@article{Daiarisa Rymbai_Anju Thomas_2020, title={A REVIEW ON COMPREHENSIVE UNDERSTANDING OF APASTAMBHA MARMA AND ITS CLINICAL SIGNIFICANCE}, volume={8}, url={https://ijapr.in/index.php/ijapr/article/view/1699}, DOI={10.47070/ijapr.v8iSupply2.1699}, abstractNote={<p>The word <em>Marma </em>denotes the vital spots of the body. <em>Marma Shareera </em>is widely discussed in <em>Ayurveda</em>. The structural entity of these spots is not clearly explained in the classical texts so we cannot rule out the exact structural components involved. <em>Apastambha Marma </em>is one among 107 <em>Marma </em>explained in Classical textbooks. According to <em>Sushruta, </em>it is classified under <em>Sira</em> variety and it is an<em> Urogata Kalantara Pranahara Marma.</em> But <em>Vagbhata </em>has mentioned it as a type of <em>Dhamani Marma </em>on the basis of its structural entity. It measures about 1/2 <em>Angula Pramana</em>. <em>Acharya </em><em>Sushruta</em> mentions its location as <em>Uras</em>, bilaterally where two <em>Vatavaha Sira</em> (tubular structures carrying air) are seen. <em>Vagbhata </em>says that it is situated in the <em>Uras </em>on both sides of the <em>Parshwa.</em> The <em>Viddha Lakshana</em> of this <em>Marma</em> as per <em>Sushruta</em> is <em>Vatapoornakoshtataya, Kasa, Shwasa</em> and <em>Marana.</em> However, there is a difference of opinion with <em>Vagbhata</em>; he has explained <em>Raktena Poornakoshta</em> instead of <em>Vatapoornakoshtataya</em>. <strong>Result: </strong>The marked area for the <em>Apastambha Marma</em> is at the level of 3<sup>rd</sup> costal cartilage on both the sides of the chest just lateral to the midline. As the measurement in <em>Angula</em> (1 cm) is not apparent so it is taken as the lengthwise, breadth wise and depth-wise.<strong> Conclusion: </strong>The area of about 2 cm lateral to carina which is the common site of injury in the bronchus can be taken as the site of <em>Apastambha Marma</em> as rupture of the bronchus leads to pneumothorax and the individual will show symptoms of breathing difficulty such as <em>Kasa</em>, <em>Shwasa</em> and in severe cases it may lead to the death. This explanation holds true for the <em>Viddha Lakshana</em> mentioned by <em>Sushruta</em>. Taking <em>Shonitapoornakoshta</em> this into consideration, pulmonary and bronchial vessels can be taken as the structures involved in <em>Apastambha Marma </em>which also holds good for the explanation of structural composition as per Vagbhata also i.e., it is a <em>Dhamani Marma</em>. Thus, we can conclude that the two Principal Bronchus along with the pulmonary vessels and bronchial vessels should be considered as the site of <em>Apastambha Marma</em>.</p&gt;}, number={Supply2}, journal={International Journal of Ayurveda and Pharma Research}, author={Daiarisa Rymbai and Anju Thomas}, year={2020}, month={Nov.}, pages={112-116} }