivesha Vyapat Mana Sankhya Koshta Dhamani Sadhya Atmapani Eka 15.
  32. Dr.Syyed Mohammed JAlaludeen BAMS, MS(Ay)PhD 32 16.Vasthi marmas  Situated in the pelvis corresponding to bladder  Urinary bladder  Vesical plexus – hypogastric plexus Anga Nivesha Vyapat Mana Sankhya Koshta Śnâyu Sadhya Atmapani eka
  33. Dr.Syyed Mohammed JAlaludeen BAMS, MS(Ay)PhD 33 17.Nabhi marmas  Situated in between the pakwasaya (intestine)and the amasaya (stomach)  This is said to be the origin of all the vessels in the body  Inf & sup mesenteric N plexus  Inf Epigastric A & V  Bifurcation of abdominal aorta  Bifurcation of inf Venacava Anga Nivesha Vyapat Mana Sankhya Koshta Sira Sadhya Atmapani eka
  34. Dr.Syyed Mohammed JAlaludeen BAMS, MS(Ay)PhD 34 18.Hrudaya marmas  Situated between two breast and stomach and abdomen, near to cardiac end of stomach  It is adisthana of satwa, raja and tama  Root of Pranavaha & rasavaha srothas  Seats of sadaka pitha, vyana vayu, and avalambaka kapha.  Injury to this marma cause cough, dyspnoea, loss of strength, dryness of throat, mouth, palate, epilepsy, insanity, delerium, loss of consciousness. Anga Nivesha Vyapat Mana Sankhya Uras Sira Sadhya Atmapani Eka
  35. Dr.Syyed Mohammed JAlaludeen BAMS, MS(Ay)PhD 35 19.Sthanamoola marmas  Situated two angula below t he breast on both sides.  Injury endangers life by filling the koshtam with kapha and causes cough and dyspnoea.  Base of the lungs  Left side of the pericardium, Apex of the heart Anga Nivesha Vyapat Mana Sankhya Uras Sira Kalan-tara Dwir-angula Dvi
  36. Dr.Syyed Mohammed JAlaludeen BAMS, MS(Ay)PhD 36 20.SthanaRohita marmas  Two angula above the nipples on both sides.  Injury leads to haemorrhage and endangers life causing cough and dyspnoea.  Intercostal muscle, Phrenic N, Vagal N, Descending aorta, Bronchus, Pulmanory artery, P vein, P plexus,  Pectoralis major muscle. Anga Nivesha Vyapat Mana Sankhya Uras Mamsa Kalan- tara Ardhan- gula Dvi
  37. Dr.Syyed Mohammed JAlaludeen BAMS, MS(Ay)PhD 37 21.Apasthamba marmas  Situated on both sides of chest  It is vata vaha srothas  Injury patient dies due to complication of raktha / vatha poorna koshtatha.  point of bifurcated branches of bronchi.  Bronchi, Phrenic nerve, Vagus nerve, common carotid artery, subclavian vein, Anga Nivesha Vyapat Mana Sankhya Uras Dhamani Kalan- tara Ardhan- gula Dvi
  38. Dr.Syyed Mohammed JAlaludeen BAMS, MS(Ay)PhD 38 22. Apalabha marmas  Situated below shoulder joint and above the lateral aspects of chest.  Accd vagbata between vertebral column and chest.  Injury patient dies due to complication of raktha poorna koshta into pooya koshtatha.  Axillary Artery and Vein, Brachial Plexus  Left thoracic artery & nerve  Intercosto brachial nerve, intercostal artery. Anga Nivesha Vyapat Mana Sankhya Uras Sira Kalan-tara Ardhan-gula Dvi
  39.  Combination of two word kati “ which is clothed” tharuna “ soft cartilage’  Situated both sides of the vertibral coloumn corresponding to the posterior aspect of the ilium.  Injury give rise to excess pain, hemorrhage, consequent pallor, death.  Posterior aspects of ilium  Bifurcation of the common iliac artery and vein, sacroiliac ligaments/ articulations. Dr.Syyed Mohammed JAlaludeen BAMS, MS(Ay)PhD 39 23.Kateekatharuna Anga Nivesha Vyapat Mana Sankhya Prishta Asthi Kalantara Ardhan- gula Dvi
  40.  Small depression/dimple near the buttock  Situated on both sides of the vertebral coloumn corresponding to sacroiliac articulation ant to which the sciatic nerve passes.  Complete loss of sensation and inability to use the lower limb  Complete paraplegia Dr.Syyed Mohammed JAlaludeen BAMS, MS(Ay)PhD 40 Anga Nivesha Vyapat Mana Sankhya Prishta Sandhi Vaikalya Ardhan-gula Dvi 24.Kukunthara
  41. 25.Nithamba  Situated above the pelvic girdle (sronikanda). Half distance between sacral bone and the greater trochanter of the femur.  Injury leads to atrophy of the lower limb and endangers life in course of time.  Glutius maximus, sciatic nerve, sup & inf gluteal N and blood vessels. Dr.Syyed Mohammed JAlaludeen BAMS, MS(Ay)PhD 41 Anga Nivesha Vyapat Mana Sankhya Prishta Asthi Kalantara Ardhan- gula Dvi
  42. 26.Parswasandhi Dr.Syyed Mohammed JAlaludeen BAMS, MS(Ay)PhD 42  Situated between costal cartilage and the pelvis, corresponding to the vessels of kidney seen medially upwards.  Injury causes collection of blood in the abdominal cavity and causes danger of life.  The space just beneath 12th rib on both sides.  Renal artery, renal vein, renal angle, ilio hypogastric N, subcostal N, Ilio inguinal N, kidney, liver(R), spleen(L)  Swadishtana chakra of yoga. Anga Nivesha Vyapat Mana Sankhya Prishta Sira Kalantara Ardhan-gula Dvi
  43. 27.Bruhati Dr.Syyed Mohammed JAlaludeen BAMS, MS(Ay)PhD 43  Situated post side corresponding to the base of breast lateral to the vertebral coloumn on both side.  Injury – continuous bleeding and endangers life in course of time due to complication.  Arterial branches of the kidney, hilum of the liver, hilum of spleen, lung posterior surface, descending aorta, thoracic duct, azygos vein etc.  Hepatic artery and splenic artery(left). Anga Nivesha Vyapat Mana Sankhya Prishta Sira Kalantara Ardhan- gula Dvi
  44. 28.Amsaphalaka Dr.Syyed Mohammed JAlaludeen BAMS, MS(Ay)PhD 44  - flat surface near the shoulder- situated on both sides of vertebral coloumn and on the upper most part of the neck.  Injury lead to numbness or atrophy of upper limbs due to injury of the nerves on the anterior surface of the scapula.  Scapula, supra scapular N, vein, supra spinatus, infra spinatus  Brachial palsy/ axillary nerve palsy. Anga Nivesha Vyapat Mana Sankhya Prishta Asthi Vaikalya Ardhan- gula Dvi
  45. 29.Amsa Dr.Syyed Mohammed JAlaludeen BAMS, MS(Ay)PhD 45  Amsa-starting from shoulder- situated on either side midway between the neck and the head of the arms and connects the shoulder(amsapeeta and skandha)  Injury – lead to incapacity of moving the hands.  Conoid ligament, trapezoid ligament, sup acromioclavicular ligament, brachial plexus etc Anga Nivesha Vyapat Mana Sankhya Prishta Śnâyu Vaikalya Ardhan- gula Dvi
  46. Dr.Syyed Mohammed JAlaludeen BAMS, MS(Ay)PhD 46
  47. 30. Neela - 2 Dr.Syyed Mohammed JAlaludeen BAMS, MS(Ay)PhD 47  Blue colour- four siras on either sides of kanta nadi corresponding to tempero mandibular joint(hanusandi).  Injury – causes absence of voice, alteration of sound, loss of sense of taste.  Glossopharyngeal branch of carotid artery. Jugular Vein, Hypoglossal and Glossopharyngeal Nerve. Anga Nivesha Vyapat Mana Sankhya Jathro- ordha Sira Vaikalya Atmapani Dvi
  48. 31. Manya - 2 Dr.Syyed Mohammed JAlaludeen BAMS, MS(Ay)PhD 48  “Man- jnane”- four siras on either sides of kanta nadi corresponding to tempero mandibular joint(hanusandi). Twi is manya  Injury – causes absence of voice, alteration of sound, loss of sense of taste.  Glossopharyngeal branch of carotid artery. Jugular Vein, Hypoglossal and Glossopharyngeal Nerve. Anga Nivesha Vyapat Mana Sankhya Jathro ordha Sira Vaikalya Atmapani Dvi
  49. 32.Mathruka - 8 Dr.Syyed Mohammed JAlaludeen BAMS, MS(Ay)PhD 49  Matruka-Necklace- on either side pf the neck four siras, matruka. Running superiorly to the tounque and nose.  Injury leads to severe haemorrhage – syncope- death.  Four jugular vein – ant transverse facial, superficial, temporal, and post jugular veins.  Common carotid artery, int and external jugular vein, subclavian vein and artery, vagus N and phrenic N. Anga Nivesha Vyapat Mana Sankhya Jathro ordha Sira Sadhya Atmapani ashta
  50. 33.Krukatika – 2 Dr.Syyed Mohammed JAlaludeen BAMS, MS(Ay)PhD 50  krik=kandha-neck, ad= gathau “area where the neck joins head  Situated at the junction of the head and upper part of neck.  Injury cause lose of balance of head in erect posture.  Atlanto-occipital joint.  Vertebral artery, atlanto-occipital membrane and ligaments. Anga Nivesha Vyapat Mana Sankhya Jathro ordha Sandhi Vaikalya Ardhan- gula Dvi
  51. 34.Vidhura – 2 Dr.Syyed Mohammed JAlaludeen BAMS, MS(Ay)PhD 51  Dhura=weight, vigatha dhura=chesta nashta “imbalnce of the body.  Situated behind the Pinna of the ear.  Injury leads to total Deafness.  Tympanic memberane, Middle ear, Posterior Auricular artery & Veins, Branches of V th cranial N(trigeminal N) Mastoid air cells and mastoid antrum Anga Nivesha Vyapat Mana Sankhya Jathro ordha dhamani Vaikalya Ardhan- gula Dvi
  52. 35.Phana - 2 Dr.Syyed Mohammed JAlaludeen BAMS, MS(Ay)PhD 52  Phan= expanded hood of the cobra  Situated interior to the nasal cavities (inside the throat)  Injury leads to loss of sense of smell.  Bipolar olfactory neurons, olfactory nerve, Cribriform plate of ethmoid, Great auricular N Anga Nivesha Vyapat Mana Sankhya Jathro ordha Sira Vaikalya Ardhan- gula Dvi
  53. 36.Apanga - 2 Dr.Syyed Mohammed JAlaludeen BAMS, MS(Ay)PhD 53  Agi dhatu – ap outer corner or angle of eye.  Situated near the external canthus of eye and below the lateral and of eyebrows.  Injury leads to blindness/ impaired vision  Zygomotic & temporal Vessels and Nerves, cranial N(ophthalmic division), VI th cranial N, trochlear and occulomotor N. Anga Nivesha Vyapat Mana Sankhya Jathro ordha Śnâyu Vaikalya Ardhan- gula Dvi
  54. 37.Aavartha - 2 Dr.Syyed Mohammed JAlaludeen BAMS, MS(Ay)PhD 54  Aan=vrith=ghan ‘whirlpool’, located one on the surface of the frontal lobe and above the super ciliary arch on both side. Injury results impaired vision or blindness.  Tympanic membrane, Acoustic Nerve. Articulation of the sphenoid bone with the orbital plate of the frontal lobe. Optic chiasma etc Anga Nivesha Vyapat Mana Sankhya Jathro ordha Sandhi Vaikalya Ardhan- gula Dvi
  55. 38.Shanga - 2 Dr.Syyed Mohammed JAlaludeen BAMS, MS(Ay)PhD 55  Sham=mangalam “ to protect the treasure.  Situated between the ear and the eyebrows just above the termination of the super ciliary arch.  Injury to this marma endangers life.  Temporal bone of the skull, temporal lobe the brain, basal ganglia, superficial temporal artery , middle meningeal artery. Anga Nivesha Vyapat Mana Sankhya Jathroo- rdha Asthi Sadhya ardhangula Dvi
  56. 39.Utkshepa - 2 Dr.Syyed Mohammed JAlaludeen BAMS, MS(Ay)PhD 56  Kship dhatu = urdhvam ksipathi “ lifts up”.  Situated above the sankha and near the hairy margin on the scalp on both sides of head.  Injury by a foreign body keeps the person alive as long as it is kept within the wound or it falls down on its own accord, if it drawn out immediately after injury, the person dies at once due to bleeding.  Temporal fascia, parietal branch of superficial temporal artery, Zygomatic temporal Nerve, Temporalis Muscle. Anga Nivesha Vyapat Mana Sankhya Jathro- ordha Śnâyu Visalygna Ardha- ngula Dvi
  57. 40.Sthapani - 1 Dr.Syyed Mohammed JAlaludeen BAMS, MS(Ay)PhD 57  Sthap= regulates.  In between the two superciliary arches underneath the bony vault  Injury by a foreign body keeps the person alive as long as it is kept within the wound or it falls down on its own accord, if it drawn out immediately after injury, the person dies at once due to bleeding.  Emissary vein, Super sagittal sinus, brain underneath the frontal bone. Frontal veins Anga Nivesha Vyapat Mana Sankhya Jathro- ordha Sira Vaikalya Ardhan- gula Eka
  58. 41.Srungataka - 4 Dr.Syyed Mohammed JAlaludeen BAMS, MS(Ay)PhD 58  Sring+ada+gatau “ summit of mountain’  In the middle of siras that irrigate the nose , ear, eye and tounque, there is a cross way or sringhatakas.  Injury leads to death.  Brocas centre, Visio-sensory centre, centre of hearing, centre of taste and amell and soft palate. Anga Nivesha Vyapat Mana Sankhya Jathro ordha Dhamani Sadhya Atmapani chatur
  59. 42.Seemantha - 5 Dr.Syyed Mohammed JAlaludeen BAMS, MS(Ay)PhD 59 • Seemantha-kesa-vesha “where the ladies divide the hair for tying. • Situated on the scalp correspond to the five important sutures of the skull • Injury leads to insanity, fear, intellectual disturbances. • Sagittal suture, parital suture, occipital suture, frontal suture. Anga Nivesha Vyapat Mana Sankhya Jathro ordha Sandhi Kalantara Atmapani pancha
  60. 43.Adipa pathi - 1  Adhi+pa –urdhvam top, pa means rakshati ‘safeguard’  Within the wault of the head above there is joints of siras is like the whorls of the hair.  Injury leads to immediate death.  Medulla Oblangata, cardiac centre, respiratory , vasomotor centre, nuclei of ten cranial nerves. Dr.Syyed Mohammed JAlaludeen BAMS, MS(Ay)PhD 60 Anga Nivesha Vyapat Mana Sankhya Jathro- ordha Sandhi Sadhya Ardhan- gula Eka
  61. Dr.Syyed Mohammed JAlaludeen BAMS, MS(Ay)PhD 61 HOW MARMA THEORY WORKS Due to pressure over these points, certain chemical substances and neurotransmitters are released like endorphins and enkephalin which sends nerve impulse to brain causing the desired effect. Neuro Endocrine Theory
  62. Dr.Syyed Mohammed JAlaludeen BAMS, MS(Ay)PhD 62 The gate control theory of pain Nerve fibers are large bundles of various size- some are thick and some are thin. Thin transmit the sensation of pain while the thick carry the tactile sensation. Thus if the thick impulse is increased this selectively blocks the conduction of thin fibers. This is called the gate control theory.
  63. Dr.Syyed Mohammed JAlaludeen BAMS, MS(Ay)PhD 63 Other Theories. The very small electrical changes that occur at the marma points is found to be capable of producing effects far in excess of the tiny electrical change at the point responsible for triggering the desired effect.
  64. Dr.Syyed Mohammed JAlaludeen BAMS, MS(Ay)PhD 64 Conclusion... The vital points which are called Marmas assume significance structurally, medically and surgically. Susrutha highlights the structural and surgical relevance, whereas Charaka gives importance to the medical aspect of these structures. Vagbhata, though ready to accept the surgical prominance, has highlighted the medical aspect.
  65. 65 Dr.Syyed Mohammed Jalaludeen BAMS, MS(Ay), PhD Associate Professor, Dept of Salyatantra, Rajiv Gandhi Ayurveda Medical College, Chalakkara, Mahe India smjppt@gmail.com www.researchayurveda.org
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