A SCIENTIFIC REVIEW ON VISHALYAGHNA MARMA

Abstract

Ayurveda and Dhanurveda considered the Marma points are the vital points in the body. The Vishalyaghna marma (post – extraction fatal points) are the points which occurs death after removing the Shalya (foreign body). The aim of this study was to identify the specific structures underlying and response to the injury of Vishalyaghna marma. Texts and published journal articles related with marma along with their Anatomical, Physiological and Pathological aspects were reviewed. As per the Sushruta samhita three Vishalyaghna marma are named as one Sthapani and two Uthkshepa. Sthapani marma which located at root of the nose and anatomical contents are protuberance of the forehead, frontal vein, and frontal sinus. Uthkshepa marma which located at parietal eminence near the hairline and anatomical contents are temporal fascia, temporal Muscles, Superficial temporal arteries and its branches, Brain and its meninges and Zygomatic temporal vein. Shalya as long as present there will be no bleeding but if extracted forcibly, vessels are going to open and start to bleed. Thus, perfusion from the vessels leads to anoxic conditions. In other words, Prana (life) is going to flow out. If foreign bodies are allowed to remain there only the tissue granulation chances will be there. This closes the mouth of vessels. Consequently, there are less chances of bleeding that may save the life of the individual. When removal of the Shalya may leads to septicemia which related to temporal artery or frontal vein most serious complication arises such as aortic aneurysm which is life threating may cause to death.