Marma is a vital point where prana is situated. It is an anatomical area where the five anatomical
structures are collectively present. Maharshi Sushruta has explained 107 marma. These are the
places where the prana (Life Force) is said to be situated. Any injury to the Marma points that
leads to deformity of the structures, produces the severe pain, loss of movements and even
some times there may be a death. Acharya Sushruta described the number of marma in different
anatomical parts of the body and also classified individual marma according to the distribution
for better knowledge of their sites as - Sakthi, Vaksha, Udaragata, Pristha and Urdhava jatru
gata. Pristha gata marma are located in the back of the body. These marmas are Located along
the length of the spine and on either side of it. It is said that injury to spinal cord or its supporting
structure can cause permanent change in strength, sensation and other body function. Amsa
marma is a type of pristhagata marma and its marmaghata can produce Stabdhabahuta (Stiffness
of the Shoulder).
Amsa Marmabhighata is a vata vyadhi characterised by shoola and bahupraspandahara. It is
paralleled with Supraspinatus tendinitis in modern medicine. Though not a life-threatening
condition, it hampers the day-to-day activity of the individual, reducing the quality of life. Here
is a case report of, 48yrs female who presented with pain and stiffness in the right shoulder since
3 months which was managed effectively with Marma Chikitsa.