2. • अष्टविध परीक्षा is one among the different methods of rogi pareeksha
• Detailed explanation of ashtavidha pareeksha is mentioned in yogaratnakara
• The physician explains 8 specific sites of patient
. रोगाक्रान्त शरीरस्य स्थानान्यष्टौ वनरीक्षयेत ।
नाडीीं मूत्रीं मलीं विह्वा शब्द स्पशश दृगाक
ृ वत | | yogaratnakara
3. The explanation of shloka goes as follows
• रोगाक्रान्त –patient Suffering from disease
• शरीरस्य – Patient’s body
• स्थानान्यष्टौ – eight sites of examination
6. 1. Definition
2. Synonyms
3. Types
4. Sites of Nadi pareeksha
5. Method of Nadi pareeksha
6. Physiological state of Nadi
7. Nadi in various pathological state
8. Pathological conditions of Nadi in various diseases
9. Effect of various factors on Nadi
10. Contraindication and conclusion.
CONTENTS
7. • The entire blood goes to hridaya and from hridaya it reaches pupphusa.
• In pupphusa it attains prana vata and again through hridaya it spreads to all part of the body.
• When this process of circulation occurs then certain areas in the body undergoes pulsation and that can be felt on
palpation.
• This pulsation is considered asNadi
*synonyms of nadi –
स्नायुनाशडी ततो हींसी धमनी धरणी धरा ।
तन्तुकी िीिनज्ञाना शब्दााः पयाशयिाचका ॥
8. • Synonyms of Nadi are as follows
1. Snayu
2. Nadi
3. Hamsi
4. Dhamani
5. Dharani
6. Dhara
7. Tantuki
8. Jivanajnana
9. TYPES OF NADI:
• There are 8 types of Nadi used for examination
1. अींगुष्टमूलनाडी
2. गुल्फमूलनाडी
3. कणठमूलनाडी
4. नासामूलनाडी
5. नेत्रमूलनाडी
6. िीह्वामूल नाडी
7. कणशमूलनाडी
8. मेद्रमूलनाडी
10. SITES OF NADI PAREEKSHA
करस्याङ् गुष्ठमूले या धमनी िीिसावक्षणी 1
तच्चेष्टया सुखीं दुाःखीं ज्ञेयीं कायस्य पण्डिताः
॥
• The pulse felt at wrist region signifies the life of the patient and physician should be
able to diagnose the disease and healthy condition by observing the nature of the
pulse.
11. PROCESS OF EXAMINATION OF NADI
• The physician should be seated in comfortable position and in healthy and composed mood then start
examining the pulse of the patient in morning hour .
• The physician must hold the patient elbow gently with left hand and feel the pulse with his right index
,middle and ring fingers kept in close apposition near wrist region.
िारत्रयीं परीक्षेत धृत्वा धृत्वा विमोचयेत् ।
विमृश्य बहुधा बुद्ध्या रोगव्यण्डतीं विवनवदशशेत् ॥ (Yogaratnakara 6)
• Examine the Nadi repeatedly for three times by applying and releasing the pressure alternatively over the
Nadi till the flow of Nadi becomes clear so as to asses the condition of dosha rightly and by using the
intelligence of physician.
12. अङ् गुवलवत्रतये स्पृष्टिा क्रमाद्दोषत्र योद्भविाम् ।
मन्ाीं मध्यगवत तीक्षणाीं वत्रविदोषस्तु लक्षयेत ॥ (Yogaratnakara)
• The vata ,pitta,kapha are identified with the help of pulsations at index,middle and ring fingers respectively.
• The characters of the pulsations are noted like feeble( मन्ा),moderate( मध्यम),fast( तीक्षण).
िातीं वपत्त क्फ द्वन् वत्रतयीं सविपावतकम 1
साध्यासाध्य वििेक
ीं च सिं नाडी प्रकाशयेत ॥
• The examination of nadi helps to know the involvement of vata or pitta or kapha or mixing of two doshas or
amalgamation of three dosha or curable disease or incurable disease.
13. PHYSIOLOGICAL STATE OF NADI
• Pulse of healthy individual is steady and forceful with normal rate ,rhythm,character
and symmetry.
Vata Pitta Kapha
Gathi
(movement)
Sarpa Manduka Hamsa
Vega(rate) 80-95 70-80 50-60
Tala(rhythm) Irregular Regular Regular
Bala(force) Low High Moderate
Akruthi(tension
&volume)
Low High Moderate
Tapamana(temp
)
Cold Hot Warm to cold
Kathinya(consist
ency of vessel
Rough,hard Elastic ,flexible Soft ,thick
14.
15. NADI IN VARIOUS PATHOLOGICAL STATES
1. िात प्रकोप नाडी – waveform of the vata prakopa resembles the movement like that of jalauka(leech)
or sarpa(snake)
2. वपत्त प्रकोप नावड - waveform in pitta prakopa resembles movement of kulinga(sparrow),kaka(crow)
and manduka(frog).
3. कफ प्रकोप नावड –waveform of kapha prakopa nadi resembles movements of hamsa (hamsa) or
paravata(pigeon).
16. 4. सविपावतक दोष प्रकोप नावड –waveform of sannipatika prakopa nadi resembles the movements like
bustard quail,grey partridge,and button quail.
5. द्वन्द दोष प्रकोप नाडी – waveform of dvandva dosha prakopa Nadi becomes somethimes slow and sometimes
fast
18. EFFECT OF DIFFERENT FACTORS ON NADI
1. Effectof rasaonnadi - madhura rasa increases kapha . It is Manda the pulse is predominant in the
region of kapha.
Amla rasa increase pitta the prolonged intake of amla rasa results in plavagathi(leaping of pulse)
,soshana,the movement resembles the frog.
2. Effect of food on nadi - in hunger the beats ofpulse is fast.
After meals the pulse is slow.
19. CONTRAINDICATION FOR NADI
PAREEKSHA
सद्याः स्नातस्य मुतस्य तथा स्नहािगावहन |
क्षुत्तृषातशस्य सुप्तस्य नाडी सम्यक न बुध्यते ॥
1. Just after taking bath.
2. Just after taking food
3. After internal and external oleation therapy
4. During hunger
5. During thirst
6. During sleep or just after awakening
20. OTHER PULSE POINTS
• Superficial Temporal Artery
• Facial Artery (Anterior border of Masseter muscle
• Carotid Artery (Medial to Sternocleido mastoid muscle)
• Brachial Artery (Medial to Bicep Tendon)
21. • Femoral Artery (Inguinal region)
• Popliteal Artery (Behind knees
• Dorsalis Pedis Artery (1st Intertarsal space)
• This examination is IMP to diagnose Peripheral vascular diseases like TAO (Thrombo Agitans
Obliterans)
23. INTRODUCTION:
• The examination of faecal matter through naked eyes tells a lot about digestive state of the
body.
• The colour ,consistency, floatingnature,smell,presence of mucuos or blood in stools gives
information about various dosha imbalance and diseases.
• Samsa and niram condition of mala is noted in ayurveda.
24. साम लक्षण OF पुरीष
1. साम पूरीष लक्षण – सींसृष्टम विदोष स्तुन्यस्तम प्स्विसीदवत 1
पुरीषीं िृश दुगशण्डधीं विण्डिि चामसींज्ञकम ॥
• When it combines with doshas,dhatus and other malas manifests diseases accordingly.
• Sinks in water
• Increase in quantity and frequency.
• Foul smell.
• Change in colour and consistency.
• Little quantity comes out oftenly with difficulty with sound.
• Discomfort in purisavaha srotoavayava.
• Heaviness and pain in abdomen.
25. नर वम लक्षण OF पुरीष
एतान्यि तु वलङ्गवन विपरीतावन यस्य तु ।
लाघिीं च मनुष्यस्य तस्य पक्व
ीं विवनवदशशेत् ॥
• No amalgamation with doshas, dhatus and with other malas.
• Normal quantity with normal frequency.
• Attains normal colour and frequency.
• Purisha comes out without difficulty.
• Feeling of lightness.
26. PROPERTIES OF DOSHANUSARA MALA
LAKSHANA
1. िात प्रकोप दोष मल – Dry ,hard,blackish discoloration of stools.
2. वपत्त प्रकोप दोषमल - yellowish discoloration of stools.
3. कफ प्रकोप दोषमल - white coloured stools.
4. विदोष प्रकोप मल – Black ,loose,yellowish ,constipated,whitish coloured stools.
• Foul smell with coldness indicatesjirna mala.
30. EXAMINATION OF FAECES
• Collectionof stool–
In the morning specimen is collected in 50ml quantity in clean and dry container.
It should be examined within one hour of collection.
31. PHYSICAL EXAMINATION OF STOOL
• Consistency : Hard,semisolid or loose.
• Colour : Yellow,brown,red,green.
• Mucous
• Blood
34. Chemicalexamination
• Reaction if acidic or alkaline.
• Normal stool specimen are slightly acidic, neutral or slightly alkaline.
pH range from 5.8 to 7.5
• Strongly acidic stool due to fermentation seen in lactose intalerence.
• Strongly alkaline seen due to excess of protein in diet
• Microscopic examination of stools shoes food particles meat, fibres, mucus,parasites like larva,ova cyst,live worms,segments of
worms, RBC,puscells.
