Review Article

Pranavaha Srotas diseases

Journal of Ayurveda and Integrated Medical Sciences

2023 Volume 8 Number 12 December

Nadi Vikriti in Pranavaha Srotas diseases

Sonali T1*, Indu2, Sakshi3, Rupali4

1* Thakur Sonali, Post Graduate Scholar, Dept of Rog Nidan, Rajiv Gandhi Government Post Graduate Ayurvedic College, Himachal Pradesh, India.

2 Indu, Post Graduate Scholar, Dept of Rog Nidan, Rajiv Gandhi Government Post Graduate Ayurvedic College, Himachal Pradesh, India.

3 Sakshi, Post Graduate Scholar, Dept of Rog Nidan, Rajiv Gandhi Government Post Graduate Ayurvedic College, Himachal Pradesh, India.

4 Rupali, Post Graduate Scholar, Dept of Rog Nidan, Rajiv Gandhi Government Post Graduate Ayurvedic College, Himachal Pradesh, India.

Ayurveda involves the practice of aligning one's life with the principles of nature. Its aims and objectives include maintaining the perfect health of a healthy person and preventing and curing diseases in an unhealthy person. Dosha, Dhatu, and Mala are the basis of diagnosing and treating any disease. Srotas are the channels of the body that carry Dosha, Dhatu, and Mala in them, which makes its examination vital. Various acharyas have given different types of diagnostic methods like Trividha Pareeksha, Dashvidha Pareeksha, Ashthvidha Pareeksha etc. The concept of Nadi Pareeksha is found under the Ashtavidha Pareeksha mentioned by Yogaratnakar. Nadi Pareeksha is an ancient technique of diagnosis through pulse. Through Nadi, we can determine Prakriti-Vikriti, disorders of Dhatus, Dosha predominance, and vitiation in various Srotas. One such Srotas is the Pranvaha Srotas, which is the channel in our body that maintains our respiration, making it essential for maintaining life and longevity. Hence it becomes crucial to successfully diagnose any vitiation or pathology of this Srotas. If used correctly by ayurvedic practitioners, Nadi Pareeksha can be a cost-effective, valuable diagnostic tool that can help access ailments at a primitive stage.

Keywords: Nadi Pareeksha, pulse diagnosis, Srotas, Pranvaha Srotas

Corresponding Author How to Cite this Article To Browse
Thakur Sonali, Post Graduate Scholar, Dept of Rog Nidan, Rajiv Gandhi Government Post Graduate Ayurvedic College, , Himachal Pradesh, India.
Sonali T, Indu, Sakshi, Rupali, Nadi Vikriti in Pranavaha Srotas diseases. J Ayu Int Med Sci. 2023;8(12):105-107.
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Manuscript Received Review Round 1 Review Round 2 Review Round 3 Accepted
2023-10-08 2023-10-18 2023-10-28 2023-11-08 2023-11-15
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© 2023by Sonali T, Indu, Sakshi, Rupaliand Published by Maharshi Charaka Ayurveda Organization. This is an Open Access article licensed under a Creative Commons Attribution 4.0 International License https://creativecommons.org/licenses/by/4.0/ unported [CC BY 4.0].


In the present era, there are numerous ways to assess Rog Rogi Pareeksha. Nowadays X-rays, stethoscopes, BP apparatus, thermometers, etc. are used to assess the patients, but despite this, there are no ways to assess subjective parameters like mental status, (Kaam, Krodh, Bhaya, Lobh) hunger sleep, Tandra (sleeping pattern), Ajeerna (indigestion). So Ayurvedic practitioners should not only rely on these new aged instruments but also incorporate Nadi Pareeksha in day-to-day practice. Nadi Pareeksha is an easy cost-effective method in which no external equipment is required, only patients and doctors are needed. Also, in cases where patients cannot answer (for e.g. - in children, Mada, Moorcha, Unmad) or are likely to lie, Nadi Pareeksha can be beneficial.

In Ayurveda, the concept of Srotas has been mentioned very specifically. The body is composed of numerous Srotas, which have a significant role in the maintenance of the equilibrium of body elements. They carry Dosha, Dhatu, and Mala in them therefore they are vital in the pathogenesis of any disease. Acharya Charaka has mentioned 11 pair of Srotas[1] and Acharya Sushrut has mentioned 13 pair of Srotas.[2] Pranvaha Srotas is one of them. From the time when someone is born to the time they die, Shwasochhvasakriya is the sign of life. Hence making Pranvaha Srotas one of the most important Srotas.

Materials and Methods

Classical textbooks of Ayurveda were used to compile the information for this study's material on Nadi Vikriti and Pranavaha Srotas.

The Bruhat Samhitas, Charaka Samhita, Sushrut Samhita, and Ashtanga Hridaya do not include references to Nadi Pareeksha in detail. The Sharangdhar Samhita was the first literary source to demonstrate the legitimacy of Nadi Pareeksha.

Since a long time ago, doctors have placed a strong emphasis on checking the pulse. It's not a brand-new subject that appeared by mistake. The understanding of Nadi Pareeksha (pulse reading) has long been available to us.

Some scholars believe that the Indian pulse examination owes its knowledge to

Egyptian medicine and Chinese medicine, whilst others like Jolly (1951) and Benjamin Walker (1968) believe that the Greek and contemporary Greek-Arabian medicine might have contributed to the development of Indian pulse lore.[3]

Nadi synonyms

Snayu, Nadi, Tato, Hansi, Dhamni, Dhara, Tantuki, Jeevangyan, Shabda.[4,5]

Method of examination

1. The early morning time for at least one Prahara is the best time for Nadi Pariksha.
2. Both the doctor and the patient should be in a relaxed stance. Using the right index, middle, and ring fingers, the doctor should hold the patient's hand while checking their pulse.
3. When doing Nadi Pareeksha, the doctor should always feel the pulse from the radial side while putting the index, middle, and ring fingers on the Karangushtamula (forearm), one finger away from the Angushtamula, three times while applying and releasing pressure alternately.
4. Vata Nadi appears beneath the index finger, Pitta manifests beneath the middle finger, and Kapha eventually manifests beneath the ring finger.[6]

Evaluation of pulse sheds light on the participation of Vata, Pitta, and Kapha, a mixture of two or three Doshas, or curable or incurable disorders.

Both Acharya Charaka and Sushruta have mentioned Pranvaha Srotas as first and foremost Srotas making it a very important Srotas.[7]

Pranavaha Srotas Mula according to Acharya Sushruta is Hridya and Dashdhamni, and according to Acharya Charaka is Hridya and Mahasrotas.[8]

Pranvaha Srotodushti Lakshana as mentioned in Charaka Samhita are - too long breathing, too short breathing, aggravated breathing, shallow or frequent breaths with sound and pain. These symptoms indicate the affliction of Pranavaha Srotas.[9]

Possible diseases and diagnosis of different pulse for Pranvaha Strotas diseases

The activities of the lung are demonstrated in all of Acharya Charaka's Pranavaha Srotodushti Lakshanas, and as a result, there is an indirect connection to the lung's role in the Pranavaha Srotas. In addition, he said that Pranavaha Srotovyadhis

should be handled similarly to Swasaroga, which indicates that the function of breathing and the function of the lungs are fundamental to Pranavaha Srotas.

Kasa Roga - In this disease, Nadi is Sukshma (subtle), Sthira (stable) and Manda (slow).[10]

Shwasa Roga - In this disease, Nadi is Teevra Gati. The pace of breathing is also observed to be increasing along with the increase in pulse rate. The pulse seems rapid and powerful.[11]

When Shwasa Roga is in an aggravated state, especially in Tamak Shwas, then Kapha Dosha is highly aggravated in the body and makes the pulse rate extremely shallow, and the patient's extremities become cold that even experienced practitioners fail to feel the pulse and may declare the patient deceased. But one should not make this mistake. If Rogi is in Chetna (consciousness) then this Nadi Gati is not Marak (deadly), in such cases if aggravated Kapha Dosha subsides, then Nadi starts working properly.[12]

Rajyakshama - In this disease, the Nadi moves with the speed of an elephant, which is slow in nature. Rajyakshama is Kapha Pradhan Dosha predominant. Even with a fever, the Nadi Gati is not fast.[13]


Other Nadi diseases have been discussed in different scriptures, but no one has specifically stated the Pranavaha Strotas Vikritis. There is a dire need to work in the area of Nadi Pareeksha and it is up to us to keep a close eye on these diagnostic pulses and broaden our expertise and knowledge.


A regular and keen practice of Nadi Vigyana will help the practitioners to diagnose various diseases and hence being practical-oriented in nature, Nadi Vigyana will get updated throughout time. Nadi Pareeksha is more of a practical knowledge and there is a lot more to it than just text. Ayurvedic doctors must practice their understanding of Nadi at the OPD level. We spoke about the ailments caused by Pranavaha Srotas and how they relate to Nadi Vikriti. The remaining Srotas must be concised at one location in the same way. It takes a lot of time, effort, and consistent practice. It is a completely new science that requires extensive awareness and acknowledgment.


1. Charak Samhita Vidyotini tika, Shastri K, Chaturvedi G. 1st ed. Varanasi: Chaukhambha Bharati Academy; 2008. Vol. 1, ch. Viman 5/6.

2. Sushruta Samhita Ayurveda Tattva Sandipika, Shastri Ambika Dutta. 1st ed. Varanasi: Chaukhambha Sanskrit Sansthan; 2014. Vol. 1, Su.sha.5/6.

3. Upadhyaya SD. Nadi Vijnana - ancient pulse science.

4. Shastri L. Yogratnakar Purvardh, Nadi Pariksha. Varanasi: Choukhambha Prakashan; 1997.

5. Tripathi I. Nadi Vigyanam by Kanad. Varanasi: Chaukhambha Orientalia; Rangachararya V. Basavarajeeyam CCRAS, New Delhi; 2007.

6. Sharma RP. Nadi Gyan Tarangini.