JANU MARMA THE SANDHI VARIETY OF KALANTARA PRANAHARA MARMA

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The structure that which is present between the Sakthi (Hip) and the Jangha (Fore leg) is referred as Janu, which is supposed to be the Knee.

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JANU MARMA THE SANDHI VARIETY OF KALANTARA PRANAHARA MARMA

  1. 1. JANU MARMA THE SANDHI VARIETY OF KALANTARA PRANAHARA MARMA<br />DR.A.RANGAPRASAD BHAT<br />“S.P.K.V.C.C’’<br />(SarojaPanchakarma & Varma Chikitsa centre)<br />Mylapore,Chennai.<br />http//www.drrangaprasadbhat@blogspot.com <br />
  2. 2. Definition<br />The Janu in sanskrit means The Knee.<br />The structure that which is present between the Sakthi (Hip) and the Jangha (Fore leg) is referred as Janu, which is supposed to be the Knee.<br />janu n. Knee Pg.099 – A Practical Sanskrit Dictionary by Arthur Anthony Macdonell,publishers London: Oxford University Press, 1929. <br />
  3. 3. Number of Janu<br />The Janu, which corresponds to the knee joint is present one in each of the leg.<br />Thus 2 Janumarmas are present in the human body.<br />
  4. 4. Classification of Janu Marma<br />Based on the effect of injury the Janumarma has been classified as VAIKALYAKARA MARMA.<br />Reference- Su.Sha.6/13<br />Based on the structural integrity the Janumarma has been classified as SANDHI MARMA.<br />Reference- Su.Sha.6/4<br />
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  8. 8. Janu Marma<br />JANU MARMA<br />
  9. 9. Measurement of Janu<br />त्रीण्येव जानु स परं || सु. शा. ६/२९  <br />The Janumarma is 3 angulain pramana<br />Approximately 3 – 4.5 cms<br />
  10. 10. Location Of Janu<br />Reference -Su.Sha.6/25<br />Interpretation<br />जङ्घा ऊर्वा <br />संधाने जानु नाम - <br />तत्र खञ्जता ||<br />The structure that<br /> which binds the <br />Jangha (Foreleg) & <br /> the Ooru (Thighs)is<br /> the Janu Marma.<br />The janumarma when injured causes Khanjata<br /> (Limping).<br />
  11. 11. Probabilities of Area Of Janu Marma<br />
  12. 12. Method Of Palpation<br /><ul><li>Start palpating along the superior; medial ; inferior and lateral borders of the Patella
  13. 13. Likewise along the lateral & medial aspect of the knee joint
  14. 14. And finally over the popplitealFossa too</li></ul>continued<br />
  15. 15. <ul><li>One will notice the tenderness present but in varied degrees in the following regions</li></ul>@ the IlioTibial Tract on the supero-lateral aspect of the Knee<br />@ the Poppliteal Fossa<br />@ the lateral surface of the knee corresponding to the location of Lateral Collateral Ligament<br />@ the medial surface of the Kneenear infra-patellar region corresponding to the Medial Collateral ligament<br /> @ the Infra-patellar region<br />
  16. 16. Interpretation of the probable site of Janu Marma<br /><ul><li> Of the 5 structures mentioned in the previous slide, the highest point of tendernesswill be observed in the medial surface of the knee joint corresponding to the insertion of Medial Collateral ligament.
  17. 17. More over as per the observation of SushrutaKhanjata or limping is the feature on Janugetting injured..continued</li></li></ul><li><ul><li> The most common cause of limping occurs due to injury of the medial collateral ligament, in the form of partial or complete tear.
  18. 18. Considering these facts the Janumarma is determined to be present in the medial surface of the knee Joint, adjoining the infra patellar region.</li></li></ul><li>Anatomical Structures related to the Janu Marma<br />
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  20. 20. Thank You !SARVE JANAAH SUKHINO BHAVANTHUH.Dr.A.Rangaprasad Bhat, Chennai.Mobile - +919841218802 <br />SarojaPanchakarma & Varma S.P.K.V.C.C (Chikitsa center).<br />http://www.drrangaprasadbhat@blogspot.com<br />

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