Bahvi - Oorvi - Lohitaksha Marmas of Upper & Lower Limbs (Vaikalya kara varieties of Sira Marmas)

CONTENTS	BAHVI MARMA IN UPPER LIMB	OORVI MARMA IN LOWER LIMB	LOHITAKSHA MARMA IN UPPER LIMB	LOHITAKSHA MARMA IN LOWER LIMB
General	Middle of the arm [1]	Middle of the thighs  [2]	Infra-clavicular near shoulder	@ Femoral triangle  [3]
Number	TWO (One in each upper limb) Refer foot note 4	TWO (One in each lower limb) Refer foot note 5	TWO Refer foot note 6	TWO Refer foot note 6
Measurement	1 angula	1 angula	1/2 angula	1/2 angula
Classification based on structural predominance	Sira marma [4]	Sira marma[5]	Sira marma Refer foot note 6	Sira marma[6]

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

[1]  उर्व्या ऊर्ध्वमधो वङ्क्षणसन्धे || su.sha.6/24 ||

[2]  उर्व्या ऊर्ध्वमधो वङ्क्षणसन्धे  || su.sha.6/24 ||

[3] ऊरुमूले लोहिताक्षं  || su.sha.6/24 ||

[4] एकचत्वारिंशदिति चतस्रो धमन्यः, अष्टौ मातृकाः, चत्वारि शृङ्गाटकानि, द्वे अपाङ्गे, एका स्थपनी, द्वे फणे  , द्वे स्तनमूले, द्वावपस्तम्भौ , द्वावपलापौ, एकं हृदयं, एका नाभिः, द्वौ पार्श्वसन्धी, द्वे बृहत्यौ, चत्वारि लोहिताक्षाणि, चतस्र उर्व्यः, एवमेकचत्वारिंशत् सिरामर्माणि| The 4 Oorvi mentioned over here includes (2 Bahvi + 2 oorvi) || Dalhana commenting over su.sha.6/4 ||

[5] एकचत्वारिंशदिति चतस्रो धमन्यः, अष्टौ मातृकाः, चत्वारि शृङ्गाटकानि, द्वे अपाङ्गे, एका स्थपनी, द्वे फणे  , द्वे स्तनमूले, द्वावपस्तम्भौ , द्वावपलापौ, एकं हृदयं, एका नाभिः, द्वौ पार्श्वसन्धी, द्वे बृहत्यौ, चत्वारि लोहिताक्षाणि, चतस्र उर्व्यः, एवमेकचत्वारिंशत् सिरामर्माणि| The 4 Oorvi mentioned over here includes (2 oorvi + 2 Bahvi) || Dalhana commenting over su.sha.6/4 ||

[6] एकचत्वारिंशदिति चतस्रो धमन्यः, अष्टौ मातृकाः, चत्वारि शृङ्गाटकानि, द्वे अपाङ्गे, एका स्थपनी, द्वे फणे  , द्वे स्तनमूले, द्वावपस्तम्भौ , द्वावपलापौ, एकं हृदयं, एका नाभिः, द्वौ पार्श्वसन्धी, द्वे बृहत्यौ, चत्वारि लोहिताक्षाणि, चतस्र उर्व्यः, एवमेकचत्वारिंशत् सिरामर्माणि| || Dalhana commenting over su.sha.6/4 ||

Classification based on injury	Vaikalyakara marm [1]	Vaikalyakara marm Refer foot note1	Vaikalyakara marm Refer foot note1	Vaikalyakara marm Refer foot note1
Clinical manifestation of any sharp injury  over the Marma	Atrophy of the musculatures of the thigh due to gradual loss of blood on getting injured with a sharp instrument….[2]	Atrophy of the musculatures of the arm due to gradual loss of blood on getting injured. Ref footnote 2	On getting injured may result in blood loss leading to paralysis of the upper limb or may even cause death. Refer foot note 3.	On getting injured may result in blood loss thereby paralyse the lower limb or may even cause death.[3]  (An example for death due to injury of Femoral artery)
Specific location	In the mid portion of the medial aspect of the thighs.	In the mid portion of the medial aspect of the arms, P.S:- Based on the version that “So be it considered for the marmas of upper limb”, the above interpretation  becomes evident [4]”	The Lohitaksha is present at the root of the arm, present in between the shoulder at the superior aspect & arm inferiorly.	The Lohitaksha is present at the root of the thigh, present in between the hip at the superior aspect & thigh inferiorly. [5]

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[1]  लोहिताक्षाणि जानूर्वीकूर्चविटपकूर्पराः |
कुकुन्दरे कक्षधरे विधुरे सकृकाटिके ||१२||
अंसांसफलकापाङ्गा नीले मन्ये फणौ तथा |
वैकल्यकरणान्याहुरावर्तौ द्वौ तथैव च ||१३||

[2] ऊरुमध्ये उर्वी, तत्र शोणितक्षयात् सक्थिशोषः; ||su.sha.6/24||

[3] तत्र लोहितक्षयेण मरणं पक्षाघातो वा || su.sha.6/24 ||

[4] एवमेतान्येकादश सक्थिमर्माणि व्याख्यातानि |
एतेनेतरसक्थि बाहू च व्याख्यातौ |

[5] उर्व्या ऊर्ध्वमधो वङ्क्षणसन्धेरूरुमूले लोहिताक्षं || su.sha.6/24 ||

Neighbouring structures present in the vicinity of the Marmas	Brachial artery; Ulnar nerve.	Femoral artery & vein; Adductor longus; Femoral nerve.	Axillary artery; Coraco brachialis; Brachial nerve branch.	Femoral artery & vein; Femoral nerve; Inguinal ligament & canal; Rectus femoris.