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This ten-fold Ayurvedic diagnosis of the patient
involves body constitution, pathological state, tissue vitality, physical build, body measurement, adaptability, and psychic constitution, capacities for digestion & exercise and age.
The prakruti includes the inherited and mental characteristics of an individual. These characteristics of an individual are assessed through the tridoshas and trigunas. The prakruti represents the proportion of the three doshas and three gunas. The proportions of doshas and gunas are noticeable in the physical and psychological features of the individuals.
This refers to the degree to which an individual has deviated from the original proportion of the three doshas. It helps the physicians to consider the signs and symptoms of the disease to assess the strength of disease, causes, doshas, body constitution, affected body elements, time and capacity of an individual. Observing the dhatus, malas, function, structure, intellect and emotions of the individual can assess the pathological state of an individual.
The tissue vitality assesses the quality of the seven dhatus and the mind. According to Ayurveda, the quality of each tissue as graded as excellent (pravara), medium (mahdyama) and inferior (avara). The excellent tissue implies strong immune system, recovering capacity and good diagnosis. The inferior tissue implies weak immune system, general vitality and poor diagnosis. The tissue vitality also includes the assessment of the degree of satwic quality of the mind.
The physical body examination is carried out by
direct observation–a healthy body being well built with symmetrical bones, strong & stable joints and enough flesh & blood. The body build is the solidity and overall physique of the body frame. The more compact body usually indicates strong immune system.
The body measurement refers to the ratio of the height to the outstretched arms and it should measure the same. The well-proportioned frame tends to have a superior health capacity and better diagnosis. In Ayurveda, body measurement is given in terms of fingerbreadth and any person in close proximity to the ideal measurements is termed as normal and healthy.
This refers to the capacity of an individual to adjust to both unsettled physical and mental conditions and to maintain a balance. It refers to two types of people - those that are strong, adjust easily to difficulties and have excellent digestive capacity and those that are generally weak, intolerant to change.
The psychic constitution refers to the mind that controls the body in contact with the soul (atma). It usually refers to the ability of the mind to tolerate and withstand such as pain, physical and mental discomfort. Depending on degree of mental strength, it is considered to be high, moderate or low. The capacity of an individual to remain even-minded and calm is a sign of emotional balance and a strong and healthy intellect.
The digestive capacity refers to the assessment of the individual’s capacity to ingest, digest and assimilate food. It is assessed by the virtue of appetite and also its sharpness and strong ness. The other feature of assessment is the quantity of food consumed. The balance or optimum Ahara Shakti of an individual helps in faster recovery from the diseases and imbalances.
The physical strength means the capacity of the individual to be physically exerted and is measured by assessing the powers of stamina. It is low, moderate or high. It is a good measure of certain metabolic measures that create strength and stamina.
The rate of aging is the comparison of the person’s actual chronological age with one’s apparent age. It is categorized into childhood, middle age and old age; it provides vital clues for the diagnosis & treatment and is a must consideration in clinical examinations.
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