JEEVAK AYURVED MEDICAL COLLEGE & HOSPITAL RESEARCH CENTER

TOPIC :- ROG & ROGI PARIKSHA SIDDHANT

SUBMITTED BY :-

VANSHIKA PATEL

SATYAM SINGH

SUBMITTED TO :-

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DR. G.D. GUPTA

DR. K.S. GIRHEPUNJE

DR. ABHINAV SINGH

Rog Pariksha :- is the examination of Rog.��Rogi Pariksha :- is the examination of� Rogi (diseased individual).��'Pariksha' is helpful in establishing 'Siddhantha’s:��सिद्धांतो नाम स यः परीक्षकैबहुविधमं परीक्ष्यः�� हेतुर्भिश्च साधित्यवा स्थापयेत निर्णयः Ch.vi.8/37��A demonstrated truth established after several examinations and reasonings is known as Siddhanta.

Introduction

��Roga : “रूजाातित रोग:”A.H.Ni.1/1. Sarvang Sundari.��Rogi : "रोगी व्यतित :" A.H.Ni.1/22. Sarvang Sundari ��Pariksha :��The word 'Pariksha' derived from the root 'iksh' which means- 'to view, to consider, to examine' with the preposition 'Pari' fixed before the root which means 'from all sides'. Thus 'Pariksha' means 'viewing or examining an object from all sides’.��परीक्षयन्ते व्यस्थापयन्ते वस्तुरूपाणि अनया इति परीक्षा�Ch.Su.11/17 Chakrapani.��Through which 'vastu swarupam' gets established is said as Pariksha or Praman.

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Derivation and Definition

Importance of Pariksha

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• A physician should first of all diagnose the disease and then he should select proper medicine. Thereafter, he should administer the therapy applying the knowledge of the science of medicine.

*One should not indulge in any activity without proper examination . ��*Pariksha helps in Proper diagnosis of a disease Proper assessment of disease process, step-by-step knowing the prognosis��*To know one's limitation in terms of handling a case or to refer the case to related specialties.�Helps in knowing the condition of the patient (physical and mental)�

Importance of Rog Pariksha

• Vyadhi Swabhav - The quality and nature of the disease
• Vyadhi Praman - Quantity or magnitude of the disease
• Nidan Gyan - The causes of the disease
• Poorvarupa Gyan - Premonitory symptoms of the disease
• Rupa Gyan - Signs and symptoms of the disease
• Upashaya-Anupashaya Gyan - Aggravating and pacifying factors of the disease
• Samprapti Gyan - The process of formation of the disease
• Saadhya-Asadhyata Gyan - Prognosis of the disease
• Upadrava- udark Gyan - Complications and Sequel of a disease

Nidan Panchak

Tools for disease examination:

• Nidan Panchak (5 tools starting with Nidana) are the key tools used for Rog Pareeksha or diagnosis of the disease. They are as below mentioned:
• Nidan - helps us to learn about causative factors of the disease, the knowledge of which is the key to know why and how the disease process was initiated.
• 3 kinds of Nidan are Possible for causation of a Vyaadhi

1. Asatmeyindriyarth Samyog

2. Pragyaparadh

3 Parinam

Purvarup

पूर्वरूपं प्रगुत्पत्ति लक्षणं Ch.Ni 1/8

The lakshan seen before the vyadhi Utpatti is said as Purvarup

* Types of Purvarup -

1. Samanya Purvarup: The Purvarup found in relation to Dosh Dushya Sammurchana Avastha provide us to know about the Vyadhi only. But not Dosh visesh.

2. Vishista Purvarup : It gives an idea about the dosa visesh in Vyadhi.

Rup ��प्रादुर्भूतलक्षणम पुनर्लिङ्गम ch.ni 1/9��Signs and Symptoms of a disease which help in understanding the manifested disease. ��• Ex: Santap in Jwar �Atisaran in Atisar�Pind in Gulm �

� Upashay-Anupashay

Identifying a disease or diagnosing it on the basis of trial and error method after analyzing the aggravating and pacifying factors operating on a disease That which establishes Sukh anubandh when taken in form of aushadh, Ahar & Vihaar with respect to stages of a Disease.

They are as:

1. Hetu Viprit Upashay
2. Vyadhi Viparit Upashay
3. Hetu & Vyadhi Viparit Upashay
4. Hetu Viparit Arthakari Upashay
5. Vyadhi Viparit Arthakaari Upashay
6. Hetu & Vyadhi Viparit Arthakaari Upashay

Samprapti

• It helps in knowing the story of the disease. We can understand the process of steps in which the chain of events leading from
• ' exposure to causative factors to the manifestation of the disease' occurs, i.e. pathogenesis of the disease.

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Types of Samprapti

1. Sankhya Samprapti
2. Pradhanya Samprapti
3. Vidhi Samprapti
4. Vikalp Samprapti
5. Bal Samprapti
6. Kal Samprapti

� Dwividh Pariksha��There are two types of examination for learned persons �1. Pratyaksh ( Direct perception or examination of Pt. by special sense of clinician.) �2. Anuman (Evaluation of Pt. through Inference made by the clinician.)��* These two along with the authoritative instruction constitute the examination. �* This examination is of two types or of three types including authoritative instruction (upadesh).����

Trividh Pariksha�� 1. Darshan (Inspection / examination of Pt. through eyes of the clinician.)�� 2. Sparshan (Palpation/Percussion/Auscultation or by feeling the diseased area / examination of Pt. through hands of the clinician) ��3. Prashna (Questioning or interrogation / evaluation of Pt. through interrogation.)

Trividh Pariksha� (According to charak)��1. Pratyaksh ( Direct perception or examination of Pt. by special sense of clinician.) ��2. Anuman (Evaluation of Pt. through Inference made by the clinician.)��3. Aptopadesh (Evaluation of Pt. through authoriatives informations by the clinician)

Chaturvidh Pariksha ��1. Pratyaksh - as seen and perceived by the physician.�2. Anuman - inference / Evaluation of Pt. through Inference made by the clinician.�3.Aptopadesh - application of knowledge learnt through shastra (science) and teachings. �4. Yukti - situational application of wisdom and knowledge.

Shadvidha Pariksha ( 6 fold diagnosis)�� 1. Chakshurindriya dwara pariksha - examination by seeing (inspection).�2. Ghranendriya dwara pariksha - examination through smelling.�3. Shravanendriya dwara pariksha - examination through hearing (auscultation) .�4. Jihvendriya dwara pariksha - through taste examination.�5. Sparshnendriya dwara pariksha - examination through touch.�6. Prashn pareeksha - interrogation

Ashta Sthana Pareeksha (8 fold diagnosis)��It includes examination of –��1. Nadi (Pulse)�2. Mala (Stool)�3. Mootra (Urine)�4. Jihwa (Tongue)�5. Shabd (Sounds)�6. Sparsha (Touch)�7. Drik (Eye)�8. Akriti (Physique ,Built, gait, decubits etc)

Dash Vidh Pariksha� (10 types of Patient examination)��1. Prakriti – Examination of physical constitution of the patient�2. Vikriti - Examination of morbidity�3. Sara - Examination of essence of dhatu (tissues)�4. Samhanana - Examination of compactness�5. Pramana - Examination of measurements and dimensions of organs and tissues (Anthropometry)�

6. Saatmya - Examination of suitability (homologation) ��7. Satva - Examination of mind (mental faculties)��8. Aahaar shakti - Examination for 'capacity of food intake’ ��9. Vyayam shakti - Examination for 'capacity of exercise’��10. Vay - Examination of age

Conclusion ��*The proper method of pariksha helps the clinician to gain pratipatti gyan.�*Early Diagnosis: Early and accurate diagnosis is crucial for effective treatment and prevention of complications. �*Personalized Treatment:The examination methods help in understanding the individual characteristics of the disease and the patient, enabling personalized treatment plans. �*Emphasis on Prevention:Ayurvedic principles emphasize prevention and maintaining health through lifestyle modifications and dietary changes. �*Understanding the Root Cause:Ayurveda aims to address the root cause of the disease rather than just treating the symptoms.

Thank You �