Details of Ten Fold Examination in Ayurveda (Dashwidh Pareeksha) – The first process is the 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 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, the emphasis is given to the analysis and types of Doshic constitutions. Patient evaluation, disease evaluation, Constitutional analysis, Examination of the tongue, iris and pulse are done to diagnose the problem.
BENEFITS OF AYURVEDIC DIAGNOSIS
The tenfold 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 to function 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 the disease, degree of heat and cold and the depth of penetration of a pathogenic imbalance. The high accuracy of these evaluations is 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.
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)
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)
ROGIPAREEKSHA
DIAGNOSIS OF THE PATIENT TEN-FOLD AYURVEDIC DIAGNOSIS EXAMINATION OF THE PULSE.
NATURE OF PULSE
| FORCE(BALA) | Low + | High +++ | Moderate ++ |
|
TENSION VOLUME
(AKRUTI) |
Low | High | Moderate |
|
CHARACTERISTICS
(GUNA) |
Fast, Feeble, Cold, Light, Thin, Disappears On Pressure | Prominent, strong, Hot, Forceful, Lifts Finger With Palpitation | Deep Slow Thick, Cool Or Warm, Regular |
|
LOCATION
(STHAN) |
Index | Middle | Ring |
|
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 | Manduka | Hansa |
- VITIATION (VIKRITI) PATHOLOGICAL STATE:
Related to the biological history of the diseases in its entirety, 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.
MANAS VIKRITI: 2ND LEVEL IN PULSE DIAGNOSIS
SUBDOSHAS
(3rd level of Pulse Diagnosis): Analyzing sub-types of Doshas through pulse.
ORGAN PULSE
| 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 |
PSYCHIC CONSTITUTION (SATWA): 4TH LEVEL OF PULSE DIAGNOSIS:
Refers to the mind which controls the body in contact with the soul (atma). Depending on degree of mental strength, it is considered to be high, moderate or low.
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.
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) and 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 the body is evaluated from the condition of the eyes, mouth, tongue, lips, nails, and soles.
Examination of Biological Tissues
EMOTIONAL BALANCE (SATTVA): 6TH LEVEL OF PULSE DIAGNOSIS: The mental constitution & the present flow of conscious and affects of our surroundings on our Aura & Health.
EIGHT DIETIC PERSONALITY & TRIDOSHA
PLANETARY INFLUENCES IN PULSE
FLOW OF CONSCIOUSNESS & THOUGHT WAVES REPRESENTING FIVE ELEMENTS THROUGH PULSE
CHAKRA IN THE PULSE AT 6TH LEVEL OF PULSE DIAGNOSIS
PHYSICAL STRENGTH (VYAYAMA SHAKTI) BODY MEASUREMENT (PRAMANA):
In Ayurveda, body measurement is given in terms of finger breadth and any person in close proximity to the ideal measurements is termed as normal and healthy.
ADAPTABILITY (SATMYA):
Indicating substances intrinsic to the body, it refers to two types of people – those that are strong, adjust easily to difficulties and have excellent digestive capacity and those that are generally weak, intolerant to change and can have only few food options.
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.
GENERAL STATURE AND PHYSICAL PROPORTIONALITY (PRAMANA):
CAPACITY FOR EXERCISE (VYAYAMA SHAKTI):
Assessed by capacity for hard work, it is low, moderate or high
DIGESTIVE CAPACITY (AHARA SAKTI):
This has to be judged from the individual’s capacity to ingest and digest food substances.
AGNIPAREEKSHA
KOSHTH
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.
- 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
- A smell of air released from intestines (farts)
- The normal and Abnormal smell of fecal matter
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
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
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)
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:
THE ENTIRE PROCESS OF PATHOGENESIS (SAMPRĀPTI) HAS BEEN ANALYSED INTO THE FOLLOWING SIX STAGES:
IN SAMPRAPTI THERE ARE:
SANCHYA: DOSHA START ACCUMULATING AT THE WEAK PLACE OF THE BODY /PROBLEMS AFFECTING THE WEAK PERSONS.
PRAKOP: DOSHA START AGGRAVATING IF NOT TREATED AT THE SITE/PROBLEMS START AGGRAVATING.
PRASSAR: THEY START SPREADING TO NEARBY ORGANS AND PLACES AS THEY GET ACCUMULATED IN ABUNDANCE/THEY START AFFECTING THE OTHER PERSONS SURROUNDING.
STHANASANSHRAYA (LOCALIZATION): DOSHA START ACCUMULATING AT THE PLACE WHICHEVER IS WEAK IN THE BODY.
VYAKTA AWASTHA: APPEARANCE OF SYMPTOMS/PROBLEM ACTUALLY OCCURS), IF NOT TREATED.
BHEDA AWASTHA: SYMPTOMS GETTING CHRONIC IF NOT TREATED/OR PROBLEMS START AFFECTING EVERYONE AROUND IF NOT TREATED OR CONTROLLED).