An Anatomical and Clinical Perspective on Avedhya Siras with particular relation to Vidhur Marma

Abstract

Ayurveda is an ancient science of life. The concept of Avedhya Siras (non-puncturable veins) holds significant importance in Ayurveda, particularly in the context of surgical and therapeutic interventions like Siravyadha (venesection). The Vidhur Sira is one of them. These vital structures are to be preserved due to their association with major Marmas - vital points in the body. Among these, Vidhura Marma, located near the ear, is classified as a Sira Marma, and Vidhur Sira can be called as Marma Shrit Sira, where injury may lead to complications such as hearing loss or neurological dysfunction. This paper explores the anatomical localization, structural correlations, and clinical significance of Avedhya Siras in the vicinity of Vidhura Marma. Correlation with modern anatomical landmarks, such as the retroauricular region and associated vascular-neural structures like the posterior auricular vein, facial nerve, and external auditory canal, offers a better understanding of the potential consequences of inadvertent injury. Clinically, safeguarding these regions becomes crucial in ENT procedures, minor surgical interventions, and even during massage or Marma Chikitsa. A comprehensive anatomical and clinical perspective not only enhances the relevance of classical Ayurvedic descriptions but also aids in bridging traditional knowledge with modern medical practice for safer and more effective therapeutic outcomes.