Nadi Exmn (Ayurveda)

7/27/2019 Nadi Exmn (Ayurveda)

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NADI PARIKSHA IN A SCIENTIFIC WAY

*Vd. Kalpana Sathe, **Vd.Avinash Chavan, ***Vd. Vinod Chaudhari,

****Vd. Vijay Bhandare, *****Vd Rajiv Mundane,****** Vd. Murlidhar Kharode

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Key words: Ayurvedic review of nadi pariksha.

IntroductionNadi Pariksha is neither a shortcut for diagnostic purpose nor used as a tool for the

Prakruti Vinishchaya by Ayurvedic Acharyas.

Originally and superiority of ancient diagnostic approach identifying Roga and Rogi

lies in Nadi Pariksha. Ayurvedic diagnosis is done useing Panchanidana, Rogavastha and

Rogipariksha in terms of Darshana, Spartion, Prashnam.

Rogapariksha - Panchanidan.

Rogavastha - Shatkriyakala.

Rogipariksha - Aaturpariksha-Ashtavidh

Rogipariksha,Dashavidh Rogipariksha,

Atur pariksha - Darshana,Sparshana,Prashna Pariksha.

Ashtavidhapariksha combining Roga and Rogipariksha is importent among them.In

ashtavidh pariksha Acharyas have described the concepts and little practical details of Nadi

Pariksha regarding correlation of Nadigati (gait) and Dosha prominance (doshotkatata).

Viz.. Vatika Nadi - Sarpa gati

Paitika Nadi - Manduka

Kaphaja Nadi - Hansa gati

It is truly a complicated clinical technique. Now a days in each and every medical

field there is method to examine the pulse of a patient but their basic concepts, clinical

methods and practices are not identical.

Aim:To elaborate simple scientific methods of nadi pariksha.

Objective:To discuss the various methods of nadi pariksha for the development of modern

objective criteria.


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Material and Methods:Ayurveda and modern texts are used for the descriptive study.

Disscussion:Ayurveda has developed important diagnostic method of Rogipariksha called -

Nadipariksha. The word Nadi represents different aspects in different Ancient Indian

sciences.Ayurvedic embriology Garbha Nabhi Nadi

All systemic paths Srotas Nadi Marga (an hallow vessel containing body fluids.

Yoga Tantra Ida,Pingala,Sushumna.

Importance of pulse examination in clinical practice is well known not only in

medical world but also layman knows its fundamental importance in all disorders. In short it

is highly concern with patients care up to the level of psychological satisfaction.

Examination of pulse manually may lead to minute errors as the inference drawn may

differ from person to person. Thus the need of the era is to develop a P.C.-based medicalanalyzer a novel technique to detect different diseases of human body.

The pulse examination can be done in the context of Sthana (site) Gati (pulse

movement, gait) Spandana (pulsation), Guna (vital characteristics) by sparshana vidhi to

assess Nadi Bala (strength), laya (rhythm), poornata (volume) etc. The reflection of the state

of equilibrium and vitiation in the doshas on nadi can be recorded as described in Ayurvedic

texts.

Pulse according to different doshas can be explained with the help of following

table: -

DOSHA SIGHT AT

NADI

FINGER NATURE OF PULSE

MOVEMENT

EXAMPLE

Vaata Anterior Index Vakra Snake,leech

Pitta Middle Middle Chanchal Crow,frog

Kapha Posterior Ring Manda Swan pigeon

Pittavata Ant-middle Index & middle Vakra chanchal Snake,frog

(alternately)

Vatakapha Ant-posterior Index & ring Vakra manda Snake,swan

(alternately)

Pittakapha Mid-posterior Middle& r ing Sometimes chanchal

Sometimes manda

Frog

peacock

(alternately)

Tridosha Whole region Below the threefingers

Along with vakraSometimes tivra

Sometimes manda

Partridgepheasant

CHART OF SPECIFIC CONDITIONS AND NADI GUNA


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DOSHA/DISEASE/CONDITION TYPE OF BEAT/ NADI

GUNA

EXAMPLE

Vaat Vakra,Visham Snake,leech(kaka,manduk)

Pitta Chapala,Tivra Crow,Frog,Sparrow

Kapha Sthira, Stimita Swan,Pigeon,Elephant

Deeptagni LaghuMandagni Guru, Kathina,Jada

Rasasheshajirna Sthula

Persistant ajeerna Manda,Khandit,Sthira,Trupta

(Kaphavaat)

Exessive madhur rasa intake Trupta,Sthira Hansa

Exessive lavana rasa intake Sarala,Druta

Exessive amla rasa intake Koshna

Exessive katu rasa intake Chapala Brunga

Ajeerna (indigesion) Paritojada Earthworm

Visuchika (cholera) Utplutya-utplutya Frog

Asadhyata (incurable) Durbala,Manda Like a dead snake

Likewise effect of specific meals on pulse, effect of vihar on pulse beat like exercise,

maithuna, nidra, vegavarodha, emotions on pulse can be assessed and considered.

Ayurveda also explains whether disease is curable or not with the help of

Nadipariksha, so that time and knowledge can be well utilized on that patient suffering with

curable disease. This is called Sadhyasadhyata of disease.

CHART SHOWING NADI CHARACTERISTICS, GATI TO ASSESS

SADHYSADHYATA OR FATE OF DISEASE

NADI CHARACTERISTICS,GATI FATE OF DISEASE

(SADHYASADHYATA)

1.Stana Vichyut Nadi (displased pulse) Nishchit mrityusuchaka

2.Tantuwat kampa spandan (varying speed)

- atisukshma,shigra,vakra

Asadhyata suchak (pulse indicating

incurability)

3.High body temp-pulse comparatively

cold low body temp-pulse comparatively

warm

Atisukshma,Ativega

Krichhasadhyata suchak (difficult

situation)

4.Sthitwa sthitwa challanti atisukshma cha

sheeta cha, strong pulse in weak person and

viceversa

Aniyatmrityusuchaka

Existence of all the different kinds of Nadi, Agni, Koshtha in diseased conditions are

related to one another. These conditions have its unique importance in management of


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various diseases. The occurrence of the relative condition is therefore most likely and is also

relate to Vatlaladi constitutions i.e. Prakruti. (by Charakacharya)

Therefore a project was taken by our institution named STUDY TO FIND

RELATIONSHIP BETWEEN PRAKRUTI WITH AGNI KOSHTHA AND NADEE

It was a survey type study in 390 subjects between 17 to 30 years of age, students ofAyurvedic colleges in Pune region. The conclusion drawn after applying medical statistical

methods was as follows-

From the data collected it can be concluded that there seems to be a definite

association between Prakruti with Agni, Koshtha and Nadi. However the association seems to

be not strong enough to be of any predictive value.

The concept behind this project was that the Prakrut dosha can not be vitiated by any

situation unless and until there is any life threatening sign known as Arishtasuchak lakshana

in Ayurveda. This basic concept is well described by Vagbhata a brilliant physician in his

book Ashtanga Sangraha. Essence of his description is there are two stages of evolution of

Doshas viz Prakruta and vaikruta. The prakrut doshas evolved at the formation of gamete aredominant and the vikrut doshas formed as biproducts during digestion and assimilation are

the resipent. The morphological, physiological, pathological and degenerative changes

occurred in lifetime of an individual are predominant to Prakrut doshas.

But according to our study the relation between Prakruti and Vikruti is may not be

always constant it changes with Agni,Koshta,Aaharvihar.The Vaikrut doshas are usually

vitiated by Vikrut aaharvihar.

Thus the Nadipariksha can be the initial screening test for Prakruti Vinishchaya only

if the other conditions like Aahar, Vihar, Dosha, Kala, Rutu, Vaya, bala, satwa, sara etc are

kept stable or constant in chosen population. Then from these controlled condition exact

interference can be drawn. That will make out the remarkable difference between diseased

conditioned Nadi and Nadi within normal physiological conditions. Then only we can

correlate body constituency with Nadi.

If the PC-based medical Analyzer could read the normal pattern of Nadi in Swastha

Purusha without disturbing dosha status then only there is a ray of hope for our study.

Otherwise we believe that it is an excellent tool to detect diseased condition i.e. Dosha

vaishamya Awastha.

Inferance:Our suggestion regarding methodology of clinical pulse examination can be

considered under three main headings-I. Relating to the Physician

II. Relating to the Patient

III. Relating to Examination.

I. RELATING TO THE PHYSICIAN-


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1. A Physician should sit with a sound stable mind and examine the pulse with concentration.

2. A Physician must be healthy in body and mind. Anger, greed, lust, depression etc. will

hind the physician in the diagnosis of patients.

3. For examining the pulse, a physician should sit comfortably facing towards North or East.

4. A physician should sit with a cheerful mood for examining the pulse.

5. A physician should not consume intoxicants such as alcohol during pulse examination.

6. The excretory system of the physician should be sound.7. Physicians who are greedy and cherish various desires cannot examine the pulse

successfully and so they should refrain themselves from the various cravings of the world.

8. A physician should use the three fingers of his right hand to examine the pulse.

9. If his hands are cold then heat should be generated by mutual friction of hands.

10. Pulse should be examined for two minutes patiently with stable mind. Eagerness is not

required.

II. RELATING TO THE PATIENT-

1. The patient should be free from the excretory products of the body.

2. The patient should sit comfortably with folded hands or must lie comfortably on the bed

and then examined.3. The pulse of a patient who is sleeping must not be examined.

4. The pulse of a patient who is hungry or thirsty must not be examined.

5. The pulse of a patient should not be examined just after the meals.

6. The pulse of a patient who has come directly from sun must not be examined.

7. The pulse of patient who has taken bath or had exercises must not be examined

immediately.

8. The patient should not have indulged in intercourse.

9. The patient should not have consumed intoxicants.

10. Pulse should not be examined during Bhootavishta and epilectical attacks.

11. The patient should not be on a fast.

12. If a patient has lust, sorrow, greed, fear, depression or anxiety then examination must not

be done.

13. Patient affected by extreme cold, heat, stimulants must not be subjected to pulse

examination.

14. The pulse should not be examined with patient in standing position.

III. RELATING TO EXAMINATION-

1. Examination should be carried out in morning hours with empty stomach.

2. The patient should sit or lie down comfortably and then be examined.

3. Patients hand should be relaxed and slightly flexed.

4. If a patient is sitting then the physician must give the support of his left hand below theelbow joint in order to make the hand relaxed and feel the pulse with ease.

5. The fingers of the patient should be quarter flexed just like a banana.

6. The stress or pressure on the radial artery must be removed.

7. The pulse of left hand in case of woman while the pulse of right hand of men should be

examined. The best thing to do is that the pulse of both hands must be examined. It may

happen that the pulse rate of both hands may be different therefore the pulse of right hand of

men checked first then that of left hand and vice versa for women.


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8. A physician must use his index finger, middle finger and ring finger for pulse examination.

He should put his fingers one by one with a slight pressure to find out the pulse rate.

9. The pulsation should be checked for one minute not for 15 seconds and then multiplied by

four.

10. If a patient has taken tea, coffee, alcohol, cigarettes, drugs etc then there is increase in

pulse rate. On the other hand consumption of cold drinks, curd etc leads to decrease in pulse

rate.11. An excited, tense or frightened patient need to be calmed with assurance and then be

examined.

12. If a pulse of wrist carries a doubt or it is unclear then the pulses at various sites need to be

checked and correlated.

13. Fingers kept on the pulse must be lifted and then again they be kept with a slight pressure.

This must be done at least three times and then Doshik abnormality be assessed.

14. The heads of the patient who is lying must be a little curved and kept laterally facing

towards the body.

15. If there is a doubt in pulse rate then the physician must use a stethoscope and check the

heartbeat and the pulse rate.

16. If there is a doubt about the force then the pulse of both hands must be examined

simultaneously with both hands of physician.

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*Professor & Head, Dept. of Sharir kriya Ayurved College,

Hadapsar, Pune

** Associate Professor & Head, Dept. of Rachana Sharir

,S.G.R..Ayurved Mahavidyalaya Solapur.

***Professor & Head Dept. of Rachana Sharir, Siddhakala Ayurved

Mahavidyalaya Sangamner.

****Associate Professor & Head, Dept. of Samhita Siddhaanta,Ashtang Ayurved Mahavidyalaya, Pune.

***** Professor & Head, Dept. of Rognidan, D.M.M. Ayurved

Mahavidyalaya Yeotmal

******Associte professor

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Nadi Exmn (Ayurveda)