A conceptual analysis of Marma Chikitsa in Avabahuka

Acharya Sushruta has classified Avabahuka, a disease of the Amsa Sandhi (shoulder joint), under the eighty varieties of Vata Vyadhi. Amsa Shosha (wasting of the shoulder) can be considered as the preliminary stage of the disease, where loss or dryness of Sleshaka Kapha from Amsa Sandhi occurs. Its growing prevalence in today's world necessitates efficient management with quick and long-lasting effects. Therefore, in such cases, Marma Chikitsa, an alternate Ayurvedic therapy, can be recommended. Multiple sittings are required for better results. Avabahuka can be treated with improvements, regardless of its severity or duration. In this study, emphasis is laid upon eight specific Marma Sthana (or energy points) for the management of Avabahuka by considering the related literature. This conceptual study may prove beneficial from the clinical and surgical point of view.