12. DASHA VIDHA PARIKSHA
Ten fold diagnostic tool which gives assessment of
status of both Patient and disease.
Aims of Ten fold examination
Status of life
Physical and mental strength of the person with
general assessment of immunity of the body
Status of the disease
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14. DASHA VIDHA PARIKSHA
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Patient’s Examination Disease Status
1. Prakriti(Constitutional status)
3 Sara (Status of tissue and its
related system)
2. Dosha involved and analysis of
status of Dosha in regards of
Desha, Kala, Prakriti
4 Samhanana (Compactness of
the body)
4 Pramana (stature & span of the
body)
5. Satmya (Diet status)
6. Satva (Mental status)
7. Ahara Shakti (Digestive
capacity)
8. Vyayam Shakti (physical
capacity)
9. Vaya (age factor)
16. PRAKRITI-PSYCHO-SOMATIC CONSTITUTION
Constitution and Dosha dominancy of Sperm
and Ovum at the time of conception.
Time and condition of the uterus
Food, regime and mental status of the mother at
the time before, after and during pregnancy
Nature of Mahabhootas comprising the foetus.
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17. IMPORTANCE OF ASSESSING PRAKRITI
Status of health and immunity of the patient
Status of disease in regards of Prakriti
Deciding of dose and selection of drugs
Deciding the line of treatment 17
18. IMPORTANCE OF ASSESSING PRAKRITI
Among all Prakriti, Sama Prakriti is best and gets
diseased less as compare to others.
Vata Prakriti person have less strength and so
chances to get diseased are most and so physician
should be care full if planning any Samshodhana
(body purification) treatment.
Sama and Kapha dominant Prakriti person will slow
in development of any disease.
18
D
20. 20
Ref: Patwardhan B, Joshi K and Chopra A. Classification of HLA and Prakriti. Journal of Alternative and
Complementary Medicine, 2005, 11(2), 349-353.
23. SAARA PARIKSHA (EXAMINATION OF SARA)
Rasa Saara Rakta
Saara
Mamsa Saara Meda Saara
excellence of
unctuous,
smooth, soft,
clear, fine, less,
numerous, deep
rooted & tender
hair, and lustrous
skin.
unctuousness,
red colour and
beautiful dazzling
appearance of
the ears, eyes,
face, tongue,
nose, lips, sole of
the hands and
feet, nails,
forehead and
genital organs.
Plumpness of
temporal,
forehead, nape,
eyes, cheeks,
jaws, neck,
shoulder,
abdomen, axillae,
chest and joints
of upper & lower
limbs being
covered with
flesh.
•abundance of
unctuousness in
complexion,
voice, eyes, hair
of the head &
other parts of the
body, nail, teeth,
lips, urine and
faeces.
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24. 24
Asthi Saara Majja Saara Shukra Saara Satva Saara
robust heels,
ankles, knees,
fore-arms,
collar-bones,
chin, head,
joints, bones,
nails and teeth.
softness of
organs,
strength,
unctuous
complexion and
voice and
robust and
rounded joints.
gentleness,
gentle look,
cheerfulness,
having teeth
which are
unctuous,
round, strong,
even and
beautiful, clean
and unctuous
complexion and
voice,
good memory,
devotion,
gratefulness,
wisdom, purity,
excessive
enthusiasm,
skill courage,
valour, absence
of sorrow and
sincerity in
actions and
virtuous acts.
SAARA PARIKSHA (EXAMINATION OF SARA)
25. ASSESSMENT OF SAARA CONTD…
25
Type of Saara Assessment
Pravara (Best status) Presence of 5-7 types of Saara
Madhyama (Moderate status) Presence of 3-5 types of Saara
Avara (Poor status) Presence of less than 3 types of
Saara
26. SAARA PARIKSHA
Metabolism is the set of chemical reactions that
happen in living organisms to maintain life
These processes allow organisms to grow and
reproduce, maintain their structures, and respond to
their environments.
Catabolism breaks down organic matter, for
example to harvest energy in cellular respiration.
Anabolism uses energy to construct components of
cells such as proteins and nucleic acids.
When the metabolism is at optimum level the
Saara or the essence of tissues would be
produced.
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28. SAMHANANA PARIKSHA- COMPACTNESS OF THE BODY
Symmetrical / proportionate bones
Well and knit joints and well bound muscle and
blood.
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29. SAMHANANA PARIKSHA- SOMATOTYPES
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Pravara
Samhanana
The presence of Symmetrical and proportionate ,well defined bones, well
knit joints, Compact, well bound muscles, Well formed blood tissue or
Normosthenic, Athletic
Madyama
Samhanana
Slight deviation from the above criteria but still coming under normosthenic
built
Avara
Samhanana
Hyposthenic or hypersthenic built with large variation in the given
Ayurvedic standards
31. PRAMANA PARIKSHA- ANTHROPOMETRY
measurement of bodily structure and organs; this is
determined by measuring the height, length, and
breadth of the organs.
Entire body -84×84 Angula
Stature should be proportionate with Span
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32. PRAMANA PARIKSHA- ANTHROPOMETRY
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Reference: 16, pp. III-78; NASA-STD-3000 260 (Rev A), Body Planes and Orientations for the 3D measurements
Pravara
Pramana
Person with stature almost equal to
span and having average height(Sama
Ayama Vistara)
Madyama
Pramana
Person with stature almost equal to
span but total height less than average
Avara
Pramana
Stature greater than span or vice versa
or upper measurement greater than
lower or vice versa.
33. ASSESSMENT OF PRAMANA & SAMHANANA
Samhanana Range Body Mass Index (BMI)
Pravara Normal 18.5-to-24.9 Kg/m2
Madhyama Slightly Under weight
Slight Over weight
16.6-to-18.4 Kg/m2
25-to-29.9 Kg/m2
Avara Markedly under
nourished
markedly Obese
< 16.5Kg/m2
≥30 Kg/m2
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35. SATMYA PARIKSHA- DIET STATUS
Wholesomeness developed by habbits.
Individual for whom Ghee, milk, oil, and meat soup
as well as the drugs and diets having all the six
tastes are wholesome: pravara satmya
Those who are accustomed to un unctuous things
and drugs and diets having only one particular
taste.:Avara satva
If there is combination of both these types of
homologation, individuals are possessed of
moderate strength.
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36. 36
Health Status Type of diet consumed
Pravara Ghee, milk, oil, and meat soup as
well as the drugs and diets
having all the six tastes are
wholesome
Madhyama Consuming the diet having
moderate unctuous qualities and
consuming two or three varieties
of Rasa dominantly
Avara Dry and deficient food articles
and diet having only one
particular taste
SATMYA PARIKSHA- QUALITATIVE ANALYSIS OF DIET STATUS
37. SATMYA PARIKSHA
An optimal nutritional status is a powerful factor for
health and well being.
Malnutrition may increase risk of (susceptibility to)
infection and chronic diseases : under nutrition may
lead to increased infections and decreases in physical
and mental development, and over nutrition may lead to
obesity as well as to metabolic syndrome or type 2
diabetes
The nutritional status is determined by a complex
interaction between internal/constitutional factors and
external environmental factors
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38. 38
Direct Methods
A nthropometric
methods
B iochemical,
laboratory methods
C linical methods
D ietary evaluation
methods
METHODS OF NUTRITIONAL ASSESSMENT
40. SATVA PARIKSHA- MENTAL STATUS
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Respond to various
circumstances
Pravara Satva Madhyama Satva Avara Satva
Respond to the
status of disease
Can tolerate
severe condition
with calmness
Could be
tolerated with
some support
from the family
and/or friends or
taking an
example of
others misery
Presents mild
complains with
severe
presentation
inconsolable and
not satisfies with
any treatment
41. SATVA PARIKSHA
Appearance and behavior
Speech
Mood
Thought content
Abnormal beliefs
Abnormal experiences
Cognitive state( the patient's level
of alertness, orientation, attention, memory, visuospatial
functioning, language functions and executive
functions.)
Intelligence
Insight and rapport
Ref: Hutchison’s clinical methods
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44. AHARA SHAKTI PARIKSHA- QUALITATIVE ANALYSIS OF DIET
Ahara Shakti Abhavarana shakti
Intake capacity
Jarana Shakti
Digestive capacity
Pravara If > 3 or can take sufficient
quantity of food
Can digest it
without any
discomfort
Madhyama If 2 or can take moderate
quantity of food
Occasional
discomfort and
slight indigestion
Avara If 1 or very little amount of
food
not comfortable
and always
complains of
abdominal fullness
with indigestion 44
45. AHARA SHAKTI PARIKSHA
Nutritional intake of humans is assessed by different
methods. These are:
24 hours dietary recall
Food frequency questionnaire
Dietary history since early life
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47. VYAYAMA SHAKTI PARIKSHA
Vyayama Shakti means the capacity for the
exercises.
The capacity for exercise is determined by one’s
ability to perform physical work like lifting weight
etc.
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climb up stairs to the
next floor of the house
or walk 100 yards
Daily routine activities
(bathing, dressing,
cooking mopping,
professional activity)
Pravara 3 without any difficulty never troublesome
Madhyama 2 yes, but with a little
difficulty
sometimes troublesome
Avara 1 it is not possible to
climb up
always troublesome
49. VAYA PARIKSHA
Age also give clue about strength :Child hood
age has immature Dhatus, while in old age decline
phase starts. So both are having less quality of
Bala (physical strength).
Middle age person have good quality of Bala and
so prognosis will be better as compare to child
hood and old age.
Main purpose of exmn of age is to know natural
predominance of doshas in person ,and its
association with the vitiated dosha,dushyas
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50. ASSESSMENT OF VAYA PRAMANA
Grade Assessment
Pravara Up to 30 years
Madhyama 31 years – 50 years
Avara More than 51 years
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51. CONCLUSION
Understand how genetic variation leads to
variation in the responses to drugs
Reduce adverse events by predicting who is
at risk
o Enhance understanding on human variations and
the basis to physical, physiological, anatomical
variations and disease susceptibility
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