Selection of Panchakarma through Nadi Pareeksha (Pulse Diagnosis) – A Unique System KSR Prasad Professor, Panchakarma

1. Selection of Panchakarma through g
Nadi Pareeksha (Pulse Diagnosis) –
A U i S tA Unique System
KSR PrasadKSR Prasad
Professor, Panchakarma
http://www.technoayurveda.com/

2. 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/

3. Selection of Panchakarma through Pulse Diagnosis
Nadi (Pulse)
• Nadi Pareesksha is one among the eight
methods of examining a patiente 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)
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/

4. Selection of Panchakarma through Pulse Diagnosis
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
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/

5. Selection of Panchakarma through Pulse Diagnosis
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 methods
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/

6. Selection of Panchakarma through Pulse Diagnosis
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)
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/

7. Selection of Panchakarma through Pulse Diagnosis
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
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/

8. Selection of Panchakarma through Pulse Diagnosis
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
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/

9. Selection of Panchakarma through Pulse Diagnosis
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 – (Poorna
Shodhana)
“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
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/

10. Selection of Panchakarma through Pulse Diagnosis
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 not
observed as the “Karma” is not suitable for the
situation
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/

11. Selection of Panchakarma through Pulse Diagnosis
Selection
• Thus the “Selection of Panchakarma” through
“N di P k h ”“Nadi Parrekshana”
• We need sound knowledge of –g
– What is Nadi Pareekshana
How it is classified– How it is classified
– What is the procedure of initiation
– How to interpret the knowledge
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/

12. Selection of Panchakarma through Pulse Diagnosis
What is pulse (Nadi) wave?
– An objective criterion for diagnostic or
Prognostic conditions through the wavesog os c co d o s oug e w ves
of 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
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/

13. Selection of Panchakarma through Pulse Diagnosis
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 y
different 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
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/

14. Selection of Panchakarma through Pulse Diagnosis
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
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/

15. Selection of Panchakarma through Pulse Diagnosis
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
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/

16. Selection of Panchakarma through Pulse Diagnosis
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
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/

17. Selection of Panchakarma through Pulse Diagnosis
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
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/

18. Selection of Panchakarma through Pulse Diagnosis
Predictive Nadi diagnosis
VATA 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
pressure
hot , 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
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/

19. Selection of Panchakarma through Pulse Diagnosis
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
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/

20. Selection of Panchakarma through Pulse Diagnosis
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 fibrillation
D thi f t l ill l f il h k• Damaru gathi – fatal illness , renal failure , shock
• Padma gathi – perfect health , enlightenment
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/

21. Selection of Panchakarma through Pulse Diagnosis
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
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/

22. B i f l ti l
Selection of Panchakarma through Pulse Diagnosis
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)
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/

23. Selection of Panchakarma through Pulse Diagnosis
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
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/

24. Selection of Panchakarma through Pulse Diagnosis
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 g
Jeeva Sakshini
– Record your readings
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/

25. Selection of Panchakarma through Pulse Diagnosis
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‐Finger
Z
patients hand represents
the Urdhwa Dosha and
the other part towards
Ring
Pitta Adho Pitta Dosha
Urdhwa 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 Dosha
A
intensity at former it is
subjected for Vamana
and for later it is
Vi h
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
Virechana

26. i
Selection of Panchakarma through Pulse Diagnosis
Interpretation
• Vamana
Kapha Adho Kapha Dosha
Dosha GatiDosha‐Finger
Z
• Vamana
A + C = Ajeerna,
SwasaMiddl
Ring
Pitta
U dh Pitt D h
Adho Pitta Dosha
Urdhwa Kapha Dosha C
Y
Swasa
A + B = Ajeerna,
PanduIndex
Middle
Vata
Urdhwa Vata Dosha
Adho Vata Dosha
Urdhwa Pitta Dosha B
X
Pandu
• Contra indicated
A + S = Hrudroga
Index Urdhwa Vata Dosha
A
A + S = Hrudroga
• Virechana
 X + B = Ajeerna X + B = Ajeerna,
Grahani
 B +
Stanantra samagata
X + B = Ajeerna, Grahani
 B +
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/

27. Selection of Panchakarma through Pulse Diagnosis
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)
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/

28. Selection of Panchakarma through Pulse Diagnosis
Introduction
• KSR Prasad
• Professor, Panchakarma
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/

29. Selection of Panchakarma through Pulse Diagnosis
Introduction
• KSR Prasad
• Professor, Panchakarma
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/

30. Selection of Panchakarma through Pulse Diagnosis
Introduction
• KSR Prasad
• Professor, Panchakarma
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/

31. Selection of Panchakarma through Pulse Diagnosis
Thank you
He can do Miracle – Even you can do Miracle
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
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