1. PRAKRITI PAREEKSHANA PROFORMA

2. Assessment of Deha Prakriti
Observation Done After Taking History of Patient
Sr.
No.
Character
1.
Appetite
2.
3.
4.
5.
Vataj
Pittaj
Kaphaj
C/f
Thirst
Digestive
power
Economic
Status
Dreams
No.
C/f
No.
C/f
No.
Laghu
Bahubhuk
(excessive/
frequent eating)
½
½
Tikshan Kshudha
Dandshuka
(Frequent eating)
½
½
½
Tikshan trishna
Sheeghra-paki
(Increased)
Madhya vitta
(middla class)
Svapne vidyuta
ulka pasyet
(sees lightening)
1
1
Alpa kshudha
(reduced)
Ashanpriye
(likes taking
meals)
Alpa
--------Vasumanto
(upper class)
Jalashaya aloki
Svapane
spadyaman
Savihang malam
Stoyashyam
pashyati
prabhutapatya
Dridhbhakti
parayan
(Full faith)
1
Malya-anulapena
katu, tikta,
kashaya
Ushna
1/3
1/3
-------Alpa
1
Alpa dhan
(poor)
Sky walking
Watching
mountains
Watching
rivers
1
1/3
1/3
1
½
½
1/3
6.
7.
Fertility
Religious
faith
Alpa apatya
Nastik
1
1
Alpa apatya
------------
1
8.
Likings
Mahur amla
lavana
snigadha aahara
Yatra
Geet, hasya
1/3
Madhur kashaya
tikta,
Sheeta
Malya-vilepana
(likes wearing
orhrments)
½
1
1/3
1/3
1/3
1/3
1/3
1/3
1/3
1/3
1
1
1/3

3. Sr.
No.
Character
9.
Vataj
Pittaj
C/f
No.
C/f
Initiatiwe
Sheeghra
arambha
1
------------
10.
Knowledge
1
11.
Sexual
desire
Bowel
movement
Bladder
movement
Respect of
Teachers
Relation
with friends
Courage
Anavasthit
mati( unstable)
---------
Kaphaj
No.
C/f
1
--------
Madhya gyan vigyan
(medium/average)
Alpa- Vyavaaya
(less)
Prabhut-srisht
1
Deerghsutri
(takes initiative
after thinking
about pros & cons)
Vidyavanta
(excellent knowledge)
Prabhut
Atimaithunsamarth
----------
--------
Prabhut-srisht
1
----------
---------
----------
Chala - souhard
1
(unstable friendship)
--------
----------
---------
1
-----------
19.
Faith in texts
---------
Ashrit vatsal
(child loving)
Klesh asahishanave
(No tolerance)
-----------
1
18.
Helping
Attitude
Tolerance
Manyita gurunam
(respcts teachers)
Sthir mitra
(stable friendship)
Maha utsaho
(brave)
-----------
20.
Donation
---------
21.
Gratitude
Kritghna
No.
12.
13.
14.
15.
16.
17.
---------
----------
-----------
1
1
-----------
Dridhshastramati
(full faith in texts)
Pariganya chirat
dadatibahu
(donates after thinking)
Kritagya
1
1
½
½
1
1
1
1
1
1

4. Sr.
No.
Character
Vataj
22.
Sleep
Jagruk a
¼
Alpa-nidra
¼
Krathati
¼
(snoring)
Supta stratayate
¼
(Fears while sleeping)
-------------
23.
Response to
Hot & Cold
Sheeta dveshi
(does not like
cold things)
Sheetal priya
(likes cold things)
C/f
Pittaj
No.
1
C/f
Kaphaj
No.
C/f
No.
Nidralu
1
1
Alpa santap dosha
(dislikes hot things
a little bit)
1

5. Assessment of Deha Prakriti: Physical factors
Sr.
No.
Character
1.
Body Built
Vataj
Pittaj
C/f
No.
Apachita
(emaciated)
Ruksha (dry)
Alpa(dwarf)
Alpang
Stabdh
(firmly fixed)
1/5
Durbhaga
(ugly)
Chal drishti
(moving eyeballs)
1
3.
General
Appearance
Look
4.
Color of body
Dhoosar gatra
(grey)
1
5.
Strength
Alpa bala
(Less)
1
6.
Gait
1/2
1/2
7.
Skin
Laghu (light)
Chapala
(inconsistent)
Parush (dry)
Sphutita (cracked)
2.
1/5
1/5
1/5
1/5
1
1/2
1/2
C/f
Sukumar
(tender)
Avdatgatra
(clear)
Shithilang
(weak)
Kaphaj
No.
C/f
No.
1/3
Snigdhanga
(unctousness)
Samhat
(Compact)
Shlakshan
(firm)
Paripurna
(plumpiness)
Sarvang
Subhaga
(beautiful)
Prasanna
darshan
(happy look)
Gour (fair)
1/5
Balvanta
(good strength)
1
Avasthit gati
(slow & stable)
1
Soumya (clean)
Achha (clear)
1/2
1/2
1/3
1/3
Durbhag
(ugly)
-------------
1
Gour( fair)
Tamra
(coppery)
Madhaya
bala
(medium)
------------
1/2
1/2
Prbhut piplu
Vyanga (freckes)
Tilpidika
(Black moles)
1/3
1/3
1/3
1
1/5
1/5
1/5
1/5
1
1
1

6. Sr.
No.
8.
Character
Vataj
Pittaj
C/f
Voice &
Speech
9.
Sweating
10.
Hair
11.
12.
Forehead
Eyebrows
13.
Eyelashes
14.
Eyes
No.
Pratat ruksh
(Hoarse)
Ksham (dry)
Sann (low)
Sakta (obstructed)
Jarjar (broken)
Bahubhashi
(talking in excess)
Alpa sveda
(less)
Ruksha (dry)
Alpa (scanty)
Saphutita (broken)
Dhusara
(brown blackish)
1/6
-------------Chala (mobile)
Anavasthit
(unstable& irregular)
Chal (mobile)
Anavasthita
(unstable)
Khara (rough)
Dhusara
Vritta
1/6
1/6
1/6
1/6
1/6
1
1/4
1/4
1/4
1/4
1/2
1/2
1/2
1/2
1/3
1/3
1/3
C/f
Vigrah vakta
(hostile)
discussion)
Prabuta
(excessive)
Kapil
(brown reddish)
Mridu (soft)
Alpa (scanty)
Kshipra palitya
(prone to greying)
Palitya
(grey)
-----------------------------------
Kaphaj
No.
C/f
No.
1
Abhiyogvan
(Skilled)
Parinishchitvakyapad
(talking about
definite things)
Prasann svara
(happiness in voice)
Alpa sveda
(less)
Sthira (stable)
Kutil(curly)
Ghana
(abundant)
Neel
(black)
1/3
Mahalalata (large)
Avasthit
(stable & regular)
1
1
Vishal pakshma
(long)
1
Susnigadha
Vishal
Raktanta
(congested canthii)
Suvyakta
1/4
¼
¼
1
1/5
1/5
1/5
1/5
1/3
1/3
1
1/4
1/4
1/4
1/4
1/5
Pingal (broken)
1/3
Alpa (scanty)
1/3
Chala (mobile)
1/3
Tamra (coppery)
1/4
Vritta
1/4
Himpriya
¼
(likes cold application)
Netra raag
¼
¼

7. Sr.
No.
Character
15.
Lips
16.
Teeth
17.
Tongue
18.
Palate
19.
Chin
20.
Face
21.
Limbs
22.
Nails
23.
Hands
24.
Feet
Vataj
C/f
Pittaj
No.
Anavasthita
1
(mobile & unstable)
Alpa (scanty)
1/3
Parush (dry)
1/3
Dantkhadi
1/3
(moves teeth while asleep)
Anavasthita
1
(Unstable)
Sphutita
1
(cracked)
Anavasthita
1
(mobile)
Parusha
1
(dry)
Sphutita
(cracked)
Parush (dry)
Alpa (scanty)
Parush (Dry)
Anavsthita
Sphutita (cracred)
1
Parush (Dry)
Anavsthita
Sphutita (cracred)
1/3
1/3
1/3
1/2
1/2
1/3
1/3
1/3
C/f
Tamra
Kaphaj
No.
C/f
No.
1
Upacita
Paripurna
Bahula
(Abundant)
1/2
1/2
1
1
--------------
--------------
Tamra
-------------Tamra
-------------1
Tamra
½
Krodhen madyen
1/2
ravesh cha masa
ragam
(becomes flushed
by anger, fear & sunrays)
Gaur
1/2
Ushna (hot)
1/2
--------------Tamra
Gaur r(fair)
Parusha (dry)
1/3
1/3
1/3
Tamra
Gaur r(fair)
Parusha (dry)
1/3
1/3
1/3
Upachita
1
paripurna (well formed)
--------------
Maha lalat uro
(large)
Suvibhakta
(well differentiated)
Snigadha (oily)
Soumya (clean)
Suvibhakta
(well differentiated)
Snigadha (oily)
Soumya (clean)
Suvibhakta
(well differentiated)
1
1
1/3
1/3
1/3
1/3
1/3
1/3

8. Sr.
No.
Character
25.
26.
Body odour
Joints
27.
Sira kandara
dhamani
Vataj
C/f
Pittaj
No.
------------------Chal
1/3
Anavasthita
1/3
Satata sandhi shabda 1/3
gamini ( crackling sounds
on movement)
Bahu kandara
1/3
Bahu sira pratan
1/3
Bahu dhamani
1/3
C/f
Kaphaj
No.
C/f
No
Prabhuta pooti
1
Mradu sandhi
1
(loose & soft joints)
----------------Gudha
Snigdha
Sushlishta
(firm & compact)
1/3
1/3
1/3
--------------------
------------------

9. Assessment of Deha Prakriti: Psychological factors
Sr.
Character
No.
Vataj
C/f
1.
Nature
& behaviour
2.
Memory
3.
Jealousy
4.
Anger
5.
6.
Truthfulness
Intellect
7.
8.
Greed
Self control
9.
Dignity
Pittaj
No.
Sheeghra kshobha 1/3
(easily irritable)
Sheeghra trasa raag 1/3
(quick in affliction with
fear & quick in likes &
dislikes)
Stena (thief)
1/3
Alpa (short)
1/3
Sheeghra shruta
1/3
grahi (quick grasping)
Chala (unstable)
1/3
Matsarya
1
(jealous)
Kroadhi
1
----------------Chal, avyavasthita
(unstable)
Lolupa
Ajitendriya
Heensattva
------------------
1
1
½
½
C/f
Ashrita vatsala
Abhimani
Kaphaj
No.
C/f
No.
½
½
Shanta
1
Smritimaan
1
Vineeta
(modest)
Alpa kroadh
Shaant
1
Satyavadi
Gambhir
1
buddhi (stable)
Alolupa
----------------
1
Sulajja
1
------------------
Irshyalu
(jealous)
Kshipra kopakshipra prasad
Chandda
(becomes violent)
------------------Medhavi
(intellectual)
-------------------------------------------------------
1
1/2
1/2
½
½
1
1

10. PRAKRITI
TOTAL CHARACTERS
OBSERVED CHARACTERS
PERCENTAGE
Vataja
45
________
/45 x100 =
Pittaja
36
________
/36 x100 =
Kaphaja
48
________
/48 x100 =
Resultant Prakriti: