1) Examination of the patient or Rogi pareeksha 2) Analysis of the disease or Rogapareeksha Pareeksha is defined as the means by which a person gets a definite or real knowledge of a subject. mÉUϤrÉliÉå urÉuÉxjÉÉmrÉliÉå uÉxiÉÑ xuÉÃmÉÉÍhÉ AlrÉjÉÉ CÌiÉ mÉUϤÉÉ Pareeksha is the method of obtaining knowledge by the help of pramanas.( Vatsayana bhashya) ÍqÉjrÉÉSÒ¹É ÌuÉMüÉUÉ rÉå SÒUÉZrÉÉiÉÉxiÉjÉæuÉ cÉ iÉjÉÉ SÒwmÉËUqÉÚ¹ÉU qÉÉåWûrÉåwÉÑ ÍcÉÌMüixÉÏlÉqÉç If the patient is not examined properly or if the facts observed are not properly taken into consideration and if the physician don’t have thorough knowledge of rogi pareeksha, then both the patient and the physician will not get favourable results. The use of pareeksha is told as- • mÉUϤÉÉrÉÉxiÉÑ ZÉsÉÑ mÉërÉÉåeÉlÉÇ mÉëÌiÉmÉÌ¨É ¥ÉÉlÉÇ | mÉëÌiÉmĘ́ÉlÉÉïqÉÉ rÉxiÉÑ ÌuÉMüÉUÉå rÉjÉÉ mÉëÌiÉmÉÌ¨É urÉirÉxiÉxrÉÉ rÉjÉÉqÉlÉÑwÉçPÉlÉ¥ÉÉlÉqÉç | (cÉ ÌuÉ 8/151) Any doubt in understanding a subject has to be cleared by the help of pareeksha and a decisive, confirmatory inference can be obtained. In order to attain a proper knowledge of the disease, different types of proofs or pareeksha are to be adopted. Only after attaining correct knowledge, physician will be able to advocate a proper treatment. The ten important topics for examination in charaka samhita are kaarana, karana, karyayoni, karya, karyaphala, anubandha, desa, kala, pravrithi and upaya. Examination of rogi comes under the analysis of third topic karyadesa i.e site of administration of drugs and therapies. The examination of the patient is intended to obtain knowledge about the lifespan, strength and intensity of the morbidity. Based on this information the physician will formulate the therapeutic procedures. If the medicines are administered without the examination of the patient, the treatment turns futile. If strong medication is given to a weak patient and weak therapies to a strong patient the desired effects cannot be achieved. In order to avoid these fallacies one must examine the patient thoroughly. Various methods of rogeepareeksha I) Dvividha pareeksha II) Thrividha pareeksha III) Chathurvidha pareeksha IV) Shadvidha pareeksha V) Ashtavidha pareeksha VI) Dasavidha pareeksha I) Dvividha pareeksha ̲ÌuÉkÉÇ mÉUϤÉÉ ¥ÉÉlÉuÉiÉÉÇ mÉëirɤÉqÉlÉÑqÉÉlÉgcÉ (cÉ ÌuÉ 8/83) 1. Pratyaksha 2. Anumana II) Trividha pareeksha SzÉïlÉxmÉzÉïlÉ mÉëzlÉæ: mÉUϤÉåiÉ cÉ UÉåÌaÉhÉÉqÉç (A ¾û xÉÑ1/22) 1.darsana 2.Sparsana 3.Prasna b) ̧ÉÌuÉkÉÇ ZÉsÉÑ UÉåaÉÌuÉzÉåwÉ ÌuÉ¥ÉÉlÉÇ pÉuÉÌiÉ; iɱjÉÉ AÉmiÉÉåmÉSåzÉ: mÉëirɤÉqÉç, AlÉÑqÉÉlÉÇ cÉåÌiÉ (cÉ ÌuÉ 4/3) 1.Aptopadesa 2. Pratyaksha 3. Anumana III) Chathurvidha pareeksha 1) Pratyaksha 2) Anumana 3) Aptopadesa 4) Yukti IV) Shadvidha pareeksha wÉQèûÌuÉkÉÉå ÌWû UÉåaÉÉhÉÉÇ ÌuÉ¥ÉÉlÉÉåmÉrÉ: iɱjÉÉ mÉgcÉ´ÉÉå§ÉÉÌSÍpÉ: mÉëzlÉålÉ cÉåÌiÉ (xÉÑ.xÉÔ. 10/4) It is not possible to acquire the complete knowledge by three fold examinations, therefore Susrutha described six fold examination technique for the diagnosis of diseases. These are five sense organs and history taking i.e 1) Sparsanendriya 2) Srotrendriya 3) Chakshurindriya 4) Rasanendriya 5) Ghranendriya 6) Prasna V) Ashtavidha pareeksha UÉåaÉÉ¢üÉliÉ zÉUÏUxrÉ xjÉÉlÉÉlrɹÉæ ÌlÉUϤÉrÉåiÉç lÉÉQûÏÇ qÉÔ§ÉÇ qÉsÉÇ ÎeÉÀûÉÇ zÉoS xmÉzÉï SÚaÉÉMüÚÌiÉ (rÉÉå U) 1) Nadi 2) Moothra 3) Mala 4) Jihva 5) Sabda 6) Sparsa 7) Drik 8) Akruti VI) Dasavidha pareeksha iÉxqÉÉiÉÉiÉÑUÇ mÉUϤÉåiÉ mÉëMüÚÚ ÌiÉiɶÉ, ÌuÉMüÚÚ ÌiÉiɶÉ, xÉÉUiɶÉ, xÉÇWûlÉlÉiÉzÉçcÉ, mÉëqÉÉhÉiɶÉ, xÉÉiqrÉiɶÉ, xÉiuÉiɶÉ, AÉWûÉUzÉÌ£üiɶÉ, urÉÉrÉÉqÉzÉÌ£üiɶÉ, uÉrÉxÉ¶É CÌiÉ (cÉ ÌuÉ 8/94) 1) Prakriti 2) Vikriti 3) Sara 4) Samhanana 5) Pramana 6) Satmya 7) Satva 8) Ahara sakti 9) Vyayama sakti 10) Vaya TRIVIDHA PAREEKSHA 1. DARSANA SzÉïlÉålÉ SÚwšÉ, MüÉxÉqÉåWûɱÉiÉåïwÉÑ mÉÏiÉzÉÑYsÉuÉhÉï xÉqxjÉÉlÉ mÉëqÉÉhÉÉåmÉcÉrÉcNûÉrÉÉ ÌuÉhqÉÔ§ÉcNûÌSïiÉÉÌSMüqÉç É (A. WèûÚ.xÉÔ 1/21) xÉuÉÉï…xÉÑlSU) Things identified by direct observation of patient either directly or indirectly is called darsana pariksha. In darsana pareeksha following other pariksha may also be considered namely pratyaksha pareeksha, chakshurindriya pareeksha etc. 2. SPARSANA xmÉzÉïlÉålÉç WûxiÉMüÉrÉxmÉzÉåïlÉ, euÉUaÉÑsqÉÌuÉSìèkrÉɱÉiÉïqÉç, iÉjÉÉ zÉÏiÉÉåwhÉxiÉokÉxmÉlSzsɤhÉZÉUxmÉzÉÉïÌSMÇü cÉ É (A. WèûÚ.xÉÔ 1/21) xÉuÉÉï…xÉÑlSU) It is a palpatory method helps to understand coldness, hotness, palpitations, smoothness etc.Under sparsana pareeksha the following other examination tools may be included namely sparsanendriya pareeksha, nadi pareeksha etc. 3. PRASNA mÉëzlÉålÉ mÉÚcNèrÉÉ, zÉÔsÉÉUÉåcÉMücNûÌSïWûÚSìuÉiuÉÇ xÉÑcNûlSiuÉÇ qÉÚSÒ¢ÔüU MüÉåwÉçPiÉÉÇ xuÉmlÉSzÉïlÉqÉÍpÉmÉëÉrÉÇ eÉlqÉÉqÉrÉmÉëuÉŲ́ÉlɤɧÉ̲¹å¹ xÉÑZÉ SÒ:ZÉÉÌlÉ cÉ, CirÉÉiÉÑUqÉÑZÉÉimÉUϤÉåiÉç É (A. WèûÚ.xÉÔ 1/21) xÉuÉÉï…xÉÑlSU) Prasna pareeksha is helpful to know about aggrevating and relieving factors of diseases like sula etc. along with it guides to understand about various kinds of koshta(mridu, Madhya and krura koshta). In this other examination methods may also be included like mutra pareeksha, mala pareeksha, anumana pareeksha, aptopadesa etc. CHATHURVIDHA PAREEKSHA 1. PRATYAKSHA Charaka defines pratyaksha as, AÉiqÉåÎlSìrÉ qÉlÉÉÅåjÉÉïlÉÉqÉç xÉͳÉMüwÉÉïiÉç mÉëuɨÉïiÉå urÉ£üÉ iÉSÉiuÉå rÉÉ oÉÑή: mÉëirɤÉÇ xÉÉ ÌlÉÂcrÉiÉå | (cÉ.xÉÔ 11/20) Pratyaksha is getting knowledge through sense organs. Pratyaksha jnana occurs when there is contact between indriya and their particular artha directly. Manas become the mediator between indriya and atma. AjÉ mÉëirɤÉÇ lÉÉqÉ iɱSÉiqÉlÉÉ cÉåÎlSìrÉæ¶É xuÉrÉqÉÑmÉsÉprÉiÉå, iɧÉÉiqÉmÉëirɤÉÉ: xÉÑZÉSÒZÉåcNûɲåwÉÉSrÉ: zÉoSÉSrÉÉÎxiuÉÎlSìrÉ mÉëirɤÉÉ: | (cÉ.ÌuÉ 8/39) Substances perceived by the self or through the sense organs may be included under direct observation. Examples are happiness, sorrow, desire, jealousy etc. are felt by the individual and sound etc. are perceived by the help of sense organs. Detection of findings by organ of hearing- Gurgling sound in the abdomen Cracking and crepitation in big and small joints Voice of patient Other abnormal sounds produced in various diseases like hikka, svasa, swarabheda, kasa etc. Factors detected by organ of sight- Colour, shape, measurement and complexion Natural and unnatural changes in the body. Other findings examined visually like signs of the disease, lusture and other abnormalities. Factors detected by organ of taste- Taste can be perceived by the gustatory sense organs and they can be ascertained by inference and not by direct observation. That’s why taste in the mouth of patient may be obtained by interrogation. Impairment of the taste of body should be inferred when lice etc. go away from the body. Sweetness of the body can be inferred when flies are attracted towards the body. Similarly other tastes in the patients body can be inferred. Factors detected by organ of smell Normal and abnormal smells of the whole body may be detected by organ of smell. Factors detected by organ of touch Normal and abnormal findings of touch may be examined by hand. 2. ANUMANA AlÉÑqÉÉlÉ ZÉsÉÑ iÉMüÉåï rÉÑYirÉmÉå¤ÉrÉÉ Anumana pareeksha is the means by which the diagnosis is made by inference. This is the method of examination of the patient which is performed in most or all of the occasions. In ayurveda classics, much importance has given in diagnosing the disease using anumana pareeksha. Here are few examples. AÎalÉÇ eÉUhÉzÉYirÉÉ mÉUϤÉåiÉ Power of agni by the process of digestion and metabolism. oÉsÉÇ urÉÉrÉÉqÉzÉYirÉÉ Strength of the person is assessed by the capacity to do exercise. ´ÉÉå§ÉÉSÏÌlÉ zÉoSɱjÉïaÉëWûhÉålÉ Condition of the sense organ is assessed by the normal functioning. ÇÌuÉ¥ÉÉÉlÉÇ urÉuÉxÉÉrÉålÉ Knowledge of a thing can be assessed by proper action and reaction. mÉëÏÌiÉ iÉÉåwÉåhÉ Pleasure assessed from satisfaction. pÉrÉÇ ÌuÉwÉÉSålÉ Fear is known from apprehension Obedience is known from compliance with others. 3. APTOPADESA Aptopadesa means aptavachana i.e. advices given by a master UeÉxiÉqÉÉåprÉÉÇ ÌlÉqÉÑï£üÉxiÉmÉÉå¥ÉÉlÉoÉsÉålÉ rÉå rÉåwÉÉÇ §ÉæMüÉsÉqÉqÉsÉÇ ¥ÉÉlÉqÉurÉÉWûiÉÇ xÉSÉ AÉmiÉÉ: ÍzɹÉÌuÉoÉÑkÉÉxiÉå iÉåwÉÉÇ uÉÉYrÉqÉxÉÇzÉÄrÉÇ xÉirÉÇ uɤrÉÎliÉiÉå MüxqÉÉiÉç ÌlÉUeÉxiÉqÉxÉÉåqÉÚwÉÉ (cÉ.xÉÔ 11/18) Apta is a person who have sound, complete and confirmative knowledge with good memory power. They would not have any raga, dvesha, kopa, matsarya etc. So they always speak truth and their activities are accepted as pramana.Acharyas described the following points for understanding and diagnosis of diseases. PRAKOPA - Aggravating factors YONI - Involvement of doshas UTHANA -Mode of onset ATMA - Nature of disease indicating acuteness, chronicity or fatalness ADHISHTANA - Location of disease VEDANA - Pain symptomatology SAMSTHANA/ LAKSHANA- Symptoms UPADRAVA - Complications VRIDHI- STHANA- KSHAYA- Stages of dosha UDARKA - Sequele NAMA - Names HETU - Cause YOGA - Medicine and therapy useful So Aptopadesa includes includes 2 factors in diagnosing a disease 1) Getting the knowledge disease before seeing or examining a patient itself. 2) Getting the knowledge of disease from patient itself. These two will give a chance for recognizing a disease. 4. YUKTHI DEFINITION- oÉÑή: mÉzrÉÌiÉ rÉÉ pÉÉuÉÉlÉç oÉWÒûMüÉUhÉrÉÉåaÉeÉÉlÉç rÉÑÌ£üÎx§ÉMüÉsÉÉ xÉÉ ¥ÉårÉÉ Ì§ÉuÉaÉï: xÉÉkrÉiÉå rÉrÉÉ | ( cÉ. xÉÔ. 11/25) The intellect perceives the unknown factors which are produced by multiple causes. This occurs due to comparison of unknown factors with known cause – effect relationship. With this one can have the knowledge of past, present and future days and is helpful in achieving the dharma, artha and kama. For this charaka gives two examples in the same chapter. eÉsÉMüwÉïhÉoÉÏeÉxÉÇrÉÉåaÉÉiÉç xÉxrÉxÉÇpÉuÉ: rÉÑÌ£ü: wÉQèkÉÉiÉÑ xÉÇrÉÉåaÉÉiÉç aÉpÉÉïhÉÉÇ xÉÇpÉuÉxiÉjÉÉ qÉjrÉqÉljÉlÉqÉljÉÉlÉ xÉÇrÉÉåaÉÉSÎalÉxÉÇpÉuÉ: rÉÑÌ£ürÉÑ£üÉ cÉiÉÑwmÉÉSxÉqçmÉiÉç urÉÉÍkÉÌlÉoÉWïhÉÏ | (cÉ.xÉÔ 11/22) Wheat, rice etc. will be produced, if there is a proper combination of water, ploughing, seeds and season. Similarly the combination of panchamahabhoothas and atma will lead to formation of garbha. Fire is produced if there is proper combination of woods or fuel and the person who will perform the friction between the two. Similarly the proper combination of the physician, drugs, attender and patient will result in cure of the disease. Importance of yukthi Use of any medicine depends upon the quantity and the time and the success is definite, if one follows this. The physician who possesses this yukthi is considered as best among the physicians who knows regarding the plants only. SHADVIDHA PAREEKSHA The six fold examinations are described by Acharya Susrutha. These include interrogation and examination with five sense organs. wÉQèûÌuÉkÉÉå ÌWû UÉåaÉÉhÉÉÇ ÌuÉ¥ÉÉlÉÉåmÉrÉ: iɱjÉÉ mÉgcÉ´ÉÉå§ÉÉÌSÍpÉ: mÉëzlÉålÉ cÉåÌiÉ (xÉÑ.xÉÔ. 10/4) PANCHENDRIYA PAREEKSHA SROTHRENDRIYA PAREEKSHA • iÉ§É ´ÉÉå§ÉåÎlSìrÉÌuÉ¥ÉårÉÉ ÌuÉzÉåwÉÉ UÉåaÉåwÉÑ uÉëhÉxÉëÉuÉ ÌuÉ¥ÉÉlÉÏrÉÌSwÉÑ uɤrÉliÉå-iɧÉÉ xÉÄTåülÉÇ U£üqÉÏUrɳÉÌlÉsÉ: xÉzÉoSÉå ÌlÉaÉïNûÌiÉ CirÉåuÉqÉÉSrÉ: (xÉÑ. xÉÔ.10/5) Srothrendriya pareeksha is of two types – i) Hearing sounds directly – by the physician or by the patient. Sounds like cough, wheezing etc can be heard directly without using instruments. ii) Hearing the sounds using instruments - using instruments like stethoscope we can hear heart sounds and its modulations, espiratory sounds, intestinal gargling sounds etc. • Percussion can also included here as the physician is listening to percussion notes. Some examples…….. • Bhinna kamsya swara - Kasa • Gardabhavat swara - Vatika swarabheda • Anu swara - Medoja galaganda • Paravata iva koojan - Kshataja kasa • Vak sthambha - Ardita • Atopa - Udara, Gulma poorvaroopa.. • Pralapa - Bhaya, Soka Jvara • Anthra koojana - Gulma poorva rupa SPARSANENDRIYA PAREEKSHA It is necessary when the facts cannot be perceived through chakshurindriya. Since it is done by hands,the physician’s hand must be warm. Before examining, the procedure must be explained to the patient. The palpation should start from normal parts first, then abnormal parts gently so as not to give unnecessary pain to the patient. xmÉzÉïlÉåÎlSìrÉ ÌuÉ¥ÉårÉÉ:zÉÏiÉÉåwhÉ zsɤhÉMüMïüzÉ qÉÚëSÒMüÌPlÉiuÉÉSrÉ: xmÉzÉïÌuÉzÉåwÉÉ euÉUzÉÉåÄTüÉÌSwÉÑ Excessive heat or cold, normal or abnormal roughness or smoothness of the body etc can be assessed by sparsana pareeksha. Some examples….. • Mrudu sparsa - Pithodara • Sthira katina sparsa -Kaphodara • Nadi mandathara - Mandagni, ksheena dhathu • Paripinditatvat sparsopalabhya – Gulma • Bahalam hasthicharmavat - Charma kushta • Kinakhara sparsam - Kitibha kushta • Ushnasparsa - Jwara CHAKSHURINDRIYA PAREEKSHA Inspection is the most important form of examination for diagnosing a disease. Inspection is done in a comfortable environment to the patient with sufficient good natural light. According to charaka, colours, site, measurement of body abnormalities like chaaya, prakrthi, vikara etc are to be examined by chakshurindriya. cɤÉÑËUÎlSìrÉÌuÉ¥ÉårÉ: zÉUÏUÉåmÉcÉrÉÉmÉcÉrÉÉrÉÑsÉï¤ÉhÉ oÉsÉ uÉhÉï ÌuÉMüÉUÉSrÉ: (xÉÑ xÉÔ.10/5) The things detected through the examination by sight are increase or decrease of the body, signs of life span, change in strength and colour etc. zÉUÏUÉåmÉcÉrÉåÌiÉ EmÉcÉrÉ:xjÉÉæsrÉÇ, AmÉcÉrÉ: MüÉzrÉïÇ, oÉsÉqÉ§É EixÉÉWû (xÉÑ xÉÔ 10/5) QûsWûhÉÉ Upachaya means oesity, apchaya refers to emaciation, bala refers to loss of enthusiasm • Avila netra - Arditha poorvaroopa • Haridra netrata- Pithaja arsa, Kamala • Akshikuta sopha- Amajirna, Pandu poorvaroopa, mridbhakshanajanya pandu • Akshiraga - Raktaja Abhishyanda • Raktaika lochana- chinna svasa • Kuksherathimathra vridhi- Jalodara RASANENDRIYA PAREEKSHA Rasa of body parts of the patientis either inferred or asked to the patient. UxÉlÉåÎlSìrÉÌuÉ¥ÉårÉÉ: mÉëqÉåWûÉÌSwÉÑ UxÉÌuÉzÉåwÉÉ: (xÉÑ xÉÔ 3/8) For example, if bees, flies attracted towards prameha rogi, it indicates tanumadhuryatha of that patient. Examples are……. • Aruchi- Amlapitta, Arochaka, Asmari poorvaroopa, Grahani dosha etc • Asyamadhurya – K. Amlapitta,Galaganda, Prameha poorvaroopa, K. Thrishna etc. • Asyavairasya- Jvara, Kasa, Udara etc. GHRANENDRIYA PAREEKSHA By ghranendriya, we can examine normal and abnormal smells of the body and its waste products. bÉììÉhÉåÎlSìrÉ ÌuÉ¥ÉårÉÉ AËU¹ÍsÉÇaÉÉÌSwÉÑ, uÉëhÉÉlÉÉqÉuÉëhÉÉlÉÉÇ cÉ aÉlkÉÌuÉzÉåwÉÉ: (xÉÑ xÉÔ 10/5) Diagnosis of diseases based on abnormal smell, which emits either from wounds or non wounded region Examples….. • Gatra dourgandhya- Koshta vrana, medoroga • Asyaputita - Pittaja arochaka, Putinasya • Anga lohagandha - Rakthaja daha • Durgandha kapha - Kshayaja kasa Some prognostic signs regarding gandha can also be identified. For example,paithika prakrthi –foul smell of body, sama mala – bad smell, visragandha muthra – amavata, asmiri PRASNA PAREEKSHA mÉëzlÉålÉ cÉ ÌuÉeÉÉlÉÏrɬåzÉçÇ MüÉsÉ eÉÉÌiÉÇ xÉÉÇirÉqÉÉiɃxÉqÉÑimĘ́ÉÇ uÉåSlÉÉxÉqÉÑcNûÉrÉÉÇ oÉsÉqÉliÉUÎalÉÇ uÉÉiÉqÉ賈 mÉÑUÏwÉÉhÉÉÇ mÉëuÉę̈ÉqÉmÉëuÉę̈ÉÇ MüsÉmÉëMüwÉÉïSÏÇ¶É ÌuÉzÉåwÉÉlÉç | AÉiqÉxÉSìzÉåwÉÑ ÌuÉ¥ÉÉlÉÉprÉÑmÉÉrÉåwÉÑ iÉixjÉlÉÏrÉæaeÉïlÉÏrÉÉiÉç || (xÉÑ xÉÔ 10/5 QûsWûhÉ) The points to be assessed during interrogation are, DESA- • SåzÉxiuÉÍkɹÉlÉÇ ( cÉ. ÌuÉ. 8) i) As per dalhana, the desa is of three types, namely jangala, anoopa and sadharana. That implies the site where the patient born, grown up and got disease, by which nidana can be assessed. The descriptions of these three types of desa are available in the classics. ii) According to another opinion, desa is of two types- bhoomidesa and deha desa.
KALA- divided into two –Nithyaga and Avasthika
Nithyaga comprises rthu lakshana, day, night etc. Avasthika is again subdivided into two –swasthasya balyadi bhedena, vyadhithasya jwararambhadi kalavastha i) Swasthasya balyadi bhedena- understanding of age like children, youth, old age person etc ii) Vyadhithasya jwararambhadi kalavastha – refers onset and history of diseases. SATMYA- • xÉÉiqrÉÍqÉÌiÉ rɱxrÉ xÉåÌuÉiÉqÉç iÉiÉç xÉÑZÉÉrÉ xÉqmɱiÉå iÉiÉxrÉ xÉÉiqrÉqÉç; iÉŠç ̲ÌuÉkÉÇ cÉå¹ÉZrÉqÉWûÉUÉZrÉÇ cÉ; cÉå¹ÉZrÉÇ MüÉrÉ uÉÉMçü qÉlÉÉåpÉåSȨ́ÉÌuÉkÉÇ AÉWûÉUÉZrÉÇ UxÉpÉåSÉiÉç wÉQèû ÌuÉkÉqÉç • (xÉÑ xÉÔ 10/5) which gives conduciveness and comfort to body Cheshtakhya - 3 types based on kaya, vak & manas Aharakhya – related to 6 kinds of taste ATHANKA SAMUTHPATHI- • AÉiɃxÉqÉÑimÉÌ¨É xÉqÉÑimĘ́É: MüÉUhÉçqÉÑcrÉiÉå |(xÉÑ xÉÔ 10/5 QûsWûhÉ) Causative factors of disease VEDANA SAMUCCHRAYA • uÉåSlÉÉxÉqÉÑcNíÉrÉÍqÉÌiÉ uÉåSlÉÉ uÉÉiÉÉÌSuÉåSlÉÉxiÉÉåSÉSrÉ:, iÉÉxÉÉ xÉqÉÑcNíÉrÉ ESèlÉÌiÉ: | Description of various kinds of pain resulting due to vatadi doshas • Vata- toda, bheda, cheda, soola • Pitta – osha, chosha, daha, amlaka • Kapha- gourava, sthaimithya, kandu BALA oÉsÉÇ urÉÉrÉÉqÉaÉqrÉ zÉÎY¨É: Bala- exercise tolerance ANTHARAGNI iÉæpÉïuÉåiÉç ÌuÉwÉqÉxiÉϤhÉÉå qÉlS¶ÉÉÎalÉxÉqÉæxxÉqÉ Antharagni means condition of agni whether it is normal, abnormal or dull. VATHA MUTHRA PUREESHANAM PRAVRTHI- APRAVRTHI Knowledge of proper evacuation of flatus, urine, stool, menstrual blood can be attained by interrogation itself. Though the lab examination of urine, faeces, semen etc are necessary, but the primary idea regarding the abnormalities in urine, faeces etc can be identified by prasna pareeksha. KALAPRAKARSHA It helps in identifying swathanthra and parathanthra lakshanas ie, differentiating symptoms and complications of a disease.