Facts about Katikataruna Marma

The Katikataruna marma, helps in giving relief in many
diseases related to the prstha pradesha (Lower Vertebral area) & the adho udara
bhaga (Lower abdomen) related pathologies.
The details of the Katikataruna, as per the classical textual
reference of Sushrutha & it’s interpretation as of my
understanding with the modern anatomy is being discussed
henceforth.

Katikataruna location:-

तत्र पृष्ठवम्शमुभत:

प्रति श्रोणिकाण्डम् अस्थीनी कटिकतरुणे । सु.उ.६/२६

On either side of the vertebral column at the place where in
each of the component (i.e the Ileum & Sacrum) of the shroni
kandam (hip bone) join together to form the Katikataruna
marma.

The word Prati shroni kAndam is referred to as
PratishronikarNou by some scholars. This ShronikarNou is
present on either sides above the Trika (Sacrum) bone attached
to the pelvis. The structure that which resembles the ear in
the pelvis is supposed to be

auricular surfaces of the both

the Ileium & Sacrum bone together forming the sacro-iliac
joint. This joint is has a peculiarity in the way the cartilages
are attached to the articular surfaces of either of the Ilium &
Sacrum bones, which can be understood from the following
statement of Gray’s anatomy, which reads as “The sacroiliac
articulation is an amphiarthrodial joint, formed between the
auricular surfaces of the sacrum and the ilium. The articular
surface of each bone is covered with a thin plate of cartilage,
thicker on the sacrum than on the ilium. These cartilaginous
plates are in close contact with each other, and to a certain
extent are united together by irregular patches of softer fibro
cartilage, and at their upper and posterior part by fine
interosseous fibers.”
Hence, the taruna predominance in this particular joint present
at the Katika regions, helps in determining the sacroiliac joint
to be considered as the katika taruna..
My above observation may differ from the work of my seniors in
the field of Marmas, but I am strongly akin of the above
opinion.

Katikataruna number, variety, clinical sign upon its injury :-

The Katikataruna are two in numbers, one on either side of the
back.

The katikataruna is a kalantara pranahara marma.
And further classified under the category of Asthi
predominant marma.

This marma on getting injured results in internal blood loss
causing pallor and gradually leads to death.

Anatomical Structures in close association with the
katikataruna are :-
Ligaments:- Anterior Sacro Iliac; Posterior sacro-iliac:
Interrosseuous sacro-iliac
Blood vessels:- External iliac artery & vein;Hypogastric artery.
Morbidity of diseases involving Katikataruna:-
The following diseases shows some kind of hectic activity
involving the Katikataruna marma, where in the tenderness
observed in the marma is more than the usual nature.
Lumbar- spondilitis & spondilolisthesis related Sciatica
Lumbago, Sacroilitis, Pott’s disease, Ankylosing spondilitis,
Renal lithiasis, Dysmennorrhoea, Appendicitis, to name a few.

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