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Pulse Examination

From times immemorial the practitioners of Ayurveda have correctly diagnosed and treated ailments without the help of any tests except that of the pulse. The radial pulse is usually chosen as the site to examine the pulse. It reveals the characteristics of imbalances, the nature of the disease and expected prognosis.

Characteristics of Pulse

The distinctly different pulse movements (gati) for each dosha type are:

 
VATA PULSE
PITTA PULSE
KAPHA PULSE
Characteristics Fast, feeble, cold,light, thin, disappears on pressure Prominent, strong, high amplitude, hot, forceful, lifts up the palpating fingers. Deep, slow, broad wavy, thick, cool, warm, regular
Location Best felt under the index finger Best felt under the middle finger Best felt under the ring finger
Gati Moves like a cobra Moves like a frog Moves like a swimming swan

 

1) Fast, Narrow, Feeble, Cool, Irregular
Rate is 80-100 beats per minute The placement of the index finger denotes the pulse of vata. When this pulse predominates, the index finger feels the throbbing more strongly. And the pulse feels like the movement of a snake, quick and slithery.

2) Jumping, Excite, Prominent, Hot, Moderate, Regular Rate is 70-80 beats per minute The placement of the middle finger denotes the pulse of pitta. When this pulse predominates, the middle finger gets a stronger feel, it is active and jumpy like the movement of a frog.

3) Slow, Strong, Steady, Soft, Broad, Regular, Warm
Rate is 60 -70 beats per minute. The placement of the ring finger denotes the pulse of kapha. When this pulse predominates, the ring finger feels the strongest effect. This pulse is slow and resembles the floating of a swan.

Examination of Movement (Gati) and Their Conditions

MOVEMENT LIKE
CONDITION DENOTED
Cobra Normal vata pulse
Frog Normal pitta pulse
Swan Normal kapha pulse
Leech Arthritis, gout
Worm Parasites, worms
Ant Terminal illness
Peacock Arterial hypertension, high cholesterol
Partridge Gastric ulcer, enteritis
Quail Prostatitis, cystitis
Crow Aortic regurgitation
Pigeon Bronchial asthma
Clock Diabetes, albuminuria
Camel Aortic stenosis, rheumatic valvular heart condition
Elephant Lymphatic obstruction solid edema, Lymphosarcoma, elephantitis
Mountain Heart block, bundle branch block
Irregular Atrial fibrillation
Vibrating drum Fatal illness, renal failure, shock
Lotus Perfect health, enlightenment

The point to be remembered here being although early morning is the ideal time for pulse examination specially on an empty stomach, in case of an emergency, it can be examined at any time of the day or night for proper diagnosis.

The Biological Clock and the Pulse : A Symbolic Representation