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ABSTRACT: This chapter highlights the importance of trimarma (Three vital points/ areas, viz, cardiovascular system, cerebrovascular system and renal system) and treatment of their diseases. There are one hundred seven vital points (marma) on the body which when injured either cause disease or death. Ten of these vital points or pranayatana are the seat of prana (life force). Three of these marma are located in, cardiovascular system, cerebrovascular system and renal system. Since these three marma are the seats of prāna (life force), their disease and trauma can threaten life as they control the complete body system. A relationship exists between the marma, disease of one system affects the functioning of the other. Mortality and morbidity caused by these three controlling systems is the maximum. The chapter deals with etiology, signs and symptoms, classification, line of treatment for the diseases about these three marma.  
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==([[Chikitsa Sthana]] Chapter 26, Chapter on the Management of Trimarma (i.e., Cardiovascular system, Cerebrovascular system, and Renal system)==
Key Words: Trimarma (three vital organs), prāna (life force), uttarbasti,varti prayōga, udāvarta, mutra kruchra, hrudrōga, nasya karma, pratisyaya (rhinitis), dusta pratishaya (persistent rhinitis), apinasa (chronic rhinitis), puya rakta (purulent and sanguinous rhinitis), nāsa paka (suppurative rhinitis), nāsa shotha (edematous rhinitis), ksavathu (sneezing), nāsa shosha (dryness of nasal mucosal membrane), pratināha (nasal obstruction) pratisrāva (nasal discharge), puti nasya (ozena), nāsa arbuda (nasal tumor), arumsi (furunculosis), nāsa dipta (burnt nose), ānāha (constipation), arōcaka (anorexia)
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Introduction:
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=== Abstract ===
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This chapter highlights the importance of trimarma (Three vital points/ areas, viz, cardiovascular system, cerebrovascular system and renal system) and treatment of their diseases. There are one hundred seven vital points (marma) on the body which when injured either cause disease or death. Ten of these vital points or pranayatana are the seat of prana (life force). Three of these marma are located in, cardiovascular system, cerebrovascular system and renal system. Since these three marma are the seats of prāna (life force), their disease and trauma can threaten life as they control the complete body system. A relationship exists between the marma, disease of one system affects the functioning of the other. Mortality and morbidity caused by these three controlling systems is the maximum. The chapter deals with etiology, signs and symptoms, classification, line of treatment for the diseases about these three marma.  
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'''Keywords''': Trimarma (three vital organs), prāna (life force), uttarbasti,varti prayōga, udāvarta, mutra kruchra, hrudrōga, nasya karma, pratisyaya (rhinitis), dusta pratishaya (persistent rhinitis), apinasa (chronic rhinitis), puya rakta (purulent and sanguinous rhinitis), nāsa paka (suppurative rhinitis), nāsa shotha (edematous rhinitis), ksavathu (sneezing), nāsa shosha (dryness of nasal mucosal membrane), pratināha (nasal obstruction) pratisrāva (nasal discharge), puti nasya (ozena), nāsa arbuda (nasal tumor), arumsi (furunculosis), nāsa dipta (burnt nose), ānāha (constipation), arōcaka (anorexia)
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=== Introduction ===
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Morbidity and mortality from cardiovascular (including cerebrovascular) diseases and renal diseases are the leading cause of morbidity and mortality today. According to the Center for Disease Control and Prevention (CDC), Cerebrovascular diseases are the fifth leading cause of death  . Cardiovascular diseases (CVDs), per the Media Centre Fact Sheet of the World Health Organization (WHO), are the “number 1 cause of death globally” with an estimated 17.7 million people dying of it in 2015 (31% of global deaths).  . Last but not least, renal diseases (or chronic kidney diseases (CKDs) afflict 14% of the general population in the US and are one of the major causes of death worldwide .  
 
Morbidity and mortality from cardiovascular (including cerebrovascular) diseases and renal diseases are the leading cause of morbidity and mortality today. According to the Center for Disease Control and Prevention (CDC), Cerebrovascular diseases are the fifth leading cause of death  . Cardiovascular diseases (CVDs), per the Media Centre Fact Sheet of the World Health Organization (WHO), are the “number 1 cause of death globally” with an estimated 17.7 million people dying of it in 2015 (31% of global deaths).  . Last but not least, renal diseases (or chronic kidney diseases (CKDs) afflict 14% of the general population in the US and are one of the major causes of death worldwide .  
 
Marma (vital points) are collection of muscle, tendons, ligaments, bone tissue, joints, blood vessels and nerves, nervous tissue, which forms the seat of life5 and it is also said that they are the seat for tridoṣha, triguna and the ātmā, hence any injury to these can be life threatening and can cause death.6  
 
Marma (vital points) are collection of muscle, tendons, ligaments, bone tissue, joints, blood vessels and nerves, nervous tissue, which forms the seat of life5 and it is also said that they are the seat for tridoṣha, triguna and the ātmā, hence any injury to these can be life threatening and can cause death.6  

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