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<big>'''[[Chikitsa Sthana]] Chapter 26. Management of Tri marma (diseases of three vital organs)</big>'''  
<big>'''[[Chikitsa Sthana]] Chapter 26. Management of Trimarma (diseases of three vital organs)</big>'''  


<big>'''Abstract </big>'''  
<big>'''Abstract </big>'''  
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We shall now expound the chapter on “management of the disorders of the three ''marma'' (vital organs). Thus, said Lord Atreya. [1-2]
Now we shall expound the chapter on "Trimarmiya Chikitsitam" (Management of diseases of the three vital organs).Thus said Lord Atreya. [1-2]


==== Importance of ''marma'' ====
==== Importance of ''marma'' ====
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{| class="wikitable"
|-
! Disorder !! Drug !! Dose !! Time of administration !! Vehicle (Anupana)
|-
|Peenasa || Samirapannaga rasa || 30-120 mg || Frequently || Honey
|-
| || Aarogya mishrana || 500-750 mg || Twice after meals || Ghee + milk
|-
| || Chaturbhuja kalpa || 250-500 mg || Twice after meals || Ghee + milk
|-
| || Shadbindu taila nasya || || ||
|-
| || Apa-marga kshara taila nasya || || ||
|-
|Nasa paka || Pravala bhasma|| 250-500 mg || Between meals || Honey
|-
| ||Goghrita nasya || || ||
|-
| Vata dominant pratishyaya || Malla + Naga mishrana || 250-500 mg || Between meals || Honey
|-
|Pitta dominant pratishyaya || Makshika mish-rana || 250-500 mg ||Between meals || Vasavaleha
|-
|Kapha dominant pratishyaya || Naga guti ||60-120 mg ||Between meals|| Honey + Ka-nakasava


Type Name Dose Time of admin-istration Anupana
|}
Peenasa Samirapannaga rasa 30-120 mg Frequently Honey
Aarogya mish-rana 500-750 mg After meals two times Ghee + milk
Chaturbhuja kalpa 250-500 mg After meals two times Ghee + milk
Shadbindu taila nasya, Apa-marga kshara taila nasya
Nasa paka Pravala bhasma 250-500 mg Between meals Honey
Goghrita nasya
Vata dominant pratishyaya Malla + Naga mishrana 250-500 mg Between meals Honey
Pitta dominant pratishyaya Makshika mish-rana 250-500 mg Between meals Vasavaleha
Kapha dominant pratishyaya Naga guti 60-120 mg Between meals Honey + Ka-nakasava
 
=== Glossary ===
 
#udavarta (उदावर्त- udAvarta): Abnormal condition characterized by retention of feces, urine and flatus, associated with pain and leading to or caused by anti-peristaltic move-ments in the body by vata.
#pravāhikā  (प्रवाहिका- pravAhikA): spurious feeling of the need to evacuate stools with straining.
#asthilā (अष्ठील AShThIla): stony hard tumour
#śīta jwara  (शीतज्वर- shItajwara) fever with external cold touch.
#vartiṁ (वर्ति-vartiM): Anal suppository
#pradhamēt (प्रधमेत्तु - pradhamett): Insufflations-  powder is blowed up with the pipe/ tube in to the oleated anal canal
#prasannā (प्रसन्ना- prasannA): clear top portion of alcohol
#guḍasīdhu (गुडसीधु –guDasIdhu): wine prepared out of jaggery.
#dadhimaṇḍa (दधिमण्ड- dadhimaNDa): upper liquid portion of curd/ curd-scum
#ānāha (आनाह-AnAha): bloated abdomen above navel area
#bradhna (ब्रध्ना- bradhna): inguinal swelling
#mūtrakr̥cchra (मूत्रकृच्छ्र- mUtrakRucchra): Dysuria
#tripuṭ  (त्रिपुट्य- tripuT): prismatic i.e. having three layers
#sēvanī (सेवनी- sevanI): perineum- suture below the pudendum and between two testicles.
#ccharkarā (च्छर्करा-ccharkarA): Graveluria
#aṇḍa stabdham (अण्डयोःस्तब्ध aNDa stabdham): stiffness of the testicles
#drava  (द्रव-drava): palpitation/ tachycardia
#dūyana  (दूयन- dUyana): giddiness
#santrāsa (सन्त्रास- santrAsa): distress
#stimita  (त्स्तिमितं- stimita): timidity of heart
#vikartikā  (विकर्तिका- vikartikA): cutting pain in this chapter it is related to Angina pain
#pratiśyāya (प्रतिश्याय-pratishyAya): Chronic rhinitis
#śirōbhitāpa (शिरोभिताshirobhitApa): excessive exposure of head to the heat
#duṣṭapratiśyāya (duShTapratishyAya): vicious coryza
#pratīnāha (प्रतीनाह- pratInAha): nasal obstruction
#parisrava (परिस्रवौ- parisrava): excessive discharge from the nose
#pūti ghrāṇa (पूतिघ्राण- pUtighrANa) foul smell in nostrils (ozena),
#apīnasa (अपीनस- apInasa- ) chronic rhinitis
#nāsāpāka (पाक- nasApAka) inflammation (suppurative rhinitis),
#nāsāśōtha (शोथा- shotha) swelling (oedematous rhinitis),
#nāsārbuda (अर्बुद- nasArbuda) growth/nasal tumor,
#pūyarakta (पूयरक्ताः- pUyaraktA) purulent and sanguineous rhinitis,
#arūṁṣi (अरूंषि- arUMShi) furunculosis
#vaisvarya (वैस्वर्ये- vaisvarye): hoarseness of voice
#śr̥ṅgāṭak (शृङ्गाट- shRu~ggATak): vital spot where the junction of vessels supplying nourishment to eye, nose and ear takes place.
#avapīḍaka (वपीडकः-avapIDaka): juice extracted after squeezing
#kavalagrahaḥ - (कवलग्रहः-kavalagrahaH): gargling or holding paste of drugs in mouth.
#gr̥hadhūmō (गृहधूमो- gRuhadhUmo): Kitchen shoot deposited after burning wood of various plants.
#Rasakriyā  (रसक्रिया-rasakriyA): the decoction of daruharidra when solidified is called rasakriya.
#biḍālakaḥ (बिडालकः-biDAlakaH): application of drugs in paste form on the closed eye lids excluding eye-lashes.
#Āścyōtana (आश्च्योतनं- Ashcyotana): eye douche
#khālityē (खालित्ये- khAlityA): alopecia
#palitē (पलिते- palite): Graying of the hair
#Vali (वलि- vali): appearance of wrinkles over the face
#visūcikā  (विसूचिका-visUcikA) diarrhea with pricking pain in abdomen
 


=== Related Chapters ===
=== Related Chapters ===
* [[Kiyanta Shiraseeya Adhyaya]]  
* [[Kiyanta Shiraseeya Adhyaya]]  
* [[Trimarmiya Siddhi]]
* [[Trimarmiya Siddhi]]