Complete Pulse Diagnosis Method As per Ayurveda

Textbook
Pulse diagnosis has very limited but important role in Ayurvedic diagnosis methods. The pulse reading technique
was non existent in ancient periods of Charaka Sushruta and Vagbhata. They have not mentioned about this
technique. Only in the seventeenth century, Yoga Ratnakara book mentions the pule examination technique in
detail. Let us explore.

Before that, for a clear understanding of limitations of pulse diagnosis technique, please read below article –

In a patient, eight places should be examined.
1. Nadi – Pulse
2. Mutra – urine
3. Mala – feces
4. Jihva – tongue
5. Shabda – the various body sounds (such as crackling in case of arthritis), voice hoarseness etc.
6. Sparsha – examination by touch. – to know body temperature, local raise of temperature in a swelling etc.
7. Druk – external appearance of the person, examination by eyes.
8. Akruti – shape and built of the person.

Like the strings of Veena generates all Ragas. hand of the patient should be slightly bent at the elbow joint. pulse of left hand should be examined for women and right hand for men. Hence. Such a doctor who does that before starting treatment will get success and fame. tongue. That doctor who does not know about the signs and symptoms to observe in pulse. place (place of person and site of disease affliction in the body) and time into consideration (season. doctor should examine pulse. probably the left hand gives accurate pulse reading and in men. The patient should not feel any pain or discomfort. The hand to examine pulse: In female. will kill the patient and such a doctor can never be successful. Doctor should take. Method of starting pulse reading: The arm of the patient should be extended. chronicity of the disease etc) to judge the strength of the disease. similarly the pulse of the hand enlightens all the diseases. eyes and urine. the right hand. the doctor with his right hand should examine the pulse of the right hand of the patient at the root of the palm. the fingers should remain straight. in the first three hours (Prahara) of the morning. at the end of disease also. The pulse examination should be done at the root of the fingers. With a stable and calm and concentrated mind. in the wrist part. (3-4) .Doctor should examine the pulse in the initial consultation to know about the extent of Dosha imbalance. tongue and urine. one disease itself may become the cause for another disease. Pitta and Kapha) and cause for Tridosha imbalance is improper food and activities. the doctor should feel pulse with his finger tips. The root cause for all diseases is imbalance of Tridosha (Vata. Nadi Pareeksha – Pulse Diagnosis: For the purpose of knowing the disease. doctor should do pulse examination to know the difference. After the treatment. Before starting treatment. As the time goes by.

Examination of Nadi should be done as thoroughly as examination of gems. Pitta Kapha. At the distal part. Dhara. those who have just undergone snehana (oil massage or fat intake). the pulse cannot be well appreciated. With due intelligent analysis. flows the Vata Nadi. the disease should be diagnosed. by feeling the pulse and giving gap in between. imbalance of two of these Doshas together or imbalance of all the three Doshas together. left hand or left leg should be examined for pulse. who are having thirst and hunger and who are asleep – in these. The pulse that can be felt at the root of the thumb indicates about disease and health. Pitta and Kapha respectively. Hamsi. flows Pitta nadi and in the proximal part flows the Kapha nadi. Contra indication for pulse reading: Those who have just taken bath. Synonyms of Pulse – Snayu. . Dosha Nadi – Dosha pulse – Lord Brahma lies in Vata Nadi Lord Shankara lies in Pitta Nadi Lord VIshnu lies in Kapha Nadi. The doctor should use his three fingers to know about the status of Vata. swift movement of pulse.The pulse should be examined three times. (6) With pulse diagnosis. The doctor should observe the Mandagati – mind movement of pulse Madhya gati – moderate movement of pulse and Teekshna gati – sharp. the doctor can know about imbalance of individual Doshas – Vata. In women. Jeevana Jnana. who have just taken food. Dhamani. in the middle. Tantuki. Nadi. Dharani.

such a Nadi indicates an incurable disease. snake and swan kind of pulse. In Vata-Pitta imbalance. . suggests incurable disease. Hari (monkey) and Hamsa (swan) kind of movement in pulse. Lavaka (common quail) and frog. mild. Paravata (pigeon). In Pitta – Kapha imbalance. too frequent and fast. stops in between. and that pulse which runs with lot of interruption. In Vata-Kapha imbalance. sometimes observable. suggests death in future. very minute. When the Nadi is like Damaru (musical instrument of Lord Shiva). feeble. sometimes not. Kapha pulse feels as Rajahamsa (swan). The Nadi which is stable but suddenly sparks up like a lightening. Kapota (dove). Pulse reading indicating incurable disease – Asadhya Nadi – The pulse which beats for 30 times speedily and ten subsides abruptly. Pitta pulse feels as if movement of Kaka (crow). In case of Sannipata – imbalance of all the Doshas together. The pulse which is too high. The feeble and cold Nadi suggests death is certain within a day or two. which is sometimes felt feebly in shoulder and sometimes at wrist.Vata pulse feels as if movement of snake and leach. then like woodpecker (Kashtakutta). snake kind of pulse and frog kind mixed. the pulse will felt swiftly sometimes with frequent gaps. it indicates incurable disease. Kukkuta (cock). The pulse which is weak.

suggests death within a week. In case Nadi is not felt in hand. When blood (Rakta Dhatu) is dominant and when Ama is there (altered digestion and metabolism). In Jwara due to Kapha. When the digestion strength is more. with swift Nadi dies within 15 days. Overall. Due to worries and fear. and cold to touch. often feels cold. If the Nadi becomes steep (Gambheera). the person dies within 3 days. Nadi features of fever with duel Doshas are mentioned. Similarly. the pulse will be stable. Due to Kama (sexual desire) and anger. then it will be bulky. the Nadi examination is explained with the intention of – identifying the Doshas involved in the disease – identify extent of Dosha involvement – to know the in curability of the disease. such a Nadi reading indicates incurable disease. it should be examined in leg. which keeps on circulating in this manner. a few more Nadi symptoms suggesting death are mentioned in this chapter. and fast. Vakra – Nadi will be zig zag. and thin. which suddenly rises and falls on its own. In sheetapitta Jwara (fever due to allergy). swift. Person with cold body. middle part is cold and proximal part is feeble. breathes forcefully with mouth. it implies fever. low digestion strength and depleted body tissues (Ksheena Dhatu). heavy and hot. Nadi will be light. the pulse rate increases. cold and sticky. then it indicates that it runs in Mamsa Dhatu (Muscle tissue) – Mamsavahini. . who suffers from dyspnoea. It the pulse reading feels hot. stable. felt only near to the distal one third of wrist. it decreases.If the feature of the Nadi changes from Vata to Pitta and to Kapha. In case of Vataja Jwara (fever of Vata origin). associated with sweating. Nadi is fast. the Nadi is mild. In hungry and satiated person (who has taken food). The Nadi which is swift. In the pulse place. if the distal part does not read any pulse. Similar to these.

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