A REVIEW: NEUROVASCULAR STRUCTURES OF KURCASIRA MARMA

*Dr. Sonu Verma and Dr. H. H. Awasthi

The chapter „Marma Sharira‟ of Sushruta Samhita (ancient manuscript of Ayurveda) gives detailed information about the Marma, for completely understand the importance of Marma and keeping in mind the sites of Marma to avoid the injuries over the vital points (Marma) during surgery. Almost all the Samhitas have mentioned the 107 Marma. Out of 107 Marma, 27 are mentioned under the heading of Snayu Marma, 8 are mentioned in Rujakara Marma, and Kurcasira Marma is one of them. Aim of our study is to find out the appropriate structures related to Kurcasira Marma; and we try to compare the effect of trauma on the site of Marma with the modern science on the basis of some sign and symptoms mentioned in the Samhitas. The anatomical structures at site of Marma are observed and analysed through the cadaveric study and conceptual study through different texts and previous researches. For Kurcasira, it is below the Manibandha in both upper and lower extremity (Gulpha). The study concludes that, Urdhavshakhagata Kurcasira Marma is considered anatomically as the flexor and extensor retinaculum and trauma over the Median nerve in hand and Tibial nerve in foot under the retinaculum shows the symptoms of Ruja as mentioned in Samhitas. Urdhavshakhagata Kurcasira Marma corresponds to structures below the wrist joint, including various tendons and neurovascular components. Injury to this Marma causes pain and swelling due to the involvement of sensory nerves and vascular responses.