S. G. V. V.

T’ S
SHREE JAGADGURU GAVISIDDHESHWAR
AYURVEDIC MEDICAL COLLEGE, POST GRADUATE
STUDIES & RESEARCH CENTRE. KOPPAL– 583231.
KARNATAKA ISO 9001-2008 Recognized Institution (Recognized by govt. of Karnataka & C.C.I.M. New Delhi)
(Affiliated to Rajiv Gandhi University of Health Sciences, Bangalore)

CASE SHEET PERFORMA

TITLE: BODY MASS INDEX AND its ASSOCIATION WITH PRAKRUTHI, SARA, AHARA,
NIDRA, AND VYAYAMA

P. G. SCHOLAR : Dr. ORUGANTI KARANAM ADITYA

GUIDE : Dr. PANKAJ LOMTE (M.D) Ayu

Name: Date:

Age: Sex:

Occupation: Place:

CONSENT FORM

I ___________________________________________ confirm that the study and its

purpose has been explained to me adequately and I am voluntarily taking part in this
research.

EzÀÄ £Á£ÀÄ ²æÃ/²æêÀÄw _________________________________________________ £À£Àß

¸ÀéEZÉÑ ¬ÄAzÀPÉÆqÀĪÀaQvÁì ¸ÀªÀÄäw.¥Àæ¸ÀÄÛvÀ £ÀqÉ¢gÀĪÀaQvÁì ¥ÀzÀÞw0iÀÄ §UÉÎ
£À£ÀUÉ aQvÀìPÀjAzÀ ¸ÀA¥ÀÇtð ªÀiÁ»wzÉÆgÉwzÀÄÝ, 0iÀiÁªÁUÀ¯ÁzÀgÀÄ aQvÉêì¬ÄAzÀ
»AwgÀÄUÀ®Ä ¸ÁévÀAvÀæ÷å «zÉJAzÀÄ w½¢gÀÄvÉÛãÉ.

Name
Address Signature
POST GRADUATE STUDIES AND RESEARCH CENTER – KRIYA SHARIRA DEPARTMENT
S.J.G.AYURVEDIC MEDICAL COLLEGE & HOSPITAL, KOPPAL .

SCREENING PROFORMA
BODY MASS INDEX AND its ASSOCIATION WITH PRAKRUTHI, SARA, AHARA,
NIDRA, AND VYAYAMA
SCHOLAR – Dr. ORUGANTI
GUIDED BY–Dr. PANKAJ LOMTE (M.D) Ayu KARANAM ADITYA

Subject number : Date:

Name:

Age: Gender: Religion:

1. VYASANA:
Habit Alcohol Tobacco Smoking Tobacco Chewing Others
Yes/no

2. History of past& Present Illness:

Recent Physically Using DM Chronic Renal Endocrinal Bariatric T.B Known

acute challenged/mentally steroids smoker, failure disorders surgery immune
illness not sound alcoholic compromised
(past
30
days)
Yes/no

Treatment
History: Ayurvedic
Other

3. Vihara:

Types Light Moderate heavy Nil

Vyayama
Yoga
Sports/Games
Nature of work

5. B.M.I.
a. Height : b. Weight: c. B.M.I:
vi
Eligible for Study: Yes No
 The self-assessment questionnaire to assess Prakriti*
Sl. Question/statement Guna Is your Scores to be allotted if Allot the
No. answer the your answer is the one Scores in
following? that is mentioned in the this column
previous column
KAPHA
1. Whether your skin remains oily throughout the year in Snigdha Yes 120
comparison to others?
2. Are your body-hairs & skin shiny, even when no oil or Shlakshna Yes 120
moisturizer is used?
3.A. Are you considered attractive among your friends? Mridu Yes 40
3.B. Do even mild or trivial injuries on your body make Mridu Yes 40
you upset?
3.C. Among your family members, is your complexion Mridu Yes 40
considered fairer?
4. Do you think you have intense sexual desire? Madhura Yes 120
5.A. Have you got well built muscles? Saara Yes 60
5.B. Do you change your body posture frequently? (You Saara No 60
cannot manage yourself in a stable posture for a long
duration.)
6. Do you have a well-nourished & normally developed Sandra Yes 120
body? (You are neither malnourished nor obese.)
7.A. Are you lazy and disinterested in activities like Manda Yes 40
morning walk/ jogging, swimming or any type of
outdoor games?
7.B. Are you slow in consuming the food? Manda Yes 40
(Even after all have left the dining hall, you are still
consuming the same amount of food).

Vii
7.C. When you go to morning walk or college or office, do Manda Yes 40
you walk slowly in comparison to others?
8.A. If you are assigned any work, do you take some extra Stimita Yes 40
time to start it?
8.B. Do you get irritated easily? (For example, when you Stimita No 40
don’t get breakfast on time in your hostel or when the
power goes off while watching a cricket match or your
favourite movie on television).
8.C. Are you late to develop/suffer from symptoms after Stimita Yes 40
exposure to common causative factors? (For example,
during seasonal changes, when your friends are easily
caught up with flu etc., you are still healthy among
them).
9. Does your gait (style of walking) change with respect Guru No 120
to speed or manner frequently?
10.A. Do you feel hungry more frequently and do you Shita No 30
consume more food in comparison to others?
10.B. Do you tolerate heat easily? Shita Yes 30
10.C. Do you consume liquids in more quantity and Shita No 30
frequency in comparison to others?
10.D. Do you perspire less in comparison to others? Shita Yes 30
11. Are sounds produced frequently in your joints on Picchila No 120
movement?
12.A. Have you got a good/ attractive complexion? Achcha Yes 60
12.B. Have you got sweet & pleasant voice? Achcha Yes 60
1440 Total=
PITTA
1.A. Are you more comfortable in winter than summer? Ushna Yes 17

viii
1.B. Among your family members, is your complexion Ushna Yes 17
considered fairer?
1.C. Does your temperature of oral cavity remain towards Ushna Yes 17
upper limit of normal range?
1.D. Do you have excessive black moles, Freckles etc on Ushna Yes 17
your skin?
Or
Have you noticed new appearance of black moles
often on your skin?
1.E. Do you feel excessive hunger & thirst in comparison Ushna Yes 17
to others?
1.F. Have you experienced premature graying, wrinkling Ushna Yes 17
of skin & early baldness?
1.G. Do you have soft, scanty, brown hair on your face, Ushna Yes 17
body & head?
2.A. Do you involve yourself in risky & heroic activities Tikshna Yes 24
requiring physical strength often?
2.B. Do you have ability to digest large quantities of food Tikshna Yes 24
easily?
2.C. Do you take large quantities of food & drink in Tikshna Yes 24
comparison to others?
2.D. Do you get easily irritated for small/negligible Tikshna Yes 24
problem in day-to-day life?
2.E. Do you consume food more frequently than others? Tikshna Yes 24
(5-6 times/day)
3.A. Do you have soft & loose muscle bulk especially Drava Yes 60
around the joints?
3.B. In comparison to others do you pass urine & stool in Drava Yes 60
large quantities and do you perspire more?

Ix
4. Do your friends complain of bad smell being emitted Visra Yes 120
from your body & mouth?
5. Do you think you have intense sexual desire? Amla+ No 120
Katu
600 Total=
VATA
1.A. Whether your skin remains dry throughout the year in Ruksha Yes 30
comparison to others?
1.B. Is your body undernourished/ emaciated? Ruksha Yes 30
1.C. Have you got rough, low, broken or obstructed voice? Ruksha Yes 30
1.D. Does Your sleep last less than 6 hours per day? Or Ruksha Yes 30
Can your sleep be disturbed easily?
2.A. Do you change walking speed & style from time to Laghu Yes 40
time?
2.B. Do you keep changing your food habits from time to Laghu Yes 40
time?
2.C. Do you keep changingyour walking / jogging habit Laghu Yes 40
from time to time?
3. Do you keep your joints, eyes, eyebrows, jaw, lips, Chala Yes 120
tongue, head, Shoulder, hands & feet frequently
moving?
4.A. Are you considered a talkative among your friends? Bahu Yes 60
4.B. Do you have prominent veins & tendons all over the Bahu Yes 60
body?
5.A. Do you generally start the work assigned to you Shighra Yes 15
immediately?
5.B. Do you get irritated easily? (E.g., when you do not get Shighra Yes 15
breakfast on time in your hostel or when the power
goes off while watching a cricket match or your

X
 favourite movie over television)
5.C. Do you get frightened easily? Shighra Yes 15
5.D. Do you make friends easily & also lose them easily? Shighra Yes 15
5.E. Do you generally learn things quickly? Shighra Yes 15
Or
Do you have a good grasping power?
5.F. Is your long term memory weak? (E.g., you can Shighra Yes 15
remember only few names of your friends at your
primary school).
5.G. Are you more comfortable in summer? Shighra Yes 15
Or
Do you prefer hot/warm drinks over cold drinks?
5.H. Do you generally develop symptoms immediately Shighra Yes 15
after exposure to common causative factors?(You are
easily caught by diseases like flu, allergy during
seasonal changes).
6.A. Do you shiver in winter season more than your Shita Yes 60
friends?
6.B. Do you often feel stiffness in your body after exercise, Shita Yes 60
travelling?
7. Are your nails, teeth, hands, feet and hairs on your Parusha Yes 120
body and face rough?
8.A. Do you have cracks on the body especially on the Vishada Yes 60
heels?
8.B. Are some crackling sounds produced in your joints Vishada Yes 60
during movements?
960 Total=

xi
Total scores scored by an individual for a Dosha x100
Total scores allotted to that Dosha

Final percentage scores forVata =

Final percentage scores forPitta=
Finalpercentage scores forKapha=

*Originally prepared by: Kishor Patwardhan and Rashmi Sharma.

Modified by: Piyush Kumar Tripathi, Kishor Patwardhan and Girish Singh, Institute of Medical Sciences, Banaras Hindu
University, Varanasi.

xii
Expt. No: Date
Title of expt.: 6)ASSESSMENT OF SARA
Name :

Age : Sex :

Occupation : Religion :
1) रससारपुरुषलक्षण

लक्षण Features लक्षण- Type of सार

present उत्तम/मद्यम/हीन
1 लोम- स्निग्ध(च) Hair –oily
- स्लक्ष्ण(च) -smooth

- मृदु(च) -soft

-प्रसन्न(च) - pleasant
,clear
- सू क्ष्म(च) -thin

-अल्प(च) -scanty, less

numerous
-गं भीर(च) - deep rooted

-सु कुमार(च) -
tender,delicate
2 रोम- प्रसन्न- (स् )

- मृदु(सु )
3 त्वक्- प्रभा(च) Skin – lustrous ,
shining
-मृदु– (स् ) - soft

- प्रसन्न(सु ) -pleasant
,attractive
4 सु ख(च) Comfort,happiness

5 सौभाग्य(च) Good fortune

6 ऐश्वर्य (च) Wealth

7 बु ध्दद(च) Intelligent,well
knowledgeable
8 स्निद्या(च)

9 आरोग्य(च) Healthy

10 आर्ु ष्य(च) longevity

(2)रक्तसारपुरुषलक्षण
 लक्षण Features लक्षण– Type सार
present उत्तम/मध्यम/हीन
1 कणय –स्निग्धा(च)(सु ) Ear – oily

- रक्तिणय (च) Red colour

ताम्रिणय (सु )
- स्निमत् (च) Beautiful

- भास्निष्णु(च) Dazzling

2 मुख- स्निग्धा(च) (सु ) Face – oily

- रक्तिणय (च) Red colour

- स्निमत् (च) Beautiful

- भास्निष्णु(च) Dazzling

3 ललाट- स्निग्धा(च) Forehead – oily

- रक्तिणय (च) Red colour

- स्निमत् (च) Beautiful

- भास्निष्णु(च Dazzling

4 अस्नि–स्निग्धा(च) Eyes – oily

नर्न– स्निग्धा(सु )
- िणय - रक्त(च) Red colour
ताम्र(सु )
- स्निमत् (च) Beautiful

- भास्निष्णु(च)- Dazzling

5 नासा- स्निग्धा(च) Nose – oily

- रक्तिणय (च) Red colour

- स्निमत् (च) Beautiful

- भास्निष्णु(च Dazzling

6 ओष्ठ-स्निग्धा(च) (सु ) Lips – oily

- िणय - रक्त(च) Red colour

ताम्र(सु )
- स्निमत् (च) Beautiful

- भास्निष्णु(च) Dazzling
7 स्निव्हा- स्निग्धा(च) Tongue – oily

- िणय - रक्त(च) Red colour

ताम्र(सु )
- स्निमत् (च) Beautiful

- भास्निष्णु(च) Dazzling

8 तालु- स्निग्धा(सु ) Palate -Oily

- ताम्रिणय (सु ) -copper colour

9 नख- स्निग्धा(च) (सु ) nails – oily

- िणय - रक्त(च) Red colour

ताम्र(सु )
- स्निमत् (च) Beautiful

- भास्निष्णु(च Dazzling

10 पास्नण- स्निग्धा(च) (सु ) hands– oily

- िणय - रक्त(च) Red colour

ताम्र(सु )
- स्निमत् (च) Beautiful

- भास्निष्णु(च) Dazzling

11 पादतल- स्निग्धा(च) (सु ) Sole – oily

- िणय - रक्त(च) Red colour

ताम्र(सु )
- स्निमत् (च) Beautiful

- भास्निष्णु(च) Dazzling

12 मेहन- स्निग्धा(च) Genital organ– oily

- रक्तिणय Red colour

- स्निमत् (च) Beautiful

- भास्निष्णु(च) Dazzling

13 सु ख(च) Happiness

14 मेधा– उद्गतां (च) Intelligence –high

15 मनध्ित्वं (च)
16 सौकुमार्ं (च) Tender

17 बलं– अनस्नत(च) Strength – less

18 अक्लेशसस्नहष्णुत्वं(च) Not tolerate

 difficulties
19 उष्णअसस्नहत्वं (च) Not tolerate heat

(3) माांससापुुरुषलक्षण

लक्षण लक्षणpresent Type सार

उत्तम/मध्यम/हीन
1 ललाट- ध्थिर(च) Forehead –stable
-गु रु(च) -heavy
-शुभ(च) -beautiful
- -coverd with
मां सउपस्नचत(च) flesh
2 शंख–ध्थिर(च) Temple-–stable
-गु रु(च) -heavy
-शुभ(च) -beautiful
- -coverd with flesh
मां सउपस्नचत(च)
3 अस्नि- –ध्थिर(च) Eyes –stable
-गु रु(च) -heavy
-शुभ(च) -beautiful
- -coverd with flesh
मां सउपस्नचत(च)
4 गण्ड- ध्थिर(च) cheeks–stable
-गु रु(च) -heavy
-शुभ(च) -beautiful
- -coverd with flesh
मां सउपस्नचत(च)
5 हनु-–ध्थिर(च) Jaws –stable
-गु रु(च) -heavy
-शुभ(च) -beautiful
- -coverd with flesh
मां सउपस्नचत(च)
6 स्नििा–ध्थिर(च) Neck –stable
-गु रु(च) -heavy
-शुभ(च) -beautiful
- -coverd with flesh
मां सउपस्नचत(च)
7 कृकास्नटका- ध्थिर(च) Nape ,back of neck–stable
-गु रु(च) -heavy
-शुभ(च) -beautiful
- -coverd with flesh
 मां सउपस्नचत(च)
8 स्कन्ध–ध्थिर(च) Shoulders –stable
-गु रु(च) -heavy
-शुभ(च) -beautiful
- -coverd with flesh
मां सउपस्नचत(च)
9 कि–ध्थिर(च) axillae–stable
-गु रु(च) -heavy
-शुभ(च) -beautiful
-मां सउपस्नचत(च) -coverd with flesh
10 िि–ध्थिर(च) Chest –stable
-गु रु(च) -heavy
-शुभ(च) -beautiful
-मां सउपस्नचत(च) -coverd with flesh
11 उदर–ध्थिर(च) Abdomen –stable
-गु रु(च) -heavy
-शुभ(च) --beautiful
मां सउपस्नचत(च) -coverd with flesh
12 पास्नणसध्न्ध–ध्थिर(च) Joints of upper limb–
stable
-गु रु(च) -heavy
-शुभ(च) -beautiful
- -coverd with flesh
मां सउपस्नचत(च)
13 पादसध्न्ध–ध्थिर(च) Joints of lower limb–
stable
-गु रु(च) -heavy
-शुभ(च) -beautiful
- -coverd with flesh
मां सउपस्नचत(च)
14 -िमा Forgiveness
15 दृस्नत(च) Patience,endurance
16 अलौल्य(च) Non greedy
17 स्नित्त(च) Wealthy
18 स्निद्या(च) Knowledge
19 सु ख(च) Happiness
20 आियि(च) Simple
21 आरोग्य(च) Healthy
22 बल(च) Strength
23 आर्ु -दीर्य Long life
 (4) मेदोसारपुरुषल्क्क्षण

लक्षण Features लक्षण– Type सार

present उत्तम/मध्यम/हीन
1. शरीर–बृ हत् (सु ) Body –large
2. िणय - स्निशेषतःिेह(च) Complexion – more
oily
3. नेत्र- स्निशेषतःिेह(च) Eyes – more oily

4. केश- स्निशेषतःिेह(च) Hair– more oily

5. लोम- स्निशेषतःिेह(च) – more oily

6. नख- स्निशे षतःिेह(च) Nail – more oily

7. ओष्ट- स्निशेषतःिेह(च) Lips– more oily

8. दन्त- स्निशेषतःिेह(च) Teeth– more oily

9. िर- स्निशेषतःिेह(च) Voice

स्निग्ध(सु )
10. मुत्र–- स्निशेषतःिेह(च) Urine – more oily
स्निग्ध(सु )
11. पुरीष- स्निशेषतःिेह(च) Stools– more oily

12. िेद-– स्निग्ध(सु ) Sweat – more oily

13. स्नित्त- (च)

14. ऐश्वर्य - (च) Wealth

15. सु ख- (च) happiness

16. उपभोग- (च) enjoyment

17. आियि- (च) simple

18. सु कुमार- (च) delicate

19. उपचारत- (च) Honour

20. आर्ासअसस्नहष्णु (सु ) Not tolerate exertion

(5) अस्थिसारपुरुषलक्षण

लक्षण लक्षण Type सार

Present उत्तम/मध्यम/हीन
1. शरीर- ध्थिर(च) Body –firm
 2. पाध्ष्णय–थिुल(च) Heels - big

3. गु ल्फ- –थिु ल(च) Ankles- big

4. िानु- –थिु ल(च) Knee - big

5. अरस्नि- थिुल(च) Forearms - big

6. ित्रु -–थिुल(च) Collar bones- big

7. स्नचबु क-–थिुल(च) Chin - big

8. स्नशरः-–थिुल(च) महा(सु ) Head - big

9. पिय –थिुल(च) Joints - big

10. अध्थि- थिुल(च) - Bones – big -firm

दॄड(सु )
11. नख- थिुल(च) - Nails - big-firm
दॄड(सु )
12. दन्त- थिुल(च) - Teeth - big-firm
दॄड(सु )
13. स्कन्द- दॄड(सु ) Shoulders-firm

14. हनु- दॄड(सु ) Jaws -firm

15. उत्साह-महा(च) Enthusiasm –high

16. स्निर्ािन्त(च) Active

17. क्लेश–सहाः(च) Tolerates –

difficulties
18. आर्ु ष्मन्तः(च) Long life

(6) मज्जासारपुरुषलक्षण

लक्षण Features लक्षण Type सार

Present उत्तम/मध्यम/हीन
1. अंग–तनु(च) Organs –thin
2. िणय – स्निग्ध(च) Complexion –oily
3. िर- स्निग्ध(च) (सु ) Voice – oily,
pleasing
4.  गम्भ्हीर(सु ) -deep
5. सध्न्ध– थिुल(च) Joints –large
6.  दीर्य(च) -long
7.  िृ त्त(च) -round
8. नेत्र– महा(सु ) Eyes -big
 9. अकृश(सु ) Not emaciated
10. बल- िन्त(च) - Strength –high
उत्तम(सु )
11. सौभाग्य– उपपन्न(सु ) Fortune
12. आर्ु ष्– दीर्य(च) Long life
13. िुतः(च) Learned
14. स्निज्ञान(च) Knowledge –
scientific
15. स्नित्त(च) Wealthy
16. अपत्य(च) Progeny
17. सम्मानभािः(च) Honour

(7) शुक्रसारपुरुषलक्षण

लक्षण Features लक्षण Type सार

Present उत्तम/मध्यम/हीन
1 सौम्य Gentle
2 सौम्यप्रेस्निण Gentle –look
3 लोचन–िीरपूणय Eyes – filled with
milk
4 प्रहषय–बहुला Cheerful – highly
5 दशन–स्निग्ध Teeth –oily
-िृ त्त Round
-सार Strong
-सम Even
-सं हत Compact
-स्नशखर Beautiful
6 भ्रास्निष्णु(च) Dazzling
7 ध्िक्–मह(च) Buttock –huge
8 स्त्रीस्नप्रर्(च) Loved by women
9 स्नप्रर्ोपभोग(च) Loves women
10 बलिन्तः(च) Strenthy
11 सु ख(च) Happy
12 ऐश्वर्य (च) Wealthy
13 आरोग्य(च) Healthy
14 स्नित्त(च)
15 सम्मान(च) houour
16 अपथ्यभाि(च) Good progeny
 (8) सत्वसारपुरुषलक्षण

लक्षण लक्षण Type सार

Present उत्तम/मध्यम/हीन
1 स्मॄस्नतिन्त(च) Memory –good
2 भध्क्तमन्तः(च) Devotional
3 कृतज्ञ(च) Greatful.
4 प्राज्ञ(च) Wisdom
5 शुस्नच(च) Pure
6 उत्साह-महा(च) Enthusiasm -high
7 दिा(च) Skilled
8 धीरा–(च) Courageous
9 समरस्नििान्त(च) Valorous
10 र्ोस्नधन(च)
11 अव्यक्तस्निषाद(च) Absence of sorrow
12 गस्नत- सु व्यिध्थित Gait-well mannered
13 बु ददी- गम्भीर(च) Intelligence –deep
14 चेष्टा- गम्भीर(च) Activities – sincere
15 कल्याणअस्नभस्ननिे स्नशन(च) Virtuous

AHARA
Sl.no adyasana Athyasana Parimith Vishamasana(improper Ajirnasana(intake Hina matra Rasa of
(eating (more in asana(little timely food) without digesting asana(less ahara
again quantity) quantity in privies meal) quantity/diteing) m/a/l/k/t/k
and frequent
again interval) Guru ahara
with no /laghu ahara All
time) rasas/moost
using rasas

daily guru laghu

Frequently

Nidra:
Sl DURATION DAY/NIGHT TYPE OF SLEEP at night
.no OF SLEEP SLEEP (duration)
Deep Deep Disturbed Disturbed
sleep sleep(irregular) sleep(regular) sleep(irregular)
 (regular)

Analysis of vyayama;

Sl. Type of exercise Examples

No.
0 aerobic for some, anaerobic for others
grade Fast walking >=5mph;
cycling >=10mph; high
impact aerobics, playing
competitive sports, circuit
weight training, heavy
digging for others or yard
work; heavy
housework,moving
furniture
1 aerobic
grade Brisk walking (3- 4.5 mph),
lawn mowing, cycling (5-9
mph), low impact aerobic
dance, social dancing,
swimming
2 aerobic
grade Normal walking, walking
downstairs, bowling,
general housework:
vacuum cleaning carpets,
mopping floors.