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ROGI PAREEKSHA

The diagnosis in ayurveda involves two steps-


1) Examination of the patient or Rogi pareeksha
2) Analysis of the disease or Rogapareeksha
Pareeksha is defined as the means by which a person gets a definite or real
knowledge of a subject.
mÉUϤrÉliÉå urÉuÉxjÉÉmrÉliÉå uÉxiÉÑ xuÉÃmÉÉÍhÉ AlrÉjÉÉ CÌiÉ mÉUϤÉÉ
Pareeksha is the method of obtaining knowledge by the help of pramanas.( Vatsayana
bhashya)
ÍqÉjrÉÉSÒ¹É ÌuÉMüÉUÉ rÉå SÒUÉZrÉÉiÉÉxiÉjÉæuÉ cÉ iÉjÉÉ SÒwmÉËUqÉÚ¹ÉU qÉÉåWûrÉåwÉÑ ÍcÉÌMüixÉÏlÉqÉç
If the patient is not examined properly or if the facts observed are not properly taken into
consideration and if the physician don’t have thorough knowledge of rogi pareeksha,
then both the patient and the physician will not get favourable results.
The use of pareeksha is told as-
• mÉUϤÉÉrÉÉxiÉÑ ZÉsÉÑ mÉërÉÉåeÉlÉÇ mÉëÌiÉmÉÌ¨É ¥ÉÉlÉÇ | mÉëÌiÉmĘ́ÉlÉÉïqÉÉ rÉxiÉÑ ÌuÉMüÉUÉå rÉjÉÉ mÉëÌiÉmĘ́É
urÉirÉxiÉxrÉÉ rÉjÉÉqÉlÉÑwÉçPÉlÉ¥ÉÉlÉqÉç | (cÉ ÌuÉ 8/151)
Any doubt in understanding a subject has to be cleared by the help of pareeksha and a
decisive, confirmatory inference can be obtained. In order to attain a proper knowledge of
the disease, different types of proofs or pareeksha are to be adopted. Only after attaining
correct knowledge, physician will be able to advocate a proper treatment.
The ten important topics for examination in charaka samhita are kaarana, karana,
karyayoni, karya, karyaphala, anubandha, desa, kala, pravrithi and upaya. Examination of
rogi comes under the analysis of third topic karyadesa i.e site of administration of drugs
and therapies. The examination of the patient is intended to obtain knowledge about the
lifespan, strength and intensity of the morbidity. Based on this information the physician
will formulate the therapeutic procedures. If the medicines are administered without the
examination of the patient, the treatment turns futile. If strong medication is given to a
weak patient and weak therapies to a strong patient the desired effects cannot be
achieved. In order to avoid these fallacies one must examine the patient thoroughly.
Various methods of rogeepareeksha
I) Dvividha pareeksha
II) Thrividha pareeksha
III) Chathurvidha pareeksha
IV) Shadvidha pareeksha
V) Ashtavidha pareeksha
VI) Dasavidha pareeksha
I) Dvividha pareeksha
̲ÌuÉkÉÇ mÉUϤÉÉ ¥ÉÉlÉuÉiÉÉÇ mÉëirɤÉqÉlÉÑqÉÉlÉgcÉ (cÉ ÌuÉ 8/83)
1. Pratyaksha
2. Anumana
II) Trividha pareeksha
SzÉïlÉxmÉzÉïlÉ mÉëzlÉæ: mÉUϤÉåiÉ cÉ UÉåÌaÉhÉÉqÉç (A ¾û xÉÑ1/22)
1.darsana
2.Sparsana
3.Prasna
b) ̧ÉÌuÉkÉÇ ZÉsÉÑ UÉåaÉÌuÉzÉåwÉ ÌuÉ¥ÉÉlÉÇ pÉuÉÌiÉ; iɱjÉÉ AÉmiÉÉåmÉSåzÉ: mÉëirɤÉqÉç, AlÉÑqÉÉlÉÇ cÉåÌiÉ (cÉ ÌuÉ 4/3)
1.Aptopadesa
2. Pratyaksha
3. Anumana
III) Chathurvidha pareeksha
1) Pratyaksha
2) Anumana
3) Aptopadesa
4) Yukti
IV) Shadvidha pareeksha
wÉQèûÌuÉkÉÉå ÌWû UÉåaÉÉhÉÉÇ ÌuÉ¥ÉÉlÉÉåmÉrÉ: iɱjÉÉ mÉgcÉ´ÉÉå§ÉÉÌSÍpÉ: mÉëzlÉålÉ cÉåÌiÉ (xÉÑ.xÉÔ. 10/4)
It is not possible to acquire the complete knowledge by three fold examinations,
therefore Susrutha described six fold examination technique for the diagnosis of diseases.
These are five sense organs and history taking i.e
1) Sparsanendriya
2) Srotrendriya
3) Chakshurindriya
4) Rasanendriya
5) Ghranendriya
6) Prasna
V) Ashtavidha pareeksha
UÉåaÉÉ¢üÉliÉ zÉUÏUxrÉ xjÉÉlÉÉlrɹÉæ ÌlÉUϤÉrÉåiÉç
lÉÉQûÏÇ qÉÔ§ÉÇ qÉsÉÇ ÎeÉÀûÉÇ zÉoS xmÉzÉï SÚaÉÉMüÚÌiÉ (rÉÉå U)
1) Nadi
2) Moothra
3) Mala
4) Jihva
5) Sabda
6) Sparsa
7) Drik
8) Akruti
VI) Dasavidha pareeksha
iÉxqÉÉiÉÉiÉÑUÇ mÉUϤÉåiÉ mÉëMüÚÚ ÌiÉiɶÉ, ÌuÉMüÚÚ ÌiÉiɶÉ, xÉÉUiɶÉ, xÉÇWûlÉlÉiÉzÉçcÉ, mÉëqÉÉhÉiɶÉ, xÉÉiqrÉiɶÉ, xÉiuÉiɶÉ,
AÉWûÉUzÉÌ£üiɶÉ, urÉÉrÉÉqÉzÉÌ£üiɶÉ, uÉrÉxÉ¶É CÌiÉ (cÉ ÌuÉ 8/94)
1) Prakriti
2) Vikriti
3) Sara
4) Samhanana
5) Pramana
6) Satmya
7) Satva
8) Ahara sakti
9) Vyayama sakti
10) Vaya
TRIVIDHA PAREEKSHA
1. DARSANA
SzÉïlÉålÉ SÚwšÉ, MüÉxÉqÉåWûɱÉiÉåïwÉÑ mÉÏiÉzÉÑYsÉuÉhÉï xÉqxjÉÉlÉ mÉëqÉÉhÉÉåmÉcÉrÉcNûÉrÉÉ ÌuÉhqÉÔ§ÉcNûÌSïiÉÉÌSMüqÉç É
(A. WèûÚ.xÉÔ 1/21) xÉuÉÉï…xÉÑlSU)
Things identified by direct observation of patient either directly or indirectly is called
darsana pariksha. In darsana pareeksha following other pariksha may also be considered
namely pratyaksha pareeksha, chakshurindriya pareeksha etc.
2. SPARSANA
xmÉzÉïlÉålÉç WûxiÉMüÉrÉxmÉzÉåïlÉ, euÉUaÉÑsqÉÌuÉSìèkrÉɱÉiÉïqÉç, iÉjÉÉ zÉÏiÉÉåwhÉxiÉokÉxmÉlSzsɤhÉZÉUxmÉzÉÉïÌSMÇü cÉ É
(A. WèûÚ.xÉÔ 1/21) xÉuÉÉï…xÉÑlSU)
It is a palpatory method helps to understand coldness, hotness, palpitations,
smoothness etc.Under sparsana pareeksha the following other examination tools may be
included namely sparsanendriya pareeksha, nadi pareeksha etc.
3. PRASNA
mÉëzlÉålÉ mÉÚcNèrÉÉ, zÉÔsÉÉUÉåcÉMücNûÌSïWûÚSìuÉiuÉÇ xÉÑcNûlSiuÉÇ qÉÚSÒ¢ÔüU MüÉåwÉçPiÉÉÇ xuÉmlÉSzÉïlÉqÉÍpÉmÉëÉrÉÇ
eÉlqÉÉqÉrÉmÉëuÉŲ́ÉlɤɧÉ̲¹å¹ xÉÑZÉ SÒ:ZÉÉÌlÉ cÉ, CirÉÉiÉÑUqÉÑZÉÉimÉUϤÉåiÉç É (A. WèûÚ.xÉÔ 1/21) xÉuÉÉï…xÉÑlSU)
Prasna pareeksha is helpful to know about aggrevating and relieving factors of
diseases like sula etc. along with it guides to understand about various kinds of
koshta(mridu, Madhya and krura koshta). In this other examination methods may also be
included like mutra pareeksha, mala pareeksha, anumana pareeksha, aptopadesa etc.
CHATHURVIDHA PAREEKSHA
1. PRATYAKSHA
Charaka defines pratyaksha as,
AÉiqÉåÎlSìrÉ qÉlÉÉÅåjÉÉïlÉÉqÉç xÉͳÉMüwÉÉïiÉç mÉëuɨÉïiÉå
urÉ£üÉ iÉSÉiuÉå rÉÉ oÉÑή: mÉëirɤÉÇ xÉÉ ÌlÉÂcrÉiÉå | (cÉ.xÉÔ 11/20)
Pratyaksha is getting knowledge through sense organs. Pratyaksha jnana occurs
when there is contact between indriya and their particular artha directly. Manas become
the mediator between indriya and atma.
AjÉ mÉëirɤÉÇ lÉÉqÉ iɱSÉiqÉlÉÉ cÉåÎlSìrÉæ¶É xuÉrÉqÉÑmÉsÉprÉiÉå, iɧÉÉiqÉmÉëirɤÉÉ: xÉÑZÉSÒZÉåcNûɲåwÉÉSrÉ:
zÉoSÉSrÉÉÎxiuÉÎlSìrÉ mÉëirɤÉÉ: | (cÉ.ÌuÉ 8/39)
Substances perceived by the self or through the sense organs may be included
under direct observation. Examples are happiness, sorrow, desire, jealousy etc. are felt by
the individual and sound etc. are perceived by the help of sense organs.
Detection of findings by organ of hearing-
Gurgling sound in the abdomen
Cracking and crepitation in big and small joints
Voice of patient
Other abnormal sounds produced in various diseases like hikka, svasa,
swarabheda, kasa etc.
Factors detected by organ of sight-
Colour, shape, measurement and complexion
Natural and unnatural changes in the body.
Other findings examined visually like signs of the disease, lusture and
other abnormalities.
Factors detected by organ of taste-
Taste can be perceived by the gustatory sense organs and they can be ascertained
by inference and not by direct observation. That’s why taste in the mouth of patient may
be obtained by interrogation.
Impairment of the taste of body should be inferred when lice etc. go away from
the body. Sweetness of the body can be inferred when flies are attracted towards the
body. Similarly other tastes in the patients body can be inferred.
Factors detected by organ of smell
Normal and abnormal smells of the whole body may be detected by organ of
smell.
Factors detected by organ of touch
Normal and abnormal findings of touch may be examined by hand.
2. ANUMANA
AlÉÑqÉÉlÉ ZÉsÉÑ iÉMüÉåï rÉÑYirÉmÉå¤ÉrÉÉ
Anumana pareeksha is the means by which the diagnosis is made by inference.
This is the method of examination of the patient which is performed in most or all of the
occasions. In ayurveda classics, much importance has given in diagnosing the disease
using anumana pareeksha. Here are few examples.
AÎalÉÇ eÉUhÉzÉYirÉÉ mÉUϤÉåiÉ
Power of agni by the process of digestion and metabolism.
oÉsÉÇ urÉÉrÉÉqÉzÉYirÉÉ
Strength of the person is assessed by the capacity to do exercise.
´ÉÉå§ÉÉSÏÌlÉ zÉoSɱjÉïaÉëWûhÉålÉ
Condition of the sense organ is assessed by the normal functioning.
ÇÌuÉ¥ÉÉÉlÉÇ urÉuÉxÉÉrÉålÉ
Knowledge of a thing can be assessed by proper action and reaction.
mÉëÏÌiÉ iÉÉåwÉåhÉ
Pleasure assessed from satisfaction.
pÉrÉÇ ÌuÉwÉÉSålÉ
Fear is known from apprehension
Obedience is known from compliance with others.
3. APTOPADESA
Aptopadesa means aptavachana i.e. advices given by a master
UeÉxiÉqÉÉåprÉÉÇ ÌlÉqÉÑï£üÉxiÉmÉÉå¥ÉÉlÉoÉsÉålÉ rÉå
rÉåwÉÉÇ §ÉæMüÉsÉqÉqÉsÉÇ ¥ÉÉlÉqÉurÉÉWûiÉÇ xÉSÉ
AÉmiÉÉ: ÍzɹÉÌuÉoÉÑkÉÉxiÉå iÉåwÉÉÇ uÉÉYrÉqÉxÉÇzÉÄrÉÇ
xÉirÉÇ uɤrÉÎliÉiÉå MüxqÉÉiÉç ÌlÉUeÉxiÉqÉxÉÉåqÉÚwÉÉ (cÉ.xÉÔ 11/18)
Apta is a person who have sound, complete and confirmative knowledge with
good memory power. They would not have any raga, dvesha, kopa, matsarya etc. So they
always speak truth and their activities are accepted as pramana.Acharyas described the
following points for understanding and diagnosis of diseases.
PRAKOPA - Aggravating factors
YONI - Involvement of doshas
UTHANA -Mode of onset
ATMA - Nature of disease indicating acuteness, chronicity or fatalness
ADHISHTANA - Location of disease
VEDANA - Pain symptomatology
SAMSTHANA/ LAKSHANA- Symptoms
UPADRAVA - Complications
VRIDHI- STHANA- KSHAYA- Stages of dosha
UDARKA - Sequele
NAMA - Names
HETU - Cause
YOGA - Medicine and therapy useful
So Aptopadesa includes includes 2 factors in diagnosing a disease
1) Getting the knowledge disease before seeing or examining a patient itself.
2) Getting the knowledge of disease from patient itself.
These two will give a chance for recognizing a disease.
4. YUKTHI
DEFINITION-
oÉÑή: mÉzrÉÌiÉ rÉÉ pÉÉuÉÉlÉç oÉWÒûMüÉUhÉrÉÉåaÉeÉÉlÉç
rÉÑÌ£üÎx§ÉMüÉsÉÉ xÉÉ ¥ÉårÉÉ Ì§ÉuÉaÉï: xÉÉkrÉiÉå rÉrÉÉ | ( cÉ. xÉÔ. 11/25)
The intellect perceives the unknown factors which are produced by multiple
causes. This occurs due to comparison of unknown factors with known cause – effect
relationship. With this one can have the knowledge of past, present and future days and is
helpful in achieving the dharma, artha and kama. For this charaka gives two examples in
the same chapter.
eÉsÉMüwÉïhÉoÉÏeÉxÉÇrÉÉåaÉÉiÉç xÉxrÉxÉÇpÉuÉ:
rÉÑÌ£ü: wÉQèkÉÉiÉÑ xÉÇrÉÉåaÉÉiÉç aÉpÉÉïhÉÉÇ xÉÇpÉuÉxiÉjÉÉ
qÉjrÉqÉljÉlÉqÉljÉÉlÉ xÉÇrÉÉåaÉÉSÎalÉxÉÇpÉuÉ:
rÉÑÌ£ürÉÑ£üÉ cÉiÉÑwmÉÉSxÉqçmÉiÉç urÉÉÍkÉÌlÉoÉWïhÉÏ | (cÉ.xÉÔ 11/22)
Wheat, rice etc. will be produced, if there is a proper combination of water,
ploughing, seeds and season. Similarly the combination of panchamahabhoothas and
atma will lead to formation of garbha. Fire is produced if there is proper combination of
woods or fuel and the person who will perform the friction between the two. Similarly the
proper combination of the physician, drugs, attender and patient will result in cure of the
disease.
Importance of yukthi
Use of any medicine depends upon the quantity and the time and the success is
definite, if one follows this. The physician who possesses this yukthi is considered as best
among the physicians who knows regarding the plants only.
SHADVIDHA PAREEKSHA
The six fold examinations are described by Acharya Susrutha. These include
interrogation and examination with five sense organs.
wÉQèûÌuÉkÉÉå ÌWû UÉåaÉÉhÉÉÇ ÌuÉ¥ÉÉlÉÉåmÉrÉ: iɱjÉÉ mÉgcÉ´ÉÉå§ÉÉÌSÍpÉ: mÉëzlÉålÉ cÉåÌiÉ (xÉÑ.xÉÔ. 10/4)
PANCHENDRIYA PAREEKSHA
SROTHRENDRIYA PAREEKSHA
• iÉ§É ´ÉÉå§ÉåÎlSìrÉÌuÉ¥ÉårÉÉ ÌuÉzÉåwÉÉ UÉåaÉåwÉÑ uÉëhÉxÉëÉuÉ ÌuÉ¥ÉÉlÉÏrÉÌSwÉÑ uɤrÉliÉå-iɧÉÉ xÉÄTåülÉÇ U£üqÉÏUrɳÉÌlÉsÉ:
xÉzÉoSÉå ÌlÉaÉïNûÌiÉ CirÉåuÉqÉÉSrÉ: (xÉÑ. xÉÔ.10/5)
Srothrendriya pareeksha is of two types –
i) Hearing sounds directly – by the physician or by the patient. Sounds like cough,
wheezing etc can be heard directly without using instruments.
ii) Hearing the sounds using instruments - using instruments like stethoscope we can
hear heart sounds and its modulations, espiratory sounds, intestinal gargling sounds
etc.
• Percussion can also included here as the physician is listening to percussion notes.
Some examples……..
• Bhinna kamsya swara - Kasa
• Gardabhavat swara - Vatika swarabheda
• Anu swara - Medoja galaganda
• Paravata iva koojan - Kshataja kasa
• Vak sthambha - Ardita
• Atopa - Udara, Gulma
poorvaroopa..
• Pralapa - Bhaya, Soka Jvara
• Anthra koojana - Gulma poorva rupa
SPARSANENDRIYA PAREEKSHA
It is necessary when the facts cannot be perceived through chakshurindriya. Since
it is done by hands,the physician’s hand must be warm. Before examining, the procedure
must be explained to the patient. The palpation should start from normal parts first, then
abnormal parts gently so as not to give unnecessary pain to the patient.
xmÉzÉïlÉåÎlSìrÉ ÌuÉ¥ÉårÉÉ:zÉÏiÉÉåwhÉ zsɤhÉMüMïüzÉ qÉÚëSÒMüÌPlÉiuÉÉSrÉ: xmÉzÉïÌuÉzÉåwÉÉ euÉUzÉÉåÄTüÉÌSwÉÑ
Excessive heat or cold, normal or abnormal roughness or smoothness of the body
etc can be assessed by sparsana pareeksha.
Some examples…..
• Mrudu sparsa - Pithodara
• Sthira katina sparsa -Kaphodara
• Nadi mandathara - Mandagni, ksheena dhathu
• Paripinditatvat sparsopalabhya – Gulma
• Bahalam hasthicharmavat - Charma kushta
• Kinakhara sparsam - Kitibha kushta
• Ushnasparsa - Jwara
CHAKSHURINDRIYA PAREEKSHA
Inspection is the most important form of examination for diagnosing a disease.
Inspection is done in a comfortable environment to the patient with sufficient good
natural light. According to charaka, colours, site, measurement of body abnormalities like
chaaya, prakrthi, vikara etc are to be examined by chakshurindriya.
cɤÉÑËUÎlSìrÉÌuÉ¥ÉårÉ: zÉUÏUÉåmÉcÉrÉÉmÉcÉrÉÉrÉÑsÉï¤ÉhÉ oÉsÉ uÉhÉï ÌuÉMüÉUÉSrÉ: (xÉÑ xÉÔ.10/5)
The things detected through the examination by sight are increase or decrease of
the body, signs of life span, change in strength and colour etc.
zÉUÏUÉåmÉcÉrÉåÌiÉ EmÉcÉrÉ:xjÉÉæsrÉÇ, AmÉcÉrÉ: MüÉzrÉïÇ, oÉsÉqÉ§É EixÉÉWû (xÉÑ xÉÔ 10/5) QûsWûhÉÉ
Upachaya means oesity, apchaya refers to emaciation, bala refers to loss of
enthusiasm
• Avila netra - Arditha poorvaroopa
• Haridra netrata- Pithaja arsa, Kamala
• Akshikuta sopha- Amajirna, Pandu poorvaroopa, mridbhakshanajanya pandu
• Akshiraga - Raktaja Abhishyanda
• Raktaika lochana- chinna svasa
• Kuksherathimathra vridhi- Jalodara
RASANENDRIYA PAREEKSHA
Rasa of body parts of the patientis either inferred or asked to the patient.
UxÉlÉåÎlSìrÉÌuÉ¥ÉårÉÉ: mÉëqÉåWûÉÌSwÉÑ UxÉÌuÉzÉåwÉÉ: (xÉÑ xÉÔ 3/8)
For example, if bees, flies attracted towards prameha rogi, it indicates tanumadhuryatha
of that patient.
Examples are…….
• Aruchi- Amlapitta, Arochaka, Asmari poorvaroopa, Grahani dosha etc
• Asyamadhurya – K. Amlapitta,Galaganda, Prameha poorvaroopa, K. Thrishna
etc.
• Asyavairasya- Jvara, Kasa, Udara etc.
GHRANENDRIYA PAREEKSHA
By ghranendriya, we can examine normal and abnormal smells of the body and its waste
products.
bÉììÉhÉåÎlSìrÉ ÌuÉ¥ÉårÉÉ AËU¹ÍsÉÇaÉÉÌSwÉÑ, uÉëhÉÉlÉÉqÉuÉëhÉÉlÉÉÇ cÉ aÉlkÉÌuÉzÉåwÉÉ: (xÉÑ xÉÔ 10/5)
Diagnosis of diseases based on abnormal smell, which emits either from wounds or non
wounded region
Examples…..
• Gatra dourgandhya- Koshta vrana, medoroga
• Asyaputita - Pittaja arochaka, Putinasya
• Anga lohagandha - Rakthaja daha
• Durgandha kapha - Kshayaja kasa
Some prognostic signs regarding gandha can also be identified. For example,paithika
prakrthi –foul smell of body, sama mala – bad smell, visragandha muthra – amavata,
asmiri
PRASNA PAREEKSHA
mÉëzlÉålÉ cÉ ÌuÉeÉÉlÉÏrɬåzÉçÇ MüÉsÉ eÉÉÌiÉÇ xÉÉÇirÉqÉÉiɃxÉqÉÑimĘ́ÉÇ uÉåSlÉÉxÉqÉÑcNûÉrÉÉÇ oÉsÉqÉliÉUÎalÉÇ uÉÉiÉqÉ賈 mÉÑUÏwÉÉhÉÉÇ
mÉëuÉę̈ÉqÉmÉëuÉę̈ÉÇ MüsÉmÉëMüwÉÉïSÏÇ¶É ÌuÉzÉåwÉÉlÉç | AÉiqÉxÉSìzÉåwÉÑ ÌuÉ¥ÉÉlÉÉprÉÑmÉÉrÉåwÉÑ iÉixjÉlÉÏrÉæaeÉïlÉÏrÉÉiÉç || (xÉÑ xÉÔ
10/5 QûsWûhÉ)
The points to be assessed during interrogation are,
DESA-
• SåzÉxiuÉÍkɹÉlÉÇ ( cÉ. ÌuÉ. 8)
i) As per dalhana, the desa is of three types, namely jangala, anoopa and
sadharana. That implies the site where the patient born, grown up and got
disease, by which nidana can be assessed. The descriptions of these three
types of desa are available in the classics.
ii) According to another opinion, desa is of two types- bhoomidesa and deha
desa.

KALA- divided into two –Nithyaga and Avasthika


Nithyaga comprises rthu lakshana, day, night etc.
Avasthika is again subdivided into two –swasthasya balyadi bhedena,
vyadhithasya jwararambhadi kalavastha
i) Swasthasya balyadi bhedena- understanding of age like children, youth, old
age person etc
ii) Vyadhithasya jwararambhadi kalavastha – refers onset and history of diseases.
SATMYA-
• xÉÉiqrÉÍqÉÌiÉ rɱxrÉ xÉåÌuÉiÉqÉç iÉiÉç xÉÑZÉÉrÉ xÉqmɱiÉå iÉiÉxrÉ xÉÉiqrÉqÉç; iÉŠç ̲ÌuÉkÉÇ
cÉå¹ÉZrÉqÉWûÉUÉZrÉÇ cÉ; cÉå¹ÉZrÉÇ MüÉrÉ uÉÉMçü qÉlÉÉåpÉåSȨ́ÉÌuÉkÉÇ AÉWûÉUÉZrÉÇ UxÉpÉåSÉiÉç wÉQèû ÌuÉkÉqÉç
• (xÉÑ xÉÔ 10/5)
which gives conduciveness and comfort to body
Cheshtakhya - 3 types based on kaya, vak & manas
Aharakhya – related to 6 kinds of taste
ATHANKA SAMUTHPATHI-
• AÉiɃxÉqÉÑimÉÌ¨É xÉqÉÑimĘ́É: MüÉUhÉçqÉÑcrÉiÉå |(xÉÑ xÉÔ 10/5 QûsWûhÉ)
Causative factors of disease
VEDANA SAMUCCHRAYA
• uÉåSlÉÉxÉqÉÑcNíÉrÉÍqÉÌiÉ uÉåSlÉÉ uÉÉiÉÉÌSuÉåSlÉÉxiÉÉåSÉSrÉ:, iÉÉxÉÉ xÉqÉÑcNíÉrÉ ESèlÉÌiÉ: |
Description of various kinds of pain resulting due to vatadi doshas
• Vata- toda, bheda, cheda, soola
• Pitta – osha, chosha, daha, amlaka
• Kapha- gourava, sthaimithya, kandu
BALA
oÉsÉÇ urÉÉrÉÉqÉaÉqrÉ zÉÎY¨É:
Bala- exercise tolerance
ANTHARAGNI
iÉæpÉïuÉåiÉç ÌuÉwÉqÉxiÉϤhÉÉå qÉlS¶ÉÉÎalÉxÉqÉæxxÉqÉ
Antharagni means condition of agni whether it is normal, abnormal or dull.
VATHA MUTHRA PUREESHANAM PRAVRTHI- APRAVRTHI
Knowledge of proper evacuation of flatus, urine, stool, menstrual blood can be
attained by interrogation itself. Though the lab examination of urine, faeces, semen etc
are necessary, but the primary idea regarding the abnormalities in urine, faeces etc can be
identified by prasna pareeksha.
KALAPRAKARSHA
It helps in identifying swathanthra and parathanthra lakshanas ie, differentiating
symptoms and complications of a disease.

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