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@article{208051,
        author = {Dr Shilpi Awasthi and Dr. Abhishek Kumar Pandey},
        title = {Marma Sharir in Shalya Tantra: A Conceptual Correlation with Modern Microsurgery},
        journal = {International Journal of Innovative Research in Technology},
        year = {2026},
        volume = {13},
        number = {4},
        pages = {190-196},
        issn = {2349-6002},
        url = {https://ijirt.org/article?manuscript=208051},
        abstract = {Marma Sharir, described by Acharya Sushruta in the Sharira Sthana of the Sushruta Samhita, is among the earliest systematic accounts of surgically vulnerable anatomical zones, a Marma being a site where Mamsa, Sira, Snayu, Asthi and Sandhi converge and where injury produces effects disproportionate to the extent of tissue damage. This review examines the conceptual architecture of Marma Sharir and its correlation with the anatomical and operative principles of modern microsurgery. A narrative review of classical Ayurvedic texts and contemporary indexed literature was undertaken, focusing on anatomical, clinical and trauma-related correlations between Marma and modern neurovascular and musculoskeletal structures. Sushruta enumerated 107 Marma, classified by location, structural predominance, dimension and, most importantly, the prognosis of injury, in effect an operative hazard map. Correlation studies show Marma sites consistently overlying dense neurovascular confluences, the same zones microsurgery approaches under magnification with fine instrumentation, while parasurgical techniques such as Jalaukavacharana parallel hirudotherapy used in flap salvage. Marma Sharir thus anticipates, in descriptive form, many neurovascular danger zones central to modern microsurgery and offers a historically continuous, pedagogically valuable framework for surgical anatomy training; rigorous anatomical validation is needed before this correlation can move from conceptual to clinically applied.},
        keywords = {Ayurveda, Marma Sharir, Microsurgery, Neurovascular bundle, Shalya Tantra, Surgical anatomy, Sushruta Samhita.},
        month = {September},
        }