Diagnosis


Pulse Diagnosis is a very important tool used by all Oriental Medical Practitioners. It is a very important tool used by Chinese and Tibetan Health Practitioners as well as Conventional medical doctors. To a skilled practitioner, taking your pulse is more than counting the beats. The functioning and health of the entire mind body constitution can be determined from the pulse, including the balance of the doshas, the health of the various organs, advance warning signs of potential problems that may crop up later etc. By detecting early symptoms of imbalance and disease reaction in the body, one can take preventive steps to correct the problem before it manifests into a major one.

Radial pulse is felt with the first three fingers, the index, middle and ring fingers. Pulse from both wrists are taken. To get an accurate pulse, the patient should be as close to his norm as possible. Taking pulse after strong exertion, after exposure to a severe environment etc. will give wrong indications.

The position of the index finger denotes the Vata dosha. When vata is strong in the constitution, the index finger will feel the pulse strongly. The pulse will be irregular and thin moving in waves like the motion of a serpent. This type of pulse is called a snake pulse.The middle finger denotes the pulse corresponding to the Pitta dosha. When the person has a predominant pitta constitution, the pulse under the middle finger will be stronger. Ayurveda describes this pulse as "active, excited, and move like jumping of a frog." This pulse is called frog pulse.

When the throbbing of the pulse under the ring finger is most noticeable, it is a sign of Kapha constitution. The pulse feels strong and its movement resembles the floating of a swan. Hence, this pulse is called swan pulse.

The tongue is the organ of taste and speech. Size, shape, contour, surface, margins, and color are the characteristics one can observe on the tongue. A pale tongue may indicate an anemic condition or lack of blood in the body. An yellowish tongue may suggest that excess bile present in the gallbladder or a possible liver disorder. A blue tongue is normally an indication of problems with the heart.

Different areas of the tongue corresponds to different organs of the body. Hence by correlating the location of the blemishes on the tongue, the Ayurvedic practitioner can determine which organs of the body are out of balance.

A whitish tongue indicates Kapha imbalance and mucus accumulation. A red or yellow green tongue indicated a Pitta imbalance. A vata imbalance is manifested by a black to brown coloration on the tongue.

If the tongue is covered by a coating, it may indicate the presence of toxins in the stomach, small intestine or large intestine. If the posterior part of the tongue is coated, it will indicate that toxins are present in the large intestine. If the middle of the tongue is coated, the toxins are present in the stomach and in the small intestine

Ayurveda teaches that face is the mirror of the mind. Disorders and disease is manifested on the face in the form of lines, wrinkles, etc. For example, horizontal wrinkling on the forehead indicates the presence of deep-seated worries and anxieties. A vertical line between the eyebrows on the right side indicates repressed emotions in the liver. On the other hand, the presence of a vertical line between the eyebrows on the left side will indicate that the spleen is holding in emotions.

A full and fluffy lower eyelids is an indication of impaired kidneys. A butterfly-like discoloration on the nose or on the cheeks may signal mal-absorption of iron or the folic acid and the sign of a low agni (fire).

The nose can be used to determine the dosha of a person. Vata persons have crooked nose. Kapha persons have a blunt nose. On the other hand, a sharp nose may denote a person with Pitta dosha.

Ayurveda considers nails as the waste product of the bones. If the nails are dry, crooked, rough and break easily, it indicated a predominance of the vata constitution. Soft, pink, tender nails that are easily bent are indication of a Pitta constitution. When the nails are thick, strong, soft and very shiny, then Kapha predominates.

Longitudinal lines on the nails indicate mal-absorption in the digestive system. Transverse grooves on the nails may indicate the presence of long-standing illness or malnutrition.Yellow nails indicate a delicate liver or jaundice. Blue nails are manifestation of a weak heart. Undue redness shows an excess of red blood cells.

If the lips are dry and rough, it may indicate dehydration or vata imbalance. Pale lips indicate anemia. Repeated attacks of inflammatory patches along the margins of the lips indicates the presence of herpes and a chronic Pitta derangement. Poor digestion of worms in the colon are indicated by the presence of multiple pale brown spots on the lips. A person with jaundice will have yellow lips. Blue lips may signal heart problems.

Vata eyes are characterized by small, nervous, with drooping eyelids and dry, scanty lashes. The white of the eye is muddy, while the iris is dark, gray-brown or black. Pitta eyes are moderate in size. They are sharp, lustrous, and sensitive to light. The lashes are scanty and oily. The iris is red or yellowish. Kapha eyes are large, beautiful and moist. They have long, thick, oily lashes. The white of the eye is very white. The iris is pale, blue or black.Excessive blinking is a sign of nervousness, anxiety or fear. A drooping upper eyelid indicates a sense of insecurity, fear or lack of confidence. These are all signs of vata imbalance.Prominent eyes indicate thyroid gland dysfunction. An yellow conjunctiva may signal a weak liver. A small iris indicates weak joints. A white ring around the iris may mean an excessive intake of salt or sugar. If the white ring is very prominent and very white, it is an indication of joint degeneration with potential for arthritis and joint pain.