Department of Post Graduate Studies in Rachanasareera

From,

DR. SYAMLAL.S.

Preliminary M. D. (Ayu) Scholar,

Department of Post Graduate Studies in RachanaSareera.

N.K.J.A.M.C. & P.G. Centre,

Bidar. 585403.

To,

The Registrar,

Rajiv Gandhi University of Health Sciences,

Bangalore, Karnataka.

Through,

The Principal/Dean and Head of Department, P.G. studies in RachanaShareera.

N.K.J.A.M.C. & P.G. Centre,

Bidar: 585403.

Subject: Submission of Completed Performa for Registration of Synopsis of Dissertation.

Respected Sir,

I request you to kindly register the below mentioned subject against my name for the submission of the dissertation to the Rajiv Gandhi University of Health Sciences, Bangalore, for partial fulfillment of M.D.(Ayu) in Sareera Rachana.

THE TITLE OF DISSERTATION:

“CADAVERIC STUDY OF SHRINGHATAKA MARMA”

I hereby enclosing, completed Performa for the Registration of Subject of Dissertation.

Thanking You,

Place: Bidar Yours faithfully,

Date: 22.04.13 ( DR. SYAMLAL.S.)

RAJIV GANDHI UNIVERSITY OF HEALTH SCIENCES

BANGALORE,KARNATAKA.

ANNEXURE-II

PROFORMA FOR REGISTRATION OF SUBJECT FOR

DISSERTATION

1.Name of the Candidate: DR. SYAMLAL.S.

and Address: S/O SRI.J.SIVARAMAKRISHNAPILLAI

JYOTHIS

THOLICODU (POST)

PUNALUR, KOLLAM

KERALA

PIN CODE - 691333.

2.Name of Institution:N. K. J. AYURVEDIC MEDICAL COLLEGE & P.G.

CENTRE, BIDAR- 585403.

KARNATAKA

3.Course of study and Subject:M.D.(RachanaSareera)

4.Date of Admission to Center:30 AUGUST 2012.

5.Title of Topic:

“CADAVERIC STUDY OF SHRINGHATAKA MARMA”

6. BRIEF RESUME OF INTENDED WORK.

6.1 NEED FOR THE STUDY:

Marmacomprises of Mamsa,Sira,Snayu,Asthi & Sandhi on which the sustains of life depends. It is evident that if any injury occurs to a Marma it may lead to either deformity or even death. Marmas are enumerated as 107 in our classics.1

Marmas are classified in to fivecategories based on its Parinama (effects of Injury).Out of these the Sadhyapranahara Marmas are considered more important than others andany aghatha (injury) over the Sadhyapranahara Marma will lead to death of a Person immediately, further any aghathaover the Kalanthara Pranahara Marma causes death after lapse of some time. One may survive in vishalyagna marma aghata but death will occur followed by removal of foreign body, Injury on Vaikalyakara will lead to physical disability to which a person has to bear throughout his life.1

Urdwajathrugathabhaga plays a very important role because of the seat of Prana both structurally and clinically.4 The SiraMathruka, Sankha, Shringhataka and Adhipathi, these four Marmas are considered as the Urdwajathrugatha Sadhyapranahara Marmas. Their numbers are 8,2,4 and 1 respectively.1

Among these the Siramathruka and Shringhataka are the Siramarmas and Sankha is Asthi variety, Adhipathi is comes under SandhiMarma.2

At the Meeting Place of Orifices of the Tongue, Nose, Eyes, Ears and Palate is the Vital spot by name Shringhataka. These are 4 in number and SadhyaPranahara according to Acharyas.2

Although the Gross, Regional and the Viddha laxanas are described in the Samhithas,the detailed description of particular structures which are involved in forming Shringhataka Marma region is lacking in the ancient texts. Yet no cadaveric study has been conducted till now with relation to Shringhataka marma. Whatever the study has been conducted till today only on the basis of available literatures and understanding and interpretation with the modern science. This has attracted me to carry out the Cadaveric study through dissection, for exploring the extent, nature and particularstructures of Shringhtaka Marma which is going to enhance our knowledge and highlight the dark areain this topic. This is going to be very helpful for Practitioners, Scholarly persons and Academicians etc.

6.2 REVIEW OF LITERATURE:

Sushruta samhita:

In Sushruta samhitha sareerasthana 6thchapter, Acharya Sushrutha has explained the Shringhataka marma is Urdwajathrugatha Sadhyapranahara Marma1.

Charaka samhita:

In Charaka samhitha chikitsasthana 25thchapter Acharya Charaka mentioned that the importance of shiras because the seat of Prana

Astanga Hridaya:

Acharya Vagbhata in sareerasthana 7th chapter has described Shringhataka marma is the Dhamani marma2

PREVIOUS WORKS DONE:

Dr.Agarval.M- SadhyaPranahara Marma Saidhanthika evam Prayogika abhyasa,

Rajasthan University 1983.

Dr.Patil.Y.V- Guda Marma cha SadhyaPranahara Marma, Pune University 1998.

Dr.Channamallikarjun.A.Devargaon- Critical study of Urdwajathrugatha Marma

w.s.r to Vidhura Marma, Rajiv Gandhi University,Bangaloore 2004.

6.3Objectives of the STUDY:

1.To study the Shringhataka Marma

2.To explore the extent, nature & particular anatomical structure of Shringhtaka Marma with the help of Cadaveric dissection.

7. MATERIALS AND METHODS:

7.1 SOURCES OF DATA:

MATERIALS:

1. The literarature on Sadhyapranahara marma will becollected from the Brihathrayi’s, Laghuthrayi’s and other Classical texts including dictionaries, Journals, Presented papers, previous dissertation works done etc.

2. Regional anatomical study of Shringhataka Marma will be done on Cadavers in Dept.of Rachana sareera, NKJAMC & PG Center, Bidar.

3. The method of dissection has explained in Cunningham’s Practical Anatomy is followed inmaximum.

7.2 METHODS OF COLLECTION OF DATA:

The present study depends upon the cadaveric dissection. For this purpose the relevant information about the shringhaaka marma will be collected from the classical and modern text books, national and international journals, magazines, seminars, conferences, Internet material, previous works done, presented papers etc. So we have to examine critically and important informations have to be discussed & analyzed scientifically to approach the objective as such. Since having no clinical design of study the collection of clinical data is not needed.

7.3 DOES THE STUDY REQUIRE ANY INVESTIGATIONS TO BE CONDUCTED ON THE PATIENTS / ANIMALS? IF SO, PLEASE DESCRIBE BRIEFLY:

No. As the study is carried out on cadaver.

No clinical and animal experimental study will be conducted.

7.4 HAS ETHICAL CLEARANCE BEEN OBTAINED FROM YOUR INSTITUTION –

Yes obtained.

8. LIST OF REFERENCES:-

1. Sushrutha samhitha of Acharya Sushrutha with Nibandha sangraha commentary of Acharya Dalhana with Ayurveda rahasya deepika commentary by Dr.Bhaskar Govind Ghanekar Chaukambha Sanskrit prathishtan, Varanasi.p198

2. Ashtanga Samgraha by Acharya Vagbhata with Sarvanga sundari vyakhya by Acharya Arunadattha by Sri pandithlal sasthry vaidya,publishers Sri vaidyanath ayurveda bhavan pvt ltd p214

3. Ashtanga Hridayam of Acharya Vagbhata with the commentaries Sarvangasundari of Acharya Arunadattha and Ayurveda rasayana of Acharya Hemadri. Edited by Pandit Hari sadasiva sasthri Published by Chaukambha Sanskrit prathishtan, Varanasi.p409-412

4.Charaka samhitha by Acharya Agnivesha elaborated by Acharya Charaka an Dridabala with the Ayurveda deepika commentary by Acharya Chakrapanidattha,Edited by Vaidya Yadavji Thrikamji Acharya,Chaukambhasanskrit prathishtan,Varanasi.p337,597

5. Bhavaprakasha by Acharya Bhavamisra with Vidyodhini vyakhya by Sri Brahma sankara mishra sasthry.Publishers Chaukambha Sanskrit prathishtan, Varanasi,p65-66

6. Gray’s anatomy by Dr.Henrygray and H.V.Carter, Editor Susan Standring, 40th edition, London, U.K p226, 429-30

7. Romanes G J, Cunningham’s manual of practical anatomy volume 3, 15th edition Newyork, Oxford university press1996 p97-99,116-120

9. SIGNATURE OF THE CANDIDATE : DR.SYAMLAL.S.

10. REMARKS OF THE GUIDE :

11. NAME & DESIGNATION OF

11.1 Guide : DR. N.G.MULIMANI

PROFESSOR

11.2 Signature :

11.3 Co-Guide : DR. ASHWINI KUMAR.W

ASST. PROFESSOR

11.4 Signature :

11.5 Head of Department : DR.N.G MULIMANI

PROF.& H.O.D

P.G DEPT OF SHAREERA RACHANA

N.K.J.A.M.C & P.G CENTRE, BIDAR

11.6 Signature :

12.1 Remarks of the Chairman &

Principal/Dean :

12.2 Signature :

1