Pulse Examination PPT -- By Prof.Dr.R.R.deshpande -- This is PPT abput Pulse Examination .Prof.Deshpande has explained how pulse should be examined for Rate,Rhythm,Volume ,Tension ,equality on both side ,Condition of vessel wall .He also explained about Sphygmograph . Mobile – 922 68 10630 Also visit – www.ayurvedicfriend.com

1. Pulse Examination
• Presented By –
• Prof.Dr.R.R.Deshpande (M.D
in Ayurvdic Medicine & M.D.
in Ayurvedic Physiology)
• www.ayurvedicfriend.com
• Mobile – 922 68 10 630
• professordeshpande@gmail.
com
9/18/2016 Prof.Dr.R.R.Deshpande 1

2. What is Pulse ?
• Pulse is a wave generated at the base of Aorta
& spreading along the arterial wall to the
peripheral arteries
• Wave is generated due to pumping of blood
by heart
• Pulse is not due to blood flow under the vessel
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3. Pulse Examination
• Pulse is examined at superficial arteries
• Most common site is Radial Artery
• It can be compressed against the bone ,that is
why it is commonly selected
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4. Pulse Examination
• Done with 3 fingers – Index ,Middle & Ring
• Index finger should be kept proximal to heart & Ring
finger should be distal from heart
• Proximal finger will check the force of pulse
• Purpose of distal finger is to obliterate the back flow
coming from Ulnar artery .Light pressure is given by
ring finger to obliterate
• Rest all parameters of pulse are judged by middle
finger
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5. Clinical Examination of Pulse
• 1) Rate
• 2) Rhythm
• 3) Volume
• 4) Force
• 5) Tension
• 6) Equality on both sides
• 7) Condition of vessel wall
• 8) Peripheral Pulsations
• 9) Apex – Pulse ratio
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6. 1) Rate
• Count Pulsations with watch for full 1 minute
• Minimum 3 readings are essential
• When consecutive 2 readings are same ,that is
correct pulse
• Tachycardia & Bradycardia can be diagnosed
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7. Counting pulse rate in full one minute
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8. 2) Rhythm
• Whether beats are coming at regular interval ?
•
• In healthy individual ,we get regular or
rhythmic pulse
• Irrgular pulse is obtained in Cardiac
Arrythmias
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9. 2) Rhythm
• Rarely in children ,we get regularly irregular
pulse .This is called as Sinus Arrythmia
• During Inspiration ,pulse rate increases &
during expiration ,pulse rate decreases
• As age increases ,Vagal tone improves & Sinus
Arrythmia goes away
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10. 3) Volume
• Uplift to middle finger
• It denotes Pulse Pressure
•
• Pulse Pressure = SBP – DBP
• If patient has high Systolic & low Diastolic BP
,then Pulse pressure is more .Therefore
Volume will be more
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11. Middle Finger
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12. Uplift to middle finger
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13. 4) Force
• Put pressure on Index finger ,to obliterate the
blood flow & stop pulsations
• The amount of pressure required to be applied
to obliterate or stop the blood flow indicates
Force of pulse
• It gives rough idea of Systolic Blood Pressure
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14. Pressure by Index finger
to Obliterate flow
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15. 5) Tension
• Feel of the Pulse ,between 2 uplifts
• It gives rough idea about Diastolic Blood
Pressure
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16. 6) Equality of Pulse
• Pulse of right & left side , should be examined
simultaneously
• Normally pulsations on both sides are felt at
one & the same time
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17. Pulse equality on both sides
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18. 7) Condition of vessel wall
• Roll artery under the fingers
• Normally it is elastic
• In old age ,due to atherosclerosis ,it gives wire
or cord like feeling
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19. Rolling of fingers
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20. 8) Pulse examination at other places
• 1) Superficial Temporal Artery
• 2) Facial Artery ( Anterior border of Masseter
muscle)
• 3) Carotid Artery ( Medial to Sternocleido
mastoid muscle)
• 4) Brachial Artery ( Medial to Bicep Tendon)
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21. Temporal artery
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22. Facial Artery
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23. Carotid artery
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24. Brachial Artery
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25. 8) Pulse examination at other places
• 5) Femoral Artery ( Inguinal region)
• 6) Popliteal Artery ( Behind knees)
• 7) Dorsalis Pedis Artery ( 1st Intertarsal space)
• This examination is IMP to diagnose Peripheral
vascular diseases like TAO ( Thrombo Agitans
Obliterans)
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26. Popliteal Artery
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27. Dorsalis pedis artery
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28. 9) Apex Pulse ratio
• Corelate beating of heart with pulse
• One hand is put on pulse & 2nd hand is put on
heart ,at Apex beat
• Apex beat will be felt first ,followed by pulse
beat
• One to one relation indicates HR = PR
• If HR > PR – This is Pulsus Deficit ,indicating
Cardiac Arrythmias
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29. 9) Apex Pulse ratio
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30. Sphymograph
• Examination of pulse = Mirror of heart
• Pulse can be recorded in a Graph ,with computerized
instrument ,called as Sphymograph
• It will show positive wave or Anacrotic wave
,indicating Ventricular systole
• Down stroke is called as Catacrotic wave ,indicating
Ventricular Diastole
• There is Dicrotic notch between 2 waves ,Dicrotic
notch ,due to closure of Aortic semilunar valves
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31. Pulse wave tracing
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32. Sphymograph
• Whatever we diagnose by clinical pulse
examination can be diagnosed by
Sphygmograph
• Ayurvedic diagnosis of Vata ,Pitta ,Kapha Nadi
can be objectively compared by Sphymograph
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33. Please see also Videos
• Copy ,Paste Link as URL
• Pulse Examination -- By
Prof.Dr.R.R.deshpande
• https://youtu.be/mATZjnD9bF8
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34. Prof.Dr.R.R.Deshpande
• Sharing of Knowledge
• FOR
• Propagating Ayurved
9/18/2016 34Prof.Dr.R.R.Deshpande