A REVIEW: NEUROVASCULAR STRUCTURES OF KURCASIRA MARMA

The chapter „Marma Sharira" of Sushruta Samhita (ancient manuscript ofAyurveda) gives detailed information about the Marma, for completelyunderstand the importance of Marma and keeping in mind the sites ofMarma 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 inRujakara Marma, and Kurcasira Marma is one of them. Aim of our study isto find out the appropriate structures related to Kurcasira Marma; and we tryto compare the effect of trauma on the site of Marma with the modernscience on the basis of some sign and symptoms mentioned in the Samhitas.The anatomical structures at site of Marma are observed and analysedthrough the cadaveric study and conceptual study through different texts andprevious researches. For Kurcasira, it is below the Manibandha in both upperand lower extremity (Gulpha). The study concludes that, UrdhavshakhagataKurcasira Marma is considered anatomically as the flexor and extensorretinaculum and trauma over the Median nerve in hand and Tibial nerve infoot under the retinaculum shows the symptoms of Ruja as mentioned inSamhitas. Urdhavshakhagata Kurcasira Marma corresponds to structuresbelow the wrist joint, including various tendons and neurovascularcomponents. Injury to this Marma causes pain and swelling due to theinvolvement of sensory nerves and vascular responses.