Pulse to panchakarma

Selection of Panchakarma through gNadi Pareeksha (Pulse Diagnosis) –

A U i S tA Unique SystemKSR PrasadKSR Prasad

Professor, Panchakarma

http://www.technoayurveda.com/

Selection of Panchakarma through Pulse Diagnosis

Introduction

• Nadi Pareeksha (Pulse diagnosis) is a fantasy of h A di Ph i ithe Ayurvedic Physician

• We lost the precision of information and t h l i th titechnology in the time

• Still with the information available through the doctrines of Ayurveda we are able to relocatedoctrines of Ayurveda we are able to relocate and retrieve wisdom of Nadi Vijnana

Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/


Nadi (Pulse)

• Nadi Pareesksha is one among the eight methods of examining a patient e ods o e g p e

• We examine a patient for the understanding of –of –– Rogi Prakriti (Patient Body Constitution) – Vyadhi Prakriti (Disease Constitution)– Dosha Prakriti (Humoral Constitution)



History of Nadi (Pulse)

• Brihatrayee gives k l d fknowledge of –– SpandanaSpandana– Praspandana– Aspandana, – but not focus diagnostic orbut not focus diagnostic or

prognostic Nadi



Laghutrayee• SHARANGADHARA (13th A.D) ( )

– First time mentioned 15 types of Nadi that include –physiological, Psychological and pathological states of body correlated with those of the birds, reptiles and amphibians. 24 notable nadi are described for Nadi pareeksha“D t di” (M l ) l i A dh– “Dootanadi” (Messenger pulse) – popular in Andhra

• BHAVAPRAKASHA 15th century AD –– Gender based Nadi– Three finger usage for thridosha

• YOGARATNAKARA (16th century AD.)– included different Sites and methods of pulse examination and

i / di i h dprognostic / diagnostic methodsDr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/


Check ‐ History of Nadi (Pulse)B j (17th t AD )• Basavarajeeyam (17th century AD.)

• Ashtastanas for Nadi and Diseases coming under it are mentioned. The primary are three ‐mentioned. The primary are three 1) Wrist – Hasta (radial artery) 2) Neck – Kantha (carotid artery)3) Nose – Nasa (facial artery branch) The other areas where Nadi is witnessed are ‐– Ankle ‐ Paada (posterior tibial artery) – Penis (pudendal artery)Elb (b hi l t )– Elbow (brachial artery)

– Ear (superficial temporal artery) – Eye (supra orbital)Eye (supra orbital)



History of Nadi (Pulse)• VaidyachinthamaniVaidyachinthamani• Mentioned Ajeerna Nadi along with Dosha

dinadi.• RavanaThantra• Ravana in his treatise Nadi Pareeksha included Nadi after taking certain diets along withNadi after taking certain diets along with prognosis, physiological, Psychological and pathological conditions and diseases



Panchakarma

• Panchakarma is a procedural part of A d h i bli h d f hAyurveda therapeutics established for the Dosha elimination from the Body either from oral or rectal route (GI system)

• In due course the Panchakarma extended to• In due course the Panchakarma extended to get rid of the Physical and Psychological D h l t d b i t lDosha accumulated by environmental or Dietetic misbehaviors



Panchakarma

• Five karma are told as “Shodhana” / (Eliminative) “Langhana” in nature based(Eliminative) Langhana in nature based on “Bahudosha Nirharana”

• But only two are fully capable (Poorna• But only two are fully capable – (PoornaShodhana)

“V ” (U GI l )– “Vamana” (Upper GI cleanser) – “Virechana” (lower GI cleanser) Th h h i l f li i i• The other three are partial for elimination as they are used for Brimhana



Panchakarma

• Karma are attributed to Dosha –– Vata – Vasti (Basti)Vata Vasti (Basti)– Pitta – Virechana– Kapha – Vamanaap a a a a

• The selection of patient for the karma are commonly based on Disease y

• We observe “Fitness” of patient • But many times the expected results are notBut many times the expected results are notobserved as the “Karma” is not suitable for thesituation



Selection

• Thus the “Selection of Panchakarma” through “N di P k h ”“Nadi Parrekshana”

• We need sound knowledge of –g– What is Nadi PareekshanaHow it is classified– How it is classified

– What is the procedure of initiation – How to interpret the knowledge



What is pulse (Nadi) wave?– An objective criterion for diagnostic or

Prognostic conditions through the waves og os c co d o s oug e w vesof blood transported in the vessels

– The wave dynamics depends upon theThe wave dynamics depends upon the stroke volume and contents along with the obstructions caused in the path waythe obstructions caused in the path way

– It offers even much more information alsoalso



Classification Th l ifi ti f N di P k h b d tilitThe classification of Nadi Parreksha based on utility can be –– Predictive Nadi diagnosis – for Prakruti assessment –proportionateproportionate

– Diagnostic Nadi diagnosis –disease understanding – by g ydifferent static principles of movements described in the text D i N di di i d f– Dynamic Nadi diagnosis – used for understanding disease & prescribing medicine or procedure p g p



Classification Th l l f N di di ti l

• 1st level –Interpretation of Disease

There are levels of Nadi prediction also

p• 2nd level – Interpretation of Psyche• 3rd level Interpretation of Dosha• 3rd level – Interpretation of Dosha• 4th level – Interpretation of Vitality• 5th level – Interpretation of Tissue• 6th level – Interpretation of Mindp• 7th level ‐ Interpretation of Constitution



Predictive Nadi diagnosis• This is superficial in nature• Interpreted with Rate, Rhythm, Blood vessel consistency, etc.

• Commonly used for “Dosha” involvement colloquially i i i d i h f i lin Disease interpreted with movement of animals



Predictive Nadi diagnosis

• Index finger – Vata –movement resemblesmovement resembles snake

• Middle finger Pitta• Middle finger – Pitta ‐movement resembles FrogFrog

• Ring finger – Kapha ‐mo ement resemblesmovement resembles Swan



Predictive Nadi diagnosis

• Other examples are –• Index finger – Vata –• Index finger – Vata –movement resembles Earth Worm

• Middle finger – Pitta ‐movement resembles Crow

• Ring finger – Kapha ‐movement resembles Pigeon



Predictive Nadi diagnosisVATA PULSE PITTA PULSE KAPHA PULSE

CHARACTERISTICS Fast , feeble , cold , light , thin , disappears on

Prominent , strong , high amplitude , hot forceful lifts

Deep , slow , broad , thick , cool ,regulardisappears on

pressurehot , forceful , lifts up the palpating finger

regular

LOCATION Best felt under the Best felt under the Best felt under theLOCATION Best felt under the index finger

Best felt under the middle finger

Best felt under the ring finger

GATI Moves like a cobra Moves like a frog Moves like aGATI Moves like a cobra Moves like a frog Moves like a swimming swan



Diagnostic Nadi diagnosis• The diagnostic Nadi is based upon the various• The diagnostic Nadi is based upon the various examples given from text to know a disease or condition

• They are based on Gati – momentum • Different examples are given here with resembling

t f th i t i lmomentum of the insects or animals



Diagnostic Nadi diagnosis• Krumi gathi – parasites , worms• Pippilika gathi – terminal illness• Mayura gathi – arterial hypertension• Kukkuta gathi – diabetes , albuminuria• Ushtra gathi – aortic stenosis• Gaja gathi – elephantiasis, lymphatic obstruction

h h bl k• Girija gathi – heart block• Vishama gathi – pulsus alterans , atrial fibrillationD thi f t l ill l f il h k• Damaru gathi – fatal illness , renal failure , shock

• Padma gathi – perfect health , enlightenment



Prasad’s Dynamic Nadi Diagnosis

• This is inventory method of me with various i dexperiences encountered

• In this a blind method is observed to assess the condition and inter relation of the Dosha– quantification – Organ ‐ sub dosha –– quantification – Organ ‐ sub dosha –system – dhatu – etc.

• Subjected for validation


B i f l ti l


Basic wave of acceleration pulse wave

• In a blood vessel the flow in a• In a blood vessel the flow in a rhythm hitting the two walls with a velocity

“ ”

a

c

• Dosha “tara‐ tama Anupalabdi” is made with the intensity of the hit to the finger

e

g• Pravruddha (a) heena (e) and

madhyama (c) are observed Thi ld b i %

b

d

• This could be even in % • Time Duration between two hits

at the finger gives duration of

a,b,c,d,e wave of five component

at the finger gives duration of specific dosha movement from its Sthaana (b) (dosha place) to reach Dooshya (c)(disease place)reach Dooshya (c)(disease place)



Panchakarma reflection

• As the Urdhwa and Adho Doshahara method f ll d i P h kare followed in Panchakarma . . .

– Urdhwa Dosha Nirharana (Vamana)• Kapha (Bahu dosha) – Hrullasa• Pitta (Alpa dosha) – Amlodgara( p ) g

– Adho Dosha Nirharana (Virechana) • Pitta – (Bahu dosha) – Guda DaahaPitta (Bahu dosha) Guda Daaha• Vata – (Alpa Dosha ‐ Anulomana) – Vayu nirgamana



Procedure of PDND• Sit comfortable (both patient and• Sit comfortable (both patient and doctor)

• First place your right hand on the• First place your right hand on the radial artery (Jeeva sakshini)

• Select right hand for male and leftSelect right hand for male and left hand for female – Record your readings y g

• Take patients both hands in to your hands placed three fingers on the gJeeva Sakshini– Record your readings



Interpretation of PDND• Each finger is divided inEach finger is divided in to two halves

• The half toward the Kapha Adho Kapha Dosha

Dosha GatiDosha‐FingerZ

patients hand represents the Urdhwa Dosha and the other part towards

Ring

Pitta Adho Pitta DoshaUrdhwa Kapha Dosha C

Y the other part towards the shoulder represents the Adho dosha

Middle

Vata Adho Vata Dosha

Urdhwa Pitta Dosha B

X• When pulse is found more than 60% of intensity at former it is

Index Urdhwa Vata DoshaA

intensity at former it is subjected for Vamanaand for later it is Vi h


Virechana

i


Interpretation • Vamana

Kapha Adho Kapha Dosha

Dosha GatiDosha‐FingerZ

• VamanaA + C = Ajeerna, SwasaMiddl

Ring

Pitta

U dh Pitt D h

Adho Pitta DoshaUrdhwa Kapha Dosha C

YSwasa

A + B = Ajeerna, PanduIndex

Middle

Vata

Urdhwa Vata Dosha

Adho Vata Dosha

Urdhwa Pitta Dosha B

XPandu

• Contra indicated A + S = Hrudroga

Index Urdhwa Vata DoshaA

A + S = Hrudroga• Virechana X + B = Ajeerna X + B = Ajeerna, Grahani B +

Stanantra samagataX + B = Ajeerna, Grahani

B +



PittaUrdhwa (Sadhaka Alochaka)

Kapha Urdhwa (Bodhaka, tarpaka)

Vata Urdhwa (Prana, Udana)

V t Adh (S A )

PittaUrdhwa (Sadhaka, Alochaka)

Vata Adho (Samana, Apana)

Pitta Adho (Pachaka, Ranjaka)

Kapha Adho (Kledaka, Avalambaka)Kapha Adho (Kledaka, Avalambaka)



Introduction

• KSR Prasad• Professor, Panchakarma



Thank you

He can do Miracle – Even you can do Miracle


y

Pulse to panchakarma

Health & Medicine

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