Abstract

Marma is a vital point where prana is situated. It is an anatomical area where the five anatomical structures are collectively present. Maharshi Sushruta has explained 107 marma. These are the places where the prana (Life Force) is said to be situated. Any injury to the Marma points that leads to deformity of the structures, produces the severe pain, loss of movements and even some times there may be a death. Acharya Sushruta described the number of marma in different anatomical parts of the body and also classified individual marma according to the distribution for better knowledge of their sites as - Sakthi, Vaksha, Udaragata, Pristha and Urdhava jatru gata. Pristha gata marma are located in the back of the body. These marmas are Located along the length of the spine and on either side of it. It is said that injury to spinal cord or its supporting structure can cause permanent change in strength, sensation and other body function. Amsa marma is a type of pristhagata marma and its marmaghata can produce Stabdhabahuta (Stiffness of the Shoulder). Amsa Marmabhighata is a vata vyadhi characterised by shoola and bahupraspandahara. It is paralleled with Supraspinatus tendinitis in modern medicine. Though not a life-threatening condition, it hampers the day-to-day activity of the individual, reducing the quality of life. Here is a case report of, 48yrs female who presented with pain and stiffness in the right shoulder since 3 months which was managed effectively with Marma Chikitsa.

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