ROLE OF MARMA THERAPY AND AGNIKARMA IN THE MANAGEMENT OF KATIGRAHA: A CASE REPORT

Abstract

Katigraha is a condition associated with an imbalance of Vata, commonly presenting as varying levels of lower back pain, ranging from mild to severe. This pain can significantly affect daily activities. Marma Chikitsa and Agnikarma are specialised treatments related to Shalyatantra that have proven effective in managing acute pain. In a recent case involving a male patient with acute lumbosacral pain, the pain's severity was assessed using the Visual Analog Scale (VAS) and Oswestry’s Low Back Pain Disability Scale. The treatment plan included Marma stimulation and manipulation, along with Agnikarma using Pancha loha shalaka on tender points. The patient was also administered Shamanaoushadis, including Rasnasapthaka kwatha, Trayodashanga guggulu, Alva’s Painex balm, and Avipattikara churna, throughout 7-days. The patient's progress was evaluated every two days for pain levels, disability, and tenderness and by the end of the seven days, there was a significant reduction in pain. Marma Chikitsa, even though not widely explored in Ayurveda, is a cost-effective and rapid method for managing acute conditions, either on its own or alongside other therapies.