Clinical Significance Of Poorvaroopa In Disease Diagnosis – A Critical Review
Keywords:
Poorvaroopa, Nidana Panchaka, Prodromal Symptoms, Ayurvedic Diagnosis, Roga Pariksha, Dosha-Dushya SammurchhanaAbstract
Background: In Ayurvedic diagnostics, Nidana Panchaka is the foundational tool for understanding and identifying diseases. Among its five elements, Poorvaroopa (prodromal symptoms) plays a critical role in detecting disease at a subclinical stage.
Objective: This review aims to critically evaluate the importance of Poorvaroopa in the diagnostic process of Ayurveda, including its role in early identification, disease prevention, prognosis, and therapeutic planning.
Materials and Methods: A comprehensive review of classical Ayurvedic texts such as Charaka Samhita, Sushruta Samhita, and Ashtanga Hridaya was conducted, along with analysis of recent scholarly interpretations and published literature on Ayurvedic diagnostics.
Results: Poorvaroopa is categorized into general and specific prodromal features. These are essential for understanding the initial dosha imbalances before the disease becomes fully manifested. Their timely recognition helps in differential diagnosis, assessing prognosis, and simplifying treatment. The complete manifestation of all Poorvaroopa of a disease is often considered a sign of poor prognosis.
Conclusion: Poorvaroopa serves as a critical window for preventive and promotive healthcare in Ayurveda. Integrating the understanding of prodromal features into clinical practice enhances diagnostic precision and improves patient outcomes through early intervention.
Downloads
References
Shastri K. Charaka Samhita of Agnivesha, Sutra Sthana, Ch. 10/5. Varanasi: Chaukhambha Bharati Academy; 2016. p. 205.
Sharma RK, Dash B. Charaka Samhita (Text with English Translation), Vol. 1. Sutra Sthana. Ch. 10. Varanasi: Chowkhamba Sanskrit Series; 2014.
Acharya YT. Sushruta Samhita with Nibandhasangraha Commentary, Sutra Sthana Ch. 21/36. Varanasi: Chaukhamba Surbharati; 2016.
Tripathi B. Ashtanga Hridaya of Vagbhata. Sutra Sthana, Ch. 1/24. Varanasi: Chaukhambha Orientalia; 2014.
Vaidya Jadavaji Trikamji Acharya. Charaka Samhita. Chikitsa Sthana, Ch. 25. Varanasi: Chaukhambha Surbharati; 2017.
Kanjirath PP. A study on Poorvaroopa and its clinical significance. J Ayurveda Integr Med Sci. 2022;7(2):111–7. Available from: https://www.jaims.in/index.php/jaims/article/view/1705
Patwardhan K. Concepts of Prognosis in Ayurveda. Ancient Science of Life. 2010;30(1):1–7. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3336234/
Dwivedi A. Role of Poorvaroopa in disease prevention. Ayu. 2019;40(3):157–63. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7071551/
Joshi R, Nanal S. Poorvaroopa as an early diagnostic tool in Ayurveda. J Res Ayurveda. 2017;41(4):355–60.
Kumar V. Harrison’s Principles of Internal Medicine. 20th ed. New York: McGraw Hill; 2018.
Singh RH. Ayurveda: The Science of Life, Volume 1. Delhi: Chaukhambha Orientalia; 2007.
Kumar V, Sharma AK. Ayurvedic diagnostic principles. J Ayurveda Med Sci. 2021;6(3):55–62.
Sharma A, Singh G. Clinical evaluation of Nimbapatradi yoga in Poorvaroopa stage of Sheetpitta. Int J Res Ayurveda Pharm. 2021;12(2):77–81. https://ijrap.net/index.php/login/article/download/1435
Downloads
Published
How to Cite
Issue
Section
License
This work is licensed under a Creative Commons Attribution 4.0 International License.
You are free to:
- Share — copy and redistribute the material in any medium or format
- Adapt — remix, transform, and build upon the material for any purpose, even commercially.
Terms:
- Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
- No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.
