TEN FOLD EXAMINATION (DASHWIDH PAREEKSHA) & EIGHT FOLD EXAMINATION (ASHTWIDHA PAREEKSHA) IN AYURVEDA. By Inderjeet Kaur (Pious Ayurveda)

2. HOW WE EXAMINE THE PATIENTS
AYURVEDIC DIAGNOSIS: A very important aspect is the determination of
the constitution, which is described as one’s ultimate state of health and
indicates hereditary tendencies to particular ailments. The constitution is
diagnosed by determining the individual's inherited blueprint and proportion of
the five elements at the time of birth. The Tenfold examination is a thorough,
non-invasive process for determining imbalances and disorders.
In Ayurveda methodology of physical diagnosis an emphasis is given on the
analysis and types of Doshic constitutions.
1. Patient evaluation… by constitutional analysis that is ten fold examination
by examining eight parts of the body that is eight fold examination of the body
like tongue, iris and pulse are done to diagnose the problem.
2. Disease evaluation …knowing the stage of prognosis of a disease

3. BENEFITS OF AYURVEDIC DIAGNOSIS
The tenfold and eight fold diagnosis process is a vital diagnostic Ayurvedic
tool for assessing the current health of a patient and providing a basis for
prognosis. It determines the underlying inherited and current challenges of
the patient's constitution. Ayurveda determines the improper functioning of
the internal tissues. It determines functioning of various cleaning or excretory
system and the strength of one's digestive fire and immune system. The
procedure gives very accurate information about the state of Prana and blood,
progression and regression of disease, degree of heat and cold and the depth
or penetration of a pathogenic imbalance. The high accuracy of these
evaluations are quick and easy compared to expensive blood tests, hair
analysis, or urine analysis in which you have to wait for results to come back
from the laboratory. We can foresee the pathogenesis of other upcoming
problems also from the present status.

4. EXAMINATION PROCESS To confirm, evaluate and treat a disease, we
perform clinical examinations of patients wherein textual
KNOWLEDGE (APTOPADESA),
DIRECT PERCEPTION (PRATYAKSHA) AND
INFERENCE (ANUMANA)
ARE ALL VERY IMPORTANT COMPONENTS.
The examination of patients can be carried out in the following manners:
•VISUAL OBSERVATION (DARSHAN)
•TACTILE PERCEPTION (SPARSHA)
•QUESTIONING (PRASHNA)

5. TEN FOLD EXAMINATION OF THE PATIENTS
Understanding the disturbance or "vitiation" of the individual's normal dosha is the
essence of Ayurvedic diagnosis for treatment and forms the basis for the therapeutic
approach for the upcoming diseases.
THE ART OF DIAGNOSIS IN AYURVEDA CAN BE DIVIDED INTO TWO
PARTS
•Diagnosis of the patient (Rogipareeksha)
•Diagnosis of the disease (Rogapareeksha)
NAME OF
PATIENT
DATE
SEX OF
PATIENT
DATE OF
BIRTH
OCCUPATIO
N OF
PATIENT
TIME OF
BIRTH

7. A. SHRAVAN:
Normal and abnormal voices occurring in body
Person listening to some voices which are not occurring actually
Listening to Constant Noise in the ear
Listening to different similar words
Normal and Abnormal sounds of organs
Intestinal movement’s sound
Joints movement sound
Heartbeat
Lungs
Throat (voice of patient)
B. GHRAAN: NORMAL AND ABNORMAL SMELLS OF BODY
Normal and abnormal smells of body
No smell at all
Patient can smell himself
Feeling of normal and abnormal smell
Smell of sweat
Smell of expired air in breathing
Smell of vomiting and sputum
Smell of air released from intestines (farts)
PANCHENDRIYA PARIKSHA (PHYSICAL EXAMINATION
USING : THE FIVE SENSES):

8. C. AKSHI: NORMAL AND ABNORMAL APPEARANCE OF EYES
Fluid in eyes:
Shape of eyes: depressed/ raised
Color of eyes: yellowish/ whitish/ reddish
Tolerance to light: cannot bear light/ can bear light
Eye sight:
Hallucinations if any: seeing different things at different times and seeing the
things which are not actually present
Eyes can be closed properly or not
D. TWACHA: TOUCH OF BODY
Temperature of body: cold/ hot/ Normal
Feeling of Movements of organs when touched: lack of palpitation of organs
Texture of body: soft/ Hard/ normal
Solidity of organs:
Numbness of body parts
Patches or spots or ulcers on body
Swelling of skin
Lack of sensitivity of skin
Color of skin

9. E. JIHWA- TONGUE (RASNA)
Texture of the tongue: Dry/ wet/ soft/ hard
Color of tongue: Red/ reddish/ whitish/ blackish/ yellowish
Tongue is: Coated/ uncoated
Tongue has: Sharp dots/ scratches/ wounds/ ulcers
Lack movement of tongue/ is tilted
Taste of the mouth normal or cannot taste properly
Taste of mouth
MADHUR (K) LAVAN (K) AMAL (P) KATU (P) TIKT (V) KSHAYA (V)
F. MUTER- URINE (IT CAN BE DONE BY SEEING URINE)
(Urine is to be collected from the first urine in morning and from in between
streams)
Color of Urine:
Smell of urine:
Viscosity of urine:
Presence of any particle in urine:
Urine contains: pus/ blood/ foam
Quantity of urine is: less/ more/ moderate
Ph value of urine is:

10. G. STOOL/ FAECAL MATTER
Color of stool:
Quantity of stool:
Smell of fecal matter:
Is it Digested/ undigested
Is the stool: Formed/ semi formed/ liquid
Is air excreted along with stool
H. PHYSICAL APPEARANCE OF A PERSON
Aura of person:
Physical appearance of a person:
Facial expressions of a person:
Nature of person:
Color of Body and face:
Any ulcers / wounds/pimples on body:
Height of person:
Texture of body:
Movement of body and body parts
Pain in body if any

11. ROGIPAREEKSHA
TEN-FOLD EXAMINATION OF THE PATIENT
(DASHWIDH PAREEKSHA) OF THE PATIENT
We analyse the patient knowing his / her :
1. PRAKRITI(basic nature)
2. VIKRITI ( vitation, pathological state),
3. SARA (status of biological tissues)
4. SATVA( the suble refined essence of tissues)
5. SAMHANAN( compactness of the body)
6. PRAMAAN ( Physical status of the body)
7. AHAAR SHAKTI ( status of digestion)
8. VYAAM SHAKTI(ability to do exercise or physical work)
9. SATYMA( adaptability to environment and changing circumstances)
10. VAYA (AGE)

12. PHYSIOLOGY AND PSYCHOLOGY OF THE PATIENT CAN BE
UNDERSTOOD BY FEELING THE RHYTHUM OF THE PULSE, WE GET TO
KNOW THE …
1.PRAKRITI OR BASIC NATURE OF TRIDOSHA
2.VIKRITI OR VITATION OF OF TRIDOSHA
3.STATUS OF SUBDOSHA OF VATA ,PITTA AND KAPHA
4.FEELING THE ORGANS THROUGH PULSE
5.KNOWING THE PSYCHIC CONSTITUTION(SATAVA OF BODY)
6.KNOWING THE QUALITY OF BIOLOGICAL TISSUES
7.KNOWING THE SUBLE REFINED ESSENCE OF TISSUES
8. MENTAL CONTITUTION AND PRESENT FLOW OF CONSCIOUSNESS
AFFECTING THE AURA AND HEALTH OF THE PERSON
A.KNOWING THE DIETARY PERSONALITY OF THE PERSON
B.PLANETARY INFLUENCE ON THE PULSE
C.FLOW OF CONSCIOUSNESS AND THOUGHT WAVE REPRESENTING
FIVE ELEMENTS OF NATURE ON PULSE
D.KNOWING THE CHAKRA GETTING AFFECTED

14. VATA PULSE PITTA PULSE KAPHA PULSE
CHARACTERISTIC Fast,feeble,cold, light,
thin, disappers on
pressure
Prominent, strong,
high amplitude, hot,
forceful, lifts up the
palpating fingers
deep, slow, broad,
wavy, thick,cool or
warm
LOCATION Best felt under
the index finger
Middle finger Ring finger
MOVEMENT cobra frog Swimming swan

15. AKRITI (TENSION
AND VOLUME)
And BALA
LOW HIGH MODERATE
RHYTHUM
(TAAL)
Irregular Regular Regular
TEMPERATURE
(TAAPMAAN)
Cold Hot Warm To Cool
TOUCH OF PULSE
(KATHINYANA)
Rough Hard Elastic Flexible Stiff Thickening
HEART RATE
(VEGA)
80 - 95 70 -80 50 - 60
NATURE OF PULSE
(DOSH GATI)
Sarpa(cobra) Manduka(frog) Hansa(swan)

16. 1 . VITIATION (VIKRITI) PATHOLOGICAL STATE:
Related to the biological history of the diseases, it enables physicians to
consider the signs & symptoms of the disease in order to assess the strength of
the disease, the causes, the Doshas, the affected body elements, body
constitution, time and strength of an individual.
BODYVIKRITI: IST LEVEL IN PULSE DIAGNOSIS
KAPHAKAPHA
PITTAPITTA
VATAVATA

17. MANAS VIKRITI: 2ND LEVEL IN PULSE DIAGNOSIS

18. KAPHAKAPHA
SUBDOSHAS:
(3rd
level of Pulse Diagnosis): Analyzing sub-types of Doshas through pulse as
each dosha represents a different organ related to it …..

19. PITTAPITTA

20. VATAVATA

21. KAPHA PITTA VATA PULSE
LEVEL
KAPHA PITTA VATA
Pericardium Gallbladder Colon 1ST
LEVEL Bladder Stomach Small
Intestine
Vata, Pitta,
Kapha
Circulation
Liver Lung 7TH
LEVEL Kidney Spleen Heart
ORGAN PULSE

22. OJUS (R) TEJAS (M) PRAN (I)
2 . THE SUBLE, REFINED ESSENCES OF THE TISSUES( SATAVA) :
4TH
LEVEL OF PULSE DIAGNOSIS:
Refers to the mind which controls the body in contact with the soul (atma). Inside
white matter of brain there is a space and small spaces at synaptic plate are called
synaptic spaces, within these spaces is a pulsation of prana, flow of tejas and ojus.
OJUS (R): It is Pure essence of all dhatus it indicates our immunity.
TEJAS (M): It represents Hormones and Amino Acids, Intelligence,
understandings and comprehension at cellular level.
PRANA (I): Regulates movement of continuous flow of intelligence and
communication in between the cells of the body
THE SUBTLE REFINED ESSENCE OF THE TISSUES

23. 3. QUALITY OF TISSUES (TISSUE VITALITY) (SARA):
5TH LEVEL OF PULSE DIAGNOSIS:
Broadly speaking, there are seven vital tissues, namely
LYMPH (RASA)
BLOOD (RAKTA)
MUSCLE (MAMSA)
ADIPOSE (MEDA)
BONE (ASTHI)
BONE MARROW (MAJJA)
REPRODUCTIVE TISSUE (SUKRA).
Lymph in the skin is assessed by its smoothness, softness, clearness, thinness
and whether the skin is covered with short, deep rooted and delicate hair.
Percentage of blood in body is evaluated from the condition of the eyes, mouth,
tongue, lips, nails and soles of the feet.

24. KAPHAKAPHA
Examination of Biological Tissues

25. MEDASARA
MAMSA-SARA
PITTAPITTA

26. VATAVATA

27. KAPHAKAPHA
PITTAPITTA
VATAVATA
EMOTIONAL BALANCE : 6TH
LEVEL OF PULSE DIAGNOSIS:
We get to know the mental constitution & the present flow of consciousness and
affects of our surroundings our Aura & Health.
EIGHT DIETIC PERSONALITY IN TRIDOSHA

28. KAPHAKAPHA
PITTAPITTA
VATAVATA
PLANETARY INFLUENCES ON PULSE

29. KAPHAKAPHA
PITTAPITTA
VATAVATA
FLOW OF CONSCIOUSNESS & THOUGHT WAVES REPRESENTING
FIVE ELEMENTS THROUGH PULSE

30. KAPHAKAPHA
CHAKRA IN THE PULSE AT 6TH
LEVEL OF PULSE DIAGNOSIS

31. PITTAPITTA

32. VATAVATA

33. BODY
KAPHAKAPHA
PITTAPITTA
VATAVATA
4. CONSTITUTION (NATURAL PRAKRITI): 7TH
LEVEL IN PULSE:
Determined by relative predominance of doshas during foetal development the
prakriti can be any of vatika, paittika, kaphaja, vata paittika, vata kaphaja, pitta
kaphaja or samdoshaja.

35. Sahajbal (Naturally) Kalajbal (With Time) Yuktikrit bal
(With Supplements)
Pravar bal (Perfect) Madhyam bal
(Medium)
Avar bal (Low)
5. PHYSICAL STRENGTH (VYAYAMA SHAKTI)
BODY CAPACITY FOR EXERCISE
In Ayurveda, the ability of the body is seen , how much exercise or physical
work a person can do, along with knowing whether the strength is attained with
natural ability or he has gained it using health supplements or medicines.

36. DESH
(Place)
KAAL
(Time)
JAATI
(Religion)
RITTU
(Season)
ROG
(Disease)
VYAAM
(Exercise)
AHAAR
(Diet)
DIWA
SWAPAN
(Day
Sleeping)
RATRI
JAGRAN
(Night
Awakening)
6. ADAPTABILITY (SATMYA):
Indicating substances intrinsic to the body, it refers to two types of people –
1.Those who are strong, adjust easily to difficulties and changing circumstances and
2.Those that are generally weak, intolerant to change and can have only few food
options.

37. SATHUUL (Obese)
MADHYAM (Average)
KRISH (Lean)
7. BODY COMPACTNESS (SAMHANANA)
PHYSICAL BUILD (SAMHANANA):
Body examination is carried out by direct perception – a healthy body being
well- built with symmetrical bones, strong & stable joints and enough flesh &
blood.

38. PRAVAR
(Perfect)
MADHYAM
(Medium)
AVAR
(Low)
8. GENERAL STATURE AND
PHYSICAL PROPORTIONALITY (PRAMAAN):

39. SAMAGNI (Normal) TEEKSHANGNI
(Aggressive)
MANDAGNI (Slow) VISHAMAGNI
(Disturbed)
MRIDHU (Soft) MADHYA (Medium) KRUR (Cruel)
9.DIGESTIVE CAPACITY (AHARA SAKTI):
This has to be judged from the individual’s
capacity to ingest and digest food substances
KOSHTH:
AGNIPAREEKSHA
:

40. KSHEERAD
(0-6moths )
KSHEERANAAD
(6 months -2 years )
ANNAD
(2 to 16 years)
VRIDHI
(16 – 25
years)
YOVAN
(25-40
years)
SAMPURANTA
(40 to 50 years )
PARIHANI
(50 to 60 years )
VRIDHAWASTH
A (60 to 100 years
and above )
10. RATE OF AGING (VAYA):
Broadly categorized into childhood, middle age and old age, it provides vital clues
for the diagnosis & treatment and is a must consideration in clinical examinations.

41. THE DIAGNOSIS OF THE DISEASE :
ROGAPAREEKSHA:
THE EXAMINATION OF PROGRESSION OF THE DISORDER
I
II
KNOWING THE FOLLOWING REASONS REGARDING THE DISEASE ….
NIDAAN:
(Cause, reason for a problem /disease) :
PURVRUUP :
(Preliminary signs and hidden symptoms of problem /disease)
RUUP:
(Symptoms start appearing of the problem /disease)

42. UPSHAYA:
(Addition/deletion of aggravating factors to problems /disease)
SAMPRAPTI:
(Development of a disease actually)
It further includes the various signs and symptoms of the disease….

43. ACCUMULATION (SANCHYA)
(Dosha start accumulating at the weak place of the body)
AGGRAVATION (PRAKOPE) :
Dosha start aggravating if not treated at the site/problems start aggravating
SPREADING OF DISEASES (PRASSAR)
They start spreading to nearby organs and places as they get accumulated in abundance
at a particular place .

44. LOCALIZATION (STHANASANSHRAYA)
(start accumulating at the place whichever is weak in the body)
APPEARANCE OF SYMPTOMS (VYAKTA AWASTHA)
(Appearance of symptoms/problem actually occurs)
CHRONIC STAGE (BHEDA AWASTHA)
(symptoms getting chronic if not treated and taken care of)
By knowing the severity of the disease, we get to know how we are going to treat this
ailment and what type of the disease the patient is having, we can classify the disease
according to various classifications and the treatment is done accordingly.

45. 1. SADHYA 2. ASADHYA 3. 4.
SUKHSADHY
A (Easily
Treatable)
KRICHSADHYA
(Treatable with
Medicine)
YAPYA
(Treatable with
Difficulty)
PRATYAKHAYA
A (Non Treatable)
MRIDU
(Mild)
DARUN
(Chronic)
MANAS
(Mind)
SHARIR
(Body)
5. 6. 7.
NIJ
(Self
created)
AGAUNTUJ
(Accidental)
AAMASHYA
SAMUTH
(Due to
Stomach)
PAKWASHYA
A SAMUTH
(Due to
Intestine)
VYAPANN RITU
KRIT
(Seasonal)
AVYAPANNA
RITU KRIT
(Non- Seasonal)
AFTER ANALYSING THE PATIENT WE ANALYSE THE TYPE OF
DISEASE AND HOW CHRONIC OR ACUTE IT IS :TYPE OF
DISEASES

47. WISH YOU A SPEEDY RECOVERY...
WITH BEST WISHES AND
COMPLIMENTS:-
Dr. Inderjit Kaur Dr. Shaleen Singh
Ph. - + 91- 9814205533 Ph. - + 91- 94170-77271
E. mail- drinderjitkaur.pious@gmail.com E.mail - shaleen512@gmail.com