Diffrent types of ROGA AND ROGI PARIKSHA .pptx

DDiffrenttypes of rog and rogi pariksha

1. Roga and rogi pariksha

2. Introduction : A proper diagnosis of a disease is the basis for planning a proper treatment protocol. The clinical examination is twofold. It should be methodically done including these two stages of examination. They are as below mentioned. Roga pariksha - Disease Examination Rogi pariksha - Patient Examination

3. ROGA PARIKSHA Understanding the nature of the disease helps in accurate diagnosis of the disease. The disease should be examined to know: Vyadhi swabhav : The quality and nature of the disease Vydhi pramana : Quantity of the disease Nidana gyana : The cause of disease Poorvarupa gyana : Premonitory symptoms Rupa gyana : Signs and symptoms Upashaya – anupashaya gyana : Aggravating and pacifying factors

4. Samprapti gyana : The process of formation of disease ( pathogenesis ) Sadhyasadhyata : Prognosis of disease Updrava – udarka gyana : Complications and sequel of a disease

5. NIDANA PANCHAKA Nidana panchaka : Nidana panchaka ( 5 tools starting with nidana ) are the key tools used for ROGA PARIKSHA or the diagnosis of the disease and knowing the nature of disease. NIDANA : It helps us to learn about causative factors of the disease. The knowledge of which is the key to know why and how the disease process was initiated.

6. POORVARUPA : Premonitory symptoms of the disease which help in knowing the disease in the earlier stages of its manifestations RUPA : Signs and symptoms of a disease which help in understanding the manifested disease

7. UPSHAYA – ANUPSHAYA : Identifying a disease or diagnosing it on the basis of trial and error method after analyzing the aggravating and pacifying factors operating on a disease SAMPRAPTI : We can understand the process or steps in which the chain of events leading from ‘exposure to causative factors’ to the ‘manifestations of the disease’ occurs i.e. pathogenesis of the disease.

8. ROGI PARIKSHA Rogi pariksha should be done to know : Prakruti : Basic constitution of the patient. Vikruti : The changes occurring in the basic prakruti or morbid changes taking place in different parts of the body or mind or both in relation to prakruti . It is imbalances of prakruti .

9. Sara : Quality and quantity of the tissues. Samhanana : Compactness of the body. Pramana : Measurements of the body parts and calculations of components to differentiate between normal and abnormal condition of the body. Satmya : compatibilities related to the patient.

10. Satwa : Mental strength , tolerance levels, emotions and moods of the patient. Aahara shakti : Assessment of metabolism and digestion capacity. Vyayama shakti : Exercise tolerance of the patient. Vaya : Age of the patient.

11. Bala : Physical built strength and immunity of the patient. TOOLS OF ROGI PARIKSHA : There are many ways in which rogi pariksha is conducted. They are as below : Dwividha pariksha : Pratyksha and Anumana

12. Trividha pariksha : Darshan ( Inspection ) Sparshan ( Palpation /percussion ) Prashna ( Interrogation or questioning ) Chaturvidha pariksha : Pratyksha Anumana ( Inference ) Aptopdesha ( learnt through shastra & teachings ) Yukti ( Situational application of knowledge )

13. Shadvidha pariksha : Chakshurindriya dwara pariksha : examination by seeing ( inspection ) Ghranendriya dwara pariksha : examination through smelling Shravanendriya dwara pariksha : examination through hearing ( auscultation ) Jihvendriya dwara pariksha : examination through taste Sparshanendriya dwara pariksha : examination through touch( palpation ) Prashna pariksha : interrogation

14. Ashta vidha pariksha : Nadi ( Pulse ) Mala ( Stoola ) Mootra ( Urine ) Jihva ( Tongue ) Drik ( Eye ) Shabda ( Sound ) Sparsha ( Touch ) Akriti ( Built, gait, decubits etc )

15. Dasha vidha pariksha : Prakruti , vikruti , sara , samhanana , pramana , stva , satmya , aahra shakti , vyayam shakti , vaya

16. IMPORTANCE OF PARIKSHA Rogi pariksha and roga pariksha together forms the basis of a comprehensive protocol of examination wherein the exact nature of the DISEASE and DISEASED would be clearly known. Pariksha helps in proper diagnosis of a disease. It helps in proper assessment of disease process, step by step. Helps in knowing the physical and mental condition of the patient.

17. Knowing the prognosis and thereby getting a clear idea of one’s limitation in terms of handling a case. It helps the physician to decide if he can handle the case or if it would be wise enough to refer the case to related specialities. Helps in planning a comprehensive treatment protocol ( including diet and lifestyle recommendations )

18. A comprehensive treatment can be planned and administered only if the diagnosis of a disease is properly made and the condition of the diseased known. For this to happen, the physician should be well versed in the knowledge of examination. Therefore, clinical examination of the ‘DISEASE AND DISEASED’ form the cream of clinical success. A physician will get success in treatment when he understands roga properly.

19. Difference between roga & rogi pariksha Introduction : The first & foremost step is to examine the patient and study the disease form in the patient, diagnose the disease and then start the treatment on the basis of paiksha . Disease is identified by its clinical features expressed in the patient. A physician having complete knowledge about examination of patient before the treatment.

20. Roga pariksha is the analysis of a disease. It is the complete study of roga and its characters. What is the cause of the disease, how the causative factor entered the body, what are its consequences, what are the features….. All these come under ROGA PARIKSHA . This can be achieved through NIDANA PANCHAKA and SHAT KRIYAKALA .

21. Rogi pariksha is examination of the patient who is suffering from disease. Observing the symptoms, examine the body & body parts comes under rogi pariksha . Trividha , chaturvidha , shadvidha,ashtavidha dashavidha pariksha are used for rogi pariksha . Inspection, palpation, percussion, auscultation, interrogation are different means to examine the patient.

22. The roga pariksha may need texual knowledge. But for rogi pariksha a physician needs good skill, intelligence, long practice, training and sharp perception ability. Thus ROGA pariksha is examination and understanding the disease while ROGI pariksha is examination of patient and his condition. Both are necessary for proper diagnosis of disease.

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