1. General Principles
Reference – Suśruta Saṃhitā, Śārīra Sthāna 6/27–28
“Marmaghāteṣu yathādoṣam upakramaḥ kartavyaḥ …”
👉 In marmaghāta, the physician should treat according to doṣa predominance, injury type, and site involved.
2. Initial Care – Rakta-stambhana & Śodhana
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Bleeding control (raktastambhana):
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Lakṣā, Lodhra, Priyaṅgu, Śālmali, Yastimadhu (Su. Sū. 14/39 – Raktastambhaka gaṇa).
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Wound cleansing (vrana-śodhana):
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Triphala kvātha prakṣālana
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Pañcavalkala kvātha prakṣālana
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Nimba, Haridra – antiseptic, krimighna (Su. Chi. 1/31).
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3. Pain Management & Vāta-pacification
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Reference – Aṣṭāṅga Hṛdaya, Sūtrasthāna 29/7–8
“Vāta-prakopāt vedanā … sneha-sveda-basti-pradhāna cikitsā”
👉 Pain from vāta in marma injury is managed by snehana (oil application), svedana (fomentation), and basti (medicated enema).
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Examples:
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Taila abhyanga with Bala taila, Mahānārāyaṇa taila.
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Upanāha with Saindhava + Sneha dravyas.
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Kṣīra-bala taila nasya / mūrdha taila for head marma injury.
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4. Vraṇa-roga cikitsā (Wound Healing)
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Reference – Suśruta Saṃhitā, Cikitsā Sthāna 1/8
“Śodhanāni ropanāni ca vraṇeṣu”
👉 Every marmaghāta with wound should be managed with śodhana (cleansing) followed by ropaṇa (healing).
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Śodhana drugs: Triphalā, Nimba, Haridra.
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Ropaṇa drugs: Jatyādi ghṛta, Madhū (honey), Ghṛta preparations.
5. Doṣa-specific Treatment
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Vāta-dominant marmaghāta:
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Sneha (ghṛta/taila), Basti, Mūrdhataila, Svedana
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(Su. Chi. 4/4 – Vātaja vrana cikitsā)
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Pitta-dominant:
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Śīta dravya, Ghṛta, Dugdha, Tikta dravyas
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(Su. Chi. 4/6 – Pittaja vrana cikitsā)
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Kapha-dominant:
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Lekhana, Uṣṇa upakrama, Kṣāra-based medicines
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(Su. Chi. 4/8 – Kaphaja vrana cikitsā)
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6. Rasāyana Therapy (Vitality restoration)
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Reference – Caraka Saṃhitā, Cikitsā Sthāna 1/7 (Rasāyana Adhyāya)
“Deha-dhātu-bala-varṇa-prasādanaṃ rasāyanam”
👉 After survival from marmaghāta, rasāyana is essential to regain vitality.
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Examples:
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Aśvagandhā, Śatāvarī, Amṛta (Guḍūcī), Bala.
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Suvarṇa bhasma, Abhraka bhasma (under supervision).
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Pippalī rasāyana for respiratory / prāṇa-related marmas.
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🔹 Summary Chart – Management of Marmaghāta
Step | Aim | Example Dravyas / Procedure | Reference |
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1. Rakta-stambhana | Stop bleeding | Lakṣā, Lodhra, Priyaṅgu | Su. Sū. 14/39 |
2. Vrana-śodhana | Cleanse wound | Triphalā kvātha, Nimba, Haridra | Su. Chi. 1/31 |
3. Vedanāhara | Relieve pain | Sneha, Sveda, Basti, Bala taila | A.H. Su. 29/7–8 |
4. Vrana-ropaṇa | Heal wound | Jatyādi ghṛta, Madhū | Su. Chi. 1/8 |
5. Doṣa-based | Balance aggravated doṣas | Ghṛta (pitta), Taila (vāta), Kṣāra (kapha) | Su. Chi. 4 |
6. Rasāyana | Restore vitality | Aśvagandhā, Guḍūcī, Suvarṇa bhasma | C. Chi. 1/7 |
Thus, Marmaghāta management = first aid (rakta-stambhana), wound care (śodhana & ropaṇa), doṣa-specific cikitsā, and long-term rasāyana therapy, always considering prognosis according to marma type.
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