Details Of Ten Fold Examination In Ayurveda (Dashwidh Pareeksha) by Dr. Inderjeet Kaur

1. TEN FOLD EXAMINATIONTEN FOLD EXAMINATION
(DASHWIDH PAREEKSHA),(DASHWIDH PAREEKSHA),
EIGHT FOLD EXAMINATIONEIGHT FOLD EXAMINATION
(ASHTWIDHA PAREEKSHA) &(ASHTWIDHA PAREEKSHA) &
PULSE DIAGNOSISPULSE DIAGNOSIS
(NADI PAREEKSHA)(NADI PAREEKSHA)
IN AYURVEDAIN AYURVEDA
BY :BY :
DR.INDERJIT KAURDR.INDERJIT KAUR
+ 91-9814205533+ 91-9814205533

2. HOW WE EXAMINE THE PATIENTS
AYURVEDIC DIAGNOSIS: A very important aspect is the determination
of the constitution, which is described as one’s ultimate state of health and
indicates hereditary tendencies to particular ailments. The constitution is
diagnosed by determining the individual's inherited blueprint and proportion
of the five elements at the time of birth. The Tenfold examination is a
thorough, non-invasive process for determining imbalances and disorders.
In Ayurveda methodology of physical diagnosis an emphasis is given on the
analysis and types of Doshik constitutions.
1.Patient evaluation… by constitutional analysis that is ten fold
examination by examining eight parts of the body that is eight fold
examination of the body like tongue, iris and pulse are done to diagnose the
problem.
2. Disease evaluation …knowing the stage of prognosis of a disease

3. BENEFITS OF AYURVEDIC DIAGNOSIS
The tenfold and eight fold diagnosis process is a vital diagnostic
Ayurvedic tool for assessing the current health of a patient and providing
a basis for prognosis. It determines the underlying inherited and current
challenges of the patient's constitution. Ayurveda determines the improper
functioning of the internal tissues. It determines functioning of various
cleaning or excretory system and the strength of one's digestive fire and
immune system. The procedure gives very accurate information about the
state of Prana and blood, progression and regression of disease, degree of
heat and cold and the depth or penetration of a pathogenic imbalance. The
high accuracy of these evaluations are quick and easy compared to
expensive blood tests, hair analysis, or urine analysis in which you have to
wait for results to come back from the laboratory. We can foresee the
pathogenesis of other upcoming problems also from the present status.

4. EXAMINATION PROCESS:
To confirm, evaluate and treat a disease, we perform clinical examinations
of patients wherein textual
•KNOWLEDGE (APTOPADESA),
•DIRECT PERCEPTION (PRATYAKSHA) AND
•INFERENCE (ANUMANA)
ARE ALL VERY IMPORTANT COMPONENTS.
The examination of patients can be carried out in the following manners:
•VISUAL OBSERVATION (DARSHAN)
•TACTILE PERCEPTION (SPARSHA)
•QUESTIONING (PRASHNA)

5. TEN FOLD EXAMINATION OF THE PATIENTS
Understanding the disturbance or "vitiation" of the individual's normal dosha is the
essence of Ayurvedic diagnosis for treatment and forms the basis for the therapeutic
approach for the upcoming diseases.
THE ART OF DIAGNOSIS IN AYURVEDA CAN BE DIVIDED INTO TWO
PARTS
•Diagnosis of the patient (Rogipareeksha)
•Diagnosis of the disease (Rogapareeksha)
NAME OF PATIENT DATE
SEX OF PATIENT DATE OF BIRTH
OCCUPATION OF
PATIENT
TIME OF BIRTH

6. EIGHTEIGHT FOLD EXAMINATION
(ASHTAWIDHA PAREKHA)

7. A. SHRAVAN:
 Normal and abnormal voices occurring in body
 Person listening to some voices which are not occurring actually
 Listening to Constant Noise in the ear
 Listening to different similar words
 Normal and Abnormal sounds of organs
 Intestinal movement’s sound
 Joints movement sound
 Heartbeat
 Lungs
 Throat (voice of patient)
B. AKSHI: NORMAL AND ABNORMAL APPEARANCE OF EYES
 Fluid in eyes:
 Shape of eyes: depressed/ raised
 Color of eyes: yellowish/ whitish/ reddish
 Tolerance to light: cannot bear light/ can bear light
 Eye sight:
 Hallucinations if any: seeing different things at different times and
seeing the things which are not actually present
 Eyes can be closed properly or not
PANCHENDRIYA PARIKSHA (PHYSICAL EXAMINATION
(USING THE FIVE SENSES):

8. C. GHRAAN: NORMAL AND ABNORMAL SMELLS OF BODY
 Normal and abnormal smells of body
 No smell at all
 Patient can smell himself
 Feeling of normal and abnormal smell
 Smell of sweat
 Smell of expired air in breathing
 Smell of vomiting and sputum
 Smell of air released from intestines (farts)
 Normal and Abnormal smell of fecal matter
D. TWACHA: TOUCH OF BODY
 Temperature of body: cold/ hot/ Normal
 Feeling of Movements of organs when touched: lack of palpitation of
organs
 Texture of body: soft/ Hard/ normal
 Solidity of organs:
 Numbness of body parts
 Patches or spots or ulcers on body
 Swelling of skin
 Lack of sensitivity of skin
 Color of skin

9. E. JIHWA- TONGUE (RASNA)
 Texture of the tongue: Dry/ wet/ soft/ hard
 Color of tongue: Red/ reddish/ whitish/ blackish/ yellowish
 Tongue is: Coated/ uncoated
 Tongue has: Sharp dots/ scratches/ wounds/ ulcers
 Lack movement of tongue/ is tilted
 Taste of the mouth normal or cannot taste properly
 Taste of mouth: MADHUR (K) LAVAN (K) AMAL (P) KATU (P) TIKT
(V) KSHAYA (V)
F. MUTER- URINE (IT CAN BE DONE BY SEEING URINE)
(Urine is to be collected from the first urine in morning and from in
between streams)
 Color of Urine:
 Smell of urine:
 Viscosity of urine:
 Presence of any particle in urine:
 Urine contains: pus/ blood/ foam
 Quantity of urine: less/ more/ moderate
 Ph value of urine:

10. G. STOOL/ FAECAL MATTER
 Color of stool:
 Quantity of stool:
 Smell of fecal matter:
 Is it Digested/ undigested
 Is the stool: Formed/ semi formed/ liquid
 Is air excreted along with stool
H. PHYSICAL APPEARANCE OF A PERSON
 Aura of person:
 Physical appearance of a person:
 Facial expressions of a person:
 Nature of person:
 Color of Body and face:
 Any ulcers / wounds/pimples on body:
 Height of person:
 Texture of body:
 Movement of body and body parts
 Pain in body if any

11. ROGIPAREEKSHA
TEN-FOLD EXAMINATION OF THE PATIENT :
(DASHWIDH PAREEKSHA)
We analyse the patient knowing his / her:
1. PRAKRITI (basic nature)
2. VIKRITI (vitation, pathological state),
3. SARA (status of biological tissues)
4. SATVA (the stubble refined essence of tissues)
5. SAMHANAN (compactness of the body)
6. PRAMAAN (Physical status of the body)
7. AHAAR SHAKTI (status of digestion)
8. VYAAM SHAKTI (ability to do exercise or physical work)
9. SATYMA (adaptability to environment & changing circumstances)
10. VAYA (Age)

12. PHYSIOLOGY AND PSYCHOLOGY OF THE PATIENT CAN BE
UNDERSTOOD BY FEELING THE RHYTHUM OF THE PULSE.
WE GET TO KNOW THE …
1.PRAKRITI OR BASIC NATURE OF TRIDOSHA
2.VIKRITI OR VITATION OF TRIDOSHA
3.STATUS OF SUBDOSHA OF VATA, PITTA AND KAPHA
4.FEELING THE ORGANS THROUGH PULSE
5.KNOWING THE PSYCHIC CONSTITUTION (SATAVA OF BODY)
6.KNOWING THE QUALITY OF BIOLOGICAL TISSUES
7.KNOWING THE SUBLE REFINED ESSENCE OF TISSUES
8.MENTAL CONTITUTION AND PRESENT FLOW OF CONSCIOUSNESS
AFFECTING THE AURA AND HEALTH OF THE PERSON
A.KNOWING THE DIETARY PERSONALITY OF THE PERSON
B.PLANETARY INFLUENCE ON THE PULSE
C.FLOW OF CONSCIOUSNESS AND THOUGHT WAVE
REPRESENTING FIVE ELEMENTS OF NATURE ON PULSE
D.KNOWING THE CHAKRA GETTING AFFECTED

14. VATA
PULSE
PITTA PULSE KAPHA PULSE
CHARACTERISTIC
Fast, feeble, cold,
light, thin,
disappears on
pressure
Prominent, strong, high
amplitude, hot, forceful,
lifts up the palpating
fingers
deep, slow, broad,
wavy, thick, cool or
warm
LOCATION Best felt under
the index finger
Middle finger Ring finger
MOVEMENT cobra frog Swimming swan

15. AKRITI (TENSION
AND VOLUME)
And BALA
LOW HIGH MODERATE
RHYTHUM
(TAAL)
Irregular Regular Regular
TEMPERATURE
(TAAPMAAN)
Cold Hot Warm To Cool
TOUCH OF PULSE
(KATHINYANA)
Rough Hard Elastic Flexible Stiff Thickening
HEART RATE
(VEGA)
80 - 95 70 -80 50 - 60
NATURE OF PULSE
(DOSH GATI)
Sarpa(cobra) Manduka(frog) Hansa(swan)

16. 1 . VITIATION (VIKRITI) PATHOLOGICAL STATE:
Related to the biological history of the diseases, it enables physicians to
consider the signs & symptoms of the disease in order to assess the strength
of the disease, the causes, the Doshas, the affected body elements, body
constitution, time and strength of an individual.
BODYVIKRITI: IST LEVEL IN PULSE DIAGNOSIS
KAPHAKAPHA
PITTAPITTA
VATAVATA

17. MANAS VIKRITI: 2ND LEVEL IN PULSE DIAGNOSIS

18. KAPHAKAPHA
SUBDOSHAS: (3rd
level of Pulse Diagnosis):
Analyzing sub-types of Doshas through pulse as each dosha represents a
different organ related to it …..

19. PITTAPITTA

20. VATAVATA

21. KAPHA PITTA VATA PULSE
LEVEL
KAPHA PITTA VATA
Pericardium Gall bladder Colon 1ST
LEVEL Bladder Stomach Small
Intestine
Vata, Pitta,
Kapha
Circulation
Liver Lung 7TH
LEVEL Kidney Spleen Heart
ORGAN PULSE

22. OJUS
(R)
TEJAS
(M)
PRAN (I)
2 . THE SUBLE, REFINED ESSENCES OF THE
TISSUES( SATAVA):
4TH
LEVEL OF PULSE DIAGNOSIS:
Refers to the mind which controls the body in contact with the soul (atma).
Inside white matter of brain there is a space and small spaces at synaptic
plate are called synaptic spaces, within these spaces is a pulsation of prana,
flow of tejas and ojus.
OJUS (R): It is Pure essence of all dhatus it indicates our immunity.
TEJAS (M): It represents Hormones and Amino Acids, Intelligence,
understandings and comprehension at cellular level.
PRANA (I): Regulates movement of continuous flow of intelligence and
communication in between the cells of the body
THE SUBTLE REFINED ESSENCE OF THE TISSUES

23. 3. QUALITY OF TISSUES (TISSUE VITALITY) (SARA):
5TH LEVEL OF PULSE DIAGNOSIS:
Broadly speaking, there are seven vital tissues, namely
LYMPH (RASA)
BLOOD (RAKTA)
MUSCLE (MAMSA)
ADIPOSE (MEDA)
BONE (ASTHI)
BONE MARROW (MAJJA)
REPRODUCTIVE TISSUE (SUKRA).
Lymph in the skin is assessed by its smoothness, softness, clearness,
thinness and whether the skin is covered with short, deep rooted and
delicate hair. Percentage of blood in body is evaluated from the condition
of the eyes, mouth, tongue, lips, nails and soles of the feet.

24. KAPHAKAPHA
Examination of Biological Tissues

25. MEDASARA
MAMSA-SARA
PITTAPITTA

26. VATAVATA

27. KAPHAKAPHA
PITTAPITTA
VATAVATA
EMOTIONAL BALANCE : 6TH
LEVEL OF PULSE DIAGNOSIS:
We get to know the mental constitution & the present flow of
consciousness and affects of our surroundings our Aura & Health.
EIGHT DIETIC PERSONALITY IN TRIDOSHA

28. KAPHAKAPHA
PITTAPITTA
VATAVATA
PLANETARY INFLUENCES ON PULSE

29. FLOW OF CONSCIOUSNESS & THOUGHT WAVES
REPRESENTING FIVE ELEMENTS THROUGH PULSE
KAPHAKAPHA
PITTAPITTA
VATAVATA

30. KAPHAKAPHA
CHAKRA IN THE PULSE AT 6TH
LEVEL OF PULSE
DIAGNOSIS

31. PITTAPITTA

32. VATAVATA

33. BODY
KAPHAKAPHA
PITTAPITTA
VATAVATA
4. CONSTITUTION (NATURAL PRAKRITI):
7TH
LEVEL IN PULSE:
Determined by relative predominance of doshas during foetal
development the prakriti can be any of vatika, paittika, kaphaja, vata
paittika, vata kaphaja, pitta kaphaja or samdoshaja.

35. Sahajbal
(Naturally)
Kalajbal
(With Time)
Yuktikrit bal
(With Supplements)
Pravar bal
(Perfect)
Madhyam bal
(Medium)
Avar bal
(Low)
5. PHYSICAL STRENGTH (VYAYAMA SHAKTI)
BODY CAPACITY FOR EXERCISE
In Ayurveda, the ability of the body is seen , how much exercise or
physical work a person can do, along with knowing whether the
strength is attained with natural ability or he has gained it using health
supplements or medicines.

36. DESH
(Place)
KAAL
(Time)
JAATI
(Religion)
RITTU
(Season)
ROG
(Disease)
VYAAM
(Exercise)
AHAAR
(Diet)
DIWA
SWAPAN
(Day
Sleeping)
RATRI
JAGRAN
(Night
Awakening)
6. ADAPTABILITY (SATMYA):
Indicating substances intrinsic to the body, it refers to two types of people –
1.Those who are strong, adjust easily to difficulties and changing
circumstances and
2.Those that are generally weak, intolerant to change and can have only few
food options.

37. SATHUUL (Obese)
MADHYAM (Average)
KRISH (Lean)
7. BODY COMPACTNESS (SAMHANANA)
PHYSICAL BUILD (SAMHANANA):
Body examination is carried out by direct perception – a healthy body
being well- built with symmetrical bones, strong & stable joints and
enough flesh & blood.

38. PRAVAR
(Perfect)
MADHYAM
(Medium)
AVAR
(Low)
8. GENERAL STATURE AND
PHYSICAL PROPORTIONALITY (PRAMAAN):

39. SAMAGNI
(Normal)
TEEKSHANGNI
(Aggressive)
MANDAGNI
(Slow)
VISHAMAGNI
(Disturbed)
MRIDHU (Soft) MADHYA (Medium) KRUR (Cruel)
9. DIGESTIVE CAPACITY (AHARA SAKTI):
This has to be judged from the
individual’s capacity to ingest and digest food substances
KOSHTH:
AGNIPAREEKSHA:

40. KSHEERAD
(0-6 months )
KSHEERANAAD
(6 months - 2 years )
ANNAD
(2 to 16 years)
VRIDHI
(16 – 25
years)
YOVAN
(25-40
years)
SAMPURANTA
(40 to 50 years )
PARIHANI
(50 to 60 years
)
VRIDHAWASTHA
(60 to 100 years and
above )
10. RATE OF AGING (VAYA):
Broadly categorized into childhood, middle age and old age, it
provides vital clues for the diagnosis & treatment and is a must
consideration in clinical examinations.

41. THE DIAGNOSIS OF THE DISEASE :
ROGAPAREEKSHA:
THE EXAMINATION OF PROGRESSION OF THE DISORDER
I
II
KNOWING THE FOLLOWING REASONS REGARDING THE DISEASE ….
NIDAAN:
(Cause, reason for a problem /disease) :
PURVRUUP :
(Preliminary signs and hidden symptoms of problem /disease)
RUUP:
(Symptoms start appearing of the problem /disease)

42. UPSHAYA:
(Addition/deletion of aggravating factors to problems /disease)
SAMPRAPTI:
(Development of a disease actually)
It further includes the various signs and symptoms of the disease….

43. ACCUMULATION (SANCHYA)
(Dosha start accumulating at the weak place of the body)
AGGRAVATION (PRAKOPE) :
Dosha start aggravating if not treated at the site/problems start aggravating
SPREADING OF DISEASES (PRASSAR)
They start spreading to nearby organs and places as they get accumulated in
abundance at a particular place.

44. LOCALIZATION (STHANASANSHRAYA)
(start accumulating at the place whichever is weak in the body)
APPEARANCE OF SYMPTOMS (VYAKTA AWASTHA)
(Appearance of symptoms/problem actually occurs)
CHRONIC STAGE (BHEDA AWASTHA)
(symptoms getting chronic if not treated and taken care of)
By knowing the severity of the disease, we get to know how we are going to
treat this ailment and what type of the disease the patient is having, we can
classify the disease according to various classifications and the treatment is
done accordingly.

45. 1. SADHYA 2. ASADHYA 3. 4.
SUKHSADHY
A (Easily
Treatable)
KRICHSADHYA
(Treatable with
Medicine)
YAPYA
(Treatable with
Difficulty)
PRATYAKHAYA
A (Non Treatable)
MRIDU
(Mild)
DARUN
(Chronic)
MANAS
(Mind)
SHARIR
(Body)
5. 6. 7.
NIJ
(Self
created)
AGAUNTUJ
(Accidental)
AAMASHYA
SAMUTH
(Due to
Stomach)
PAKWASHYA
A SAMUTH
(Due to
Intestine)
VYAPANN RITU
KRIT
(Seasonal)
AVYAPANNA
RITU KRIT
(Non- Seasonal)
AFTER ANALYSING THE PATIENT WE ANALYSE THE TYPE OF
DISEASE AND HOW CHRONIC OR ACUTE IT IS :TYPE OF
DISEASES

47. WISH YOU A SPEEDY RECOVERY...
WITH BEST WISHES AND
COMPLIMENTS:-
Dr. Inderjit Kaur Dr. Shaleen Singh
Ph. - + 91- 9814205533 Ph. - + 91- 94170-77271
E. mail- drinderjitkaur.pious@gmail.com E.mail - shaleen512@gmail.com