The document discusses Janu marma, which is located at the junction of the femur and tibia bones. It is one of the sandhi marma points. Sandhigata vata (joint disorder) is a common type of vata disorder that mainly occurs in older individuals. It is characterized by joint pain and swelling. Marma therapy was used to treat this condition by massaging and pressing on the Janu marma point with the thumb and fingers. Pressing on this vital point helped reduce pain and treat the joint disorder. Marma therapy aims to regulate body functions by stimulating vital energy points and can be used along with other Ayurvedic treatments like panchakarma.

1. DR.BHARATHI.S
1ST YEAR PG- SCHOLAR
DEPT OF PANCHAKARMA
SVM AMC ILKAL

2. INTRODUCTION
 Marma is defined as anatomical site where five
structures i.e. Mamsa , Sira , Snayu , Asthi and
Sandhi meet together .
 Acharya Vagbhata says that , these points are seats of
life .
 There are 107 such vital points in our body.
 Acharya Sushruta and Acharya Vagbhatta have
included Vata Vyadhi under the Ashta Mahagad
because of its Ashukarita and Upadrava.

3. TYPES OF MARMA
 Sadya pranahara,
 Kalantara pranahara,
 Vishalyaghna,
Rujakara
 VAIKALYAKARA,
These are the points where injury causes structural
or functional deformity .
These are 44 in number

4. JANU MARMA
Janu marma is situated
in the lower extremity
and forms junction of
femur and tibia bone .
It is one of the sandhi
marma,
 Three anguli pramana.

5. SANDHIGATAVATA
 Sandhigata vata is the
commonest form of articular
disorder.
 It is a type of vatavyadhi
which mainly occurs in
vriddhavastha .
Vata dosha plays main role
in the disease. Shula
pradhana vedana is the
cardinal feature of the
disease .

6. ROOPA
Sandhi vedana.
Sandhi shotha.
Vatapoorna druti
sparsha.
Prasarana akunchana
pravruthi savedana.
 Atopa
Degeneration of the joint
(hanti sandhi)

7. SAMPRAPTHI

8. CHIKITSA
Kashta sadhya vata vyadhi.
Acharya sushruta has described
 Snehana,
 Upanaha,
 Agnikarma,
 Bandhana,
 Unmaardana
 MARMACHIKITSA

9. MARMA CHIKITSA
POORVAKARMA
 Total relaxation of the
body and mind should
be achieved.
 Marma points then
gentle massage with
thumb and fingers over
janu marma points
was done.

10. PRADHANA KARMA
 Keep concentrate of
the patient mind on
marma points with
eyes closed.
 Marma point was
pressed on proper
therapeutic manner.
 15-18 times in one
sitting and three
sittings were given
per day.

11. PASCHAT KARMA
 The patient was
advice to take rest
for 5-10 min, and
then allowed to go
back for his/her
routine work.

12. COMPLICATION
1.DEFORMITIES.
 Blunt trauma produces
permanent disability and
deformities.
 Genu valgum
 Genu varum

13. 2.INFLAMMATION
 The knee joint is
vulnarable to the
traumatic effect of
these region produce
pain and inflammation
and loss of function.
 Foreign body in bone
produces many type of
pain and inflammation.

14. 3.LIMPING
 It is one of the
vaikalyakara marma
produce khanjata.
 If it get injured it
produces limping of the
lower extremity.
 If foreign body present
in the joint produces
loss of function.

15. OTHER MARMA THERAPY
KSHIPRA MARMA:
 Located at the
junction of the
thumb and index
finger.
 Marma point was
pressed with the help
of thumb and index
finger.

16. KURPARA MARMA:
 Over the elbow
joint. Lateral and
medial aspect of the
elbow was gently
pressed with the
thumb and index
finger.

17. MANIBANDHA MARMA:
 Location is over the
wrist joint. Marma
point was pressed
with the grip of index
finger and thumb.

18. GULPHA MARMA KASHA MARMA

19. ANGULI MARMA

20. VRIHATI

21. SIRAMATRIKA KUKUNDARADYA

22. CONCLUSION
 Marmas are vital points that regulates our body
functions.
 Marmas are considered as centers for the prana.
 They can be used specifically for the diagnosis and
treatment of disease or generally for promoting health
and longevity.
 Marma therapy can be used along with all ayurvedic
chikitsa like PANCHAKARMA and yoga.
 Marma chikitsa is advance technique of ayurveda
related to diagnosis, treatment of particular disease
and REDUCE PAIN.

23. Thank you