astasthana pareeksha- 1.Nadi -The pulse 2.Mootram – The urine 3.Malam --The faeces 4.Jihwa – The tongue 5.Sabda – The voice 6.Sparsa – Examination by palpation 7.Drik -- The eyes 8.Akriti – Dimentions of the body

1. ASHTASTHANA PAREEKSHA
Presented By –
 Dr.Sudeesh Shetty (M.D In Roganidan &Vikriti Vijnana)
 Mobile :+91-9481818631
 drsudeeshshetty@gmail.Com

2. • Ashtashana pareeksha is one among the different
methods of rogi pareeksha.
• It is mentioned in yogaratnakara.
• Here the physician examines 8 specific sites of patients.
UÉåaÉÉ¢üÉliÉ zÉUÏUxrÉ xjÉÉlÉÉlrɹÉæ mÉUϤÉrÉåiÉç
lÉÉQûÏqÉÔ§ÉqÉç qÉsÉÇÎeÉÀûûÉ
zÉoSxmÉzÉïSÛaÉÉMÚüÌiÉ ||(rÉÉå.U)1. Nadi -- The pulse
2. Mootram – The urine
3. Malam --The faeces
4. Jihwa – The tongue
5. Sabda – The voice
6. Sparsa – Examination by palpation
7. Drik -- The eyes
8. Akriti – Dimentions of the body

3. • Ashtavidha pariksha include the following
Nadi/Pulse
Mutra/Urine
Malam/Stool
Jihwa/Tongue
Shabda/Speech
Sparsha/Touch
Drik/Eye
Akrti/shape

4. • The examination of all the 8 factors are
related to pratyaksha pramana and all are
objective in nature.
• The naadi pareeksha and sparsa pareeksha
comes under sparsanendriyatah pareeksha.
• Sabda pareeksha comes under
srotrendriyatah pareeksha and the other 5
are included under chakshurindriyatah
pareeksha.

5. • Naadi means passage or channels of various bodily constituents
that connects various various functional aspects and is indicative
of the alteration from its normalcy.
• The diagnosis of disease by naadi pareeksha is possible only by
constant practice.
• It is just similar to assessment of value of precious stones.
NAADI PAREEKSHA

6. Synonyms
Naadi , Dhamani, Tantuki,Snayu, Jeevanajnaana
xlÉÉrÉÑlÉÉïQûÏ iÉiÉÉå WûqxÉÏ kÉqÉlÉÏ kÉUhÉÏ kÉUÉ
iÉliÉÑMüÐ eÉÏuÉlÉ¥ÉÉlÉÉ zÉoSÉ:mÉrÉÉïrÉuÉÉcÉMüÉ:||(rÉÉå.U.6)
site
lÉÉQûÏqÉ…ÑwPqÉÔsÉɱ:xmÉÚzÉåiÉçSˤÉhÉaÉåMüUå
¥ÉÉlÉÉjÉïqÉçUÉåÌaÉhÉÉåuÉæ±ÉåÌlÉeÉSˤÉhÉmÉÉÍhÉlÉÉ|(rÉÉå.U)
MüUxrÉÉ…ÑwPqÉÔsÉårÉÉkÉqÉlÉÏeÉÏuÉxÉÉˤÉhÉÏ
iÉŠå·rÉÉxÉÑZÉqÉçSÒ:ZÉqÉç¥ÉårÉqÉçMüÉrÉxrÉ mÉËhQûiÉæ:||
Pulsation over the naadi which lies at the root of the thumb on right hand

7. Procedure
mÉëÉrÉ:xTÑüOûÉpÉuÉÌiÉuÉÉqÉMüUåuÉkÉÔlÉÉqÉç,mÉÑqxÉÉqÉçcÉSˤÉhÉMüUå
DwÉiÉçÌuÉlÉÉÍqÉiÉMüUqÉçÌuÉiÉiÉÉ…ÑsÉÏMüqÉç,oÉÉWÒûqÉçmÉëxÉÉrÉïUÌWûiÉqÉç
mÉËUmÉÏQûlÉålÉ
DwÉiÉçÌuÉlÉqÉëM×üiÉMÔümÉïUuÉÉqÉpÉÉaÉåWûxiÉåmÉëxÉÉËUiÉxÉSÉ…ÑÍsÉxÉqoÉlkÉMåücÉ
A…ÑwPqÉÔsÉmÉËUmÉζÉqÉpÉÉaÉqÉkrÉålÉÉÌQûqÉçmÉëpÉÉiÉxÉqÉrÉåmÉëWûUqÉçmÉUϤrÉ
uÉÉU§ÉrÉqÉçmÉUϤÉåiÉkÉÚiuÉÉkÉ×iuÉÉÌuÉqÉÉåcÉrÉåiÉç
ÌuÉqÉÚzrÉoÉWÒûkÉÉoÉÑkrÉÉUÉåaÉurÉÌ£üqÉçÌuÉÌlÉÌSïzÉåiÉç||(rÉÉå.U.6)
• The best time for naadi pareeksha is in the morning.
• Both vaidya and rogi should have calm and cool mind.
• They must sit in a comfortable- place facing each other.
• The naadi of the right hand will be clear in males , while in female
that of left hand.
• The patient’s wrist should be partially flexed, fingers extended and
elbow must be supported by the physician.

8. • Physician should hold the wrist of the patient by the examining
hand and should place his index, middle and ring fingers one
angula below the root of the thumb & then must examine the naadi.
• The index finger should be nearer to the angushtamoola
AaÉëå uÉÉiÉuÉWûÉ lÉÉQûÏ qÉkrÉå uÉWûÌiÉÌmɨÉsÉÉ
AliÉå zsÉåwqÉÌuÉMüÉUåhÉlÉÉQûÏ ¥ÉårÉÉoÉÑkÉ: xÉSÉ ||(rÉÉå.U.7)
• The vatavaha naadi can be felt in the agra bhaaga ie. By index
finger, pittanaadi by middle finger and kaphanaadi by ring finger.

10. Contraindications
xɱ:xlÉÉiÉxrÉ pÉÑ£üxrÉ iÉjÉÉ xlÉåWûÉuÉaÉÉÌWûlÉ:
¤ÉѨÉÚwÉÉï¨ÉxrÉ xÉÑmiÉxrÉ lÉÉQûÏ xÉqrÉMçü lÉ oÉÑkrÉiÉå ||(rÉÉå.U.)
Pulse should not be examined in the following conditions:
 Just after taking bath
 Just after taking food
 After internal and external oleation therapy
 During hunger
 During thirst
 During sleep or just after awakening

11. Physiological state of nadi
WûqxÉaÉÉ cÉæuÉrÉÉå lÉÉQûÏ iÉjÉæuÉ aÉeÉaÉÉÍqÉlÉÏ
qÉÑZÉqÉç mÉëzÉxiÉqÉç cÉ pÉuÉåiÉç iÉxrÉÉUÉåarÉqÉç pÉuÉå±jÉÉ |
• Waveform of the naadi resembles that of swan or elephant with
freshness in face signifies the healthy state.
xÉÑÎZÉiÉxrÉ ÎxjÉUÉ ¥ÉårÉÉ iÉjÉÉ oÉsÉuÉiÉÏ xqÉÚiÉÉ|(xÉÉ.xÉqÉç.mÉÔ)
• Pulse of healthy individual is steady and forceful

13. PATHOLOGICAL STATE
Vataprakopaka nadi
lÉÉQûÏ kɨÉå qÉÂiMüÉåmÉå eÉsÉÉæMüÉ xÉmÉïrÉÉåaÉïÌiÉqÉç
|(zÉÉ.xÉqÉç.mÉÔ.3/8)
Waveform of the vataprakopa naadi resembles the movement of
jalouka, sarpa etc.
Pittaprakopaka naadi
MÑüÍsÉ… MüÉMü qÉhQÕûMüaÉÌiÉqÉç ÌmɨxrÉ MüÉåmÉiÉ:|
Condition of pulse in pittaprakopa resembles movement of
kulinga( sparrow), kaaka(crow), mandooka(frog)
Kaphaja naadi
WûqxÉ mÉÉUÉuÉiÉ aÉÌiÉqÉç kɨÉå zsÉåwqÉmÉëMüÉåmÉiÉ:(zÉÉ.xÉqÉç.mÉÔ.3)
In kaphaprakopa, naadi resembles movements like that of
rajahamsa(swan), mayura(peacock), paravata(pigeon),

14. Sannipataja naadi
sÉÉuÉÌiĘ́ÉËUuɨÉÉïlÉÉqÉç aÉqÉlÉqÉç xÉͳÉmÉÉiÉiÉ:|(zÉÉ.xÉqÉç.mÉÔ.3/3)
• Waveform of sannipataja naadi resembles the movements of
lava(bustard quail), tittiri (grey partridge), and vartta(button
quail)

15. NADI IN VARIOUS DISEASES
 euÉUMüÉåmÉåhÉ kÉqÉlÉÏ xÉÉåwhÉÉ uÉåaÉuÉiÉÏ pÉuÉåiÉç |
 pulse is rapid and hot in fevers
 MüÉqÉ¢üÉåkÉÉiÉç uÉåaÉuÉWûÉ...|
 Pulse rate increases during kaama(lust) and krodha(anger)
 ¤ÉÏhÉÉ ÍcÉliÉÉ pÉrÉÉmsÉÑiÉÉ |
 It decreases during chinta (worry) and bhaya(fear)
 qÉlSÉalÉå ¤ÉÏhÉkÉÉiÉÉå¶É lÉÉQûÏ qÉlSiÉUÉ pÉuÉåiÉç..|
 slow and feeble in mandagni(decreased appetite) and
ksheenadhatu(weak dhatus)
 cÉmÉsÉÉ ¤ÉÑÍkÉiÉxrÉ iÉÚmiÉxrÉ uÉWûÌiÉ ÎxjÉUÉ
 during hunger pulse becomes unsteady and in satiety it becomes
stable.

16. PULSE INDICATING POOR PROGNOSIS
………………….WûÎliÉ cÉ xjÉÉlÉÌuÉcrÉÑiÉÉ
ÎxjÉiuÉÉÎxjÉiuÉÉ cÉsÉÌiÉ rÉÉ xÉÉ xqÉÚiÉÉ mÉëÉhÉlÉÍzÉlÉÏ
AÌiɤÉÏhÉÉ cÉ zÉÏiÉÉ cÉ eÉÏÌuÉiÉqÉç WûlirÉxÉqzÉrÉqÉç||(zÉÉ.xÉqÉç.)
• Displacements of the naadi from its own place and moves
slowly and slowly .
• This indicates poor prognosis and patient will die.
• Feeble and cold pulsations definitely kill the patient.

17. aÉiÉÉrÉÑUÉåïÌaÉhÉÉå sɤÉhÉqÉ
AÌiÉxÉÔ¤qÉÉÌiÉuÉåaÉÉ cÉ zÉÏiÉsÉÉ cÉpÉuÉåiÉç rÉÌS
iÉSÉ uÉæ±ÉåÌuÉeÉÉlÉÏrÉÉiÉç UÉåÌaÉhÉqÉç cÉ aÉiÉÉrÉÑwÉqÉç
• If the pulse is so feeble , very fast or cold to touch it indicates
near death.
lÉÉQûÏSzÉïlÉÉlÉliÉUqÉç MüqÉï
rÉÉåUÉåÌaÉhÉ: MüUqÉç xmÉÚ·uÉÉ xuÉMüUqÉç ¤ÉÉsÉrÉåiÉç rÉÌS
UÉåaÉÉxiÉxrÉ ÌuÉlÉzrÉÎliÉ mɃ: mÉë¤ÉÉsÉlÉɱjÉÉ|
• After palpating the pulse, doctor should wash his hands so that
the disease will vanish like the dust does on cleaning .
• It is a mere indication of cleanliness.

18. SIGNIFICANCE OF NAADI PAREEKSHA
rÉjÉÉuÉÏhÉÉaÉiÉÉiÉÎl§ÉxÉuÉÉïlÉçUÉaÉÉlÉçmÉëpÉÉwÉiÉå
iÉjÉÉWûxiÉaÉiÉÉlÉÉQûÏxÉuÉÉïlÉçUÉåaÉÉlÉç
mÉëMüÉzÉrÉåiÉç
uÉÉiÉqÉçÌmɨÉqÉçMüTüqÉç²l²qÉç̲iÉrÉqÉç
xÉÉͳÉmÉÉÌiÉMüqÉç
xÉÉkrÉÉxÉÉkrÉÌuÉuÉåMüqÉçcÉ xÉuÉÉïlÉçlÉÉQûÏ
mÉëMüÉzÉrÉåiÉç||
• Naadi shows each change occurring in the body, just similar to
the strings of veena which produce music.
• Naadi can tell us doshapradhanya, dosha involved in
pathogenesis, prognosis, span of life forthcoming death etc.

19. EXAMINATION OF PULSE
Pulse represents the expansile impulse produced by ventricular ejection & transmitted along the arteries. Ordinarily, pulse over
the radial artery is palpated above the wrist. While examining the pulse, the following points are to be noted- the rate, rhythm,
volume, character, equality on both sides, radiofemoral delay, state of arterial walls and other peripheral pulsations.
Pulse rate
Count for 1 minute. Normal rate varies from 60- 100 beats per minute. Tachycardia is rate above 100 per minute and brdycardia
, rate below 60 per minute.The rate is below 40/ minute in myxoedema, heart block & toxicity caused by digitalis , & in raised
intra cranial tension. Marked tachycardia is seen in cardiac disorders such as heart failure , myocarditis, general conditions like
fever, thyrotoxicosis, tuberculosis etc.
Rhythm
Normally regular on palpation. It can be irregular in health eg: sinus arrhythmia. It may be regularly irregular in heart block and
irregularly irregular in atrial fibrillation etc.
Volume
This denotes the amplitude of movement of the vessel wall due to the passage of the pulse wave. Increased in high cardiac
output states like aortic incompetence & mitral incompetence. Amplitude is less in low cardiac output states like mitral stenosis,
shock.
Character
Dicrotic pulse- The dicrotic wave becomes more prominent and can be felt as a notch in the descending limb.
Anacrotic pulse- slow rising pulse of smaller amplitude seen in aortic stenosis.
Collapsing pulse- corrigans pulse/waterhammer pulse- seen in conditions like high stroke volume & low peripheral resistance.
Bisferience pulse- pulse wave shows 2 positive peaks during systole.
Pulsus paradoxus- marked reduction in amplitude during inspiration which occurs in conditions like pericardial effusion
Condition of the vessel wall
The vessels are to be pressed against the underlying bone and palpated to see whether there is any thickening etc as in
arteriosclerosis.

20. ÌlÉzÉÉlirÉrÉÉqÉå bÉÌOûMüÉcÉiÉѹrÉåEijÉÉmrÉ uÉæ±:ÌMüsÉUÉåÌaÉhÉqÉçcÉ
qÉÔ§ÉqÉç kÉÚiÉqÉç MüÉcÉqÉrÉå cÉ mÉɧÉå xÉÔrÉÉåïSrÉå iÉiÉç xÉiÉiÉqÉç
mÉUϤÉåiÉç||
iÉxrÉɱ kÉÉUÉqÉç mÉËUWÛûirÉqÉkrÉkÉÉUÉåipÉuÉqiÉiÉç mÉËUkÉÉUÌrÉiuÉÉ
xÉqrÉMçü mÉËU¥ÉÉrÉ aÉSxrÉWåûiÉÑqÉç MÑürÉÉïΊÌMüixÉÉqÉç xÉiÉiÉqÉç
ÌWûiÉÉrÉ|(rÉÉå U)
• Urine is an important waste product of the body and its examination yields
valuable information regarding health and illhealth.
• Normally it is having ishat peetavarnam, apicchilam(non-greasy),
anavilam(clear), ushna, thikshna and kshara properties.
• Yogaratnakara explains the method of collection of urine along with
mootrapareeksha.
• The mootra should be collected during the last prahara of night.
• It must be collected in a clean glass vessel and examined after sunrise.
• Initially expelled urine is expelled and the middle stream is collected.
MOOTRA PAREEKSHA

21. uÉÉiÉåcÉmÉÉhQÒûUqÉç
U£üuÉhÉïqÉç pÉuÉåiÉç
ÌmɨÉå
qÉÔ§ÉqÉç xÉTåülÉqÉç
MüTüUÉåÌaÉhÉ:
xÉͳÉmÉÉiÉå cÉ MÚüwhÉqÉç
xrÉÉiÉç

22. ROGA COLOUR
Agnimandya matulungarasa
Ajeerna Tandulodaka
Pittavataprakopa dhumrajalabha
Vatakapha prakopa Sweta & phenila
Kaphapittaprakopa Kalusha& rakthavarna

23. Along with the examination of color, appearance and consistency of urine, a special
technique for the examination of the Mutra, Tailabindu pariksha, was developed to
diagnose disease conditions and to find out about their prognosis.
Tailabindu pariksha is a diagnostic tool of urine examination developed by the
Ayurvedic scholars, and also throws a light on the prognosis of the disease condition.
To determine the sadyaasadyata of a diseases by performing taila bindu pareeksha on
mootra of different individual.
This study aims at using this ancient wisdom to diagnose the medical conditions and
to study about their prognosis, and studying about how it can be applied to modern
medical practice and its limitations
TAILA BINDU PAREEKSHA

24. One drop of pure sesame oil is put over a cup of freshly collected
urine ,then note its spread
 Spread towards varuni direction-good prognosis
 Southwards,agneya,vayavya,nairitya-bad prognosis
 Shape indicating good prognosis
Lotus,jasmine,swan,pond,elephant,mountain,palace,tree
 Shape indicating bad prognosis-Dot,arrow,tortoise,ear lobe, man
without head, part of an organ, bull,lion,tiger ,pig
 Vatika -Boat like & lengthens like serpant
 Paithika -Ring like & produces bubbles
 Kaphaja -Sieve like & stays like a pearl

25. • Mala vitiated by vata -Dry, hard with blackish
discoloration
• Mala vitiated by pitta -yellow & green colored
• Mala vitiated by kapha - white colored stools
MALA PAREEKSHA

26. JIHWA PAREEKSHA
Vata prakopa Cold& rough, cracked
Pittaprakopa Yellow or red
Kaphaprakopa White & slimy
Dwandaprakopa Combined features
Sannipata pakopa Black,with thorn like structures
ÎeÉÀûÉzÉÏiÉÉZÉUxmÉzÉÉï xTÑüÌOûiÉÉqÉÉÂiÉåAÍkÉMåü
U£üÉ zrÉÉqÉÉpÉuÉåiÉçÌmɨÉåMüTåüzÉÑpÉëÉ
AÌiÉÌmÉÎcNûsÉÉ||

27. Other features like coating, loss of sensation, any
change in size,ulcers , discolouration etc are to be
tested.

28. vataparakopa Abnormal other than guru &
sphuta
pittaprakopa aspashta
Kapha prakopa Guru
Durbala Aspashta
Nasarodha Anunasika
vaatapitta Pralaapa
aÉÑÂxuÉUÉå pÉuÉåiÉç zsÉåwqÉÉ
xTÑüOûuÉ£üÉcÉ ÌmɨÉsÉ:|
EpÉÉprÉÉqÉç UÌWûiÉÉå uÉÉiÉ: xuÉUiɶÉæuÉ
sɤÉrÉåiÉç||
SABDA PAREEKSHA

29. Dosha kopa Sparsa visesha
Vata Sheeta
Pitta Ushna
kapha ardra
ÌmɨÉUÉåaÉÏ pÉuÉåiÉç EwhÉÉå uÉÉiÉUÉåaÉÏ cÉ
zÉÏiÉsÉÉ:
zsÉåwqÉsÉ: xÉ pÉuÉåSÉSìï: xmÉzÉïiɶÉæuÉ
sɤÉrÉåiÉç||
SPARSA PAREEKSHA

30. Vataja lakshanas
dhumra-smoky
aruna varna
ruksha
chanchala
antahpravishta- sunken eyes
Pittaja lakshanas
Haridra &rakta varna
thikshna
Prabha-lustruos
Dahayukta
Kaphaja lakshanas
Sveta,
dhavala,
snigdha
DRIK PAREEKSHA

31. • Akriti pareeksha is the judgement of ones disease status by
the examination of ones body features.
• Pramana & samhanana pareeksha are essential in this.
AKRITI PAREEKSHA