• Dr Chithira ambu

In the fast-developing technological era, most of the diseases may not be life threatening but hamper day to day life and human productivity. Apabahuka is one among those diseases which is painful and affects the normal routine life of an individual. It is one among the Vata vyadhi1 which affects the normal functioning of the upper limbs. One of the nidhana for apabahuka is marma abhigata 2. In apabahuka, vitiated vata resides in amsadesha leading to shoola, stamba, shosha and bahupraspanda hara3. Frozen shoulder is a condition of varying severity characterized by the gradual development of limitation of active and passive shoulder motion. The lifetime prevalence of frozen shoulder is estimated to be 2-5% of population. Most common in 5th and 6th decade of life. Females are 4 times more effected than male. Patients with diabetes mellitus are at greater risk of developing frozen shoulder. Treatment modalities include physiotherapy, oral cortical steroids, surgery etc4. When compared to contemporary treatment there is a need to find a treatment which is easily available, safe and cost effective in treatment of apabahuka. In apabahuka, the vitiated vata get sthanasamsraya in amsadesha5. In amsadesha we have amsa marma6 and amsaphalaka marma7, which is a type of snayumarma8 and asthimarma9 respectively. Any abhigata to these marma shows same lakshanas as that of apabahuka10. Marmavijyaniyum is an extra ordinary and dynamic part mentioned in Ayurvedic text that has tremendous value while performing any surgical treatments. Marma is the place where prana resides11.Any injury to these marma can leads to marana or marana sadrishya dukha12. Marmachikitsa is mainly practiced by traditional vaidyas in kerala. Marmachikitsa has dual benefits of disease control with instant symptomatic response and permanent cure without side effects. Marmachikitsa is not merely the massage, its multiprocedure which includes vimardana, bandhana, lepana, pidana, mardhana, abhyanga etc. In marmachikitsa, marma points are chosen near by the painful area or on corresponding marma point in other part of the body and is stimulated with mild or deep pressure. The pressure is applied according to the condition, type of marma present and pain bearing threshold of the patient. According to Susrutha Acharya, one of the treatments of snayu sandhi asthi gata vata is unmardhana13, which can be considerd as a marmachikitsa. And in sahasrayoga the application of marmagutika lepana is explained for all the marma vikaras14. Hence single blind study is conducted “to evaluate the effect of marma chikitsa in apabahuka” keywords: marma chikitsa, marma gutika, apabahuka.

marma chikitsa, marma gutika, apabahuka.

"To Evaluate The Effect Of Marma Chikitsa In The Management Of Apabahuka", International Journal of Emerging Technologies and Innovative Research (www.jetir.org), ISSN:2349-5162, Vol.8, Issue 10, page no.c168-c196, October-2021, Available :http://www.jetir.org/papers/JETIR2110223.pdf

"To Evaluate The Effect Of Marma Chikitsa In The Management Of Apabahuka", International Journal of Emerging Technologies and Innovative Research (www.jetir.org | UGC and issn Approved), ISSN:2349-5162, Vol.8, Issue 10, page no. ppc168-c196, October-2021, Available at : http://www.jetir.org/papers/JETIR2110223.pdf