Eight Fold Examination Process
Eight (Asht) fold (Bidha) Examination (Pariksha)
Provides a clear picture of nature of ailment and patient’s general condition.
Involves the examination of pulse, tongue, voice, skin, eye, general appearance, urine & stool.
Examination of the pulse (nadi pariksha)
The foremost clinical art in ayurvedic diagnosis it can provide deep insights into the history of the patient. The ideal time for pulse examination is early morning in empty stomach. But in case of emergency, it can be examined at any time of the day or night. An experienced ayurvedic physician can assess your body’s nature (prakriti), pathological state (vikruti), imbalances of body type, very subtle observations & even prognosis of disease through the pulse.
Examination of the tongue (jivha pariksha) :
Assessed through its doshic state, a vata aggravated tongue is dry, rough & cracked, pitta suffered tongue is red with a burning sensation and kapha influenced it is wet, slimy and coated. Suggesting the state of the digestive system.
Examination of the voice (sabda pariksha) :
Healthy and natural when the doshas are in balance, the voice will become heavy when aggravated by kapha, cracked under pitta effect and hoarse & rough when afflicted by vata.
Examination of skin (sparsha pariksha) :
Also used for assessing the state of organs and tissue, palpation is an important clinical method for examination of skin. Noted for doshic influences, a vata aggravated skin is course & rough with below normal temperature, a pitta influenced one has quite high temperature and kapha effected it becomes cold & wet.
Examination of eyes (drka pariksha) :
Vata domination makes the eyes sunken, dry and reddish brown in colour. On aggravation of pitta, they turn red or yellow and the patient suffers from photophobia and burning sensations. High kapha makes them wet & watery with heaviness in the eyelids.
Examination of general appearance (akriti pariksha) :
The doshic influences that reflect on the face of the patient enables physicians to gauge the basic constitution and the nature of the disease.
Examination of urine (mutra pariksha) :
Both examination of urine sample and questioning of patient are important for assessing doshic influence. A modification of this is the oil (taila) drop (bindu) test (pariksha) in which the effect of an oil drop on urine sample suggests the curability of disease.
Examination of stool (mala pariksha) :
If digestion & absorption of food are poor, the stool carries a foul odour and sinks in water. Vata aggravated, the stool is hard, dry and grey / ash in colour. Excess pitta makes it green / yellow in colour and liquid in form. And high kapha lines it with mucus.