Dashvidha Pariksha (Ten Fold Examination) is a unique contribution of Ayurveda which used in clinical examination. despite, it is more useful for assessment of patient physical and psychological strength.by these Strength assessment we can planed proper treatment and drug doses.

1. दशविध परीक्षा
A CLINICAL EXAMINATION
Presented BY
Dr.Rajesh Uikey
Department of Rog Nidan Avum Vikriti Vigyan
Govt. Auto. Dhanwantari Ayurved College and Hospital, Ujjain
M.P.

2. DASHVIDH PARIKSHA
तस्मादातुरं परीक्षेत
प्रकृ तततश्च,
विकृ तततश्च,
सारतश्च,
संहननतश्च,
प्रमाणतश्च,
सात्म्यतश्च,
सत्त्ितश्च,
आहारशक्तततश्च,
व्यायामशक्तततश्च,
ियस्तश्चेतत बलप्रमाणविशेषग्रहणहेत ोः AA
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3. प्रकृ तििश्च ( Body constitution )
The Body constitution is determined by genetic
factors in intrauterine life . The determined prakriti of man is of seven type:- vataj, Pitaj,
kahpaj, Vatapitaja, Vatakaphaj, Pittakaphaj and samdoshaj .
This is bcoz of the relative predominance of doshas during the fetal development. The
feature of different type of prakriti and their significance in practice of medicine have
been decribed in detail:-
Assessment Criteria 1
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4. PARAMETER FOR ASSESSMENT OF DEHA PRAKRITI
S.No. Vatika Paittika Kaphaja
Anotomical :
Chest Flat & depressed Round Well developed body
built and spacious
chest
Veins and Tendons Prominent Medium Minimum
Muscle tone Minimum Medium Minimum
Complexion Rough dark pale
dusts
Fair and copper
colour
Fair and bright
Skin Rough (dry cracked) Smooth very soft
and wrinkled
Soft and smooth
Conjunctiva Dry and rough Moist and copper
colour
Bright
Nails Cracked and rough Reddish and soft Bright
Hairs Least amount Silky brownish Bright
Assessment Criteria 2

5. Physiological
Appetite Poor Good Moderate
Digestion Poor Good Moderate
Thirst Lesser Maximum Lesser
Urine Lesser Maximum Lesser
Stool Dry/hard and small Excessive Lesser
Sweat Less Excessive Lesser
Temperature Lower Medium Lower
Psychological
Memory Short Medium Strong
Mental grasp Fast Good Good
Will power Least Medium Maximum
Courage Least Medium Maximum
Tolerance Least Medium Maximum
Confidence Least Medium Maximum
S.No. Vatika Paittika Kaphaja

6. PARAMETERS FOR ASSESSMENT OF MANAS PRAKRITI
Name of
Variables
Sattvika Rajasika Tamasika
Deha prikriti Sama Vatika/Pittaja Kaphaja
Character Cognition Active Inertia
Memory Good Moderate Dull
Excitement Calm Very much excited on
trivial matters
Indifferent
Intelligence Good Moderate Loss
Anger cool Easily Getting angry Loss
Appearance Impressive
personality
Fickle Lazy
Tolerance High Intolerant Less tolerant
Hygiene Good Moderate Poor
Morality Good Poor Moderate
Assessment Criteria 3

7. विकृ तततश्च(pathological Examination) :-
विकृ तततश्चेतत विकृ ततरुच्यते विकारोः|
तत्र विकारं हेतु-द ष-दूष्य-प्रकृ तत-देश-काल-बलविशेषैर्लिङ्गतश्च परीक्षेत, न ह्यन्तरेण हेत्मिादीनां बलविशेषं
व्याधिबलविशेष पलक््िोः|
A patient has to be examined in respect of vikruti as well. The pathological manifestation or to
be examined with reference to in term of specific causative factor, doshas, dathus,
involved in the pathogeneses, prakruti (constitution) of an individual , desha (habitat),
Kala (season), Bala (Strength) , symptoms these without determining the strength of the
causative factors etc. it is not possible to obtain the knowledge regarding the intensity of the
diseases.
1. यस्य हह व्यािेदोष-दूष्य-प्रकृ तत-देश-काल-बलसा्यं, भितत, महच्च,हेतुर्लङ्गबलं, स व्याधिबिलिान भितत;
2. तद्विपयियाच्चाल्पबलोः;
3. मध्यबलस्तु द षदूष्यादीनामन्यतमसामान्याद्िेतुर्लङ्गमध्यबलत्मिाच्च पलभ्यते A ¼p-fo-8@101½
Example of Vikriti Assessment

8. सारतश्च (Test For Strength)
सारतश्चेतत साराण्यष्टौ पुरुषाणां; बलमानविशेषज्ञानार्िमुपहदश्यन्ते; तद्यर्ा-
त्मिग्रततमांसमेद ऽक्स्र्मज्जशुक्रसत्त्िानीतत||
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8@102&105½
तत्र क्स्नग्िश्लक्ष्णमृदुप्रसन्नसूक्ष्माल्पग्भीरसुकु मारल मा सप्रभेि च त्मिक त्मितसाराणाम|
सा सारता सुखसौभाग्यैश्ियोपभ गबुद्धिविद्यार ग्यप्रहषिणान्यायुष्यत्मिं चाचष्टे||१०३||
1. Rodlkj %&
शरीर लक्षण:- Unctuous & luster skin, smooth, clear, fine and less numerous
deep rooted tender hair
ekufld o lkekftd y{k.k%& Such a state indicate happiness, good fortune, power,
pleasure, knowledge, health and long life.

9. कणािक्षक्षमुखक्जह्िानासौष्ठपाणणपादतलनखललाटमेहनं क्स्नग्िरततिणं श्रीमद्राक्जष्णु रततसाराणाम|
सा सारता सुखमुद्ितां मेिां मनक्स्ित्मिं सौकु मायिमनततबलमतलेशसहहष्णुत्मिमुष्णासहहष्णुत्मिं चाचष्टे||१०४||
2. jDrlkj %&
शरीर लक्षण:- In persons with the element of blood in perfect tone, the ears, the
eyes, the mouth, the tongue, the nose, the lips, the hands and soles of the
feet, nails, forehead and the
genitals are unctuous reddish, shapely and full of lusture.
ekufld o lkekftd y{k.k%& Such a perfectness of tone indicate in them happiness, great
intelligence, cheerfulness, delicacy, moderate strength and in capacity to
endure troubles and
heat.

10. 3- ekallkj %&
शङ्खललाटकृ काहटकाक्षक्षगण्डहनुग्रीिास्कन्ि दरकक्षिक्षोःपाणणपादसन्ियोः क्स्र्रगुरुशुभमांस पधचता मांससाराणाम|
सा सारता क्षमां िृततमलौल्यं वित्तं विद्यां सुखमाजििमार ग्यं बलमायुश्च दीर्िमाचष्टे||१०५||
शरीर लक्षण:- Those the whom the element of muscular tissue is in perfect
tone, have their temples forehead, nape, eyes, cheeks jaw, neck, shoulders,
bellies, armpits, chest and joints of hand and feet, covered with firm and
heavy muscles.
ekufld o lkekftd y{k.k%& Such perfectness of tone indicate in them patience,
endurance, stability, wealth,knowledge, happiness, frankness, health,
strength and long life.

11. िणिस्िरनेत्रके शल मनखदन्तौष्ठमूत्रपुरीषेषु विशेषतोः स्नेह मेदोःसाराणाम|
सा सारता वित्तैश्ियिसुख पभ गप्रदानान्याजििं सुकु मार पचारतां चा चष्टे||१०६||
4. Esknlkj %&
शरीर लक्षण:- Those in whom the element of fat is in perfect tone, possess
excessive unctuousness in their complexion, voice, eyes, hair (on the head,
face and body). Nails, teeth, lips, urine, and faeces.
ekufld o lkekftd y{k.k%& It indicate in them wealth, power, happiness, luxury,
chairity, frankness and vitality

12. पाक्ष्णिगुल्फजान्िरक्त्मनजत्रुधचबुकर्शरोःपििस्र्ूलाोः स्र्ूलाक्स्र्नखदन्ताश्चाक्स्र्साराोः|
ते मह त्मसाहाोः क्रक्रयािन्तोः तलेशसहाोः सारक्स्र्रशरीरा भिन्त्मयायुष्मन्तश्च||१०७||
5. vfLFklkj %&
शरीर लक्षण:- Those in whom the element of bone tissue is in perfect tone,
have stout ankles, knees,forearm bones, collar bones, chin, head, joints,
bones, nails and teeth.
ekufld o lkekftd y{k.k%& They are very enthusiastic and active and bear difficulties.
They have strong and firm bodies and they live a long life.

13. मृद्िङ्गा बलिन्तोः क्स्नग्ििणिस्िराोः स्र्ूलदीर्ििृत्तसन्ियश्च मज्जसाराोः|
ते दीर्ाियुष बलिन्तोः श्रुतवित्तविज्ञानापत्मयस्मानभाजश्च भिक्न्त||१०८||
6- eTtklkj %&
शरीर लक्षण:- Those in whom the marrow is in perfect tone are soft, strong,
unctuous, in complexion and voice, having stout, long and rounded joints.
ekufld o lkekftd y{k.k%& They are long lived, strong and possessed of learning,
wealth, experience offspring and honour.
सौ्याोः सौ्यप्रेक्षक्षणोः क्षीरपूणिल चना इि प्रहषिबहुलाोः क्स्नग्ििृत्तसारसमसंहतर्शखरदशनाोः
प्रसन्नक्स्नग्ििणिस्िरा राक्जष्णि महाक्स्फचश्च शुक्रसाराोः|
ते स्त्रीवप्रय पभ गा बलिन्तोः सुखैश्ियािर ग्यवित्तस्मानापत्मयभाजश्च भिक्न्त||१०९||
7- शुdzlkj %&
शरीर लक्षण:- Those in whom the element of semen is in perfect tone are gentle
and cheerful. They have unctuous , round , firm, close and even teeth, good
complexion and voice.
ekufld o lkekftd y{k.k%& They are coreted sources of enjoyment for women. They
are strong, happy, powerful, healthy, wealthy fertile and honoured.

14. स्मृततमन्त भक्ततमन्तोः कृ तज्ञाोः प्राज्ञाोः शुचय मह त्मसाहा दक्षा िीराोः समरविक्रान्तय धिनस्त्मयततविषादाोः
सुव्यिक्स्र्तगततग्भीरबुद्धिचेष्टाोः कल्याणार्भतनिेर्शनश्च सत्त्िसाराोः|
तेषां स्िलक्षणैरेि गुणा व्याख्याताोः||११०||
तत्र सिवोः सारैरुपेताोः पुरुषा भिन्त्मयततबलाोः परमसुखयुतताोः तलेशसहाोः सिािर्भेष्िात्ममतन जातप्रत्मययाोः
कल्याणार्भतनिेर्शनोः क्स्र्रसमाहहतशरीराोः सुसमाहहतगतयोः सानुनादक्स्नग्िग्भीरमहास्िराोः
सुखैश्ियिवित्त पभ गस्मानभाज मन्दजरस मन्दविकाराोः प्रायस्तुल्यगुणविस्तीणािपत्मयाक्श्चरजीविनश्च||१११
8- lRolkj %&Those in whom the psychic element is in perfect tone , are possessed of
memory, deviation, gratitude, wisdom, purity, great energy, skill, courage, strength,
freedom for sorrow, firmness
intelligence and character.
Slokas of Sara

15. Clinically patient may be assessed prava, madhyama, avara Sara
Sarvasara or pravara sara purusha –
-These person have all the dhatus in abundance and of good quality.
-They are endowed with great biological strength,
absolute happiness, endurance against difficulties, self confidence in all enterprises,
inclination benevolent acts, firm and balanced body,
- well balanced gait, nature of voice is resonant, unctuous, serious, and high pitch,
-happiness, supremacy, wealth, enjoyments, honor, delay of aging, low degree of
pathogenesis, minimum diseases, numerous offspring’s of identical qualities and
longevity,
-presence of great respect, hope of success in all activities, capacity of withstanding
troubles, wisdom and steadiness.
Madhyama sara purusha- Moderate amount of different sara possess qualities of
respective Saras in moderate degree and show characteristics of sarva Sara moderately.
Asara / avara sara purusha-These persons having least amount of different sara
possess qualities of respective Sara in less degree.

16. संहननतश्च
Patient must be examined with reference to his compactness of the body. A
person having compact body and he reflects the quality of overall body
build. Clinically patient may be assessed prava, madhyama, avara
samhanana depending on the compactness of body
organs .
Pravara samhanana –Symmetrical and well demarcated bones, well
joints, well bound muscles blood, strong built , excellent strength
Madhyama samhanana –Moderately symmetrical and demarcated
bones, moderately joints, moderately bound muscles blood, moderately
built , moderately strength
Avara samhanana –Weakly Symmetrical and demarcated bones, Weakly

17. • प्रमाणतश्च
The body measurement have been given in terms of finger breadths. The following
table described
Different body measurements. A person having these measurements is likely to
have long life, strength, vitality, happiness, wealth and other desirable qualities.SNO. Body Part Length Breadths Thicknes
s
Circumferenc
e
1 Full body height 84 --- --- ---
2 Full body breadth 84 --- --- ---
3 Feet 14 6 4 ---
4 Clave 18 --- --- 16
5 knee 4 --- --- 16
6 Thigh 18 --- --- 30
7 testes 6 --- --- 8
9 The vagina --- --- --- 12
10 The waste region --- 16 ---
11 The top of pelvis 10 --- --- ---

18. SNO. Body Part Length Breadths Thicknes
s
Circumferenc
e
12 Stomach sides 12 10 ----- -----
13 Distance b/w the two nipple 12 ----- ----- 2
14 The chest
15 Cardiac region 2 ----- ----- -----
16 The shoulders each 8 ----- ----- -----
17 Shoulder blades each 6 ----- ----- -----
18 Arm each 16 ----- ----- -----
19 Fore arm 15 ----- ----- -----
20 Hands 12 ----- ----- -----
21 Axilla each 8 ----- ----- -----
22 Sacrum and back ----- ----- 12 -----
23 The neck 4 22
24 Face ----- ----- 12 24
25 mouth 5
26 Head 16 ----- ----- 32
27 The chin,lips,Ears,The distance b/w 4 ----- ----- -----

19. • सात्म्यतश्च
-It stands for such factors as are wholesome to the individual even when
continuously used. Individuals for whom ghee, milk, oil and meat soup as well
as the drugs and diets having all six rasa are wholesome are endowed with
strength, the power of facing difficult situations and longevity.
-Those who are accustomed to unctuous things and drugs and diets having only
one particular taste, are mostly possessed of less strength, less power to face
difficult situations, are of smaller life span of inadequate accessories like drugs
for the treatment of his diseases.
- If there is combination of the both types of homologation, individual are
possessed with moderate strength. If an in individual accustomed to use
only such drugs diets having one and the same taste the drugs and diets
possessed of the remaining tastes will be unwholesome for him.

20. सत्त्ितश्च
Satva is mind and it regulates the body because of it is associated with soul.
Depending upon its strength, it is of three types, viz. pravara, madhyama
and avara satva
depending on their mental faculties.
Pravara satva
1.Excellent mental faculties.
2.Able to bear the stronger therapies without producing any harmful effect
to the body.
3. Weak physique person having excellent mental faculties tolerates
serious exogenous
and endogenous diseases without diseases without much difficultly.

21. Madhyama satva
1. Moderate mental faculties.
2. Able to bear the stronger therapies without producing any harmful effect to the
body.
3. Weak physique person having moderate mental faculties tolerates serious
exogenous and
endogenous diseases with much difficultly.
4. Tolerates and adjusts to pain or odd situations moderately.
Avara satva
1. Inferior types of mental faculties.
2. Neither by themselves nor through other can sustain their mental strength.
3. In spite of having sound physique, they cannot susceptible to fear, grief, greed,
delusion and ego.
4. When they hear even stories describing wrathful, fearful, hateful, terrifying and
ugly situation or come across visions of flesh or blood of an animal or man, they fall
victims to depression, pallor, fainting, madness, giddiness of falling on the

22. • आहारशक्तततश्च,
a. Pravara ahara shakti- (excellent power of digestion ) Person having excellent power of
ingestion and digestion of food are claimed to be healthy persons. These kind of person
endowed with excellent strength, longevity, joy, good physique, superior mental
faculties, full of essence of dhatus, power of resisting any sort of difficulties etc.
digestion of food when taken in large quantity is indicative of excellent Ahara Shakti.
b. Madhyama ahara shakti– (Moderate digestive power ) Individual having moderate
strength of ingestion and digestion of the food are claimed to be moderately healthy.
Moderate medicaments may be prescribed for the effective management. These persons
possess moderate strength, longevity and immunity.
c. Avara ahara shakti-(weak digestive power) Person is unable to digest even small
quantities of
food these persons suffers from diseases very often and endowed with less strength
longevity,
immunity and unable to sustain the stronger medicaments. Mild medicaments are
required for the

23. • व्यायामशक्तततश्च,
a. Pravara vyayama shakti – Individual possess a excellent exercise endurance. To
advice rehabilitation programme person should have a good power of
exercise.These persons able to do a physiotherapy technique without much
difficulty, this helps for faster recovery. These kinds of individual are able to
perform heavy exercise.
b. Madhyama vyayama shakti–Individual possess a moderate power of exercise.
Person follows
the physiotherapeutic technique moderately as a result it hampers the quicker
relief. Moderate
medicaments must be prescribed to gain desirable results.
c. Avara vyayama shakti-Individual possess a mild power of exercise. These people
are unable to
follow the physiotherapeutic technique even up to slighter extent. This hastens
the slower
recovery. Mild medicaments are suitable to gain good results

24. • ियस्तश्चेतत
Vaya is defined as the state of the body corresponding to the length of time that has
passed since birth. Age is broadly divided into three stages – bala (childhood),
Madhya (middle age), jeerna (old age). Childhood is determined up to sixteen years
when the dhatus are immature, sexual character are not manifested; the body is
delicate, unstable with incomplete strength and predominant in kapha dosha. This
again with dhatus in developing stages and unstable mind remains up to thirty years.
Mild medicaments may be employed.
The middle age is assessed by strength,energy, virility, acquisition, retention,
recollection, speech, understanding and qualities of all dhatus having reached the
normal limit, with proper physical and mental strength, without degeneration in
qualities of dhatus, with predominance of pitta dhatu and is up to 60 years. Stronger
medicaments may be employed to gain the success.
Old age is up to one hundred years. There is diminution of dhatus strength of sense
organs, energy, manliness, valor, power of understanding, retention, memorizing,
speech and analyzing facts. There is gradual diminution in qualities of dhatus and
dominance of vata .During this age the measure of life span is one hundred years.

25. References
1. Science and philosophy of Indian medicine by- K.N. udupa
2. Shashirekha H K, Sushant Bargale: Importance of Dasha Vidha Pareeksha in
Clinical Practice
3. Clinical study of metabolic syndrome, prakriti assessment proforma by-
Jaspreet singh