Diagnostic Validity of Āyurvedic Pulse Assessment: Maharishi Nādi-Vigyān in Cardiovascular Health.

Manohar Palakurthi, Lee Fergusson, Sathya N Dornala, Robert H Schneider
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Abstract

This study is the first of its kind to systematically investigate the relationship between the clinical practice of Maharishi ᾹyurVeda pulse assessment and cardiovascular health. Given that cardiovascular disease is a major threat to the health of people in many countries, the question of diagnostic validity of a traditional, non-invasive method of health assessment is an important one for prevention and therapeutics. For this reason, we investigated the diagnostic validity of examining the pulse of patients using the technique of Maharishi Nādi-Vigyān compared to an objective measure of blood pressure and to self-reports of other cardiovascular risk factors. The study sample consisted of 160 participants at a Maharishi ᾹyurVeda clinic in the United States and assessed consistency of diagnoses between Maharishi Nādi-Vigyān and hypertension as measured by blood pressure using a standard sphygmomanometer, and patient self-reports of elevated cholesterol, insomnia, and psychological stress (operationalised in this study as 'state of mind'). Our findings showed diagnostic validity of 95% for hypertension by Maharishi Nādi-Vigyān compared to objectively measured hypertension. For elevated cholesterol, insomnia, and psychological stress, the agreement was 76%. Previous studies assessed the reliability of conventional forms of pulse examination in ᾹyurVeda and found relatively low levels of both inter-rater and within-rater reliability, whereas the present study of Maharishi Nādi-Vigyān found generally higher levels. These findings have implications for the use of Maharishi Nādi-Vigyān as a diagnostic approach in the context of holistic, integrated, and preventive healthcare offered by Maharishi ᾹyurVeda. We conclude the study with a discussion of key theoretical domains which underpin the findings, namely the traditional forms of ᾹyurVeda and Nādi-Vigyān, and the introduction of next generation Maharishi ᾹyurVeda and Maharishi Nādi-Vigyān. Finally, we consider the influence pulse assessment might have on the future of cardiovascular healthcare.

Āyuservic脉搏评估的诊断有效性:Maharishi Nādi VigyāN在心血管健康中的应用。
本研究是首次系统地研究Maharishi临床实践之间的关系ᾹyurVeda脉搏评估和心血管健康。鉴于心血管疾病是许多国家人民健康的主要威胁,传统的非侵入性健康评估方法的诊断有效性问题是预防和治疗的重要问题。因此,我们调查了使用Maharishi Nādi VigyāN技术检查患者脉搏与客观血压测量和其他心血管风险因素的自我报告相比的诊断有效性。研究样本由Maharishi的160名参与者组成Ᾱ美国yurVeda诊所,并评估了Maharishi Nādi VigyāN和高血压之间诊断的一致性,通过使用标准血压计测量血压,以及患者对胆固醇升高、失眠和心理压力的自我报告(在本研究中称为“精神状态”)。我们的研究结果显示,与客观测量的高血压相比,Maharishi Nādi VigyāN对高血压的诊断有效性为95%。对于胆固醇升高、失眠和心理压力,一致性为76%。先前的研究评估了传统形式的脉搏检查在ᾹyurVeda发现评分者间和评分者内的可靠性水平相对较低,而目前对Maharishi Nādi VigyāN的研究发现评分者之间和评分者内部的可靠性水平普遍较高。这些发现对在Maharishi提供的整体、综合和预防性医疗保健的背景下使用Maharishi Nādi VigyāN作为诊断方法具有启示Ᾱ尤尔韦达。在结束这项研究时,我们讨论了支撑研究结果的关键理论领域,即ᾹyurVeda和Nādi VigyāN,以及下一代Maharishi的介绍ᾹyurVeda和Maharishi Nādi VigyāN。最后,我们考虑了脉搏评估可能对心血管保健的未来产生的影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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