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Etymology Katikataruna鈥�Katika taruna is a combination of two words Kati and taruna. The word Kati is derived from Kat dhatu which means that which is clothed Taruna is referred in this context as soft or cartilage. Description These marma are situated on both the sides of the vertebral column corresponding to the

posterior aspect of the ilium. These are two in number and are Asthi marmas. They are Kalanthara pranahara and of half anguli in extent. Its bhuta structure is Agni and Jala. Adhidevatha is Roudra. An injury to any of this Katikatharuna (Sacroiliac articulation) situated in the region of sroni (Sacrum) on both sides of the spinal column, gives rise to excessive pain, hemorrhage and consequent pallor and ends in death. 1,2 Fractures of this bone may affect the important pelvic organs and cause death due to complications such as pallor, anaemia and emaciation. Surface Anatomy Supraspinatus muscle Spine of scapula Infraspinatus fascia Rhomboideus minor muscle Rhomboideus major muscle Latissimus dorsi muscle Spinous process of 12th thoracic vertebra Thoracolumbar fascia Gluteus maximus muscle Spinal nerves (lateral cutaneous branches of ventral intercostal rami) External abdominal oblique Iliac crest Iliohypogastric nerve Superior cluneal nerve Middle cluneal nerves Inerior cluneal nerves from posterior femoral cutaneous nerve (S 1,2,3) Plate No. 21: The anatomical area of Katikatharuna 193

It is suitable to consider the marma near the upper margin of pelvic bone which form the Kati and few centimetre away from the lumbosacral joint. First locate the crest of the pelvic bones on the back meeting the lumbar vertebra. Anatomical Structures corresponding to this marma Discussion 鈽� The posterior aspect of ilium. 鈽� Posterior Superior iliac spine. 鈽� Bifurcation of the common iliac artery opposite to the lumbosacral articulation, into external iliac and the corresponding iliac veins. 鈽� Sacroiliac ligaments. As this is of taruna nature it is advisable to consider this as sacroiliac articulation. Tamil varma sastra Pinakku varma The tip of the nerve tharai is at the base of the spinal column and can be said to be the location of this varma. Injury to this will lead to weakness of both the limbs, frequent fall, Incontinence of urine and stools. If the patient is not treated properly and systematically he dies. 194