JANU MARMA THE SANDHI VARIETY OF KALANTARA PRANAHARA

MARMA

DR.A.RANGAPRASAD BHAT“S.P.K.V.C.C’’

(Saroja Panchakarma & Varma Chikitsa centre)

Mylapore,Chennai.http//www.drrangaprasadbhat@blogspot.com

Definition

• The Janu in sanskrit means The Knee.

• The structure that which is present between the Sakthi (Hip) and the Jangha (Fore leg) is referred as Janu, which is supposed to be the Knee.

• janu n. Knee Pg.099 – A Practical Sanskrit Dictionary by Arthur Anthony Macdonell,publishers London: Oxford University Press, 1929.

Number of Janu

• The Janu, which corresponds to the knee joint is present one in each of the leg.

• Thus 2 Janu marmas are present in the human body.

Classification of Janu Marma

• Based on the effect of injury the Janu marma has been classified as VAIKALYAKARA MARMA.

• Reference- Su.Sha.6/13

• Based on the structural integrity the Janu marma has been classified as SANDHI MARMA.

• Reference- Su.Sha.6/4

Janu Marma

JANU MARMA

Measurement of Janu

• त्री�ण्ये�व जानु� स परं� || स�. शा. ६/२९ 

• The Janu marma is 3 angula in pramana

• Approximately 3 – 4.5 cms

Location Of Janu

Reference -Su.Sha.6/25

जाङ्� घा ऊव�

स�धानु� जानु� नुम -

तत्री खञ्जत ||

Interpretation

• The structure that

which binds the

Jangha (Foreleg) &

the Ooru (Thighs)is

the Janu Marma.

The janu marma

when injured

causes Khanjata

(Limping).

Probabilities of Area Of Janu Marma

The

Following areas are some of the probabilities for

being

considered as the manipulative point of Janu Marma

Method Of Palpation

Start palpating along the superior; medial ; inferior and lateral borders of the Patella

Likewise along the lateral & medial aspect of the knee joint

And finally over the poppliteal Fossa too

continued

One will notice the tenderness present but in varied degrees in the following regions

1. @ the Ilio Tibial Tract on the supero-lateral aspect of the Knee

2. @ the Poppliteal Fossa3. @ the lateral surface of the knee

corresponding to the location of Lateral Collateral Ligament

4. @ the medial surface of the Knee near infra-patellar region corresponding to the Medial Collateral ligament

5. @ the Infra-patellar region

Interpretation of the probable site of Janu Marma

Of the 5 structures mentioned in the previous slide, the highest point of tenderness will be observed in the medial surface of the knee joint corresponding to the insertion of Medial Collateral ligament.

More over as per the observation of Sushruta Khanjata or limping is the feature on Janu getting injured..

continued

The most common cause of limping occurs due to injury of the medial collateral ligament, in the form of partial or complete tear.

Considering these facts the Janu marma is determined to be present in the medial surface of the knee Joint, adjoining the infra patellar region.

Anatomical Structures related to the Janu Marma

Muscles Ligaments Nerves

Biceps femori Medial Collateral

Tibial.N

Semimembranosus

Lateral Collateral

Sural.N

Semi tendinosus

Cruciate Common peroneal.N

Head of Gastrocnemius

Ilio-Tibial tract

Sural communicating branch

Arteries Veins

Poppliteal Artery

Poppliteal Vein

Greater Saphanous Vein

Thank You !SARVE JANAAH SUKHINO BHAVANTHUH.

Dr.A.Rangaprasad Bhat, Chennai.Mobile - +919841218802

http://www.drrangaprasadbhat@blogspot.com

Saroja Panchakarma & Varma S.P.K.V.C.C (Chikitsa center).