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1. NADI PAREEKSHA (PULSE
DIAGNOSIS) - AN
AUTHENTIC SCIENTIFIC
APPROACH

2.  Foremost means of Pareeksha
 First Avayava Pareeksha in Ayurveda.
 Subjective and objective approach to disease diagnosis
 Any ailment in body brings about a change in
constitution of Vata, Pitta, Kapha transmits through
Nadi sensed by fingers of an examiner varying pressure
 Non invasive computer aided device which will
eliminate all the human errors performed manually by
the practitioners, should be developed

3. • तस्मात्शास्रार्थविग्याने प्रव्रुतौ कमथदशथने
भिषक् चतुष्टे युक्त प्राणाभिसार उच्यते
• एकं शास्रं अधीयतोन विद्यात्शास्र ननश्चयम्
तस्मात्बहुश्रुतं शास्रंविग्यानीयात्चचककत्सक
• प्रयोग ज्नानविग्यनम्भसचधभसधसुखप्रद
जीवितभिसरस्तेस्यु: िैद्यत्िं ते्षुअिस्स्र्तत्िं

4.  Shiva → Brahma → Indra → Kanaada
 Nadi vijnana exits from the time of origin of
Ayurveda
 In bruhathrayee – explained based on
tridosha siddhanta

5. • Spandana – Aspandana
• Swasa - Hraswa - Spandana -
Aspanda
• Spandana - Stambha
Caraka
Indriyasthana
• Aspandana - NagodaraCaraka
Shaareera
Sthana
• Garbhakshaya - Garbha Aspandana
• Muda Garbha Nidana - AspandanaSushrutha
Sutrasthana

6. ACCORDING TO LAGHUTHRAYEE
SHARANGADHARA
SAMHITHA
First time in the history of
Ayurveda
Fifteen types
Pulse in certain physiological
states of the body.
Pulse in certain mental states.
Pulse in certain pathological
states of body. According to
three Doshas involved the
movements of the pulse are
correlated with those of the
birds, reptiles and amphibians.
BHAVAPRAKASHA
Specification of sides - male
and female
Indication of three fingers
unfavorable conditions
Relation between fingers
and different positions of
Doshas.
Pulse in physiological
conditions of the body.
Pulse in mental states.
pulse in pathological states.
YOGARATNAKARA
Indication
Sites and method of
pulse examination.
Pulse in physiological
and mental states
Pulse in pathological
conditions
Pulse indicating bad
prognosis
Miscellaneous
description related to
pulse

7. OTHER IMPORTANT REFERANCES
Basavarajeeyam
Ashtastanas for Nadi is
are mentioned 1) Aushta
(lips) 2) Panipada (legs
and hands) 3)Kanta
(throat) 4) Nasopanda
(nose) 5) Pada (leg) 6)
Hastha (hand) 7)
Granamula (root of
nose) 8) Kantamula (
root of nose
Diseases coming under
Ashtanadi mentioned
Vaidyachinthamani
Method of Nadi
Pareeksha is mentioned,
explanation regarding
Vata Nadi ,Pitta Nadi ,
Kapha Nadi , Dwandwaja
Nadi , Ajeerna Nadi. He
had also mentioned
regarding Samshaya
Nadi.
RavanaThantra
Ravana in his treatise
Nadi Pareeksha included
following points (a)
general description (b)
pulse after taking certain
diets (c) pulse in certain
physiological conditions
(d) pulse in certain
mental states (e) pulse in
general pathological
conditions and diseases
(f) pulse in prognosis.

8.  Sthula and sookshma nadi – 3.5 crore in number
 All are connected to nabhi kantha
 Forms urdhwa , adha and thiryak branches and sub branches
 1000 sthula nadis – which transfers panchendriya gunas from one place
to other
 700 sookshma chidra nadi – circulates the annarasa for shareera pushti
 24 are clear nadi situvated at nabhi
 Among them only is yogya nadi for pareeksha

9. ART OF LEARNING
ACCORDING TO YOGARATNAKARA
Physician should gain mental stability
and peace of mind before examining the
patient.
Early hours of the day nadi should be
studied.
Physician should examine the patients
right hand pulse below the right thumb.
In females left hand pulse is examined
and males right hand pulse.
The elbow of the patient is slightly flexed
to the left and wrist slightly bend to the
left with the fingers distended and
dispersed.
Examine the nadi repeatedly for three
times by applying and releasing the
pressure alternately over the nadi till the
flow of nadi becomes clear so as to asses
the condition of dosha rightly.
The three fingers placed in position over
the nadi indicate the condition of
tridosha and their gathi .
Index finger – vata , middle – pitta , ring
finger – kapha
ACCORDING TO RAVANA
Physician and rogi should sit in a
peaceful place.
If patient came after a long journey or
any exertion he should take rest for
sometime before examining.
Middle of asthi prakoshta there is one
vishishta nadi called jeevasakshini nadi.
After leaving 1 angula using three
fingers nadi should be pressed 3 times to
correct flow.
Either in sitting position or in lying
position nadi examined
If angushta nadi is not getting look for
other nadi.
Nadi of both hands should be looked.
For females left hand and males right
If patient is in fear , console the patient
by talking to him and then look the nadi
Children are kept on the lap of
physiscian , divert their mind make them
calm and look
Any bands , watch or any other
interruptions should be removed
ACCORDING TO OTHERS
KANAADA – morning time after
evacuvation of malas by both physician
and patient before nadi pareeksha.
According to condition nadi can be
looked at anytime.
BASAVARAJEEYAM – nadi palpated over
the kurpara sandhi madhya of right
hand with three anguli.
Angushtamoolas pashchima bhaga
madhya nadi gathi is noted.
In women kurpara sandhi kurma urdhwa
mukha an in men kurpara sandhi kurma
adho mukha.
BHAVAPRAKASHA- males right hand
and females left hand is examined.
Angushtamoola nadi is touched with
the three fingers.
Bhishak will be knowing the sukha and
dukha by examining the nadi of a
person.

10.  Concentration of mind is the most important thing in nadi
pareeksha
 Physician should understand even the minute tactile tactile
perception even in the middle of distractions (proper
sparshanendriya jnana)
 Practice of manthras daily in early morning hours. Example
: chanting of gayathri mantra and look for the beats of his
own nadi
 The practice of mantras and pranayama daily to get
peaceful mind
 Should understand first which part of the finger gets the
beat and the flow of the beat , path of its movement
 Note the normal flow of nadi of ones own just after waking
up , after bath , after having breakfast etc….

11. Tarjani
• Index finger
• vata
Madhyama
• Middle finger
• pitta
Anamika • Ring finger
• kapha

12. Basic information obtained from Nadi
Pareeksha
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
and volume)
Low High Moderate
TAPAMANA
(temperature)
Cold Hot Warm to cold
KATHINYA
(consistency of
vessel wall)
Rough , hard Elastic , flexible Soft , thick

14. Three Basic Gathis of Nadi
VATA PULSE PITTA PULSE KAPHA PULSE
CHARACTERISTICS Fast , feeble , cold ,
light , thin ,
disappears on
pressure
Prominent , strong ,
high amplitude ,
hot , forceful , lifts
up the palpating
finger
Deep , slow , broad
, thick , cool ,
regular
LOCATION Best felt under the
index finger
Best felt under the
middle finger
Best felt under the
ring finger
GATI Moves like a cobra Moves like a frog Moves like a
swimming swan

15. Examples of gati and their conditions
• Krumi gathi – parasites , worms
• Pippilika gathi – terminal illness
• Mayura gathi – arterial hypertension
• Kukkuta gathi – diabetes , albuminuria
• Ushtra gathi – aortic stenosis
• Gaja gathi – elephantitis , lymphatic obstruction
• Girija gathi – heart block
• Vishama gathi – pulsus alterans , atrial fibrillation
• Damaru gathi – fatal illness , renal failure , shock
• Padma gathi – perfect health , enlightnment

16. Vega ( Rate )
• Rate – number of beats per minute
• To get an accurate resting pulse – take in early morning in a restful
condition
• Physiologically – vega is high (80 – 90 beats/min) in vata , moderate
(70 – 80 beats/min) in pitta and low (50 – 60 beats/min) in kapha
• Relation with height – tall people have slower heart rates and short
people have faster heart rates (pulse rate inversely proportional to
height)
• Relation with age – children have higher heart rates and older
people rate is slow
• Relation with metabolism – slower the pulse rate slower the
metabolism
• Relation with agni – when agni is strong pulse is fast , light and hot
and agni is slow pulse is slow , heavy and cool
• Pathology

17. Tala ( Rhythm )
• Rhythm – defined as the time interval between two
consecutive or successive uplifts
• In a healthy person – the time interval is regular ,
uninterrupted and rhythmic
• Balanced tala reflects – symchronization function of
prana vayu , vyana vayu , avalambaka kapha , and
sadhaka pitta
• If regularly irregular – both kapha and vata are in
imbalanced state
• If irregularly irregular – both vata and pitta are in
imbalanced state
• Pathology

18. Bala ( Force )
• Force – pressure of the pulse
• Bala – the amount of force pressing on the blood vessel is being
exerted back onto the fingers
• Force / pulse pressure (PP) = difference between systolic and
diastolic pressure
• If systolic b.p is 120 and diastolic b.p is 70 then PP is 50 which is
normal
• If PP is 170 which is high – heart is working under great stress and if
PP is 10 – person doesn’t receive oxygen to brain
• If bala is high (+++) – force is full and bounding is high , deep
pressure of finger necessary in order to stop the pulsation
• If bala moderate (++) – moderate pressure
• If bala low (+) – superficial pressure causes the pulse to disappear

19. Akruthi ( Volume and Tension )
• Volume – uplift to the palpating finger , amplitude
• It is not necessary to depress the radial artery , just feel the uplift while
the fingers rest lightly on the artery
• In order to feel the volume try to press the artery gently and feel the throb
pushing against the fingers
• If throbbing is very prominent in middle finger , the volume is good (+++) ,
pitta.If throbbing is felt under ring finger , it is moderate volume (++) ,
kapha. If throbbing is barely felt under index finger , volume is low (+) ,
vata
• Don’t press too hard
• Amplitude is high volume is high
• The volume corresponds to systolic bp
• High volume – pitta type of pulse , if good amount of water intake , high
systolic bp
• Low volume – dehydration , congestive heart failure , anemia

20. • Tension – is felt by pressing the ring finger to
stop the pulsation of the radial artery and
then feeling the tension under the middle and
index fingers
• Tension is the pressure between the two
uplifts , diastolic pressure.
• It is the constant pressure of blood in the
artery
• Water hammer / collapsing pulse

21. Tapamana ( Temperature )
• There is relation between gati of the pulse ,
the wave of the pulse , the temperature of the
pulse and the agni or metabolic fire of the
person
• If pulse is cold , fast and light – vata is high ,
agni is low ,vishama agni
• If pulse is hot , sharp and light to touch – pitta
high , agni high , tikshna agni

22. Kathinya ( Consistency of the Vessel
Wall )
• The consistency of vessel wall , felt by rolling
the artery between the palpating finger and
the radial bone
• Palpating reveals – vessel wall is thick or thin ,
elastic or inelastic , rigid , hard or rough
• If vata – rough and hard vessel – vessels
becomes narrow
• If pitta – elastic and fragile , bruise easily
• If kapha – broad and thick

23. NADI IN MENTAL STATUS
MENTAL STATUS NADI
Kaama Fast
Krodha Fast
Chintha Feeble
Bhaya Feeble

24. NADI ACCORDING TO DIET
• Madhura rasa - vakra , mayura gathi
• Amla rasa - ushna , plava gathi
• Katu rasa - kulinga pakshi gathi
• Tikta rasa - kechuva ?
• Kashaya rasa - kathina
• Taila - pushti
• Ksheera - sthimitha
• Guda , guda vikara - pushti , vata pitta prakopa
• Mamsa - lagutakruthi ?
• Phala varga -
• Kushmanda , mulaka - manda

25. According to biological clock
• Praatha kaala - snigdha ,manda gathi
• Madhyanna kaala – ushna , vega gathi
• Saayam kaala – vata nadi
• Rathri kaala – uthejarahitha nadi

26. NADI IN PREGNANCY
• Nadi shifts towards lateral side (thumb side ,
radial border) or medial side (little finger side ,
ulnar border)
• It can be felt both right and left sides
• If nadi shifts laterally – male foetus
• If nadi shifts medially – female foetus
• Can be felt within fifteen to thirty days after
conception
• She should give her complete attention while
taking nadi

27. Jwara
Ajeerna
Athisara
Grahani
Prameha
Gulma
Raktapitta
Rajayakshma
Arsha
Muthraghata
Pandu
Amaja vikara
Malajeerna
Vrana
Visha
Shalya
Urdhwajathrugata roga

28. Pulse Conditions with Unfavorable
Prognosis
The following pulse conditions are indicative of bad prognosis
• Rapidity of the pulse
• Hardness (this indicates that the pulse is felt between the
beats)
• Extreme slowness of the pulse
• High tension pulse
• Extreme smallness
• Extreme arrhythmia
• Displacement of the pulse from its normal site
• Imperceptibility of the pulse
• Irregularly irregular pulse
• A pulse which is only felt under the index finger at vata
spike , is very feeble and moves like an ant

29. Nadi in Arishta
 Vibrating and pulsating like that of lightening.
 More rapid and sometimes very thin runs extremely weak
/ fast / cold
 Not felt in hand but in leg and mouth remains open
 Creates Dehashaithya along with Swasa and Daha – die
within 15 days
 Teevra and Manda sometimes with Sweda – die within 7
days.
 Mukha Nadi sensation disappears, Shaithya and Klama in
body – die within 3 days
 Not felt at proximal end, cold in middle, appears tired at
terminal – die within 3 days.
 Feeble and felt like cloth wave and cold - die within one
yama

30. CONTRAINDICATIONS1. Sadyosnatha
2. Sadyabhukta
3. Kshudhitha
4. Trushitha
5. Atapa , dhooma , dhoopa sevitha
6. Vyavaya shrantha deha
7. Bhuktha
8. Nidritha
9. Upavasina
10. Vyayama shrantha deha
11. Bhoothavesha
12. Rodana
13. Madyapana
14. Mathibhrama
15. Gandhara bhikshana
16. Pavanabhyasa sadhaka
17. Sneha avagaahina
18. Kukkuta , shasha , manduka , sarpa mamsadi bhakshaka
19. Apasmara
20. Shrantha deha
21. Tailabhyanga

31. CONCEPTS UNABLE TO EXPLAIN

32. Seven levels of pulse
• 1st level – vikruthi
• 2nd level – manas vikruthi
• 3rd level – subdoshas
• 4th level – ojas , tejas , prana
• 5th level – dhatus
• 6th level – manas prakruthi
• 7th level - prakruthi

33. WHY NADI VIJNANA – A SUBMERGED
AREA
• In olden days through various zoological ways
Acharyas interpreted the Nadi
• Achieved by feel or experience which was
unexplainable.
• Needs very special skill, advanced knowledge and
sharp perception of even minute character which
is achievable after decades of study and practice.
• For diagnosing we come to the curriculum
without any special acquaintance of such skills as
our Acharyas have
• Minimum amount of time

34. SPHYGMOGAPH

36. SPHYGMOGRAPH
• three identical piezo film based sensors to
capture the waveform
• by applying varying pressure
• collected are filtered, amplified and
• read by the software application
• which plots the graphs accordingly.
• read by the software application
• DVSOFT software

37. Percussion wave (P)
Tidal wave (T)
Dicrotic wave (D)
Percussion (P) wave
• raises fairly rapidly
without any interruption
on itRounded peak.
• The percussion wave
first raises due to rapidly
transmitted shock of left
ventricular contraction
and then fells towards
the end of systole.
Tidal (T) wave
• Sometimes after a slight
depression from the
peak there may be
another systolic wave
near the peak between
Percussion wave and
Dicrotic wave
Dicrotic (D) wave
• The descenting limb of
the pulse less steep due
to a more gradual fall in
pressure corresponding
to the elastic recoil of
the arterial walls

40. • Simile
• Blind person climbing the mountain
• Person moving through darkness.
• Nadi Vijnana should be known to all Vaidhyas
which is decreasing now a days
• Future researches can be done concentrating
on the diagnosis of disease using an improved
version

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Phone No : +91-172-463-2231
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Phone No. +91-172-254-2231
Given information in previous leaflets is being
provided by Chandigarh Ayurved Centre. We
provides best Ayurvedic and Panchakarma
Treatment in Chandigarh

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CHANDIGARH AYURVEDA CENTRE
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Phone No : +91-172-463-2231
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Phone No. +91-172-254-2231
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