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A Clinician desirous to gain knowledge about the disease by this examination should use his own sense organs, except his gustatory organ. [Ch. Vi. 4/7]  
 
A Clinician desirous to gain knowledge about the disease by this examination should use his own sense organs, except his gustatory organ. [Ch. Vi. 4/7]  
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===== Shrota pratyaksha (auscultation / percussion) =====
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===== ''Shrota Pratyaksha'' (auscultation / percussion) =====
    
A physician has to hear the various sounds for this examination but ears cannot be directly applied over the body of the patient. An examination of the following can be done by means of these tests:
 
A physician has to hear the various sounds for this examination but ears cannot be directly applied over the body of the patient. An examination of the following can be done by means of these tests:
# Antrakujana- gurgling sound from intestines
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# ''Antrakujana''- gurgling sound from intestines
# Sandhisphutana anguliparvana- cracking sounds in joints, including small joints.
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# ''Sandhisphutana anguliparvana''- cracking sounds in joints, including small joints.
# Swaravishesha-voice of the patient
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# ''Swaravishesha''-voice of the patient
# Shariropagata shabda-specific sounds of patient, like coughing, hiccup etc.
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# ''Shariropagata shabda''-specific sounds of patient, like coughing, hiccup etc.
For percussion of the body parts one must use both the palms. On the basis of the sound created by percussion, conclusions can be drawn. For example, on percussion of the abdomen, if a tympanic note is heard, then it could be attributed to gas in the intestines and if a dull note is heard, it may be due to collection of fluid in the abdominal cavity.
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For percussion of the body parts one must use both the palms. On the basis of the sound created by percussion, conclusions can be drawn. For example, on percussion of the abdomen, if a tympanic note is heard, then it could be attributed to gas in the intestines and if a dull note is heard, it may be due to collection of fluid in the abdominal cavity.
 
Similarly, auscultation of thorax could be employed to examine pulmonary sounds and cardiac sounds, auscultation of abdomen for peristalsis, bruits, etc.
 
Similarly, auscultation of thorax could be employed to examine pulmonary sounds and cardiac sounds, auscultation of abdomen for peristalsis, bruits, etc.