Management of Marmaghāta with References

 

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

  • Bleeding control (raktastambhana):

    • Lakṣā, Lodhra, Priyaṅgu, Śālmali, Yastimadhu (Su. Sū. 14/39 – Raktastambhaka gaṇa).

  • Wound cleansing (vrana-śodhana):

    • Triphala kvātha prakṣālana

    • Pañcavalkala kvātha prakṣālana

    • Nimba, Haridra – antiseptic, krimighna (Su. Chi. 1/31).


3. Pain Management & Vāta-pacification

  • 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).

  • Examples:

    • Taila abhyanga with Bala taila, Mahānārāyaṇa taila.

    • Upanāha with Saindhava + Sneha dravyas.

    • Kṣīra-bala taila nasya / mūrdha taila for head marma injury.


4. Vraṇa-roga cikitsā (Wound Healing)

  • 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).

  • Śodhana drugs: Triphalā, Nimba, Haridra.

  • Ropaṇa drugs: Jatyādi ghṛta, Madhū (honey), Ghṛta preparations.


5. Doṣa-specific Treatment

  • Vāta-dominant marmaghāta:

    • Sneha (ghṛta/taila), Basti, Mūrdhataila, Svedana

    • (Su. Chi. 4/4 – Vātaja vrana cikitsā)

  • Pitta-dominant:

    • Śīta dravya, Ghṛta, Dugdha, Tikta dravyas

    • (Su. Chi. 4/6 – Pittaja vrana cikitsā)

  • Kapha-dominant:

    • Lekhana, Uṣṇa upakrama, Kṣāra-based medicines

    • (Su. Chi. 4/8 – Kaphaja vrana cikitsā)


6. Rasāyana Therapy (Vitality restoration)

  • 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.

  • Examples:

    • Aśvagandhā, Śatāvarī, Amṛta (Guḍūcī), Bala.

    • Suvarṇa bhasma, Abhraka bhasma (under supervision).

    • Pippalī rasāyana for respiratory / prāṇa-related marmas.


🔹 Summary Chart – Management of Marmaghāta

Step Aim Example Dravyas / Procedure Reference
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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