Ancient Science of Life, Vol. II, No1 April 1982, Page 29-34 AYURVEDIC APPROACH TO CLINICAL MEDICINE (PART-I) MISHRA S.K. Department of Kayachikitsa Institute of post Graduate teaching and Research, Gujarat Ayurved University Jamnagar – 361 008 India. Received: February 26, 1981 Accepted: January 12,1982 ABSTRACT: The general status of clinical approach regarding the applications of clinical methodology has been reviewed under the spectacles of author’s points. Also the subject of MANAHPARIKSANA has been critically analysed through the lenses of CARAKA and CAKRAPANIDATTA and its utility in present day clinical practices has been underlined. An appeal has been projected to the fellow Ayur-dists to shed of prejudices and hypocritical practices with an information and promise from our side to join hands. “It is not uncommon to change the difference between promise and performance, between profession and reality upon deep design and studies deceit, but the truth is that there is very little hypocricy in the world.” - SAMUEL JOHONSON Introduction There are multifaceted problems while approaching to diagnose or treat a patient. The simplest way of expressing clinical approach would be- “The actual exercise made by the physician to arrive at a diagnosis and plan an appropriate treatment in a given condition of the patient before, during and after the actual decision regarding this is clinical medicine.” The importance of physician has been universally recognized along with the patient - Ayurveda while indicating the sphere of the physician’s activities has clearly mentioned “ The patient” as the prime sphere of activity (1). As regards the origin of clinical examination and realization about its utility is a definite contribution of Caraka as this is the only treatise amongst the treatises of the ancient times, which has provided a very systematic exposition by devoting a full chapter in its Vimanasthana (which by itself is a special feature of Caraka) by the name of “Trividh Roga Visesa Vijnaniyam” (Viman-4). Here in caraka though has mentioned three-fold methods- 1) Aptopadesa, 2) Pratyaksa and, 3) Anumana but has later indicated clearly that “Two Fold” is the examination. Threefold only due to simultaneous description. If we examine the world “Pariksa” itself the simplest understanding about it has been provided by Vatsyayan Bhasya2 as Page 29-34