Study of Simanta Marma

Seemantha [Simanta] Etymology—Seemantah [Simantah] Kesa vesha that area where the ladies divide the hair for tying. Description They are five in number and is included in the kalanthara pranahara marma. The situation of this marma is on the scalp. They correspond to the five important sutures of the skull. Injury to these marmas lead to insanity, fear and intellectual disturbances from trauma. They comes under the sandhi marma category. Prognosis is kalanthara pranahara. Its parimana is four anguli. 139

Surface Anatomy These marma are located on the all four sides of head. One needs sufficient knowledge of anatomy of skull to located them. In few individuals some of the Seemanta would be tender on palpation, but more often in patients with diseases of joints and Frontal bone Coronal suture Bregma Parietal bone Sagittal suture Parietal foramen Lambda Lambdoid suture Occipital bone Plate No. 11: The anatomical area of Simanta bones. Underneath the skull, lie the different segments of the cortex which deal with thinking and associative activities of mind. Its bhuta structure is Agni and Jala. Adhidevata is Sadasiva. Anatomical Structures corresponding to this marma ☐ Sagittal sutures. ☐ Parietal sutures. ☐ Occipital (lambdoid) suture. ☐ Frontal suture. 140

As the above mentioned sutures are seen in these areas. Injury to this lead to this lead to cerebral concussion, contusion, and irritability. This can lead to death if not properly treated. Discussion The Simanta marma can be correlated to sutures, which are seen around the scalp. Hence two Tamil varmas falling into its anatomical vicinity are considered. Tamil varma sastra As the marma Simanta is corelated as sutures of the bone Seerum kolli could be cosidered in this area. Kolli means that which kills. depending upon the injury - the patient may even die, hence the name. Seeru Koli life-centre is located six inches below (back side) of the centre of the head. If Seeru kolli life-centre (varma) is affected, the victim will faint and also rotate the head sideways. The tongue folds up inwards and the saliva comes out of the mouth. The patient leans down, and blood stains are found on the tongue. The eyeballs will rotate. The survival of the patient is difficult even if a small crack or fracture is observed at this 141

life-centre. The patient will lose the power of senses after seizures. Even if he recovers, the patient will behave like a mentally retarded person. Within a few days, the patient will have terrible cough and there will be spermatorrhoeae. Varmacuttiram says he grows a hunch on one side and chews with nothing in the mouth. This varma disorder should be treated within six hours of the affection. The eighth and twelfth day of injury is very crucial, if the patient survives he may be medically treated with success. The Suruthi varma is also called Saduthi or Saruthi varma. This is located in between Kondai kolli and Seerum kolli varma. Suruthi varma life -centre is affected, the victim will faint, head will roll, the body temperature will go down, the cough and mucous formation in the chest will arise. The patient will lose the sense perceptions. In case of recovery, the patient will not regain full consciousness. It can be noticed that the patient behaves like a mentally retarded person. There will be spermatorrhoeae and secretion in the eyes. treated. Within seven hours the patient should be 142