Nomenclature &Scientific Study Of the Charakokt Trimarma Vinod M. Choudhari 1* 1. HOD & Professor, Rachana Sharir Dept., Siddhakala Ayurved Mahavidyalay, Sangamner, Dist. Ahamadnagar * Correspondence Author: ph.no.-094 22 818672; email-vmchoudhari7@rediffmail.com Abstract: In brihatrayi and laghutrayi description about sharirasthaanga&upang is found, in further time period study for Marma and its importance is inlighted.acharyashushruta had explained 107 marma on the basis of surgical point. [1] Also aacharyacharaka had describe Marma in trimarmiychikitsadhyay and trimarmiyasiddhiradhyay which include sheer,hriday, basti&sadyapranharatwa of these thrimarma marma. [3] He described total 19 number of sadyapranharmarma study of these thrimarma in rachanasharir had done in this research.because of trauma to head it cause disturbance in respiratory, circulatory &temperature regulating center in brain causing death. [13] That's why trauma to sheer cause unconsciousness and death of a person. [11] In the same way when we consider sadyapranharatwa of basti,hriday and sheer later one is more dangerous than the first. The aim of this study is mainly to verify nomenclature & scientific study of charakokttrimarma e.g. sheer, hriday, basti. To find sequence of sadyapranharatva in case of sheer, hriday & bastimarma. And to find marmaghatjanyalakshan in sheer, hriday & bastimarma.are the objective of this study. Keyword: Sadyapranharatwa, basti, hriday, sheer, thrimarma,adhobasti,bust. Introduction Ayurveda is a most ancient Medical Science in which the knowledge of basic principles of Ayurveda and marma is studied. In brihatrayi and laghutrayi description about sharirasthaanga&upang found, in further time period study for 144
Marma and its importance is inlighted.acharyashushruta had explained 107 marma on the basis of surgical point. [1] Also aacharyacharaka had describe Marma in trimarmiychikitsadhyay and trimarmiyasiddhiradhyay which include sheer,hriday,basti&sadyapranharatwa of these thrimarma. [3] He described total 19 number of sadyapranharmarma. Study of these trimarma in rachanasharir had done in this research on the basis of Grammatik, Scientific and Literary review. With the help of above study defining the nomenclature of trimarma is the first part of this research work and second part is to explain their sadyapranharatwa with the help of study on patient by using modern apparatus and techniques So to explain these we have to know anatomy, produced symptoms, diseases, traumatic effect and treatment over trimarma by this way of study we are trying to explain the sadyapranharatwa of trimarma. [5] Materials & Methods The study is conducted in 2 levels Level 1- Study on charakokt trimarma sheer, hriday,basti from Ayurvedic text book, modern text books, published Journals &Internet etc. Level -2 Post- Mortem case study- Post - mortem study done on cadaver on the basis of trauma to this trimarmacausing death. Clinical case study- Clinical case study done by comparative traumatic effect & produced symptoms in patients selected from different religion, age & sex. [6] Observation & Statistical Interpretation To define sadyapranharatwa of these marma we classify&observe the patients by theirreligion, age group & sex. No. Religion No. of Patients 1. Hindu 9 2. Khrishchan 03 3. Muslim 01 Total 13 145
No. Age Group No. of Result Patients 1. Up to 30 year 01 2. 30-50 year 05 3. Above 50 year 07 Total 13 No. Sex No. of Patients 1. Male 10 2. Female 03 Total 13 Sdyapranharatwa of basti, hriday and sheer are more dangerous in increasing order as described by Acharyacharaka in chikitsasthan is come to prove. So trauma to sheer is more deadlieous than hriday & to hriday is more than that of basti. Discussion The first and most important aim of this research work is to define nomenclature of trimarma, for that various literature had been studied.among the 3 most important marma the nomenclature of basti is as follow 1] The meaning of word bust is to give pressure it mean the one who did process of giving pressure is called as Basti. [7] 2] Other meaning for Basti is to push forward. [vasa] No. Marma Nij Aagantuj Total 1. Hriday 6 0 6 2. Basti 4 0 4 3. Sheer 00 3 3 Total 10 3 13 3] For the Basti there is synoname in Shabdstromamahanidhi and amarkosh called as Adhobasti." When we think about Sadyapranharatwa of bastimarma we made a comparative study with patients in nephrology unit we had taken 4 patients of chronic renal failure all of them are under peritoneal dialysis by discussing with HOD, professor and disease specialist we came to a conclusion that it is an yapyadisease but with the help of modern medicinal 146
treatment all four patients are alive but cure of disease is impossible. [upashaydurlabh] In case of PM study out of 15 cadaver 14 have empty bladder and 12 of them had history of trauma to kidney [ vrikk] so while explaining Sadyapranharatwa of Bastimarma by discussing with HOD, professor and specialist they explain their view that when there is trauma to any marmasthan it directly affect the brain centre with the help of sensory nerve fiber that's why in case of BastiMarma there is effect of trauma to heart centre present in brain the phenomenon is called as Pratyawartanjanyahridyabhed. [8] In shabdakalpadrum and Amarkosh nomenclature for the world hriday is described as Hriyatevijayeitihridayam. In Ayurveda word hriday is used by 2 way one as "shirastsh'' and another as "wakshasthhriday'' by studying Vedic mantra hriday is an wakshastharachana.[7] so according to various vaidik Mantra Sheer doesn't have any organ for blood distribution and collection that's why hriday is an wakshastharachana. To describe Sadyapranharatwa of Hriday 1 to 6 patients are concerned with heart disease and are treated in cath lab unit of Super Specialty Hospital in same way patient number 5 and 6 are treated in Intensive Care Unit of hospital so while explaining sadyapranharatwa of hriday by discussing with HOD, cardiologist and specialist one patient died during treatment and other five are alive with great effort of modern treatment. [4] According to sushruta the duration for sadyapranharatwa is 7 day's that's why when there is trauma to head, post mortem study depict the sadyomaran or death within 7 days When we come across three patient viz. no. 11,12 & 13 having trauma to head. It causes hemorrhage& form clot within brain leading to increased pressure over bramharandhra, sushumnashirsha & other brain center also when it cause pressure over heart regulating centre in brain it lead to cardiopulmonary failure& ultimate death is a result. [9,10] For the detail study of internal structure of brain in several cases we had C.T. scan, with the help of it we found subarachnoid hemorrhage in pt. No.11, subdural hemorrhage in pt. No. 12 & extra Duralhemorrhage in pt. No. 13 for this HOD, radiologist, specialist are discussed and came to conclusion that the patient die within 7 to 15 days. [12,14] Because of trauma to head it cause disturbance in respiratory, circulatory &temperature regulating center in brain causing death. [13] Conclusion All the three marmas are described in AtharvaVedaAtma, man and indriyasanyog lead to pratyaksh knowledge 147
sushruta and charka had explained this knowledge and marmaparinamghatkta on the basis of anuman, divyachakshu and their experiences. Eg.-- Any trauma to heart lead to large amount of blood loss so it explain that heart is an important place for rasraktsawahan.[circulation] As Prana and other Indria's adhishtan is head so it is most important part of our body called as sheer. That's why trauma to sheer cause unconsciousness and death of a person. In the same way when we consider sadyapranharatwa of basti,hriday and sheer are more dangerous in increasing order as described by Acharyacharaka in chikitsasthan is come to prove. So trauma to sheer is more deadlieous than hriday & to hriday is more than that of basti. Acknowledgement The cooperation extended by principal, teachers &PG students of our college is duly acknowledge References: 1. Susruta Samhita Dalhanacharaya, Shastr iambikadatta, Chaukhamba oriantalia Varanasi 1986. 2. Gannath Sen Sachitra Hindi Pratyaksha Sharir 1 st ed. Chaukhamba oriantalia Varanasi 1987. 3. Vd. Trikamji Aachrya, Charaka Samhita4 th ed., Chaukhamba Sanskrit sansthan Varanasi 1994. 4. Dr.Bramhanand Tripathi, Sharagandara Samhita, Chaukhamba oriantalia Varanasi 1987. 5. Pandit Ramraksha Pathak, Marma vigyan,chaukhamba Sanskrit series Varanasi 2006. 6. Aacharya Priyavat Sharma, Ayurvediy Anusandhan Padhhati 1 st ed. Chaukhamba oriantalia Varanasi 1986. 7. Ramashrayi, Amarkosh,Chaukhamba Sanskrit series Varanasi 1982. 8. Pro. Dr. Rande, vyavahar Ayurved & agadtantra 5 th ed, anamol prakashan, pune,2002 9. Grays Anatomy 38 th ed.lawrence H. churchill living stone EnduringLondon 2000. 148
10. Dr. D. G. Thattey & Dr.G.P.Tiwari, Current Trends in Study Sharir, Chaukhamba oriantalia Varanasi 1980. ed. ELBS, Chapman & Hall, British Govt. 1997. 13. C.K. Parikh, T.B. of Medical 11. B.D. Chaurasia, Human Anatomy Jurisprudence 6 th ed. CBS Publishers Vol.1,2,3. CBS Publishers & Distributors, New Delhi 1999. Medicoligal Center, Colaba, Mumbai. 14. Edwards, Davidsons pre & pra. Of 12. Charls V. Mann. R.C.G.Russell, Bailey & loves short Practice of surgery 22 nd Medicine 16 th Mumbai 1992. ed. ELBS Publication Cite this article: Nomenclature &Scientific Study Of the Charakokt Trimarma Vinod M. Choudhari -2015; 3[3]: 144-149 149