नाडी परीक्षा

By
Dr.B.S.Koushika.,B.A.M.S, M.D(Ayu)
DEPT OF PANCHAKARMA,
SJSACH, chennai.
Introduction
CONTENTS
Definition And Etymology
 References
Nadi Shareeram
Why Radial Pulse?
Nadi Paryaya And Karya
Nadi Pareeksha Sthana
Sites Of Pulse Examination
Procedure
Tridosha Principle In Nadi
Rasa Principle In Nadi
Ahara And Nadi
Dhatus In Nadi
Rogajnanam
Types Of Abnormal Pulse
Sadhyasadhyata In Nadi
Mruthyu In Nadi
7 Levels Of Pulse
Bibliography
Conclusion
 INTRODUCTION
Sphygmology
First Among Ashta Stana Pareeksha
Ashta Stana Pareeksha

(YO.RAT PUR KHA)

Importance Of Nadi

(YO.RAT.PUR.KHA)
DEFINITION & ETYMOLOGY
NADI-STRI DHAMANI TRINADIKHANDA (AMARAKOSHA)
NAL+ ACH PRATYAYA
Vein Or Artery In The Body (Atharvaveda)
Musical Instrument (Rigveda)
 REFERENCES
BOOK AUTHOR
Nadi Vijnana Maharshi Kanada
Nadi Pariksha Raavana
Sharangadhara Samhitha Sharangadhara
Bhavaprakasha Bhavamishra
Yoga Ratnakara Nayana Sekhara
Basavarajiyam Basavaraja
Nadijnana Darpana Bhudara Bhatta
Nadijnana Tarangini Raghunath Prasad Shukla
Nadi Darshana Tarashankar Mishra
BOOKS AUTHOR
Nadi Nakshatra Mala Aswini Devatas
Nadi Tatwa Darshana Satyadeva Vasishta
Nadi Darpana Dattarama Patak
Nadi Rahasya Ayodhyanath Pandey
Ayurveda Vijnana Binodlal Sen
Nadi Pariksha Shankar Sen
Nadi Jnanam Venkatakrishna Shastry
Secrets Of Pulse Vasant Lad
 BRIHATHRAYEE
CHARAKA ●
SPANDANA AND
INDRIYA STANA ASPANDANA

CHARAKA ●
ASPANDANA IN
SHAREERA
NAGODHARA
STANA

SUSHRUTA ●
GARBHAKSHAYA-ASPANDANA NADI
SUTRA STANA
●
MUDA GARBHA –ASPANDANA NADI
 LAGHUTRAYEE

BHAVAPRAKASHA
SHARANGHADHARA
Side Description In
15 Types YOGARATNAKARA
Male And Female
First Description Indication
Fingers And
Physiological Sites And Method
Different Position
States Physiological,
Of Doshas
Mental State Mental And
Physiological
Pathological State Pathological
Comditions
Tridosha Bad Prognosis
Mental And
Involvement
Pathological
BHASAVARAJIYAM
8 STHANAS OF
NADI
Osta(lips) VAIDHYACHINTAMA RAVANA TANTRA
Panipada(foot And NI General Description
Hands) Method In Detail PULSE AFTER
Kanta(neck)
Nasa(nose)
Doshaja Nadi TAKING CERTAIN
Dwandaja Nadi DIET
Akshi(eyes)
Karna(ears) AJEERNA NADI Prognosis In Pulse
Jihwa(tongue)
Medra(penis)
Diseases
 NADI SHAREERAM
Sthula And Sukshma-3.5 Crore
Nabhi Mula
1000 Sthula Nadi
700 Sukshma Nadi
24 Nadi At Nabhi
One Yogya Nadi
 WHY RADIAL PULSE?
Anatomically Easy
Above The Bone
 Nearest To Heart
Rate, Rhythm, Consistency, Tension.
 NADI PARYAYA, KARYA

YO.RAT.PU.KHA.1/8

Urdhwa Nadi-sabdha,sparsha,rupa,rasa,gandha,prashwasa,
Uchswasa,jrumbha,kshuth.
Adhoga Nadi-vata,mutra,purisha,sukra, Artava Pravriti
Tiryak Nadi-sweda, Rasa Pravriti.
 NADI PAREEKSHA STANA

JEEVA NADI:

(SHA.SAM.PU.3/1)
PADHA NADI

KARNAMULA NADI
KANTAMULA NADI

NASAMULA NADI
SITES
TRIDEVATA NADI
PROCEDURE
YOGYA
AYOGYA
TIME FOR PAREEKSHA
IMPROPER TIME
 BALA NADI

DOSHARAHITA NADI

SUBHANADI
 PULSE RATE
NORMAL PULSE RATE:60-100BEATS PER MINUTE
AGE PULSE RATE(BPM)
NEW BORN 140
1-3YRS 125
3-6YRS 100
YUVA(13YRS ABOVE) 90
PROUDA(ABOVE 32YRS) 72
VRIDHA(48) 70
AFTER 72 77
 TRIDOSHA IN NADI
VATA NADI

PITTA NADI

KAPHA NADI
DWIDOSHA

SANNIPATA
GATI
VATAPITTA

VATAKAPHA

PITTAKAPHA

SANNIPATA

SAMA NIRAMA
RASA IN NADI
AHARA AND NADI
FOOD NADI
Guda,rambaphala,mamsa,ruks Vatapitta,nishchala
ha,sushka,sheetala
Mamsa Sthira
Dugdha Sheeta,bala
Guda,kshara,pishta Sthira,manda
Kushmanda,mulaka Manda
Ksheera Manda,sthimita
Brishta Ahara Sthira,manda
DHATUS IN NADI
RASA

RAKTHA

MAMSA

MEDA
 ROGAJNANAM
JWARA DOSHAJA JWARA

BHUJA JWARA
KAMAJA JWARA

KRODHAJA JWARA VISHAMA JWARA

 ATISARA
ARSHAS

AJEERNA

PAKWAJEERNA
MALAJEERNA

VISUCHIKA
KRIMIROGA

ANAHA GULMA
ROGA NADI
JWARA VEGAVAT,USHNA
VATA JWARA VAJRA,CAPALA,SHEETA
PITTA JWARA DRUTA,SARALA,DEERGA,USHNA

KAPHAJWARA MANDA,STHURA,SHEETA
BHUTAJWARA ATIVEGA
KAMAJAJWARA VEGAVAT
KRODHAJAJWARA VEGAVAT
VISHAMA JWARA USHNA,VISHMAVEGA
ATISARA MANDA,JALOUKA GATI
ARSHAS STHIRA,VAKRA,MANDA`
PAKWAJEERNA MANDA
MALAJEERNA ANU,SUKHSMA SPANDANA
ROGA NADI

UDAVARTA KASTATARA

VATAJA SHULA VATANADI,VAKRA

PITTAJA SHULA USHNA,STHIRA

AMLAPITTA KAMPA,STULA,MANDA

KASA SUKSHMA,STIRA,MANDA
SWASA TEEVRA
HRIDROGA KATINA,DRUTA
MUTRAKRICHRA GARISHTA
MUTRAGHATA MUHUSPURANA
PRAMEHA SUKSHMA,MRIDU,GRANDHIRUPA
APASMARA DRITA
NIDRA KAPHA NADI SAMANA,MANDA
ROGA NADI

AKSHEPAKA STULA,VEGAVAT

APATANTRAKA CHANCHALA

APATANAKA THIVRAGATI

DHANUSTAMBA BALA,GAMBIRA

ANTARAYAMA GAMBIRA,SHEEGRA

PAKSHAGATA VATA NADI

GRUDRASI STULA,MANDA,VAKRA

KROSHTUKASHEERSHA GAMBIRA,MANDA

PADADAHA USHNA,VEGAVAT,DRUTA

AVABAHUKA VAKRA

VATARAKTA STHIRA,KRURA

AMAVATA KAMPA,GAMBHIRA,MANDA
ROGA NADI
GALAGANDA KATINA
GANDAMALA STULA
KRIMIROGA NANAVIDHA SPANDANA
GULMA KAMPA
ANAHA GARISHTA,DRIDA
MADATYAYA SUKSHMA,KATINA
DAHA USHNA,CHANCHALA,VAKRA
UNMADA USHNA,VAKRA,STIRA
UDHARDA VEGAVAT,KRURA
SLIPADA CHAPALA,STULA
KUSHTA KATINA,STIRA
MEDHAROGA KAPHAGATI,MANDA
 ABNORMAL PULSE
Tachycardia more than 100bpm
o Exercise, infants, anxiety, fever, hyperthyroidism

Bradycardia less than 60bpm

oSleep, athletic, hypothyroidism, heart block

Occasionally irregular
oExtrasystole

Regularly irregular
oSinus arrhythmia, atrioventricular block

Irregularly irregular
oAtrial fibrillation
Pulse apex deficit-diff in heart rate and pulse rate
oAtrial fibrillation (>10/min)

Pulse volume abnormalities

High volume pulse
oExercise, pregnancy, age, increased temperature, arteriosclerosis, aortic
regurgitation, fever, thyrotoxicosis, anemia, beri-beri
Low volume pulse
oShock, left ventricular failure, stenosis, effusion,hypovolemia

Character of pulse
oCollapsing pulse
oSlow rising pulse
oPulsus bisferiens
oPulsus parvus
oPulses bigeminus
oPulsus alternans
oPulsus paradoxus
oAnacrotic pulse
oDicrotic pulse
Radio-femoral delay
oCoarctation of aorta
oAtherosclerosis
oThrombosis or embolism

Peripheral pulsations:
oDecreased upper limb pulse in takayasu’s disease
oAbsence in peripheral vascular disease
oCoarctation of aorta –decreased and delayed femoral pulse

Absence of radial pulse:

oAnatomical abnormalty
oAtherosclerosis
oEmbolism
oDeath
Raised Jvp:
oRight Sided Heart Failure
oCopd
oCor Pulmonale
oPulmonary Embolism
oTricuspid Valve Stenosis-giant ‘A’ Wave
oCannon ‘A’ Wave-heart Block, Ventricular Tachycardia
oGiant ‘V’ Wave:tricuspid Regurgitation
oProminent ‘X’ Wave And ‘Y’ Wave: Constrictive Pericarditis
SADHYATA IN NADI
ASADHYATA IN NADI
MRUTHYU IN NADI
NISCHAYA MARANA

SADHYOMARANA

JWAALAVADHI MARANA

ARDHAPRAHARA MARANA
SHAD PRAHARA

EKA DHINA

TRI DHINA
FOUR DAYS

FIVE DAYS

SEVEN DAYS

15 DAYS

1 MONTH
SUBDOSHAS
MANAS

SEVEN LEVELS OF PULSE

VIKRITHI
PRAKRI
TI

VIKRUTHI
 BIBLIOGRAPHY
Sharangadhara Purva Khanda
Yogaratnakara
Nadi Darshan-tarashankara Vaidhya
Secrets Of Pulse-dr.Vasant Lad
Hutchison’s Clinical Methods
B.D.Chaurasia Textbook Of Anatomy
Bhavaprakasha Samhita
 CONCLUSION
An art of pulse examination sparkles about the diseases, doshas, dhatus, manas and
other conditions of human body. It is an gift by our ancestors that should be protected
and practised. It throws light on all the aspects that cannot be even examined by the
modern technologies. Development in field of nadi pareeksha must be made so as to
make it suitable for today’s practice in changing era.