Components of Varma Kalai are used in traditional massage, medicine, and martial arts in which the body's pressure points (varma or marma) are manipulated to heal or cause harm. The
healing application called Varma Vaidhiya is used to treat patients suffering from paralysis, nervous disorder, spondylitis and other conditions. Its combat application is known as varma
adi , meaning "pressure point striking". Usually taught as an advanced aspect of unarmed Tamil fighting systems, like Kuttu Varisai, Adi Murai, Silambam, Malyutham and Kusthi strikes are
targeted at the nerves, veins, tendons, organs and bone joints.