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=== Diagnostic and assessment tools: ===
<div style='text-align:justify;'>Pitta dosha can be assessed by its normal or abnormal functionality through subjective methods like questionnaires and objective methods. Currently, there are no validated and standardized tools for dosha assessment within the body. Pitta vriddhi and kshaya features can be assessed through a subjective questionnaire.Ayurvedic physicians assess the normalcy and abnormality through the ayurvedic principles of examination (pariksha). <br/>Subjective and objective methods which may be used to assess the normal functioning of pitta dosha are:
<ul><li>Test for assessment for digestive enzymes and hormones like serum lipase<ref name="ref12">Byadgi P.S., Saini N.. Maharoga Adhyaya. In: Kar A.C., Rai S., Deole Y.S., Basisht G., eds. Charak Samhita New Edition. 1st ed. Jamnagar, Ind: CSRTSDC; 2020. https://www.carakasamhitaonline.com/mediawiki-1.32.1/index.php?title=Maharoga_Adhyaya&oldid=41150. Accessed November 6, 2022.</ref>, serum amylase<ref name="ref12"/>, serum pepsinogen<ref name="ref13">Ismail OZ, Bhayana V. Lipase or amylase for the diagnosis of acute pancreatitis?. Clin Biochem. 2017;50(18):1275-1280. </ref> and serum gastrin<ref name="ref14">Mukoubayashi C, Yanaoka K, Ohata H, et al. Serum pepsinogen and gastric cancer screening. Intern Med. 2007;46(6):261-266.</ref> etc. </li>
<li>Hemoglobin level, Red blood cell count, Mean Corpuscular Hemoglobin, Mean corpuscular hemoglobin concentration.<ref name="ref15">Jaffe BM. The measurement of serum gastrin. J Surg Res. 1970;10(4):193-200.</ref></li>
<li>Subjective assessment of Intelligence quotient like Wechsler Intelligence Scale for Children (WISC)<ref name="ref16">George-Gay B, Parker K. Understanding the complete blood count with differential. J Perianesth Nurs. 2003;18(2):96-117.</ref>.</li>
<li>Subjective assessment of emotional intelligence like Mayer-Salovey-Caruso emotional intelligence test<ref name="ref17">Woolger C. Wechsler intelligence scale for children-(WISC-III). InUnderstanding psychological assessment 2001 (pp. 219-233). Springer, Boston, MA.</ref>.</li>
<li>Cognitive assessment-Montreal Cognitive Assessment (MoCA)<ref name="ref18">Maul A. The validity of the Mayer–Salovey–Caruso Emotional Intelligence Test (MSCEIT) as a measure of emotional intelligence. Emotion Review. 2012 Oct;4(4):394-402.</ref>, Mini-Cog<ref name="ref19">Kang JM, Cho YS, Park S, et al. Montreal cognitive assessment reflects cognitive reserve. BMC Geriatr. 2018;18(1):261.</ref> & ICMR-PNT(Picture naming test)<ref name="ref20">Borson S, Scanlan JM, Chen P, Ganguli M. The Mini-Cog as a screen for dementia: validation in a population-based sample. J Am Geriatr Soc. 2003;51(10):1451-1454.</ref> etc.</li>
<li>Memory test through memory drum<ref name="ref21">Paplikar A, Varghese F, Alladi S, et al. Picture-naming test for a linguistically diverse population with cognitive impairment and dementia. Int J Lang Commun Disord. 2022;57(4):881-894.</ref>.</li>
<li>Visual acuity-Snellen’s chart<ref name="ref22">Loess H, Waugh NC. Short-term memory and intertrial interval. Journal of Memory and Language. 1967 Aug 1;6(4):455.</ref>.</li>
<li>Perception of vision- tachistoscope<ref name="ref23">Chen TA, Li J, Schallhorn JM, Sun CQ. Comparing a Home Vision Self-Assessment Test to Office-Based Snellen Visual Acuity. Clin Ophthalmol. 2021;15:3205-3211.</ref>.</li>
<li>Skin test like sebum content, trans-epidermal water loss and melanin content through various instruments<ref name="ref24">Benschop R. What is a tachistoscope? Historical explorations of an instrument. Sci Context. 1998;11(1):23-50.</ref>.</li>
<li>Assessment of body Temperature.</li>
<li>Subjective assessment of Agni-Self-Assessment Tool to Estimate Agnibala<ref name="ref25">Hua W, Fan LM, Dai R, et al. Comparison of two series of non-invasive instruments used for the skin physiological properties measurements: the DermaLab® from Cortex Technology vs. the series of detectors from Courage & Khazaka. Skin Res Technol. 2017;23(1):70-78.</ref> & CCRAS Agni assessment tool(http://www.ccras.res.in/ccras_sas/).</li></ul>Application of all such tests will serve as a powerful analytical tool for assessing pitta dosha.</div>
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