Enlightening a thought of “Prashna Pariksha” as a “Tool” in Ayurveda

A perfect diagnosis forms the base for accurate treatment, whereas ignorance of any clue leads to haphazard or irrelevant treatment. i.e. Rognidan is foremost part of the treatment, Navachikitsak means just graduated vaidya face hurdles to diagnose the vyadhi properly and so he falls short to execute appropriate mode of Chikitsa. In Ayurveda -dwividha, trividha, chaturvidha, shadhavidh, Dashavidha pariksha methods are explained to examine the patient, Trividh pariksha deals with Darshan, Sparshan and Prashna pariksha for dignosis of vyadhi. For diagnosis of vyadhi, a vaidya needs to study each and every causative factor keenly but there are some factors that may not be directly perceived or cannot be examined by Darshan Pariksha or Sparsha Pariksha such as Pain, distress, and suffering, history of previous illness, satmya-asatmya, aahar-vihar, pachan-kaal etc. here vaidya needs to ask details to identify the hetu for vyadhi and possible cures for the exact condition. This can be done by Prashna Pariksha means the symptoms which are Rugnasamavedya needs prashna pariksha i.e a skilled and accurate history taking and knowing about current health problems. Prashna Pariksha is a one of the methods of precise diagnosis, where conversation with the patient or his relatives is carried out for (detail) knowledge about disease and patient, vaidya asks well directed Prashnas to rugna in which leading questions are avoided, that can result in precise diagnosis with sadhya-asadhyatava of vyadhi. Prashna Pariksha in general and Vyadhi specific can be developed and framed in the form of Questionnaire, so as to make it easy for application. Questions can be asked in many more ways and words but, the emphasis should be given to standardise the prashna pariksha.