Critical Analysis of Gudamarma and Its Clinical Importance

Gudamarma, one among Trimarma described in classical Ayurveda is a vital anatomical and functional region located in anorectal junction. It is considered as sadyopranahara marma, indicating critical role in sustaining life. The terminal part of large intestine and Moola of Pureeshava Srotas is known as Guda. It is one of the Karmendriya. Charak has mentioned that Guda is one of the Koshtangas. Entire length of guda include 4 ½ angula. Guda include 3 obliquely transverse fold at distance of 1 ½ angula named as Pravahini, Visarjini, Samvarani. Guda is defined as passage through which excretion of faeces take place. Uttara guda is the part which pureesha will be collected and Adharaguda is for excretion of feaces. Pureeshdhara Kala is related to Guda and it is Moola of Pureeshvaha Srotas. Structures falling under guda include anus, rectum, sphincters, nerve plexuses, levator ani muscles, haemorrhoidal vessels.Objective of study include literary review on Gudamarma with correlation of anatomical study and the clinical importance through contemporary science.