Table 2.
Varmam points, their anatomical location and manipulation procedure: [11].
| S.No | Name of the Varmam point | Anatomical location | Procedure |
|---|---|---|---|
| 1. | Mudichi Varmam | at the junction of C7 & T1 | Place the middle three fingers over the cervical prominence. Give pressure in clockwise rotation for three times. Then stretch the fingers and manipulate up to the right shoulder. Follow the same technique in the opposite side. Manipulate in a clockwise and anticlockwise rotation 3 times each and move downwards along the spine upto T6. |
| 2. | Kaakkattai Kaalam | midway between the neck and head of arms, four fingers above from midline of the clavicle | Place the middle three fingers over the supraclavicular fossa; Press and release |
| 3. | Enthi Kaalam | one finger breadth anterior to midpoint of the axilla | Place the tip of the middle three fingers in anterior axillary fold; Press and release |
| 4. | Piratharai Kaalam | near to armpit in posterior side | Place the tip of the middle three fingers in posterior axillary fold; Press and release |
| 5. | Kaikootu Varmam | in the center of axilla | Place the tip of the middle three fingers in the centre of the axila; Press and release |
| 6. | Manibandha Varmam | middle of wrist in the flexor aspect of the forearm | Place the middle of the thumb (palmar aspect) and give moderate pressure 3 times. |
| 7. | Manjadi Varmam | near the junction of the index finger and thumb; along the upper part (base) of index finger (just below kavuli) | Place the central portion (pulp) of the thumb over the point; Press and release |
| 8. | Kavuli Kaalam | web space (dorsal side) between the thumb and index finger | Place the tip of the three fingers longitudinally in the web area; Press in pumping motion. |
| 9. | Savuu Varmam | six finger breadth above from midpoint of the elbow joint [anterior side] | Place the middle of the thumb (palmar aspect) on the Varmam point; move the fingers up and down while giving pressure |
| 10. | Sevikutri Varmam | Fossa in front of tragus of the ear | Place the central part of the middle finger; apply gentle upward pressure to the point (simultaneously on both sides) |