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The main objective of Pratyaksha or direct observation is to assess or examine through direct methods.

Ayurveda : Ayurvedic Diagnosis (Nidan) : Direct Observation in Ayurveda


Direct Observation in Ayurveda

Finger KnucklesThe art of diagnosis in Ayurveda can be divided into two parts: The inspection of the human being (Rogi-Pariksa) and the examination of the disease (Roga-Pariksa). According to Charaka, three things are essential for diagnosing a disease. They are as follows:
  1. Pratyaksha (Observation)
  2. Anumana (Interference)
  3. Aptopadesh (saying of seers in authoritative classical and other texts)
Susruta prescribed, the use of five senses while examining a patient and asking Prashnas (questioning). It is essential for a physician to do both Roga (disease) and Rogi (patient) Pariksha (examination).

Later Madhava mentioned Nidanapanchak (five diagnostic aspects), which are:
  • Nidana or Hetu (causes responsible for Roga, the disease)
  • Purva-Rupa (Prodromal syndromes)
  • Rupa (Signs and symptoms of Roga)
  • Samprapti (Pathogenesis) and
  • Upasaya (Therapeutic test)
It is one of the methods from the second triad described in Trividh Pariksha for the assessment of diseases. The physician should examine the patient by using his sense organs except tongue to know the nature of a disease by direct observation. The factors examined by the four sense organs are as follows:

Eyes -Color, shape, proportions and the luster; the healthy or diseased look of the body.
Ears -Intestinal sounds, the sounds of the joints and the finger knuckles, variations in the patient's voice or any other sounds that may be observed in any part of the body.
Nose -Abnormal or normal odor of the body.
Touch -Normal or abnormal feel of the body, temperature of the body, swelling roughness or dryness, softness of the skin.




















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