Changes

== Vidhi Vimarsha (Applied Inferences) ==

== Vidhi Vimarsha (Applied Inferences) ==

<div style="text-align:justify;">

<div style="text-align:justify;">

''Trividharogavisheshavijnaniyam'' solely deals with the methods of clinical examination of the patient. Various types of examinations viz. ''rogapariksha, rogipariksha, trividha pariksha, shadvidha pariksha, ashtavidha pariksha'', and ''dashavidha pariksha'' are described in  [[Ayurveda]] for the examination of the patient and the diagnosis of the disease. All these examinations do not go beyond the ''trividha pariksha'' described in this chapter. ''Aptopadesha'' gives all the details of the disease i.e. its causative factors, pathogenesis and treatment and thus, provides all the theoretical knowledge of the disease which is helpful during clinical examination. ''Pratyaksha'' deals with direct examination of the patient by the physician. The physician has to use all his senses during the examination, in which he has to look for various signs and symptoms, changes in the color etc. Any information collected through ''anumana'' and ''pratyaksha'' cannot provide all the details of existing pathologies in the body. Now the physician has to use his own intellect and tries to establish the relation between the signs and symptoms and the likely pathologies in the body. He has to use his logic and reasoning and apply it properly in finalizing the vitiated ''doshas'' in the body. ''Anumana'' helps the physician to deduce and draw inferences where it is not possible to visualize or see, in order to draw certain conclusions or understand causation of an ailment.  

 

 

This chapter solely deals with the methods of clinical examination of the patient. Various types of examinations viz. examination of disease (roga pariksha), patient (rogi pariksha), three types of examination (trividha pariksha), six types (shadvidha pariksha), eight types (ashtavidha pariksha), and ten types (dashavidha pariksha) are described in  [[Ayurveda]] for the examination of the patient and the diagnosis of the disease. All these examinations can be included under umbrella of three types (trividha pariksha) described in this chapter.  

 

==== Authoritative instructions (Aptopadesha) ====

 

The experience based knowledge by authorities (aptopadesha) gives all the details of the disease i.e. its causative factors, pathogenesis and treatment and thus, provides all the theoretical knowledge of the disease which is helpful during clinical examination.  

 

==== Pratyaksha (Direct observation) ====

 

Knowledge by direct observation (pratyaksha) deals with direct examination of the patient by the physician. The physician has to use all his senses during the examination, in which he has to look for various signs and symptoms, changes in the color etc. Any information collected through ''anumana'' and ''pratyaksha'' cannot provide all the details of existing pathologies in the body. Now the physician has to use his own intellect and tries to establish the relation between the signs and symptoms and the likely pathologies in the body. He has to use his logic and reasoning and apply it properly in finalizing the vitiated ''doshas'' in the body. ''Anumana'' helps the physician to deduce and draw inferences where it is not possible to visualize or see, in order to draw certain conclusions or understand causation of an ailment.  

Charak has described the entire clinical examination in this chapter. There is no fourth tool required for clinical examination except ''aptopadesha, pratyaksha'' and ''anumana''. In [[Ayurveda]], emphasis is given to the use of the five senses in examining a patient. First hand information gathered through the physical examination by five senses is critical to the process of diagnosis. These three types of examinations are also used to assess bad prognosis of the disease and to identify the ''arishta'' (signs and symptoms of imminent death) also. [Cha.Sa. [[Indriya Sthana]] 1/4]  

Charak has described the entire clinical examination in this chapter. There is no fourth tool required for clinical examination except ''aptopadesha, pratyaksha'' and ''anumana''. In [[Ayurveda]], emphasis is given to the use of the five senses in examining a patient. First hand information gathered through the physical examination by five senses is critical to the process of diagnosis. These three types of examinations are also used to assess bad prognosis of the disease and to identify the ''arishta'' (signs and symptoms of imminent death) also. [Cha.Sa. [[Indriya Sthana]] 1/4]