Author: Prof. Y. K. Sharma Dean cum Principal Rajiv Gandhi Govt Post Graduate Ayurvedic College and Hospital Paprola - Himachal Pradesh

1. Ayurvedic Approach to Diagnosis and Treatment
Prof. Y. K. Sharma
Dean cum Principal
Rajiv Gandhi Govt Post Graduate Ayurvedic College and Hospital
Paprola - Himachal Pradesh

2. Diagnosis…….Gnosis i.e. to know
To know about and identify a Disease form its symptoms.
Now the scope of the word is broadened by definitions like:
-Clinical Diagnosis.
-Cytological Diagnosis.
-Differential Diagnosis.
-Pathological Diagnosis.
-Radio -Diagnosis
Diagnosis/Nidan

3. Trisutra Ayurveda:
i. Hetu – Causative factors.
ii. Linga – Signs and Symptoms
iii. Aushada – Drug/non Drug prescription for disease management.
Hetu and Linga constitute – Nidan or Diagnosis.
Aushada constitute - Chikitsa or Treatment.
However it is also considered essential to know Samprapati of Disease to actually
know the Disease Nidan
The three fundamental tools of Ayurveda –

4. Helps to understand-
i. Etiology of Disease.
ii. Etio-Pathogenesis.
iii. Plan of Management.
iv. Prognosis – Morbidity/ Mortality.
v. Community at risk , etc
Importance of Diagnosis:

5. 1. Subjective parameters of Disease : Complaints/Symptoms of disease.
2. Objective parameters of Disease: Signs of Disease and Investigations
Modern day Diagnosis is based on presence of :

6. It is based on-
1. Rogi Parikasha.
2. Roga Pariksha.
Ayurveda approach to Diagnosis of Disease:

7. 1. Hetu – Etiological factors.
2. Samprapati – Pathogenesis.
3. Poorva Roopa – Prodromal Signs and Symptoms.
4. Roopa – Signs and Symptoms.
5. Upashaya – Therapeutic Diagnosis.
Vyakti/Veda – Chronicity/Prognosis
Rog Pariksha or Nidan Panchak:

8. In Ayurvedic Diagnosis Clinician is not only supposed to
evaluate the status of disease but also the endurance power
of patient through various criterias.
1. Trividha Pariksha.
2. Shadvidha Pariksha.
3. Aashtavidha Pariksha.
4. Dashvidha Pariksha.
While first three help to trace Subjective and Objective
parameters of Diagnosis – Roga Bala.
Rogi Pariksha:

9. i. Metabolic Status.
ii. Immunological.
iii. Physical structure.
iv. Climate effect.
v. Tophographical effect.
vi. Psyche of Patient.
This in fact helps evaluate – Rogi Bala.
Thus approach of Ayurveda in diagnosis of disease is Holistic and not Reductionist.
The Fourth i.e. Deshvedha Parikasha is essential to evaluate:

10. Aim of Treatment: Any act or procedure adopted by Clinician for
restoration of Physical, Metabolic balance of body and makes the patient
free from sickness is treatment. It can be by:
1. Yuktivayapashrya.
2. Dev-vayapashrya.
3. Satavavijaya.
Or
Antaparimarjana
Vahyaparivarjana
Shastrapranidhana.
Ayurvedic approach to Treatment:

11. 1. Nidan Parivarjana – Avoidance of etiology.
2. Aahar Vihar – Life Style for a particular ailment.
3. Chikitsa Sutra for Samprapati Vigatana- Restoration of body physiology.
4. Lakshanik Chikitsa – Symptomatological treatment.
5. Prabhava chikitsa - specific management.
Cont…..
Modalities of Ayurvedic Treatment:

12. 6. Shalya Chikitsa.
7. Rasayan Chikitsa.
8. Panchkarma.
9. Anaushada Chikitsa, etc.
These are classified as
Shodhan Chikitsa
Shaman Chikitsa.

13. Specific modalities are advised in some specific diseases.
Such as:
1. Krimi chikitsa.
2. Rakat Pitta Chikitsa.
3. Amalapitta chikitsa.
4. Visha Chikitsa.
5. Madatya Chikitsa, etc
Disease specific treatment:

14. i. Collect data
ii. Identify pathology
iii. Evaluate data reliability
iv. Determine the distinctive feature
v. Arrive at a diagnosis
vi. Check diagnostic criteria
vii. Resolve diagnostic uncertainty
Seven Steps for Diagnosis:

15. 1. Standard diagnostic nomenclature is essential for communication
with other professionals.
2. Diagnosis sets a path toward appropriate treatment.
3. The diagnostic process helps differentiate problems.
4. Accurate diagnosis is necessary for the research foundation of
evidence-based practice.
5. Help evaluate process of recovery/deterioration
Why Diagnosis is essential?

16. Ayurveda approach to diagnosis is holistic where Etiological
factors , Understanding the underlying pathogenesis is essential.
But equally essential is evaluation of the patients inherit strength
which has potential to modify the treatment as well effect the
morbidity and mortality of disease.
However modern day methodology of investigating the patient
for subjective and objective parameters can not be ignored as
they are equally important for evidence based management as
well as reproducibility of prescription.
Final Word:

17. THANK YOU