Significance of arterial stiffness in Tridosha analysis: A pilot study

Background: The variations in Tridoshas are the basis for disease diagnosis and treatment in Ayurveda. The doshas are assessed by sensing the pulse manually with fingers which depends on skill of the physician. There is a need to measure doshas using instruments and study them objectively. Objective...

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Main Authors: P. Venkata Giri Kumar, Sudheer Deshpande, Aniruddha Joshi, Pooja More, H.R. Nagendra
Format: Article
Language:English
Published: Elsevier 2017-10-01
Series:Journal of Ayurveda and Integrative Medicine
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S0975947616303941
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author P. Venkata Giri Kumar
Sudheer Deshpande
Aniruddha Joshi
Pooja More
H.R. Nagendra
author_facet P. Venkata Giri Kumar
Sudheer Deshpande
Aniruddha Joshi
Pooja More
H.R. Nagendra
author_sort P. Venkata Giri Kumar
collection DOAJ
description Background: The variations in Tridoshas are the basis for disease diagnosis and treatment in Ayurveda. The doshas are assessed by sensing the pulse manually with fingers which depends on skill of the physician. There is a need to measure doshas using instruments and study them objectively. Objective: Arterial stiffness is well established pulse parameter in modern medicine and is closely associated to kathinya in the context of Ayurveda. The aim of our study was to measure arterial stiffness using Nadi Tarangini, a pulse acquisition system, and investigate the significant variations of stiffness across Tridosha locations. Materials and methods: A total of 42 samples of vata, pitta and kapha pulses with proper systolic and diastolic peaks were included in the study. The arterial stiffness parameters namely stiffness index (SI) and reflection index (RI) were considered for the study. The data was analyzed using one-way ANOVA followed by Tamhane's T2 test. The changes in SI and RI between males and females were assessed using independent samples t test. Results: SI at vata (5.669 ± 1.165) was significantly low compared to pitta (8.910 ± 3.509) and kapha (8.021 ± 2.814); RI at vata (0.846 ± 0.071) was significantly low compared to pitta (0.945 ± 0.043) and kapha (0.952 ± 0.033). SI at kapha was significantly low in females compared to males. Conclusion: The SI and RI acquired using Nadi Tarangini have shown significant variations across Tridosha locations. The framework developed to measure the arterial stiffness across Tridosha locations can be used for the interventional studies in Ayurveda which in turn can help in disease diagnosis and treatment.
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spelling doaj.art-1bcee8a5718a439cb94820630efd10c72022-12-21T19:10:05ZengElsevierJournal of Ayurveda and Integrative Medicine0975-94762017-10-018425225610.1016/j.jaim.2017.02.012Significance of arterial stiffness in Tridosha analysis: A pilot studyP. Venkata Giri Kumar0Sudheer Deshpande1Aniruddha Joshi2Pooja More3H.R. Nagendra4Division of Yoga and Physical Sciences, S-VYASA Yoga University, Bengaluru, Karnataka, IndiaVYASA, Eknath Bhavan, Bangalore, Karnataka, IndiaAtreya Innovations Pvt Ltd, Pune, Maharashtra, IndiaDivision of Yoga and Physical Sciences, S-VYASA Yoga University, Bengaluru, Karnataka, IndiaS-VYASA Yoga University, Bengaluru, Karnataka, IndiaBackground: The variations in Tridoshas are the basis for disease diagnosis and treatment in Ayurveda. The doshas are assessed by sensing the pulse manually with fingers which depends on skill of the physician. There is a need to measure doshas using instruments and study them objectively. Objective: Arterial stiffness is well established pulse parameter in modern medicine and is closely associated to kathinya in the context of Ayurveda. The aim of our study was to measure arterial stiffness using Nadi Tarangini, a pulse acquisition system, and investigate the significant variations of stiffness across Tridosha locations. Materials and methods: A total of 42 samples of vata, pitta and kapha pulses with proper systolic and diastolic peaks were included in the study. The arterial stiffness parameters namely stiffness index (SI) and reflection index (RI) were considered for the study. The data was analyzed using one-way ANOVA followed by Tamhane's T2 test. The changes in SI and RI between males and females were assessed using independent samples t test. Results: SI at vata (5.669 ± 1.165) was significantly low compared to pitta (8.910 ± 3.509) and kapha (8.021 ± 2.814); RI at vata (0.846 ± 0.071) was significantly low compared to pitta (0.945 ± 0.043) and kapha (0.952 ± 0.033). SI at kapha was significantly low in females compared to males. Conclusion: The SI and RI acquired using Nadi Tarangini have shown significant variations across Tridosha locations. The framework developed to measure the arterial stiffness across Tridosha locations can be used for the interventional studies in Ayurveda which in turn can help in disease diagnosis and treatment.http://www.sciencedirect.com/science/article/pii/S0975947616303941Stiffness indexReflection indexNadi Tarangini
spellingShingle P. Venkata Giri Kumar
Sudheer Deshpande
Aniruddha Joshi
Pooja More
H.R. Nagendra
Significance of arterial stiffness in Tridosha analysis: A pilot study
Journal of Ayurveda and Integrative Medicine
Stiffness index
Reflection index
Nadi Tarangini
title Significance of arterial stiffness in Tridosha analysis: A pilot study
title_full Significance of arterial stiffness in Tridosha analysis: A pilot study
title_fullStr Significance of arterial stiffness in Tridosha analysis: A pilot study
title_full_unstemmed Significance of arterial stiffness in Tridosha analysis: A pilot study
title_short Significance of arterial stiffness in Tridosha analysis: A pilot study
title_sort significance of arterial stiffness in tridosha analysis a pilot study
topic Stiffness index
Reflection index
Nadi Tarangini
url http://www.sciencedirect.com/science/article/pii/S0975947616303941
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