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One of the twenty-four original sacred pilgrimage spots of ancient India, frequented particularly by advanced tantric practitioners. With the transplantation of Vajrayana Buddhism to Tibet, many sacred places there were eventually identified as similar or identical with the Indian sites. A practice that the great Sakya Pandita greatly criticised. The sacred place of Lapchi for instance, one of the main practice spots of Jetsun Milarepa, was said to be the same as the Indian Godāvarī. Tsari was equated with Devīkoṭṭa or Devīkoṭi, Mount Kailash with Himāvat or Himālaya. In most sources, Oḍḍiyāna is said to be situated in the Swat valley in present-day Pakistan. However, in the biography of the Indian Siddha Buddhagupta-natha, we read of him travelling there and clearly situating it in the Gazhni region of present-day Afghanistan. Kāmarūpa corresponds to most of present-day Assam and Sindhu is said to be situated in the Sindh region of Pakistan. These sacred sites also correspond to various spots within the human body.

These sites according to one of many (at times varying) lists are:

Pullīramalaya - in the head
Jālandhara - on the crown of the head
Oḍḍiyāna - in the right ear
Arbuda - on the back of the neck
Godāvarī - in the left ear
Rāmeśvara - between the brows
Devīkoṭṭa - in the eyes
Mālava - on the shoulders
Kāmarūpa - in the armpits
Oḍra - in the chest
Triśakuni - in the navel
Kośala - on the tip of the nose
Kaliṇga - in the mouth
Lampīka - in the throat
Kāñcī - in the heart
Himālaya - in the reproductive organs
Pretāpurī - also in the reproductive organs
Gṝhadeva - in the anus
Saurāṣṭra - in the thighs
Suvarṇadvīpa - in the calves
Nagara - in the toes
Sindhu - on the upper part of the feet
Maru - in the large toes
Kulutā - in the knees