Susruta Samhita - Mandhata Global

l82 THE SUSHRUTA SAMHITA. [Chap. VI.
occur in the place of the Gulpha, Jdnu and
Vitapa Marmas respectively. As the Vitapa-Marma
is situated between the scrotum and the Vankshana
(inguinal region), so the Kakshadhara-Marma is situated
between the Vaksha (chest) and the Kaksha (armpit).
An injury to these causes supervening symptoms.
An injury to the Manivandha-Marma (wrist-marma)
results specially in inoperativeness (Kuntha) of the
affected hand ; an injury to the Kurpara-Marma ends
in dangling (Kuni) of the hand ; and an injury to
the Kakshadhara results in hemiplegia. Thus the
forty-four Marmas of the upper and the lower extremi-
ties have been described. 43-46.
IVIarmas on the Thorax etc. :—Now we
shall describe the Marmas, situated in the region of
the thorax and the abdomen (trunk). A hurt to
the Guda-Marma*, which is attached to the large
intestine and serves as the passage of stool and flatus,
ends fatally (within twenty-four hours of the hurt).
An injury to the Vasti-Marma,t situated inside
the cavity of the pelvic region and the bladder and
composed of small muscles and blood (and which
serves as the receptacle of urine), proves fatal with-
in the day, except in the cases of extracting the
gravel, only when the injury to the organ is short
of complete perforation of both of its walls. The
urine oozes out through the aperture in the case
where only one of its walls has been perforated, and
which may be closed and healed up with proper
and judicious medical treatment. An injury to the
* It is a Mansa-Marma to the length of four fingers' width and be-
long? to the Sadyo-maraka class.
t It is a ligament combination (Snayu marma) to the length of four
fingers, belonging to the Sadyah-Pranhara class,