Nadi pareeksha- Ayurvedic pulse diagnosis

NADI PAREEKSHA -it is the ancient form of pulse diagnosis which is included under ashtasthana pariksha.Examination of patient with certain criterias is detailed in Pariksha of Ayurveda.Detailed description of examination of Nadi (the pulse) from various references in Ayurveda including samhitas and other specific texts.

1. नाडी परीक्षा By Dr.B.S.Koushika ., B.A.M.S , M.D( Ayu ) DEPT OF PANCHAKARMA, SJSACH, chennai .

2. CONTENTS Introduction Definition And Etymology References Nadi Shareeram Why Radial Pulse? Nadi Paryaya And Karya Nadi Pareeksha Sthana Sites Of Pulse Examination Procedure Tridosha Principle In Nadi Rasa Principle In Nadi Ahara And Nadi Dhatus In Nadi Rogajnanam Types Of Abnormal Pulse Sadhyasadhyata In Nadi Mruthyu In Nadi 7 Levels Of Pulse Bibliography Conclusion

3. INTRODUCTION Sphygmology First Among Ashta Stana Pareeksha Ashta Stana Pareeksha (YO.RAT PUR KHA) Importance Of Nadi (YO.RAT.PUR.KHA)

4. DEFINITION & ETYMOLOGY NADI-STRI DHAMANI TRINADIKHANDA (AMARAKOSHA) NAL+ ACH PRATYAYA Vein Or Artery In The Body ( Atharvaveda ) Musical Instrument ( Rigveda )

5. REFERENCES BOOK AUTHOR Nadi Vijnana Maharshi Kanada Nadi Pariksha Raavana Sharangadhara Samhitha Sharangadhara Bhavaprakasha Bhavamishra Yoga Ratnakara Nayana Sekhara Basavarajiyam Basavaraja Nadijnana Darpana Bhudara Bhatta Nadijnana Tarangini Raghunath Prasad Shukla Nadi Darshana Tarashankar Mishra

6. BOOKS AUTHOR Nadi Nakshatra Mala Aswini Devatas Nadi Tatwa Darshana Satyadeva Vasishta Nadi Darpana Dattarama Patak Nadi Rahasya Ayodhyanath Pandey Ayurveda Vijnana Binodlal Sen Nadi Pariksha Shankar Sen Nadi Jnanam Venkatakrishna Shastry Secrets Of Pulse Vasant Lad

7. BRIHATHRAYEE

8. LAGHUTRAYEE

9. NADI SHAREERAM Sthula And Sukshma-3.5 Crore Nabhi Mula 1000 Sthula Nadi 700 Sukshma Nadi 24 Nadi At Nabhi One Yogya Nadi

10. WHY RADIAL PULSE? Anatomically Easy Above The Bone Nearest To Heart Rate, Rhythm, Consistency, Tension.

11. NADI PARYAYA, KARYA YO.RAT.PU.KHA.1/8 Urdhwa Nadi-sabdha,sparsha,rupa,rasa,gandha,prashwasa , Uchswasa,jrumbha,kshuth . Adhoga Nadi-vata,mutra,purisha,sukra , Artava Pravriti Tiryak Nadi-sweda , Rasa Pravriti .

12. NADI PAREEKSHA STANA JEEVA NADI: (SHA.SAM.PU.3/1)

13. PADHA NADI KARNAMULA NADI

14. KANTAMULA NADI NASAMULA NADI

15. SITES

16. TRIDEVATA NADI

17. PROCEDURE

18. YOGYA

19. AYOGYA

20. TIME FOR PAREEKSHA

21. IMPROPER TIME

22. BALA NADI DOSHARAHITA NADI SUBHANADI

23. PULSE RATE NORMAL PULSE RATE:60-100BEATS PER MINUTE

24. AGE PULSE RATE(BPM) NEW BORN 140 1-3YRS 125 3-6YRS 100 YUVA(13YRS ABOVE) 90 PROUDA(ABOVE 32YRS) 72 VRIDHA(48) 70 AFTER 72 77

25. TRIDOSHA IN NADI VATA NADI PITTA NADI KAPHA NADI

26. DWIDOSHA SANNIPATA

27. GATI

28. VATAPITTA VATAKAPHA PITTAKAPHA SANNIPATA SAMA NIRAMA

29. RASA IN NADI

30. AHARA AND NADI

31. FOOD NADI Guda,rambaphala,mamsa,ruksha,sushka,sheetala Vatapitta,nishchala Mamsa Sthira Dugdha Sheeta,bala Guda,kshara,pishta Sthira,manda Kushmanda,mulaka Manda Ksheera Manda,sthimita Brishta Ahara Sthira,manda

32. DHATUS IN NADI RASA RAKTHA MAMSA MEDA

33. ROGAJNANAM JWARA DOSHAJA JWARA KAMAJA JWARA BHUJA JWARA VISHAMA JWARA KRODHAJA JWARA

34. ATISARA AJEERNA PAKWAJEERNA MALAJEERNA VISUCHIKA KRIMIROGA GULMA ANAHA ARSHAS

35. ROGA NADI JWARA VEGAVAT,USHNA VATA JWARA VAJRA,CAPALA,SHEETA PITTA JWARA DRUTA,SARALA,DEERGA,USHNA KAPHAJWARA MANDA,STHURA,SHEETA BHUTAJWARA ATIVEGA KAMAJAJWARA VEGAVAT KRODHAJAJWARA VEGAVAT VISHAMA JWARA USHNA,VISHMAVEGA ATISARA MANDA,JALOUKA GATI ARSHAS STHIRA,VAKRA,MANDA` PAKWAJEERNA MANDA MALAJEERNA ANU,SUKHSMA SPANDANA

36. ROGA NADI UDAVARTA KASTATARA VATAJA SHULA VATANADI,VAKRA PITTAJA SHULA USHNA,STHIRA AMLAPITTA KAMPA,STULA,MANDA KASA SUKSHMA,STIRA,MANDA SWASA TEEVRA HRIDROGA KATINA,DRUTA MUTRAKRICHRA GARISHTA MUTRAGHATA MUHUSPURANA PRAMEHA SUKSHMA,MRIDU,GRANDHIRUPA APASMARA DRITA NIDRA KAPHA NADI SAMANA,MANDA

37. ROGA NADI AKSHEPAKA STULA,VEGAVAT APATANTRAKA CHANCHALA APATANAKA THIVRAGATI DHANUSTAMBA BALA,GAMBIRA ANTARAYAMA GAMBIRA,SHEEGRA PAKSHAGATA VATA NADI GRUDRASI STULA,MANDA,VAKRA KROSHTUKASHEERSHA GAMBIRA,MANDA PADADAHA USHNA,VEGAVAT,DRUTA AVABAHUKA VAKRA VATARAKTA STHIRA,KRURA AMAVATA KAMPA,GAMBHIRA,MANDA

38. ROGA NADI GALAGANDA KATINA GANDAMALA STULA KRIMIROGA NANAVIDHA SPANDANA GULMA KAMPA ANAHA GARISHTA,DRIDA MADATYAYA SUKSHMA,KATINA DAHA USHNA,CHANCHALA,VAKRA UNMADA USHNA,VAKRA,STIRA UDHARDA VEGAVAT,KRURA SLIPADA CHAPALA,STULA KUSHTA KATINA,STIRA MEDHAROGA KAPHAGATI,MANDA

39. ABNORMAL PULSE Tachycardia more than 100bpm Exercise, infants, anxiety, fever, hyperthyroidism Bradycardia less than 60bpm Sleep, athletic, hypothyroidism, heart block Occasionally irregular Extrasystole Regularly irregular Sinus arrhythmia, atrioventricular block Irregularly irregular Atrial fibrillation

40. Pulse apex deficit-diff in heart rate and pulse rate Atrial fibrillation (>10/min) Pulse volume abnormalities High volume pulse Exercise, pregnancy, age, increased temperature, arteriosclerosis, aortic regurgitation, fever, thyrotoxicosis , anemia , beri-beri Low volume pulse Shock, left ventricular failure, stenosis , effusion,hypovolemia Character of pulse Collapsing pulse Slow rising pulse Pulsus bisferiens Pulsus parvus Pulses bigeminus Pulsus alternans Pulsus paradoxus Anacrotic pulse Dicrotic pulse

41. Radio-femoral delay Coarctation of aorta Atherosclerosis Thrombosis or embolism Peripheral pulsations: Decreased upper limb pulse in takayasu’s disease Absence in peripheral vascular disease Coarctation of aorta –decreased and delayed femoral pulse Absence of radial pulse: Anatomical abnormalty Atherosclerosis Embolism Death

42. Raised Jvp : Right Sided Heart Failure Copd Cor Pulmonale Pulmonary Embolism Tricuspid Valve Stenosis -giant ‘A’ Wave Cannon ‘A’ Wave-heart Block, Ventricular Tachycardia Giant ‘V’ Wave:tricuspid Regurgitation Prominent ‘X’ Wave And ‘Y’ Wave: Constrictive Pericarditis

43. SADHYATA IN NADI

44. ASADHYATA IN NADI

45. MRUTHYU IN NADI NISCHAYA MARANA SADHYOMARANA JWAALAVADHI MARANA ARDHAPRAHARA MARANA

46. SHAD PRAHARA EKA DHINA TRI DHINA

47. FOUR DAYS FIVE DAYS SEVEN DAYS 15 DAYS 1 MONTH

48. SEVEN LEVELS OF PULSE

49. BIBLIOGRAPHY Sharangadhara Purva Khanda Yogaratnakara Nadi Darshan-tarashankara Vaidhya Secrets Of Pulse- dr.Vasant Lad Hutchison’s Clinical Methods B.D.Chaurasia Textbook Of Anatomy Bhavaprakasha Samhita

50. CONCLUSION An art of pulse examination sparkles about the diseases, doshas , dhatus , manas and other conditions of human body. It is an gift by our ancestors that should be protected and practised. It throws light on all the aspects that cannot be even examined by the modern technologies. Development in field of nadi pareeksha must be made so as to make it suitable for today’s practice in changing era.