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Table No. V-e Sl. No. Types of Marma Sadya Pranahara Kalantarapranahara Vishalyaghna Tridosha Tejas Teja Maruta 4. Vaikalya kara Soma Triguna Raja, Tama Soma, Raja, Tama Rajoguna Tamo Guna 5. Rujakara Teja Maruta Raja, Tama, Rajo Bahulya Some opine that pranahara marma are formed by the combination of all the five components such as mamsa, sira, snayu, asthi, and sandhi, in their enhanced stage. Kalanthara pranahara marma has one component out of five absent or in a diminished state. When there are two components less (in the construction of a marma) it is known as vishalya ghna marma. When three components are less the marma is known as Vaikalyakara. When marma has only one of the five components then it is called as Rujakara. But 76

the above description is not correct because even when the bony marma is injured, blood also will flow out. The four types of siras of the body generally enter the site of marma and provide nutrition to ligaments, bones muscles and joints and maintain the body. When the vulnerable areas receive an injury the vatha is aggravated and surrounds the sira from all sides. This aggravated vatha produces severe pain in the body. The body suffering from intense pain starts collapsing and consciousness is gradually lost. Therefore a surgeon intending to extract the foreign body should do so only after examining marmas with care.