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Siravedhana Case Study

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Siravedhana Case Study
Urdhvashakhagata site of siravedhana:

Pleehodar
Site of Siravedhana: In diseases of Pleeha, Siravedhana should be done specially in the left arm at the medial side of elbow joint( Kurpara Sandhi) in the centre of the arm or in the area between Kanistika and Anamika (between the left little and ring fingers). Kurpara Sandhi is a type of Sandhi Marma controlling Raktavahav Srotas, so that Marma on right controls liver, Marma on left controls spleen.

Site with justification: In pleehodar, Acharya Sushrut told medial aspect of Kurpara,, in anatomy elbow joint have only anterior and posterior aspect. Hence, here we have considered medial aspect of anterior side of the elbow or in between little and ring finger of left hand.

Structures at considered
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As per above said quotation in Yakrudalyudara and Kaphodara, Kasa Shwasa Siravyadha is done is right sided ‘Kurpara Sandhisthita’, it is right median cubital vein, which is situated above Kurpara Marma. It is a type of Sandhi Marma controlling Raktavaha Srotas, so that it controls functions of liver and spleen.

Site with justification: Achaya Sushrut told medial aspect of Kurpar, in anatomy elbow joint have only anterior and posterior aspect. Hence, here we have considered medial aspect of anterior side of the elbow, or in between little and ring finger of right hand.

Structures at considered site: site 1. At, the right elbow joint prominent median cubital veins links cephalic and basilic vein. It receives number of tributaries from the front of forearm and gives off the median vein, which pierces the facial roof of antero-cubital fossa to join the venae commitants of brachial artery. So the vein recommended for Siravedha may be median cubital vein of right
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Part of forearm which is situated between elbow and wrist is called Prakoshta. Normally the length of adult Prakoshta is approx 16 angula10 (40 cm.). Location of Indrabasti marma is “Prakoshta madhya prati” so it will be present 8 angula (20 cm.) cm. from elbow to wrist. If we are looking at the surface anatomy of the Indrabasti marma then we found it is right to be classified into mamsa marma because middle of forearm pronator teres, brachioradialis, flexor carpi radialis and flexor digitorum superficialis muscles are present at this

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