Kumar P Venkata Giri, Deshpande Sudheer, Nagendra H R
Division of Yoga and Physical Sciences, S-VYASA Yoga University, Bengaluru, Karnataka, India.
VYASA, Eknath Bhavan, Bengaluru, Karnataka, India.
J Ayurveda Integr Med. 2019 Oct-Dec;10(4):308-315. doi: 10.1016/j.jaim.2017.10.007. Epub 2018 Aug 10.
The significance of Nadi Pariksha is well understood and effectively used by Ayurveda practioners for assessing Tridoshas and various physiological and psychological states of the patient. The traditional texts Sarangadhara Samhita, YogaRatnakara, Basavarajeeyam and Bhavaprakasha have discussed the details of Nadi Pariksha in succinct set of slokas. Ayurveda has thousands of years of rich experience in Nadi Pariksha with strong literature support but is subjective in nature and the need for studying nadi with a scientific approach is well understood. Recently, pulse wave velocity has gained significant research interest as it is considered to be a strong indicator of cardiovascular disease; however, the relevance of pulse wave analysis to Nadi Pariksha has not been studied. In this review, traditional methods of Nadi Pariksha as defined in Ayurveda classics and the recent advances in pulse wave analysis are discussed. As per classical texts, qualities or properties of pulse such as pulse movement (gati), speed of the pulse (vega), stability of the pulse (sthiratva) and hardness of the artery (kathinya) play major role in Nadi Pariksha and in the current review these properties were analyzed and compared with the modern pulse parameters namely pulse wave velocity, pulse rate variability and arterial stiffness. The significance of pulse wave velocity in cardiovascular studies is discussed and the need for extending these studies to Ayurveda is highlighted.
纳迪诊断法的重要性已被阿育吠陀从业者充分理解并有效应用于评估患者的三大 doshas 以及各种生理和心理状态。传统文献《萨拉甘达拉本集》《瑜伽宝藏》《巴萨瓦拉杰亚姆》和《博哈瓦普拉卡莎》以简洁的偈颂形式讨论了纳迪诊断法的细节。阿育吠陀在纳迪诊断方面拥有数千年的丰富经验且有强大的文献支持，但本质上具有主观性，因此人们充分认识到需要采用科学方法来研究纳迪。最近，脉搏波速度引起了重大研究兴趣，因为它被认为是心血管疾病的一个重要指标；然而，脉搏波分析与纳迪诊断法的相关性尚未得到研究。在这篇综述中，讨论了阿育吠陀经典中定义的纳迪诊断传统方法以及脉搏波分析的最新进展。根据经典文献，脉搏的特性或属性，如脉搏运动（gati）、脉搏速度（vega）、脉搏稳定性（sthiratva）和动脉硬度（kathinya）在纳迪诊断中起主要作用，在当前综述中，对这些属性进行了分析，并与现代脉搏参数，即脉搏波速度、脉搏率变异性和动脉僵硬度进行了比较。讨论了脉搏波速度在心血管研究中的重要性，并强调了将这些研究扩展到阿育吠陀领域的必要性。
