MANAGEMENT OF ATONIC BLADDER WITH VARMAM INTERVENTION – A CASE REPORT

Sugunthan S.*, Shailaja R. and Kavitha

ABSTRACT

Varmam therapy is a unique branch of Siddha medical system which renders treatment to many kinds of diseases and plays an important role in certain diseases where in regular internal medicines of both Indian Medicine and allopathy medicine fails. This paper brings the role of Varmam therapy in the management of atonic bladder resulted with various aetiologies like operated congenital conditions lumbosacral meningomyelocele, operated tethered cord. In these conditions varmam therapy was given to patients after many months and years of surgery. But significant natural output of urine was observed in all patients who have been using self catheter to void urine since many years. The varmam points stimulated were Kondaikolli, Pinkannady kalam, Porchai kalam, Adappa kalam, Idampuri kalam, Valampuri kalam, Kallidai kalam, Mannai adangal and Patchini varmam in regular intervals i.e., twice a week. The volume of urine discharged naturally increased within ten days, although significant improvement was noted in menigomyelocele who was presented with paraplegia. This may be because of the stimulation of pontine micturition centre which in turn regulate the micturition cycle through Varmam therapy. Further scientific studies are needed to prove its mechanism of action to reach the global community.

Keywords: Varmam therapy, lumbosacral meningomyelocele, tethered cord.