CLINICAL APPLICATION OF TRIVIDHA PARIKSHA

Abstract

The main aim or duty of the physician is to diagnose, alleviate and cure a disease. The term Pariksha is used for the examinations done on patient for appropriate diagnosis. Roganidan includes knowledge of etiology, symptomatology and pathology. With the help of Roga Pariksha physician come to the certain conclusion about the causes, nature and localization of disease. Diagnostic methods in Ayurveda depend more on the physician reading of patient signs and symptoms than on diagnostic practice (subjective interpretation). In Ayurveda different types of examinations have been mentioned which are useful in diagnosing the various diseases. At present time interrogation or history taking, physical examination, pathological and radiological investigations are the basic requirements by which actual data of the diseases are collected. It becomes easy to propose a management plan after diagnosis. The methodology generally used to diagnose a disease is Roga and Rogi Pariksha. Roga Pariksha include Nidaan Panchak and Rogi Pariksha includes various Pariksha like Trividha Pariksha, Chaturvidha, Panchvidha, Shadvidha, Astha Sthana and also a better understanding of Shatkriyakala to understand the pathophysiology of disease and diagnosing disease. Trividha Pariksha includes Darshana (Inspection), Sparshana (Palpation & Percussion) and Prashna (Questionnaire/ Interrogation) forms the basis of all. All the other diagnostic method explains in Ayurveda as well as contemporary science can be categorized under ‘Trividha Pariksha’. In day to day practice physician either directly or in directly use Trividha Pariksha to arrive at certain diagnosis and give proper treatment. Trividha Pariksha is root of all the diagnostic methods. Modern diagnostic methods like X-ray, CT scan, MRI, USG etc are just a medium in form of modern technology. Comprehensive and applied knowledge of Trividha Pariksha is needed for good clinical practice i.e. proper interpretation of disease, diagnosis and treatment. Early diagnosis is important for speedy recovery, to prevent complication, reduce recurrence of disease and reduce mental stress of patient. Trividha Pariksha has a key role in current clinical practice for diagnostic as well as prognostic purpose.