Clinical Significance of Trimarma: Sira, Hridaya and Vasti Marma

Marma is a vital point in the human body where there is Sannipaat of Mamsa, sira, snayu, asthi, and sandhi according to acharya Shushrut. This point when exposed to trauma generates effects, like pain and even extreme effect such as death. Acharya Shushruta explained 107 marma points in the human body. Acharya Charak also speak out the same number but he dealt with its clinical significance in “Trimarmeeya Chikitsa Adhyaya” and “Trimarmeeya siddhi Adhyaya” and he elongated only 3 of them which are Trimarma – Shira, Hridaya, vasti. These marmas are seats of Prana and sadyapranahara in nature and represent 3 different regions of the body, which are the neurological, cardiovascular, and excretory systems. The present paper is an effort made to understand and explain the clinical importance of these Trimarma in chikitsa.