Adangal Points

                          Adangal Points 108

Varmam Treatment In Emergency Care

Retrieval Points

Adangal method:

The treatment that is given immediately after varmam injury.

1. Alagu kamoodhari adangal – after Varmam point injury if jaw lock happen do this adangal, the mathirai level is ½.
2. Thavala adangal – after varmam injury if the patient couldn’t take water do this adangal.
3. Poigai adangal – after varmam injury if the eyes directed upwards and couldn’t hear the sounds does this adangal, the mathirai level is ½.
4. Uchi adangal – if the patient is unconscious do this adangal, if he does not get conscious that is Asathiam.
5. Suzhimunai adangal – this adangal is very useful, all varmam injuries in head can be relieved by this adangal.
6. Alagu sennadi adangal – after varmam injury if the patient is in sleep with snoring do this adangal.
7. Mudi sudi adangal – after varmam injury if the patient’s mouth deviated with salivation do this adangal.
8. Kurundhu adangal – after varmam injury if the patient is in the stage of delirium do this adangal.
9. Prana sadhana adangal – after varmam injury if the patient’s tongue extended away from mouth do this adangal.
10. Pen kuzhi adangal  – after varmam injury if the patient’s tongue pulled inside the mouth do this adangal.
11. Udhira narambu adangal – after varmam injury if the patient developing high grade fever and rigors do this adangal.
12. Eer adangal – after varmam injury if the patient is with fully opened mouth do this adangal

Adangal points (points where the pranic energy remains in abundance). 

• 1. Massage (Thadaval) For stimulating the Varmam points massaging technique can be used. There are different types of massaging techniques. (E.g. clockwise, anticlockwise rotatory movements with fingers, stretching the fingers from one Varmam point to the other points or regions of the body. By using varma thadaval (massaging), we can alleviate the problems arising due to ¼ mathirai visai (pressure). 
• 2. Tapping (Thattal) In this technique, to stimulate Varmam points and adangal points, we can use both hands and feet. While using the hand, we can use palmar or dorsal sides of hands. In case of doing with foot, dorsal aspect is preferred. It is most often used in adangal techniques. Tapping can be done with mild, moderate and strong pressure. According to the need, tapping can be done 1, 3 or 5 times. By using Varma tapping we can alleviate the problems arising due to ½ mathirai visai. 
• 3. Pressing (Amartthal) It is the technique of giving a specific pressure. The pressure can be given with fingers (or small objects like tamarind seed) on Varmam points, for alleviating the problems which arise due to musculo skeletal disorders.

3 . Poigai Adangal

Location : Above the ear. Between the lobe. Head, In front of upper part of ear

2 finger breadth above sevikuttri varmam. 4 finger breadth lateral to natchathira kaalam 8finger breadth lateral to thilartha varmam Situated In front of helix of the ear

Poigai kaala varmam – 2 irai above chevikuthi

Poigai adangal – after varmam injury if the eyes directed upwards and couldn’t hear the sounds does this adangal, the mathirai level is ½.

4 . Uchi Adangal

In the vertex of the skull / Head Top Center of the head

It lies on the vertex of the head

Pressure intensity : Tip of the middle three fingers 1/4th Mathirai

For Depression : Give a pressure over varma point for about 30-60 seconds.

Nasal Block and Rhinorrhea, Sciatica and Foot drop for first two days Porchai kalam than

Uchi adangal – if the patient is unconscious do this adangal, if he does not get conscious that is Asathiam.

5 . Suzhimunai adangal 

 This adangal is very useful, all varmam injuries in head can be relieved by this adangal.

Benefit : Febrile fits in children.

7 . Mudi Soodi Adangal

Mudi Soodi adangal varmam Present next to kaaya varmam Situated laterally in the depression below the occipital protuberance. Next to kaaya varmam 

10 . Penkuzhi Adangal

Head

Penkuzhi varmam 6 finger breadth above kilimega varmam Situated in-between the occipital bone and atlas vertebrae 

Location : Dip in the sides of skull in adjacent sides of spine.

Helpful in Improving the functioning of the bone  morrow and strengthens the immune system. 
Stimulation : Placing the head in between the thumb and index finger as if holding the head of the child  for 30 seconds.

It is located below the pidarikuzhi. Symptoms like involuntary movements of the body, body tiredness and delirium can be treated by the proper application of this adangal point.

Manipulation method - Physician’s left foot is placed over subject’s left foot then place the physician’s thumb over the adangal and apply pressure over the varmam point and rotated to the left for 30 seconds.

Anatomical landmark

Location - It is situated at the posterior aspect of neck (at the level of

C3 vertebra.)

Bone - Cervical vertebra (C3)

Muscles - Splenius capitis, trapezius

Ligaments - Interspinous ligaments, ligamentum flavum

Artery - Branches of vertebral artery

Vein - Branches of vertebral vein

Nerve - Spinal nerve

Sensory supply - Occipital nerve

11 . Uthira narambu adangal

Head 

Uthira varmam 6 finger breadth inferio lateral to keel adappu varmam Situated over the jugular vein. 4 finger breadth below the styloid process 

Great Auricular nerve at below ears, below the side of neck.

Location : Uthira varmam 6 finger breadth inferio lateral to keel adappu varmam Situated over the jugular vein. 4 finger breadth below the styloid process. 

Udhira narambu adangal – after varmam injury if the patient developing high grade fever and rigors do this adangal.

12 . 

Adappa Kaalam (12) Adangal

Vital Point- Hip and stomach coverage

Below Armpit

Gives Energy To Lower Limb 

                                      

Kavali adangal

Benefits: Seizure

Sevikutri mulai adangal

Benefits:

Sunni Adangal

Benefits: Unconsciousness.

Uyir nilai adangal

Benefits: Difficulty in breathing chest pain.

Kaalsanni Adangal

Location: At the junction of big and second toe Technique: Place the tip of the index finger , press and release.

Sakthi Varmam Adangal

Chest  Anterior

Shoulder coverage  Front part of the body

Sutradangal / Yenthi Adangal

Location  : Centre of the armpit.

Helpful in : Balances the circulation in the body and mobility of the limbs.

Stimulation : Using the palm at the Varmam location give a small pressure upwards (as if lifting a child) 

Concluding remarks

It is strengthening of immune system which can be done by imbibing traditional practices in our lives to enable the effective functioning of the inbuilt defence mechanism to take care of our body and help us lead a healthy and happy life

Kai Kavuli Varmam

Kai Kavuli Kalam Adangal

Hand Dorsal 

Web between the thumb and index finger

Emergency condition : Seizure

Benefit: Writers cramp

Between bone joint of thumb and index finger back of the palm and hand.

Pulimuth adangal

Location: Near the ischial tuberosity Technique: Press with the center portion of the thumb over the point on both sides. Sustain the pressure on the point for 10 seconds. Afterwards press thundu varmam, mel mannai, keel mannai and uppu kutri. 

Naadi adangal varmam 3 finger breadth Below the mandible Situated 3 finger breadth below the mental protuberance of the mandible.

Pi Adangal

Chest :

Location  At the tip of the bone  in the  centre of the rib cage (sternum bone)

Helpful in Increasing the capacity of the lungs. Makes the lungs  to expand to the maximum. Oxygen reaches up to the alveoli level.

Stimulation : Use the thumb and gentle push upwards for 39 seconds.

Pini naramabu Adangal

Manipulation method - Upward pressure at the site with tip of the ventral surface of index

and middle finger for 3 seconds then release. Repeated for 3 times

Maaththirai (pressure) - ¼ maaththirai

Anatomical relations

Location - Below the tragus of both ears

Bone - Condyloid process of the mandible and zygomatic process

of the skull

Joint - Tempero- mandibular joint

Muscles - Masseter

Ligaments - Joint capsule, tempero - mandibular ligament

Artery - Maxillary artery, superficial temporal artery

Vein - Superficial temporal vein

Nerve - Auriculotemporal nerve, Greater auricular nerve, Vagus

nerve

Sensory supply - Auricular branch of Vagus nerve

Gland - Parotid gland.

Porchai Adangal

Location : In the prominent region on the hind side of the skull.

Helpful in Improving the health, eye and ear disorders, weakness, strengthens memory. Sciatica and Foot drop for first two days Porchai kalam than

Unthi adangal (umbilicus)

It is located in umbilicus and it will regulate the varmam energy all over the body. 

Manipulation method - Ventral surface of middle 3 fingers placed at the site

transversely, applied pressure for 3 seconds and release.

Repeated for 3 times 

Maaththirai (pressure) - ¼ maaththirai

Anatomical relations

Location - It is situated over the umbilicus

Muscles - Rectus abdominis

Ligament - Median Umbilical ligament, round ligament

Artery - Superior and inferior epigastric artery

Vein - Superior and inferior epigastric vein

Nerve - T10 dermatome

Sutradangal / Yenthi Adangal

Location  : Centre of the armpit.

Helpful in : Balances the circulation in the body and mobility of the limbs.

Stimulation : Using the palm at the Varmam location give a small pressure upwards (as if lifting a child) 

Concluding remarks

It is strengthening of immune system which can be done by imbibing traditional practices in our lives to enable the effective functioning of the inbuilt defence mechanism to take care of our body and help us lead a healthy and happy life

Valia Atisurukki Kaalam

Siriya Atisurukki