December 30, 2010

KOORCHA MARMA - The tendon predominant rujakara variety of Marma

                                 Dr.Bhat.A.Rangaprasad -Sarve janah Sukhino Bhavanthu || Sarve santhu Niramayah ||

Word meaning of the above marma :

kurca [ kûrká ] m. n. bunch of grass; n. beard; -ka, m. bunch; brush; beard; -tâ, f. bearded ness; -la, a. bearded.

The koorcha marma resembles the brush in the ventral aspect of the leg hence the name Koorcha.

Numbers of the above marma:

Two in number.

Classification category of the above marma:

Snayu marma : Rujakara marma

Measurement of above marma:

4 angulas in length (approximately 4-5 cms)

Location of above Marma:

The Koorcha marma is located on the ventral aspect of the Palm and Foot.

Method of palpation of above Marma:

In the upper limb:

Through an imaginary vertical plane originating above the Kshipra marma directed towards the radius bone, start palpating from the Ksipra marma moving towards the radius bone. Approximately at around 2 to 3 cms from the area of Kshipra the highest point of tenedrness of the Koorcha can be felt or observed.

In the lower limbs:

Draw an imaginary line above from the centre point of the kshipra directed towards the Tibia. At one point somewhere around 2-3 cms away from the Ksipra and 1-2 cms below the the point of intersection of the first and second proximal meta tarsals, the highest point of tenderness of the Koorcha marma could be felt or observed.

Anatomical structures related to above Marma:

Tendons of Extensor digitorum longus ( It is this structure which gives a shape of koorcha or brush-like structure in the foot, most probably to have been attributed in the nomenclature of the Koorcha marma).
Tibial Artery;Interrosseous ligaments;Branches of deep Fibular nerve etc.,

Name of some of the diseases in which the above marma is tenderful:

Pes cavus; gouty arthritis; Ankle sprain; Rheumatoid arthritis; Varicose veins due to thrombosis in either deep vein or superficial vein causing edema of foot; Sciatica; Brachialgia;Morton's neuroma; metatarsalgia etc., to name a few.

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