An anatomical study of “Utkshepa Marma” using Cadaveric dissection - Case Report

Abstract

“Marma” consists of the aggregation of Mamsa, Sira, Snayu, Asthi and Sandhi in which particularly Prana by nature stay that is why injury to Marma leads to respective consequences. Acharya Shushruta mentioned “Vishalyaghna Marma” one of the variety of Marma which comes under the Parinama Prakarena. There are total three “Vishalyaghna Marma” situated in the human body in Urdhwajatrugat Pradesh. “Utkshepa Marma” situated above the Shankh Pradesh (temple) at the hairy margin. Injury to this by foreign body, keeps the person alive as long as it is kept within the wound until it falls down on its own accord. If it is drawn out by force the person dies at once due to sudden loss of Vayu, This is the “Vishalyaghna” effect of “Utkshepa Marma”. Here study explored the “Utkshepa Marma” in term of regional and cadaveric anatomical approach to find the anatomical structures at the site of Marma which is responsible for “Vishalyaghnatva” condition and reassess the applied anatomy of this Marma discussed in classics as well as reviewed in the light of modern medical science with the help of cadaveric dissection.