Dash vidh rogi pariksha

1. ROGI BALA PARIKSHA- 21.21
Dr. Shivani Gupta
Associate Professor, Rognidan

2. Derivation
• (Parithaha-eeksha)
• The word Parithaha means “from all the
directions” and eeksha means “observation”.
• Therefore Pareeksha is “observation from all
the directions”.

3. Introduction
• ज्ञानबुद्धिप्रदीपेन यो नाविशवि ित्त्वविि|
आिुरस्यान्तरात्मानं न स रोगांविवित्सवि||१२||
• Scientific & holistic approach towards diagnosing
diseases can be seen from the ancient period
• Ayurvedic clinical examination includes
1.Roga Pareeksha-Diagnosis of the diseases
2.Rogi Pareeksha-Examination of the patient

4. Rogi Bala Pariksha-Dashavidha Rogi
Pariksha
• Prakruti, Vikruti, Sara, Samhanana, Pramana,
Satmya, Satwa, Ahara Shakti, Vyayama
Shakti, Vaya
• Bala in Ayurveda

5. Rogi Pariksha
A.H.Su.12/67-68 Su.Su.35/3 Ch.Chi.30/326
Chakrapani
Ch.Vi.8/94
Dasa vidha
Pariksha
Dasa vidha
Pariksha
Dasa vida Pariksha Dasa vidha Atura
Pariksha
Dushyam Vyadhi Dosha Prakruti
Desham Ritu Oushadha Vikruti
Balam Agni Desha Saara
Kaalam Vayah Kaala Samhanana
Analam Deha bala Satmya Pramana
Prakruti Satva Agni Satmya
Vayah Satmya Satva Satva
Satvam Prakruti Oka Satmya Ahaara Shakti
Satmyam Beshaja Vayah Vyayama Shakti
Ahaara Desha Bala Vayah

6. Prakruti Identification of constitution
Vikruti Morbidity of pathologic factors
Sara Examination of essence of Dhatu
Samhanana Examination of compactness of body organs-
endurance
Pramana Examination of measurement of body organs
Satmya Examination of Spectrum of acceptance
Satwa Examination of mental faculties- resilience
Ahara shakti Examination of power of digestion
Vyayama shakti Examination of power of exercise
Vaya Examination of age

7. Importance
• Pariksha are the tool for the knowledge.
• Ayurveda as well as the contemporary science
has given various modes of patient examination
depends upon the patient condition.
• A physician should first of all diagnose the disease
and then he should select proper medicine.
Thereafter, he should administer the therapy
applying the knowledge of the science of
medicine.

8. Vaya pariksha
• Bala
• Madhya
• Jirna
• ित्र बालमपररपक्वधािुमजािव्यञ्जनं सुि
ु मारमक्लेशससमसपूर्णब
लं श्लेष्मधािुप्रायमाषोडशिषं, वििधमानधािुगुणं पुनः प्रायेणानि
द्धथििसत्त्वमावत्रंशद्वषमुपवदष्टं; मध्यं पुनः समत्वागिबलिीयपौरुषप
राक्रमग्रसणधारणस्मरणिचनविज्ञानसिधािुगुणं बलद्धथििमिद्धथिि
सत्त्वमविशीयमाणधािुगुणं वपत्तधािुप्रायमाषवष्टिषमुपवदष्टम;
• अिः परंसीयमानधाद्धत्वद्धियबलिीयपौरुषपराक्रमग्रसणधारणस्मरण
िचनविज्ञानं भ्रश्यमानधािुगुणं िायुधािुप्रायं क्रमेण जीणमुच्यिे आ
िषशिम|िषशिं खल्वायुषः प्रमाणमद्धस्मन िाले; सद्धन्त च पुनरवध
िोनिषशिजीविनोऽवप मनुष्ाः; िेषां विि
ृ वििर्ज्यः प्रि
ृ त्यावदबल
विशेषैरायुषो लक्षणिि प्रमाणमुपलभ्य ियसद्धित्वं विभजेि||१२२||

9. Vyaaym shakti
• Uttam- Able to perform heavy exercise like
Weight lifting, HIIT, Running, hiking
• Madhya- Brisk walk, stretching, stairs climbing
• Awar- slow walk, Daily chores.
• व्यायामशद्धिििेवि व्यायामशद्धिरवप िमशक्त्या परी
क्ष्या|
िमशक्त्या ह्यनुमीयिे बलत्रैविध्यम [१] ||१२१||
• Treadmill Test (TMT) OR Cardiopulmonary
exercise testing (CPET) can be done to assess it.

10. Ahaar shakti
• Abhyavaran- Quantity of intake, frequency of
meal, post meal comfort or discomfort,
udgaar, Adhyman, Atop, Amlapitt,
• Jaran- meal digestion time, mala lakshan,
mutra pravriti, Dhatu pushti, Ajirn, Grahani
• Pravar, Madhyam, Avara

11. Satmya pariksha ( Spectrum of
acceptance)
• ित्र ये घृिक्षीरिैलमांसरससात्म्ाः सिरससात्म्ाि िे ब
लिन्तः क्लेशससाविरजीविनि भिद्धन्त, रूक्षसात्म्ाः पुन
रेिरससात्म्ाि ये िे प्रायेणाल्पबला अल्पक्लेशससा अ
ल्पायुषोऽल्पसाधनाि भिद्धन्त, व्यावमश्रसात्म्ातु ये िे म
ध्यबलाः सात्म्वनवमत्तिो भिद्धन्त||११८||
Assessment of these factors in tabular form will
assess Pravar, Madhyam, Avara.

12. Satva Pariksha (Resilience)
• Pravara
• Avara
• Madhyam
• ित्र प्रिरसत्त्वाः सत्त्वसाराते सारेष्पवदष्टाः, स्वल्पशरीरा ह्यवप
िे वनजागन्तुवनवमत्तासु मसिीष्ववप पीडास्वव्यिा [१] दृश्यन्ते स
त्त्वगुणिैशेष्ाि; मध्यसत्त्वास्त्वपरानात्मन्युपवनधाय [२] संतम्भ
यन्त्यात्मनाऽऽत्मानं परैिाऽवप संतभ्यन्ते; सीनसत्त्वातु नात्मना
नावप परैः सत्त्वबलं प्रवि शक्यन्ते उपतम्भवयिुं, मसाशरीरा ह्य
वप िे स्वल्पानामवप िेदनानामससा दृश्यन्ते, सविवसिभयशोि
लोभमोसमाना रौद्रभैरिवद्वष्टबीभत्सविि
ृ िसङ्किास्ववप च पशुपु
रुषमांसशोवणिावन चािेक्ष्य विषादिैिर्ण्म्र्च्छोन्मादभ्रमप्रपिना
नामन्यिममाप्नुिन्त्यििा मरणवमवि||११९||

13. Samhanan Pariksha ( Endurance and
strength)
• ित्र समसुविभिाद्धथि, सुबिसद्धि, सुवनविष्टमांसशोवणिं, सुसं
सिं शरीरवमत्युच्यिे|
ित्र सुसंसिशरीराः पुरुषा बलिन्तः, विपययेणाल्पबलाः, मध्य
त्वाि संसननस्य मध्यबला भिद्धन्त||११६||
• Uttam
• Mdhyam
• Heen
• Grip strength test with dynamometer . The result is
measured in Kilograms.

14. Praman Pariksha

15. Anguli Pramaan

16. Vikiriti Parikshan
• Examination of Vikar- disease.
• Done with Hetu- Dosha- Prakriti- desh- Kaal-
Bala- vishesha linga.
• Balawaan, Durbal, madhyam bala Vikar.
•

17. Saar Pariksha-Stamina
• Saar means “vishudhtaro dhaturuchyate”..
Chakrapani
• 3 types-
• Sarvasaar
• Madhyasaar
• Asaar
• It indicates towards optimal degree of genetic
code of individual DNA .

18. Saar pariksha
• ित्र विग्धश्लक्ष्णमृदुप्रसिस्क्ष्माल्पगम्भीरसुि
ु मारलोमा सप्रभे
ि च त्वि त्वक्साराणाम|
सा सारिा सुखसौभाग्यैश्वयोपभोगबुद्धिविद्यारोग्यप्रसषणान्यायु
ष्त्वं चाचष्टे||१०३||सुप्रसिमृदुत्वग्रोमाणं त्वक्सारं विद्यावदवि |
•
िणावक्षमुखवजह्वानासौष्ठपावणपादिलनखललाटमेसनं विग्धर
ििणं श्रीमदभ्रावजष्णु रिसाराणाम|
सा सारिा सुखमुििां मेधां मनद्धस्वत्वं सौि
ु मायमनविबलमक्ले
शसवसष्णुत्वमुष्णासवसष्णुत्वं चाचष्टे||१०४||
विग्धिाम्रनखनयनिालुवजह्वौष्ठपावणपादिलं रिेन;

19. Saar pariksha
• शङखललाटि
ृ िावटिावक्षगण्डसनुग्रीिास्किोदरिक्षि
क्षःपावणपादसियः द्धथिरगुरुशुभमांसोपवचिा मांससारा
णाम|
सा सारिा क्षमां धृविमलौल्यं वित्तं विद्यां सुखमाजिमारो
ग्यं बलमायुि दीघमाचष्टे||१०५||अद्धर्च्छद्रगात्रं ग्ढाद्धथिस
द्धिं मांसोपवचिं च मांसेन;
•
िणस्वरनेत्रि
े शलोमनखदन्तौष्ठम्त्रपुरीषेषु विशेषिः िे
सो मेदःसाराणाम|
सा सारिा वित्तैश्वयसुखोपभोगप्रदानान्याजिं सुि
ु मारोप
चारिां चा चष्टे||१०६||विग्धम्त्रस्वेदस्वरं बृसर्च्छरीरमाया
सासवसष्णुं मेदसा;

20. Saar pariksha
• पाद्धष्णगुल्फजान्वरविजत्रुवचबुिवशरःपिथि्लाः थि्लाद्धथि
नखदन्तािाद्धथिसाराः|
िे मसोत्सासाः वक्रयािन्तः क्लेशससाः सारद्धथिरशरीरा भ
िन्त्यायुष्मन्ति||१०७||मसावशरःस्किं दृढदन्तसन्वद्धथिन
खमद्धथिवभः;
•
मृद्वङ्गा बलिन्तः विग्धिणस्वराः थि्लदीघिृत्तसियि म
ज्जसाराः|
िे दीघायुषो बलिन्तः श्रुिवित्तविज्ञानापत्यस्ानभाजि
भिद्धन्त||१०८||अि
ृ शमुत्तमबलं विग्धगम्भीरस्वरं सौभा
ग्योपपिं मसानेत्रं च मज्ज्ञा;

21. Saar pariksha
• सौम्ाः सौम्प्रेवक्षणः क्षीरप्णलोचना इि प्रसषबहुलाः विग्धिृ
त्तसारसमसंसिवशखरदशनाः प्रसिविग्धिणस्वरा भ्रावजष्णिो
मसाद्धिचि शुक्रसाराः|
िे िीवप्रयोपभोगा [१] बलिन्तः सुखैश्वयारोग्यवित्तस्ानापत्य
भाजि भिद्धन्त||१०९||विग्धसंसिश्वेिाद्धथिदन्तनखं बहुलिामप्र
जं शुक्र
े ण;
•
स्मृविमन्तो भद्धिमन्तः ि
ृ िज्ञाः प्राज्ञाः शुचयो मसोत्सासा दक्षा
धीराः समरविक्रान्तयोवधनस्त्यिविषादाः सुव्यिद्धथििगविग
म्भीरबुद्धिचेष्टाः िल्याणावभवनिेवशनि सत्त्वसाराः|
िेषां स्वलक्षणैरेि गुणा व्याख्यािाः||११०||स्मृविभद्धिप्रज्ञाशौच
शौयोपेिं िल्याणावभवनिेशं [१] सत्त्वसारं विद्याि;

23. Prakriti Parikshan

24. Prakriti Parikshan

25. Prakriti Parikshan

26. Prakriti Parikshan

27. Prakriti Parikshan

28. Prakriti Parikshan

29. Prakriti Parikshan- Manasik
• Sattvik Satva: 1) Brahma kaya: One who is pure.
devoted to truth, selfcontroller, of right discrimination,
endowed with knowledge , understanding and power
of exposition and reply, possessed of memory, free
from desire anger, greed, conceit infatuation, envy,
dejection and intolerance and equally well disposed to
all creatures is to be known as being of the brahmic
type
• 2) Rishi kaya: One who is devoted to sacrifice, study
vows, burnt offerings, celibacy. is hospitals devoid of
pride, conceit attachment hate, infatuation greed and
anger, endowed with genius , eloquence understanding
and retentive power is to be known as being of the
Rishi type

30. Prakriti Parikshan- Manasik
• Sattvik Satva:
• 3) Indra kaya: One who is endowed with lordship, is of
authoritative, speech, given to the performance of
sacrifices brows, energetic, endowed with splendour, given
to blameless actions. possessed of foresight and devoted to
the pursuits of virtue, wealth and sense - pleasures is to be
known as belonging to the Indra type
• 4) Yama kaya: One whose conduct is governed by
considerations of proprirty, who does the right thing is
• unassailable, who is constantly up and about who is
endowed with good memory, who sets store by authority
and power and who is free from the passions of
attachment, enoy hate and infatuation.

31. Prakriti Parikshan- Manasik
• 5) Varun: One who is valiant, courageous , clean ,
intolerant of uncleanliness, devoted to the
performance of sacrifices fond of aquatic sports and
given to pursuits which are not blame - worthy, whose
anger and favour are well placed is to be known as
being of the varun type
• 6) kubera kaya: One who commonds status, honour
luxuries and attendants, who is devoted to the
constant pursuit of virtue, wealth and pleasure is clean,
is given to the pleasures of recreation, who makes of
anger and favour are patent .

32. Prakriti Parikshan- Manasik
• 7) Gandharva: One who is fond of dancing, song, music,
praise and is well - versed in poetry anecdotes history and
legends is constantly addicted to the pleasures of fragrant
unguents, garlands. Ointments fine raiment, women and
recreation and is free from envy.
• Rajas Satva:
• 1) Asura kaya: One who is valiant despotic of an envious
disposition, possessed of authority given to poses
terrifying, pitiless and fond of self-adulation
• 2) Rakshasa kaya: One who is intolerant of implacable hate
bodes his time and then strikes is cruel, gluttonous,
inordinately fond of flesh foods of an excessively somnolent
and indolent disposition and envious .should be known as
representing the rakshasa type.

33. Prakriti Parikshan- Manasik
• 3) Pishacha kaya: One who is a great eater ,
uxorious fond of keeping company of women
in secret unclean, a hater of cleanliness, a
coward, a bully, given to abnormal recreations
and diet is to be known as the pishacha type.
4) Sarpa (serpent) kaya: One who is brave,
when excited, touchy, of an indolent
disposition who arouses fear in the beholder
and is devoted to food and the pleasures of
recreation is to be known as the sarpa type

34. Prakriti Parikshan- Manasik
• 5) Preta (ghost) kaya: One who is fond of food
whose character, conduct and pustimes are of a
very painful description, who is envious who is
without discrimination who is very covers and
who is disinclined to work should be known as
representing the preta type
• 6) Shakuna (bird) kaya: One who is of strong
attachments, who is constantly devoted to the
delights of eating and recreation is fickle,
intolerant and unacquisitive is to be known as
representing the sakuna type.

35. Prakriti Parikshan- Manasik
• Pasav Satva:
• 1) Pashu type: one who is of a forbidding disposition.
intellectual, disgusting in this behaviour and dietetic
habits, abandoned to sex pleasures and given to
somnolent habits is to be known as belonging to the
animal type
• 2) Matsya type: One who is pusilanimous, unintelligent
greedy for food unstable, of persistent likes and
dislikes, of intolerant habits and fond of water is to be
known as belonging to be fish type
• 3) Vanspatya type: One who is lazy, exclusively
devoted to the business of eating and devoid of mental
facilities is to be known as belonging to the vegetable
type

36. Prakriti Parikshan

37. Prakriti Parikshan

38. Prakriti Parikshan

39. Prakriti Parikshan

40. Summary
• The key point in Rogi pariksha is said that the
Vaidya should judge the Rogi by enlightens
his/her gyanachakshu and the rogi pariksha
should be done minutely (Gyanbuddhi pradeepen
yo na vishti tatvitaha aaturasyantratmaanam.).
• By defining the importance of Rogi pariksha it is
told that the patient should be examined by
pariksha before any kind of treatment and the
work of physician starts after that.
• The aim of Rogi pariksha is also told as
Pratipatigyanam (Knowledge)

41. REFERENCES
1. CHARAK SAMHITA
2. SUSHRUTA SAMHITA
3. ASTANG HRIDAYAM GRANTHA
4. MADHAVA NIDANA
5. YOGRATNAKARA

42. Thank you …….!