An English Translation of the Sushruta Samhita, Vol. II — trans. Kaviraj Kunja Lal Bhishagratna (1911)
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The translator’s English as printed (Kunja Lal Bhishagratna). The original-language text is not held; names are romanised as the translator printed them.
A Marma of the Sadyah-Prdnahara type being perforated at its edge brings on death at a later time (within seven days), whereas a deformity of the organ follows from the piercing of a Kalantara-Mdraka* Marma at the side (instead of in the centre). Similarly, an excruciating pain and distressful after-effects mark a similar perforation of a Marma of the Visalyaghna-j* group. And a Marma of the Rujakara*: class produces an excruciating pain (instead of a sharp one) in the event of its being pierced at the fringe. 30.
An injured Marma of the Sadyah-Pranahara type terminates in death within seven days of the injury, while one of the Kalantara type, within a fortnight or a month from the date of hurt (according to circumstances). A case of injured Kshipra-Marma seldom proves fatal before that time (seven days). An injured Marma of the Vis'alyaghna or Vaikalyakara group may prove fatal in the event of its being severely injured. 31.
Marmas of the Extremities :— Now we shall describe the situation of every Marma. The
" If any of the Marmas of the Kalantara-Pranahara group be deeply perforated, then this perforation is sure to bring on death within a day {i.e. it will act like a slightly injured Marma of the SadyahPranahara group).
t Any Mnrma of the Vis'alyaghna-group, being deeply perforated, brings on death within seven days (i, e. it will behave like a slightly injured Marma of the Kalantara-Pranahara class),
J Any Marma of the Rujakara class, being deeply perforated (injured), is sure to bring excruciating pain etc, (i.e., it will act like a slightly injured Marma of the Vis'alyaghna group).
l8o THE SUSHRUTA SAMHITA. [Chap. VI.
Maima, known as the Kshipra*, is situated in the region between the first and the second toes (Tarsal articulation), which, being injured or pierced, brings on death from convulsions. The Marma, known as the Tala-Hridayai", is situated in the middle of the sole of the foot in a straight line drawn from the root of the middle toe. An injury to this Marma gives rise to extreme pain which cuds in death. The Marma, known as the Kurchchat, is situated two fingers' width above from the Kshipra one on each side of the foot. An injury to this Marma results in shivering and bending in of the foot. The Marma called Kurchcha-Sirah § is situated under the ankle-joints, one on each side of the foot (Gulpha-Sandhi) ; an injur\- to it gives rise to pain and swelling of the affected part. A perforation of the Gulpha-Marma !!, which is situated at the junction of the foot and the calf, results in pain, paralysis and maimedness of the affected leg. 32-37.
An injury to the Marma which is situated in the middle muscle of the calf to the distance of between twelve and thirteen fingers' width from the ankle, and known as the Indravasti-Marma..1 results in excessive haemorrhage which ends in death. 38.
• It is a Snayu-Marma (ligament) to the width of half a finger, and belongs to the Kalantara group.
t It is a Mansa-Marma to the widlh of half a finger and belongs to the Kaianlara group.
* It is a Snayu-Marma lo the length of four fingers' widlh, and belongs to the Vaikalyakara group.
§ It is a Snayu-Marma, one finger in length and belongs to the Vaikalyakara group.
II It is a Sandhi-Marma, to the length of two fingers', and belongs to the Vaikalyakara group.
^ Indravasii measures (wo fingers in length according to Bhoja and
Chap. VI.] SARIRA ST HAN AM. l8l
An injury to or piercing of the Jainu-Marma* situated at the union of the thigh and the knee, results in lameness of the patient. 39.
A piercing of the Aui-Marma,1* situated on both the sides above three fingers' width from the Janu (knee-joint), brings on swelling and paralysis (numbness"! of the leg. 40.
A perforation of the Urvi-Marma,^ situated in the middle of the Uru (thigh), results in the atrophy of the leg, owing to the incidental heemorrhage. An injury to the Lohitaksha-Marma, ' situated respectively a little above and below the Urvi-Marma and the Vankshana (groin-joint), and placed near the thigh, is attended with excessive haemorrhage and causes paralysis [p{ the leg). 41-42.
An injury to the Vitapa-Marma,^ situated between the Scrotum and the Vankshana (inguinal region), brings on loss of manhood or scantiness of semen. Thus the eleven Sakthi-Marmas of one leg have been described ; those in the other being of an identical nature with the preceding ones. The Marmas in the hands arc almost identical with those of the legs, with the exception that Manivandha, Kurpara and Kakshadhara Marmas
Gayddasa, though half a finger in width according to oihers. It is a Minsa-Marma and belongs to the Kalantata group.
* It is a joinl-Marma, thiee fingers in length and belongs to the Vaikalyakara group.
t It is a li^am-nt-Marma, half a finger in length, (three fingers according to Gayadasa) and is of the Vaikalyakara class.
X It is a S'ira-Marma, half a finger in length and of the Vaikalyakara group.
y It is a S'ira-Marma, halfa finger in length and of the Vaikalyakara group.
IT It is a Snayu-Marma to the length of one finger and of the Vaikalyakara group.
l82 THE SUSHRUTA SAMHITA. [Chap. VI.
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