An Anatomico-Clinical Interpretation of Neela Manya Marma based on reported Cervical Manifestations

Background: Neela Manya Marma described in Ayurvedic Classic as a Sira Marma located in the cervical region. It is classified as Vaikalyakara Marma meaning its trauma leads to deformity or functional impairment rather than death. While traditionally discussed in Ayurvedic anatomy, there is growing need to highlight the clinical consequences of Marma through integrative studies involving modern clinical cases.

Aim: to interpret the Anatomical clinical Significance of Neela Manya Marma by analyzing reported clinical manifestation involving cervical region from modern published literature.

Materials and Methods: A literature based review was conducted using publicly available clinical case reports involving cervical region pathologies. Search term included cervical vascular conditions, neural involvement and anatomical structures corresponding to the location of Neela Manya Marma. Selected cases were reviewed for pattern of clinical presentation and structural involvement and anatomical structures corresponding to the location of Neela and Manya Marmasthana.

Results: Several cases demonstrated involvement of cervical structures such as internal and external carotid arteries, internal jugular vein, Vagus nerve, and cervical sympathetic chain. These finding align with anatomical location and clinical manifestation described for Neela Manya Marma.

Conclusion: Neela Manya Marma though categorized as Vaikalyakara has Deeper clinical implication when correlated with vascular and neural structures of the Neck. This study highlights the anatomical location and potential clinical consequences of Neela Manya Marma classified as Sira Marma aiding integrative understanding in contemporary clinical practice.