A REVIEW OF ADHIPATI MARMA

Abstract

Background: The Adhipati Marma is Sandhi Marma and Sadyapranahara in nature; measurement is about half angula. There is a controversy about sandhi in the context of Adhipati Marma. The Sushruta School thought it was Asthi Sandhi, but the recent commentator of Sushruta Samhita, like Acharaya Dalhana and Ghanekar, considered it a Sira Sandhi. Aims and objective: To analyze the structural entity of Adhipati Marma. Material and methods: Classical textbooks of Ayurveda and contemporary science, journals, publications, articles, e-journals etc., related to Adhipati Marma. Discussion: The Adhipati Marma is situated in Shira Pradesha, which is Sandhi Marma. The posterior fontanelle or lambda is an anatomical landmark in the skull, which may be delayed in the closure and can cause hydrocephalus or congenital hypothyroidism. The Torcular Herophili, or confluence of sinuses, is a highly variable structure which constitutes a network of dural venous sinuses. Injury to Torcular Herophili or confluence of sinuses is infrequent, but sepsis, thrombosis and embolism may occur, which can be fatal. Conclusion: Due to controversies of Adhipati Marma, From Sushruta's point of view, Adhipati Marma can be compared as lambda or posterior fontanelle. At the same time, Acharya Dalhan and Ghanekar's point of view may be considered lambda or Torcular Herophili or confluence of sinuses.