It is clearly mentioned by all the rishis and vaidyas that the pulsation of pulse varies from time to time and day to day. Kapha pulse is predominant in morning time, pitta dosha is predominant during mid day and the vatha pulse can be observed in late afternoon and evening. Modern sciences have not yet been able to explain the phenomenon of variation of pulse during different times. Ayurvedic and Sidha science explains the phenomenon related to the planetary action and the effect of moon and sun that has a major control over the changing of rhythmicity of the pulse.
It has been observed that it becomes much easier to evaluate a pulse of a person with three fingers than by one. It has been now converted into a rule that vata is established by the tip of the index finger of right-hand, placed on the radial artery next to the root of the thumb of the right hand of the patient, pitta pulse studied by the touch of the tip of middle finger placed next to it and that the kapha pulse by touch of the tip of the ring finger placed next to the middle finger on the artery. Ayurveda supports health without disturbing the natural intelligence of the body. Ayurvedic treatments and techniques have no side effects. As a result, people around the world are now turning towards this ancient science to help them restore and maintain optimal health.
A physician must be aware about the physical condition of the patient and must be very attentive to note the general conduct and habits of the patient, facial expression, the reaction toward the climatic conditions, appetite, strength, nature of sleep, breathing pattern, history of ailments and so on. All these facts should also be discussed by the patient so as to confirm the diagnosis made through pulse.
The hand of the patient should be free and slightly flexed at the forearm, so that the left hand of the physician, the 3 fingers of the right hand, namely the index finger, the middle finger and the ring finger of the physician gently touches the skin over the radial artery. The index finger is comfortably placed nearest the thumb and the other two fingers are placed next to it (the thumb should not be extended too far nor too much fixed).
For precise diagnosis, it is recommended that the diagnosis be done on empty stomach, early in the morning or three hours after food. The reason behind this principle is because, after food metabolism process begins, the diagnosis process gets distorted.
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