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=== ''Vidhi Vimarsha'' ===
 
=== ''Vidhi Vimarsha'' ===
The concept of marma described in Ayurveda Granthas differs with those described in Keraliya Marma Chikitsa (Kalari Marma) and the Tamilian marma concept. The numbers and positions also vary greatly. The Keraliyan marma concept seems to be more related to warfare medicine and the management of trauma while the tamilian marma concept is more so as described in Ayurveda related to kshata as well well as doshaja aghata. Ayurveda believes that suppression of urges, over enthusiastic activities, strainful activities, faulty treatment practices can actually cause doshaja marmaghata.
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Clinical conditions like paralysis, paresis, paraplegia, quadriplegia, haemorrhage can be understood on Ayurvedic lines by taking clue from here. When it takes place at Shiras thana above mentioned conditions can manifest. They need to be treated on the lines of treatment of marmaghata rather than only treating them as vatavyadhi.  
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The concept of ''marma'' described in Ayurveda texts differs with those described in ''Keraliya Marma Chikitsa'' (''Kalari Marma'') and the Tamilian ''marma'' concept. The numbers and positions also vary greatly. The Keraliyan ''marma'' concept seems to be more related to warfare medicine and the management of trauma while the tamilian ''marma'' concept is more so as described in Ayurveda related to kshata as well well as ''doshaja aghata''. Ayurveda believes that suppression of urges, over enthusiastic activities, strainful activities, faulty treatment practices can actually cause ''doshaja marmaghata''.
The clinical presentations described to occur under the affection of three marmas are almost practically found in relation to dosha aggravations affecting the marmas and also in case of their injury. Some symptoms are due to direct organ damage and others due to reflex neurological or hormonal disturbances.
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Vata is considered to be cause of provocation of pitta and kapha. In the process of disease formation direct reference of involvement of vata as early as in the stage of prasara (third out of six stages of disease formation) vata is also said to be cause of life to underline its importance as well as the need to address it urgently. Amongst all the treatments of vata, basti is the best purely on its merits to take care of vata disorders of all the systems throughout the body.  
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Clinical conditions like paralysis, paresis, paraplegia, quadriplegia, haemorrhage can be understood on Ayurvedic lines by taking clue from here. When it takes place at ''shirasthana'' above mentioned conditions can manifest. They need to be treated on the lines of treatment of ''marmaghata'' rather than only treating them as ''vatavyadhi''.  
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The clinical presentations described to occur under the affection of three ''marmas'' are almost practically found in relation to ''dosha'' aggravations affecting the ''marmas'' and also in case of their injury. Some symptoms are due to direct organ damage and others due to reflex neurological or hormonal disturbances.
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''Vata'' is considered to be cause of provocation of ''pitta'' and ''kapha''. In the process of disease formation direct reference of involvement of ''vata'' as early as in the stage of ''prasara'' (third out of six stages of disease formation) ''vata'' is also said to be cause of life to underline its importance as well as the need to address it urgently. Amongst all the treatments of ''vata, basti'' is the best purely on its merits to take care of ''vata'' disorders of all the systems throughout the body.  
 
   
 
   
 
Hrdaya when gets affected, is managed by juices which are amla (sour) in taste ,as it is best among  hrdya dravyas.
 
Hrdaya when gets affected, is managed by juices which are amla (sour) in taste ,as it is best among  hrdya dravyas.
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It is clearly described that sneha nasya should be done in vata aggravation and ruksha nasya should be done in kaphaja diseases. If this indication is ignored the complications that may follow and the measures to tackle them is described in the above verses.
 
It is clearly described that sneha nasya should be done in vata aggravation and ruksha nasya should be done in kaphaja diseases. If this indication is ignored the complications that may follow and the measures to tackle them is described in the above verses.
 
In Ashtanga Hridaya, ten specific timings  suitable for administration of pratimarsha are described.
 
In Ashtanga Hridaya, ten specific timings  suitable for administration of pratimarsha are described.
In practice, especially in conditions of migraine, allergic rhinitis and atopic rhinitis we advise patients to smear medicated oil or ghee into the nostrils using an oleated finger. This may be considered a form of pratimarsha itself.  
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In practice, especially in conditions of migraine, allergic rhinitis and atopic rhinitis we advise patients to smear medicated oil or ghee into the nostrils using an oleated finger. This may be considered a form of pratimarsha itself.
    
=== Glossary ===
 
=== Glossary ===

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