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Ashtastana pariksha

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Clinical Aspects of Ashtasthana Pariksha by Ayurmitra Nadi Bhishak Prof. KSR Prasad (Technoayurveda)

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Ashtastana pariksha

  1. 1. Clinical Aspects ofClinical Aspects of  Ashtasthana Pariksha inin Ayurmitra Nadi Bhishak Prof KSR Prasad (Technoayurveda)Prof. KSR Prasad (Technoayurveda) Guest Lecture @ RRAMCH, Humnabad, Karnataka On 27‐07‐2020On 27‐07‐2020 Dr. K. Shiva Rama Prasad, at http://technoayurveda.wordpress.com/
  2. 2. I d i Clinical aspects of Ashtasthana Pariksha Introduction  • The disease diagnosis is the foremost activity  h i h i h diwhen ever a patient approaches with disease  • The identification of the nature of an illness or  other problem by examination of the  symptoms is diagnosis  • In medicine we do medical diagnosis  Dr. K. Shiva Rama Prasad, at http://technoayurveda.wordpress.com/ 33
  3. 3. M di l di i Clinical aspects of Ashtasthana Pariksha Medical diagnosis • Medical diagnosis (abbreviated Dx or DS) is the ed ca d ag os s (abb e ated o S) s t e process of determining which disease or  condition explains a person's symptoms and  signs.  • It is most often referred to as diagnosis with  th di l t t b i i li itthe medical context being implicit. • This diagnosis is – Clinical, Instrumental,  Radiological Biochemical etcRadiological, Biochemical, etc.  • Ayurveda speaks different levels diagnostic  methods such as – 10 vidha 8 vidha etcmethods such as  10 vidha, 8 vidha, etc.  Dr. K. Shiva Rama Prasad, at http://technoayurveda.wordpress.com/ 32
  4. 4. Clinical aspects of Ashtasthana Pariksha Name of Method Folds in Examination 1 Dwividha Pariksha Pratyaksha, Anumana 2 Trividha Pariksha Darshana, Sparshana, Prashna 3 Panchvidha Pariksha Panchendriya 4 Shadvidha Pariksha Panchendriya , Prashna 5 Ashtavidha Pariksha Nadi, Mutra, Mala, Jihwa, Shabda, Sparsha, Drik, Akruti 6 Dashavidha Pariksha Prakruti, Vikruti, Sara, S h S t S tSamvahana, Satmya, Satwa, Pramana, Vaya, Vyayamashakti, Aharashakti Dr. K. Shiva Rama Prasad, at http://technoayurveda.wordpress.com/ 31 Aharashakti
  5. 5. E i ti Clinical aspects of Ashtasthana Pariksha Examination • Ayurveda follows the ways of diagnosingAyurveda follows the ways of diagnosing  disease and bring back to Normalcy  • Proper clinical examination facilitates correct• Proper clinical examination facilitates correct  diagnosis  Di i d f di b d• Diagnosis and treatment of diseases are based  on the information derived from two areas: – Examination of the Patient (Rogi pariksha) – Examination of the Disease (Roga pariksha) Dr. K. Shiva Rama Prasad, at http://technoayurveda.wordpress.com/ 30
  6. 6. A h h P ik h Clinical aspects of Ashtasthana Pariksha Ashtasthana Pariksha Yogaratnakara has advocated Eightfold Examination ‐g g Ashtavidha Pariksha of a patient.  1. Naadi Pariksha (Pulse) 2 M P ik h (U i )2. Mootra Pariksha (Urine) 3. Mala Pariksha (Stool) 4 Jiwha Pariksha (Tongue)4. Jiwha Pariksha (Tongue) 5. Shabda Pariksha (Voice and speech of the patient) 6. Sparsha Pariksha (Touch, skin, and tactile sense)p ( , , ) 7. Druk Pariksha (Eyes and Vision) 8. Akriti Pariksha (General body build) Dr. K. Shiva Rama Prasad, at http://technoayurveda.wordpress.com/ 29
  7. 7. 1 N di P ik h Clinical aspects of Ashtasthana Pariksha 1. Nadi Pariksha • Nadi Pariksha is very old ayurvedic techniqueNadi Pariksha is very old ayurvedic technique  of diagnosis available more than 2500 years • Nadi precisely can diagnose Dosha, Mind,Nadi precisely can diagnose Dosha, Mind,  emotional imbalances and diseases. • Nadi is observed from Jeevasakshini atNadi is observed from Jeevasakshini at  Karamoola (Wrist) with 3 fingers  • The strength, rhythm, speed, and quality ofThe strength, rhythm, speed, and quality of  the pulse are examined to reach the  conclusion.  Dr. K. Shiva Rama Prasad, at http://technoayurveda.wordpress.com/ 28
  8. 8. N di T Clinical aspects of Ashtasthana Pariksha Nadi Types • Nadi is referred to two impulsesNadi is referred to two impulses  – The first one is Nerve generated electrical  impulses from Ida, Pingala and Sushumna – The second is Hemodynamic generated blood  wave in the radial artery  • The Messenger pulse or Doota nadi is also in  practice • The pulse have impact of food ingestion,  seasons, and circadian rhythms  Dr. K. Shiva Rama Prasad, at http://technoayurveda.wordpress.com/ 27
  9. 9. Clinical aspects of Ashtasthana Pariksha Dr. K. Shiva Rama Prasad, at http://technoayurveda.wordpress.com/ 26
  10. 10. N di i i Clinical aspects of Ashtasthana Pariksha Nadi examination  • Nadi pariksha is done by Index Middle andNadi pariksha is done by Index, Middle and  Ring finger – they represent Vata, Pitta and  KaphaKapha • We need to observe  Dr. K. Shiva Rama Prasad, at http://technoayurveda.wordpress.com/ 25
  11. 11. Depth identification Clinical aspects of Ashtasthana Pariksha Depth identification Dr. K. Shiva Rama Prasad, at http://technoayurveda.wordpress.com/ 24
  12. 12. Jeeva Sakshini Clinical aspects of Ashtasthana Pariksha Jeeva Sakshini Dr. K. Shiva Rama Prasad, at http://technoayurveda.wordpress.com/ 23
  13. 13. Pulse wave Interpretation Clinical aspects of Ashtasthana Pariksha Pulse wave Interpretation   a,b,c,d,e wave of five component a b c e a,b,c,d,e wave of five component Vruddhatara Dosha or +2 Vruddha Dosha or +1 d Baseline Heena Dosha or ‐1 Heenatama Dosha or ‐2 Dr. K. Shiva Rama Prasad, at http://technoayurveda.wordpress.com/ 22 b
  14. 14. E l f N di Clinical aspects of Ashtasthana Pariksha Example of Nadi • Normal Rakta = Guru UhnaNormal Rakta = Guru, Uhna • Ama Rakta = Guru, Manda k h G h• Rakta Dosha = Guru, Khara • Rakta Dushti = Guru, Deergham, Dhruta,  Vegavati • Many Nadi courses are offered like Basic Nadi, y , TANTU Nadi, Sankhya Nadi, Nakshtra Nadi,  Agastya Nadi, etcg y , Dr. K. Shiva Rama Prasad, at http://technoayurveda.wordpress.com/ 21
  15. 15. N di i di Clinical aspects of Ashtasthana Pariksha Nadi in mor diseases  • Vata Rakta = Sthira Nischala Krusha KruraVata Rakta = Sthira, Nischala, Krusha, Krura • Grudhrasi = Sthula, Manda, Vakragamini d i h hil G bhi• Amavata = Manda, Pichchila, Gambhira,  Sphutita, Vikampini • Granthi = Sukshma, Shushka, Manda,  Vishirnagamana • Gulma = Vikampini, Paravatagati Dr. K. Shiva Rama Prasad, at http://technoayurveda.wordpress.com/ 20
  16. 16. 2 M ik h Clinical aspects of Ashtasthana Pariksha 2. Mutra pariksha • The urine examination in Ayurveda is veryThe urine examination in Ayurveda is very  wide • Many qualities and parameters are used to• Many qualities and parameters are used to  examine urine and in Pameha many diseases  are diagnosed on the same basisare diagnosed on the same basis  – Sandra, Sandra Prasada, Sikata, Sukla, Ushna f• Ayurveda measuring temperature, specific  gravity etc.  Dr. K. Shiva Rama Prasad, at http://technoayurveda.wordpress.com/ 19
  17. 17. T il bi d ik h Clinical aspects of Ashtasthana Pariksha Taila bindu pariksha • Urine collected in a round low bottom vessel and  a drop of oil is dropped in the collected urine very  lightly with the help of grass (truna).  • As oil is lighter than urine oil spreads over the• As oil is lighter than urine, oil spreads over the  urine.  • Observations & conclusions are made on theObservations & conclusions are made on the  basis of direction, shape & speed of spreading of  oil drop. S ( k h ) V t– Sarpa (snake shape) Vata  – Chhatra (Mushroom shape) Pitta  – Muktaa (free shape) Kapha  ( p ) p Dr. K. Shiva Rama Prasad, at http://technoayurveda.wordpress.com/ 18
  18. 18. T il bi d I f Clinical aspects of Ashtasthana Pariksha Tailabindu Inference • Direction CurablenessDirection  Curableness  • East  Sighramsukhi (Early curable)  • South Kramen sadhyam ( bl b )• South  Kramen sadhyam (curable step by step)  • North  Curable (arogita samprajayate)  • West  Sukha Aarogya (Health &Pleasure)  • North‐East  masen nashyati (Must die in 1 month)  • South‐East  Maranam (Must die)  • South‐West  Maranam (Must die) ( ) Dr. K. Shiva Rama Prasad, at http://technoayurveda.wordpress.com/ 17
  19. 19. Ch i i d d h Clinical aspects of Ashtasthana Pariksha Changes in urine due to doshas • Color & Physical appearance  Vitiated Dosha y pp • Pandur (pale), Nila, Ruksha Vata  • Rakta, Pita, Aruna (reddish)  Pitta  • Snigdha, Safena, Pallava varitulya  Kapha  • Shweta, Budbudabham Vata‐Kapha  • Kalusha, Sarakta Kapha‐Pitta  • Dhumrajalabha, Ushna Pitta‐Vata  K i h Mi h S i t• Krishna, Mishra varna Sannipata • Snigdha, Ushna, Rakta  Rakta Dr. K. Shiva Rama Prasad, at http://technoayurveda.wordpress.com/ 16
  20. 20. h i i d i di i Clinical aspects of Ashtasthana Pariksha Changes in urine due to Disease condition  • Tandula toyavat AjrnaTandula toyavat Ajrna • Dhumra varna, Bahumutra Nava jwara  h• Bahumutra Amavata • Asruk sadrusha (like blood), pita Jirna jwara • Rakta, Pita Kamala  • Pita Sarakta Pittaja MutrakruchchhaPita, Sarakta Pittaja Mutrakruchchha • Sapichchha Kaphaja Mutrakruchchha Dr. K. Shiva Rama Prasad, at http://technoayurveda.wordpress.com/ 15
  21. 21. 3 M l P ik h Clinical aspects of Ashtasthana Pariksha 3. Mala Pariksha • Direct examination of the fecal matter by theDirect examination of the fecal matter by the  naked eye can tell a lot about the digestive  state of the body.  • The colour, consistency, floating nature, smell,  presence of blood or mucus in stool gives a lot  of information about various dosha imbalances or diseases • Saama Nirama condition of the feces is noted  specifically in Ayurveda  Dr. K. Shiva Rama Prasad, at http://technoayurveda.wordpress.com/ 14
  22. 22. J l Ni jj P i h P ik h Clinical aspects of Ashtasthana Pariksha Jala Nimajjana Purisha Pariksha • A specialized technique of stool examinationA specialized technique of stool examination,  is conducted to detect the presence of Ama  thereby inferring the status of Agnithereby inferring the status of Agni  • If stool sinks in water it has ama dosha and if  not then it is normalnot then it is normal. Dr. K. Shiva Rama Prasad, at http://technoayurveda.wordpress.com/ 13
  23. 23. 4 Jih ik h Clinical aspects of Ashtasthana Pariksha 4. Jihwa pariksha • The colour shape coating of aThe colour, shape, coating of a  tongue can be indicative of many  digestive abnormalitiesdigestive abnormalities. • Commonly we observe only sama nirama conditionnirama condition  • But the exclusive tongue diagnosis  b d Chi dcan be made – Chinese made a  special efforts for it  Dr. K. Shiva Rama Prasad, at http://technoayurveda.wordpress.com/ 12
  24. 24. Clinical aspects of Ashtasthana Pariksha Dr. K. Shiva Rama Prasad, at http://technoayurveda.wordpress.com/ 11
  25. 25. 5 Sh bd P ik h Clinical aspects of Ashtasthana Pariksha 5. Shabda Pariksha • This have a contradiction and confusionThis have a contradiction and confusion  • Many say that it is the sounds which we have  to feel from the patient like intestinal garglingto feel from the patient like intestinal gargling,  Heart sounds, Plural rub, cripitus etc.   O h h h i i i b• Others say that the patient voice is to be  evaluated as Deena, Gadagada, Kaphachada,  etc.  • Both are appreciable  Dr. K. Shiva Rama Prasad, at http://technoayurveda.wordpress.com/ 10
  26. 26. 6 S h P ik h Clinical aspects of Ashtasthana Pariksha 6. Sparsha Pariksha • The tactile perception or touch reveals manyThe tactile perception or touch reveals many  aspects • Cold, hot, smooth, rough, soft, hardCold, hot, smooth, rough, soft, hard  perceptions, fever, edema etc. should be  examined through tactile perception. • Skin is – – moist/wet in Kapha diseases, / p , – Hot  in Pittaja and  – rough and cold in Vataja disorders Dr. K. Shiva Rama Prasad, at http://technoayurveda.wordpress.com/ 9
  27. 27. 7 D k P ik h Clinical aspects of Ashtasthana Pariksha 7. Druk Pariksha • Different types of eye features may reflect theDifferent types of eye features may reflect the  personality of a person as well as the state of  his healthhis health. • The colour of the sclera, conjunctiva, size of eyeball,  shape, and the area around the eyes give insight intoshape, and the area around the eyes give insight into  various serious metabolic diseases. Dr. K. Shiva Rama Prasad, at http://technoayurveda.wordpress.com/ 8
  28. 28. D h i Ak hi Clinical aspects of Ashtasthana Pariksha Dosha in Akshi • If your body is dominated by the Vata then theIf your body is dominated by the Vata then the  eyes look sunken, dry and smoky. • On aggravation of Pitta eyes appear red or• On aggravation of Pitta, eyes appear red or  yellow in colour and the patient suffers from  photophobia and burning sensationsphotophobia and burning sensations. • Kapha predominance eyes appear wet,  l l d d i f llusterless and watery and a patient may feel  heaviness in the eyelids. Dr. K. Shiva Rama Prasad, at http://technoayurveda.wordpress.com/ 7
  29. 29. Di b d i E Clinical aspects of Ashtasthana Pariksha Diseases observed in Eye • Prominent/bulging eyes can be a symptom ofProminent/bulging eyes can be a symptom of  thyrotoxicosis,  • Yellow conjunctiva can be seen in case of• Yellow conjunctiva can be seen in case of  weak liver or jaundice,  i hi i d i i• prominent white ring around iris represents  joint degeneration with a probability of  h i iarthritis Dr. K. Shiva Rama Prasad, at http://technoayurveda.wordpress.com/ 6
  30. 30. 8 Ak i i P ik h Clinical aspects of Ashtasthana Pariksha 8. Akriti Pariksha Examination of Akruti include Diagnosis of hair, nails and g , other body organs can reveal many signs which point  towards different diseases. K h liti h il ki ll b ilt b d d• Kapha personalities have oily skin, well‐built body and  joints, tolerance to hunger, thirst, hardship, hot sun. • Pittaja personalities have strong appetite and thirst,Pittaja personalities have strong appetite and thirst,  fair complexion, they are brave, bold and egoistic and  less hair. • Vataj personalities are prone to many diseases and  have split hairs and dry skin with Dhusara Varna, and  they dislike cold things and atmosphere.they dislike cold things and atmosphere. Dr. K. Shiva Rama Prasad, at http://technoayurveda.wordpress.com/ 5
  31. 31. G i i i Clinical aspects of Ashtasthana Pariksha Gait examination  • The gait will play a big role in AkrutiThe gait will play a big role in Akruti examination – The method of examination is ‐ • a Initial contact (heel strike)• a. Initial contact (heel strike) b. Load response (foot flat) c Mid stance (single leg stance)c. Mid‐stance (single leg stance) d. Push off: T i l (h l ff)• Terminal stance (heel off) • Pre swing (toe off) Dr. K. Shiva Rama Prasad, at http://technoayurveda.wordpress.com/ 4
  32. 32. G i l Clinical aspects of Ashtasthana Pariksha Gait cycle Dr. K. Shiva Rama Prasad, at http://technoayurveda.wordpress.com/ 3
  33. 33. G i A l i Clinical aspects of Ashtasthana Pariksha Gait Analysis 1. Pelvic tilt: Normally, iliac crest on the side of swing leg drops  appro imatel 5º belo hori ontal at mid stance of opposite legapproximately 5º below horizontal at mid‐stance of opposite leg 2. Pelvic rotation: Normally, during swing phase, pelvis on ipsilateral side  rotates 4º anteriorly and the pelvis rotates 4º posteriorly on opposite  side 3. Lateral tilt: Normally, during stance phase, pelvis and trunk shifts 1 inch  towards the stance phase legp g 4. Width of base (horizontal distance between 2 feet during double  support): Normally, 2‐4 inches wide 5 St id l th (di t b t 2 ti h l t ik f th5. Stride length (distance between 2 consecutive heel strikes of the same  foot): Equal for both legs 6. Step length (distance between heel strike of one foot to the heel strike  of another foot: Equal for both legs Dr. K. Shiva Rama Prasad, at http://technoayurveda.wordpress.com/ 2
  34. 34. M G i Clinical aspects of Ashtasthana Pariksha Many Gaits • 1st row (from left to right):( g ) • Scissoring gait,  • Ataxic gaitAtaxic gait,  • Circumduction gait 2nd row (from left to right): ( g ) • Gluteus maximus gait,  • Steppage gaitSteppage gait,  • Trendelenburg gait Dr. K. Shiva Rama Prasad, at http://technoayurveda.wordpress.com/ 1
  35. 35. Clinical aspects of Ashtasthana Pariksha Dr. K. Shiva Rama Prasad, at http://technoayurveda.wordpress.com/ 0 Facebook live stream : rtmps://live‐api‐s.facebook.com:443/rtmp/
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Clinical Aspects of Ashtasthana Pariksha by Ayurmitra Nadi Bhishak Prof. KSR Prasad (Technoayurveda)

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