NADI PAREEKSHA (PULSE
DIAGNOSIS) - AN
AUTHENTIC SCIENTIFIC
APPROACH
 Foremost means of Pareeksha
 First Avayava Pareeksha in Ayurveda.
 Subjective and objective approach to disease diagno...
• तस्मात्शास्रार्थविग्याने प्रव्रुतौ कमथदशथने
भिषक् चतुष्टे युक्त प्राणाभिसार उच्यते
• एकं शास्रं अधीयतोन विद्यात्शास्र नन...
 Shiva → Brahma → Indra → Kanaada
 Nadi vijnana exits from the time of origin of
Ayurveda
 In bruhathrayee – explained ...
• Spandana – Aspandana
• Swasa - Hraswa - Spandana -
Aspanda
• Spandana - Stambha
Caraka
Indriyasthana
• Aspandana - Nagod...
ACCORDING TO LAGHUTHRAYEE
SHARANGADHARA
SAMHITHA
First time in the history of
Ayurveda
Fifteen types
Pulse in certain phys...
OTHER IMPORTANT REFERANCES
Basavarajeeyam
Ashtastanas for Nadi is
are mentioned 1) Aushta
(lips) 2) Panipada (legs
and han...
 Sthula and sookshma nadi – 3.5 crore in number
 All are connected to nabhi kantha
 Forms urdhwa , adha and thiryak bra...
ART OF LEARNING
ACCORDING TO YOGARATNAKARA
Physician should gain mental stability
and peace of mind before examining the
p...
 Concentration of mind is the most important thing in nadi
pareeksha
 Physician should understand even the minute tactil...
Tarjani
• Index finger
• vata
Madhyama
• Middle finger
• pitta
Anamika • Ring finger
• kapha
Basic information obtained from Nadi
Pareeksha
VATA PITTA KAPHA
GATHI (movement) Sarpa Manduka Hamsa
VEGA (rate) 80 - 95 7...
Three Basic Gathis of Nadi
VATA PULSE PITTA PULSE KAPHA PULSE
CHARACTERISTICS Fast , feeble , cold ,
light , thin ,
disapp...
Examples of gati and their conditions
• Krumi gathi – parasites , worms
• Pippilika gathi – terminal illness
• Mayura gath...
Vega ( Rate )
• Rate – number of beats per minute
• To get an accurate resting pulse – take in early morning in a restful
...
Tala ( Rhythm )
• Rhythm – defined as the time interval between two
consecutive or successive uplifts
• In a healthy perso...
Bala ( Force )
• Force – pressure of the pulse
• Bala – the amount of force pressing on the blood vessel is being
exerted ...
Akruthi ( Volume and Tension )
• Volume – uplift to the palpating finger , amplitude
• It is not necessary to depress the ...
• Tension – is felt by pressing the ring finger to
stop the pulsation of the radial artery and
then feeling the tension un...
Tapamana ( Temperature )
• There is relation between gati of the pulse ,
the wave of the pulse , the temperature of the
pu...
Kathinya ( Consistency of the Vessel
Wall )
• The consistency of vessel wall , felt by rolling
the artery between the palp...
NADI IN MENTAL STATUS
MENTAL STATUS NADI
Kaama Fast
Krodha Fast
Chintha Feeble
Bhaya Feeble
NADI ACCORDING TO DIET
• Madhura rasa - vakra , mayura gathi
• Amla rasa - ushna , plava gathi
• Katu rasa - kulinga paksh...
According to biological clock
• Praatha kaala - snigdha ,manda gathi
• Madhyanna kaala – ushna , vega gathi
• Saayam kaala...
NADI IN PREGNANCY
• Nadi shifts towards lateral side (thumb side ,
radial border) or medial side (little finger side ,
uln...
Jwara
Ajeerna
Athisara
Grahani
Prameha
Gulma
Raktapitta
Rajayakshma
Arsha
Muthraghata
Pandu
Amaja vikara
Malajeerna
Vrana
...
Pulse Conditions with Unfavorable
Prognosis
The following pulse conditions are indicative of bad prognosis
• Rapidity of t...
Nadi in Arishta
 Vibrating and pulsating like that of lightening.
 More rapid and sometimes very thin runs extremely wea...
CONTRAINDICATIONS1. Sadyosnatha
2. Sadyabhukta
3. Kshudhitha
4. Trushitha
5. Atapa , dhooma , dhoopa sevitha
6. Vyavaya sh...
CONCEPTS UNABLE TO EXPLAIN
Seven levels of pulse
• 1st level – vikruthi
• 2nd level – manas vikruthi
• 3rd level – subdoshas
• 4th level – ojas , tej...
WHY NADI VIJNANA – A SUBMERGED
AREA
• In olden days through various zoological ways
Acharyas interpreted the Nadi
• Achiev...
SPHYGMOGAPH
SPHYGMOGRAPH
• three identical piezo film based sensors to
capture the waveform
• by applying varying pressure
• collected...
Percussion wave (P)
Tidal wave (T)
Dicrotic wave (D)
Percussion (P) wave
• raises fairly rapidly
without any interruption
...
• Simile
• Blind person climbing the mountain
• Person moving through darkness.
• Nadi Vijnana should be known to all Vaid...
www.chandigarhayurvedcentre.com
CHANDIGARH AYURVEDA CENTRE
H. No. 2003/9, Sector 32-C, Chandigarh
Phone No : +91-172-463-2...
www.chandigarhayurvedcentre.com
CHANDIGARH AYURVEDA CENTRE
H. No. 2003/9, Sector 32-C, Chandigarh
Phone No : +91-172-463-2...
https://www.facebook.com/chandigarhayurved
https://www.twitter.com/chdayurved
https://plus.google.com/10105345999943518685...
www.chandigarhayurvedcentre.com
CHANDIGARH AYURVEDA CENTRE
H. No. 2003/9, Sector 32-C, Chandigarh
Phone No : +91-172-463-2...
Nadi Pareeksha (Pulse Diagnosis) - An Authentic Scientific Approach
Nadi Pareeksha (Pulse Diagnosis) - An Authentic Scientific Approach
Nadi Pareeksha (Pulse Diagnosis) - An Authentic Scientific Approach
Nadi Pareeksha (Pulse Diagnosis) - An Authentic Scientific Approach
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Nadi Pareeksha (Pulse Diagnosis) - An Authentic Scientific Approach

Here you can know about nadi pareeksha (pulse diagnosis) - An Authentic scientific approach. These information is being provided by Chandigarh Ayurved Centre. We provides best Ayurvedic and Panchakarma Treatment in Chandigarh.
Published on: Mar 3, 2016
Published in: Health & Medicine      
Source: www.slideshare.net


Transcripts - Nadi Pareeksha (Pulse Diagnosis) - An Authentic Scientific Approach

  • 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
  • 13. 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
  • 14. 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
  • 15. 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
  • 16. 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
  • 17. 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
  • 18. 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
  • 19. • 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
  • 20. 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
  • 21. 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
  • 22. NADI IN MENTAL STATUS MENTAL STATUS NADI Kaama Fast Krodha Fast Chintha Feeble Bhaya Feeble
  • 23. 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
  • 24. According to biological clock • Praatha kaala - snigdha ,manda gathi • Madhyanna kaala – ushna , vega gathi • Saayam kaala – vata nadi • Rathri kaala – uthejarahitha nadi
  • 25. 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
  • 26. Jwara Ajeerna Athisara Grahani Prameha Gulma Raktapitta Rajayakshma Arsha Muthraghata Pandu Amaja vikara Malajeerna Vrana Visha Shalya Urdhwajathrugata roga
  • 27. 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
  • 28. 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
  • 29. 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
  • 30. CONCEPTS UNABLE TO EXPLAIN
  • 31. 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
  • 32. 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
  • 33. SPHYGMOGAPH
  • 34. 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
  • 35. 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
  • 36. • 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
  • 37. www.chandigarhayurvedcentre.com CHANDIGARH AYURVEDA CENTRE H. No. 2003/9, Sector 32-C, Chandigarh Phone No : +91-172-463-2231 H. No. 1701, Ground Floor, Sector 22-B, Chandigarh 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
  • 38. www.chandigarhayurvedcentre.com CHANDIGARH AYURVEDA CENTRE H. No. 2003/9, Sector 32-C, Chandigarh Phone No : +91-172-463-2231 H. No. 1701, Ground Floor, Sector 22-B, Chandigarh Phone No. +91-172-254-2231 OUR EXPERTS VAIDYA JAGJIT SINGH VAIDYA KARANVIR SINGH
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