The Ultrasound Doppler Study of Distal Radial Arterial Pulse (Naadi) for various pulse characteristics in Vataja Naadi, Pittaja Naadi, Kaphaja Naadi and Sama Naadi– A cross-sectional pilot study

Authors

  • Usharani Sanu
  • Sunil Surendra Vernekar
  • Santosh Patil

DOI:

https://doi.org/10.70066/jahm.v13i8.2092

Keywords:

Distal radial artery, naadi, nadi, pulse diagnosis, pulse, pulse wave velocity, resisitive index

Abstract

Arterial pulse-based diagnostics is an age-old diagnostic technique used worldwide. One of the most effective non-invasive diagnostic methods for assessing the condition of the distal radial artery (DRA) profile is ultrasound Doppler examination in B-mode. The purpose of this study was to measure the DRA’s pulse wave velocity (PWV) and resistive index (RI) in various pulse patterns. Methods: A total of 36 healthy volunteers between the ages of 18 and 35 years participated in this pilot study. To begin the examination, the hand was semiflexed for the palpatory approach by an ayurvedic doctor who performed the palpatory test and had extensive training in naadi pariksha. Dosha expressions were recorded at the index, middle, and ring fingers. In the second test: the ultrasonography (USG)-B mode study of the same patients was done within 10 minutes of the palpatory test on the distal radial arterial pulse, by a radiologist who was blinded to the results of the palpatory naadi examination. RI, PWV, radial artery diameter, and intima media thickness were the measures of the DRA pulse gathered with USG of DRA. One-way ANOVA was used to statistically analyze the relationship between naadi type and USG parameters at the P < 0.05 (5%) level of significance. Results: Compared to pittaja naadi (0.802 ± 0.10), kaphaja naadi (0.640 ± 0.17), and sama naadi (0.6938 ± 0.28), vataja naadi’s resistance index (0.5019 ± 0.20) was noticeably lower. In comparison to pittaja naadi (0.882 ± 0.70 mm/sec), kaphaja naadi (0.651 ± 0.45 mm/sec), and sama naadi (0.51 ± 0.24 mm/sec), vataja naadi’s PWV(pulse wave velocity) was low  0.474 ± 0.3 mm/sec. Conclusion: Distinct naadi patterns are linked to variations in blood flow properties. Hence, the technological framework of the ultrasonic Doppler method for RI and PWV made this examination more objective for the researchers and students.

Author Biographies

Usharani Sanu

Associate Professor, Department of Kriya Shareera, KLE Academy of Higher Education and Research, Deemed to be University, Shri BMK Ayurveda Mahavidyalaya, Shahpur, Belagavi, Karnataka, India.

Sunil Surendra Vernekar

Professor, Department of Physiology, KLE Academy of Higher Education and Research, Deemed to be University, Jawaharlal Nehru Medical college, Belagavi, Karnataka, India.

Santosh Patil

Professor and HOD, Department of Radiology, KLE Academy of Higher Education and Research, Deemed to be University, Jawaharlal Nehru Medical college, Belagavi, Karnataka, India.

References

Goyal K, Gupta A. A literature survey on different types of pulse-based sensors for the acquisition of pulse. Int J Control Theory Appl. 2016;41:361-5. Available on https://www.researchgate.net/publication/313646649_A_Literature_Survey_on_Different_Types_of_Pulse_Based_Sensor_for_Acquisition_of_Pulse

Wallace R. Ayurgenomics and Modern Medicine. Medicina (Kaunas). 2020 Nov 30;56(12):661. https://doi:10.3390/medicina56120661

Pandey R. A Complete Treatise on Ayurveda Yogaratnakara- Priyasiddida Hindi Commentary. Varanasi;Chaukhambha Vishvabharati Publisher; 2019. p. 8-10.

Michael F, Alfredo P, Xiong-Jing J. Research methods in human cardiovascular pharmacology. Br J Clin Pharmacol 2001;51:507-22. https://doi.org/10.1046/j.0306-5251.2001.01400.x

Gananath Dwivedi. Nadi Vijyana- Maharshi Kanada's science of pulse.Varanasi: Chaukhambha orientalia; 2016;24-25.

Murthy K. Sarngadhara- Samhita. New Delhi; Chaukhamba Orientalia; 1997;14-16.

Kallurkar P, Sharma S. Nadi diagnosis techniques. Int J Public Ment Health Neurosci 2015;2:16-8.Available at https://www.researchgate.net/publication/370905307_Nadi_Diagnosis_Techniques

Oglat A, Matjafri M, Suardi N, Abdrelraham M, Qqlat A. A review of medical Doppler ultrasonography of blood flow in general and especially in the common carotid artery. J Med Ultrasound. 2018;26:3-13. doi: 10.4103/JMU.JMU_11_17.

Kulkarni D, Doddoli S, Shete S, Verma A, Bhogal R. A bio-electrical model for physiological evaluation of Nadi Pariksh. Int J Ayurveda Pharm Res.2014;4:25-31. https://ijapr.in/index.php/ijapr/article/view/222

Allen R. Kunselman, A brief overview of pilot studies and their sample size justification, Fertility and Sterility.2024;121(6): 899-901, https://doi.org/10.1016/j.fertnstert.2024.01.040.

Dhannajay, Naresh K. Significance of Anguli pramana in Ayurveda: A critical review. Int Ayurvedic Med J. 2015;3:948-52.Available on https://www.researchgate.net/publication/373107399_SIGNIFICANCE_OF_ANGULI_PRAMANA_IN_AYURVEDA_A_CRITICAL

Sanu U, Prasad B. S, Hiremath R, Vernekar S. Repeatability of arterial pulse-based diagnosis (Naadi pariksha) by test–retest method: An observation study. Indian Journal of Health Sciences and Biomedical Research (KLEU). 2023; 16(1):41-47 https://doi.org:10.4103/kleuhsj.kleuhsj_398_21

Lad V. Secrets of the Pulse: The Ancient Art of Ayurvedic Pulse Diagnosis. Delhi: Motilal Banarasidass Publishers; 2007. p. 10.

Obeid, Catherine F, Charles A. Radial-digital pulse wave velocity: a noninvasive method for assessing stiffness of small conduit arteries. 2021 Apr 1;320(4):1361-1369. https://doi:10.1152/ajpheart.00551.2020.

Emilia S., Sansone R., et.al. Validation of High-Resolution Ultrasound Measurements of Intima-Media Thickness of the Radial Artery for the Assessment of Structural Remodeling 2015 Jul;66(6):574-7. Available at https://doi.org/10.1177/0003319714544699

Cristina G., Antonio V., et.al Effects of heart rate changes on arterial distensibility in humans. Epub. 2003 Sep;42(3):253-6 https://doi.org/10.1161/01.HYP.0000085199.33254.15

Ching W, Lin S, Tsai T, Hsiesh B. High resistive index of the radial artery is related to early primary radiocephalic hemodialysis fistula failure. Clin Nephrol 2001;56:236-40.Available at https://pubmed.ncbi.nlm.nih.gov/11597039/

World Health Organisation. The World Health Report 1998. Life in the 21st Century: A Vision for All. Report of the Director-General. Ch. 3. Geneva: World Health Organisation. 1998; 66-111. https://iris.who.int/handle/10665/42065

Melanie W, Jolanta N, et al. Clinical application of pulsatility index. Med Res J. 2020;5:201-10. https://doi.org10.5603/MRJ.a2020.0016

Fulton J, Swiney M. The pulse wave velocity and extensibility of the brachial and radial artery in man. J Physiol.1930;27:386-92. https://doi:10.1113/jphysiol.1930.sp002658.

Millasseau S, Ritter J, Takazawa K, Chowienczyk P. Contour analysis of the photoplethysmographic pulse measured at the finger. J Hypertens. 2006; 24:1449-56. https://doi:10.1097/01.hjh.0000239277.05068.87.

Venkata P, Deshpande S, Nagendra H. Significance of arterial stiffness in Tridosha analysis: A pilot study. J Ayurveda Integr Med.2017; 8:252-6. https://doi:10.1016/j.jaim.2017.02.012 23.

Venkata P, Deshpande S, Nagendra H. Traditional practices and recent advances in Nadi Pariksha: A comprehensive review. Journal of Ayurveda and Integrative Medicine. 2019;10:308-315 https://doi.org/10.1016/j.jaim.2017.10.007

Ozcan H, Kara M, Ozcan F, Bostanoglu S, Karademir M, Erkin G, Ozçakar L. Dynamic Doppler evaluation of the radial and ulnar arteries in patients with carpal tunnel syndrome. AJR Am J Roentgenol. 2011 Nov;197(5):817-20. https://doi:10.2214/AJR.11.6559.

Wielicka M, Neubauer-Geryk J, Kozera G, Bieniaszewski L. Clinical application of pulsatility index. Med Res J 2020;5(3):201-210. https://doi.org/10.5603/MRJ.a2020.0016

Sanu U, Prasad B, Patil S, Hiremath R, Vernekar S. Distal Radial Artery Dimensions in Different Body Constitutions (Prakriti)-an Observational Study. Journal of Stress Physiology & Biochemistry. 2022; 18(1): 101-108. Available at https://www.researchgate.net/publication/359370522_Distal_Radial_Artery_Dimensions_in_Different_Body_Constitutions_Prakriti-an_Observational_Study

Lisheng XU, David Z, Kuanquan W, Lu W. Arrhythmic pulse detection using Lempel-Ziv complexity analysis. EURASIP J Appl Signal Process 2006; 1:1-12. https://doi.org/10.1155/ASP/2006/18268

Swash M. Hutchison's Clinical Methods. Edinburg Scotland; WB Saunders Publication; 2002;85.

Upadhyaya S. Nadi Vijnana: Ancient Pulse Science. Delhi; Chaukhamba Sankrit Pratishthan Publisher; 2005; 35-7.

Chhajed S. Pulse Diagnosis-The Ancient Ayurvedic Technology Using Pulse for diagnosis(Naadi pariksha). Mumbai; Baba Ramdeo Publications; 2015;55-59.

Additional Files

Published

2025-09-19

How to Cite

Sanu, U., Vernekar, S. S. ., & Patil, S. . (2025). The Ultrasound Doppler Study of Distal Radial Arterial Pulse (Naadi) for various pulse characteristics in Vataja Naadi, Pittaja Naadi, Kaphaja Naadi and Sama Naadi– A cross-sectional pilot study . Journal of Ayurveda and Holistic Medicine (JAHM), 13(8), 12-24. https://doi.org/10.70066/jahm.v13i8.2092