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Pulse to panchakarma


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Selection of Panchakarma through Nadi Pareeksha (Pulse Diagnosis) – A Unique System
KSR Prasad
Professor, Panchakarma

Published in: Health & Medicine

Pulse to panchakarma

  1. 1. Selection of Panchakarma through g Nadi Pareeksha (Pulse Diagnosis) – A U i S tA Unique System KSR PrasadKSR Prasad Professor, Panchakarma
  2. 2. Selection of Panchakarma through Pulse Diagnosis Introduction  • Nadi Pareeksha (Pulse diagnosis) is a fantasy of  h A di Ph i ithe Ayurvedic Physician • We lost the precision of information and  t h l i th titechnology in the time  • Still with the information available through the  doctrines of Ayurveda we are able to relocatedoctrines of Ayurveda we are able to relocate  and retrieve wisdom of Nadi Vijnana Dr. K. Shiva Rama Prasad, at
  3. 3. Selection of Panchakarma through Pulse Diagnosis Nadi (Pulse) • Nadi Pareesksha is one among the eight methods of examining a patiente ods o e g p e • We examine a patient for the understanding of –of – – Rogi Prakriti (Patient Body Constitution) – Vyadhi Prakriti (Disease Constitution) – Dosha Prakriti (Humoral Constitution) Dr. K. Shiva Rama Prasad, at
  4. 4. Selection of Panchakarma through Pulse Diagnosis History  of Nadi (Pulse) • Brihatrayee gives k l d fknowledge of – –SpandanaSpandana –Praspandana –Aspandana, –but not focus diagnostic orbut not focus diagnostic or prognostic Nadi Dr. K. Shiva Rama Prasad, at
  5. 5. Selection of Panchakarma through Pulse Diagnosis Laghutrayee • SHARANGADHARA (13th A.D) ( ) – First time mentioned 15 types of Nadi that include – physiological, Psychological and pathological states of body correlated with those of the birds, reptiles and amphibians. 24 notable nadi are described for Nadi pareeksha “D t di” (M l ) l i A dh– “Dootanadi” (Messenger pulse) – popular in Andhra • BHAVAPRAKASHA 15th century AD – – Gender based Nadi – Three finger usage for thridosha • YOGARATNAKARA (16th century AD.) – included different Sites and methods of pulse examination and i / di i h dprognostic / diagnostic methods Dr. K. Shiva Rama Prasad, at
  6. 6. Selection of Panchakarma through Pulse Diagnosis Check ‐ History  of Nadi (Pulse) B j (17th t AD )• Basavarajeeyam (17th century AD.) • Ashtastanas for Nadi and Diseases coming under it are  mentioned. The primary are three ‐mentioned. The primary are three  1) Wrist – Hasta (radial artery)  2) Neck – Kantha (carotid artery) 3) Nose – Nasa (facial artery branch)  The other areas where Nadi is witnessed are ‐ – Ankle  ‐ Paada (posterior tibial artery)  – Penis (pudendal artery) Elb (b hi l t )– Elbow (brachial artery)  – Ear (superficial temporal artery)  – Eye (supra orbital)Eye (supra orbital)  Dr. K. Shiva Rama Prasad, at
  7. 7. Selection of Panchakarma through Pulse Diagnosis History  of Nadi (Pulse) • VaidyachinthamaniVaidyachinthamani • Mentioned Ajeerna Nadi along with Dosha dinadi. • RavanaThantra • Ravana in his treatise Nadi Pareeksha included  Nadi after taking certain diets along withNadi after taking certain diets along with  prognosis, physiological, Psychological and   pathological conditions and diseases Dr. K. Shiva Rama Prasad, at
  8. 8. Selection of Panchakarma through Pulse Diagnosis Panchakarma • Panchakarma is a procedural part of  A d h i bli h d f hAyurveda therapeutics established for the  Dosha elimination from the Body either from  oral or rectal route (GI system) • In due course the Panchakarma extended to• In due course the Panchakarma extended to  get rid of the Physical and Psychological  D h l t d b i t lDosha accumulated by environmental or  Dietetic misbehaviors  Dr. K. Shiva Rama Prasad, at
  9. 9. Selection of Panchakarma through Pulse Diagnosis Panchakarma • Five karma are told as “Shodhana” /  (Eliminative) “Langhana” in nature based(Eliminative)  Langhana  in nature based  on “Bahudosha Nirharana”  • But only two are fully capable (Poorna• But only two are fully capable – (Poorna Shodhana) “V ” (U GI l )– “Vamana” (Upper GI cleanser)  – “Virechana” (lower GI cleanser)  Th h h i l f li i i• The other three are partial for elimination  as they are used for Brimhana Dr. K. Shiva Rama Prasad, at
  10. 10. Selection of Panchakarma through Pulse Diagnosis Panchakarma • Karma are attributed to Dosha – – Vata – Vasti (Basti)Vata Vasti (Basti) – Pitta – Virechana – Kapha – Vamanaap a a a a • The selection of patient for the karma are  commonly based on Disease y • We observe “Fitness” of patient  • But many times the expected results are notBut many times the expected results are not observed as the “Karma” is not suitable for the situation Dr. K. Shiva Rama Prasad, at
  11. 11. Selection of Panchakarma through Pulse Diagnosis Selection  • Thus the “Selection of Panchakarma” through  “N di P k h ”“Nadi Parrekshana” • We need sound knowledge of –g – What is Nadi Pareekshana How it is classified– How it is classified – What is the procedure of initiation  – How to interpret the knowledge  Dr. K. Shiva Rama Prasad, at
  12. 12. Selection of Panchakarma through Pulse Diagnosis What is pulse (Nadi) wave? – An objective criterion for diagnostic or Prognostic conditions through the wavesog os c co d o s oug e w ves of blood transported in the vessels – The wave dynamics depends upon theThe wave dynamics depends upon the stroke volume and contents along with the obstructions caused in the path waythe obstructions caused in the path way – It offers even much more information alsoalso Dr. K. Shiva Rama Prasad, at
  13. 13. Selection of Panchakarma through Pulse Diagnosis Classification  Th l ifi ti f N di P k h b d tilitThe classification of Nadi Parreksha based on utility  can be – – Predictive Nadi diagnosis – for  Prakruti assessment – proportionateproportionate  – Diagnostic Nadi diagnosis – disease understanding – by g y different static principles of  movements described in the text  D i N di di i d f– Dynamic Nadi diagnosis – used for  understanding disease &  prescribing  medicine or procedure p g p Dr. K. Shiva Rama Prasad, at
  14. 14. Selection of Panchakarma through Pulse Diagnosis Classification  Th l l f N di di ti l • 1st level –Interpretation of Disease  There are levels of Nadi prediction also  p • 2nd level – Interpretation of Psyche • 3rd level Interpretation of Dosha• 3rd level – Interpretation of Dosha • 4th level – Interpretation of Vitality • 5th level – Interpretation of Tissue • 6th level – Interpretation of Mindp • 7th level ‐ Interpretation of Constitution Dr. K. Shiva Rama Prasad, at
  15. 15. Selection of Panchakarma through Pulse Diagnosis Predictive Nadi diagnosis • This is superficial in nature • Interpreted with Rate, Rhythm, Blood vessel  consistency, etc.  • Commonly used for “Dosha” involvement colloquially  i i i d i h f i lin Disease interpreted with movement of animals  Dr. K. Shiva Rama Prasad, at
  16. 16. Selection of Panchakarma through Pulse Diagnosis Predictive Nadi diagnosis • Index finger – Vata – movement resemblesmovement resembles  snake  • Middle finger Pitta• Middle finger – Pitta ‐ movement resembles  FrogFrog • Ring finger – Kapha ‐ mo ement resemblesmovement resembles  Swan Dr. K. Shiva Rama Prasad, at
  17. 17. Selection of Panchakarma through Pulse Diagnosis Predictive Nadi diagnosis • Other examples are – • Index finger – Vata –• Index finger – Vata – movement resembles  Earth Worm • Middle finger – Pitta ‐ movement resembles  Crow • Ring finger – Kapha ‐ movement resembles  Pigeon  Dr. K. Shiva Rama Prasad, at
  18. 18. Selection of Panchakarma through Pulse Diagnosis Predictive Nadi diagnosis VATA PULSE PITTA PULSE KAPHA PULSE CHARACTERISTICS Fast , feeble , cold ,  light , thin ,  disappears on Prominent , strong ,  high amplitude ,  hot forceful lifts Deep , slow , broad  , thick , cool , regulardisappears on  pressure hot , forceful , lifts  up the palpating  finger regular LOCATION Best felt under the Best felt under the Best felt under theLOCATION 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 aGATI Moves like a cobra Moves like a frog Moves like a  swimming swan Dr. K. Shiva Rama Prasad, at
  19. 19. Selection of Panchakarma through Pulse Diagnosis Diagnostic Nadi diagnosis • The diagnostic Nadi is based upon the various• The diagnostic Nadi is based upon the various  examples given from text to know a disease or  condition   • They are based on Gati – momentum  • Different examples are given here with resembling  t f th i t i lmomentum of the insects or animals   Dr. K. Shiva Rama Prasad, at
  20. 20. Selection of Panchakarma through Pulse Diagnosis Diagnostic Nadi diagnosis • Krumi gathi – parasites , worms • Pippilika gathi – terminal illness • Mayura gathi – arterial hypertension • Kukkuta gathi – diabetes , albuminuria • Ushtra gathi – aortic stenosis • Gaja gathi – elephantiasis, lymphatic obstruction h h bl k• Girija gathi – heart block • Vishama gathi – pulsus alterans , atrial fibrillation D thi f t l ill l f il h k• Damaru gathi – fatal illness , renal failure , shock • Padma gathi – perfect health , enlightenment Dr. K. Shiva Rama Prasad, at
  21. 21. Selection of Panchakarma through Pulse Diagnosis Prasad’s Dynamic Nadi Diagnosis • This is inventory method of me with various  i dexperiences encountered  • In this a blind method is observed to assess  the condition and inter relation of the Dosha – quantification – Organ ‐ sub dosha –– quantification – Organ ‐ sub dosha – system – dhatu – etc.  • Subjected for validation  Dr. K. Shiva Rama Prasad, at
  22. 22. B i f l ti l Selection of Panchakarma through Pulse Diagnosis Basic wave of acceleration pulse wave • In a blood vessel the flow in a• In a blood vessel the flow in a  rhythm hitting the two walls with  a velocity  “ ” a c • Dosha “tara‐ tama Anupalabdi” is  made with the intensity of the hit  to the finger  e g • Pravruddha (a) heena (e) and  madhyama (c) are observed  Thi ld b i % b d • This could be even in %  • Time Duration between two hits  at the finger gives duration of a,b,c,d,e wave of five component at the finger gives duration of  specific dosha movement from  its Sthaana (b) (dosha place) to  reach Dooshya (c)(disease place)reach Dooshya (c)(disease place)  Dr. K. Shiva Rama Prasad, at
  23. 23. Selection of Panchakarma through Pulse Diagnosis Panchakarma reflection  • As the Urdhwa and Adho Doshahara method  f ll d i P h kare followed in Panchakarma . . .  – Urdhwa Dosha Nirharana (Vamana) • Kapha (Bahu dosha) – Hrullasa • Pitta (Alpa dosha) – Amlodgara( p ) g – Adho Dosha Nirharana (Virechana)  • Pitta – (Bahu dosha) – Guda DaahaPitta (Bahu dosha)  Guda Daaha • Vata – (Alpa Dosha ‐ Anulomana) – Vayu nirgamana Dr. K. Shiva Rama Prasad, at
  24. 24. Selection of Panchakarma through Pulse Diagnosis Procedure of PDND • Sit comfortable (both patient and• Sit comfortable (both patient and  doctor) • First place your right hand on the• First place your right hand on the  radial artery (Jeeva sakshini) • Select right hand for male and leftSelect right hand for male and left  hand for female  – Record your readings y g • Take patients both hands in to your  hands placed three fingers on the g Jeeva Sakshini – Record your readings  Dr. K. Shiva Rama Prasad, at
  25. 25. Selection of Panchakarma through Pulse Diagnosis Interpretation of PDND • Each finger is divided inEach finger is divided in  to two halves  • The half toward the Kapha Adho Kapha Dosha Dosha GatiDosha‐Finger Z patients hand represents  the Urdhwa Dosha and  the other part towards Ring Pitta Adho Pitta Dosha Urdhwa Kapha Dosha C Y the other part towards  the shoulder represents  the Adho dosha Middle Vata Adho Vata Dosha Urdhwa Pitta Dosha B X • When pulse is found  more than 60% of  intensity at former it is Index Urdhwa Vata Dosha A intensity at former it is  subjected for Vamana and for later it is  Vi h Dr. K. Shiva Rama Prasad, at Virechana
  26. 26. i Selection of Panchakarma through Pulse Diagnosis Interpretation  • Vamana Kapha Adho Kapha Dosha Dosha GatiDosha‐Finger Z • Vamana A + C = Ajeerna,  SwasaMiddl Ring Pitta U dh Pitt D h Adho Pitta Dosha Urdhwa Kapha Dosha C Y Swasa A + B = Ajeerna,  PanduIndex Middle Vata Urdhwa Vata Dosha Adho Vata Dosha Urdhwa Pitta Dosha B X Pandu • Contra indicated  A + S = Hrudroga Index Urdhwa Vata Dosha A A + S = Hrudroga • Virechana  X + B = Ajeerna X + B = Ajeerna,  Grahani  B + Stanantra samagata X + B = Ajeerna, Grahani  B +  Dr. K. Shiva Rama Prasad, at
  27. 27. Selection of Panchakarma through Pulse Diagnosis PittaUrdhwa (Sadhaka Alochaka) Kapha Urdhwa (Bodhaka, tarpaka) Vata Urdhwa (Prana, Udana) V t Adh (S A ) PittaUrdhwa (Sadhaka, Alochaka) Vata Adho (Samana, Apana)  Pitta Adho (Pachaka, Ranjaka) Kapha Adho (Kledaka, Avalambaka)Kapha Adho (Kledaka, Avalambaka) Dr. K. Shiva Rama Prasad, at
  28. 28. Selection of Panchakarma through Pulse Diagnosis Introduction  • KSR Prasad • Professor, Panchakarma Dr. K. Shiva Rama Prasad, at
  29. 29. Selection of Panchakarma through Pulse Diagnosis Introduction  • KSR Prasad • Professor, Panchakarma Dr. K. Shiva Rama Prasad, at
  30. 30. Selection of Panchakarma through Pulse Diagnosis Introduction  • KSR Prasad • Professor, Panchakarma Dr. K. Shiva Rama Prasad, at
  31. 31. Selection of Panchakarma through Pulse Diagnosis Thank you He can do Miracle – Even you can do Miracle  Dr. K. Shiva Rama Prasad, at y