“Definitive knowledge on the basis of certain evidence is Pariksa”. The importance of this i.e. Pariksa in particular reference with the patient and disease has been realized by the Ayurvedika texts, since the ancient times. Caraka in Sutrasthana has already mentioned that “Only the one who examines – becomes efficient3”. At several other places including the Viman chapter 8 caraka has emphasized the importance of the examination of the patient, disease, and the treatment to establish a definitive clinical approach before the actual institution of the action by the physician. Present Status Inspite of all this, the actual state of affairs in practice, is a sad affair of hypocrisy. Ayurvedists themselves have admitted (Shastri, R.D. 1956) that these practices have been gradually lost; lost because, we preach rather than practice the actual clinical approach developed from time to time by ayurveda. The approach made by “Ayurveda” as clearly mentioned by “Caraka” is pratyaksa and Anumana. Anumana has been clearly defined by caraka in this reference as- Anumanam khalu tarko yuktyapeksah Cakrapani4 while commenting on this has very beautifully clarified that the indirect evidence based on experimentation and implications or so to say an “Inference” is Anumana. Here, in our humble opinion, all the presently available clinical investigations- the so called Modern investigation can very well be utilized to arrive at Ayurvedic conclusions. The actual thing is to verify the features of disease which helps the physician to institute an efficient management. Wherever it has been used, it works well. Once again the source of the methodology should clearly be acknowledged rather than trying to imbibe it through backdoor – because it amounts to not only the mutilation of history but rubbing the present factual development also off the pages of history to be recorded later. For the physician, Caraka has given a clearcut keynote for self analysis of this clinical performance by saying that one who does not percolate the soul limit of the patient by his penetrating knowledge does not actually treat the disease- “Jnanabuddhi pradipena yon a visati tatvavit Aturasyantaratmanam na sa rogan-scikitsati” Cakrapani5 while commenting on “Jnana buddhi” has very clearly elucidated that the examination and action on the part of the physician has to be based on the knowledge which has gone to his soul limits. There is a popular saying that “Your eyes can see what your mind knows”. As such, until and unless the physician generates a confidence in the mind of the patient about his own knowledge which has a lasting impact-it would not be possible to establish a deep rapport with the patient without this rapport the truth emphasized by ‘Caraka’ in this verse can never be realized in actual practice. If the records are properly prepared and proper evaluation is made taking the help of modern statistical techniques an analysis of Page 29-34