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Nila marmas lie on the arteries (dhamani) beside the throat, one on each side among the four throat marmas; a blow there causes muteness, change of voice, loss of taste and death.

The body is said to have 107 vital points (marma).

Manya marmas are the other two of the four throat marmas, one beside nila on each side; a blow there likewise causes muteness, change of voice, loss of taste and death.

The four nila and manya marmas beside the throat cause muteness, voice change, loss of taste and death when struck, and the eight matrika marmas on the neck vessels cause instant death.