Sushruta Samhita

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siva.sh/sushruta-samhita/sharira-sthana/6/26

अत ऊर्ध्वं पृष्ठमर्माणि व्याख्यास्यामः - तत्र पृष्ठवंशमुभयतः प्रतिश्रोणिकाण्डमस्थिनी कटीकतरुणे, तत्र शोणितक्षयात् पाण्डुर्विवर्णो हीनरूपश्च म्रियते; पार्श्वयोर्जघनबहिर्भागे पृष्ठवंशमुभयतो कुकुन्दरे, तत्र स्पर्शाज्ञानमधःकाये चेष्टोपघातश्च; श्रोणीकाण्डयोरुपर्याशयाच्छादनौ पार्श्वान्तरप्रतिबद्धौ नितम्बौ, तत्राधःकायशोषो दौर्बल्याच्च मरणं; अधःपार्श्वान्तरप्रतिबद्धौ जघनपार्श्वमध्ययोस्तिर्यगूर्ध्वं च जघनात् पार्श्वसन्धी, तत्र लोहितपूर्णकोष्ठतया म्रियते; स्तनमूलादृजूभयतः पृष्ठवंशस्य बृहती, तत्र शोणितातिप्रवृत्तिनिमित्तैरुपद्रवैर्म्रियते; पृष्ठोपरि पृष्ठवंशमुभयतस्त्रिकसम्बद्धे अंसफलके, तत्र बाह्वोः स्वापशोषौ ; बाहुमूर्धग्रीवामध्येंऽसपीठस्कन्धबन्धनावंसौ, तत्र स्तब्धबाहुता; एवमेतानि चतुर्दश पृष्ठमर्माणि व्याख्यातानि ||२६||

sanskrit

Now, we shall explain the marma points of the back. The marma located on both sides of the spinal column in the lumbar region, near the hip bone, is called "Katitaruna." Injury here can lead to death due to blood depletion, causing paleness and deformity. The marma called "Kukundara" is located on both sides of the spine, in the outer parts of the hips. Injury here causes loss of sensation in the lower body and impairment of movement. The "Nitamba" marma is located above the hip bones, on both sides of the sacrum. Injury here can cause lower body atrophy and weakness, leading to death. The "Parshvasandhi" marma is located at the sides of the body, below the ribs. Injury here causes death due to accumulation of blood in the abdominal cavity. The "Brihati" marma is located on both sides of the spinal column, starting from the root of the breasts. Injury here can cause death due to excessive blood flow and related complications. The "Amsaphalaka" marma, located on both sides of the spine, connected to the shoulder blades, causes numbness and atrophy of the arms when injured. Finally, the "Amsa" marma, located between the neck and the upper arms, causes stiffness of the arms when injured. Thus, we have described fourteen marma points related to the back.

english translation

hindi translation

ata UrdhvaM pRSThamarmANi vyAkhyAsyAmaH - tatra pRSThavaMzamubhayataH pratizroNikANDamasthinI kaTIkataruNe, tatra zoNitakSayAt pANDurvivarNo hInarUpazca mriyate; pArzvayorjaghanabahirbhAge pRSThavaMzamubhayato kukundare, tatra sparzAjJAnamadhaHkAye ceSTopaghAtazca; zroNIkANDayoruparyAzayAcchAdanau pArzvAntarapratibaddhau nitambau, tatrAdhaHkAyazoSo daurbalyAcca maraNaM; adhaHpArzvAntarapratibaddhau jaghanapArzvamadhyayostiryagUrdhvaM ca jaghanAt pArzvasandhI, tatra lohitapUrNakoSThatayA mriyate; stanamUlAdRjUbhayataH pRSThavaMzasya bRhatI, tatra zoNitAtipravRttinimittairupadravairmriyate; pRSThopari pRSThavaMzamubhayatastrikasambaddhe aMsaphalake, tatra bAhvoH svApazoSau ; bAhumUrdhagrIvAmadhyeM'sapIThaskandhabandhanAvaMsau, tatra stabdhabAhutA; evametAni caturdaza pRSThamarmANi vyAkhyAtAni ||26||

hk transliteration

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siva.sh/sushruta-samhita/sharira-sthana/6/27

अत ऊर्ध्वमूर्ध्वजत्रुगतानि व्याख्यास्यामः- तत्र कण्ठनाडीमुभयतश्चतस्रो धमन्यो द्वे नीले द्वे च मन्ये व्यत्यासेन , तत्र मूकता स्वरवैकृतमरसग्राहिता च; ग्रीवायामुभयतश्चतस्रः सिरा मातृकाः, तत्र सद्योमरणं; शिरोग्रीवयोः सन्धाने कृकाटिके, तत्र चलमूर्धता; कर्णपृष्ठतोऽधःसंश्रिते विधुरे, तत्र बाधिर्यं; घ्राणमार्गमुभयतः स्रोतोमार्गप्रतिबद्धे अभ्यन्तरतः फणे, तत्र गन्धाज्ञानं; भ्रूपुच्छान्तयोरधोऽक्ष्णोर्बाह्यतोऽपाङ्गौ, तत्रान्ध्यं दृष्टयुपघातो वा; भ्रुवोरुपरि निम्नयोरावर्तौ नाम, तत्राप्यान्ध्यं दृष्टयुपघातो वा; भ्रुवोरन्तयोरुपरि कर्णललाटयोर्मध्ये शङ्खौ, तत्र सद्योमरणं; शङ्खयोरुपरि केशान्त उत्क्षेपौ, तत्र सशल्यो जीवेत् पाकात् पतितशल्यो वा नोद्धृतशल्यः; भ्रुवोर्मध्ये स्थपनी, तत्रोत्क्षेपवत्; पञ्च सन्धयः शिरसि विभक्ताः सीमन्ता नाम, तत्रोन्मादभयचित्तनाशैर्मरणं; घ्राणश्रोत्राक्षिजिह्वासन्तर्पणीनां सिराणां मध्ये सिरासन्निपातः शृङ्गाटकानि , तानि चत्वारि मर्माणि, तत्रापि सद्योमरणं ; मस्तकाभ्यन्तरोपरिष्ठात् सिरासन्धिसन्निपातो रोमावर्तोऽधिपतिः, तत्रापि सद्य एव| एवमेतानि सप्तत्रिंशदूर्ध्वजत्रुगतानि मर्माणि व्याख्यातानि ||२७||

sanskrit

Now, we shall explain the marma points located above the clavicle. There are four arteries in the throat on both sides: two are blue (neela) and two are known as "manye," positioned alternately. Injury here causes muteness, voice disorders, and loss of taste. There are also four veins called "matrika" on both sides of the neck, and injury to them results in immediate death. The "Krikatika" marma is located at the junction of the head and neck, and injury here causes instability of the head. The "Vidhura" marma, located behind and below the ear, causes deafness when injured. The "Phana" marma, located inside and near the nostrils, leads to loss of the sense of smell if damaged. The "Apanga" marma, located on both sides below the outer corners of the eyes, leads to blindness or damage to vision. The "Avarta" marma, located above the eyebrows in the depressions, also causes blindness or damage to vision when injured. The "Shankha" marma, located between the temples and ears, results in immediate death when injured. Above the "Shankha" marma, at the hairline, are two points called "Utksepa." A person can survive if the splinter is removed from here, but if left untreated or if the splinter remains embedded, the wound will fester. The "Sthapani" marma, located between the eyebrows, has effects similar to "Utksepa." The five seams in the head, called "Simanta," when injured, cause insanity, fear, and loss of consciousness, leading to death. The "Shringataka" marma points, located in the junction of veins that nourish the nose, ears, eyes, and tongue, result in immediate death when injured. Inside the head, above the hairline, is the "Romavarta" marma, which also causes immediate death when injured. Thus, thirty-seven marma points located above the clavicle have been explained.

english translation

hindi translation

ata UrdhvamUrdhvajatrugatAni vyAkhyAsyAmaH- tatra kaNThanADImubhayatazcatasro dhamanyo dve nIle dve ca manye vyatyAsena , tatra mUkatA svaravaikRtamarasagrAhitA ca; grIvAyAmubhayatazcatasraH sirA mAtRkAH, tatra sadyomaraNaM; zirogrIvayoH sandhAne kRkATike, tatra calamUrdhatA; karNapRSThato'dhaHsaMzrite vidhure, tatra bAdhiryaM; ghrANamArgamubhayataH srotomArgapratibaddhe abhyantarataH phaNe, tatra gandhAjJAnaM; bhrUpucchAntayoradho'kSNorbAhyato'pAGgau, tatrAndhyaM dRSTayupaghAto vA; bhruvorupari nimnayorAvartau nAma, tatrApyAndhyaM dRSTayupaghAto vA; bhruvorantayorupari karNalalATayormadhye zaGkhau, tatra sadyomaraNaM; zaGkhayorupari kezAnta utkSepau, tatra sazalyo jIvet pAkAt patitazalyo vA noddhRtazalyaH; bhruvormadhye sthapanI, tatrotkSepavat; paJca sandhayaH zirasi vibhaktAH sImantA nAma, tatronmAdabhayacittanAzairmaraNaM; ghrANazrotrAkSijihvAsantarpaNInAM sirANAM madhye sirAsannipAtaH zRGgATakAni , tAni catvAri marmANi, tatrApi sadyomaraNaM ; mastakAbhyantaropariSThAt sirAsandhisannipAto romAvarto'dhipatiH, tatrApi sadya eva| evametAni saptatriMzadUrdhvajatrugatAni marmANi vyAkhyAtAni ||27||

hk transliteration

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siva.sh/sushruta-samhita/sharira-sthana/6/28

भवन्ति चात्र श्लोकाः- उर्व्यः शिरांसि विटपे च सकक्षपार्श्वे एकैकमङ्गुलमितं स्तनपूर्वमूलम् | विद्ध्यङ्गुलद्वयमितं मणिबन्धगुल्फं त्रीण्येव जानु सपरं सह कूर्पराभ्याम् ||२८||

sanskrit

Here are the verses: The distance from the head to the branches of the tree is measured as one finger for each part. The distance from the base of the breasts is one finger. The wrists and ankles are measured as two fingers. The knee, including the upper part, along with the elbows, is measured as three fingers.

english translation

hindi translation

bhavanti cAtra zlokAH- urvyaH zirAMsi viTape ca sakakSapArzve ekaikamaGgulamitaM stanapUrvamUlam | viddhyaGguladvayamitaM maNibandhagulphaM trINyeva jAnu saparaM saha kUrparAbhyAm ||28||

hk transliteration

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siva.sh/sushruta-samhita/sharira-sthana/6/29

हृद्बस्तिकूर्चगुदनाभि वदन्ति मूर्ध्नि चत्वारि पञ्च च गले दश यानि च द्वे | तानि स्वपाणितलकुञ्चितसम्मितानि शेषाण्यवेहि परिविस्तरतोऽङ्गुलार्धम् ||२९||

sanskrit

They describe four points in the head, heart, bladder, palms, and navel. Five points in the throat, ten in other places, and two elsewhere. These should be measured with a clenched fist, and the remaining ones should be measured with half a finger's width in detail.

english translation

hindi translation

hRdbastikUrcagudanAbhi vadanti mUrdhni catvAri paJca ca gale daza yAni ca dve | tAni svapANitalakuJcitasammitAni zeSANyavehi parivistarato'GgulArdham ||29||

hk transliteration

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siva.sh/sushruta-samhita/sharira-sthana/6/30

एतत्प्रमाणमभिवीक्ष्य वदन्ति तज्ज्ञाः शस्त्रेण कर्मकरणं परिहृत्य कार्यम् | पार्श्वाभिघातितमपीह निहन्ति मर्म तस्माद्धि मर्मसदनं परिवर्जनीयम् ||३०||

sanskrit

Experts, having considered this measurement, state that surgical procedures should be avoided in these areas. Even a side injury does not harm the vital spots, hence the location of vital spots should be carefully avoided.

english translation

hindi translation

etatpramANamabhivIkSya vadanti tajjJAH zastreNa karmakaraNaM parihRtya kAryam | pArzvAbhighAtitamapIha nihanti marma tasmAddhi marmasadanaM parivarjanIyam ||30||

hk transliteration

Chapter 6

Verses 31-35