A comprehensive study on regional anatomy of Urdhwa Shaakhaagata Siramarma by cadaver dissection and their applied anatomy
Abstract
Introduction: Marma is considered as the vital point in the body where Mamsa, Sira, Snayu, Asthi, Sandhi along with Prana resides. Siramarma is one such category based on the predominant Marmavasthu. According to Susruta, they are forty one in number. Among them four are present in Urdhwashaakhaa, i.e, two Urvi and two Lohitaksha (one on each side). Both of these are Vaikalyakaramarma. Injury to Urvi Marma causes Shonithakshaya which leads to Sakthishosha, while, injury to Lohithaksha leads to Lohithakshaya which causes Pakshaghata or Maranam. Methods: Collection of literary review on the Urdhwa Shaakhagata Sira Marma and its Vidhalakshanas from various books, journals, previous work done and its Vidhalakshanas are analyzed. Anatomical structures found in the regions of Urdhwa Shaakhaagata Sira Marmas will be confirmed with the help of cadaver dissectionin six bodies. Results: The regional anatomy of Urvimarma is considered as the middle of arm and Lohitaksha Marma is considered as the distal part of axilla. The Vidha Lakshanas are analyzed with applied aspect of these regions. Interpretation & Conclusion: Urvimarma is located in the middle of arm. The predominant Siravasthu in this region is brachial vessels, basilica vein, cephalic vein and profunda brachial vessels. Lohitaksha Marma is located on the distal part of axilla, the predominant Siravasthu in the region are third part of axillary artery and its braches and axillary vein.
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References
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