Ucchi varmam (Varma Nithanam -500)
Pathappu varmam ( Varma sudamani/ varma odivu murivu suthiram -1200)
Thudikalam (Varmani nalumathirai)
Therai varmam (Varma gnana odivu murivu sara suthiram -2200)
Bramamnandam (Varma vithi)
Vertex of the head
Anatomically this site is known as the bregma of the skull, the point of intersection of sagital and coronal sutures. In infants this spot is known as fonticuli cranii.
SIGNS AND SYMPTOMS OF INJURY:
Dizziness, unconsciousness, delirium, body pain, ear pain, dyspnoea, constipation, acute urinary retention, diminished vision, impotence. If the nature of injury is severe it can even lead to death within 18 minutes.
The usual line of treatment in varmam therapy is to first treat the patient with the varmam physical therapy followed by drug therapy.
Varmam physical therapy:
Different methods are given in various texts. One of the methods is as follows.
Elakku murai (Relieving method):
The patient is made to lie down and holding both his feet together, the therapist should pat on the sole with his foot. Then pressure should be applied on the head with hands and the body should be gently shaken.
If unconsciousness persists, thumbai poo nasiyum (Juice of flower of Leuces aspera as nasal drops) is given.
Varmam drug therapy:
Thakkolam (Piper cubeba L. F), Kasakasa (Papaver somniferum L.), Nelliparuppu (Seed of Emblica officinalis) and sathipathiri (leaves of Myristica officinalis) should be ground with mother’s milk and applied on head for 6 hours after which warm water oil bath to be taken applying an oil called mukkutttu ennai .
In addition to this external therapy including applications like Uchimurivu poochu (Medicated coating), Kizhi (Medicated bundle) are also done.
Thinaiarici kanji (Porridge made from Panicum italicum L) and specially made decoctions are also administered to prevent further complications.
Note : Self application of techniques in varma therapy may produce severe adverse effects. Supervision of a Siddha physician is mandatory.