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64
THE GRADATIONS OF DISEASES OF SHALAKYA TANTRA - PART – 3 (MUKH ROG) Published by The Association of Shalaki Department of Shalakya Tantra Tilak Ayurved Mahavidyalay Pune [email protected] 2019

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Page 1: THE GRADATIONS OF DISEASES OF SHALAKYA TANTRA - PART …theassociationofshalaki.com/downloads/GRADATIONS_OF_DISEASE… · 12.05.2019  · I am also very much thankful to Dr Sandhya

THE GRADATIONS OF DISEASES OF SHALAKYA

TANTRA - PART ndash 3 (MUKH ROG)

Published by

The Association of Shalaki Department of Shalakya Tantra

Tilak Ayurved Mahavidyalay

Pune cctasindiagmailcom

2019

1

copy All right reserved No part of this book may be copied adapted

abridged or translated for commercial use It can only be used for

research and education purpose mentioning as a ldquoTAS Gradations of

Mukh Rogrdquo without permission

First Edition - as e-book

Year of Publication ndash 2019

Price ndash Dedication for Shalakya Tantra

Published by

The Association of Shalaki ndash TAS India

Department of Shalakya Tantra

Tilak Ayurved Mahavidyalay Pune

cctasindiagmailcom

2

PREFACE

The Association of Shalaki ndash TAS India is active unique and registered

organization of Ayurvedic specialists of Shalakya Tantra TAS organizes

national international and state level conferences seminars workshops CMEs

etc regularly to provide a common platform to present research work of the

members TAS also aims to impart research activity and organizes workshops

regularly

To meet research activities TAS has organized three days national

workshop ldquoTo Establish amp Standardize research protocols in Shalakya Tantrardquo

during July 2017 In this workshop experts from all over India participated

worked hard and at the end of the workshop gradations were established The

established gradations were then sent to senior Shalakis to review and for their

suggestions The gradations were then edited according to suggestions

received

As we know that in the field of research gradations - scoring pattern has

very important role By this tool efficacy of medicinetherapy can be assessed

For that there was lacking of gradations ndash scoring pattern in the field of

Shalakya Tantra So TAS had taken up the project and gradations were

established during above said workshop At this moment I am very much

happy to publish the gradations for Mukh Rog in the form of e-book namely

ldquoGRADATIONA OF SHALAKYA TANTRA PART ndash 3 (MUKH ROG)rdquo I hope these

gradations will be very much useful for all researchers in the field of shalakya

Tantra Now onward gradations for Mukh Rog will be known and can be used

as ldquoTAS Gradations of Mukh Rogrdquo

It is true that research is on-going process These gradations are also not

final I invite suggestions with logic or justification from experts Please send

your suggestions on cctasindiagmailcom I assure TAS will accept and include it

in second edition I hope this book will be very mush useful to all researchers

Prof Vd Hāridra Dave President TAS India

3

INTRODUCTION

As we know that in the field of research gradations - scoring pattern has

very important role By this tool efficacy of medicinetherapy can be assessed

Symptoms in general are very difficult to understand as they are noticed by

patients only Patients are not quite capable to express its intensity or its

severity So it is very difficult to understand to assess and to evaluate

magnitude of the symptoms like Shool (pain) Ruja Tod Kandu Dah etc It

should be objectified In general Visual Analogue Scale (V A S) is used for this

purpose Here in this book it is also suggested To understand VAS please

refer figure given below It is self-explanatory however basic information to

understand it is given here ldquo0rdquo stands for no Shool (pain) Kandu (Itching) Dah

(Burning pain) etc while ldquo10rdquo stands for extreme point of Shool (pain) etc

To understand symptoms like Shool Ruja etc other objective

parameters are also established during workshop which are also suggested in

this book One can also refer this

Shalakya Tantra mainly described in Sushrut Samhita so all the diseases

of Shalakya Tantra are referred from Sushrut Samhita and it is mentioned as

ldquo(स)rdquo but for the same disease if Vagbhatta has mentioned extra sign or

symptom they are also included for gradation by mentioning it like ldquo(अहर)rdquo

under heading of the same disease There are some diseases which are not

mentioned in Sushrut Samhita but mentioned by Vagbhatta are also included

for gradation as a separate disease like ldquoजराफद (अहर)rdquo All the disease

according their Sthan main code is given For example code number ldquo10rdquo is

given to Oshtha Gat Rog and sign amp symptom of the disease is indicated with

sub code For example ldquo101rdquo is given to disease वातज ओषठयोग Means वातज ओषठयोग is the first disease of Oshtha Gat Rog

To establish gradations if specific parameters are considered mentioned

in column of ldquoRemarksrdquo while if there any particular meaning of Sign and

Symptom is mentioned separately

4

DEDICATED TO

ALL

RESEARCHERS

OF

SHALAKYA TANTRA

5

ACKNOWLEDGEMENT

At the outset it is my prime duty to pay my very sincere thanks to Dr K

R Desai Ex Director AYUSH Govt of Gujarat for providing venue and facilities

at State Training Centre and State Model Institute of Ayurvedic Science

Kolavada Gandhinagar Gujarat Without his kind support and kin interest

workshop was not possible and gradations were not established

I am also thankful to Dr Rajesh Barvaliya Ex IC Principal State Model

Institute of Ayurvedic Science Kolavada Gandhinagar Gujarat for local

support

How can I forget Dr Sejal Shah Ex Research officer Directorate of

AYUSH Govt of Gujarat and her team for their untiring and ancillary support I

am very much thankful to her and her team

It is my privilege to convey my heartfelt thanks to Dr Hemangi Shukla

organizing secretary and Dr Krishna Makadia co-organizing secretary of

workshop for organizing very wonderful workshop Along with that they both

have worked conveners and reviewers

I am very much thankful to Dr Sunil Vashishth for his kind support and

guidance He explained how gradations are useful in research activities and

clinical practice

I am also very much thankful to Dr Sandhya Patel J S Ayurved

Mahavidyalay for her valuable guidance regarding research activity which was

very much useful to our all participants

I am also very much thankful to Dr Mohan Joshi Department of Samhita

Tilak Ayurved Mahavidyalay Pune for his valuable guidance He explained how

to establish gradations and how to understand meaning of Samhita and

Sanskrut in reference to establish gradations

I am very much thankful to Dr Vijayant Bharadwaj he did very good job

as a reviewer He devoted his valuable time from his busy schedule and gave

their valuable suggestion on the basis of his knowledge in the field of Shalakya

Tantra He reviewed gradations established by the experts during workshop

6

I am very much thankful to Smt Swatiben Shah and Dr Deepali Shukla

Department of Sanskrut Samhita State Model Institute of Ayurvedic Science

Kolavada Gandhinagar Gujarat for their valuable guidance to understand

proper meaning of signs and symptoms of diseases in reference to Sanskrut

language and in context Samhita

Last but not least I am very much thankful to all the faculties and PG

scholars of Govt Akhandanand Ayurved Mahavidyalay Ahmedabad and IPGT

amp RA Jamnagar for their valuable support to prepare format for gradations

Prof Vd Hāridra Dave Editor

7

INDEX

No Topic Page No 1 Preface 2 2 Introduction 3

3 Acknowledgement 5 4 Gradations of Oshtha Gat Rog 8

5 Gradations of Danta Mul Gat Rog 20 6 Gradations of Danta Gat Rog 28

7 Gradations of Jihwa Gat Rog 40 8 Gradations of Talu Gat Rog 47

9 Gradations of Sarvasar Rog 56

8

GRADATIONS OF OSHTHA GAT ROG

Code - 10

Established by Group BHOJ Dr Krishna Makaia ndash Convener

Dr Rajeshree Unadkat Dr Neelam Dave

Dr Ronakgiri Gosai Dr Jignesh Virapariya

Reviewed by Dr Vijayant Bharadwaj

Edited by Prof Vd Hāridra Dave

9

Code Signs amp Symptoms Score Gradations Remarks

101 वातज ओषठयोग (स) ककश (Rough) 0 No Karkashata (Smooth surface)

1 Roughness of the surface of Oshtha is not visible by naked eye but can be felt by touching by finger

2 Roughness of surface of Oshtha is visible by naked and can be felt by finger but not hurts the finger

3 Roughness of surface of Oshtha with fissures is visible by naked can be felt by finger not hurts the finger

4 Roughness of surface of Oshtha with fissures is visible by naked can be felt by finger and hurts the finger

ऩरषता (Dryness) 0 No dryness (Moist)

1 Mild dryness No need of lubrication

2 Needs lubrication once or twice a day

3 No benefit with frequent lubrication

सतबधता (Immobile) 0 Lip movement not restricted

1 Difficulty in lip movement

2 Lips movement is totally restricted

3 No lip movement

कषणताअससत

=Blackish

0 No change in colour Make colour scale

1 Darker than normal colour Normal lip colour is variable and depending on natural skin complexion

2 Darker but not complete black

3 Blackish in colour

तीवररगभहारजा (Severe pain)

0 No pain Or According to VAS

1 Pain while movement

2 Continuous pain

3 Discomfort for pain Patient have to take analgesics

दालमत(Creaked lip) 0 No Creaks

1 Single creak

2 Multiple Creaks

10

Code Signs amp Symptoms Score Gradations Remarks

3 Multiple deep creaks (Bleeding)

ऩरयऩाटमत 0 No desquamation

=Desquamation - Sanskrit English dictionary page 870

1 Superficial desquamation of epithelium which looks like soft white scales

2 Deep desquamation of epithelium which looks like hard white scales and ready to bleed

3 Deep desquamation with bleeding

102 पऩतज ओषठयोग (स) आचितोपऩडकासबसत

सषऩाकततसबबशभ

0 No सषऩाकतत Follicles

=Covered with Mustard seed like follicles

1 13 part of lip covered with yellow

mastered seed (सषऩाकतत) like

follicles

2 23 part of lip covered with yellow mastered seed like follicles

3 More than 23 part of lip covered with yellow mastered seed (सषऩाकतत) like follicles

दाह (Burning) 0 No burning Or according to VAS

1 Occasional burning

2 Intermittent burning

3 Continuous burning

ऩाक (Suppuration) 0 No swelling or suppuration

1 Inflammation pain and tenderness

2 Inflammation with different types of pain and tenderness with induration

3 Pus formation and fluctuation positive

ससराव (Discharge) 0 No Discharge

1 Mild discharge sticks on lip

2 Moderate discharge has to be cleaned occasionally

3 Severe or continuous discharge has to be cleaned frequently

This condition should be considered as ससराव

नीरवणता (Bluish discoloration)

0 No discoloration

1 Bluish pink discoloration

2 Pinkish blue discoloration

11

Code Signs amp Symptoms Score Gradations Remarks

3 Lips look more bluish or purplish

ऩीतवणता (Yellowish

discoloration)

0 No discoloration

1 Reddish yellow discoloration

2 Yellowish discoloration

3 Lips look pale yellow

तीकषणासह 0 No irritation to spicy salty sour pungent or hot food

=Intolerance to spicy salty sour pungent or hot food

1 Irritation to spicy and hot food

2 Irritation to spicy salty sour pungent or hot food

3 Irritation to any food

फहकरदा (Excessive moisture)

0 No collection of fluid

1 Follicles with fluid accumulation

2 Follicles with excessive fluid accumulation

3 Follicle with excessive fluid accumulation and patient tries to clean the lips frequently

आशऩाक (Quick

suppuration)

0 Suppuration after 7 days

1 Suppuration within 5 to 7 days

2 Suppuration within 2 to 5 days

3 Suppuration within one day This condition should be considered as

आशऩाक

103 कपज ओषठयोग (स) सवण पऩडका (Follicles

same as lip colour)

0 No Follicles

1 Up to 13 of Oshtha is covered with few of the same coloured and with various sizes of follicles

2 From13 to 23 part of Oshtha is covered with few multiple follicles of the same colour and with various sizes

3 More than 23 part of Oshtha is covered with few multiple follicles of the same colour and with various sizes

कणड (Itching) 0 No itching

12

Code Signs amp Symptoms Score Gradations Remarks

1 Occasional mild itching not disturbing work

2 Off and on moderate itching disturbing work

3 Cannot concentrate in work due to continuous severe itching

शन (Swelling) 0 No Swelling

1 Slightly bigger than normal size not noticed by another person

2 Swelling Noticeable by another person

3 Severe Swelling with restriction of normal movement

पऩचछिरता (Sliminess) 0 No Sliminess

1 Mild sliminess

2 Moderate sliminess

3 Severe sliminess

शीतरता -Subjective

(Feeling of coldness by patient)

0 No feeling of coldness by patient Subjective and objective both should be taken

1 Feeling of coldness by patient but no change in temperature

2 Feeling of coldness by patient which is colder than body temperature on touch by the patient

शीतरता -Objective

(Decreased Temperature)

0 No change in temperature

1 1 less than body temperature

2 gt1less than body temperature

गरता (Heaviness) 0 No Heaviness

1 Mild heaviness no difficulty in lip movement

2 Difficulty in lip function due to Heaviness

3 Protrusion of lip due to heaviness

शीतासह

(Intolerance to cold)

0 No Intolerance to cold

1 Intolerance to severe cold

2 Intolerance to moderate cold

3 Intolerance to Mild cold

13

Code Signs amp Symptoms Score Gradations Remarks

104 सतनऩातज ओषठयोग (स) कषणता (Blackish

discoloration)

0 No change in colour In original Shlok lsquoSakrutrsquo word is used along with all types of discolorations According to expert of Sanskrit language and expert of Samhita subject the meaning of lsquoSakrutrsquo is lsquosometimesrsquo and another meaning of this world is lsquosome partrsquo Here we have taken meaning lsquosome partrsquo

1 13 Part of one lip is blackish in colour

2 13 Part of both lips are blackish in colour

3 23 Part of one lip is blackish in colour

4 23 Part of both lips are blackish in colour

5 More than 23 Part of one lip is blackish in colour

6 More than 23 Part of both lips are blackish in colour

ऩीतता (Yellowish

discoloration)

0 No change in colour

1 13 Part of one lip is yellowish in colour

2 13 Part of both lips are yellowish in colour

3 23 Part of one lip is yellowish in colour

4 23 Part of both lips are yellowish in colour

5 More than 23 Part of one lip is yellowish in colour

6 More than 23 Part of both lips are yellowish in colour

अनकपऩडडकाचितौ 0 No Follicles in any of lips

(Multiple follilcles) 1 13 lipLips isare covered with few follicles of various sizes

2 13 lipLips isare covered with multiple follicles of various sizes

3 23 lipLips isare covered with multiple follicles of various sizes

4 Multiple follicles with various sizes (23 lip covered)

5 More than 23 lipLips isare covered with multiple follicles of various sizes follicles

14

Code Signs amp Symptoms Score Gradations Remarks

दगनधौ (Foul smell) 0 No Foul smell

1 Only patient feel foul smell

2 Nearby Doctor 0r people can feel foul smell

3 Foul smell is not tolerable by the patient and the nearby person

आसरावौ (Discharge) 0 No Discharge is on any of lips In Sannipataja disease usually the mixed type of discharge is found So here the type of discharge is not considered The quantity of discharge is considered

1 Mild discharge collected on any one lip

2 Mild discharge collected on both lips or Moderate discharge collected on any one lip which has to be cleaned occasionally

3 Moderate discharge collected on both lips which has to be cleaned occasionally

4 Moderate discharge collected on both lips which has to be cleaned frequently

5 Severe or continuous discharge collected on lipLips which has to be cleaned frequently

पऩचछिरौ (Sliminess) 0 No sliminess

1 Mild Sliminess

2 Moderate Sliminess

3 Severe Sliminess

अकसभातमरानसशन रजौ (अहर) अकसभात

= All of a sudden = Without any reason = Spontaneous = Both Lips become Mlān swollen and painful all of a sudden andwithout any reason

अकसभातमरानौ (अहर) 0 No change in appearance

(Spontaneous Faded) 1 Lips look dull occasionally

15

Code Signs amp Symptoms Score Gradations Remarks

2 Lips look faded off and on in a day

3 Lips look faded and dirty frequently in a day

अकसभातसशनौ (अहर) 0 No Swelling

(Spontaneous swelling) 1 Occasionally Swelling in a day Here the size of swelling is not considered but the spontaneous nature of swilling is considered

2 Off and on swelling in a day

3 Swelling frequently in a day

अकसभात रजौ (अहर) (Pain)

0 No pain Or According to VAS

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

पवषभऩाककनौ (अहर) (Irregular suppuration )

0 No suppuration

1 Suppuration in 13 part of lips

2 Suppuration in 23 part of lip

3 Suppuration in major of lip

105 यकतज ओषठयोग (स) खजयपर पऩडका 0 No follicles

(Brownish follicles) 1 13 lip covered with brownish colour follicles

2 23 lip covered with brownish colour follicles

3 More than 23 lip covered with follicles

रचधयसराव (रचधय सरवत) (Bleeding)

0 No bleeding

1 Bleeding on touch or movement

2 Spontaneous bleeding

3 Continuous Bleeding

अफद बवत 0 No tumour

1 Tumour is 2 cm in size

2 Tumour is 4 cm in size

3 Tumour is gt4 cm in size

106 भासज ओषठयोग (स) भासपऩणडवत उदगतौ

(Bulky) 0 No Growth This word is used

as an adjective of

Sthoola See सथल

16

Code Signs amp Symptoms Score Gradations Remarks

1 Growth is present in both Oshtha but no discomfort to patient

2 Growth is present in both Oshtha with discomfort to patient

3 Large Growth is present in both Oshtha involving the surrounding region

जनतवशिातर भछिचनत सककसमोबमतो भखात

0 No Maggot Formation

1 Maggot formation on one side of the angle of mouth

2 Maggot Formation on both angles of mouth

3 Excessive maggot Formation

गर 0 No Heaviness in any of the lip

1 Mild heaviness no difficulty in lips movement

2 Difficulty in Lips function due to Heaviness

3 Protrusion of both lips

सथरौ (Bulky)

According to Sanskrit ndash English Dictionary

0 Size not increased

1 Slightly bigger than normal no noticeable by other person

2 Bigger than normal noticeable by another person

3 Bigger size effect the lip movement and lip protrudes down

107 भदज ओषठयोग (स) घतभणडाबौ (Clear

melted butter like)

0 Does not look like filled with clear part of melted butter

Here the specific appearance is given so the area is considerd

1 13 part of both lips looks like filled with clear part of melted butter

2 23 part of both lips looks like filled with clear part of melted butter

3 More than 23 part of both lips looks like filled with clear part of melted butter

कणड 0 No itching Or According to VAS

1 Itching in both lips but not disturbing work

17

Code Signs amp Symptoms Score Gradations Remarks

2 Itching in both lips but disturbing work

3 in both lips and cannot concentrate in work due to itching

Or

0 No itching

1 Occasional itching

2 Off and on itching

3 Continuous itching

चसथयौ 0 Movement of lips not affected

(Immobility) 1 Lip movement slightly affected but no difficulty in speech

2 Lip movement affected which alter the speech

3 Lip movement arrested

भदता (Sponginess) 0 Absent

1 Present

आसराव (अछि सपटिक सङकाशभ) (discharge of clear fluid)

0 No discharge अचछ सफटिक Word is Adjective for the type of discharge So grading is given for the frequency of discharge

1 Occasional discharge

2 Off and on discharge of clear fluid

3 Continuous discharge of clear fluid

गर 0 No Heaviness

1 Mild heaviness no difficulty in lip movement

2 Difficulty in lip function due to heaviness

3 Protrusion of lip due to heaviness

तराबशवमथ (अहर) 0 Does not look like filled with oil As per the घतभणडाब

tailabha is used as adjective so grading is given for Shvayathu

1 13 part of lips looks like filled with oil

2 23 part of lips looks filled with oil

3 More than 23 part of lips looks like filled with oil

सराव 0 No discharge

1 Occasional discharge

2 Off and on discharge of clear fluid

3 Continuous discharge of clear fluid

तराबकरदौ (Moister) 0 Absent Darshan pariksha

18

Code Signs amp Symptoms Score Gradations Remarks

1 Present

कणड 0 No itching Or According to VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate in work due to itching

OR

0 No itching

1 Occasional itching

2 Off and on itching

3 Continuous itching

109 तज ओषठयोग (स) पवदीमता (Tear) 0 No tear

1 Cut Up to epithelial layer

2 Cut Up to Sub epithelial layer

3 Cut up to muscular layer

ऩाटमता (Lips divided

in two parts)

0 Lips divided into two parts

1 Absent

2 Present

गरचथत

(NodulesLumps)

0 No lumps

1 Soft lumps

2 Hard Lumps

3 Multiple lumps

कणड (Itching) 0 No itching Or According to VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate in work due to itching

OR

0 No itching

1 Occasional itching

2 Off and on itching

3 Continuous itching

दशनछिदौ (अहर) (Lips covering the teeth)

0 Covering the teeth completely

1 Partial covering (gt50 ) the teeth

2 Covering the teeth lt50

19

Code Signs amp Symptoms Score Gradations Remarks

3 Not covering the teeth (All teeth exposed)

1010 जराफद (अहर) जरफदफदवद

(Cystic Swelling)

0 No Cystic Swelling

1 Up to 5mm Swelling

2 Swelling up to 5-10mm

3 More than 10mm

1011 यकताफद (स) रचधय सराव

रचधय सरवत 0 No bleeding

(Bleeding) 1 Bleeding on touch or movement

2 Spontaneous bleeding

3 Continuous bleeding

खजयसदश 0 Absent Used as an adjective

(Date fruits like) 1 Present

1012 खणडौषठ (अ)

ओषठोदपवधाकत 0 No separation of lips

(Lips divided separated into two parts)

1 Separation up to vermilion line

2 Separation up to Philtrum

3 Separation up to Collumella

20

GRADATION OF DANTA MOOL GAT ROG

Code ndash 11

Gradations established by Group KARAL Dr Krishna Makadia - Convener

Dantvaidya Saroj Joshi Dantvaidya Harshad Joshi

Dr Kiran Raj Dr Achyuta Atara Dr Pranav Dave

Gradations Reviewed by Dr Hemangi Shukla Dr Krishna Makadia

Edited by Prof Vd Hāridra Dave

21

Code Signs amp Symptoms Score Gradations Remarks

111 शीताद (स) अकसभात यकतसराव 0 No bleeding

1 Occasional bleeding for 1 or 2 times in 1 Prahar

2 Spontaneous Bleeding up to one Prahar

3 Spontaneous Bleeding for more than 1 Prahar (more than 3hrs)

दगनधीतन 0 No foul smell

1 Patient feels foul smell

2 Doctor or person who comes near to patient feels foul smell

3 From distance anyone can feels foul smell who is in the room

4 Foul smell can be feel from outside of the room even

सकषणातन 0 Absent

=Blackish discoloration

1 Present

परकरदीतन 0 Absent

1 Present

भदता 0 Absent

1 Present

दनतभास शीमनत 0 Gums situated At CE junction

1 Recession of gums At cervical 13

2 Recession of gums At middle 13

3 Recession of gums At apical 13

ऩिचनत ि ऩयसऩयभ 0 No Pachan (Pāk)

= Pāk 1 1 Quadrant is involved

2 2 quadrants are involved

3 More than 2 quadrants are involved

112 दनतपपपटक (स) दनतमोसतरीष वा 0 No involvement of teeth

1 Involvement of 2 teeth

2 Involvement of 3 teeth

शवमथ भहान 0 Absent

1 Present

सरज 0 No pain Or according to VAS

1 तीवर =Pain is there but he can do

work or sleep

22

Code Signs amp Symptoms Score Gradations Remarks

2 तीवरतय =Pain is there but he can do

work or sleep

3 तीवरतभ =Patient canrsquot tolerate

शोफ़ो फदयाचसथतनबो घन (अहर) =Kola is

small jujube and badar is big jujube and seed is measuring around 5 mm

0 Not present

1 Shoth up to 25 mm

2 Shoth 25 to 5 mm

3 Shoth is more than 5 mm

ऩाक (अहर) (शीघर ऩछमत)

0 Absent Accumulation of Fluid or pus

1 Present

113 दनतवषट (स) सरवचनत ऩमरचधय

Discharge of blood with pus or only pus

0 No Discharge

1 Blood with Pus Discharge

2 Only pus discharge

िरता 0 No mobility

1 1 mm antero-posterior Mobility

2 2 mm antero-posterior Mobility

3 More than 2 mm antero-posterior amp medial to lateral mobility

114 शौषषर (स) शवमथ 0 Absent

1 Present

रजावान According to VAS scoring

रारासरावी 0 Normal secretion

1 Occasionally splitting

2 On and off splitting

3 Continuous splitting disturbance in work

कणड 0 Absent

1 Occasionally itching

2 On and off itching

3 Continues itching

23

Code Signs amp Symptoms Score Gradations Remarks

दतभासपरशातन 0 Gums situated At CE junction

1 Recession of gums At cervical 13

2 Recession of gums At middle 13 3 Recession of gums At apical 13

115 महाशौषषर (स) दनताशिरचनत 0 No mobility

1 1 mm antero-posterior mobility

2 2 mm antero-posterior mobility

3 More than 2 mm anteroposterior amp medial to lateral mobility

तार अवदीमत 0 Absent Fissure over the Palate

1 Present

दतभासातनऩछमनत 0 No redness

1 Mild redness

2 Moderate redness

3 Severe redness

भख ऩरयऩीडमत 0 No Peedā Or According to VAS

Pain in any part or whole oral cavity

1 Peedā is at those Gums where disease is situated

2 Peedā is at entire Gums

Peedā is at entire Mukh

सचननऩाताजजजजवयवान

(अहर) 0 Normal temperature

1 Temperature between 984rsquoF to 100rsquoF

Temperature between 100rsquoF to 101rsquoF

2 Temperature between 101rsquoF to 102rsquoF

3 Temperature between 102rsquoF to 103rsquoF

4 Temperature between 103rsquoF to 104rsquoF

5 Temperature more than 104rsquoF

सऩमरचधयसरतत (अहर)

0 No Discharge

1 Blood with Pus Discharge

2 only pus discharge

पवशीणदपवजफनधन (अहर)

0 No mobility

1 1 mm antero-posterior mobility 2 2 mm antero-posterior mobility

24

Code Signs amp Symptoms Score Gradations Remarks 3 more than 2 mm antero-posterior

amp medial to lateral mobility

116 पररदर (स) दनतभासातन शीमनत 0 Gums situated At CE junction Depending upon

severity grading has been established

1 Recession of gums At cervical 13

2 Recession of gums At middle 13

3 Recession of gums At apical 13

षठीवतत असक 0 No spitting of blood

1 Occasionally splitting

2 On and off splitting

3 Continuous splitting with disturbance in work

117 उपकश (स) दाह Or According to VAS

ऩाक 0 Absent

1 Present

दनताशिरचनत 0 No mobility

1 1 mm antero-posterior mobility

2 2 mm antero-posterior mobility

3 more than 2 mm antero-posterior amp medial to lateral mobility

आघटिता परसरवचनत 0 Absent

=Bleeding from gums by pressure

1 Bleeding on pressure remains for five minutes

2 Bleeding on pressure remains up to 15 minutes

3 Bleeding on pressure remains up to 30 minutes

4 Bleeding on pressure remains up to 1 hour

5 Bleeding on pressure remains more than 1 hour

भदवदना 0 Absent

1 Present

आधभामनत सरत यकत

0 Absent

1 Present

ऩतत वकतरता (अहर) 0 No foul smell

1 Patient feels foul smell

25

Code Signs amp Symptoms Score Gradations Remarks

2 Doctor or person who comes near to patient feels foul smell

3 From distance anyone can feels foul smell who is in the room

4 Foul smell can be feel from outside of the room even

कणडभचनत (अहर) 0 Absent Or According to VAS

1 Occasionally itching

2 On and off itching

3 Continues itching

िरा (अहर) 0 No mobility

1 1 mm antero-posterior mobility

2 2 mm antero-posterior mobility

3 More than 2 mm antero-posterior amp medial to lateral mobility

118 वदभभ (स) =Traumatic injury(By mechanical Chemical thermal )

घषिष दनतभरष सयबो जामत भहान

0 Absent Mahan suggest itself severity of disease

1 Present

िरदता (अहर) 0 No mobility

1 1 mm antero-posterior mobility

2 2 mm antero-posterior mobility

3 More than 2 mm antero-posterior amp medial to lateral mobility

119 वरभन (स) तीवरवदना 0 No pain Or According to VAS

1 तीवर -Pain is there but he can do

work or sleep

2 तीवरतय -Patient can tolerate

3 तीवरतभ -Patient canrsquot tolerate

1110 अधरमाास (स) भहाञिोथ 0 No Shoth Mahan suggest itself

severity of disease

1 Shoth is Present on that gum only where disease is occurred

2 Shoth is Present on nearby two or three gums where disease is occurred

26

Code Signs amp Symptoms Score Gradations Remarks

3 Shoth is present up to adjoining cheek

This condition should be considered as

भहाञिोथ

भहारजा (स) परततहनतममभमवरतत (अहर)

0 No Rujā (pain) Or According to VAS

2 Rujā (pain) is Present on that gum only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

This condition should be considered as भहारजा amp परततहनतममभमवरतत

रारासरावी 0 Normal secretion

1 Occasionally splitting

2 On and off splitting

3 Continuous splitting disturbance in work

दनतानत कीरवतमशोफ़ (अहर)

0 No Keel vat Shoth

1 Keel vat Shoth is Present on that gum only where disease is occurred

2 Keel vat Shoth is Present on nearby two or three gums where disease is occurred

3 Keel vat Shoth is present up to adjoining cheek

1111 दनतषवदरधर (अहर) दनतभासशोफ़ (ि) 0 No Shoph

1 Shoph is Present on that gum only where disease is occurred

2 Shosh is Present on nearby two or This condition should

27

Code Signs amp Symptoms Score Gradations Remarks

three gums where disease is occurred

be considered as अनत शवमथ According to

Vagbhatta

3 Shosh is extended up to adjoining cheek

This condition should be considered as फाहम शवमथ According to

Vagbhatta

फाहम शवमथ (अहर) This condition is mentioned at दनतभास शोफ़

अनत शवमथ (अहर) This condition is mentioned at दनतभास शोफ़

गर (अहर) 0 Absent

1 Present

रग (अहर) 0 No Rujā (pain) Or According to VAS

2 Rujā (pain) is Present on that gum only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

दाह (अहर) According to VAS

सरवतिननऩमासर (अहर)

0 No Discharge

1 Blood with Pus Discharge

2 Only pus discharge

1112 दतनाडी Scoring is not possible further according to measurement of Nadivrana because X-

ray only detects spread up to the bone Whereas Nadivrana in gingiva periodontal ligament cannot be measured

दतनाडी 0 Absent

1 Present

28

GRADATION OF DANTA GAT ROG

Code ndash 12

Gradations established by Group KARAL Dr Krishna Makadia - Convener

Dantavaidya Saroj Joshi Dantavaidya Harshad Joshi

Dr Kiran Raj Dr Achyuta Atara Dr Pranav Dave

Gradations Reviewed by Dr Hemangi Shukla Dr Krishna Makadia

Edited by Prof Vd Hāridra Dave

29

Code Signs amp Symptoms Score Gradations Remarks

121 दाऱन (स)

तीवररग 0 No Rujā (pain) Or According to VAS

2 Rujā (pain) is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

उषणअसहादनता (अस) 0 No sensitivity in teeth ie with warm

water hot water or

excessive hot water

application on

tooth is not

possible so Time

related and severity

related grading was

finalised(same for

cold)

1 Mild sensitivity in teeth - At a

time

2 Moderate sensitivity in teeth -

Sensitivity remains only for 1

Prahar (up to 3 hrs)

3 Severe sensitivity in teeth -

Sensitivity remains more than

1 Prahar (more than 3 hrs)

शीतअचधकवमथा (अहर) 0 No sensitivity in teeth

1 Mild sensitivity in teeth - At a

time

2 Moderate sensitivity in teeth -

Sensitivity remains only for 1

Prahar (up to 3 hrs)

3 severe sensitivity in teeth-

Sensitivity remains more than

1 Prahar (more than 3 hrs)

22 कममदनत (स) कषण 0 No discoloration

1 Light greyish black

2 Dark greyish black

3 Jet black

30

Code Signs amp Symptoms Score Gradations Remarks

तिदर 0 No cavity It should be

decided by X-ray

1 Cavity within limit of enamel

2 Cavity within limit of dentin

3 Cavity up to pulp

िर 0 No mobility

1 1 mm antero-posterior

mobility

2 2 mm antero-posterior

mobility

3 More than 2 mm antero-

posterior amp medial to lateral

mobility

सरावी 0 No Srāv- after drying

particular teeth with cotton

inserting cotton on cavity

There is no other

method to check

Srāv in Krimidanta

1 Srāv is present

ससयब = Inflammation 0 No inflammation

1 Inflammation is Present भहारज 0 No Rujā (pain) Or According to

VAS 2 Rujā (pain) is Present on that

gum only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

This condition should be considered as भहारज

अतनसभतमतरज 0 No sudden onset of pain

1 Sudden onset of pain is

present

अहततीवराततशभ (अहर) 0 No sudden onset of pain

31

Code Signs amp Symptoms Score Gradations Remarks

1 Sudden onset of pain is

present

पररन (अहर) = Broken due to cavity

0 Cavity is there but it is not

broken

It should be

considered for each

tooth separately

Cavity in that must

be present in

particular tooth

1 13 part of tooth is broken

2 23 of tooth is broken

3 More than 23 of tooth is

broken

4 Total loss of tooth

ऩमसरत (अहर) 0 No Pooya Srāv after drying

particular place

with cotton

inserting cotton on

cavity

1 Pooya Srāv present

यकतसरत (अहर) 0 No Rakta Srāv after drying

particular place

with cotton

inserting cotton on

cavity

1 Rakta Srāv is present

123 दनतहषभ (स)

शीत सऩशन न सहनत 0 No sensitivity by cold touch

in any teeth

1 Ooccassional sensitivity by

cold touch in any toothteeth

for once

2 Sensitivity by cold touch

remains in toothteeth only up

to 1 Prahar (up to 3hrs)

3 Sensitivity by cold touch

remains more than 1 Prahar

(more than 3hrs)

उषण सऩशन न सहनत 0 No sensitivity by hot touch in

any teeth

1 Occassional sensitivity by hot

touch in toothteeth for once

2 Sensitivity by hot touch

remains in toothteeth only up

to 1 Prahar (up to 3hrs)

3 Sensitivity by hot touch

remains in toothteeth more

than 1 Prahar (more than

3hrs)

32

Code Signs amp Symptoms Score Gradations Remarks

परवाताभा = Sensitivity to air

(परवातारशीतबाभा) (अहर)

0 No sensitivity by Pravāt

touch in any tooth

1 Occassional sensitivity by

Pravāt touch in toothteeth for

once

2 Sensitivity by Pravāt touch

remains in toothteeth only up

to 1 Prahar (up to 3hrs)

3 Sensitivity by Pravāt touch

remains in toothteeth more

than 1 Prahar (more than

3hrs)

अरबाभा = Sensitivity to sour food

(परवातारशीतबाभा) (अहर)

0 No sensitivity by eating

sourer food to any tooth

1 Occassional sensitivity by

eating sourer food to any

toothteeth for once

2 Sensitivity by eating sourer

food remains to toothteeth

only up to 1 Prahar (up to

3hrs)

3 Sensitivity by eating sourer

food remains to toothteeth

more than 1 Prahar (more

than 3hrs)

शीतबाभा (परवातारशीतबाभा) (अहर)

0 No sensitivity by eating cold

item to any tooth

1 Occasional sensitivity by

eating cold item to toothteeth

for once

2 Sensitivity by Pravāt touch

remains in toothteeth only up

to 1 Prahar (up to 3hrs)

3 Sensitivity by eating cold

item remains to toothteeth

more than 1 Prahar (more

than 3hrs)

सरजा (अहर) 0 No Rujā (pain)

33

Code Signs amp Symptoms Score Gradations Remarks

2 Rujā (pain) is Present on that gum only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

2 Rujā (pain) is Present on that gum only where disease is occurred and patient can do hisher routine work without disturbance

िर (अहर) 0 No mobility

1 1 mm anterio-posterior

mobility

2 2 mm anterio-posterior

mobility

3 More than 2 mm antero-

posterior amp medial to lateral

mobility

124 भञजनक (स) =Photograph is necessary

(depending upon the severity gradation has been finalised)

वकतर वकरता 0 No deviation

1 Deviation is present

तीवररक 0 No Rujā (pain) Or according to

VAS

2 Rujā (pain) is Present on that gum only where disease is occurred and patient can do hisher routine work without disturbance

34

Code Signs amp Symptoms Score Gradations Remarks

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

This condition should be considered as तीवररक

दनतबङग 0 Tooth is not broken This should be

considered for

single tooth

1 13 part of tooth is broken

2 23 of tooth is broken

3 More than 23 of tooth is

broken

4 Total loss of tooth

125 दनतशकभ रा (स) =Calculus index was selected

शकयव चसथयीबत भर 0 No calculus present

1 Supragingival calculus

covering not more than third

of the exposed tooth surface

2 Supragingival calculus

covering more than 13 but

not more than 23 of the

exposed tooth surface or the

presence of individual flecks

of subgingival calculus

around the cervical portion of

the tooth or both

3 Supragingival calculus

covering more than 23 of the

exposed tooth surface or

continues heavy band 0f

subgingival calculus around

the cervical portion of the

tooth or both

35

Code Signs amp Symptoms Score Gradations Remarks

दनताना गणहयी 0 Absent All 10 Guna of

Danta Sampata

should be

considered required

suggestions for

each Guna

1 Present

ऩततगचनध (अहर) 0 No foul smell Taken grading of

halitosis

1 Patient feels foul smell

2 Doctor or person who comes near to patient feels foul smell

3 From distance anyone can feels foul smell who is in the room

4 Foul smell can be feel from outside of the room even

126 कपामऱका (स)

दनतवलकसम दरनभ = Bracketing of tooth enamel (दरचनत दनतवलकातन)

0 No दरनभ of tooth This should be

considered

separately for each

tooth

1 दरनभ is present of less than 13 of tooth

2 दरनभ is present of more than of 13 of tooth but less than 23 of tooth

3 दरनभ is present of more than of 23 of tooth but no total loss of tooth

4 Total loss of tooth after दरनभ

This condition should be considered as दशनाना पवनाश

दशनाना पवनाश = Total loss of tooth

0 No Any loss of tooth This should be

considered

separately for each

tooth

1 loss of tooth is present of less than 13 of tooth

2 loss of tooth is present of more than of 13 of tooth but less than 23 of tooth

36

Code Signs amp Symptoms Score Gradations Remarks

3 loss of tooth is present of more than of 23 of tooth but no total loss of tooth

4 Total loss of tooth This condition should be considered as दशनाना पवनाश

दनतशातनभ अणश = Thinning of tooth (शातमतममतममणशो दनतात कऩारातन) (अहर)

0 No शातनभ of tooth This should be

considered

separately for each

tooth

1 शातनभ is present in less than 13 of tooth

2 शातनभ is present in more than 13 of tooth but less than 23 of tooth

3 शातनभ is present in more than 23 of tooth but no total loss of tooth

4 Total loss of tooth due to शातनभ

127 शयावदनतक (स) In शमावदनत शमावता amp नीरता should be considered ascending stages

शमावता + नीरता 0 -No any discolouration of

tooth

-Normal colour of tooth

This should be

considered

separately for each

tooth

1 शमावता is Present

2 नीरता is Present

128 हनमो (स) According to Dalhan हनमो is not Dant Rog directly but it is near to

Dantchewing of hard food is one of the causes and there is pain in Dant so it is considered under Danta Rog

हनसचनधपवसहत 0 Absent

1 Can be reset by manual reduction

2 Can be reset by surgical

intervention

129 दनतभद (अहर) तोद =Pricking pain 0 No Pricking pain -Or According to

VAS

- This should be

considered

separately for each

tooth

37

Code Signs amp Symptoms Score Gradations Remarks

2 Pricking pain is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Pricking pain is referred up to Hanu and patient can do hisher routine work without disturbance

4 Pricking pain is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Pricking pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Pricking pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

बद Braking pain 0 No Braking pain -Or According to

VAS

- This should be

considered

separately for each

tooth

2 Braking pain is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Braking pain is referred up to Hanu and patient can do hisher routine work without disturbance

4 Braking pain is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Braking pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Braking pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

38

Code Signs amp Symptoms Score Gradations Remarks

रक Dull pain 0 No Rujā (pain) -Or According to

VAS

- This should be

considered

separately for each

tooth

2 Rujā (pain) is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

सपिन Burstingexpanding pain

0 No Bursting pain -Or According to

VAS

- This should be

considered

separately for each

tooth

2 Bursting pain is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Bursting pain is referred up to Hanu and patient can do hisher routine work without disturbance

4 Bursting pain is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

39

Code Signs amp Symptoms Score Gradations Remarks

5 Bursting pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Bursting pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

1210 दनतचाऱ (अहर) िरतमव = Mobility 0 No = mobility

1 1mm anterio-posterior

mobility

2 2 mm anterio-posterior

mobility

3 More than 2 mm anterio-

posterior amp medial to lateral

mobility

बणादचधकवमथ 0 No Vyatha ndash Pain during

eating

1 Pain during eating of hard

diet only

2 Pain during eating of soft diet

even

1211 कराऱ (स)

=Malocclusion

0 A Normal Molar relationship

exist but there is crowding

misalignment of the teeth

cross bite etc

1 A malocclusion where the

molar relationship shows the

buccal grove of mandibular

first molar distally positioned

when in occlusion with the

mesiobuccal cusp of the

maxillary first molar

2 A malocclusion where the

molar relationship shows the

buccal groove of the

mandibular first molar

mesiallypos

40

GRADATIONS OF JIHWA GAT ROG

Code - 13

Established by Group BHOJ Dr Krishna Makaia ndash Convener

Dr Rajeshree Unadkat Dr Neelam Dave

Dr Ronakgiri Gosai Dr Jignesh Virapariya

Reviewed by Dr Vijayant Bharadwaj

Edited by Prof Vd Hāridra Dave

41

Code Signs amp Symptoms Score Gradations Remarks

131 वाततक चजहवाकिक (स) सपटिता (Creaks) 0 No creaks on tongue

1 Single creak on the dorsum of tongue

2 Multiple Creaks on the dorsum of tongue

3 Multiple deep creaks on the dorsum of tongue (Bleeding)

परसपता (Numbness )

0 No Numbness

1 Numbness in 13 Part of tongue

2 Numbness in 23 Part of tongue

3 Numbness in more than 23 Part of tongue

शाकछिदनपरकाशा (Roughness)

0 Normal surface of tongue on touch

1 Mild rough surface on touch

2 Hard irregular surface on touch

3 Very rough surface which hurts the finger on touch

132 ऩततक चजहवाकिक (स) ऩीता 0 No yellowish discolouration

1 Yellowish discoloration in 13 part

2 Yellowish discoloration in 23 part

3 Yellowish discoloration in more than 23 part of tongue

ऩरयदहमत Burning in entire tongue)

0 No burning Or According to VAS

1 Occasional burning

2 Intermittent burning

3 Continuous burning does not relieve by any measures

दाह (Burning may be

in partially tongue)

0 No Burning Or According to VAS

1 Burning up to 13 part of tongue

2 Burning in 13 to 23 part of tongue

3 Burning in more than 23 part of tongue

42

Code Signs amp Symptoms Score Gradations Remarks

यकतभासाङकयचशिता (Covered with red buds )

0 No change in appearance

1 13 part of tongue covered with red fleshy buds

2 23 part of tongue covered with red fleshy buds

3 Whole tongue covered with red fleshy buds

ओष (Burning) 0 No Oshha Or According to VAS

1 Oshha up to 13 part of tongue

2 Oshha in 13 to 23 part of tongue

3 Oshha in more than 23 part of tongue

133 कपज चजहवाकिक (स) फहरा (Thick) 0 Normal Thickness of Tongue

1 Thickness increased - noticeable by patient

2 Thickness increased - noticeable by the examiner

3 Tongue protruding out because of increased Thickness

गवी (Heaviness) 0 No Heaviness

1 Feeling mild heaviness but no difficulty in Tongue movement

2 Difficulty in Tongue movement especially during intake of liquid

3 Difficulty in Tongue movement especially during intake of hard food

4 Difficulty in Tongue movement especially during Pronunciation

भासोदगभ शालभसरकणिकाब (thorn like papilla)

0 No change in appearance of tongue

1 13 part of tongue covered with red fleshy thorn like papilla

2 23 part of tongue covered with thorn like papilla

3 Whole tongue covered with thorn like papilla

43

Code Signs amp Symptoms Score Gradations Remarks

134 अरास (स) शवमथ

(Swelling at ventral surface of tongue)

0 Absent

1 Present

सतबमतत (Restricted tongue movement)

0 -Normal Movement of Tongue -Movement of tongue not affected

1 Tongue movement slightly restricted but does not affect the normal function

2 Tongue movement restricted that affects the normal function

3 Tongue movement arrested

परवदध

(Increase in size)

0 Size not increased

1 Size increased - noticeable by the patient

2 Size increased - noticeable by the examiner

3 Tongue protruding out because of increased size

ऩाक 0 No swelling or suppuration

1 Inflammation with pain and tenderness

2 Inflammation with different types of pain and tenderness along with induration

3 Pus formation and fluctuation positive

अधशोप 0 Absent

1 Present

उननत (elevation of

the tongue due to swelling below the tongue)

0 Normal position of tongue

1 Tongue slightly elevated due to swelling below the tongue

2 Tongue elevation causes discomfort to the patient

3 Tongue touches the palate

भतमसमगचनध

(Fishy smell)

0 Absent

1 Present

44

Code Signs amp Symptoms Score Gradations Remarks

भासशातन (Destruction of flesh of tongue )

0 No Destruction of tongue flesh

1 13 part of tongue flesh is destroyed

2 23 part of tongue flesh is destroyed

3 More than 23 part of tongue is destroyed

135 उऩचजचहवका (स) शवमथ (Swelling) 0 Absent

1 Present

चजहवाभननम

जात (elevation of

tongue because of swelling)

0 Normal position of tongue

1 Tongue slightly elevated due to swelling below the tongue

2 Tongue elevation causes discomfort to the patient

3 Tongue touches the palate

परसक (Salivation) 0 Normal secretion of saliva

1 Occasionally spitting

2 Off and on spitting

3 Continuous spitting which disturbs the work

कणड (Itching) 0 No itching Or According to VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate on work due to severe itching

0r

0 No itching

1 Occasional itching

2 Off and on itching

3 Continuous itching

ऩरयदाह (Burning in

whole tongue)

0 No burning Or According to VAS

1 Occasional burning

2 Intermittent burning

3 Contentious burning dose not relive by any measures

45

Code Signs amp Symptoms Score Gradations Remarks

136 अचधचजचहवका (अर)

अधोचजहवामा शोप

0 Normal position of tongue

(Swelling below the tongue)

1 Tongue slightly elevated due to swelling below the tongue

2 Tongue elevation causes discomfort to the patient

3 Tongue touches the palate

अङकय (Pappilary

growth)

0 Absent

1 Present

ओष (Burning) 0 No Oshh Or According to

VAS

1 Oshh up to 13 part of tongue

2 Oshh in 13 to 23 part of tongue

3 Oshh in more than 23 part of tongue

सतबवान

(Restriction of Movement)

0 Movement of tongue not affected

1 Tongue movement slightly restricted but does not affect the normal function

2 Tongue movement restricted that affect the normal function

3 Tongue movement arrested

खय(Rough) 0 Smooth on touch

1 Mild irregular surface

2 Rough surface

3 Sharp rough surface touch hurts on finger on touch

रक (Pain) 0 No pain Or According to

VAS

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

कणड (Itching) 0 No itching Or According to

VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate on work due to severe itching

0r

0 No itching

46

Code Signs amp Symptoms Score Gradations Remarks

1 Occasional itching

2 Off and on itching

3 Continuous itching

वाकम पवघातकत (Difficulty in speech)

0 No difficulty in speech

1 Unable to speak िति vargavyanjana

2 Difficulty in speaking क vargavyanjana

Swara donrsquot need involvement of tongue

3 Unable to speak

आहयपवघातकत

(Swallowing )

0 Able to eat regular diet

1 Able to eat soft diet

2 Able to eat only liquid diet

3 Unable to swallow anything

47

GRADATION OF TALUGAT ROG

Code - 14

Established by Group BHOJ Dr Krishna Makaia ndash Convener

Dr Rajeshree Unadkat Dr Neelam Dave

Dr Ronakgiri Gosai Dr Jignesh Virapariya

Reviewed by Dr Vijayant Bharadwaj

Edited by Prof Vd Hāridra Dave

48

Code Signs amp Symptoms Score Gradations Remarks

141 गरशचणडका (स)

परवदधो शोप (Swelling extending from palate) (Which is elongated)

0 Normal size of uvula

1 Swelling of uvula that causes discomfort to the patient

2 Swelling of uvula that causes foreign body sensation

3 Difficulty in breathing due to swelling

दीघ शोप

(Elongated Swelling)

0 Normal size of uvula

1 Elongated swelling of uvula that causes discomfort to the patient

2 Elongated swelling of uvula that causes foreign body sensation

3 Difficulty in breathing due to Elongated swelling

धभातफचसतपरकाश शोप =Inflated

swelling like Basti

0 Normal size of uvula

1 Inflated swelling like Basti of uvula that causes discomfort to the patient

2 Inflated swelling like Basti of uvula that causes foreign body sensation

3 Difficulty in breathing due to Inflated swelling like Basti

तषणा 0 Normal feeling of thirst

1 Increased feeling of thirst which is relived after drinking water

The quantity of water is not consider here but the frequency of water is considered

2 Frequent feeling of thirst which is Occasional relived after drinking water

3 Continuous feeling of thirst does not relive after drinking profuse amount of water

कास (Coughing) 0 No coughing

49

Code Signs amp Symptoms Score Gradations Remarks

1 Occasional coughing during eating and speaking

2 Off and on coughing

3 Continuous coughing

शवास 0 No difficulty in breathing

1 Difficulty in breathing occasionally

2 More difficulty in breathing while sleeping

3 Excessive difficulty in breathing

भतमसमफचसततनब शोप (अहर)

0 Normal uvula Used as an adjective

1 Inflated swelling like Matsya-Basti of uvula that causes discomfort to the patient

2 Inflated swelling like Matsya-Basti of uvula that causes foreign body sensation

3 Difficulty in breathing due to Inflated swelling like Matsya-Basti

पररफ (अहर) 0 Normal length of Uvula

(Elongated Swelling)

1 Size of Uvula increased up to lt2 mm

2 Size of Uvula increased more than 2 mm but less than 4 mm

3 Size of Uvula increased gt4 mm that cause discomfort to patient and cause difficulty in breathing

पऩचछिर(अहर) (Sliminess)

0 Absent

1 Present

नासमाऽऽहायभीयमन (अहर)

0 Food does not come out from nose

(Food comes out of nose)

1 Food comes out from nose

कणठोऩयोध(अहर) (Obstruction of throat )

0 -Able to eat regular diet -No difficulty in swallowing of any food

1 Able to swallow liquid or soft diet but not able to swallow hard diet

2 Able to swallow hard diet forcefully

50

Code Signs amp Symptoms Score Gradations Remarks

3 Not able to swallow hard diet with force

वभन(अहर) (Vomiting)

0 No Vaman

1 Feeling of nausea only

2 Only one veg of Vaman in a day

3 Two vegas of Vaman in a day

4 More than two vegas of Vaman in a day

132 तचणडकयी (स)

शोप (Tonsillar

Swelling)

0 Tonsils are located within the tonsillar fossa

1 Tonsils hypertrophy till the brim of the tonsillar fossa

2 Tonsils hypertrophy extends beyond the pillars but not touching each other

3 Tonsils hypertrophy extends beyond the pillars but not touching each other

तोद

(Pricking pain)

0 No pain

1 Occasional pain Or according to VAS

2 Off and on pain

3 Continuous pain

दाह (Burning) 0 No

1 Occasional burning

2 Intermittent burning

3 Contentious burning dose not relive by any measures

परऩाक 0 Absent

1 Present

पऩचछिर शोप(अहर)

Sliminess in swallowing

0 Feeling of Sliminess is Absent

1 Feeling of Sliminess is Present

भनदरक (अहर)

(Mild pain)

0 Absent Or According to

VAS

1 Present

133 अधरष (स)

शोप (Swelling) 0 No swelling

1 13 Swelling in part of the palate

51

Code Signs amp Symptoms Score Gradations Remarks

2 23 swelling in part of palate

3 Swelling in gt than 23 part of palate

सतबधता =Functions of soft palate like deglutition Phonation etc are affected = No mobility of soft palate

0 Normal function of soft palate

1 Soft palate movement reduced but functions are not affected

2 Any one of the functions of soft palate is affected

3 All functions of soft palate are affected

रोटहतवणता

(Redness)

0 No change in colour

1 Pinkish red coloured mucosa in palate

2 Red coloured mucosa in palate

3 Dark red coloured mucosa in palate

रजा (Pain) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

जजवय (Fever) 0 Normal temperature

1 Temperature between 984rsquoF to 100rsquoF

Temperature between 100rsquoF to 101rsquoF

2 Temperature between 101rsquoF to 102rsquoF

3 Temperature between 102rsquoF to 103rsquoF

52

Code Signs amp Symptoms Score Gradations Remarks

4 Temperature between 103rsquoF to 104rsquoF

5 Temperature more than 104rsquoF

134 कछिऩ (स)

कभवत उतमसनन शोप (Swelling

having shape like dorsum of tortoise)

0 No swelling

1 Swelling in 13rd part of the palate

2 Swelling in 23rd part of palate

3 Swelling in gt 23rd part of palate

चियवपदध(अहर)

(Slow growth)

0 Growth within a week

1 Growth within 1 week to 1 month

2 Growth within 1 month to 6 months

3 Growth within gt 6 months

रक (अहर) (Pain) 0 No pain Or According to VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesics

135 तारअफद (स) ऩदमाकाय तारभधम

शोपम (Swelling

like shape of lotus )

0 No swelling

1 Swelling in 13rd part of the palate

2 2 Swelling in 23rd part of palate

3 3 Swelling in gt 23rd part of palate

136 भाससङघात (स) नीरज (Painless) 0 Absent

1 Present

53

Code Signs amp Symptoms Score Gradations Remarks

शोप 0 No swelling

1 Swelling in 13rd part of the palate

2 Swelling in 23rd part of palate

3 Swelling in gt 23rd part of palate

137 तारऩपऩि (स) नीरक (Painless) 0 Absent

1 Present

कोरभातर

Swelling having size of Kola fruit

0 Absent

1 Present

138 तारशोष (स)

शोष (Dryness) 0 No dryness

1 Dryness decreased after drinking water

2 Patient needs water frequently

3 Dryness persist after dinking profuse water

दायण (Tearing of palate)

0 Absent

1 Present

शवास (Difficulty in

breathing)

0 No difficulty in breathing Here difficulty in breathing is due to obstruction

1 Difficulty in breathing occasionally

2 More difficulty in breathing while sleeping position

3 Excessive difficulty in breathing

जजवय(अहर) (Fever) 0 Normal temperature

1 Temperature between 984rsquoF to 100rsquoF

Temperature between 100rsquoF to 101rsquoF

2 Temperature between 101rsquoF to 102rsquoF

3 Temperature between 102rsquoF to 103rsquoF

4 Temperature between 103rsquoF to 104rsquoF

5 Temperature more than 104rsquoF

54

Code Signs amp Symptoms Score Gradations Remarks

139 तारऩाक (स) ऩाक (Suppuration) 0 No swelling or suppuration

1 Inflammation of palate with pain and tenderness

2 Inflammation of palate with different types of pain and tenderness with induration

3 Pus formation and fluctuation positive

1310 तारपऩटिका (अहर) तारभास पऩटिका

Follicles in palate flesh

0 No follicles

1 13 palate covered with follicles

2 23 palate covered with follicles

3 More than 23 palate covered with follicles

रज(अहर) (Pain) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

Occasional pain

खयता(अहर) (Roughness)

0 Smooth on touch

1 Mild irregular surface on touch

2 Rough surface

3 Sharp rough surface which hurts on finger on touch

घनसराव(अहर) (Thick discharge)

0 No discharge

1 Occasional discharge

2 Off and on thick discharge

3 Continuous thick discharge

1311 तारसहतत (अहर) तारभधम तनरक (अहर) =Painless fleshy growth in palate

Only तारभधम तनरक indicates the place and quality of growth both the symptoms can be

merged

55

Code Signs amp Symptoms Score Gradations Remarks

तनरक (Painless) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

भाससहत

(Fleshy growth in palate)

0 No fleshy growth

1 Fleshy growth in 13 part of the palate Swelling

2 Fleshy growth in 23 part of palate swelling

3 Fleshy growth in more than 23 part of palate

56

GRADATION OF SARVASAR ROG

Code - 15

Established by Group BHOJ Dr Krishna Makaia ndash Convener

Dr Rajeshree Unadkat Dr Neelam Dave

Dr Ronakgiri Gosai Dr Jignesh Virapariya

Reviewed by Dr Vijayant Bharadwaj

Edited by Prof Vd Hāridra Dave

57

Code Signs amp Symptoms Score Gradations Remarks

151 वातजसवसय (स) सपोि (Ulcers) 0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

तोद = Pricking pain 0 No pricking pain Or According to VAS

1 Occasional pricking pain

2 Off and on pricking pain

3 Continuous pricking pain

Or

0 No pricking pain

1 Sometimes mild pricking pain

2 Has to take analgesic while pricking pain

सिारयण(अहर) This symptom is for सवसय so this सवसय is the nature of सिारय

0 No movement of सवसय

1 Movement of सवसय is once in a week

2 Movement of सवसय is once in three to four days

3 Movement of सवसय is at every alternate day

4 Movement of सवसय is once in a day

अरण (अहर) Reddish discoloration

0 Colour of वरण is same with colour of surrounding area

1 Colour of वरण is Reddish

2 Colour of वरण is Dark Red

3 Colour of वरण is Reddish black

र (अहर) Dryness 0 वरण is Moist

-No dryness of वरण

1 वरण Needs lubrication once a day

2 वरण Needs frequent lubrication in

a day

3 No benefit with frequent

lubrication of वरण

तामरता (अहर) (Coppery

0 Colour of वरणौषठ is same with colour of surrounding area

58

Code Signs amp Symptoms Score Gradations Remarks

discoloration) This symptom is for

वरणौषठ

1 Colour of वरणौषठ is Tamra Varna

चऱतवचा (अहर) (Free mucous membrane) This symptom is for

वरणौषठ

0

Movement of वरणौषठ is on touch

only

1 Movement of वरणौषठ can be seen by naked eye means without touch

शीतासहा (अहर) (Intolerance to cold) This symptom is for

जजहवा

0 No Intolerance of cold to जजहवा

1 Intolerance of severe cold to जजहवा

2 Intolerance of moderate cold to जजहवा

3 Intolerance of Mild cold to जजहवा

गवी (Heaviness)

This symptom is for

जजहवा

0 No Heaviness

1 Mild heaviness with no difficulty

in movement of जजहवा

2 Moderate heaviness with

difficulty in Movement of जजहवा

3 Sever heaviness with bending down of

सफटटता (अहर) (Ulcer)

0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

कणटाकाधचता (अहर) = Thorn like

appearance

0 No change in appearance

59

Code Signs amp Symptoms Score Gradations Remarks

1 13 part of oral mucous membrane covered with red fleshy thorn like papillae

2 23 part of oral mucous membrane covered with red fleshy thorn like papillae

3 gt23 part of oral mucous membrane covered with red fleshy thorn like papillae

षववणोतत कचछरणमखम (अहर) (Difficulty in mouth opening)

0 Mouth opening more than 3 fingers without difficulty

1 2 to 3 fingers opening of mouth with or without difficulty

2 1 to 2 fingers opening of mouth with or without difficulty

3 Less than 1 finger opening of mouth with or without difficulty

152 पऩतमत(यकतज)सवसय (स) Signs and Symptoms of यकतज सवसय are same as of पऩतमत सवसय so no separate gradations are mentioned

यकतता (Redness) 0 Colour of सवसय- वरण is similar with

surrounding mucous membrane

1 Reddish Colour of सवसय- वरण

2 Bright red Colour of सवसय- वरण

3 Dark red Colour of सवसय- वरण

सदाह (Burning

Sensation)

0 No burning in सवसय- वरण Or According to

VAS

1 Occasional burning in सवसय- वरण

2 Intermittent burning in सवसय- वरण

3 Contentious burning in सवसय- वरण

which does not relive by any measures

तन (तनसब) (Shallow superficial ulcers)

0 No ulcer

1 Ulcer having depth of 05-1 mm

2 Ulcer having depth of 1 ndash 15 mm

3 Ulcer having depth of 15 -2 mm

60

Code Signs amp Symptoms Score Gradations Remarks

ओष (अहर) 0 No (ओष) burning in सवसय- वरण

1 Occasional (ओष) burning in

सवसय- वरण

2 Intermittent (ओष) burning in

सवसय- वरण

3 Contentious (ओष) burning in

सवसय- वरण which does not relive

by any measures

ततकतवकरता (अहर) (Bitter taste in mouth)

0 No alteration in taste

1 Occasionally bitter taste felt in mouth without having any bitter substance

2 Off and on bitter taste felt in mouth without having any bitter substance

3 Continuous bitter taste felt in mouth without having any bitter substance

ारोकषतत समावरणा (अहर)

0 No Ulcer

(Ulcers looking like chemical burns)

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

153 कपज सवसय (स) कणड (Itching) 0 No itching Or According to

VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Unable to work due to itching

0r

0 No itching

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate on work due to severe itching

रजा (Pain)

(अलऩ रजा) 0 No pain Or According to

VAS

1 Occasional pain

61

Code Signs amp Symptoms Score Gradations Remarks

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain This condition should be considered as अलऩ रजा

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

सवणण 0 Colour of वरण is same with colour of near by tissue

1 Colour of वरण is not same with colour of near by tissue

मररासयतवम (अहर) (Sweet taste in mouth)

0 No alteration in taste

1 Occasionally sweet taste felt without eating any sweet substance

2 Off and on Sweet taste Occasionally sweet taste felt without eating any sweet substance

3 Continuous sweet taste Occasionally sweet taste felt without eating any sweet substance

षपजचछिऱता (अहर) (Unctuousness)

0 Absent

1 Present

वरण 0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

154 कफाबभद (अहर) शयाव अबभदम

(शयावपाणडऽबभदम) 0 Colour of growthtumour is same

the colour of surrounding skin

1 Colour of growthtumour is शयाव

(Blackish)

62

Code Signs amp Symptoms Score Gradations Remarks

पाणड अबभदम (शयावपाणडऽबभदम)

0 Colour of growthtumour is same the colour of surrounding skin

1 Colour of growthtumour is पाणड

(Pale)

अबभदम 0 No GrowthTumour TNM Classification for tumours can be applied for growth

1 Growthtumour having sizelt 10 mm

2 Growthtumour having size 10 mm to 20 mm

3 Growthtumour having size gt 20 mm

घटिता तिनना मटदता च षववरभत (Size increases on rubbing cutting and squeezing)

0 Size of GrowthTumour is not increasing by rubbing cutting or squeezing

1 Size of GrowthTumour is increasing up to 10 mm by rubbing cutting or squeezing within a month

2 Size of GrowthTumour is increasing up to 20 mm by rubbing cutting or squeezing within a month

3 Size of GrowthTumour is increasing up to 30 mm by rubbing cutting or squeezing within a month

4 Size of GrowthTumour is increasing up to 40 mm by rubbing cutting or squeezing within a month

155 ऊरधवभगद (अहर) वकतरदौगनधम

(Halitosis)

0 No Halitosis

1 Halitosis is feel by Patient only

2 Halitosis is feel by Patient and examining Doctor only

3 Halitosis is feel by any person from the distance from 5 meters

63

Code Signs amp Symptoms Score Gradations Remarks

4 Halitosis is feel by any person from the distance from more than 5 meters

156 पततवकर (अहर) ऩतममासमता

(Halitosis)

0 No Halitosis

1 Halitosis is feel by Patient only

2 Halitosis is feel by Patient and examining Doctor only

3 Halitosis is feel by any person from the distance from 5 meters

4 Halitosis is feel by any person from the distance from more than 5 meters

157 सतनऩाततक सवसय (अहर) This disease occurs due to aggravation of all three doshas including Rakta Clinical presentation of this disease is found as mixed picture according prominent aggravation of dosha and signs and symptoms will be observed accordingly Gradations should be considered accordingly so it is not required to repeat here

helliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip

Page 2: THE GRADATIONS OF DISEASES OF SHALAKYA TANTRA - PART …theassociationofshalaki.com/downloads/GRADATIONS_OF_DISEASE… · 12.05.2019  · I am also very much thankful to Dr Sandhya

1

copy All right reserved No part of this book may be copied adapted

abridged or translated for commercial use It can only be used for

research and education purpose mentioning as a ldquoTAS Gradations of

Mukh Rogrdquo without permission

First Edition - as e-book

Year of Publication ndash 2019

Price ndash Dedication for Shalakya Tantra

Published by

The Association of Shalaki ndash TAS India

Department of Shalakya Tantra

Tilak Ayurved Mahavidyalay Pune

cctasindiagmailcom

2

PREFACE

The Association of Shalaki ndash TAS India is active unique and registered

organization of Ayurvedic specialists of Shalakya Tantra TAS organizes

national international and state level conferences seminars workshops CMEs

etc regularly to provide a common platform to present research work of the

members TAS also aims to impart research activity and organizes workshops

regularly

To meet research activities TAS has organized three days national

workshop ldquoTo Establish amp Standardize research protocols in Shalakya Tantrardquo

during July 2017 In this workshop experts from all over India participated

worked hard and at the end of the workshop gradations were established The

established gradations were then sent to senior Shalakis to review and for their

suggestions The gradations were then edited according to suggestions

received

As we know that in the field of research gradations - scoring pattern has

very important role By this tool efficacy of medicinetherapy can be assessed

For that there was lacking of gradations ndash scoring pattern in the field of

Shalakya Tantra So TAS had taken up the project and gradations were

established during above said workshop At this moment I am very much

happy to publish the gradations for Mukh Rog in the form of e-book namely

ldquoGRADATIONA OF SHALAKYA TANTRA PART ndash 3 (MUKH ROG)rdquo I hope these

gradations will be very much useful for all researchers in the field of shalakya

Tantra Now onward gradations for Mukh Rog will be known and can be used

as ldquoTAS Gradations of Mukh Rogrdquo

It is true that research is on-going process These gradations are also not

final I invite suggestions with logic or justification from experts Please send

your suggestions on cctasindiagmailcom I assure TAS will accept and include it

in second edition I hope this book will be very mush useful to all researchers

Prof Vd Hāridra Dave President TAS India

3

INTRODUCTION

As we know that in the field of research gradations - scoring pattern has

very important role By this tool efficacy of medicinetherapy can be assessed

Symptoms in general are very difficult to understand as they are noticed by

patients only Patients are not quite capable to express its intensity or its

severity So it is very difficult to understand to assess and to evaluate

magnitude of the symptoms like Shool (pain) Ruja Tod Kandu Dah etc It

should be objectified In general Visual Analogue Scale (V A S) is used for this

purpose Here in this book it is also suggested To understand VAS please

refer figure given below It is self-explanatory however basic information to

understand it is given here ldquo0rdquo stands for no Shool (pain) Kandu (Itching) Dah

(Burning pain) etc while ldquo10rdquo stands for extreme point of Shool (pain) etc

To understand symptoms like Shool Ruja etc other objective

parameters are also established during workshop which are also suggested in

this book One can also refer this

Shalakya Tantra mainly described in Sushrut Samhita so all the diseases

of Shalakya Tantra are referred from Sushrut Samhita and it is mentioned as

ldquo(स)rdquo but for the same disease if Vagbhatta has mentioned extra sign or

symptom they are also included for gradation by mentioning it like ldquo(अहर)rdquo

under heading of the same disease There are some diseases which are not

mentioned in Sushrut Samhita but mentioned by Vagbhatta are also included

for gradation as a separate disease like ldquoजराफद (अहर)rdquo All the disease

according their Sthan main code is given For example code number ldquo10rdquo is

given to Oshtha Gat Rog and sign amp symptom of the disease is indicated with

sub code For example ldquo101rdquo is given to disease वातज ओषठयोग Means वातज ओषठयोग is the first disease of Oshtha Gat Rog

To establish gradations if specific parameters are considered mentioned

in column of ldquoRemarksrdquo while if there any particular meaning of Sign and

Symptom is mentioned separately

4

DEDICATED TO

ALL

RESEARCHERS

OF

SHALAKYA TANTRA

5

ACKNOWLEDGEMENT

At the outset it is my prime duty to pay my very sincere thanks to Dr K

R Desai Ex Director AYUSH Govt of Gujarat for providing venue and facilities

at State Training Centre and State Model Institute of Ayurvedic Science

Kolavada Gandhinagar Gujarat Without his kind support and kin interest

workshop was not possible and gradations were not established

I am also thankful to Dr Rajesh Barvaliya Ex IC Principal State Model

Institute of Ayurvedic Science Kolavada Gandhinagar Gujarat for local

support

How can I forget Dr Sejal Shah Ex Research officer Directorate of

AYUSH Govt of Gujarat and her team for their untiring and ancillary support I

am very much thankful to her and her team

It is my privilege to convey my heartfelt thanks to Dr Hemangi Shukla

organizing secretary and Dr Krishna Makadia co-organizing secretary of

workshop for organizing very wonderful workshop Along with that they both

have worked conveners and reviewers

I am very much thankful to Dr Sunil Vashishth for his kind support and

guidance He explained how gradations are useful in research activities and

clinical practice

I am also very much thankful to Dr Sandhya Patel J S Ayurved

Mahavidyalay for her valuable guidance regarding research activity which was

very much useful to our all participants

I am also very much thankful to Dr Mohan Joshi Department of Samhita

Tilak Ayurved Mahavidyalay Pune for his valuable guidance He explained how

to establish gradations and how to understand meaning of Samhita and

Sanskrut in reference to establish gradations

I am very much thankful to Dr Vijayant Bharadwaj he did very good job

as a reviewer He devoted his valuable time from his busy schedule and gave

their valuable suggestion on the basis of his knowledge in the field of Shalakya

Tantra He reviewed gradations established by the experts during workshop

6

I am very much thankful to Smt Swatiben Shah and Dr Deepali Shukla

Department of Sanskrut Samhita State Model Institute of Ayurvedic Science

Kolavada Gandhinagar Gujarat for their valuable guidance to understand

proper meaning of signs and symptoms of diseases in reference to Sanskrut

language and in context Samhita

Last but not least I am very much thankful to all the faculties and PG

scholars of Govt Akhandanand Ayurved Mahavidyalay Ahmedabad and IPGT

amp RA Jamnagar for their valuable support to prepare format for gradations

Prof Vd Hāridra Dave Editor

7

INDEX

No Topic Page No 1 Preface 2 2 Introduction 3

3 Acknowledgement 5 4 Gradations of Oshtha Gat Rog 8

5 Gradations of Danta Mul Gat Rog 20 6 Gradations of Danta Gat Rog 28

7 Gradations of Jihwa Gat Rog 40 8 Gradations of Talu Gat Rog 47

9 Gradations of Sarvasar Rog 56

8

GRADATIONS OF OSHTHA GAT ROG

Code - 10

Established by Group BHOJ Dr Krishna Makaia ndash Convener

Dr Rajeshree Unadkat Dr Neelam Dave

Dr Ronakgiri Gosai Dr Jignesh Virapariya

Reviewed by Dr Vijayant Bharadwaj

Edited by Prof Vd Hāridra Dave

9

Code Signs amp Symptoms Score Gradations Remarks

101 वातज ओषठयोग (स) ककश (Rough) 0 No Karkashata (Smooth surface)

1 Roughness of the surface of Oshtha is not visible by naked eye but can be felt by touching by finger

2 Roughness of surface of Oshtha is visible by naked and can be felt by finger but not hurts the finger

3 Roughness of surface of Oshtha with fissures is visible by naked can be felt by finger not hurts the finger

4 Roughness of surface of Oshtha with fissures is visible by naked can be felt by finger and hurts the finger

ऩरषता (Dryness) 0 No dryness (Moist)

1 Mild dryness No need of lubrication

2 Needs lubrication once or twice a day

3 No benefit with frequent lubrication

सतबधता (Immobile) 0 Lip movement not restricted

1 Difficulty in lip movement

2 Lips movement is totally restricted

3 No lip movement

कषणताअससत

=Blackish

0 No change in colour Make colour scale

1 Darker than normal colour Normal lip colour is variable and depending on natural skin complexion

2 Darker but not complete black

3 Blackish in colour

तीवररगभहारजा (Severe pain)

0 No pain Or According to VAS

1 Pain while movement

2 Continuous pain

3 Discomfort for pain Patient have to take analgesics

दालमत(Creaked lip) 0 No Creaks

1 Single creak

2 Multiple Creaks

10

Code Signs amp Symptoms Score Gradations Remarks

3 Multiple deep creaks (Bleeding)

ऩरयऩाटमत 0 No desquamation

=Desquamation - Sanskrit English dictionary page 870

1 Superficial desquamation of epithelium which looks like soft white scales

2 Deep desquamation of epithelium which looks like hard white scales and ready to bleed

3 Deep desquamation with bleeding

102 पऩतज ओषठयोग (स) आचितोपऩडकासबसत

सषऩाकततसबबशभ

0 No सषऩाकतत Follicles

=Covered with Mustard seed like follicles

1 13 part of lip covered with yellow

mastered seed (सषऩाकतत) like

follicles

2 23 part of lip covered with yellow mastered seed like follicles

3 More than 23 part of lip covered with yellow mastered seed (सषऩाकतत) like follicles

दाह (Burning) 0 No burning Or according to VAS

1 Occasional burning

2 Intermittent burning

3 Continuous burning

ऩाक (Suppuration) 0 No swelling or suppuration

1 Inflammation pain and tenderness

2 Inflammation with different types of pain and tenderness with induration

3 Pus formation and fluctuation positive

ससराव (Discharge) 0 No Discharge

1 Mild discharge sticks on lip

2 Moderate discharge has to be cleaned occasionally

3 Severe or continuous discharge has to be cleaned frequently

This condition should be considered as ससराव

नीरवणता (Bluish discoloration)

0 No discoloration

1 Bluish pink discoloration

2 Pinkish blue discoloration

11

Code Signs amp Symptoms Score Gradations Remarks

3 Lips look more bluish or purplish

ऩीतवणता (Yellowish

discoloration)

0 No discoloration

1 Reddish yellow discoloration

2 Yellowish discoloration

3 Lips look pale yellow

तीकषणासह 0 No irritation to spicy salty sour pungent or hot food

=Intolerance to spicy salty sour pungent or hot food

1 Irritation to spicy and hot food

2 Irritation to spicy salty sour pungent or hot food

3 Irritation to any food

फहकरदा (Excessive moisture)

0 No collection of fluid

1 Follicles with fluid accumulation

2 Follicles with excessive fluid accumulation

3 Follicle with excessive fluid accumulation and patient tries to clean the lips frequently

आशऩाक (Quick

suppuration)

0 Suppuration after 7 days

1 Suppuration within 5 to 7 days

2 Suppuration within 2 to 5 days

3 Suppuration within one day This condition should be considered as

आशऩाक

103 कपज ओषठयोग (स) सवण पऩडका (Follicles

same as lip colour)

0 No Follicles

1 Up to 13 of Oshtha is covered with few of the same coloured and with various sizes of follicles

2 From13 to 23 part of Oshtha is covered with few multiple follicles of the same colour and with various sizes

3 More than 23 part of Oshtha is covered with few multiple follicles of the same colour and with various sizes

कणड (Itching) 0 No itching

12

Code Signs amp Symptoms Score Gradations Remarks

1 Occasional mild itching not disturbing work

2 Off and on moderate itching disturbing work

3 Cannot concentrate in work due to continuous severe itching

शन (Swelling) 0 No Swelling

1 Slightly bigger than normal size not noticed by another person

2 Swelling Noticeable by another person

3 Severe Swelling with restriction of normal movement

पऩचछिरता (Sliminess) 0 No Sliminess

1 Mild sliminess

2 Moderate sliminess

3 Severe sliminess

शीतरता -Subjective

(Feeling of coldness by patient)

0 No feeling of coldness by patient Subjective and objective both should be taken

1 Feeling of coldness by patient but no change in temperature

2 Feeling of coldness by patient which is colder than body temperature on touch by the patient

शीतरता -Objective

(Decreased Temperature)

0 No change in temperature

1 1 less than body temperature

2 gt1less than body temperature

गरता (Heaviness) 0 No Heaviness

1 Mild heaviness no difficulty in lip movement

2 Difficulty in lip function due to Heaviness

3 Protrusion of lip due to heaviness

शीतासह

(Intolerance to cold)

0 No Intolerance to cold

1 Intolerance to severe cold

2 Intolerance to moderate cold

3 Intolerance to Mild cold

13

Code Signs amp Symptoms Score Gradations Remarks

104 सतनऩातज ओषठयोग (स) कषणता (Blackish

discoloration)

0 No change in colour In original Shlok lsquoSakrutrsquo word is used along with all types of discolorations According to expert of Sanskrit language and expert of Samhita subject the meaning of lsquoSakrutrsquo is lsquosometimesrsquo and another meaning of this world is lsquosome partrsquo Here we have taken meaning lsquosome partrsquo

1 13 Part of one lip is blackish in colour

2 13 Part of both lips are blackish in colour

3 23 Part of one lip is blackish in colour

4 23 Part of both lips are blackish in colour

5 More than 23 Part of one lip is blackish in colour

6 More than 23 Part of both lips are blackish in colour

ऩीतता (Yellowish

discoloration)

0 No change in colour

1 13 Part of one lip is yellowish in colour

2 13 Part of both lips are yellowish in colour

3 23 Part of one lip is yellowish in colour

4 23 Part of both lips are yellowish in colour

5 More than 23 Part of one lip is yellowish in colour

6 More than 23 Part of both lips are yellowish in colour

अनकपऩडडकाचितौ 0 No Follicles in any of lips

(Multiple follilcles) 1 13 lipLips isare covered with few follicles of various sizes

2 13 lipLips isare covered with multiple follicles of various sizes

3 23 lipLips isare covered with multiple follicles of various sizes

4 Multiple follicles with various sizes (23 lip covered)

5 More than 23 lipLips isare covered with multiple follicles of various sizes follicles

14

Code Signs amp Symptoms Score Gradations Remarks

दगनधौ (Foul smell) 0 No Foul smell

1 Only patient feel foul smell

2 Nearby Doctor 0r people can feel foul smell

3 Foul smell is not tolerable by the patient and the nearby person

आसरावौ (Discharge) 0 No Discharge is on any of lips In Sannipataja disease usually the mixed type of discharge is found So here the type of discharge is not considered The quantity of discharge is considered

1 Mild discharge collected on any one lip

2 Mild discharge collected on both lips or Moderate discharge collected on any one lip which has to be cleaned occasionally

3 Moderate discharge collected on both lips which has to be cleaned occasionally

4 Moderate discharge collected on both lips which has to be cleaned frequently

5 Severe or continuous discharge collected on lipLips which has to be cleaned frequently

पऩचछिरौ (Sliminess) 0 No sliminess

1 Mild Sliminess

2 Moderate Sliminess

3 Severe Sliminess

अकसभातमरानसशन रजौ (अहर) अकसभात

= All of a sudden = Without any reason = Spontaneous = Both Lips become Mlān swollen and painful all of a sudden andwithout any reason

अकसभातमरानौ (अहर) 0 No change in appearance

(Spontaneous Faded) 1 Lips look dull occasionally

15

Code Signs amp Symptoms Score Gradations Remarks

2 Lips look faded off and on in a day

3 Lips look faded and dirty frequently in a day

अकसभातसशनौ (अहर) 0 No Swelling

(Spontaneous swelling) 1 Occasionally Swelling in a day Here the size of swelling is not considered but the spontaneous nature of swilling is considered

2 Off and on swelling in a day

3 Swelling frequently in a day

अकसभात रजौ (अहर) (Pain)

0 No pain Or According to VAS

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

पवषभऩाककनौ (अहर) (Irregular suppuration )

0 No suppuration

1 Suppuration in 13 part of lips

2 Suppuration in 23 part of lip

3 Suppuration in major of lip

105 यकतज ओषठयोग (स) खजयपर पऩडका 0 No follicles

(Brownish follicles) 1 13 lip covered with brownish colour follicles

2 23 lip covered with brownish colour follicles

3 More than 23 lip covered with follicles

रचधयसराव (रचधय सरवत) (Bleeding)

0 No bleeding

1 Bleeding on touch or movement

2 Spontaneous bleeding

3 Continuous Bleeding

अफद बवत 0 No tumour

1 Tumour is 2 cm in size

2 Tumour is 4 cm in size

3 Tumour is gt4 cm in size

106 भासज ओषठयोग (स) भासपऩणडवत उदगतौ

(Bulky) 0 No Growth This word is used

as an adjective of

Sthoola See सथल

16

Code Signs amp Symptoms Score Gradations Remarks

1 Growth is present in both Oshtha but no discomfort to patient

2 Growth is present in both Oshtha with discomfort to patient

3 Large Growth is present in both Oshtha involving the surrounding region

जनतवशिातर भछिचनत सककसमोबमतो भखात

0 No Maggot Formation

1 Maggot formation on one side of the angle of mouth

2 Maggot Formation on both angles of mouth

3 Excessive maggot Formation

गर 0 No Heaviness in any of the lip

1 Mild heaviness no difficulty in lips movement

2 Difficulty in Lips function due to Heaviness

3 Protrusion of both lips

सथरौ (Bulky)

According to Sanskrit ndash English Dictionary

0 Size not increased

1 Slightly bigger than normal no noticeable by other person

2 Bigger than normal noticeable by another person

3 Bigger size effect the lip movement and lip protrudes down

107 भदज ओषठयोग (स) घतभणडाबौ (Clear

melted butter like)

0 Does not look like filled with clear part of melted butter

Here the specific appearance is given so the area is considerd

1 13 part of both lips looks like filled with clear part of melted butter

2 23 part of both lips looks like filled with clear part of melted butter

3 More than 23 part of both lips looks like filled with clear part of melted butter

कणड 0 No itching Or According to VAS

1 Itching in both lips but not disturbing work

17

Code Signs amp Symptoms Score Gradations Remarks

2 Itching in both lips but disturbing work

3 in both lips and cannot concentrate in work due to itching

Or

0 No itching

1 Occasional itching

2 Off and on itching

3 Continuous itching

चसथयौ 0 Movement of lips not affected

(Immobility) 1 Lip movement slightly affected but no difficulty in speech

2 Lip movement affected which alter the speech

3 Lip movement arrested

भदता (Sponginess) 0 Absent

1 Present

आसराव (अछि सपटिक सङकाशभ) (discharge of clear fluid)

0 No discharge अचछ सफटिक Word is Adjective for the type of discharge So grading is given for the frequency of discharge

1 Occasional discharge

2 Off and on discharge of clear fluid

3 Continuous discharge of clear fluid

गर 0 No Heaviness

1 Mild heaviness no difficulty in lip movement

2 Difficulty in lip function due to heaviness

3 Protrusion of lip due to heaviness

तराबशवमथ (अहर) 0 Does not look like filled with oil As per the घतभणडाब

tailabha is used as adjective so grading is given for Shvayathu

1 13 part of lips looks like filled with oil

2 23 part of lips looks filled with oil

3 More than 23 part of lips looks like filled with oil

सराव 0 No discharge

1 Occasional discharge

2 Off and on discharge of clear fluid

3 Continuous discharge of clear fluid

तराबकरदौ (Moister) 0 Absent Darshan pariksha

18

Code Signs amp Symptoms Score Gradations Remarks

1 Present

कणड 0 No itching Or According to VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate in work due to itching

OR

0 No itching

1 Occasional itching

2 Off and on itching

3 Continuous itching

109 तज ओषठयोग (स) पवदीमता (Tear) 0 No tear

1 Cut Up to epithelial layer

2 Cut Up to Sub epithelial layer

3 Cut up to muscular layer

ऩाटमता (Lips divided

in two parts)

0 Lips divided into two parts

1 Absent

2 Present

गरचथत

(NodulesLumps)

0 No lumps

1 Soft lumps

2 Hard Lumps

3 Multiple lumps

कणड (Itching) 0 No itching Or According to VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate in work due to itching

OR

0 No itching

1 Occasional itching

2 Off and on itching

3 Continuous itching

दशनछिदौ (अहर) (Lips covering the teeth)

0 Covering the teeth completely

1 Partial covering (gt50 ) the teeth

2 Covering the teeth lt50

19

Code Signs amp Symptoms Score Gradations Remarks

3 Not covering the teeth (All teeth exposed)

1010 जराफद (अहर) जरफदफदवद

(Cystic Swelling)

0 No Cystic Swelling

1 Up to 5mm Swelling

2 Swelling up to 5-10mm

3 More than 10mm

1011 यकताफद (स) रचधय सराव

रचधय सरवत 0 No bleeding

(Bleeding) 1 Bleeding on touch or movement

2 Spontaneous bleeding

3 Continuous bleeding

खजयसदश 0 Absent Used as an adjective

(Date fruits like) 1 Present

1012 खणडौषठ (अ)

ओषठोदपवधाकत 0 No separation of lips

(Lips divided separated into two parts)

1 Separation up to vermilion line

2 Separation up to Philtrum

3 Separation up to Collumella

20

GRADATION OF DANTA MOOL GAT ROG

Code ndash 11

Gradations established by Group KARAL Dr Krishna Makadia - Convener

Dantvaidya Saroj Joshi Dantvaidya Harshad Joshi

Dr Kiran Raj Dr Achyuta Atara Dr Pranav Dave

Gradations Reviewed by Dr Hemangi Shukla Dr Krishna Makadia

Edited by Prof Vd Hāridra Dave

21

Code Signs amp Symptoms Score Gradations Remarks

111 शीताद (स) अकसभात यकतसराव 0 No bleeding

1 Occasional bleeding for 1 or 2 times in 1 Prahar

2 Spontaneous Bleeding up to one Prahar

3 Spontaneous Bleeding for more than 1 Prahar (more than 3hrs)

दगनधीतन 0 No foul smell

1 Patient feels foul smell

2 Doctor or person who comes near to patient feels foul smell

3 From distance anyone can feels foul smell who is in the room

4 Foul smell can be feel from outside of the room even

सकषणातन 0 Absent

=Blackish discoloration

1 Present

परकरदीतन 0 Absent

1 Present

भदता 0 Absent

1 Present

दनतभास शीमनत 0 Gums situated At CE junction

1 Recession of gums At cervical 13

2 Recession of gums At middle 13

3 Recession of gums At apical 13

ऩिचनत ि ऩयसऩयभ 0 No Pachan (Pāk)

= Pāk 1 1 Quadrant is involved

2 2 quadrants are involved

3 More than 2 quadrants are involved

112 दनतपपपटक (स) दनतमोसतरीष वा 0 No involvement of teeth

1 Involvement of 2 teeth

2 Involvement of 3 teeth

शवमथ भहान 0 Absent

1 Present

सरज 0 No pain Or according to VAS

1 तीवर =Pain is there but he can do

work or sleep

22

Code Signs amp Symptoms Score Gradations Remarks

2 तीवरतय =Pain is there but he can do

work or sleep

3 तीवरतभ =Patient canrsquot tolerate

शोफ़ो फदयाचसथतनबो घन (अहर) =Kola is

small jujube and badar is big jujube and seed is measuring around 5 mm

0 Not present

1 Shoth up to 25 mm

2 Shoth 25 to 5 mm

3 Shoth is more than 5 mm

ऩाक (अहर) (शीघर ऩछमत)

0 Absent Accumulation of Fluid or pus

1 Present

113 दनतवषट (स) सरवचनत ऩमरचधय

Discharge of blood with pus or only pus

0 No Discharge

1 Blood with Pus Discharge

2 Only pus discharge

िरता 0 No mobility

1 1 mm antero-posterior Mobility

2 2 mm antero-posterior Mobility

3 More than 2 mm antero-posterior amp medial to lateral mobility

114 शौषषर (स) शवमथ 0 Absent

1 Present

रजावान According to VAS scoring

रारासरावी 0 Normal secretion

1 Occasionally splitting

2 On and off splitting

3 Continuous splitting disturbance in work

कणड 0 Absent

1 Occasionally itching

2 On and off itching

3 Continues itching

23

Code Signs amp Symptoms Score Gradations Remarks

दतभासपरशातन 0 Gums situated At CE junction

1 Recession of gums At cervical 13

2 Recession of gums At middle 13 3 Recession of gums At apical 13

115 महाशौषषर (स) दनताशिरचनत 0 No mobility

1 1 mm antero-posterior mobility

2 2 mm antero-posterior mobility

3 More than 2 mm anteroposterior amp medial to lateral mobility

तार अवदीमत 0 Absent Fissure over the Palate

1 Present

दतभासातनऩछमनत 0 No redness

1 Mild redness

2 Moderate redness

3 Severe redness

भख ऩरयऩीडमत 0 No Peedā Or According to VAS

Pain in any part or whole oral cavity

1 Peedā is at those Gums where disease is situated

2 Peedā is at entire Gums

Peedā is at entire Mukh

सचननऩाताजजजजवयवान

(अहर) 0 Normal temperature

1 Temperature between 984rsquoF to 100rsquoF

Temperature between 100rsquoF to 101rsquoF

2 Temperature between 101rsquoF to 102rsquoF

3 Temperature between 102rsquoF to 103rsquoF

4 Temperature between 103rsquoF to 104rsquoF

5 Temperature more than 104rsquoF

सऩमरचधयसरतत (अहर)

0 No Discharge

1 Blood with Pus Discharge

2 only pus discharge

पवशीणदपवजफनधन (अहर)

0 No mobility

1 1 mm antero-posterior mobility 2 2 mm antero-posterior mobility

24

Code Signs amp Symptoms Score Gradations Remarks 3 more than 2 mm antero-posterior

amp medial to lateral mobility

116 पररदर (स) दनतभासातन शीमनत 0 Gums situated At CE junction Depending upon

severity grading has been established

1 Recession of gums At cervical 13

2 Recession of gums At middle 13

3 Recession of gums At apical 13

षठीवतत असक 0 No spitting of blood

1 Occasionally splitting

2 On and off splitting

3 Continuous splitting with disturbance in work

117 उपकश (स) दाह Or According to VAS

ऩाक 0 Absent

1 Present

दनताशिरचनत 0 No mobility

1 1 mm antero-posterior mobility

2 2 mm antero-posterior mobility

3 more than 2 mm antero-posterior amp medial to lateral mobility

आघटिता परसरवचनत 0 Absent

=Bleeding from gums by pressure

1 Bleeding on pressure remains for five minutes

2 Bleeding on pressure remains up to 15 minutes

3 Bleeding on pressure remains up to 30 minutes

4 Bleeding on pressure remains up to 1 hour

5 Bleeding on pressure remains more than 1 hour

भदवदना 0 Absent

1 Present

आधभामनत सरत यकत

0 Absent

1 Present

ऩतत वकतरता (अहर) 0 No foul smell

1 Patient feels foul smell

25

Code Signs amp Symptoms Score Gradations Remarks

2 Doctor or person who comes near to patient feels foul smell

3 From distance anyone can feels foul smell who is in the room

4 Foul smell can be feel from outside of the room even

कणडभचनत (अहर) 0 Absent Or According to VAS

1 Occasionally itching

2 On and off itching

3 Continues itching

िरा (अहर) 0 No mobility

1 1 mm antero-posterior mobility

2 2 mm antero-posterior mobility

3 More than 2 mm antero-posterior amp medial to lateral mobility

118 वदभभ (स) =Traumatic injury(By mechanical Chemical thermal )

घषिष दनतभरष सयबो जामत भहान

0 Absent Mahan suggest itself severity of disease

1 Present

िरदता (अहर) 0 No mobility

1 1 mm antero-posterior mobility

2 2 mm antero-posterior mobility

3 More than 2 mm antero-posterior amp medial to lateral mobility

119 वरभन (स) तीवरवदना 0 No pain Or According to VAS

1 तीवर -Pain is there but he can do

work or sleep

2 तीवरतय -Patient can tolerate

3 तीवरतभ -Patient canrsquot tolerate

1110 अधरमाास (स) भहाञिोथ 0 No Shoth Mahan suggest itself

severity of disease

1 Shoth is Present on that gum only where disease is occurred

2 Shoth is Present on nearby two or three gums where disease is occurred

26

Code Signs amp Symptoms Score Gradations Remarks

3 Shoth is present up to adjoining cheek

This condition should be considered as

भहाञिोथ

भहारजा (स) परततहनतममभमवरतत (अहर)

0 No Rujā (pain) Or According to VAS

2 Rujā (pain) is Present on that gum only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

This condition should be considered as भहारजा amp परततहनतममभमवरतत

रारासरावी 0 Normal secretion

1 Occasionally splitting

2 On and off splitting

3 Continuous splitting disturbance in work

दनतानत कीरवतमशोफ़ (अहर)

0 No Keel vat Shoth

1 Keel vat Shoth is Present on that gum only where disease is occurred

2 Keel vat Shoth is Present on nearby two or three gums where disease is occurred

3 Keel vat Shoth is present up to adjoining cheek

1111 दनतषवदरधर (अहर) दनतभासशोफ़ (ि) 0 No Shoph

1 Shoph is Present on that gum only where disease is occurred

2 Shosh is Present on nearby two or This condition should

27

Code Signs amp Symptoms Score Gradations Remarks

three gums where disease is occurred

be considered as अनत शवमथ According to

Vagbhatta

3 Shosh is extended up to adjoining cheek

This condition should be considered as फाहम शवमथ According to

Vagbhatta

फाहम शवमथ (अहर) This condition is mentioned at दनतभास शोफ़

अनत शवमथ (अहर) This condition is mentioned at दनतभास शोफ़

गर (अहर) 0 Absent

1 Present

रग (अहर) 0 No Rujā (pain) Or According to VAS

2 Rujā (pain) is Present on that gum only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

दाह (अहर) According to VAS

सरवतिननऩमासर (अहर)

0 No Discharge

1 Blood with Pus Discharge

2 Only pus discharge

1112 दतनाडी Scoring is not possible further according to measurement of Nadivrana because X-

ray only detects spread up to the bone Whereas Nadivrana in gingiva periodontal ligament cannot be measured

दतनाडी 0 Absent

1 Present

28

GRADATION OF DANTA GAT ROG

Code ndash 12

Gradations established by Group KARAL Dr Krishna Makadia - Convener

Dantavaidya Saroj Joshi Dantavaidya Harshad Joshi

Dr Kiran Raj Dr Achyuta Atara Dr Pranav Dave

Gradations Reviewed by Dr Hemangi Shukla Dr Krishna Makadia

Edited by Prof Vd Hāridra Dave

29

Code Signs amp Symptoms Score Gradations Remarks

121 दाऱन (स)

तीवररग 0 No Rujā (pain) Or According to VAS

2 Rujā (pain) is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

उषणअसहादनता (अस) 0 No sensitivity in teeth ie with warm

water hot water or

excessive hot water

application on

tooth is not

possible so Time

related and severity

related grading was

finalised(same for

cold)

1 Mild sensitivity in teeth - At a

time

2 Moderate sensitivity in teeth -

Sensitivity remains only for 1

Prahar (up to 3 hrs)

3 Severe sensitivity in teeth -

Sensitivity remains more than

1 Prahar (more than 3 hrs)

शीतअचधकवमथा (अहर) 0 No sensitivity in teeth

1 Mild sensitivity in teeth - At a

time

2 Moderate sensitivity in teeth -

Sensitivity remains only for 1

Prahar (up to 3 hrs)

3 severe sensitivity in teeth-

Sensitivity remains more than

1 Prahar (more than 3 hrs)

22 कममदनत (स) कषण 0 No discoloration

1 Light greyish black

2 Dark greyish black

3 Jet black

30

Code Signs amp Symptoms Score Gradations Remarks

तिदर 0 No cavity It should be

decided by X-ray

1 Cavity within limit of enamel

2 Cavity within limit of dentin

3 Cavity up to pulp

िर 0 No mobility

1 1 mm antero-posterior

mobility

2 2 mm antero-posterior

mobility

3 More than 2 mm antero-

posterior amp medial to lateral

mobility

सरावी 0 No Srāv- after drying

particular teeth with cotton

inserting cotton on cavity

There is no other

method to check

Srāv in Krimidanta

1 Srāv is present

ससयब = Inflammation 0 No inflammation

1 Inflammation is Present भहारज 0 No Rujā (pain) Or According to

VAS 2 Rujā (pain) is Present on that

gum only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

This condition should be considered as भहारज

अतनसभतमतरज 0 No sudden onset of pain

1 Sudden onset of pain is

present

अहततीवराततशभ (अहर) 0 No sudden onset of pain

31

Code Signs amp Symptoms Score Gradations Remarks

1 Sudden onset of pain is

present

पररन (अहर) = Broken due to cavity

0 Cavity is there but it is not

broken

It should be

considered for each

tooth separately

Cavity in that must

be present in

particular tooth

1 13 part of tooth is broken

2 23 of tooth is broken

3 More than 23 of tooth is

broken

4 Total loss of tooth

ऩमसरत (अहर) 0 No Pooya Srāv after drying

particular place

with cotton

inserting cotton on

cavity

1 Pooya Srāv present

यकतसरत (अहर) 0 No Rakta Srāv after drying

particular place

with cotton

inserting cotton on

cavity

1 Rakta Srāv is present

123 दनतहषभ (स)

शीत सऩशन न सहनत 0 No sensitivity by cold touch

in any teeth

1 Ooccassional sensitivity by

cold touch in any toothteeth

for once

2 Sensitivity by cold touch

remains in toothteeth only up

to 1 Prahar (up to 3hrs)

3 Sensitivity by cold touch

remains more than 1 Prahar

(more than 3hrs)

उषण सऩशन न सहनत 0 No sensitivity by hot touch in

any teeth

1 Occassional sensitivity by hot

touch in toothteeth for once

2 Sensitivity by hot touch

remains in toothteeth only up

to 1 Prahar (up to 3hrs)

3 Sensitivity by hot touch

remains in toothteeth more

than 1 Prahar (more than

3hrs)

32

Code Signs amp Symptoms Score Gradations Remarks

परवाताभा = Sensitivity to air

(परवातारशीतबाभा) (अहर)

0 No sensitivity by Pravāt

touch in any tooth

1 Occassional sensitivity by

Pravāt touch in toothteeth for

once

2 Sensitivity by Pravāt touch

remains in toothteeth only up

to 1 Prahar (up to 3hrs)

3 Sensitivity by Pravāt touch

remains in toothteeth more

than 1 Prahar (more than

3hrs)

अरबाभा = Sensitivity to sour food

(परवातारशीतबाभा) (अहर)

0 No sensitivity by eating

sourer food to any tooth

1 Occassional sensitivity by

eating sourer food to any

toothteeth for once

2 Sensitivity by eating sourer

food remains to toothteeth

only up to 1 Prahar (up to

3hrs)

3 Sensitivity by eating sourer

food remains to toothteeth

more than 1 Prahar (more

than 3hrs)

शीतबाभा (परवातारशीतबाभा) (अहर)

0 No sensitivity by eating cold

item to any tooth

1 Occasional sensitivity by

eating cold item to toothteeth

for once

2 Sensitivity by Pravāt touch

remains in toothteeth only up

to 1 Prahar (up to 3hrs)

3 Sensitivity by eating cold

item remains to toothteeth

more than 1 Prahar (more

than 3hrs)

सरजा (अहर) 0 No Rujā (pain)

33

Code Signs amp Symptoms Score Gradations Remarks

2 Rujā (pain) is Present on that gum only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

2 Rujā (pain) is Present on that gum only where disease is occurred and patient can do hisher routine work without disturbance

िर (अहर) 0 No mobility

1 1 mm anterio-posterior

mobility

2 2 mm anterio-posterior

mobility

3 More than 2 mm antero-

posterior amp medial to lateral

mobility

124 भञजनक (स) =Photograph is necessary

(depending upon the severity gradation has been finalised)

वकतर वकरता 0 No deviation

1 Deviation is present

तीवररक 0 No Rujā (pain) Or according to

VAS

2 Rujā (pain) is Present on that gum only where disease is occurred and patient can do hisher routine work without disturbance

34

Code Signs amp Symptoms Score Gradations Remarks

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

This condition should be considered as तीवररक

दनतबङग 0 Tooth is not broken This should be

considered for

single tooth

1 13 part of tooth is broken

2 23 of tooth is broken

3 More than 23 of tooth is

broken

4 Total loss of tooth

125 दनतशकभ रा (स) =Calculus index was selected

शकयव चसथयीबत भर 0 No calculus present

1 Supragingival calculus

covering not more than third

of the exposed tooth surface

2 Supragingival calculus

covering more than 13 but

not more than 23 of the

exposed tooth surface or the

presence of individual flecks

of subgingival calculus

around the cervical portion of

the tooth or both

3 Supragingival calculus

covering more than 23 of the

exposed tooth surface or

continues heavy band 0f

subgingival calculus around

the cervical portion of the

tooth or both

35

Code Signs amp Symptoms Score Gradations Remarks

दनताना गणहयी 0 Absent All 10 Guna of

Danta Sampata

should be

considered required

suggestions for

each Guna

1 Present

ऩततगचनध (अहर) 0 No foul smell Taken grading of

halitosis

1 Patient feels foul smell

2 Doctor or person who comes near to patient feels foul smell

3 From distance anyone can feels foul smell who is in the room

4 Foul smell can be feel from outside of the room even

126 कपामऱका (स)

दनतवलकसम दरनभ = Bracketing of tooth enamel (दरचनत दनतवलकातन)

0 No दरनभ of tooth This should be

considered

separately for each

tooth

1 दरनभ is present of less than 13 of tooth

2 दरनभ is present of more than of 13 of tooth but less than 23 of tooth

3 दरनभ is present of more than of 23 of tooth but no total loss of tooth

4 Total loss of tooth after दरनभ

This condition should be considered as दशनाना पवनाश

दशनाना पवनाश = Total loss of tooth

0 No Any loss of tooth This should be

considered

separately for each

tooth

1 loss of tooth is present of less than 13 of tooth

2 loss of tooth is present of more than of 13 of tooth but less than 23 of tooth

36

Code Signs amp Symptoms Score Gradations Remarks

3 loss of tooth is present of more than of 23 of tooth but no total loss of tooth

4 Total loss of tooth This condition should be considered as दशनाना पवनाश

दनतशातनभ अणश = Thinning of tooth (शातमतममतममणशो दनतात कऩारातन) (अहर)

0 No शातनभ of tooth This should be

considered

separately for each

tooth

1 शातनभ is present in less than 13 of tooth

2 शातनभ is present in more than 13 of tooth but less than 23 of tooth

3 शातनभ is present in more than 23 of tooth but no total loss of tooth

4 Total loss of tooth due to शातनभ

127 शयावदनतक (स) In शमावदनत शमावता amp नीरता should be considered ascending stages

शमावता + नीरता 0 -No any discolouration of

tooth

-Normal colour of tooth

This should be

considered

separately for each

tooth

1 शमावता is Present

2 नीरता is Present

128 हनमो (स) According to Dalhan हनमो is not Dant Rog directly but it is near to

Dantchewing of hard food is one of the causes and there is pain in Dant so it is considered under Danta Rog

हनसचनधपवसहत 0 Absent

1 Can be reset by manual reduction

2 Can be reset by surgical

intervention

129 दनतभद (अहर) तोद =Pricking pain 0 No Pricking pain -Or According to

VAS

- This should be

considered

separately for each

tooth

37

Code Signs amp Symptoms Score Gradations Remarks

2 Pricking pain is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Pricking pain is referred up to Hanu and patient can do hisher routine work without disturbance

4 Pricking pain is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Pricking pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Pricking pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

बद Braking pain 0 No Braking pain -Or According to

VAS

- This should be

considered

separately for each

tooth

2 Braking pain is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Braking pain is referred up to Hanu and patient can do hisher routine work without disturbance

4 Braking pain is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Braking pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Braking pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

38

Code Signs amp Symptoms Score Gradations Remarks

रक Dull pain 0 No Rujā (pain) -Or According to

VAS

- This should be

considered

separately for each

tooth

2 Rujā (pain) is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

सपिन Burstingexpanding pain

0 No Bursting pain -Or According to

VAS

- This should be

considered

separately for each

tooth

2 Bursting pain is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Bursting pain is referred up to Hanu and patient can do hisher routine work without disturbance

4 Bursting pain is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

39

Code Signs amp Symptoms Score Gradations Remarks

5 Bursting pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Bursting pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

1210 दनतचाऱ (अहर) िरतमव = Mobility 0 No = mobility

1 1mm anterio-posterior

mobility

2 2 mm anterio-posterior

mobility

3 More than 2 mm anterio-

posterior amp medial to lateral

mobility

बणादचधकवमथ 0 No Vyatha ndash Pain during

eating

1 Pain during eating of hard

diet only

2 Pain during eating of soft diet

even

1211 कराऱ (स)

=Malocclusion

0 A Normal Molar relationship

exist but there is crowding

misalignment of the teeth

cross bite etc

1 A malocclusion where the

molar relationship shows the

buccal grove of mandibular

first molar distally positioned

when in occlusion with the

mesiobuccal cusp of the

maxillary first molar

2 A malocclusion where the

molar relationship shows the

buccal groove of the

mandibular first molar

mesiallypos

40

GRADATIONS OF JIHWA GAT ROG

Code - 13

Established by Group BHOJ Dr Krishna Makaia ndash Convener

Dr Rajeshree Unadkat Dr Neelam Dave

Dr Ronakgiri Gosai Dr Jignesh Virapariya

Reviewed by Dr Vijayant Bharadwaj

Edited by Prof Vd Hāridra Dave

41

Code Signs amp Symptoms Score Gradations Remarks

131 वाततक चजहवाकिक (स) सपटिता (Creaks) 0 No creaks on tongue

1 Single creak on the dorsum of tongue

2 Multiple Creaks on the dorsum of tongue

3 Multiple deep creaks on the dorsum of tongue (Bleeding)

परसपता (Numbness )

0 No Numbness

1 Numbness in 13 Part of tongue

2 Numbness in 23 Part of tongue

3 Numbness in more than 23 Part of tongue

शाकछिदनपरकाशा (Roughness)

0 Normal surface of tongue on touch

1 Mild rough surface on touch

2 Hard irregular surface on touch

3 Very rough surface which hurts the finger on touch

132 ऩततक चजहवाकिक (स) ऩीता 0 No yellowish discolouration

1 Yellowish discoloration in 13 part

2 Yellowish discoloration in 23 part

3 Yellowish discoloration in more than 23 part of tongue

ऩरयदहमत Burning in entire tongue)

0 No burning Or According to VAS

1 Occasional burning

2 Intermittent burning

3 Continuous burning does not relieve by any measures

दाह (Burning may be

in partially tongue)

0 No Burning Or According to VAS

1 Burning up to 13 part of tongue

2 Burning in 13 to 23 part of tongue

3 Burning in more than 23 part of tongue

42

Code Signs amp Symptoms Score Gradations Remarks

यकतभासाङकयचशिता (Covered with red buds )

0 No change in appearance

1 13 part of tongue covered with red fleshy buds

2 23 part of tongue covered with red fleshy buds

3 Whole tongue covered with red fleshy buds

ओष (Burning) 0 No Oshha Or According to VAS

1 Oshha up to 13 part of tongue

2 Oshha in 13 to 23 part of tongue

3 Oshha in more than 23 part of tongue

133 कपज चजहवाकिक (स) फहरा (Thick) 0 Normal Thickness of Tongue

1 Thickness increased - noticeable by patient

2 Thickness increased - noticeable by the examiner

3 Tongue protruding out because of increased Thickness

गवी (Heaviness) 0 No Heaviness

1 Feeling mild heaviness but no difficulty in Tongue movement

2 Difficulty in Tongue movement especially during intake of liquid

3 Difficulty in Tongue movement especially during intake of hard food

4 Difficulty in Tongue movement especially during Pronunciation

भासोदगभ शालभसरकणिकाब (thorn like papilla)

0 No change in appearance of tongue

1 13 part of tongue covered with red fleshy thorn like papilla

2 23 part of tongue covered with thorn like papilla

3 Whole tongue covered with thorn like papilla

43

Code Signs amp Symptoms Score Gradations Remarks

134 अरास (स) शवमथ

(Swelling at ventral surface of tongue)

0 Absent

1 Present

सतबमतत (Restricted tongue movement)

0 -Normal Movement of Tongue -Movement of tongue not affected

1 Tongue movement slightly restricted but does not affect the normal function

2 Tongue movement restricted that affects the normal function

3 Tongue movement arrested

परवदध

(Increase in size)

0 Size not increased

1 Size increased - noticeable by the patient

2 Size increased - noticeable by the examiner

3 Tongue protruding out because of increased size

ऩाक 0 No swelling or suppuration

1 Inflammation with pain and tenderness

2 Inflammation with different types of pain and tenderness along with induration

3 Pus formation and fluctuation positive

अधशोप 0 Absent

1 Present

उननत (elevation of

the tongue due to swelling below the tongue)

0 Normal position of tongue

1 Tongue slightly elevated due to swelling below the tongue

2 Tongue elevation causes discomfort to the patient

3 Tongue touches the palate

भतमसमगचनध

(Fishy smell)

0 Absent

1 Present

44

Code Signs amp Symptoms Score Gradations Remarks

भासशातन (Destruction of flesh of tongue )

0 No Destruction of tongue flesh

1 13 part of tongue flesh is destroyed

2 23 part of tongue flesh is destroyed

3 More than 23 part of tongue is destroyed

135 उऩचजचहवका (स) शवमथ (Swelling) 0 Absent

1 Present

चजहवाभननम

जात (elevation of

tongue because of swelling)

0 Normal position of tongue

1 Tongue slightly elevated due to swelling below the tongue

2 Tongue elevation causes discomfort to the patient

3 Tongue touches the palate

परसक (Salivation) 0 Normal secretion of saliva

1 Occasionally spitting

2 Off and on spitting

3 Continuous spitting which disturbs the work

कणड (Itching) 0 No itching Or According to VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate on work due to severe itching

0r

0 No itching

1 Occasional itching

2 Off and on itching

3 Continuous itching

ऩरयदाह (Burning in

whole tongue)

0 No burning Or According to VAS

1 Occasional burning

2 Intermittent burning

3 Contentious burning dose not relive by any measures

45

Code Signs amp Symptoms Score Gradations Remarks

136 अचधचजचहवका (अर)

अधोचजहवामा शोप

0 Normal position of tongue

(Swelling below the tongue)

1 Tongue slightly elevated due to swelling below the tongue

2 Tongue elevation causes discomfort to the patient

3 Tongue touches the palate

अङकय (Pappilary

growth)

0 Absent

1 Present

ओष (Burning) 0 No Oshh Or According to

VAS

1 Oshh up to 13 part of tongue

2 Oshh in 13 to 23 part of tongue

3 Oshh in more than 23 part of tongue

सतबवान

(Restriction of Movement)

0 Movement of tongue not affected

1 Tongue movement slightly restricted but does not affect the normal function

2 Tongue movement restricted that affect the normal function

3 Tongue movement arrested

खय(Rough) 0 Smooth on touch

1 Mild irregular surface

2 Rough surface

3 Sharp rough surface touch hurts on finger on touch

रक (Pain) 0 No pain Or According to

VAS

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

कणड (Itching) 0 No itching Or According to

VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate on work due to severe itching

0r

0 No itching

46

Code Signs amp Symptoms Score Gradations Remarks

1 Occasional itching

2 Off and on itching

3 Continuous itching

वाकम पवघातकत (Difficulty in speech)

0 No difficulty in speech

1 Unable to speak िति vargavyanjana

2 Difficulty in speaking क vargavyanjana

Swara donrsquot need involvement of tongue

3 Unable to speak

आहयपवघातकत

(Swallowing )

0 Able to eat regular diet

1 Able to eat soft diet

2 Able to eat only liquid diet

3 Unable to swallow anything

47

GRADATION OF TALUGAT ROG

Code - 14

Established by Group BHOJ Dr Krishna Makaia ndash Convener

Dr Rajeshree Unadkat Dr Neelam Dave

Dr Ronakgiri Gosai Dr Jignesh Virapariya

Reviewed by Dr Vijayant Bharadwaj

Edited by Prof Vd Hāridra Dave

48

Code Signs amp Symptoms Score Gradations Remarks

141 गरशचणडका (स)

परवदधो शोप (Swelling extending from palate) (Which is elongated)

0 Normal size of uvula

1 Swelling of uvula that causes discomfort to the patient

2 Swelling of uvula that causes foreign body sensation

3 Difficulty in breathing due to swelling

दीघ शोप

(Elongated Swelling)

0 Normal size of uvula

1 Elongated swelling of uvula that causes discomfort to the patient

2 Elongated swelling of uvula that causes foreign body sensation

3 Difficulty in breathing due to Elongated swelling

धभातफचसतपरकाश शोप =Inflated

swelling like Basti

0 Normal size of uvula

1 Inflated swelling like Basti of uvula that causes discomfort to the patient

2 Inflated swelling like Basti of uvula that causes foreign body sensation

3 Difficulty in breathing due to Inflated swelling like Basti

तषणा 0 Normal feeling of thirst

1 Increased feeling of thirst which is relived after drinking water

The quantity of water is not consider here but the frequency of water is considered

2 Frequent feeling of thirst which is Occasional relived after drinking water

3 Continuous feeling of thirst does not relive after drinking profuse amount of water

कास (Coughing) 0 No coughing

49

Code Signs amp Symptoms Score Gradations Remarks

1 Occasional coughing during eating and speaking

2 Off and on coughing

3 Continuous coughing

शवास 0 No difficulty in breathing

1 Difficulty in breathing occasionally

2 More difficulty in breathing while sleeping

3 Excessive difficulty in breathing

भतमसमफचसततनब शोप (अहर)

0 Normal uvula Used as an adjective

1 Inflated swelling like Matsya-Basti of uvula that causes discomfort to the patient

2 Inflated swelling like Matsya-Basti of uvula that causes foreign body sensation

3 Difficulty in breathing due to Inflated swelling like Matsya-Basti

पररफ (अहर) 0 Normal length of Uvula

(Elongated Swelling)

1 Size of Uvula increased up to lt2 mm

2 Size of Uvula increased more than 2 mm but less than 4 mm

3 Size of Uvula increased gt4 mm that cause discomfort to patient and cause difficulty in breathing

पऩचछिर(अहर) (Sliminess)

0 Absent

1 Present

नासमाऽऽहायभीयमन (अहर)

0 Food does not come out from nose

(Food comes out of nose)

1 Food comes out from nose

कणठोऩयोध(अहर) (Obstruction of throat )

0 -Able to eat regular diet -No difficulty in swallowing of any food

1 Able to swallow liquid or soft diet but not able to swallow hard diet

2 Able to swallow hard diet forcefully

50

Code Signs amp Symptoms Score Gradations Remarks

3 Not able to swallow hard diet with force

वभन(अहर) (Vomiting)

0 No Vaman

1 Feeling of nausea only

2 Only one veg of Vaman in a day

3 Two vegas of Vaman in a day

4 More than two vegas of Vaman in a day

132 तचणडकयी (स)

शोप (Tonsillar

Swelling)

0 Tonsils are located within the tonsillar fossa

1 Tonsils hypertrophy till the brim of the tonsillar fossa

2 Tonsils hypertrophy extends beyond the pillars but not touching each other

3 Tonsils hypertrophy extends beyond the pillars but not touching each other

तोद

(Pricking pain)

0 No pain

1 Occasional pain Or according to VAS

2 Off and on pain

3 Continuous pain

दाह (Burning) 0 No

1 Occasional burning

2 Intermittent burning

3 Contentious burning dose not relive by any measures

परऩाक 0 Absent

1 Present

पऩचछिर शोप(अहर)

Sliminess in swallowing

0 Feeling of Sliminess is Absent

1 Feeling of Sliminess is Present

भनदरक (अहर)

(Mild pain)

0 Absent Or According to

VAS

1 Present

133 अधरष (स)

शोप (Swelling) 0 No swelling

1 13 Swelling in part of the palate

51

Code Signs amp Symptoms Score Gradations Remarks

2 23 swelling in part of palate

3 Swelling in gt than 23 part of palate

सतबधता =Functions of soft palate like deglutition Phonation etc are affected = No mobility of soft palate

0 Normal function of soft palate

1 Soft palate movement reduced but functions are not affected

2 Any one of the functions of soft palate is affected

3 All functions of soft palate are affected

रोटहतवणता

(Redness)

0 No change in colour

1 Pinkish red coloured mucosa in palate

2 Red coloured mucosa in palate

3 Dark red coloured mucosa in palate

रजा (Pain) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

जजवय (Fever) 0 Normal temperature

1 Temperature between 984rsquoF to 100rsquoF

Temperature between 100rsquoF to 101rsquoF

2 Temperature between 101rsquoF to 102rsquoF

3 Temperature between 102rsquoF to 103rsquoF

52

Code Signs amp Symptoms Score Gradations Remarks

4 Temperature between 103rsquoF to 104rsquoF

5 Temperature more than 104rsquoF

134 कछिऩ (स)

कभवत उतमसनन शोप (Swelling

having shape like dorsum of tortoise)

0 No swelling

1 Swelling in 13rd part of the palate

2 Swelling in 23rd part of palate

3 Swelling in gt 23rd part of palate

चियवपदध(अहर)

(Slow growth)

0 Growth within a week

1 Growth within 1 week to 1 month

2 Growth within 1 month to 6 months

3 Growth within gt 6 months

रक (अहर) (Pain) 0 No pain Or According to VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesics

135 तारअफद (स) ऩदमाकाय तारभधम

शोपम (Swelling

like shape of lotus )

0 No swelling

1 Swelling in 13rd part of the palate

2 2 Swelling in 23rd part of palate

3 3 Swelling in gt 23rd part of palate

136 भाससङघात (स) नीरज (Painless) 0 Absent

1 Present

53

Code Signs amp Symptoms Score Gradations Remarks

शोप 0 No swelling

1 Swelling in 13rd part of the palate

2 Swelling in 23rd part of palate

3 Swelling in gt 23rd part of palate

137 तारऩपऩि (स) नीरक (Painless) 0 Absent

1 Present

कोरभातर

Swelling having size of Kola fruit

0 Absent

1 Present

138 तारशोष (स)

शोष (Dryness) 0 No dryness

1 Dryness decreased after drinking water

2 Patient needs water frequently

3 Dryness persist after dinking profuse water

दायण (Tearing of palate)

0 Absent

1 Present

शवास (Difficulty in

breathing)

0 No difficulty in breathing Here difficulty in breathing is due to obstruction

1 Difficulty in breathing occasionally

2 More difficulty in breathing while sleeping position

3 Excessive difficulty in breathing

जजवय(अहर) (Fever) 0 Normal temperature

1 Temperature between 984rsquoF to 100rsquoF

Temperature between 100rsquoF to 101rsquoF

2 Temperature between 101rsquoF to 102rsquoF

3 Temperature between 102rsquoF to 103rsquoF

4 Temperature between 103rsquoF to 104rsquoF

5 Temperature more than 104rsquoF

54

Code Signs amp Symptoms Score Gradations Remarks

139 तारऩाक (स) ऩाक (Suppuration) 0 No swelling or suppuration

1 Inflammation of palate with pain and tenderness

2 Inflammation of palate with different types of pain and tenderness with induration

3 Pus formation and fluctuation positive

1310 तारपऩटिका (अहर) तारभास पऩटिका

Follicles in palate flesh

0 No follicles

1 13 palate covered with follicles

2 23 palate covered with follicles

3 More than 23 palate covered with follicles

रज(अहर) (Pain) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

Occasional pain

खयता(अहर) (Roughness)

0 Smooth on touch

1 Mild irregular surface on touch

2 Rough surface

3 Sharp rough surface which hurts on finger on touch

घनसराव(अहर) (Thick discharge)

0 No discharge

1 Occasional discharge

2 Off and on thick discharge

3 Continuous thick discharge

1311 तारसहतत (अहर) तारभधम तनरक (अहर) =Painless fleshy growth in palate

Only तारभधम तनरक indicates the place and quality of growth both the symptoms can be

merged

55

Code Signs amp Symptoms Score Gradations Remarks

तनरक (Painless) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

भाससहत

(Fleshy growth in palate)

0 No fleshy growth

1 Fleshy growth in 13 part of the palate Swelling

2 Fleshy growth in 23 part of palate swelling

3 Fleshy growth in more than 23 part of palate

56

GRADATION OF SARVASAR ROG

Code - 15

Established by Group BHOJ Dr Krishna Makaia ndash Convener

Dr Rajeshree Unadkat Dr Neelam Dave

Dr Ronakgiri Gosai Dr Jignesh Virapariya

Reviewed by Dr Vijayant Bharadwaj

Edited by Prof Vd Hāridra Dave

57

Code Signs amp Symptoms Score Gradations Remarks

151 वातजसवसय (स) सपोि (Ulcers) 0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

तोद = Pricking pain 0 No pricking pain Or According to VAS

1 Occasional pricking pain

2 Off and on pricking pain

3 Continuous pricking pain

Or

0 No pricking pain

1 Sometimes mild pricking pain

2 Has to take analgesic while pricking pain

सिारयण(अहर) This symptom is for सवसय so this सवसय is the nature of सिारय

0 No movement of सवसय

1 Movement of सवसय is once in a week

2 Movement of सवसय is once in three to four days

3 Movement of सवसय is at every alternate day

4 Movement of सवसय is once in a day

अरण (अहर) Reddish discoloration

0 Colour of वरण is same with colour of surrounding area

1 Colour of वरण is Reddish

2 Colour of वरण is Dark Red

3 Colour of वरण is Reddish black

र (अहर) Dryness 0 वरण is Moist

-No dryness of वरण

1 वरण Needs lubrication once a day

2 वरण Needs frequent lubrication in

a day

3 No benefit with frequent

lubrication of वरण

तामरता (अहर) (Coppery

0 Colour of वरणौषठ is same with colour of surrounding area

58

Code Signs amp Symptoms Score Gradations Remarks

discoloration) This symptom is for

वरणौषठ

1 Colour of वरणौषठ is Tamra Varna

चऱतवचा (अहर) (Free mucous membrane) This symptom is for

वरणौषठ

0

Movement of वरणौषठ is on touch

only

1 Movement of वरणौषठ can be seen by naked eye means without touch

शीतासहा (अहर) (Intolerance to cold) This symptom is for

जजहवा

0 No Intolerance of cold to जजहवा

1 Intolerance of severe cold to जजहवा

2 Intolerance of moderate cold to जजहवा

3 Intolerance of Mild cold to जजहवा

गवी (Heaviness)

This symptom is for

जजहवा

0 No Heaviness

1 Mild heaviness with no difficulty

in movement of जजहवा

2 Moderate heaviness with

difficulty in Movement of जजहवा

3 Sever heaviness with bending down of

सफटटता (अहर) (Ulcer)

0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

कणटाकाधचता (अहर) = Thorn like

appearance

0 No change in appearance

59

Code Signs amp Symptoms Score Gradations Remarks

1 13 part of oral mucous membrane covered with red fleshy thorn like papillae

2 23 part of oral mucous membrane covered with red fleshy thorn like papillae

3 gt23 part of oral mucous membrane covered with red fleshy thorn like papillae

षववणोतत कचछरणमखम (अहर) (Difficulty in mouth opening)

0 Mouth opening more than 3 fingers without difficulty

1 2 to 3 fingers opening of mouth with or without difficulty

2 1 to 2 fingers opening of mouth with or without difficulty

3 Less than 1 finger opening of mouth with or without difficulty

152 पऩतमत(यकतज)सवसय (स) Signs and Symptoms of यकतज सवसय are same as of पऩतमत सवसय so no separate gradations are mentioned

यकतता (Redness) 0 Colour of सवसय- वरण is similar with

surrounding mucous membrane

1 Reddish Colour of सवसय- वरण

2 Bright red Colour of सवसय- वरण

3 Dark red Colour of सवसय- वरण

सदाह (Burning

Sensation)

0 No burning in सवसय- वरण Or According to

VAS

1 Occasional burning in सवसय- वरण

2 Intermittent burning in सवसय- वरण

3 Contentious burning in सवसय- वरण

which does not relive by any measures

तन (तनसब) (Shallow superficial ulcers)

0 No ulcer

1 Ulcer having depth of 05-1 mm

2 Ulcer having depth of 1 ndash 15 mm

3 Ulcer having depth of 15 -2 mm

60

Code Signs amp Symptoms Score Gradations Remarks

ओष (अहर) 0 No (ओष) burning in सवसय- वरण

1 Occasional (ओष) burning in

सवसय- वरण

2 Intermittent (ओष) burning in

सवसय- वरण

3 Contentious (ओष) burning in

सवसय- वरण which does not relive

by any measures

ततकतवकरता (अहर) (Bitter taste in mouth)

0 No alteration in taste

1 Occasionally bitter taste felt in mouth without having any bitter substance

2 Off and on bitter taste felt in mouth without having any bitter substance

3 Continuous bitter taste felt in mouth without having any bitter substance

ारोकषतत समावरणा (अहर)

0 No Ulcer

(Ulcers looking like chemical burns)

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

153 कपज सवसय (स) कणड (Itching) 0 No itching Or According to

VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Unable to work due to itching

0r

0 No itching

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate on work due to severe itching

रजा (Pain)

(अलऩ रजा) 0 No pain Or According to

VAS

1 Occasional pain

61

Code Signs amp Symptoms Score Gradations Remarks

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain This condition should be considered as अलऩ रजा

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

सवणण 0 Colour of वरण is same with colour of near by tissue

1 Colour of वरण is not same with colour of near by tissue

मररासयतवम (अहर) (Sweet taste in mouth)

0 No alteration in taste

1 Occasionally sweet taste felt without eating any sweet substance

2 Off and on Sweet taste Occasionally sweet taste felt without eating any sweet substance

3 Continuous sweet taste Occasionally sweet taste felt without eating any sweet substance

षपजचछिऱता (अहर) (Unctuousness)

0 Absent

1 Present

वरण 0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

154 कफाबभद (अहर) शयाव अबभदम

(शयावपाणडऽबभदम) 0 Colour of growthtumour is same

the colour of surrounding skin

1 Colour of growthtumour is शयाव

(Blackish)

62

Code Signs amp Symptoms Score Gradations Remarks

पाणड अबभदम (शयावपाणडऽबभदम)

0 Colour of growthtumour is same the colour of surrounding skin

1 Colour of growthtumour is पाणड

(Pale)

अबभदम 0 No GrowthTumour TNM Classification for tumours can be applied for growth

1 Growthtumour having sizelt 10 mm

2 Growthtumour having size 10 mm to 20 mm

3 Growthtumour having size gt 20 mm

घटिता तिनना मटदता च षववरभत (Size increases on rubbing cutting and squeezing)

0 Size of GrowthTumour is not increasing by rubbing cutting or squeezing

1 Size of GrowthTumour is increasing up to 10 mm by rubbing cutting or squeezing within a month

2 Size of GrowthTumour is increasing up to 20 mm by rubbing cutting or squeezing within a month

3 Size of GrowthTumour is increasing up to 30 mm by rubbing cutting or squeezing within a month

4 Size of GrowthTumour is increasing up to 40 mm by rubbing cutting or squeezing within a month

155 ऊरधवभगद (अहर) वकतरदौगनधम

(Halitosis)

0 No Halitosis

1 Halitosis is feel by Patient only

2 Halitosis is feel by Patient and examining Doctor only

3 Halitosis is feel by any person from the distance from 5 meters

63

Code Signs amp Symptoms Score Gradations Remarks

4 Halitosis is feel by any person from the distance from more than 5 meters

156 पततवकर (अहर) ऩतममासमता

(Halitosis)

0 No Halitosis

1 Halitosis is feel by Patient only

2 Halitosis is feel by Patient and examining Doctor only

3 Halitosis is feel by any person from the distance from 5 meters

4 Halitosis is feel by any person from the distance from more than 5 meters

157 सतनऩाततक सवसय (अहर) This disease occurs due to aggravation of all three doshas including Rakta Clinical presentation of this disease is found as mixed picture according prominent aggravation of dosha and signs and symptoms will be observed accordingly Gradations should be considered accordingly so it is not required to repeat here

helliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip

Page 3: THE GRADATIONS OF DISEASES OF SHALAKYA TANTRA - PART …theassociationofshalaki.com/downloads/GRADATIONS_OF_DISEASE… · 12.05.2019  · I am also very much thankful to Dr Sandhya

2

PREFACE

The Association of Shalaki ndash TAS India is active unique and registered

organization of Ayurvedic specialists of Shalakya Tantra TAS organizes

national international and state level conferences seminars workshops CMEs

etc regularly to provide a common platform to present research work of the

members TAS also aims to impart research activity and organizes workshops

regularly

To meet research activities TAS has organized three days national

workshop ldquoTo Establish amp Standardize research protocols in Shalakya Tantrardquo

during July 2017 In this workshop experts from all over India participated

worked hard and at the end of the workshop gradations were established The

established gradations were then sent to senior Shalakis to review and for their

suggestions The gradations were then edited according to suggestions

received

As we know that in the field of research gradations - scoring pattern has

very important role By this tool efficacy of medicinetherapy can be assessed

For that there was lacking of gradations ndash scoring pattern in the field of

Shalakya Tantra So TAS had taken up the project and gradations were

established during above said workshop At this moment I am very much

happy to publish the gradations for Mukh Rog in the form of e-book namely

ldquoGRADATIONA OF SHALAKYA TANTRA PART ndash 3 (MUKH ROG)rdquo I hope these

gradations will be very much useful for all researchers in the field of shalakya

Tantra Now onward gradations for Mukh Rog will be known and can be used

as ldquoTAS Gradations of Mukh Rogrdquo

It is true that research is on-going process These gradations are also not

final I invite suggestions with logic or justification from experts Please send

your suggestions on cctasindiagmailcom I assure TAS will accept and include it

in second edition I hope this book will be very mush useful to all researchers

Prof Vd Hāridra Dave President TAS India

3

INTRODUCTION

As we know that in the field of research gradations - scoring pattern has

very important role By this tool efficacy of medicinetherapy can be assessed

Symptoms in general are very difficult to understand as they are noticed by

patients only Patients are not quite capable to express its intensity or its

severity So it is very difficult to understand to assess and to evaluate

magnitude of the symptoms like Shool (pain) Ruja Tod Kandu Dah etc It

should be objectified In general Visual Analogue Scale (V A S) is used for this

purpose Here in this book it is also suggested To understand VAS please

refer figure given below It is self-explanatory however basic information to

understand it is given here ldquo0rdquo stands for no Shool (pain) Kandu (Itching) Dah

(Burning pain) etc while ldquo10rdquo stands for extreme point of Shool (pain) etc

To understand symptoms like Shool Ruja etc other objective

parameters are also established during workshop which are also suggested in

this book One can also refer this

Shalakya Tantra mainly described in Sushrut Samhita so all the diseases

of Shalakya Tantra are referred from Sushrut Samhita and it is mentioned as

ldquo(स)rdquo but for the same disease if Vagbhatta has mentioned extra sign or

symptom they are also included for gradation by mentioning it like ldquo(अहर)rdquo

under heading of the same disease There are some diseases which are not

mentioned in Sushrut Samhita but mentioned by Vagbhatta are also included

for gradation as a separate disease like ldquoजराफद (अहर)rdquo All the disease

according their Sthan main code is given For example code number ldquo10rdquo is

given to Oshtha Gat Rog and sign amp symptom of the disease is indicated with

sub code For example ldquo101rdquo is given to disease वातज ओषठयोग Means वातज ओषठयोग is the first disease of Oshtha Gat Rog

To establish gradations if specific parameters are considered mentioned

in column of ldquoRemarksrdquo while if there any particular meaning of Sign and

Symptom is mentioned separately

4

DEDICATED TO

ALL

RESEARCHERS

OF

SHALAKYA TANTRA

5

ACKNOWLEDGEMENT

At the outset it is my prime duty to pay my very sincere thanks to Dr K

R Desai Ex Director AYUSH Govt of Gujarat for providing venue and facilities

at State Training Centre and State Model Institute of Ayurvedic Science

Kolavada Gandhinagar Gujarat Without his kind support and kin interest

workshop was not possible and gradations were not established

I am also thankful to Dr Rajesh Barvaliya Ex IC Principal State Model

Institute of Ayurvedic Science Kolavada Gandhinagar Gujarat for local

support

How can I forget Dr Sejal Shah Ex Research officer Directorate of

AYUSH Govt of Gujarat and her team for their untiring and ancillary support I

am very much thankful to her and her team

It is my privilege to convey my heartfelt thanks to Dr Hemangi Shukla

organizing secretary and Dr Krishna Makadia co-organizing secretary of

workshop for organizing very wonderful workshop Along with that they both

have worked conveners and reviewers

I am very much thankful to Dr Sunil Vashishth for his kind support and

guidance He explained how gradations are useful in research activities and

clinical practice

I am also very much thankful to Dr Sandhya Patel J S Ayurved

Mahavidyalay for her valuable guidance regarding research activity which was

very much useful to our all participants

I am also very much thankful to Dr Mohan Joshi Department of Samhita

Tilak Ayurved Mahavidyalay Pune for his valuable guidance He explained how

to establish gradations and how to understand meaning of Samhita and

Sanskrut in reference to establish gradations

I am very much thankful to Dr Vijayant Bharadwaj he did very good job

as a reviewer He devoted his valuable time from his busy schedule and gave

their valuable suggestion on the basis of his knowledge in the field of Shalakya

Tantra He reviewed gradations established by the experts during workshop

6

I am very much thankful to Smt Swatiben Shah and Dr Deepali Shukla

Department of Sanskrut Samhita State Model Institute of Ayurvedic Science

Kolavada Gandhinagar Gujarat for their valuable guidance to understand

proper meaning of signs and symptoms of diseases in reference to Sanskrut

language and in context Samhita

Last but not least I am very much thankful to all the faculties and PG

scholars of Govt Akhandanand Ayurved Mahavidyalay Ahmedabad and IPGT

amp RA Jamnagar for their valuable support to prepare format for gradations

Prof Vd Hāridra Dave Editor

7

INDEX

No Topic Page No 1 Preface 2 2 Introduction 3

3 Acknowledgement 5 4 Gradations of Oshtha Gat Rog 8

5 Gradations of Danta Mul Gat Rog 20 6 Gradations of Danta Gat Rog 28

7 Gradations of Jihwa Gat Rog 40 8 Gradations of Talu Gat Rog 47

9 Gradations of Sarvasar Rog 56

8

GRADATIONS OF OSHTHA GAT ROG

Code - 10

Established by Group BHOJ Dr Krishna Makaia ndash Convener

Dr Rajeshree Unadkat Dr Neelam Dave

Dr Ronakgiri Gosai Dr Jignesh Virapariya

Reviewed by Dr Vijayant Bharadwaj

Edited by Prof Vd Hāridra Dave

9

Code Signs amp Symptoms Score Gradations Remarks

101 वातज ओषठयोग (स) ककश (Rough) 0 No Karkashata (Smooth surface)

1 Roughness of the surface of Oshtha is not visible by naked eye but can be felt by touching by finger

2 Roughness of surface of Oshtha is visible by naked and can be felt by finger but not hurts the finger

3 Roughness of surface of Oshtha with fissures is visible by naked can be felt by finger not hurts the finger

4 Roughness of surface of Oshtha with fissures is visible by naked can be felt by finger and hurts the finger

ऩरषता (Dryness) 0 No dryness (Moist)

1 Mild dryness No need of lubrication

2 Needs lubrication once or twice a day

3 No benefit with frequent lubrication

सतबधता (Immobile) 0 Lip movement not restricted

1 Difficulty in lip movement

2 Lips movement is totally restricted

3 No lip movement

कषणताअससत

=Blackish

0 No change in colour Make colour scale

1 Darker than normal colour Normal lip colour is variable and depending on natural skin complexion

2 Darker but not complete black

3 Blackish in colour

तीवररगभहारजा (Severe pain)

0 No pain Or According to VAS

1 Pain while movement

2 Continuous pain

3 Discomfort for pain Patient have to take analgesics

दालमत(Creaked lip) 0 No Creaks

1 Single creak

2 Multiple Creaks

10

Code Signs amp Symptoms Score Gradations Remarks

3 Multiple deep creaks (Bleeding)

ऩरयऩाटमत 0 No desquamation

=Desquamation - Sanskrit English dictionary page 870

1 Superficial desquamation of epithelium which looks like soft white scales

2 Deep desquamation of epithelium which looks like hard white scales and ready to bleed

3 Deep desquamation with bleeding

102 पऩतज ओषठयोग (स) आचितोपऩडकासबसत

सषऩाकततसबबशभ

0 No सषऩाकतत Follicles

=Covered with Mustard seed like follicles

1 13 part of lip covered with yellow

mastered seed (सषऩाकतत) like

follicles

2 23 part of lip covered with yellow mastered seed like follicles

3 More than 23 part of lip covered with yellow mastered seed (सषऩाकतत) like follicles

दाह (Burning) 0 No burning Or according to VAS

1 Occasional burning

2 Intermittent burning

3 Continuous burning

ऩाक (Suppuration) 0 No swelling or suppuration

1 Inflammation pain and tenderness

2 Inflammation with different types of pain and tenderness with induration

3 Pus formation and fluctuation positive

ससराव (Discharge) 0 No Discharge

1 Mild discharge sticks on lip

2 Moderate discharge has to be cleaned occasionally

3 Severe or continuous discharge has to be cleaned frequently

This condition should be considered as ससराव

नीरवणता (Bluish discoloration)

0 No discoloration

1 Bluish pink discoloration

2 Pinkish blue discoloration

11

Code Signs amp Symptoms Score Gradations Remarks

3 Lips look more bluish or purplish

ऩीतवणता (Yellowish

discoloration)

0 No discoloration

1 Reddish yellow discoloration

2 Yellowish discoloration

3 Lips look pale yellow

तीकषणासह 0 No irritation to spicy salty sour pungent or hot food

=Intolerance to spicy salty sour pungent or hot food

1 Irritation to spicy and hot food

2 Irritation to spicy salty sour pungent or hot food

3 Irritation to any food

फहकरदा (Excessive moisture)

0 No collection of fluid

1 Follicles with fluid accumulation

2 Follicles with excessive fluid accumulation

3 Follicle with excessive fluid accumulation and patient tries to clean the lips frequently

आशऩाक (Quick

suppuration)

0 Suppuration after 7 days

1 Suppuration within 5 to 7 days

2 Suppuration within 2 to 5 days

3 Suppuration within one day This condition should be considered as

आशऩाक

103 कपज ओषठयोग (स) सवण पऩडका (Follicles

same as lip colour)

0 No Follicles

1 Up to 13 of Oshtha is covered with few of the same coloured and with various sizes of follicles

2 From13 to 23 part of Oshtha is covered with few multiple follicles of the same colour and with various sizes

3 More than 23 part of Oshtha is covered with few multiple follicles of the same colour and with various sizes

कणड (Itching) 0 No itching

12

Code Signs amp Symptoms Score Gradations Remarks

1 Occasional mild itching not disturbing work

2 Off and on moderate itching disturbing work

3 Cannot concentrate in work due to continuous severe itching

शन (Swelling) 0 No Swelling

1 Slightly bigger than normal size not noticed by another person

2 Swelling Noticeable by another person

3 Severe Swelling with restriction of normal movement

पऩचछिरता (Sliminess) 0 No Sliminess

1 Mild sliminess

2 Moderate sliminess

3 Severe sliminess

शीतरता -Subjective

(Feeling of coldness by patient)

0 No feeling of coldness by patient Subjective and objective both should be taken

1 Feeling of coldness by patient but no change in temperature

2 Feeling of coldness by patient which is colder than body temperature on touch by the patient

शीतरता -Objective

(Decreased Temperature)

0 No change in temperature

1 1 less than body temperature

2 gt1less than body temperature

गरता (Heaviness) 0 No Heaviness

1 Mild heaviness no difficulty in lip movement

2 Difficulty in lip function due to Heaviness

3 Protrusion of lip due to heaviness

शीतासह

(Intolerance to cold)

0 No Intolerance to cold

1 Intolerance to severe cold

2 Intolerance to moderate cold

3 Intolerance to Mild cold

13

Code Signs amp Symptoms Score Gradations Remarks

104 सतनऩातज ओषठयोग (स) कषणता (Blackish

discoloration)

0 No change in colour In original Shlok lsquoSakrutrsquo word is used along with all types of discolorations According to expert of Sanskrit language and expert of Samhita subject the meaning of lsquoSakrutrsquo is lsquosometimesrsquo and another meaning of this world is lsquosome partrsquo Here we have taken meaning lsquosome partrsquo

1 13 Part of one lip is blackish in colour

2 13 Part of both lips are blackish in colour

3 23 Part of one lip is blackish in colour

4 23 Part of both lips are blackish in colour

5 More than 23 Part of one lip is blackish in colour

6 More than 23 Part of both lips are blackish in colour

ऩीतता (Yellowish

discoloration)

0 No change in colour

1 13 Part of one lip is yellowish in colour

2 13 Part of both lips are yellowish in colour

3 23 Part of one lip is yellowish in colour

4 23 Part of both lips are yellowish in colour

5 More than 23 Part of one lip is yellowish in colour

6 More than 23 Part of both lips are yellowish in colour

अनकपऩडडकाचितौ 0 No Follicles in any of lips

(Multiple follilcles) 1 13 lipLips isare covered with few follicles of various sizes

2 13 lipLips isare covered with multiple follicles of various sizes

3 23 lipLips isare covered with multiple follicles of various sizes

4 Multiple follicles with various sizes (23 lip covered)

5 More than 23 lipLips isare covered with multiple follicles of various sizes follicles

14

Code Signs amp Symptoms Score Gradations Remarks

दगनधौ (Foul smell) 0 No Foul smell

1 Only patient feel foul smell

2 Nearby Doctor 0r people can feel foul smell

3 Foul smell is not tolerable by the patient and the nearby person

आसरावौ (Discharge) 0 No Discharge is on any of lips In Sannipataja disease usually the mixed type of discharge is found So here the type of discharge is not considered The quantity of discharge is considered

1 Mild discharge collected on any one lip

2 Mild discharge collected on both lips or Moderate discharge collected on any one lip which has to be cleaned occasionally

3 Moderate discharge collected on both lips which has to be cleaned occasionally

4 Moderate discharge collected on both lips which has to be cleaned frequently

5 Severe or continuous discharge collected on lipLips which has to be cleaned frequently

पऩचछिरौ (Sliminess) 0 No sliminess

1 Mild Sliminess

2 Moderate Sliminess

3 Severe Sliminess

अकसभातमरानसशन रजौ (अहर) अकसभात

= All of a sudden = Without any reason = Spontaneous = Both Lips become Mlān swollen and painful all of a sudden andwithout any reason

अकसभातमरानौ (अहर) 0 No change in appearance

(Spontaneous Faded) 1 Lips look dull occasionally

15

Code Signs amp Symptoms Score Gradations Remarks

2 Lips look faded off and on in a day

3 Lips look faded and dirty frequently in a day

अकसभातसशनौ (अहर) 0 No Swelling

(Spontaneous swelling) 1 Occasionally Swelling in a day Here the size of swelling is not considered but the spontaneous nature of swilling is considered

2 Off and on swelling in a day

3 Swelling frequently in a day

अकसभात रजौ (अहर) (Pain)

0 No pain Or According to VAS

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

पवषभऩाककनौ (अहर) (Irregular suppuration )

0 No suppuration

1 Suppuration in 13 part of lips

2 Suppuration in 23 part of lip

3 Suppuration in major of lip

105 यकतज ओषठयोग (स) खजयपर पऩडका 0 No follicles

(Brownish follicles) 1 13 lip covered with brownish colour follicles

2 23 lip covered with brownish colour follicles

3 More than 23 lip covered with follicles

रचधयसराव (रचधय सरवत) (Bleeding)

0 No bleeding

1 Bleeding on touch or movement

2 Spontaneous bleeding

3 Continuous Bleeding

अफद बवत 0 No tumour

1 Tumour is 2 cm in size

2 Tumour is 4 cm in size

3 Tumour is gt4 cm in size

106 भासज ओषठयोग (स) भासपऩणडवत उदगतौ

(Bulky) 0 No Growth This word is used

as an adjective of

Sthoola See सथल

16

Code Signs amp Symptoms Score Gradations Remarks

1 Growth is present in both Oshtha but no discomfort to patient

2 Growth is present in both Oshtha with discomfort to patient

3 Large Growth is present in both Oshtha involving the surrounding region

जनतवशिातर भछिचनत सककसमोबमतो भखात

0 No Maggot Formation

1 Maggot formation on one side of the angle of mouth

2 Maggot Formation on both angles of mouth

3 Excessive maggot Formation

गर 0 No Heaviness in any of the lip

1 Mild heaviness no difficulty in lips movement

2 Difficulty in Lips function due to Heaviness

3 Protrusion of both lips

सथरौ (Bulky)

According to Sanskrit ndash English Dictionary

0 Size not increased

1 Slightly bigger than normal no noticeable by other person

2 Bigger than normal noticeable by another person

3 Bigger size effect the lip movement and lip protrudes down

107 भदज ओषठयोग (स) घतभणडाबौ (Clear

melted butter like)

0 Does not look like filled with clear part of melted butter

Here the specific appearance is given so the area is considerd

1 13 part of both lips looks like filled with clear part of melted butter

2 23 part of both lips looks like filled with clear part of melted butter

3 More than 23 part of both lips looks like filled with clear part of melted butter

कणड 0 No itching Or According to VAS

1 Itching in both lips but not disturbing work

17

Code Signs amp Symptoms Score Gradations Remarks

2 Itching in both lips but disturbing work

3 in both lips and cannot concentrate in work due to itching

Or

0 No itching

1 Occasional itching

2 Off and on itching

3 Continuous itching

चसथयौ 0 Movement of lips not affected

(Immobility) 1 Lip movement slightly affected but no difficulty in speech

2 Lip movement affected which alter the speech

3 Lip movement arrested

भदता (Sponginess) 0 Absent

1 Present

आसराव (अछि सपटिक सङकाशभ) (discharge of clear fluid)

0 No discharge अचछ सफटिक Word is Adjective for the type of discharge So grading is given for the frequency of discharge

1 Occasional discharge

2 Off and on discharge of clear fluid

3 Continuous discharge of clear fluid

गर 0 No Heaviness

1 Mild heaviness no difficulty in lip movement

2 Difficulty in lip function due to heaviness

3 Protrusion of lip due to heaviness

तराबशवमथ (अहर) 0 Does not look like filled with oil As per the घतभणडाब

tailabha is used as adjective so grading is given for Shvayathu

1 13 part of lips looks like filled with oil

2 23 part of lips looks filled with oil

3 More than 23 part of lips looks like filled with oil

सराव 0 No discharge

1 Occasional discharge

2 Off and on discharge of clear fluid

3 Continuous discharge of clear fluid

तराबकरदौ (Moister) 0 Absent Darshan pariksha

18

Code Signs amp Symptoms Score Gradations Remarks

1 Present

कणड 0 No itching Or According to VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate in work due to itching

OR

0 No itching

1 Occasional itching

2 Off and on itching

3 Continuous itching

109 तज ओषठयोग (स) पवदीमता (Tear) 0 No tear

1 Cut Up to epithelial layer

2 Cut Up to Sub epithelial layer

3 Cut up to muscular layer

ऩाटमता (Lips divided

in two parts)

0 Lips divided into two parts

1 Absent

2 Present

गरचथत

(NodulesLumps)

0 No lumps

1 Soft lumps

2 Hard Lumps

3 Multiple lumps

कणड (Itching) 0 No itching Or According to VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate in work due to itching

OR

0 No itching

1 Occasional itching

2 Off and on itching

3 Continuous itching

दशनछिदौ (अहर) (Lips covering the teeth)

0 Covering the teeth completely

1 Partial covering (gt50 ) the teeth

2 Covering the teeth lt50

19

Code Signs amp Symptoms Score Gradations Remarks

3 Not covering the teeth (All teeth exposed)

1010 जराफद (अहर) जरफदफदवद

(Cystic Swelling)

0 No Cystic Swelling

1 Up to 5mm Swelling

2 Swelling up to 5-10mm

3 More than 10mm

1011 यकताफद (स) रचधय सराव

रचधय सरवत 0 No bleeding

(Bleeding) 1 Bleeding on touch or movement

2 Spontaneous bleeding

3 Continuous bleeding

खजयसदश 0 Absent Used as an adjective

(Date fruits like) 1 Present

1012 खणडौषठ (अ)

ओषठोदपवधाकत 0 No separation of lips

(Lips divided separated into two parts)

1 Separation up to vermilion line

2 Separation up to Philtrum

3 Separation up to Collumella

20

GRADATION OF DANTA MOOL GAT ROG

Code ndash 11

Gradations established by Group KARAL Dr Krishna Makadia - Convener

Dantvaidya Saroj Joshi Dantvaidya Harshad Joshi

Dr Kiran Raj Dr Achyuta Atara Dr Pranav Dave

Gradations Reviewed by Dr Hemangi Shukla Dr Krishna Makadia

Edited by Prof Vd Hāridra Dave

21

Code Signs amp Symptoms Score Gradations Remarks

111 शीताद (स) अकसभात यकतसराव 0 No bleeding

1 Occasional bleeding for 1 or 2 times in 1 Prahar

2 Spontaneous Bleeding up to one Prahar

3 Spontaneous Bleeding for more than 1 Prahar (more than 3hrs)

दगनधीतन 0 No foul smell

1 Patient feels foul smell

2 Doctor or person who comes near to patient feels foul smell

3 From distance anyone can feels foul smell who is in the room

4 Foul smell can be feel from outside of the room even

सकषणातन 0 Absent

=Blackish discoloration

1 Present

परकरदीतन 0 Absent

1 Present

भदता 0 Absent

1 Present

दनतभास शीमनत 0 Gums situated At CE junction

1 Recession of gums At cervical 13

2 Recession of gums At middle 13

3 Recession of gums At apical 13

ऩिचनत ि ऩयसऩयभ 0 No Pachan (Pāk)

= Pāk 1 1 Quadrant is involved

2 2 quadrants are involved

3 More than 2 quadrants are involved

112 दनतपपपटक (स) दनतमोसतरीष वा 0 No involvement of teeth

1 Involvement of 2 teeth

2 Involvement of 3 teeth

शवमथ भहान 0 Absent

1 Present

सरज 0 No pain Or according to VAS

1 तीवर =Pain is there but he can do

work or sleep

22

Code Signs amp Symptoms Score Gradations Remarks

2 तीवरतय =Pain is there but he can do

work or sleep

3 तीवरतभ =Patient canrsquot tolerate

शोफ़ो फदयाचसथतनबो घन (अहर) =Kola is

small jujube and badar is big jujube and seed is measuring around 5 mm

0 Not present

1 Shoth up to 25 mm

2 Shoth 25 to 5 mm

3 Shoth is more than 5 mm

ऩाक (अहर) (शीघर ऩछमत)

0 Absent Accumulation of Fluid or pus

1 Present

113 दनतवषट (स) सरवचनत ऩमरचधय

Discharge of blood with pus or only pus

0 No Discharge

1 Blood with Pus Discharge

2 Only pus discharge

िरता 0 No mobility

1 1 mm antero-posterior Mobility

2 2 mm antero-posterior Mobility

3 More than 2 mm antero-posterior amp medial to lateral mobility

114 शौषषर (स) शवमथ 0 Absent

1 Present

रजावान According to VAS scoring

रारासरावी 0 Normal secretion

1 Occasionally splitting

2 On and off splitting

3 Continuous splitting disturbance in work

कणड 0 Absent

1 Occasionally itching

2 On and off itching

3 Continues itching

23

Code Signs amp Symptoms Score Gradations Remarks

दतभासपरशातन 0 Gums situated At CE junction

1 Recession of gums At cervical 13

2 Recession of gums At middle 13 3 Recession of gums At apical 13

115 महाशौषषर (स) दनताशिरचनत 0 No mobility

1 1 mm antero-posterior mobility

2 2 mm antero-posterior mobility

3 More than 2 mm anteroposterior amp medial to lateral mobility

तार अवदीमत 0 Absent Fissure over the Palate

1 Present

दतभासातनऩछमनत 0 No redness

1 Mild redness

2 Moderate redness

3 Severe redness

भख ऩरयऩीडमत 0 No Peedā Or According to VAS

Pain in any part or whole oral cavity

1 Peedā is at those Gums where disease is situated

2 Peedā is at entire Gums

Peedā is at entire Mukh

सचननऩाताजजजजवयवान

(अहर) 0 Normal temperature

1 Temperature between 984rsquoF to 100rsquoF

Temperature between 100rsquoF to 101rsquoF

2 Temperature between 101rsquoF to 102rsquoF

3 Temperature between 102rsquoF to 103rsquoF

4 Temperature between 103rsquoF to 104rsquoF

5 Temperature more than 104rsquoF

सऩमरचधयसरतत (अहर)

0 No Discharge

1 Blood with Pus Discharge

2 only pus discharge

पवशीणदपवजफनधन (अहर)

0 No mobility

1 1 mm antero-posterior mobility 2 2 mm antero-posterior mobility

24

Code Signs amp Symptoms Score Gradations Remarks 3 more than 2 mm antero-posterior

amp medial to lateral mobility

116 पररदर (स) दनतभासातन शीमनत 0 Gums situated At CE junction Depending upon

severity grading has been established

1 Recession of gums At cervical 13

2 Recession of gums At middle 13

3 Recession of gums At apical 13

षठीवतत असक 0 No spitting of blood

1 Occasionally splitting

2 On and off splitting

3 Continuous splitting with disturbance in work

117 उपकश (स) दाह Or According to VAS

ऩाक 0 Absent

1 Present

दनताशिरचनत 0 No mobility

1 1 mm antero-posterior mobility

2 2 mm antero-posterior mobility

3 more than 2 mm antero-posterior amp medial to lateral mobility

आघटिता परसरवचनत 0 Absent

=Bleeding from gums by pressure

1 Bleeding on pressure remains for five minutes

2 Bleeding on pressure remains up to 15 minutes

3 Bleeding on pressure remains up to 30 minutes

4 Bleeding on pressure remains up to 1 hour

5 Bleeding on pressure remains more than 1 hour

भदवदना 0 Absent

1 Present

आधभामनत सरत यकत

0 Absent

1 Present

ऩतत वकतरता (अहर) 0 No foul smell

1 Patient feels foul smell

25

Code Signs amp Symptoms Score Gradations Remarks

2 Doctor or person who comes near to patient feels foul smell

3 From distance anyone can feels foul smell who is in the room

4 Foul smell can be feel from outside of the room even

कणडभचनत (अहर) 0 Absent Or According to VAS

1 Occasionally itching

2 On and off itching

3 Continues itching

िरा (अहर) 0 No mobility

1 1 mm antero-posterior mobility

2 2 mm antero-posterior mobility

3 More than 2 mm antero-posterior amp medial to lateral mobility

118 वदभभ (स) =Traumatic injury(By mechanical Chemical thermal )

घषिष दनतभरष सयबो जामत भहान

0 Absent Mahan suggest itself severity of disease

1 Present

िरदता (अहर) 0 No mobility

1 1 mm antero-posterior mobility

2 2 mm antero-posterior mobility

3 More than 2 mm antero-posterior amp medial to lateral mobility

119 वरभन (स) तीवरवदना 0 No pain Or According to VAS

1 तीवर -Pain is there but he can do

work or sleep

2 तीवरतय -Patient can tolerate

3 तीवरतभ -Patient canrsquot tolerate

1110 अधरमाास (स) भहाञिोथ 0 No Shoth Mahan suggest itself

severity of disease

1 Shoth is Present on that gum only where disease is occurred

2 Shoth is Present on nearby two or three gums where disease is occurred

26

Code Signs amp Symptoms Score Gradations Remarks

3 Shoth is present up to adjoining cheek

This condition should be considered as

भहाञिोथ

भहारजा (स) परततहनतममभमवरतत (अहर)

0 No Rujā (pain) Or According to VAS

2 Rujā (pain) is Present on that gum only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

This condition should be considered as भहारजा amp परततहनतममभमवरतत

रारासरावी 0 Normal secretion

1 Occasionally splitting

2 On and off splitting

3 Continuous splitting disturbance in work

दनतानत कीरवतमशोफ़ (अहर)

0 No Keel vat Shoth

1 Keel vat Shoth is Present on that gum only where disease is occurred

2 Keel vat Shoth is Present on nearby two or three gums where disease is occurred

3 Keel vat Shoth is present up to adjoining cheek

1111 दनतषवदरधर (अहर) दनतभासशोफ़ (ि) 0 No Shoph

1 Shoph is Present on that gum only where disease is occurred

2 Shosh is Present on nearby two or This condition should

27

Code Signs amp Symptoms Score Gradations Remarks

three gums where disease is occurred

be considered as अनत शवमथ According to

Vagbhatta

3 Shosh is extended up to adjoining cheek

This condition should be considered as फाहम शवमथ According to

Vagbhatta

फाहम शवमथ (अहर) This condition is mentioned at दनतभास शोफ़

अनत शवमथ (अहर) This condition is mentioned at दनतभास शोफ़

गर (अहर) 0 Absent

1 Present

रग (अहर) 0 No Rujā (pain) Or According to VAS

2 Rujā (pain) is Present on that gum only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

दाह (अहर) According to VAS

सरवतिननऩमासर (अहर)

0 No Discharge

1 Blood with Pus Discharge

2 Only pus discharge

1112 दतनाडी Scoring is not possible further according to measurement of Nadivrana because X-

ray only detects spread up to the bone Whereas Nadivrana in gingiva periodontal ligament cannot be measured

दतनाडी 0 Absent

1 Present

28

GRADATION OF DANTA GAT ROG

Code ndash 12

Gradations established by Group KARAL Dr Krishna Makadia - Convener

Dantavaidya Saroj Joshi Dantavaidya Harshad Joshi

Dr Kiran Raj Dr Achyuta Atara Dr Pranav Dave

Gradations Reviewed by Dr Hemangi Shukla Dr Krishna Makadia

Edited by Prof Vd Hāridra Dave

29

Code Signs amp Symptoms Score Gradations Remarks

121 दाऱन (स)

तीवररग 0 No Rujā (pain) Or According to VAS

2 Rujā (pain) is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

उषणअसहादनता (अस) 0 No sensitivity in teeth ie with warm

water hot water or

excessive hot water

application on

tooth is not

possible so Time

related and severity

related grading was

finalised(same for

cold)

1 Mild sensitivity in teeth - At a

time

2 Moderate sensitivity in teeth -

Sensitivity remains only for 1

Prahar (up to 3 hrs)

3 Severe sensitivity in teeth -

Sensitivity remains more than

1 Prahar (more than 3 hrs)

शीतअचधकवमथा (अहर) 0 No sensitivity in teeth

1 Mild sensitivity in teeth - At a

time

2 Moderate sensitivity in teeth -

Sensitivity remains only for 1

Prahar (up to 3 hrs)

3 severe sensitivity in teeth-

Sensitivity remains more than

1 Prahar (more than 3 hrs)

22 कममदनत (स) कषण 0 No discoloration

1 Light greyish black

2 Dark greyish black

3 Jet black

30

Code Signs amp Symptoms Score Gradations Remarks

तिदर 0 No cavity It should be

decided by X-ray

1 Cavity within limit of enamel

2 Cavity within limit of dentin

3 Cavity up to pulp

िर 0 No mobility

1 1 mm antero-posterior

mobility

2 2 mm antero-posterior

mobility

3 More than 2 mm antero-

posterior amp medial to lateral

mobility

सरावी 0 No Srāv- after drying

particular teeth with cotton

inserting cotton on cavity

There is no other

method to check

Srāv in Krimidanta

1 Srāv is present

ससयब = Inflammation 0 No inflammation

1 Inflammation is Present भहारज 0 No Rujā (pain) Or According to

VAS 2 Rujā (pain) is Present on that

gum only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

This condition should be considered as भहारज

अतनसभतमतरज 0 No sudden onset of pain

1 Sudden onset of pain is

present

अहततीवराततशभ (अहर) 0 No sudden onset of pain

31

Code Signs amp Symptoms Score Gradations Remarks

1 Sudden onset of pain is

present

पररन (अहर) = Broken due to cavity

0 Cavity is there but it is not

broken

It should be

considered for each

tooth separately

Cavity in that must

be present in

particular tooth

1 13 part of tooth is broken

2 23 of tooth is broken

3 More than 23 of tooth is

broken

4 Total loss of tooth

ऩमसरत (अहर) 0 No Pooya Srāv after drying

particular place

with cotton

inserting cotton on

cavity

1 Pooya Srāv present

यकतसरत (अहर) 0 No Rakta Srāv after drying

particular place

with cotton

inserting cotton on

cavity

1 Rakta Srāv is present

123 दनतहषभ (स)

शीत सऩशन न सहनत 0 No sensitivity by cold touch

in any teeth

1 Ooccassional sensitivity by

cold touch in any toothteeth

for once

2 Sensitivity by cold touch

remains in toothteeth only up

to 1 Prahar (up to 3hrs)

3 Sensitivity by cold touch

remains more than 1 Prahar

(more than 3hrs)

उषण सऩशन न सहनत 0 No sensitivity by hot touch in

any teeth

1 Occassional sensitivity by hot

touch in toothteeth for once

2 Sensitivity by hot touch

remains in toothteeth only up

to 1 Prahar (up to 3hrs)

3 Sensitivity by hot touch

remains in toothteeth more

than 1 Prahar (more than

3hrs)

32

Code Signs amp Symptoms Score Gradations Remarks

परवाताभा = Sensitivity to air

(परवातारशीतबाभा) (अहर)

0 No sensitivity by Pravāt

touch in any tooth

1 Occassional sensitivity by

Pravāt touch in toothteeth for

once

2 Sensitivity by Pravāt touch

remains in toothteeth only up

to 1 Prahar (up to 3hrs)

3 Sensitivity by Pravāt touch

remains in toothteeth more

than 1 Prahar (more than

3hrs)

अरबाभा = Sensitivity to sour food

(परवातारशीतबाभा) (अहर)

0 No sensitivity by eating

sourer food to any tooth

1 Occassional sensitivity by

eating sourer food to any

toothteeth for once

2 Sensitivity by eating sourer

food remains to toothteeth

only up to 1 Prahar (up to

3hrs)

3 Sensitivity by eating sourer

food remains to toothteeth

more than 1 Prahar (more

than 3hrs)

शीतबाभा (परवातारशीतबाभा) (अहर)

0 No sensitivity by eating cold

item to any tooth

1 Occasional sensitivity by

eating cold item to toothteeth

for once

2 Sensitivity by Pravāt touch

remains in toothteeth only up

to 1 Prahar (up to 3hrs)

3 Sensitivity by eating cold

item remains to toothteeth

more than 1 Prahar (more

than 3hrs)

सरजा (अहर) 0 No Rujā (pain)

33

Code Signs amp Symptoms Score Gradations Remarks

2 Rujā (pain) is Present on that gum only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

2 Rujā (pain) is Present on that gum only where disease is occurred and patient can do hisher routine work without disturbance

िर (अहर) 0 No mobility

1 1 mm anterio-posterior

mobility

2 2 mm anterio-posterior

mobility

3 More than 2 mm antero-

posterior amp medial to lateral

mobility

124 भञजनक (स) =Photograph is necessary

(depending upon the severity gradation has been finalised)

वकतर वकरता 0 No deviation

1 Deviation is present

तीवररक 0 No Rujā (pain) Or according to

VAS

2 Rujā (pain) is Present on that gum only where disease is occurred and patient can do hisher routine work without disturbance

34

Code Signs amp Symptoms Score Gradations Remarks

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

This condition should be considered as तीवररक

दनतबङग 0 Tooth is not broken This should be

considered for

single tooth

1 13 part of tooth is broken

2 23 of tooth is broken

3 More than 23 of tooth is

broken

4 Total loss of tooth

125 दनतशकभ रा (स) =Calculus index was selected

शकयव चसथयीबत भर 0 No calculus present

1 Supragingival calculus

covering not more than third

of the exposed tooth surface

2 Supragingival calculus

covering more than 13 but

not more than 23 of the

exposed tooth surface or the

presence of individual flecks

of subgingival calculus

around the cervical portion of

the tooth or both

3 Supragingival calculus

covering more than 23 of the

exposed tooth surface or

continues heavy band 0f

subgingival calculus around

the cervical portion of the

tooth or both

35

Code Signs amp Symptoms Score Gradations Remarks

दनताना गणहयी 0 Absent All 10 Guna of

Danta Sampata

should be

considered required

suggestions for

each Guna

1 Present

ऩततगचनध (अहर) 0 No foul smell Taken grading of

halitosis

1 Patient feels foul smell

2 Doctor or person who comes near to patient feels foul smell

3 From distance anyone can feels foul smell who is in the room

4 Foul smell can be feel from outside of the room even

126 कपामऱका (स)

दनतवलकसम दरनभ = Bracketing of tooth enamel (दरचनत दनतवलकातन)

0 No दरनभ of tooth This should be

considered

separately for each

tooth

1 दरनभ is present of less than 13 of tooth

2 दरनभ is present of more than of 13 of tooth but less than 23 of tooth

3 दरनभ is present of more than of 23 of tooth but no total loss of tooth

4 Total loss of tooth after दरनभ

This condition should be considered as दशनाना पवनाश

दशनाना पवनाश = Total loss of tooth

0 No Any loss of tooth This should be

considered

separately for each

tooth

1 loss of tooth is present of less than 13 of tooth

2 loss of tooth is present of more than of 13 of tooth but less than 23 of tooth

36

Code Signs amp Symptoms Score Gradations Remarks

3 loss of tooth is present of more than of 23 of tooth but no total loss of tooth

4 Total loss of tooth This condition should be considered as दशनाना पवनाश

दनतशातनभ अणश = Thinning of tooth (शातमतममतममणशो दनतात कऩारातन) (अहर)

0 No शातनभ of tooth This should be

considered

separately for each

tooth

1 शातनभ is present in less than 13 of tooth

2 शातनभ is present in more than 13 of tooth but less than 23 of tooth

3 शातनभ is present in more than 23 of tooth but no total loss of tooth

4 Total loss of tooth due to शातनभ

127 शयावदनतक (स) In शमावदनत शमावता amp नीरता should be considered ascending stages

शमावता + नीरता 0 -No any discolouration of

tooth

-Normal colour of tooth

This should be

considered

separately for each

tooth

1 शमावता is Present

2 नीरता is Present

128 हनमो (स) According to Dalhan हनमो is not Dant Rog directly but it is near to

Dantchewing of hard food is one of the causes and there is pain in Dant so it is considered under Danta Rog

हनसचनधपवसहत 0 Absent

1 Can be reset by manual reduction

2 Can be reset by surgical

intervention

129 दनतभद (अहर) तोद =Pricking pain 0 No Pricking pain -Or According to

VAS

- This should be

considered

separately for each

tooth

37

Code Signs amp Symptoms Score Gradations Remarks

2 Pricking pain is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Pricking pain is referred up to Hanu and patient can do hisher routine work without disturbance

4 Pricking pain is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Pricking pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Pricking pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

बद Braking pain 0 No Braking pain -Or According to

VAS

- This should be

considered

separately for each

tooth

2 Braking pain is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Braking pain is referred up to Hanu and patient can do hisher routine work without disturbance

4 Braking pain is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Braking pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Braking pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

38

Code Signs amp Symptoms Score Gradations Remarks

रक Dull pain 0 No Rujā (pain) -Or According to

VAS

- This should be

considered

separately for each

tooth

2 Rujā (pain) is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

सपिन Burstingexpanding pain

0 No Bursting pain -Or According to

VAS

- This should be

considered

separately for each

tooth

2 Bursting pain is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Bursting pain is referred up to Hanu and patient can do hisher routine work without disturbance

4 Bursting pain is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

39

Code Signs amp Symptoms Score Gradations Remarks

5 Bursting pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Bursting pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

1210 दनतचाऱ (अहर) िरतमव = Mobility 0 No = mobility

1 1mm anterio-posterior

mobility

2 2 mm anterio-posterior

mobility

3 More than 2 mm anterio-

posterior amp medial to lateral

mobility

बणादचधकवमथ 0 No Vyatha ndash Pain during

eating

1 Pain during eating of hard

diet only

2 Pain during eating of soft diet

even

1211 कराऱ (स)

=Malocclusion

0 A Normal Molar relationship

exist but there is crowding

misalignment of the teeth

cross bite etc

1 A malocclusion where the

molar relationship shows the

buccal grove of mandibular

first molar distally positioned

when in occlusion with the

mesiobuccal cusp of the

maxillary first molar

2 A malocclusion where the

molar relationship shows the

buccal groove of the

mandibular first molar

mesiallypos

40

GRADATIONS OF JIHWA GAT ROG

Code - 13

Established by Group BHOJ Dr Krishna Makaia ndash Convener

Dr Rajeshree Unadkat Dr Neelam Dave

Dr Ronakgiri Gosai Dr Jignesh Virapariya

Reviewed by Dr Vijayant Bharadwaj

Edited by Prof Vd Hāridra Dave

41

Code Signs amp Symptoms Score Gradations Remarks

131 वाततक चजहवाकिक (स) सपटिता (Creaks) 0 No creaks on tongue

1 Single creak on the dorsum of tongue

2 Multiple Creaks on the dorsum of tongue

3 Multiple deep creaks on the dorsum of tongue (Bleeding)

परसपता (Numbness )

0 No Numbness

1 Numbness in 13 Part of tongue

2 Numbness in 23 Part of tongue

3 Numbness in more than 23 Part of tongue

शाकछिदनपरकाशा (Roughness)

0 Normal surface of tongue on touch

1 Mild rough surface on touch

2 Hard irregular surface on touch

3 Very rough surface which hurts the finger on touch

132 ऩततक चजहवाकिक (स) ऩीता 0 No yellowish discolouration

1 Yellowish discoloration in 13 part

2 Yellowish discoloration in 23 part

3 Yellowish discoloration in more than 23 part of tongue

ऩरयदहमत Burning in entire tongue)

0 No burning Or According to VAS

1 Occasional burning

2 Intermittent burning

3 Continuous burning does not relieve by any measures

दाह (Burning may be

in partially tongue)

0 No Burning Or According to VAS

1 Burning up to 13 part of tongue

2 Burning in 13 to 23 part of tongue

3 Burning in more than 23 part of tongue

42

Code Signs amp Symptoms Score Gradations Remarks

यकतभासाङकयचशिता (Covered with red buds )

0 No change in appearance

1 13 part of tongue covered with red fleshy buds

2 23 part of tongue covered with red fleshy buds

3 Whole tongue covered with red fleshy buds

ओष (Burning) 0 No Oshha Or According to VAS

1 Oshha up to 13 part of tongue

2 Oshha in 13 to 23 part of tongue

3 Oshha in more than 23 part of tongue

133 कपज चजहवाकिक (स) फहरा (Thick) 0 Normal Thickness of Tongue

1 Thickness increased - noticeable by patient

2 Thickness increased - noticeable by the examiner

3 Tongue protruding out because of increased Thickness

गवी (Heaviness) 0 No Heaviness

1 Feeling mild heaviness but no difficulty in Tongue movement

2 Difficulty in Tongue movement especially during intake of liquid

3 Difficulty in Tongue movement especially during intake of hard food

4 Difficulty in Tongue movement especially during Pronunciation

भासोदगभ शालभसरकणिकाब (thorn like papilla)

0 No change in appearance of tongue

1 13 part of tongue covered with red fleshy thorn like papilla

2 23 part of tongue covered with thorn like papilla

3 Whole tongue covered with thorn like papilla

43

Code Signs amp Symptoms Score Gradations Remarks

134 अरास (स) शवमथ

(Swelling at ventral surface of tongue)

0 Absent

1 Present

सतबमतत (Restricted tongue movement)

0 -Normal Movement of Tongue -Movement of tongue not affected

1 Tongue movement slightly restricted but does not affect the normal function

2 Tongue movement restricted that affects the normal function

3 Tongue movement arrested

परवदध

(Increase in size)

0 Size not increased

1 Size increased - noticeable by the patient

2 Size increased - noticeable by the examiner

3 Tongue protruding out because of increased size

ऩाक 0 No swelling or suppuration

1 Inflammation with pain and tenderness

2 Inflammation with different types of pain and tenderness along with induration

3 Pus formation and fluctuation positive

अधशोप 0 Absent

1 Present

उननत (elevation of

the tongue due to swelling below the tongue)

0 Normal position of tongue

1 Tongue slightly elevated due to swelling below the tongue

2 Tongue elevation causes discomfort to the patient

3 Tongue touches the palate

भतमसमगचनध

(Fishy smell)

0 Absent

1 Present

44

Code Signs amp Symptoms Score Gradations Remarks

भासशातन (Destruction of flesh of tongue )

0 No Destruction of tongue flesh

1 13 part of tongue flesh is destroyed

2 23 part of tongue flesh is destroyed

3 More than 23 part of tongue is destroyed

135 उऩचजचहवका (स) शवमथ (Swelling) 0 Absent

1 Present

चजहवाभननम

जात (elevation of

tongue because of swelling)

0 Normal position of tongue

1 Tongue slightly elevated due to swelling below the tongue

2 Tongue elevation causes discomfort to the patient

3 Tongue touches the palate

परसक (Salivation) 0 Normal secretion of saliva

1 Occasionally spitting

2 Off and on spitting

3 Continuous spitting which disturbs the work

कणड (Itching) 0 No itching Or According to VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate on work due to severe itching

0r

0 No itching

1 Occasional itching

2 Off and on itching

3 Continuous itching

ऩरयदाह (Burning in

whole tongue)

0 No burning Or According to VAS

1 Occasional burning

2 Intermittent burning

3 Contentious burning dose not relive by any measures

45

Code Signs amp Symptoms Score Gradations Remarks

136 अचधचजचहवका (अर)

अधोचजहवामा शोप

0 Normal position of tongue

(Swelling below the tongue)

1 Tongue slightly elevated due to swelling below the tongue

2 Tongue elevation causes discomfort to the patient

3 Tongue touches the palate

अङकय (Pappilary

growth)

0 Absent

1 Present

ओष (Burning) 0 No Oshh Or According to

VAS

1 Oshh up to 13 part of tongue

2 Oshh in 13 to 23 part of tongue

3 Oshh in more than 23 part of tongue

सतबवान

(Restriction of Movement)

0 Movement of tongue not affected

1 Tongue movement slightly restricted but does not affect the normal function

2 Tongue movement restricted that affect the normal function

3 Tongue movement arrested

खय(Rough) 0 Smooth on touch

1 Mild irregular surface

2 Rough surface

3 Sharp rough surface touch hurts on finger on touch

रक (Pain) 0 No pain Or According to

VAS

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

कणड (Itching) 0 No itching Or According to

VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate on work due to severe itching

0r

0 No itching

46

Code Signs amp Symptoms Score Gradations Remarks

1 Occasional itching

2 Off and on itching

3 Continuous itching

वाकम पवघातकत (Difficulty in speech)

0 No difficulty in speech

1 Unable to speak िति vargavyanjana

2 Difficulty in speaking क vargavyanjana

Swara donrsquot need involvement of tongue

3 Unable to speak

आहयपवघातकत

(Swallowing )

0 Able to eat regular diet

1 Able to eat soft diet

2 Able to eat only liquid diet

3 Unable to swallow anything

47

GRADATION OF TALUGAT ROG

Code - 14

Established by Group BHOJ Dr Krishna Makaia ndash Convener

Dr Rajeshree Unadkat Dr Neelam Dave

Dr Ronakgiri Gosai Dr Jignesh Virapariya

Reviewed by Dr Vijayant Bharadwaj

Edited by Prof Vd Hāridra Dave

48

Code Signs amp Symptoms Score Gradations Remarks

141 गरशचणडका (स)

परवदधो शोप (Swelling extending from palate) (Which is elongated)

0 Normal size of uvula

1 Swelling of uvula that causes discomfort to the patient

2 Swelling of uvula that causes foreign body sensation

3 Difficulty in breathing due to swelling

दीघ शोप

(Elongated Swelling)

0 Normal size of uvula

1 Elongated swelling of uvula that causes discomfort to the patient

2 Elongated swelling of uvula that causes foreign body sensation

3 Difficulty in breathing due to Elongated swelling

धभातफचसतपरकाश शोप =Inflated

swelling like Basti

0 Normal size of uvula

1 Inflated swelling like Basti of uvula that causes discomfort to the patient

2 Inflated swelling like Basti of uvula that causes foreign body sensation

3 Difficulty in breathing due to Inflated swelling like Basti

तषणा 0 Normal feeling of thirst

1 Increased feeling of thirst which is relived after drinking water

The quantity of water is not consider here but the frequency of water is considered

2 Frequent feeling of thirst which is Occasional relived after drinking water

3 Continuous feeling of thirst does not relive after drinking profuse amount of water

कास (Coughing) 0 No coughing

49

Code Signs amp Symptoms Score Gradations Remarks

1 Occasional coughing during eating and speaking

2 Off and on coughing

3 Continuous coughing

शवास 0 No difficulty in breathing

1 Difficulty in breathing occasionally

2 More difficulty in breathing while sleeping

3 Excessive difficulty in breathing

भतमसमफचसततनब शोप (अहर)

0 Normal uvula Used as an adjective

1 Inflated swelling like Matsya-Basti of uvula that causes discomfort to the patient

2 Inflated swelling like Matsya-Basti of uvula that causes foreign body sensation

3 Difficulty in breathing due to Inflated swelling like Matsya-Basti

पररफ (अहर) 0 Normal length of Uvula

(Elongated Swelling)

1 Size of Uvula increased up to lt2 mm

2 Size of Uvula increased more than 2 mm but less than 4 mm

3 Size of Uvula increased gt4 mm that cause discomfort to patient and cause difficulty in breathing

पऩचछिर(अहर) (Sliminess)

0 Absent

1 Present

नासमाऽऽहायभीयमन (अहर)

0 Food does not come out from nose

(Food comes out of nose)

1 Food comes out from nose

कणठोऩयोध(अहर) (Obstruction of throat )

0 -Able to eat regular diet -No difficulty in swallowing of any food

1 Able to swallow liquid or soft diet but not able to swallow hard diet

2 Able to swallow hard diet forcefully

50

Code Signs amp Symptoms Score Gradations Remarks

3 Not able to swallow hard diet with force

वभन(अहर) (Vomiting)

0 No Vaman

1 Feeling of nausea only

2 Only one veg of Vaman in a day

3 Two vegas of Vaman in a day

4 More than two vegas of Vaman in a day

132 तचणडकयी (स)

शोप (Tonsillar

Swelling)

0 Tonsils are located within the tonsillar fossa

1 Tonsils hypertrophy till the brim of the tonsillar fossa

2 Tonsils hypertrophy extends beyond the pillars but not touching each other

3 Tonsils hypertrophy extends beyond the pillars but not touching each other

तोद

(Pricking pain)

0 No pain

1 Occasional pain Or according to VAS

2 Off and on pain

3 Continuous pain

दाह (Burning) 0 No

1 Occasional burning

2 Intermittent burning

3 Contentious burning dose not relive by any measures

परऩाक 0 Absent

1 Present

पऩचछिर शोप(अहर)

Sliminess in swallowing

0 Feeling of Sliminess is Absent

1 Feeling of Sliminess is Present

भनदरक (अहर)

(Mild pain)

0 Absent Or According to

VAS

1 Present

133 अधरष (स)

शोप (Swelling) 0 No swelling

1 13 Swelling in part of the palate

51

Code Signs amp Symptoms Score Gradations Remarks

2 23 swelling in part of palate

3 Swelling in gt than 23 part of palate

सतबधता =Functions of soft palate like deglutition Phonation etc are affected = No mobility of soft palate

0 Normal function of soft palate

1 Soft palate movement reduced but functions are not affected

2 Any one of the functions of soft palate is affected

3 All functions of soft palate are affected

रोटहतवणता

(Redness)

0 No change in colour

1 Pinkish red coloured mucosa in palate

2 Red coloured mucosa in palate

3 Dark red coloured mucosa in palate

रजा (Pain) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

जजवय (Fever) 0 Normal temperature

1 Temperature between 984rsquoF to 100rsquoF

Temperature between 100rsquoF to 101rsquoF

2 Temperature between 101rsquoF to 102rsquoF

3 Temperature between 102rsquoF to 103rsquoF

52

Code Signs amp Symptoms Score Gradations Remarks

4 Temperature between 103rsquoF to 104rsquoF

5 Temperature more than 104rsquoF

134 कछिऩ (स)

कभवत उतमसनन शोप (Swelling

having shape like dorsum of tortoise)

0 No swelling

1 Swelling in 13rd part of the palate

2 Swelling in 23rd part of palate

3 Swelling in gt 23rd part of palate

चियवपदध(अहर)

(Slow growth)

0 Growth within a week

1 Growth within 1 week to 1 month

2 Growth within 1 month to 6 months

3 Growth within gt 6 months

रक (अहर) (Pain) 0 No pain Or According to VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesics

135 तारअफद (स) ऩदमाकाय तारभधम

शोपम (Swelling

like shape of lotus )

0 No swelling

1 Swelling in 13rd part of the palate

2 2 Swelling in 23rd part of palate

3 3 Swelling in gt 23rd part of palate

136 भाससङघात (स) नीरज (Painless) 0 Absent

1 Present

53

Code Signs amp Symptoms Score Gradations Remarks

शोप 0 No swelling

1 Swelling in 13rd part of the palate

2 Swelling in 23rd part of palate

3 Swelling in gt 23rd part of palate

137 तारऩपऩि (स) नीरक (Painless) 0 Absent

1 Present

कोरभातर

Swelling having size of Kola fruit

0 Absent

1 Present

138 तारशोष (स)

शोष (Dryness) 0 No dryness

1 Dryness decreased after drinking water

2 Patient needs water frequently

3 Dryness persist after dinking profuse water

दायण (Tearing of palate)

0 Absent

1 Present

शवास (Difficulty in

breathing)

0 No difficulty in breathing Here difficulty in breathing is due to obstruction

1 Difficulty in breathing occasionally

2 More difficulty in breathing while sleeping position

3 Excessive difficulty in breathing

जजवय(अहर) (Fever) 0 Normal temperature

1 Temperature between 984rsquoF to 100rsquoF

Temperature between 100rsquoF to 101rsquoF

2 Temperature between 101rsquoF to 102rsquoF

3 Temperature between 102rsquoF to 103rsquoF

4 Temperature between 103rsquoF to 104rsquoF

5 Temperature more than 104rsquoF

54

Code Signs amp Symptoms Score Gradations Remarks

139 तारऩाक (स) ऩाक (Suppuration) 0 No swelling or suppuration

1 Inflammation of palate with pain and tenderness

2 Inflammation of palate with different types of pain and tenderness with induration

3 Pus formation and fluctuation positive

1310 तारपऩटिका (अहर) तारभास पऩटिका

Follicles in palate flesh

0 No follicles

1 13 palate covered with follicles

2 23 palate covered with follicles

3 More than 23 palate covered with follicles

रज(अहर) (Pain) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

Occasional pain

खयता(अहर) (Roughness)

0 Smooth on touch

1 Mild irregular surface on touch

2 Rough surface

3 Sharp rough surface which hurts on finger on touch

घनसराव(अहर) (Thick discharge)

0 No discharge

1 Occasional discharge

2 Off and on thick discharge

3 Continuous thick discharge

1311 तारसहतत (अहर) तारभधम तनरक (अहर) =Painless fleshy growth in palate

Only तारभधम तनरक indicates the place and quality of growth both the symptoms can be

merged

55

Code Signs amp Symptoms Score Gradations Remarks

तनरक (Painless) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

भाससहत

(Fleshy growth in palate)

0 No fleshy growth

1 Fleshy growth in 13 part of the palate Swelling

2 Fleshy growth in 23 part of palate swelling

3 Fleshy growth in more than 23 part of palate

56

GRADATION OF SARVASAR ROG

Code - 15

Established by Group BHOJ Dr Krishna Makaia ndash Convener

Dr Rajeshree Unadkat Dr Neelam Dave

Dr Ronakgiri Gosai Dr Jignesh Virapariya

Reviewed by Dr Vijayant Bharadwaj

Edited by Prof Vd Hāridra Dave

57

Code Signs amp Symptoms Score Gradations Remarks

151 वातजसवसय (स) सपोि (Ulcers) 0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

तोद = Pricking pain 0 No pricking pain Or According to VAS

1 Occasional pricking pain

2 Off and on pricking pain

3 Continuous pricking pain

Or

0 No pricking pain

1 Sometimes mild pricking pain

2 Has to take analgesic while pricking pain

सिारयण(अहर) This symptom is for सवसय so this सवसय is the nature of सिारय

0 No movement of सवसय

1 Movement of सवसय is once in a week

2 Movement of सवसय is once in three to four days

3 Movement of सवसय is at every alternate day

4 Movement of सवसय is once in a day

अरण (अहर) Reddish discoloration

0 Colour of वरण is same with colour of surrounding area

1 Colour of वरण is Reddish

2 Colour of वरण is Dark Red

3 Colour of वरण is Reddish black

र (अहर) Dryness 0 वरण is Moist

-No dryness of वरण

1 वरण Needs lubrication once a day

2 वरण Needs frequent lubrication in

a day

3 No benefit with frequent

lubrication of वरण

तामरता (अहर) (Coppery

0 Colour of वरणौषठ is same with colour of surrounding area

58

Code Signs amp Symptoms Score Gradations Remarks

discoloration) This symptom is for

वरणौषठ

1 Colour of वरणौषठ is Tamra Varna

चऱतवचा (अहर) (Free mucous membrane) This symptom is for

वरणौषठ

0

Movement of वरणौषठ is on touch

only

1 Movement of वरणौषठ can be seen by naked eye means without touch

शीतासहा (अहर) (Intolerance to cold) This symptom is for

जजहवा

0 No Intolerance of cold to जजहवा

1 Intolerance of severe cold to जजहवा

2 Intolerance of moderate cold to जजहवा

3 Intolerance of Mild cold to जजहवा

गवी (Heaviness)

This symptom is for

जजहवा

0 No Heaviness

1 Mild heaviness with no difficulty

in movement of जजहवा

2 Moderate heaviness with

difficulty in Movement of जजहवा

3 Sever heaviness with bending down of

सफटटता (अहर) (Ulcer)

0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

कणटाकाधचता (अहर) = Thorn like

appearance

0 No change in appearance

59

Code Signs amp Symptoms Score Gradations Remarks

1 13 part of oral mucous membrane covered with red fleshy thorn like papillae

2 23 part of oral mucous membrane covered with red fleshy thorn like papillae

3 gt23 part of oral mucous membrane covered with red fleshy thorn like papillae

षववणोतत कचछरणमखम (अहर) (Difficulty in mouth opening)

0 Mouth opening more than 3 fingers without difficulty

1 2 to 3 fingers opening of mouth with or without difficulty

2 1 to 2 fingers opening of mouth with or without difficulty

3 Less than 1 finger opening of mouth with or without difficulty

152 पऩतमत(यकतज)सवसय (स) Signs and Symptoms of यकतज सवसय are same as of पऩतमत सवसय so no separate gradations are mentioned

यकतता (Redness) 0 Colour of सवसय- वरण is similar with

surrounding mucous membrane

1 Reddish Colour of सवसय- वरण

2 Bright red Colour of सवसय- वरण

3 Dark red Colour of सवसय- वरण

सदाह (Burning

Sensation)

0 No burning in सवसय- वरण Or According to

VAS

1 Occasional burning in सवसय- वरण

2 Intermittent burning in सवसय- वरण

3 Contentious burning in सवसय- वरण

which does not relive by any measures

तन (तनसब) (Shallow superficial ulcers)

0 No ulcer

1 Ulcer having depth of 05-1 mm

2 Ulcer having depth of 1 ndash 15 mm

3 Ulcer having depth of 15 -2 mm

60

Code Signs amp Symptoms Score Gradations Remarks

ओष (अहर) 0 No (ओष) burning in सवसय- वरण

1 Occasional (ओष) burning in

सवसय- वरण

2 Intermittent (ओष) burning in

सवसय- वरण

3 Contentious (ओष) burning in

सवसय- वरण which does not relive

by any measures

ततकतवकरता (अहर) (Bitter taste in mouth)

0 No alteration in taste

1 Occasionally bitter taste felt in mouth without having any bitter substance

2 Off and on bitter taste felt in mouth without having any bitter substance

3 Continuous bitter taste felt in mouth without having any bitter substance

ारोकषतत समावरणा (अहर)

0 No Ulcer

(Ulcers looking like chemical burns)

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

153 कपज सवसय (स) कणड (Itching) 0 No itching Or According to

VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Unable to work due to itching

0r

0 No itching

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate on work due to severe itching

रजा (Pain)

(अलऩ रजा) 0 No pain Or According to

VAS

1 Occasional pain

61

Code Signs amp Symptoms Score Gradations Remarks

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain This condition should be considered as अलऩ रजा

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

सवणण 0 Colour of वरण is same with colour of near by tissue

1 Colour of वरण is not same with colour of near by tissue

मररासयतवम (अहर) (Sweet taste in mouth)

0 No alteration in taste

1 Occasionally sweet taste felt without eating any sweet substance

2 Off and on Sweet taste Occasionally sweet taste felt without eating any sweet substance

3 Continuous sweet taste Occasionally sweet taste felt without eating any sweet substance

षपजचछिऱता (अहर) (Unctuousness)

0 Absent

1 Present

वरण 0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

154 कफाबभद (अहर) शयाव अबभदम

(शयावपाणडऽबभदम) 0 Colour of growthtumour is same

the colour of surrounding skin

1 Colour of growthtumour is शयाव

(Blackish)

62

Code Signs amp Symptoms Score Gradations Remarks

पाणड अबभदम (शयावपाणडऽबभदम)

0 Colour of growthtumour is same the colour of surrounding skin

1 Colour of growthtumour is पाणड

(Pale)

अबभदम 0 No GrowthTumour TNM Classification for tumours can be applied for growth

1 Growthtumour having sizelt 10 mm

2 Growthtumour having size 10 mm to 20 mm

3 Growthtumour having size gt 20 mm

घटिता तिनना मटदता च षववरभत (Size increases on rubbing cutting and squeezing)

0 Size of GrowthTumour is not increasing by rubbing cutting or squeezing

1 Size of GrowthTumour is increasing up to 10 mm by rubbing cutting or squeezing within a month

2 Size of GrowthTumour is increasing up to 20 mm by rubbing cutting or squeezing within a month

3 Size of GrowthTumour is increasing up to 30 mm by rubbing cutting or squeezing within a month

4 Size of GrowthTumour is increasing up to 40 mm by rubbing cutting or squeezing within a month

155 ऊरधवभगद (अहर) वकतरदौगनधम

(Halitosis)

0 No Halitosis

1 Halitosis is feel by Patient only

2 Halitosis is feel by Patient and examining Doctor only

3 Halitosis is feel by any person from the distance from 5 meters

63

Code Signs amp Symptoms Score Gradations Remarks

4 Halitosis is feel by any person from the distance from more than 5 meters

156 पततवकर (अहर) ऩतममासमता

(Halitosis)

0 No Halitosis

1 Halitosis is feel by Patient only

2 Halitosis is feel by Patient and examining Doctor only

3 Halitosis is feel by any person from the distance from 5 meters

4 Halitosis is feel by any person from the distance from more than 5 meters

157 सतनऩाततक सवसय (अहर) This disease occurs due to aggravation of all three doshas including Rakta Clinical presentation of this disease is found as mixed picture according prominent aggravation of dosha and signs and symptoms will be observed accordingly Gradations should be considered accordingly so it is not required to repeat here

helliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip

Page 4: THE GRADATIONS OF DISEASES OF SHALAKYA TANTRA - PART …theassociationofshalaki.com/downloads/GRADATIONS_OF_DISEASE… · 12.05.2019  · I am also very much thankful to Dr Sandhya

3

INTRODUCTION

As we know that in the field of research gradations - scoring pattern has

very important role By this tool efficacy of medicinetherapy can be assessed

Symptoms in general are very difficult to understand as they are noticed by

patients only Patients are not quite capable to express its intensity or its

severity So it is very difficult to understand to assess and to evaluate

magnitude of the symptoms like Shool (pain) Ruja Tod Kandu Dah etc It

should be objectified In general Visual Analogue Scale (V A S) is used for this

purpose Here in this book it is also suggested To understand VAS please

refer figure given below It is self-explanatory however basic information to

understand it is given here ldquo0rdquo stands for no Shool (pain) Kandu (Itching) Dah

(Burning pain) etc while ldquo10rdquo stands for extreme point of Shool (pain) etc

To understand symptoms like Shool Ruja etc other objective

parameters are also established during workshop which are also suggested in

this book One can also refer this

Shalakya Tantra mainly described in Sushrut Samhita so all the diseases

of Shalakya Tantra are referred from Sushrut Samhita and it is mentioned as

ldquo(स)rdquo but for the same disease if Vagbhatta has mentioned extra sign or

symptom they are also included for gradation by mentioning it like ldquo(अहर)rdquo

under heading of the same disease There are some diseases which are not

mentioned in Sushrut Samhita but mentioned by Vagbhatta are also included

for gradation as a separate disease like ldquoजराफद (अहर)rdquo All the disease

according their Sthan main code is given For example code number ldquo10rdquo is

given to Oshtha Gat Rog and sign amp symptom of the disease is indicated with

sub code For example ldquo101rdquo is given to disease वातज ओषठयोग Means वातज ओषठयोग is the first disease of Oshtha Gat Rog

To establish gradations if specific parameters are considered mentioned

in column of ldquoRemarksrdquo while if there any particular meaning of Sign and

Symptom is mentioned separately

4

DEDICATED TO

ALL

RESEARCHERS

OF

SHALAKYA TANTRA

5

ACKNOWLEDGEMENT

At the outset it is my prime duty to pay my very sincere thanks to Dr K

R Desai Ex Director AYUSH Govt of Gujarat for providing venue and facilities

at State Training Centre and State Model Institute of Ayurvedic Science

Kolavada Gandhinagar Gujarat Without his kind support and kin interest

workshop was not possible and gradations were not established

I am also thankful to Dr Rajesh Barvaliya Ex IC Principal State Model

Institute of Ayurvedic Science Kolavada Gandhinagar Gujarat for local

support

How can I forget Dr Sejal Shah Ex Research officer Directorate of

AYUSH Govt of Gujarat and her team for their untiring and ancillary support I

am very much thankful to her and her team

It is my privilege to convey my heartfelt thanks to Dr Hemangi Shukla

organizing secretary and Dr Krishna Makadia co-organizing secretary of

workshop for organizing very wonderful workshop Along with that they both

have worked conveners and reviewers

I am very much thankful to Dr Sunil Vashishth for his kind support and

guidance He explained how gradations are useful in research activities and

clinical practice

I am also very much thankful to Dr Sandhya Patel J S Ayurved

Mahavidyalay for her valuable guidance regarding research activity which was

very much useful to our all participants

I am also very much thankful to Dr Mohan Joshi Department of Samhita

Tilak Ayurved Mahavidyalay Pune for his valuable guidance He explained how

to establish gradations and how to understand meaning of Samhita and

Sanskrut in reference to establish gradations

I am very much thankful to Dr Vijayant Bharadwaj he did very good job

as a reviewer He devoted his valuable time from his busy schedule and gave

their valuable suggestion on the basis of his knowledge in the field of Shalakya

Tantra He reviewed gradations established by the experts during workshop

6

I am very much thankful to Smt Swatiben Shah and Dr Deepali Shukla

Department of Sanskrut Samhita State Model Institute of Ayurvedic Science

Kolavada Gandhinagar Gujarat for their valuable guidance to understand

proper meaning of signs and symptoms of diseases in reference to Sanskrut

language and in context Samhita

Last but not least I am very much thankful to all the faculties and PG

scholars of Govt Akhandanand Ayurved Mahavidyalay Ahmedabad and IPGT

amp RA Jamnagar for their valuable support to prepare format for gradations

Prof Vd Hāridra Dave Editor

7

INDEX

No Topic Page No 1 Preface 2 2 Introduction 3

3 Acknowledgement 5 4 Gradations of Oshtha Gat Rog 8

5 Gradations of Danta Mul Gat Rog 20 6 Gradations of Danta Gat Rog 28

7 Gradations of Jihwa Gat Rog 40 8 Gradations of Talu Gat Rog 47

9 Gradations of Sarvasar Rog 56

8

GRADATIONS OF OSHTHA GAT ROG

Code - 10

Established by Group BHOJ Dr Krishna Makaia ndash Convener

Dr Rajeshree Unadkat Dr Neelam Dave

Dr Ronakgiri Gosai Dr Jignesh Virapariya

Reviewed by Dr Vijayant Bharadwaj

Edited by Prof Vd Hāridra Dave

9

Code Signs amp Symptoms Score Gradations Remarks

101 वातज ओषठयोग (स) ककश (Rough) 0 No Karkashata (Smooth surface)

1 Roughness of the surface of Oshtha is not visible by naked eye but can be felt by touching by finger

2 Roughness of surface of Oshtha is visible by naked and can be felt by finger but not hurts the finger

3 Roughness of surface of Oshtha with fissures is visible by naked can be felt by finger not hurts the finger

4 Roughness of surface of Oshtha with fissures is visible by naked can be felt by finger and hurts the finger

ऩरषता (Dryness) 0 No dryness (Moist)

1 Mild dryness No need of lubrication

2 Needs lubrication once or twice a day

3 No benefit with frequent lubrication

सतबधता (Immobile) 0 Lip movement not restricted

1 Difficulty in lip movement

2 Lips movement is totally restricted

3 No lip movement

कषणताअससत

=Blackish

0 No change in colour Make colour scale

1 Darker than normal colour Normal lip colour is variable and depending on natural skin complexion

2 Darker but not complete black

3 Blackish in colour

तीवररगभहारजा (Severe pain)

0 No pain Or According to VAS

1 Pain while movement

2 Continuous pain

3 Discomfort for pain Patient have to take analgesics

दालमत(Creaked lip) 0 No Creaks

1 Single creak

2 Multiple Creaks

10

Code Signs amp Symptoms Score Gradations Remarks

3 Multiple deep creaks (Bleeding)

ऩरयऩाटमत 0 No desquamation

=Desquamation - Sanskrit English dictionary page 870

1 Superficial desquamation of epithelium which looks like soft white scales

2 Deep desquamation of epithelium which looks like hard white scales and ready to bleed

3 Deep desquamation with bleeding

102 पऩतज ओषठयोग (स) आचितोपऩडकासबसत

सषऩाकततसबबशभ

0 No सषऩाकतत Follicles

=Covered with Mustard seed like follicles

1 13 part of lip covered with yellow

mastered seed (सषऩाकतत) like

follicles

2 23 part of lip covered with yellow mastered seed like follicles

3 More than 23 part of lip covered with yellow mastered seed (सषऩाकतत) like follicles

दाह (Burning) 0 No burning Or according to VAS

1 Occasional burning

2 Intermittent burning

3 Continuous burning

ऩाक (Suppuration) 0 No swelling or suppuration

1 Inflammation pain and tenderness

2 Inflammation with different types of pain and tenderness with induration

3 Pus formation and fluctuation positive

ससराव (Discharge) 0 No Discharge

1 Mild discharge sticks on lip

2 Moderate discharge has to be cleaned occasionally

3 Severe or continuous discharge has to be cleaned frequently

This condition should be considered as ससराव

नीरवणता (Bluish discoloration)

0 No discoloration

1 Bluish pink discoloration

2 Pinkish blue discoloration

11

Code Signs amp Symptoms Score Gradations Remarks

3 Lips look more bluish or purplish

ऩीतवणता (Yellowish

discoloration)

0 No discoloration

1 Reddish yellow discoloration

2 Yellowish discoloration

3 Lips look pale yellow

तीकषणासह 0 No irritation to spicy salty sour pungent or hot food

=Intolerance to spicy salty sour pungent or hot food

1 Irritation to spicy and hot food

2 Irritation to spicy salty sour pungent or hot food

3 Irritation to any food

फहकरदा (Excessive moisture)

0 No collection of fluid

1 Follicles with fluid accumulation

2 Follicles with excessive fluid accumulation

3 Follicle with excessive fluid accumulation and patient tries to clean the lips frequently

आशऩाक (Quick

suppuration)

0 Suppuration after 7 days

1 Suppuration within 5 to 7 days

2 Suppuration within 2 to 5 days

3 Suppuration within one day This condition should be considered as

आशऩाक

103 कपज ओषठयोग (स) सवण पऩडका (Follicles

same as lip colour)

0 No Follicles

1 Up to 13 of Oshtha is covered with few of the same coloured and with various sizes of follicles

2 From13 to 23 part of Oshtha is covered with few multiple follicles of the same colour and with various sizes

3 More than 23 part of Oshtha is covered with few multiple follicles of the same colour and with various sizes

कणड (Itching) 0 No itching

12

Code Signs amp Symptoms Score Gradations Remarks

1 Occasional mild itching not disturbing work

2 Off and on moderate itching disturbing work

3 Cannot concentrate in work due to continuous severe itching

शन (Swelling) 0 No Swelling

1 Slightly bigger than normal size not noticed by another person

2 Swelling Noticeable by another person

3 Severe Swelling with restriction of normal movement

पऩचछिरता (Sliminess) 0 No Sliminess

1 Mild sliminess

2 Moderate sliminess

3 Severe sliminess

शीतरता -Subjective

(Feeling of coldness by patient)

0 No feeling of coldness by patient Subjective and objective both should be taken

1 Feeling of coldness by patient but no change in temperature

2 Feeling of coldness by patient which is colder than body temperature on touch by the patient

शीतरता -Objective

(Decreased Temperature)

0 No change in temperature

1 1 less than body temperature

2 gt1less than body temperature

गरता (Heaviness) 0 No Heaviness

1 Mild heaviness no difficulty in lip movement

2 Difficulty in lip function due to Heaviness

3 Protrusion of lip due to heaviness

शीतासह

(Intolerance to cold)

0 No Intolerance to cold

1 Intolerance to severe cold

2 Intolerance to moderate cold

3 Intolerance to Mild cold

13

Code Signs amp Symptoms Score Gradations Remarks

104 सतनऩातज ओषठयोग (स) कषणता (Blackish

discoloration)

0 No change in colour In original Shlok lsquoSakrutrsquo word is used along with all types of discolorations According to expert of Sanskrit language and expert of Samhita subject the meaning of lsquoSakrutrsquo is lsquosometimesrsquo and another meaning of this world is lsquosome partrsquo Here we have taken meaning lsquosome partrsquo

1 13 Part of one lip is blackish in colour

2 13 Part of both lips are blackish in colour

3 23 Part of one lip is blackish in colour

4 23 Part of both lips are blackish in colour

5 More than 23 Part of one lip is blackish in colour

6 More than 23 Part of both lips are blackish in colour

ऩीतता (Yellowish

discoloration)

0 No change in colour

1 13 Part of one lip is yellowish in colour

2 13 Part of both lips are yellowish in colour

3 23 Part of one lip is yellowish in colour

4 23 Part of both lips are yellowish in colour

5 More than 23 Part of one lip is yellowish in colour

6 More than 23 Part of both lips are yellowish in colour

अनकपऩडडकाचितौ 0 No Follicles in any of lips

(Multiple follilcles) 1 13 lipLips isare covered with few follicles of various sizes

2 13 lipLips isare covered with multiple follicles of various sizes

3 23 lipLips isare covered with multiple follicles of various sizes

4 Multiple follicles with various sizes (23 lip covered)

5 More than 23 lipLips isare covered with multiple follicles of various sizes follicles

14

Code Signs amp Symptoms Score Gradations Remarks

दगनधौ (Foul smell) 0 No Foul smell

1 Only patient feel foul smell

2 Nearby Doctor 0r people can feel foul smell

3 Foul smell is not tolerable by the patient and the nearby person

आसरावौ (Discharge) 0 No Discharge is on any of lips In Sannipataja disease usually the mixed type of discharge is found So here the type of discharge is not considered The quantity of discharge is considered

1 Mild discharge collected on any one lip

2 Mild discharge collected on both lips or Moderate discharge collected on any one lip which has to be cleaned occasionally

3 Moderate discharge collected on both lips which has to be cleaned occasionally

4 Moderate discharge collected on both lips which has to be cleaned frequently

5 Severe or continuous discharge collected on lipLips which has to be cleaned frequently

पऩचछिरौ (Sliminess) 0 No sliminess

1 Mild Sliminess

2 Moderate Sliminess

3 Severe Sliminess

अकसभातमरानसशन रजौ (अहर) अकसभात

= All of a sudden = Without any reason = Spontaneous = Both Lips become Mlān swollen and painful all of a sudden andwithout any reason

अकसभातमरानौ (अहर) 0 No change in appearance

(Spontaneous Faded) 1 Lips look dull occasionally

15

Code Signs amp Symptoms Score Gradations Remarks

2 Lips look faded off and on in a day

3 Lips look faded and dirty frequently in a day

अकसभातसशनौ (अहर) 0 No Swelling

(Spontaneous swelling) 1 Occasionally Swelling in a day Here the size of swelling is not considered but the spontaneous nature of swilling is considered

2 Off and on swelling in a day

3 Swelling frequently in a day

अकसभात रजौ (अहर) (Pain)

0 No pain Or According to VAS

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

पवषभऩाककनौ (अहर) (Irregular suppuration )

0 No suppuration

1 Suppuration in 13 part of lips

2 Suppuration in 23 part of lip

3 Suppuration in major of lip

105 यकतज ओषठयोग (स) खजयपर पऩडका 0 No follicles

(Brownish follicles) 1 13 lip covered with brownish colour follicles

2 23 lip covered with brownish colour follicles

3 More than 23 lip covered with follicles

रचधयसराव (रचधय सरवत) (Bleeding)

0 No bleeding

1 Bleeding on touch or movement

2 Spontaneous bleeding

3 Continuous Bleeding

अफद बवत 0 No tumour

1 Tumour is 2 cm in size

2 Tumour is 4 cm in size

3 Tumour is gt4 cm in size

106 भासज ओषठयोग (स) भासपऩणडवत उदगतौ

(Bulky) 0 No Growth This word is used

as an adjective of

Sthoola See सथल

16

Code Signs amp Symptoms Score Gradations Remarks

1 Growth is present in both Oshtha but no discomfort to patient

2 Growth is present in both Oshtha with discomfort to patient

3 Large Growth is present in both Oshtha involving the surrounding region

जनतवशिातर भछिचनत सककसमोबमतो भखात

0 No Maggot Formation

1 Maggot formation on one side of the angle of mouth

2 Maggot Formation on both angles of mouth

3 Excessive maggot Formation

गर 0 No Heaviness in any of the lip

1 Mild heaviness no difficulty in lips movement

2 Difficulty in Lips function due to Heaviness

3 Protrusion of both lips

सथरौ (Bulky)

According to Sanskrit ndash English Dictionary

0 Size not increased

1 Slightly bigger than normal no noticeable by other person

2 Bigger than normal noticeable by another person

3 Bigger size effect the lip movement and lip protrudes down

107 भदज ओषठयोग (स) घतभणडाबौ (Clear

melted butter like)

0 Does not look like filled with clear part of melted butter

Here the specific appearance is given so the area is considerd

1 13 part of both lips looks like filled with clear part of melted butter

2 23 part of both lips looks like filled with clear part of melted butter

3 More than 23 part of both lips looks like filled with clear part of melted butter

कणड 0 No itching Or According to VAS

1 Itching in both lips but not disturbing work

17

Code Signs amp Symptoms Score Gradations Remarks

2 Itching in both lips but disturbing work

3 in both lips and cannot concentrate in work due to itching

Or

0 No itching

1 Occasional itching

2 Off and on itching

3 Continuous itching

चसथयौ 0 Movement of lips not affected

(Immobility) 1 Lip movement slightly affected but no difficulty in speech

2 Lip movement affected which alter the speech

3 Lip movement arrested

भदता (Sponginess) 0 Absent

1 Present

आसराव (अछि सपटिक सङकाशभ) (discharge of clear fluid)

0 No discharge अचछ सफटिक Word is Adjective for the type of discharge So grading is given for the frequency of discharge

1 Occasional discharge

2 Off and on discharge of clear fluid

3 Continuous discharge of clear fluid

गर 0 No Heaviness

1 Mild heaviness no difficulty in lip movement

2 Difficulty in lip function due to heaviness

3 Protrusion of lip due to heaviness

तराबशवमथ (अहर) 0 Does not look like filled with oil As per the घतभणडाब

tailabha is used as adjective so grading is given for Shvayathu

1 13 part of lips looks like filled with oil

2 23 part of lips looks filled with oil

3 More than 23 part of lips looks like filled with oil

सराव 0 No discharge

1 Occasional discharge

2 Off and on discharge of clear fluid

3 Continuous discharge of clear fluid

तराबकरदौ (Moister) 0 Absent Darshan pariksha

18

Code Signs amp Symptoms Score Gradations Remarks

1 Present

कणड 0 No itching Or According to VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate in work due to itching

OR

0 No itching

1 Occasional itching

2 Off and on itching

3 Continuous itching

109 तज ओषठयोग (स) पवदीमता (Tear) 0 No tear

1 Cut Up to epithelial layer

2 Cut Up to Sub epithelial layer

3 Cut up to muscular layer

ऩाटमता (Lips divided

in two parts)

0 Lips divided into two parts

1 Absent

2 Present

गरचथत

(NodulesLumps)

0 No lumps

1 Soft lumps

2 Hard Lumps

3 Multiple lumps

कणड (Itching) 0 No itching Or According to VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate in work due to itching

OR

0 No itching

1 Occasional itching

2 Off and on itching

3 Continuous itching

दशनछिदौ (अहर) (Lips covering the teeth)

0 Covering the teeth completely

1 Partial covering (gt50 ) the teeth

2 Covering the teeth lt50

19

Code Signs amp Symptoms Score Gradations Remarks

3 Not covering the teeth (All teeth exposed)

1010 जराफद (अहर) जरफदफदवद

(Cystic Swelling)

0 No Cystic Swelling

1 Up to 5mm Swelling

2 Swelling up to 5-10mm

3 More than 10mm

1011 यकताफद (स) रचधय सराव

रचधय सरवत 0 No bleeding

(Bleeding) 1 Bleeding on touch or movement

2 Spontaneous bleeding

3 Continuous bleeding

खजयसदश 0 Absent Used as an adjective

(Date fruits like) 1 Present

1012 खणडौषठ (अ)

ओषठोदपवधाकत 0 No separation of lips

(Lips divided separated into two parts)

1 Separation up to vermilion line

2 Separation up to Philtrum

3 Separation up to Collumella

20

GRADATION OF DANTA MOOL GAT ROG

Code ndash 11

Gradations established by Group KARAL Dr Krishna Makadia - Convener

Dantvaidya Saroj Joshi Dantvaidya Harshad Joshi

Dr Kiran Raj Dr Achyuta Atara Dr Pranav Dave

Gradations Reviewed by Dr Hemangi Shukla Dr Krishna Makadia

Edited by Prof Vd Hāridra Dave

21

Code Signs amp Symptoms Score Gradations Remarks

111 शीताद (स) अकसभात यकतसराव 0 No bleeding

1 Occasional bleeding for 1 or 2 times in 1 Prahar

2 Spontaneous Bleeding up to one Prahar

3 Spontaneous Bleeding for more than 1 Prahar (more than 3hrs)

दगनधीतन 0 No foul smell

1 Patient feels foul smell

2 Doctor or person who comes near to patient feels foul smell

3 From distance anyone can feels foul smell who is in the room

4 Foul smell can be feel from outside of the room even

सकषणातन 0 Absent

=Blackish discoloration

1 Present

परकरदीतन 0 Absent

1 Present

भदता 0 Absent

1 Present

दनतभास शीमनत 0 Gums situated At CE junction

1 Recession of gums At cervical 13

2 Recession of gums At middle 13

3 Recession of gums At apical 13

ऩिचनत ि ऩयसऩयभ 0 No Pachan (Pāk)

= Pāk 1 1 Quadrant is involved

2 2 quadrants are involved

3 More than 2 quadrants are involved

112 दनतपपपटक (स) दनतमोसतरीष वा 0 No involvement of teeth

1 Involvement of 2 teeth

2 Involvement of 3 teeth

शवमथ भहान 0 Absent

1 Present

सरज 0 No pain Or according to VAS

1 तीवर =Pain is there but he can do

work or sleep

22

Code Signs amp Symptoms Score Gradations Remarks

2 तीवरतय =Pain is there but he can do

work or sleep

3 तीवरतभ =Patient canrsquot tolerate

शोफ़ो फदयाचसथतनबो घन (अहर) =Kola is

small jujube and badar is big jujube and seed is measuring around 5 mm

0 Not present

1 Shoth up to 25 mm

2 Shoth 25 to 5 mm

3 Shoth is more than 5 mm

ऩाक (अहर) (शीघर ऩछमत)

0 Absent Accumulation of Fluid or pus

1 Present

113 दनतवषट (स) सरवचनत ऩमरचधय

Discharge of blood with pus or only pus

0 No Discharge

1 Blood with Pus Discharge

2 Only pus discharge

िरता 0 No mobility

1 1 mm antero-posterior Mobility

2 2 mm antero-posterior Mobility

3 More than 2 mm antero-posterior amp medial to lateral mobility

114 शौषषर (स) शवमथ 0 Absent

1 Present

रजावान According to VAS scoring

रारासरावी 0 Normal secretion

1 Occasionally splitting

2 On and off splitting

3 Continuous splitting disturbance in work

कणड 0 Absent

1 Occasionally itching

2 On and off itching

3 Continues itching

23

Code Signs amp Symptoms Score Gradations Remarks

दतभासपरशातन 0 Gums situated At CE junction

1 Recession of gums At cervical 13

2 Recession of gums At middle 13 3 Recession of gums At apical 13

115 महाशौषषर (स) दनताशिरचनत 0 No mobility

1 1 mm antero-posterior mobility

2 2 mm antero-posterior mobility

3 More than 2 mm anteroposterior amp medial to lateral mobility

तार अवदीमत 0 Absent Fissure over the Palate

1 Present

दतभासातनऩछमनत 0 No redness

1 Mild redness

2 Moderate redness

3 Severe redness

भख ऩरयऩीडमत 0 No Peedā Or According to VAS

Pain in any part or whole oral cavity

1 Peedā is at those Gums where disease is situated

2 Peedā is at entire Gums

Peedā is at entire Mukh

सचननऩाताजजजजवयवान

(अहर) 0 Normal temperature

1 Temperature between 984rsquoF to 100rsquoF

Temperature between 100rsquoF to 101rsquoF

2 Temperature between 101rsquoF to 102rsquoF

3 Temperature between 102rsquoF to 103rsquoF

4 Temperature between 103rsquoF to 104rsquoF

5 Temperature more than 104rsquoF

सऩमरचधयसरतत (अहर)

0 No Discharge

1 Blood with Pus Discharge

2 only pus discharge

पवशीणदपवजफनधन (अहर)

0 No mobility

1 1 mm antero-posterior mobility 2 2 mm antero-posterior mobility

24

Code Signs amp Symptoms Score Gradations Remarks 3 more than 2 mm antero-posterior

amp medial to lateral mobility

116 पररदर (स) दनतभासातन शीमनत 0 Gums situated At CE junction Depending upon

severity grading has been established

1 Recession of gums At cervical 13

2 Recession of gums At middle 13

3 Recession of gums At apical 13

षठीवतत असक 0 No spitting of blood

1 Occasionally splitting

2 On and off splitting

3 Continuous splitting with disturbance in work

117 उपकश (स) दाह Or According to VAS

ऩाक 0 Absent

1 Present

दनताशिरचनत 0 No mobility

1 1 mm antero-posterior mobility

2 2 mm antero-posterior mobility

3 more than 2 mm antero-posterior amp medial to lateral mobility

आघटिता परसरवचनत 0 Absent

=Bleeding from gums by pressure

1 Bleeding on pressure remains for five minutes

2 Bleeding on pressure remains up to 15 minutes

3 Bleeding on pressure remains up to 30 minutes

4 Bleeding on pressure remains up to 1 hour

5 Bleeding on pressure remains more than 1 hour

भदवदना 0 Absent

1 Present

आधभामनत सरत यकत

0 Absent

1 Present

ऩतत वकतरता (अहर) 0 No foul smell

1 Patient feels foul smell

25

Code Signs amp Symptoms Score Gradations Remarks

2 Doctor or person who comes near to patient feels foul smell

3 From distance anyone can feels foul smell who is in the room

4 Foul smell can be feel from outside of the room even

कणडभचनत (अहर) 0 Absent Or According to VAS

1 Occasionally itching

2 On and off itching

3 Continues itching

िरा (अहर) 0 No mobility

1 1 mm antero-posterior mobility

2 2 mm antero-posterior mobility

3 More than 2 mm antero-posterior amp medial to lateral mobility

118 वदभभ (स) =Traumatic injury(By mechanical Chemical thermal )

घषिष दनतभरष सयबो जामत भहान

0 Absent Mahan suggest itself severity of disease

1 Present

िरदता (अहर) 0 No mobility

1 1 mm antero-posterior mobility

2 2 mm antero-posterior mobility

3 More than 2 mm antero-posterior amp medial to lateral mobility

119 वरभन (स) तीवरवदना 0 No pain Or According to VAS

1 तीवर -Pain is there but he can do

work or sleep

2 तीवरतय -Patient can tolerate

3 तीवरतभ -Patient canrsquot tolerate

1110 अधरमाास (स) भहाञिोथ 0 No Shoth Mahan suggest itself

severity of disease

1 Shoth is Present on that gum only where disease is occurred

2 Shoth is Present on nearby two or three gums where disease is occurred

26

Code Signs amp Symptoms Score Gradations Remarks

3 Shoth is present up to adjoining cheek

This condition should be considered as

भहाञिोथ

भहारजा (स) परततहनतममभमवरतत (अहर)

0 No Rujā (pain) Or According to VAS

2 Rujā (pain) is Present on that gum only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

This condition should be considered as भहारजा amp परततहनतममभमवरतत

रारासरावी 0 Normal secretion

1 Occasionally splitting

2 On and off splitting

3 Continuous splitting disturbance in work

दनतानत कीरवतमशोफ़ (अहर)

0 No Keel vat Shoth

1 Keel vat Shoth is Present on that gum only where disease is occurred

2 Keel vat Shoth is Present on nearby two or three gums where disease is occurred

3 Keel vat Shoth is present up to adjoining cheek

1111 दनतषवदरधर (अहर) दनतभासशोफ़ (ि) 0 No Shoph

1 Shoph is Present on that gum only where disease is occurred

2 Shosh is Present on nearby two or This condition should

27

Code Signs amp Symptoms Score Gradations Remarks

three gums where disease is occurred

be considered as अनत शवमथ According to

Vagbhatta

3 Shosh is extended up to adjoining cheek

This condition should be considered as फाहम शवमथ According to

Vagbhatta

फाहम शवमथ (अहर) This condition is mentioned at दनतभास शोफ़

अनत शवमथ (अहर) This condition is mentioned at दनतभास शोफ़

गर (अहर) 0 Absent

1 Present

रग (अहर) 0 No Rujā (pain) Or According to VAS

2 Rujā (pain) is Present on that gum only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

दाह (अहर) According to VAS

सरवतिननऩमासर (अहर)

0 No Discharge

1 Blood with Pus Discharge

2 Only pus discharge

1112 दतनाडी Scoring is not possible further according to measurement of Nadivrana because X-

ray only detects spread up to the bone Whereas Nadivrana in gingiva periodontal ligament cannot be measured

दतनाडी 0 Absent

1 Present

28

GRADATION OF DANTA GAT ROG

Code ndash 12

Gradations established by Group KARAL Dr Krishna Makadia - Convener

Dantavaidya Saroj Joshi Dantavaidya Harshad Joshi

Dr Kiran Raj Dr Achyuta Atara Dr Pranav Dave

Gradations Reviewed by Dr Hemangi Shukla Dr Krishna Makadia

Edited by Prof Vd Hāridra Dave

29

Code Signs amp Symptoms Score Gradations Remarks

121 दाऱन (स)

तीवररग 0 No Rujā (pain) Or According to VAS

2 Rujā (pain) is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

उषणअसहादनता (अस) 0 No sensitivity in teeth ie with warm

water hot water or

excessive hot water

application on

tooth is not

possible so Time

related and severity

related grading was

finalised(same for

cold)

1 Mild sensitivity in teeth - At a

time

2 Moderate sensitivity in teeth -

Sensitivity remains only for 1

Prahar (up to 3 hrs)

3 Severe sensitivity in teeth -

Sensitivity remains more than

1 Prahar (more than 3 hrs)

शीतअचधकवमथा (अहर) 0 No sensitivity in teeth

1 Mild sensitivity in teeth - At a

time

2 Moderate sensitivity in teeth -

Sensitivity remains only for 1

Prahar (up to 3 hrs)

3 severe sensitivity in teeth-

Sensitivity remains more than

1 Prahar (more than 3 hrs)

22 कममदनत (स) कषण 0 No discoloration

1 Light greyish black

2 Dark greyish black

3 Jet black

30

Code Signs amp Symptoms Score Gradations Remarks

तिदर 0 No cavity It should be

decided by X-ray

1 Cavity within limit of enamel

2 Cavity within limit of dentin

3 Cavity up to pulp

िर 0 No mobility

1 1 mm antero-posterior

mobility

2 2 mm antero-posterior

mobility

3 More than 2 mm antero-

posterior amp medial to lateral

mobility

सरावी 0 No Srāv- after drying

particular teeth with cotton

inserting cotton on cavity

There is no other

method to check

Srāv in Krimidanta

1 Srāv is present

ससयब = Inflammation 0 No inflammation

1 Inflammation is Present भहारज 0 No Rujā (pain) Or According to

VAS 2 Rujā (pain) is Present on that

gum only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

This condition should be considered as भहारज

अतनसभतमतरज 0 No sudden onset of pain

1 Sudden onset of pain is

present

अहततीवराततशभ (अहर) 0 No sudden onset of pain

31

Code Signs amp Symptoms Score Gradations Remarks

1 Sudden onset of pain is

present

पररन (अहर) = Broken due to cavity

0 Cavity is there but it is not

broken

It should be

considered for each

tooth separately

Cavity in that must

be present in

particular tooth

1 13 part of tooth is broken

2 23 of tooth is broken

3 More than 23 of tooth is

broken

4 Total loss of tooth

ऩमसरत (अहर) 0 No Pooya Srāv after drying

particular place

with cotton

inserting cotton on

cavity

1 Pooya Srāv present

यकतसरत (अहर) 0 No Rakta Srāv after drying

particular place

with cotton

inserting cotton on

cavity

1 Rakta Srāv is present

123 दनतहषभ (स)

शीत सऩशन न सहनत 0 No sensitivity by cold touch

in any teeth

1 Ooccassional sensitivity by

cold touch in any toothteeth

for once

2 Sensitivity by cold touch

remains in toothteeth only up

to 1 Prahar (up to 3hrs)

3 Sensitivity by cold touch

remains more than 1 Prahar

(more than 3hrs)

उषण सऩशन न सहनत 0 No sensitivity by hot touch in

any teeth

1 Occassional sensitivity by hot

touch in toothteeth for once

2 Sensitivity by hot touch

remains in toothteeth only up

to 1 Prahar (up to 3hrs)

3 Sensitivity by hot touch

remains in toothteeth more

than 1 Prahar (more than

3hrs)

32

Code Signs amp Symptoms Score Gradations Remarks

परवाताभा = Sensitivity to air

(परवातारशीतबाभा) (अहर)

0 No sensitivity by Pravāt

touch in any tooth

1 Occassional sensitivity by

Pravāt touch in toothteeth for

once

2 Sensitivity by Pravāt touch

remains in toothteeth only up

to 1 Prahar (up to 3hrs)

3 Sensitivity by Pravāt touch

remains in toothteeth more

than 1 Prahar (more than

3hrs)

अरबाभा = Sensitivity to sour food

(परवातारशीतबाभा) (अहर)

0 No sensitivity by eating

sourer food to any tooth

1 Occassional sensitivity by

eating sourer food to any

toothteeth for once

2 Sensitivity by eating sourer

food remains to toothteeth

only up to 1 Prahar (up to

3hrs)

3 Sensitivity by eating sourer

food remains to toothteeth

more than 1 Prahar (more

than 3hrs)

शीतबाभा (परवातारशीतबाभा) (अहर)

0 No sensitivity by eating cold

item to any tooth

1 Occasional sensitivity by

eating cold item to toothteeth

for once

2 Sensitivity by Pravāt touch

remains in toothteeth only up

to 1 Prahar (up to 3hrs)

3 Sensitivity by eating cold

item remains to toothteeth

more than 1 Prahar (more

than 3hrs)

सरजा (अहर) 0 No Rujā (pain)

33

Code Signs amp Symptoms Score Gradations Remarks

2 Rujā (pain) is Present on that gum only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

2 Rujā (pain) is Present on that gum only where disease is occurred and patient can do hisher routine work without disturbance

िर (अहर) 0 No mobility

1 1 mm anterio-posterior

mobility

2 2 mm anterio-posterior

mobility

3 More than 2 mm antero-

posterior amp medial to lateral

mobility

124 भञजनक (स) =Photograph is necessary

(depending upon the severity gradation has been finalised)

वकतर वकरता 0 No deviation

1 Deviation is present

तीवररक 0 No Rujā (pain) Or according to

VAS

2 Rujā (pain) is Present on that gum only where disease is occurred and patient can do hisher routine work without disturbance

34

Code Signs amp Symptoms Score Gradations Remarks

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

This condition should be considered as तीवररक

दनतबङग 0 Tooth is not broken This should be

considered for

single tooth

1 13 part of tooth is broken

2 23 of tooth is broken

3 More than 23 of tooth is

broken

4 Total loss of tooth

125 दनतशकभ रा (स) =Calculus index was selected

शकयव चसथयीबत भर 0 No calculus present

1 Supragingival calculus

covering not more than third

of the exposed tooth surface

2 Supragingival calculus

covering more than 13 but

not more than 23 of the

exposed tooth surface or the

presence of individual flecks

of subgingival calculus

around the cervical portion of

the tooth or both

3 Supragingival calculus

covering more than 23 of the

exposed tooth surface or

continues heavy band 0f

subgingival calculus around

the cervical portion of the

tooth or both

35

Code Signs amp Symptoms Score Gradations Remarks

दनताना गणहयी 0 Absent All 10 Guna of

Danta Sampata

should be

considered required

suggestions for

each Guna

1 Present

ऩततगचनध (अहर) 0 No foul smell Taken grading of

halitosis

1 Patient feels foul smell

2 Doctor or person who comes near to patient feels foul smell

3 From distance anyone can feels foul smell who is in the room

4 Foul smell can be feel from outside of the room even

126 कपामऱका (स)

दनतवलकसम दरनभ = Bracketing of tooth enamel (दरचनत दनतवलकातन)

0 No दरनभ of tooth This should be

considered

separately for each

tooth

1 दरनभ is present of less than 13 of tooth

2 दरनभ is present of more than of 13 of tooth but less than 23 of tooth

3 दरनभ is present of more than of 23 of tooth but no total loss of tooth

4 Total loss of tooth after दरनभ

This condition should be considered as दशनाना पवनाश

दशनाना पवनाश = Total loss of tooth

0 No Any loss of tooth This should be

considered

separately for each

tooth

1 loss of tooth is present of less than 13 of tooth

2 loss of tooth is present of more than of 13 of tooth but less than 23 of tooth

36

Code Signs amp Symptoms Score Gradations Remarks

3 loss of tooth is present of more than of 23 of tooth but no total loss of tooth

4 Total loss of tooth This condition should be considered as दशनाना पवनाश

दनतशातनभ अणश = Thinning of tooth (शातमतममतममणशो दनतात कऩारातन) (अहर)

0 No शातनभ of tooth This should be

considered

separately for each

tooth

1 शातनभ is present in less than 13 of tooth

2 शातनभ is present in more than 13 of tooth but less than 23 of tooth

3 शातनभ is present in more than 23 of tooth but no total loss of tooth

4 Total loss of tooth due to शातनभ

127 शयावदनतक (स) In शमावदनत शमावता amp नीरता should be considered ascending stages

शमावता + नीरता 0 -No any discolouration of

tooth

-Normal colour of tooth

This should be

considered

separately for each

tooth

1 शमावता is Present

2 नीरता is Present

128 हनमो (स) According to Dalhan हनमो is not Dant Rog directly but it is near to

Dantchewing of hard food is one of the causes and there is pain in Dant so it is considered under Danta Rog

हनसचनधपवसहत 0 Absent

1 Can be reset by manual reduction

2 Can be reset by surgical

intervention

129 दनतभद (अहर) तोद =Pricking pain 0 No Pricking pain -Or According to

VAS

- This should be

considered

separately for each

tooth

37

Code Signs amp Symptoms Score Gradations Remarks

2 Pricking pain is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Pricking pain is referred up to Hanu and patient can do hisher routine work without disturbance

4 Pricking pain is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Pricking pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Pricking pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

बद Braking pain 0 No Braking pain -Or According to

VAS

- This should be

considered

separately for each

tooth

2 Braking pain is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Braking pain is referred up to Hanu and patient can do hisher routine work without disturbance

4 Braking pain is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Braking pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Braking pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

38

Code Signs amp Symptoms Score Gradations Remarks

रक Dull pain 0 No Rujā (pain) -Or According to

VAS

- This should be

considered

separately for each

tooth

2 Rujā (pain) is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

सपिन Burstingexpanding pain

0 No Bursting pain -Or According to

VAS

- This should be

considered

separately for each

tooth

2 Bursting pain is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Bursting pain is referred up to Hanu and patient can do hisher routine work without disturbance

4 Bursting pain is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

39

Code Signs amp Symptoms Score Gradations Remarks

5 Bursting pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Bursting pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

1210 दनतचाऱ (अहर) िरतमव = Mobility 0 No = mobility

1 1mm anterio-posterior

mobility

2 2 mm anterio-posterior

mobility

3 More than 2 mm anterio-

posterior amp medial to lateral

mobility

बणादचधकवमथ 0 No Vyatha ndash Pain during

eating

1 Pain during eating of hard

diet only

2 Pain during eating of soft diet

even

1211 कराऱ (स)

=Malocclusion

0 A Normal Molar relationship

exist but there is crowding

misalignment of the teeth

cross bite etc

1 A malocclusion where the

molar relationship shows the

buccal grove of mandibular

first molar distally positioned

when in occlusion with the

mesiobuccal cusp of the

maxillary first molar

2 A malocclusion where the

molar relationship shows the

buccal groove of the

mandibular first molar

mesiallypos

40

GRADATIONS OF JIHWA GAT ROG

Code - 13

Established by Group BHOJ Dr Krishna Makaia ndash Convener

Dr Rajeshree Unadkat Dr Neelam Dave

Dr Ronakgiri Gosai Dr Jignesh Virapariya

Reviewed by Dr Vijayant Bharadwaj

Edited by Prof Vd Hāridra Dave

41

Code Signs amp Symptoms Score Gradations Remarks

131 वाततक चजहवाकिक (स) सपटिता (Creaks) 0 No creaks on tongue

1 Single creak on the dorsum of tongue

2 Multiple Creaks on the dorsum of tongue

3 Multiple deep creaks on the dorsum of tongue (Bleeding)

परसपता (Numbness )

0 No Numbness

1 Numbness in 13 Part of tongue

2 Numbness in 23 Part of tongue

3 Numbness in more than 23 Part of tongue

शाकछिदनपरकाशा (Roughness)

0 Normal surface of tongue on touch

1 Mild rough surface on touch

2 Hard irregular surface on touch

3 Very rough surface which hurts the finger on touch

132 ऩततक चजहवाकिक (स) ऩीता 0 No yellowish discolouration

1 Yellowish discoloration in 13 part

2 Yellowish discoloration in 23 part

3 Yellowish discoloration in more than 23 part of tongue

ऩरयदहमत Burning in entire tongue)

0 No burning Or According to VAS

1 Occasional burning

2 Intermittent burning

3 Continuous burning does not relieve by any measures

दाह (Burning may be

in partially tongue)

0 No Burning Or According to VAS

1 Burning up to 13 part of tongue

2 Burning in 13 to 23 part of tongue

3 Burning in more than 23 part of tongue

42

Code Signs amp Symptoms Score Gradations Remarks

यकतभासाङकयचशिता (Covered with red buds )

0 No change in appearance

1 13 part of tongue covered with red fleshy buds

2 23 part of tongue covered with red fleshy buds

3 Whole tongue covered with red fleshy buds

ओष (Burning) 0 No Oshha Or According to VAS

1 Oshha up to 13 part of tongue

2 Oshha in 13 to 23 part of tongue

3 Oshha in more than 23 part of tongue

133 कपज चजहवाकिक (स) फहरा (Thick) 0 Normal Thickness of Tongue

1 Thickness increased - noticeable by patient

2 Thickness increased - noticeable by the examiner

3 Tongue protruding out because of increased Thickness

गवी (Heaviness) 0 No Heaviness

1 Feeling mild heaviness but no difficulty in Tongue movement

2 Difficulty in Tongue movement especially during intake of liquid

3 Difficulty in Tongue movement especially during intake of hard food

4 Difficulty in Tongue movement especially during Pronunciation

भासोदगभ शालभसरकणिकाब (thorn like papilla)

0 No change in appearance of tongue

1 13 part of tongue covered with red fleshy thorn like papilla

2 23 part of tongue covered with thorn like papilla

3 Whole tongue covered with thorn like papilla

43

Code Signs amp Symptoms Score Gradations Remarks

134 अरास (स) शवमथ

(Swelling at ventral surface of tongue)

0 Absent

1 Present

सतबमतत (Restricted tongue movement)

0 -Normal Movement of Tongue -Movement of tongue not affected

1 Tongue movement slightly restricted but does not affect the normal function

2 Tongue movement restricted that affects the normal function

3 Tongue movement arrested

परवदध

(Increase in size)

0 Size not increased

1 Size increased - noticeable by the patient

2 Size increased - noticeable by the examiner

3 Tongue protruding out because of increased size

ऩाक 0 No swelling or suppuration

1 Inflammation with pain and tenderness

2 Inflammation with different types of pain and tenderness along with induration

3 Pus formation and fluctuation positive

अधशोप 0 Absent

1 Present

उननत (elevation of

the tongue due to swelling below the tongue)

0 Normal position of tongue

1 Tongue slightly elevated due to swelling below the tongue

2 Tongue elevation causes discomfort to the patient

3 Tongue touches the palate

भतमसमगचनध

(Fishy smell)

0 Absent

1 Present

44

Code Signs amp Symptoms Score Gradations Remarks

भासशातन (Destruction of flesh of tongue )

0 No Destruction of tongue flesh

1 13 part of tongue flesh is destroyed

2 23 part of tongue flesh is destroyed

3 More than 23 part of tongue is destroyed

135 उऩचजचहवका (स) शवमथ (Swelling) 0 Absent

1 Present

चजहवाभननम

जात (elevation of

tongue because of swelling)

0 Normal position of tongue

1 Tongue slightly elevated due to swelling below the tongue

2 Tongue elevation causes discomfort to the patient

3 Tongue touches the palate

परसक (Salivation) 0 Normal secretion of saliva

1 Occasionally spitting

2 Off and on spitting

3 Continuous spitting which disturbs the work

कणड (Itching) 0 No itching Or According to VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate on work due to severe itching

0r

0 No itching

1 Occasional itching

2 Off and on itching

3 Continuous itching

ऩरयदाह (Burning in

whole tongue)

0 No burning Or According to VAS

1 Occasional burning

2 Intermittent burning

3 Contentious burning dose not relive by any measures

45

Code Signs amp Symptoms Score Gradations Remarks

136 अचधचजचहवका (अर)

अधोचजहवामा शोप

0 Normal position of tongue

(Swelling below the tongue)

1 Tongue slightly elevated due to swelling below the tongue

2 Tongue elevation causes discomfort to the patient

3 Tongue touches the palate

अङकय (Pappilary

growth)

0 Absent

1 Present

ओष (Burning) 0 No Oshh Or According to

VAS

1 Oshh up to 13 part of tongue

2 Oshh in 13 to 23 part of tongue

3 Oshh in more than 23 part of tongue

सतबवान

(Restriction of Movement)

0 Movement of tongue not affected

1 Tongue movement slightly restricted but does not affect the normal function

2 Tongue movement restricted that affect the normal function

3 Tongue movement arrested

खय(Rough) 0 Smooth on touch

1 Mild irregular surface

2 Rough surface

3 Sharp rough surface touch hurts on finger on touch

रक (Pain) 0 No pain Or According to

VAS

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

कणड (Itching) 0 No itching Or According to

VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate on work due to severe itching

0r

0 No itching

46

Code Signs amp Symptoms Score Gradations Remarks

1 Occasional itching

2 Off and on itching

3 Continuous itching

वाकम पवघातकत (Difficulty in speech)

0 No difficulty in speech

1 Unable to speak िति vargavyanjana

2 Difficulty in speaking क vargavyanjana

Swara donrsquot need involvement of tongue

3 Unable to speak

आहयपवघातकत

(Swallowing )

0 Able to eat regular diet

1 Able to eat soft diet

2 Able to eat only liquid diet

3 Unable to swallow anything

47

GRADATION OF TALUGAT ROG

Code - 14

Established by Group BHOJ Dr Krishna Makaia ndash Convener

Dr Rajeshree Unadkat Dr Neelam Dave

Dr Ronakgiri Gosai Dr Jignesh Virapariya

Reviewed by Dr Vijayant Bharadwaj

Edited by Prof Vd Hāridra Dave

48

Code Signs amp Symptoms Score Gradations Remarks

141 गरशचणडका (स)

परवदधो शोप (Swelling extending from palate) (Which is elongated)

0 Normal size of uvula

1 Swelling of uvula that causes discomfort to the patient

2 Swelling of uvula that causes foreign body sensation

3 Difficulty in breathing due to swelling

दीघ शोप

(Elongated Swelling)

0 Normal size of uvula

1 Elongated swelling of uvula that causes discomfort to the patient

2 Elongated swelling of uvula that causes foreign body sensation

3 Difficulty in breathing due to Elongated swelling

धभातफचसतपरकाश शोप =Inflated

swelling like Basti

0 Normal size of uvula

1 Inflated swelling like Basti of uvula that causes discomfort to the patient

2 Inflated swelling like Basti of uvula that causes foreign body sensation

3 Difficulty in breathing due to Inflated swelling like Basti

तषणा 0 Normal feeling of thirst

1 Increased feeling of thirst which is relived after drinking water

The quantity of water is not consider here but the frequency of water is considered

2 Frequent feeling of thirst which is Occasional relived after drinking water

3 Continuous feeling of thirst does not relive after drinking profuse amount of water

कास (Coughing) 0 No coughing

49

Code Signs amp Symptoms Score Gradations Remarks

1 Occasional coughing during eating and speaking

2 Off and on coughing

3 Continuous coughing

शवास 0 No difficulty in breathing

1 Difficulty in breathing occasionally

2 More difficulty in breathing while sleeping

3 Excessive difficulty in breathing

भतमसमफचसततनब शोप (अहर)

0 Normal uvula Used as an adjective

1 Inflated swelling like Matsya-Basti of uvula that causes discomfort to the patient

2 Inflated swelling like Matsya-Basti of uvula that causes foreign body sensation

3 Difficulty in breathing due to Inflated swelling like Matsya-Basti

पररफ (अहर) 0 Normal length of Uvula

(Elongated Swelling)

1 Size of Uvula increased up to lt2 mm

2 Size of Uvula increased more than 2 mm but less than 4 mm

3 Size of Uvula increased gt4 mm that cause discomfort to patient and cause difficulty in breathing

पऩचछिर(अहर) (Sliminess)

0 Absent

1 Present

नासमाऽऽहायभीयमन (अहर)

0 Food does not come out from nose

(Food comes out of nose)

1 Food comes out from nose

कणठोऩयोध(अहर) (Obstruction of throat )

0 -Able to eat regular diet -No difficulty in swallowing of any food

1 Able to swallow liquid or soft diet but not able to swallow hard diet

2 Able to swallow hard diet forcefully

50

Code Signs amp Symptoms Score Gradations Remarks

3 Not able to swallow hard diet with force

वभन(अहर) (Vomiting)

0 No Vaman

1 Feeling of nausea only

2 Only one veg of Vaman in a day

3 Two vegas of Vaman in a day

4 More than two vegas of Vaman in a day

132 तचणडकयी (स)

शोप (Tonsillar

Swelling)

0 Tonsils are located within the tonsillar fossa

1 Tonsils hypertrophy till the brim of the tonsillar fossa

2 Tonsils hypertrophy extends beyond the pillars but not touching each other

3 Tonsils hypertrophy extends beyond the pillars but not touching each other

तोद

(Pricking pain)

0 No pain

1 Occasional pain Or according to VAS

2 Off and on pain

3 Continuous pain

दाह (Burning) 0 No

1 Occasional burning

2 Intermittent burning

3 Contentious burning dose not relive by any measures

परऩाक 0 Absent

1 Present

पऩचछिर शोप(अहर)

Sliminess in swallowing

0 Feeling of Sliminess is Absent

1 Feeling of Sliminess is Present

भनदरक (अहर)

(Mild pain)

0 Absent Or According to

VAS

1 Present

133 अधरष (स)

शोप (Swelling) 0 No swelling

1 13 Swelling in part of the palate

51

Code Signs amp Symptoms Score Gradations Remarks

2 23 swelling in part of palate

3 Swelling in gt than 23 part of palate

सतबधता =Functions of soft palate like deglutition Phonation etc are affected = No mobility of soft palate

0 Normal function of soft palate

1 Soft palate movement reduced but functions are not affected

2 Any one of the functions of soft palate is affected

3 All functions of soft palate are affected

रोटहतवणता

(Redness)

0 No change in colour

1 Pinkish red coloured mucosa in palate

2 Red coloured mucosa in palate

3 Dark red coloured mucosa in palate

रजा (Pain) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

जजवय (Fever) 0 Normal temperature

1 Temperature between 984rsquoF to 100rsquoF

Temperature between 100rsquoF to 101rsquoF

2 Temperature between 101rsquoF to 102rsquoF

3 Temperature between 102rsquoF to 103rsquoF

52

Code Signs amp Symptoms Score Gradations Remarks

4 Temperature between 103rsquoF to 104rsquoF

5 Temperature more than 104rsquoF

134 कछिऩ (स)

कभवत उतमसनन शोप (Swelling

having shape like dorsum of tortoise)

0 No swelling

1 Swelling in 13rd part of the palate

2 Swelling in 23rd part of palate

3 Swelling in gt 23rd part of palate

चियवपदध(अहर)

(Slow growth)

0 Growth within a week

1 Growth within 1 week to 1 month

2 Growth within 1 month to 6 months

3 Growth within gt 6 months

रक (अहर) (Pain) 0 No pain Or According to VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesics

135 तारअफद (स) ऩदमाकाय तारभधम

शोपम (Swelling

like shape of lotus )

0 No swelling

1 Swelling in 13rd part of the palate

2 2 Swelling in 23rd part of palate

3 3 Swelling in gt 23rd part of palate

136 भाससङघात (स) नीरज (Painless) 0 Absent

1 Present

53

Code Signs amp Symptoms Score Gradations Remarks

शोप 0 No swelling

1 Swelling in 13rd part of the palate

2 Swelling in 23rd part of palate

3 Swelling in gt 23rd part of palate

137 तारऩपऩि (स) नीरक (Painless) 0 Absent

1 Present

कोरभातर

Swelling having size of Kola fruit

0 Absent

1 Present

138 तारशोष (स)

शोष (Dryness) 0 No dryness

1 Dryness decreased after drinking water

2 Patient needs water frequently

3 Dryness persist after dinking profuse water

दायण (Tearing of palate)

0 Absent

1 Present

शवास (Difficulty in

breathing)

0 No difficulty in breathing Here difficulty in breathing is due to obstruction

1 Difficulty in breathing occasionally

2 More difficulty in breathing while sleeping position

3 Excessive difficulty in breathing

जजवय(अहर) (Fever) 0 Normal temperature

1 Temperature between 984rsquoF to 100rsquoF

Temperature between 100rsquoF to 101rsquoF

2 Temperature between 101rsquoF to 102rsquoF

3 Temperature between 102rsquoF to 103rsquoF

4 Temperature between 103rsquoF to 104rsquoF

5 Temperature more than 104rsquoF

54

Code Signs amp Symptoms Score Gradations Remarks

139 तारऩाक (स) ऩाक (Suppuration) 0 No swelling or suppuration

1 Inflammation of palate with pain and tenderness

2 Inflammation of palate with different types of pain and tenderness with induration

3 Pus formation and fluctuation positive

1310 तारपऩटिका (अहर) तारभास पऩटिका

Follicles in palate flesh

0 No follicles

1 13 palate covered with follicles

2 23 palate covered with follicles

3 More than 23 palate covered with follicles

रज(अहर) (Pain) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

Occasional pain

खयता(अहर) (Roughness)

0 Smooth on touch

1 Mild irregular surface on touch

2 Rough surface

3 Sharp rough surface which hurts on finger on touch

घनसराव(अहर) (Thick discharge)

0 No discharge

1 Occasional discharge

2 Off and on thick discharge

3 Continuous thick discharge

1311 तारसहतत (अहर) तारभधम तनरक (अहर) =Painless fleshy growth in palate

Only तारभधम तनरक indicates the place and quality of growth both the symptoms can be

merged

55

Code Signs amp Symptoms Score Gradations Remarks

तनरक (Painless) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

भाससहत

(Fleshy growth in palate)

0 No fleshy growth

1 Fleshy growth in 13 part of the palate Swelling

2 Fleshy growth in 23 part of palate swelling

3 Fleshy growth in more than 23 part of palate

56

GRADATION OF SARVASAR ROG

Code - 15

Established by Group BHOJ Dr Krishna Makaia ndash Convener

Dr Rajeshree Unadkat Dr Neelam Dave

Dr Ronakgiri Gosai Dr Jignesh Virapariya

Reviewed by Dr Vijayant Bharadwaj

Edited by Prof Vd Hāridra Dave

57

Code Signs amp Symptoms Score Gradations Remarks

151 वातजसवसय (स) सपोि (Ulcers) 0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

तोद = Pricking pain 0 No pricking pain Or According to VAS

1 Occasional pricking pain

2 Off and on pricking pain

3 Continuous pricking pain

Or

0 No pricking pain

1 Sometimes mild pricking pain

2 Has to take analgesic while pricking pain

सिारयण(अहर) This symptom is for सवसय so this सवसय is the nature of सिारय

0 No movement of सवसय

1 Movement of सवसय is once in a week

2 Movement of सवसय is once in three to four days

3 Movement of सवसय is at every alternate day

4 Movement of सवसय is once in a day

अरण (अहर) Reddish discoloration

0 Colour of वरण is same with colour of surrounding area

1 Colour of वरण is Reddish

2 Colour of वरण is Dark Red

3 Colour of वरण is Reddish black

र (अहर) Dryness 0 वरण is Moist

-No dryness of वरण

1 वरण Needs lubrication once a day

2 वरण Needs frequent lubrication in

a day

3 No benefit with frequent

lubrication of वरण

तामरता (अहर) (Coppery

0 Colour of वरणौषठ is same with colour of surrounding area

58

Code Signs amp Symptoms Score Gradations Remarks

discoloration) This symptom is for

वरणौषठ

1 Colour of वरणौषठ is Tamra Varna

चऱतवचा (अहर) (Free mucous membrane) This symptom is for

वरणौषठ

0

Movement of वरणौषठ is on touch

only

1 Movement of वरणौषठ can be seen by naked eye means without touch

शीतासहा (अहर) (Intolerance to cold) This symptom is for

जजहवा

0 No Intolerance of cold to जजहवा

1 Intolerance of severe cold to जजहवा

2 Intolerance of moderate cold to जजहवा

3 Intolerance of Mild cold to जजहवा

गवी (Heaviness)

This symptom is for

जजहवा

0 No Heaviness

1 Mild heaviness with no difficulty

in movement of जजहवा

2 Moderate heaviness with

difficulty in Movement of जजहवा

3 Sever heaviness with bending down of

सफटटता (अहर) (Ulcer)

0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

कणटाकाधचता (अहर) = Thorn like

appearance

0 No change in appearance

59

Code Signs amp Symptoms Score Gradations Remarks

1 13 part of oral mucous membrane covered with red fleshy thorn like papillae

2 23 part of oral mucous membrane covered with red fleshy thorn like papillae

3 gt23 part of oral mucous membrane covered with red fleshy thorn like papillae

षववणोतत कचछरणमखम (अहर) (Difficulty in mouth opening)

0 Mouth opening more than 3 fingers without difficulty

1 2 to 3 fingers opening of mouth with or without difficulty

2 1 to 2 fingers opening of mouth with or without difficulty

3 Less than 1 finger opening of mouth with or without difficulty

152 पऩतमत(यकतज)सवसय (स) Signs and Symptoms of यकतज सवसय are same as of पऩतमत सवसय so no separate gradations are mentioned

यकतता (Redness) 0 Colour of सवसय- वरण is similar with

surrounding mucous membrane

1 Reddish Colour of सवसय- वरण

2 Bright red Colour of सवसय- वरण

3 Dark red Colour of सवसय- वरण

सदाह (Burning

Sensation)

0 No burning in सवसय- वरण Or According to

VAS

1 Occasional burning in सवसय- वरण

2 Intermittent burning in सवसय- वरण

3 Contentious burning in सवसय- वरण

which does not relive by any measures

तन (तनसब) (Shallow superficial ulcers)

0 No ulcer

1 Ulcer having depth of 05-1 mm

2 Ulcer having depth of 1 ndash 15 mm

3 Ulcer having depth of 15 -2 mm

60

Code Signs amp Symptoms Score Gradations Remarks

ओष (अहर) 0 No (ओष) burning in सवसय- वरण

1 Occasional (ओष) burning in

सवसय- वरण

2 Intermittent (ओष) burning in

सवसय- वरण

3 Contentious (ओष) burning in

सवसय- वरण which does not relive

by any measures

ततकतवकरता (अहर) (Bitter taste in mouth)

0 No alteration in taste

1 Occasionally bitter taste felt in mouth without having any bitter substance

2 Off and on bitter taste felt in mouth without having any bitter substance

3 Continuous bitter taste felt in mouth without having any bitter substance

ारोकषतत समावरणा (अहर)

0 No Ulcer

(Ulcers looking like chemical burns)

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

153 कपज सवसय (स) कणड (Itching) 0 No itching Or According to

VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Unable to work due to itching

0r

0 No itching

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate on work due to severe itching

रजा (Pain)

(अलऩ रजा) 0 No pain Or According to

VAS

1 Occasional pain

61

Code Signs amp Symptoms Score Gradations Remarks

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain This condition should be considered as अलऩ रजा

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

सवणण 0 Colour of वरण is same with colour of near by tissue

1 Colour of वरण is not same with colour of near by tissue

मररासयतवम (अहर) (Sweet taste in mouth)

0 No alteration in taste

1 Occasionally sweet taste felt without eating any sweet substance

2 Off and on Sweet taste Occasionally sweet taste felt without eating any sweet substance

3 Continuous sweet taste Occasionally sweet taste felt without eating any sweet substance

षपजचछिऱता (अहर) (Unctuousness)

0 Absent

1 Present

वरण 0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

154 कफाबभद (अहर) शयाव अबभदम

(शयावपाणडऽबभदम) 0 Colour of growthtumour is same

the colour of surrounding skin

1 Colour of growthtumour is शयाव

(Blackish)

62

Code Signs amp Symptoms Score Gradations Remarks

पाणड अबभदम (शयावपाणडऽबभदम)

0 Colour of growthtumour is same the colour of surrounding skin

1 Colour of growthtumour is पाणड

(Pale)

अबभदम 0 No GrowthTumour TNM Classification for tumours can be applied for growth

1 Growthtumour having sizelt 10 mm

2 Growthtumour having size 10 mm to 20 mm

3 Growthtumour having size gt 20 mm

घटिता तिनना मटदता च षववरभत (Size increases on rubbing cutting and squeezing)

0 Size of GrowthTumour is not increasing by rubbing cutting or squeezing

1 Size of GrowthTumour is increasing up to 10 mm by rubbing cutting or squeezing within a month

2 Size of GrowthTumour is increasing up to 20 mm by rubbing cutting or squeezing within a month

3 Size of GrowthTumour is increasing up to 30 mm by rubbing cutting or squeezing within a month

4 Size of GrowthTumour is increasing up to 40 mm by rubbing cutting or squeezing within a month

155 ऊरधवभगद (अहर) वकतरदौगनधम

(Halitosis)

0 No Halitosis

1 Halitosis is feel by Patient only

2 Halitosis is feel by Patient and examining Doctor only

3 Halitosis is feel by any person from the distance from 5 meters

63

Code Signs amp Symptoms Score Gradations Remarks

4 Halitosis is feel by any person from the distance from more than 5 meters

156 पततवकर (अहर) ऩतममासमता

(Halitosis)

0 No Halitosis

1 Halitosis is feel by Patient only

2 Halitosis is feel by Patient and examining Doctor only

3 Halitosis is feel by any person from the distance from 5 meters

4 Halitosis is feel by any person from the distance from more than 5 meters

157 सतनऩाततक सवसय (अहर) This disease occurs due to aggravation of all three doshas including Rakta Clinical presentation of this disease is found as mixed picture according prominent aggravation of dosha and signs and symptoms will be observed accordingly Gradations should be considered accordingly so it is not required to repeat here

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Page 5: THE GRADATIONS OF DISEASES OF SHALAKYA TANTRA - PART …theassociationofshalaki.com/downloads/GRADATIONS_OF_DISEASE… · 12.05.2019  · I am also very much thankful to Dr Sandhya

4

DEDICATED TO

ALL

RESEARCHERS

OF

SHALAKYA TANTRA

5

ACKNOWLEDGEMENT

At the outset it is my prime duty to pay my very sincere thanks to Dr K

R Desai Ex Director AYUSH Govt of Gujarat for providing venue and facilities

at State Training Centre and State Model Institute of Ayurvedic Science

Kolavada Gandhinagar Gujarat Without his kind support and kin interest

workshop was not possible and gradations were not established

I am also thankful to Dr Rajesh Barvaliya Ex IC Principal State Model

Institute of Ayurvedic Science Kolavada Gandhinagar Gujarat for local

support

How can I forget Dr Sejal Shah Ex Research officer Directorate of

AYUSH Govt of Gujarat and her team for their untiring and ancillary support I

am very much thankful to her and her team

It is my privilege to convey my heartfelt thanks to Dr Hemangi Shukla

organizing secretary and Dr Krishna Makadia co-organizing secretary of

workshop for organizing very wonderful workshop Along with that they both

have worked conveners and reviewers

I am very much thankful to Dr Sunil Vashishth for his kind support and

guidance He explained how gradations are useful in research activities and

clinical practice

I am also very much thankful to Dr Sandhya Patel J S Ayurved

Mahavidyalay for her valuable guidance regarding research activity which was

very much useful to our all participants

I am also very much thankful to Dr Mohan Joshi Department of Samhita

Tilak Ayurved Mahavidyalay Pune for his valuable guidance He explained how

to establish gradations and how to understand meaning of Samhita and

Sanskrut in reference to establish gradations

I am very much thankful to Dr Vijayant Bharadwaj he did very good job

as a reviewer He devoted his valuable time from his busy schedule and gave

their valuable suggestion on the basis of his knowledge in the field of Shalakya

Tantra He reviewed gradations established by the experts during workshop

6

I am very much thankful to Smt Swatiben Shah and Dr Deepali Shukla

Department of Sanskrut Samhita State Model Institute of Ayurvedic Science

Kolavada Gandhinagar Gujarat for their valuable guidance to understand

proper meaning of signs and symptoms of diseases in reference to Sanskrut

language and in context Samhita

Last but not least I am very much thankful to all the faculties and PG

scholars of Govt Akhandanand Ayurved Mahavidyalay Ahmedabad and IPGT

amp RA Jamnagar for their valuable support to prepare format for gradations

Prof Vd Hāridra Dave Editor

7

INDEX

No Topic Page No 1 Preface 2 2 Introduction 3

3 Acknowledgement 5 4 Gradations of Oshtha Gat Rog 8

5 Gradations of Danta Mul Gat Rog 20 6 Gradations of Danta Gat Rog 28

7 Gradations of Jihwa Gat Rog 40 8 Gradations of Talu Gat Rog 47

9 Gradations of Sarvasar Rog 56

8

GRADATIONS OF OSHTHA GAT ROG

Code - 10

Established by Group BHOJ Dr Krishna Makaia ndash Convener

Dr Rajeshree Unadkat Dr Neelam Dave

Dr Ronakgiri Gosai Dr Jignesh Virapariya

Reviewed by Dr Vijayant Bharadwaj

Edited by Prof Vd Hāridra Dave

9

Code Signs amp Symptoms Score Gradations Remarks

101 वातज ओषठयोग (स) ककश (Rough) 0 No Karkashata (Smooth surface)

1 Roughness of the surface of Oshtha is not visible by naked eye but can be felt by touching by finger

2 Roughness of surface of Oshtha is visible by naked and can be felt by finger but not hurts the finger

3 Roughness of surface of Oshtha with fissures is visible by naked can be felt by finger not hurts the finger

4 Roughness of surface of Oshtha with fissures is visible by naked can be felt by finger and hurts the finger

ऩरषता (Dryness) 0 No dryness (Moist)

1 Mild dryness No need of lubrication

2 Needs lubrication once or twice a day

3 No benefit with frequent lubrication

सतबधता (Immobile) 0 Lip movement not restricted

1 Difficulty in lip movement

2 Lips movement is totally restricted

3 No lip movement

कषणताअससत

=Blackish

0 No change in colour Make colour scale

1 Darker than normal colour Normal lip colour is variable and depending on natural skin complexion

2 Darker but not complete black

3 Blackish in colour

तीवररगभहारजा (Severe pain)

0 No pain Or According to VAS

1 Pain while movement

2 Continuous pain

3 Discomfort for pain Patient have to take analgesics

दालमत(Creaked lip) 0 No Creaks

1 Single creak

2 Multiple Creaks

10

Code Signs amp Symptoms Score Gradations Remarks

3 Multiple deep creaks (Bleeding)

ऩरयऩाटमत 0 No desquamation

=Desquamation - Sanskrit English dictionary page 870

1 Superficial desquamation of epithelium which looks like soft white scales

2 Deep desquamation of epithelium which looks like hard white scales and ready to bleed

3 Deep desquamation with bleeding

102 पऩतज ओषठयोग (स) आचितोपऩडकासबसत

सषऩाकततसबबशभ

0 No सषऩाकतत Follicles

=Covered with Mustard seed like follicles

1 13 part of lip covered with yellow

mastered seed (सषऩाकतत) like

follicles

2 23 part of lip covered with yellow mastered seed like follicles

3 More than 23 part of lip covered with yellow mastered seed (सषऩाकतत) like follicles

दाह (Burning) 0 No burning Or according to VAS

1 Occasional burning

2 Intermittent burning

3 Continuous burning

ऩाक (Suppuration) 0 No swelling or suppuration

1 Inflammation pain and tenderness

2 Inflammation with different types of pain and tenderness with induration

3 Pus formation and fluctuation positive

ससराव (Discharge) 0 No Discharge

1 Mild discharge sticks on lip

2 Moderate discharge has to be cleaned occasionally

3 Severe or continuous discharge has to be cleaned frequently

This condition should be considered as ससराव

नीरवणता (Bluish discoloration)

0 No discoloration

1 Bluish pink discoloration

2 Pinkish blue discoloration

11

Code Signs amp Symptoms Score Gradations Remarks

3 Lips look more bluish or purplish

ऩीतवणता (Yellowish

discoloration)

0 No discoloration

1 Reddish yellow discoloration

2 Yellowish discoloration

3 Lips look pale yellow

तीकषणासह 0 No irritation to spicy salty sour pungent or hot food

=Intolerance to spicy salty sour pungent or hot food

1 Irritation to spicy and hot food

2 Irritation to spicy salty sour pungent or hot food

3 Irritation to any food

फहकरदा (Excessive moisture)

0 No collection of fluid

1 Follicles with fluid accumulation

2 Follicles with excessive fluid accumulation

3 Follicle with excessive fluid accumulation and patient tries to clean the lips frequently

आशऩाक (Quick

suppuration)

0 Suppuration after 7 days

1 Suppuration within 5 to 7 days

2 Suppuration within 2 to 5 days

3 Suppuration within one day This condition should be considered as

आशऩाक

103 कपज ओषठयोग (स) सवण पऩडका (Follicles

same as lip colour)

0 No Follicles

1 Up to 13 of Oshtha is covered with few of the same coloured and with various sizes of follicles

2 From13 to 23 part of Oshtha is covered with few multiple follicles of the same colour and with various sizes

3 More than 23 part of Oshtha is covered with few multiple follicles of the same colour and with various sizes

कणड (Itching) 0 No itching

12

Code Signs amp Symptoms Score Gradations Remarks

1 Occasional mild itching not disturbing work

2 Off and on moderate itching disturbing work

3 Cannot concentrate in work due to continuous severe itching

शन (Swelling) 0 No Swelling

1 Slightly bigger than normal size not noticed by another person

2 Swelling Noticeable by another person

3 Severe Swelling with restriction of normal movement

पऩचछिरता (Sliminess) 0 No Sliminess

1 Mild sliminess

2 Moderate sliminess

3 Severe sliminess

शीतरता -Subjective

(Feeling of coldness by patient)

0 No feeling of coldness by patient Subjective and objective both should be taken

1 Feeling of coldness by patient but no change in temperature

2 Feeling of coldness by patient which is colder than body temperature on touch by the patient

शीतरता -Objective

(Decreased Temperature)

0 No change in temperature

1 1 less than body temperature

2 gt1less than body temperature

गरता (Heaviness) 0 No Heaviness

1 Mild heaviness no difficulty in lip movement

2 Difficulty in lip function due to Heaviness

3 Protrusion of lip due to heaviness

शीतासह

(Intolerance to cold)

0 No Intolerance to cold

1 Intolerance to severe cold

2 Intolerance to moderate cold

3 Intolerance to Mild cold

13

Code Signs amp Symptoms Score Gradations Remarks

104 सतनऩातज ओषठयोग (स) कषणता (Blackish

discoloration)

0 No change in colour In original Shlok lsquoSakrutrsquo word is used along with all types of discolorations According to expert of Sanskrit language and expert of Samhita subject the meaning of lsquoSakrutrsquo is lsquosometimesrsquo and another meaning of this world is lsquosome partrsquo Here we have taken meaning lsquosome partrsquo

1 13 Part of one lip is blackish in colour

2 13 Part of both lips are blackish in colour

3 23 Part of one lip is blackish in colour

4 23 Part of both lips are blackish in colour

5 More than 23 Part of one lip is blackish in colour

6 More than 23 Part of both lips are blackish in colour

ऩीतता (Yellowish

discoloration)

0 No change in colour

1 13 Part of one lip is yellowish in colour

2 13 Part of both lips are yellowish in colour

3 23 Part of one lip is yellowish in colour

4 23 Part of both lips are yellowish in colour

5 More than 23 Part of one lip is yellowish in colour

6 More than 23 Part of both lips are yellowish in colour

अनकपऩडडकाचितौ 0 No Follicles in any of lips

(Multiple follilcles) 1 13 lipLips isare covered with few follicles of various sizes

2 13 lipLips isare covered with multiple follicles of various sizes

3 23 lipLips isare covered with multiple follicles of various sizes

4 Multiple follicles with various sizes (23 lip covered)

5 More than 23 lipLips isare covered with multiple follicles of various sizes follicles

14

Code Signs amp Symptoms Score Gradations Remarks

दगनधौ (Foul smell) 0 No Foul smell

1 Only patient feel foul smell

2 Nearby Doctor 0r people can feel foul smell

3 Foul smell is not tolerable by the patient and the nearby person

आसरावौ (Discharge) 0 No Discharge is on any of lips In Sannipataja disease usually the mixed type of discharge is found So here the type of discharge is not considered The quantity of discharge is considered

1 Mild discharge collected on any one lip

2 Mild discharge collected on both lips or Moderate discharge collected on any one lip which has to be cleaned occasionally

3 Moderate discharge collected on both lips which has to be cleaned occasionally

4 Moderate discharge collected on both lips which has to be cleaned frequently

5 Severe or continuous discharge collected on lipLips which has to be cleaned frequently

पऩचछिरौ (Sliminess) 0 No sliminess

1 Mild Sliminess

2 Moderate Sliminess

3 Severe Sliminess

अकसभातमरानसशन रजौ (अहर) अकसभात

= All of a sudden = Without any reason = Spontaneous = Both Lips become Mlān swollen and painful all of a sudden andwithout any reason

अकसभातमरानौ (अहर) 0 No change in appearance

(Spontaneous Faded) 1 Lips look dull occasionally

15

Code Signs amp Symptoms Score Gradations Remarks

2 Lips look faded off and on in a day

3 Lips look faded and dirty frequently in a day

अकसभातसशनौ (अहर) 0 No Swelling

(Spontaneous swelling) 1 Occasionally Swelling in a day Here the size of swelling is not considered but the spontaneous nature of swilling is considered

2 Off and on swelling in a day

3 Swelling frequently in a day

अकसभात रजौ (अहर) (Pain)

0 No pain Or According to VAS

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

पवषभऩाककनौ (अहर) (Irregular suppuration )

0 No suppuration

1 Suppuration in 13 part of lips

2 Suppuration in 23 part of lip

3 Suppuration in major of lip

105 यकतज ओषठयोग (स) खजयपर पऩडका 0 No follicles

(Brownish follicles) 1 13 lip covered with brownish colour follicles

2 23 lip covered with brownish colour follicles

3 More than 23 lip covered with follicles

रचधयसराव (रचधय सरवत) (Bleeding)

0 No bleeding

1 Bleeding on touch or movement

2 Spontaneous bleeding

3 Continuous Bleeding

अफद बवत 0 No tumour

1 Tumour is 2 cm in size

2 Tumour is 4 cm in size

3 Tumour is gt4 cm in size

106 भासज ओषठयोग (स) भासपऩणडवत उदगतौ

(Bulky) 0 No Growth This word is used

as an adjective of

Sthoola See सथल

16

Code Signs amp Symptoms Score Gradations Remarks

1 Growth is present in both Oshtha but no discomfort to patient

2 Growth is present in both Oshtha with discomfort to patient

3 Large Growth is present in both Oshtha involving the surrounding region

जनतवशिातर भछिचनत सककसमोबमतो भखात

0 No Maggot Formation

1 Maggot formation on one side of the angle of mouth

2 Maggot Formation on both angles of mouth

3 Excessive maggot Formation

गर 0 No Heaviness in any of the lip

1 Mild heaviness no difficulty in lips movement

2 Difficulty in Lips function due to Heaviness

3 Protrusion of both lips

सथरौ (Bulky)

According to Sanskrit ndash English Dictionary

0 Size not increased

1 Slightly bigger than normal no noticeable by other person

2 Bigger than normal noticeable by another person

3 Bigger size effect the lip movement and lip protrudes down

107 भदज ओषठयोग (स) घतभणडाबौ (Clear

melted butter like)

0 Does not look like filled with clear part of melted butter

Here the specific appearance is given so the area is considerd

1 13 part of both lips looks like filled with clear part of melted butter

2 23 part of both lips looks like filled with clear part of melted butter

3 More than 23 part of both lips looks like filled with clear part of melted butter

कणड 0 No itching Or According to VAS

1 Itching in both lips but not disturbing work

17

Code Signs amp Symptoms Score Gradations Remarks

2 Itching in both lips but disturbing work

3 in both lips and cannot concentrate in work due to itching

Or

0 No itching

1 Occasional itching

2 Off and on itching

3 Continuous itching

चसथयौ 0 Movement of lips not affected

(Immobility) 1 Lip movement slightly affected but no difficulty in speech

2 Lip movement affected which alter the speech

3 Lip movement arrested

भदता (Sponginess) 0 Absent

1 Present

आसराव (अछि सपटिक सङकाशभ) (discharge of clear fluid)

0 No discharge अचछ सफटिक Word is Adjective for the type of discharge So grading is given for the frequency of discharge

1 Occasional discharge

2 Off and on discharge of clear fluid

3 Continuous discharge of clear fluid

गर 0 No Heaviness

1 Mild heaviness no difficulty in lip movement

2 Difficulty in lip function due to heaviness

3 Protrusion of lip due to heaviness

तराबशवमथ (अहर) 0 Does not look like filled with oil As per the घतभणडाब

tailabha is used as adjective so grading is given for Shvayathu

1 13 part of lips looks like filled with oil

2 23 part of lips looks filled with oil

3 More than 23 part of lips looks like filled with oil

सराव 0 No discharge

1 Occasional discharge

2 Off and on discharge of clear fluid

3 Continuous discharge of clear fluid

तराबकरदौ (Moister) 0 Absent Darshan pariksha

18

Code Signs amp Symptoms Score Gradations Remarks

1 Present

कणड 0 No itching Or According to VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate in work due to itching

OR

0 No itching

1 Occasional itching

2 Off and on itching

3 Continuous itching

109 तज ओषठयोग (स) पवदीमता (Tear) 0 No tear

1 Cut Up to epithelial layer

2 Cut Up to Sub epithelial layer

3 Cut up to muscular layer

ऩाटमता (Lips divided

in two parts)

0 Lips divided into two parts

1 Absent

2 Present

गरचथत

(NodulesLumps)

0 No lumps

1 Soft lumps

2 Hard Lumps

3 Multiple lumps

कणड (Itching) 0 No itching Or According to VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate in work due to itching

OR

0 No itching

1 Occasional itching

2 Off and on itching

3 Continuous itching

दशनछिदौ (अहर) (Lips covering the teeth)

0 Covering the teeth completely

1 Partial covering (gt50 ) the teeth

2 Covering the teeth lt50

19

Code Signs amp Symptoms Score Gradations Remarks

3 Not covering the teeth (All teeth exposed)

1010 जराफद (अहर) जरफदफदवद

(Cystic Swelling)

0 No Cystic Swelling

1 Up to 5mm Swelling

2 Swelling up to 5-10mm

3 More than 10mm

1011 यकताफद (स) रचधय सराव

रचधय सरवत 0 No bleeding

(Bleeding) 1 Bleeding on touch or movement

2 Spontaneous bleeding

3 Continuous bleeding

खजयसदश 0 Absent Used as an adjective

(Date fruits like) 1 Present

1012 खणडौषठ (अ)

ओषठोदपवधाकत 0 No separation of lips

(Lips divided separated into two parts)

1 Separation up to vermilion line

2 Separation up to Philtrum

3 Separation up to Collumella

20

GRADATION OF DANTA MOOL GAT ROG

Code ndash 11

Gradations established by Group KARAL Dr Krishna Makadia - Convener

Dantvaidya Saroj Joshi Dantvaidya Harshad Joshi

Dr Kiran Raj Dr Achyuta Atara Dr Pranav Dave

Gradations Reviewed by Dr Hemangi Shukla Dr Krishna Makadia

Edited by Prof Vd Hāridra Dave

21

Code Signs amp Symptoms Score Gradations Remarks

111 शीताद (स) अकसभात यकतसराव 0 No bleeding

1 Occasional bleeding for 1 or 2 times in 1 Prahar

2 Spontaneous Bleeding up to one Prahar

3 Spontaneous Bleeding for more than 1 Prahar (more than 3hrs)

दगनधीतन 0 No foul smell

1 Patient feels foul smell

2 Doctor or person who comes near to patient feels foul smell

3 From distance anyone can feels foul smell who is in the room

4 Foul smell can be feel from outside of the room even

सकषणातन 0 Absent

=Blackish discoloration

1 Present

परकरदीतन 0 Absent

1 Present

भदता 0 Absent

1 Present

दनतभास शीमनत 0 Gums situated At CE junction

1 Recession of gums At cervical 13

2 Recession of gums At middle 13

3 Recession of gums At apical 13

ऩिचनत ि ऩयसऩयभ 0 No Pachan (Pāk)

= Pāk 1 1 Quadrant is involved

2 2 quadrants are involved

3 More than 2 quadrants are involved

112 दनतपपपटक (स) दनतमोसतरीष वा 0 No involvement of teeth

1 Involvement of 2 teeth

2 Involvement of 3 teeth

शवमथ भहान 0 Absent

1 Present

सरज 0 No pain Or according to VAS

1 तीवर =Pain is there but he can do

work or sleep

22

Code Signs amp Symptoms Score Gradations Remarks

2 तीवरतय =Pain is there but he can do

work or sleep

3 तीवरतभ =Patient canrsquot tolerate

शोफ़ो फदयाचसथतनबो घन (अहर) =Kola is

small jujube and badar is big jujube and seed is measuring around 5 mm

0 Not present

1 Shoth up to 25 mm

2 Shoth 25 to 5 mm

3 Shoth is more than 5 mm

ऩाक (अहर) (शीघर ऩछमत)

0 Absent Accumulation of Fluid or pus

1 Present

113 दनतवषट (स) सरवचनत ऩमरचधय

Discharge of blood with pus or only pus

0 No Discharge

1 Blood with Pus Discharge

2 Only pus discharge

िरता 0 No mobility

1 1 mm antero-posterior Mobility

2 2 mm antero-posterior Mobility

3 More than 2 mm antero-posterior amp medial to lateral mobility

114 शौषषर (स) शवमथ 0 Absent

1 Present

रजावान According to VAS scoring

रारासरावी 0 Normal secretion

1 Occasionally splitting

2 On and off splitting

3 Continuous splitting disturbance in work

कणड 0 Absent

1 Occasionally itching

2 On and off itching

3 Continues itching

23

Code Signs amp Symptoms Score Gradations Remarks

दतभासपरशातन 0 Gums situated At CE junction

1 Recession of gums At cervical 13

2 Recession of gums At middle 13 3 Recession of gums At apical 13

115 महाशौषषर (स) दनताशिरचनत 0 No mobility

1 1 mm antero-posterior mobility

2 2 mm antero-posterior mobility

3 More than 2 mm anteroposterior amp medial to lateral mobility

तार अवदीमत 0 Absent Fissure over the Palate

1 Present

दतभासातनऩछमनत 0 No redness

1 Mild redness

2 Moderate redness

3 Severe redness

भख ऩरयऩीडमत 0 No Peedā Or According to VAS

Pain in any part or whole oral cavity

1 Peedā is at those Gums where disease is situated

2 Peedā is at entire Gums

Peedā is at entire Mukh

सचननऩाताजजजजवयवान

(अहर) 0 Normal temperature

1 Temperature between 984rsquoF to 100rsquoF

Temperature between 100rsquoF to 101rsquoF

2 Temperature between 101rsquoF to 102rsquoF

3 Temperature between 102rsquoF to 103rsquoF

4 Temperature between 103rsquoF to 104rsquoF

5 Temperature more than 104rsquoF

सऩमरचधयसरतत (अहर)

0 No Discharge

1 Blood with Pus Discharge

2 only pus discharge

पवशीणदपवजफनधन (अहर)

0 No mobility

1 1 mm antero-posterior mobility 2 2 mm antero-posterior mobility

24

Code Signs amp Symptoms Score Gradations Remarks 3 more than 2 mm antero-posterior

amp medial to lateral mobility

116 पररदर (स) दनतभासातन शीमनत 0 Gums situated At CE junction Depending upon

severity grading has been established

1 Recession of gums At cervical 13

2 Recession of gums At middle 13

3 Recession of gums At apical 13

षठीवतत असक 0 No spitting of blood

1 Occasionally splitting

2 On and off splitting

3 Continuous splitting with disturbance in work

117 उपकश (स) दाह Or According to VAS

ऩाक 0 Absent

1 Present

दनताशिरचनत 0 No mobility

1 1 mm antero-posterior mobility

2 2 mm antero-posterior mobility

3 more than 2 mm antero-posterior amp medial to lateral mobility

आघटिता परसरवचनत 0 Absent

=Bleeding from gums by pressure

1 Bleeding on pressure remains for five minutes

2 Bleeding on pressure remains up to 15 minutes

3 Bleeding on pressure remains up to 30 minutes

4 Bleeding on pressure remains up to 1 hour

5 Bleeding on pressure remains more than 1 hour

भदवदना 0 Absent

1 Present

आधभामनत सरत यकत

0 Absent

1 Present

ऩतत वकतरता (अहर) 0 No foul smell

1 Patient feels foul smell

25

Code Signs amp Symptoms Score Gradations Remarks

2 Doctor or person who comes near to patient feels foul smell

3 From distance anyone can feels foul smell who is in the room

4 Foul smell can be feel from outside of the room even

कणडभचनत (अहर) 0 Absent Or According to VAS

1 Occasionally itching

2 On and off itching

3 Continues itching

िरा (अहर) 0 No mobility

1 1 mm antero-posterior mobility

2 2 mm antero-posterior mobility

3 More than 2 mm antero-posterior amp medial to lateral mobility

118 वदभभ (स) =Traumatic injury(By mechanical Chemical thermal )

घषिष दनतभरष सयबो जामत भहान

0 Absent Mahan suggest itself severity of disease

1 Present

िरदता (अहर) 0 No mobility

1 1 mm antero-posterior mobility

2 2 mm antero-posterior mobility

3 More than 2 mm antero-posterior amp medial to lateral mobility

119 वरभन (स) तीवरवदना 0 No pain Or According to VAS

1 तीवर -Pain is there but he can do

work or sleep

2 तीवरतय -Patient can tolerate

3 तीवरतभ -Patient canrsquot tolerate

1110 अधरमाास (स) भहाञिोथ 0 No Shoth Mahan suggest itself

severity of disease

1 Shoth is Present on that gum only where disease is occurred

2 Shoth is Present on nearby two or three gums where disease is occurred

26

Code Signs amp Symptoms Score Gradations Remarks

3 Shoth is present up to adjoining cheek

This condition should be considered as

भहाञिोथ

भहारजा (स) परततहनतममभमवरतत (अहर)

0 No Rujā (pain) Or According to VAS

2 Rujā (pain) is Present on that gum only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

This condition should be considered as भहारजा amp परततहनतममभमवरतत

रारासरावी 0 Normal secretion

1 Occasionally splitting

2 On and off splitting

3 Continuous splitting disturbance in work

दनतानत कीरवतमशोफ़ (अहर)

0 No Keel vat Shoth

1 Keel vat Shoth is Present on that gum only where disease is occurred

2 Keel vat Shoth is Present on nearby two or three gums where disease is occurred

3 Keel vat Shoth is present up to adjoining cheek

1111 दनतषवदरधर (अहर) दनतभासशोफ़ (ि) 0 No Shoph

1 Shoph is Present on that gum only where disease is occurred

2 Shosh is Present on nearby two or This condition should

27

Code Signs amp Symptoms Score Gradations Remarks

three gums where disease is occurred

be considered as अनत शवमथ According to

Vagbhatta

3 Shosh is extended up to adjoining cheek

This condition should be considered as फाहम शवमथ According to

Vagbhatta

फाहम शवमथ (अहर) This condition is mentioned at दनतभास शोफ़

अनत शवमथ (अहर) This condition is mentioned at दनतभास शोफ़

गर (अहर) 0 Absent

1 Present

रग (अहर) 0 No Rujā (pain) Or According to VAS

2 Rujā (pain) is Present on that gum only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

दाह (अहर) According to VAS

सरवतिननऩमासर (अहर)

0 No Discharge

1 Blood with Pus Discharge

2 Only pus discharge

1112 दतनाडी Scoring is not possible further according to measurement of Nadivrana because X-

ray only detects spread up to the bone Whereas Nadivrana in gingiva periodontal ligament cannot be measured

दतनाडी 0 Absent

1 Present

28

GRADATION OF DANTA GAT ROG

Code ndash 12

Gradations established by Group KARAL Dr Krishna Makadia - Convener

Dantavaidya Saroj Joshi Dantavaidya Harshad Joshi

Dr Kiran Raj Dr Achyuta Atara Dr Pranav Dave

Gradations Reviewed by Dr Hemangi Shukla Dr Krishna Makadia

Edited by Prof Vd Hāridra Dave

29

Code Signs amp Symptoms Score Gradations Remarks

121 दाऱन (स)

तीवररग 0 No Rujā (pain) Or According to VAS

2 Rujā (pain) is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

उषणअसहादनता (अस) 0 No sensitivity in teeth ie with warm

water hot water or

excessive hot water

application on

tooth is not

possible so Time

related and severity

related grading was

finalised(same for

cold)

1 Mild sensitivity in teeth - At a

time

2 Moderate sensitivity in teeth -

Sensitivity remains only for 1

Prahar (up to 3 hrs)

3 Severe sensitivity in teeth -

Sensitivity remains more than

1 Prahar (more than 3 hrs)

शीतअचधकवमथा (अहर) 0 No sensitivity in teeth

1 Mild sensitivity in teeth - At a

time

2 Moderate sensitivity in teeth -

Sensitivity remains only for 1

Prahar (up to 3 hrs)

3 severe sensitivity in teeth-

Sensitivity remains more than

1 Prahar (more than 3 hrs)

22 कममदनत (स) कषण 0 No discoloration

1 Light greyish black

2 Dark greyish black

3 Jet black

30

Code Signs amp Symptoms Score Gradations Remarks

तिदर 0 No cavity It should be

decided by X-ray

1 Cavity within limit of enamel

2 Cavity within limit of dentin

3 Cavity up to pulp

िर 0 No mobility

1 1 mm antero-posterior

mobility

2 2 mm antero-posterior

mobility

3 More than 2 mm antero-

posterior amp medial to lateral

mobility

सरावी 0 No Srāv- after drying

particular teeth with cotton

inserting cotton on cavity

There is no other

method to check

Srāv in Krimidanta

1 Srāv is present

ससयब = Inflammation 0 No inflammation

1 Inflammation is Present भहारज 0 No Rujā (pain) Or According to

VAS 2 Rujā (pain) is Present on that

gum only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

This condition should be considered as भहारज

अतनसभतमतरज 0 No sudden onset of pain

1 Sudden onset of pain is

present

अहततीवराततशभ (अहर) 0 No sudden onset of pain

31

Code Signs amp Symptoms Score Gradations Remarks

1 Sudden onset of pain is

present

पररन (अहर) = Broken due to cavity

0 Cavity is there but it is not

broken

It should be

considered for each

tooth separately

Cavity in that must

be present in

particular tooth

1 13 part of tooth is broken

2 23 of tooth is broken

3 More than 23 of tooth is

broken

4 Total loss of tooth

ऩमसरत (अहर) 0 No Pooya Srāv after drying

particular place

with cotton

inserting cotton on

cavity

1 Pooya Srāv present

यकतसरत (अहर) 0 No Rakta Srāv after drying

particular place

with cotton

inserting cotton on

cavity

1 Rakta Srāv is present

123 दनतहषभ (स)

शीत सऩशन न सहनत 0 No sensitivity by cold touch

in any teeth

1 Ooccassional sensitivity by

cold touch in any toothteeth

for once

2 Sensitivity by cold touch

remains in toothteeth only up

to 1 Prahar (up to 3hrs)

3 Sensitivity by cold touch

remains more than 1 Prahar

(more than 3hrs)

उषण सऩशन न सहनत 0 No sensitivity by hot touch in

any teeth

1 Occassional sensitivity by hot

touch in toothteeth for once

2 Sensitivity by hot touch

remains in toothteeth only up

to 1 Prahar (up to 3hrs)

3 Sensitivity by hot touch

remains in toothteeth more

than 1 Prahar (more than

3hrs)

32

Code Signs amp Symptoms Score Gradations Remarks

परवाताभा = Sensitivity to air

(परवातारशीतबाभा) (अहर)

0 No sensitivity by Pravāt

touch in any tooth

1 Occassional sensitivity by

Pravāt touch in toothteeth for

once

2 Sensitivity by Pravāt touch

remains in toothteeth only up

to 1 Prahar (up to 3hrs)

3 Sensitivity by Pravāt touch

remains in toothteeth more

than 1 Prahar (more than

3hrs)

अरबाभा = Sensitivity to sour food

(परवातारशीतबाभा) (अहर)

0 No sensitivity by eating

sourer food to any tooth

1 Occassional sensitivity by

eating sourer food to any

toothteeth for once

2 Sensitivity by eating sourer

food remains to toothteeth

only up to 1 Prahar (up to

3hrs)

3 Sensitivity by eating sourer

food remains to toothteeth

more than 1 Prahar (more

than 3hrs)

शीतबाभा (परवातारशीतबाभा) (अहर)

0 No sensitivity by eating cold

item to any tooth

1 Occasional sensitivity by

eating cold item to toothteeth

for once

2 Sensitivity by Pravāt touch

remains in toothteeth only up

to 1 Prahar (up to 3hrs)

3 Sensitivity by eating cold

item remains to toothteeth

more than 1 Prahar (more

than 3hrs)

सरजा (अहर) 0 No Rujā (pain)

33

Code Signs amp Symptoms Score Gradations Remarks

2 Rujā (pain) is Present on that gum only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

2 Rujā (pain) is Present on that gum only where disease is occurred and patient can do hisher routine work without disturbance

िर (अहर) 0 No mobility

1 1 mm anterio-posterior

mobility

2 2 mm anterio-posterior

mobility

3 More than 2 mm antero-

posterior amp medial to lateral

mobility

124 भञजनक (स) =Photograph is necessary

(depending upon the severity gradation has been finalised)

वकतर वकरता 0 No deviation

1 Deviation is present

तीवररक 0 No Rujā (pain) Or according to

VAS

2 Rujā (pain) is Present on that gum only where disease is occurred and patient can do hisher routine work without disturbance

34

Code Signs amp Symptoms Score Gradations Remarks

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

This condition should be considered as तीवररक

दनतबङग 0 Tooth is not broken This should be

considered for

single tooth

1 13 part of tooth is broken

2 23 of tooth is broken

3 More than 23 of tooth is

broken

4 Total loss of tooth

125 दनतशकभ रा (स) =Calculus index was selected

शकयव चसथयीबत भर 0 No calculus present

1 Supragingival calculus

covering not more than third

of the exposed tooth surface

2 Supragingival calculus

covering more than 13 but

not more than 23 of the

exposed tooth surface or the

presence of individual flecks

of subgingival calculus

around the cervical portion of

the tooth or both

3 Supragingival calculus

covering more than 23 of the

exposed tooth surface or

continues heavy band 0f

subgingival calculus around

the cervical portion of the

tooth or both

35

Code Signs amp Symptoms Score Gradations Remarks

दनताना गणहयी 0 Absent All 10 Guna of

Danta Sampata

should be

considered required

suggestions for

each Guna

1 Present

ऩततगचनध (अहर) 0 No foul smell Taken grading of

halitosis

1 Patient feels foul smell

2 Doctor or person who comes near to patient feels foul smell

3 From distance anyone can feels foul smell who is in the room

4 Foul smell can be feel from outside of the room even

126 कपामऱका (स)

दनतवलकसम दरनभ = Bracketing of tooth enamel (दरचनत दनतवलकातन)

0 No दरनभ of tooth This should be

considered

separately for each

tooth

1 दरनभ is present of less than 13 of tooth

2 दरनभ is present of more than of 13 of tooth but less than 23 of tooth

3 दरनभ is present of more than of 23 of tooth but no total loss of tooth

4 Total loss of tooth after दरनभ

This condition should be considered as दशनाना पवनाश

दशनाना पवनाश = Total loss of tooth

0 No Any loss of tooth This should be

considered

separately for each

tooth

1 loss of tooth is present of less than 13 of tooth

2 loss of tooth is present of more than of 13 of tooth but less than 23 of tooth

36

Code Signs amp Symptoms Score Gradations Remarks

3 loss of tooth is present of more than of 23 of tooth but no total loss of tooth

4 Total loss of tooth This condition should be considered as दशनाना पवनाश

दनतशातनभ अणश = Thinning of tooth (शातमतममतममणशो दनतात कऩारातन) (अहर)

0 No शातनभ of tooth This should be

considered

separately for each

tooth

1 शातनभ is present in less than 13 of tooth

2 शातनभ is present in more than 13 of tooth but less than 23 of tooth

3 शातनभ is present in more than 23 of tooth but no total loss of tooth

4 Total loss of tooth due to शातनभ

127 शयावदनतक (स) In शमावदनत शमावता amp नीरता should be considered ascending stages

शमावता + नीरता 0 -No any discolouration of

tooth

-Normal colour of tooth

This should be

considered

separately for each

tooth

1 शमावता is Present

2 नीरता is Present

128 हनमो (स) According to Dalhan हनमो is not Dant Rog directly but it is near to

Dantchewing of hard food is one of the causes and there is pain in Dant so it is considered under Danta Rog

हनसचनधपवसहत 0 Absent

1 Can be reset by manual reduction

2 Can be reset by surgical

intervention

129 दनतभद (अहर) तोद =Pricking pain 0 No Pricking pain -Or According to

VAS

- This should be

considered

separately for each

tooth

37

Code Signs amp Symptoms Score Gradations Remarks

2 Pricking pain is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Pricking pain is referred up to Hanu and patient can do hisher routine work without disturbance

4 Pricking pain is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Pricking pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Pricking pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

बद Braking pain 0 No Braking pain -Or According to

VAS

- This should be

considered

separately for each

tooth

2 Braking pain is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Braking pain is referred up to Hanu and patient can do hisher routine work without disturbance

4 Braking pain is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Braking pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Braking pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

38

Code Signs amp Symptoms Score Gradations Remarks

रक Dull pain 0 No Rujā (pain) -Or According to

VAS

- This should be

considered

separately for each

tooth

2 Rujā (pain) is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

सपिन Burstingexpanding pain

0 No Bursting pain -Or According to

VAS

- This should be

considered

separately for each

tooth

2 Bursting pain is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Bursting pain is referred up to Hanu and patient can do hisher routine work without disturbance

4 Bursting pain is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

39

Code Signs amp Symptoms Score Gradations Remarks

5 Bursting pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Bursting pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

1210 दनतचाऱ (अहर) िरतमव = Mobility 0 No = mobility

1 1mm anterio-posterior

mobility

2 2 mm anterio-posterior

mobility

3 More than 2 mm anterio-

posterior amp medial to lateral

mobility

बणादचधकवमथ 0 No Vyatha ndash Pain during

eating

1 Pain during eating of hard

diet only

2 Pain during eating of soft diet

even

1211 कराऱ (स)

=Malocclusion

0 A Normal Molar relationship

exist but there is crowding

misalignment of the teeth

cross bite etc

1 A malocclusion where the

molar relationship shows the

buccal grove of mandibular

first molar distally positioned

when in occlusion with the

mesiobuccal cusp of the

maxillary first molar

2 A malocclusion where the

molar relationship shows the

buccal groove of the

mandibular first molar

mesiallypos

40

GRADATIONS OF JIHWA GAT ROG

Code - 13

Established by Group BHOJ Dr Krishna Makaia ndash Convener

Dr Rajeshree Unadkat Dr Neelam Dave

Dr Ronakgiri Gosai Dr Jignesh Virapariya

Reviewed by Dr Vijayant Bharadwaj

Edited by Prof Vd Hāridra Dave

41

Code Signs amp Symptoms Score Gradations Remarks

131 वाततक चजहवाकिक (स) सपटिता (Creaks) 0 No creaks on tongue

1 Single creak on the dorsum of tongue

2 Multiple Creaks on the dorsum of tongue

3 Multiple deep creaks on the dorsum of tongue (Bleeding)

परसपता (Numbness )

0 No Numbness

1 Numbness in 13 Part of tongue

2 Numbness in 23 Part of tongue

3 Numbness in more than 23 Part of tongue

शाकछिदनपरकाशा (Roughness)

0 Normal surface of tongue on touch

1 Mild rough surface on touch

2 Hard irregular surface on touch

3 Very rough surface which hurts the finger on touch

132 ऩततक चजहवाकिक (स) ऩीता 0 No yellowish discolouration

1 Yellowish discoloration in 13 part

2 Yellowish discoloration in 23 part

3 Yellowish discoloration in more than 23 part of tongue

ऩरयदहमत Burning in entire tongue)

0 No burning Or According to VAS

1 Occasional burning

2 Intermittent burning

3 Continuous burning does not relieve by any measures

दाह (Burning may be

in partially tongue)

0 No Burning Or According to VAS

1 Burning up to 13 part of tongue

2 Burning in 13 to 23 part of tongue

3 Burning in more than 23 part of tongue

42

Code Signs amp Symptoms Score Gradations Remarks

यकतभासाङकयचशिता (Covered with red buds )

0 No change in appearance

1 13 part of tongue covered with red fleshy buds

2 23 part of tongue covered with red fleshy buds

3 Whole tongue covered with red fleshy buds

ओष (Burning) 0 No Oshha Or According to VAS

1 Oshha up to 13 part of tongue

2 Oshha in 13 to 23 part of tongue

3 Oshha in more than 23 part of tongue

133 कपज चजहवाकिक (स) फहरा (Thick) 0 Normal Thickness of Tongue

1 Thickness increased - noticeable by patient

2 Thickness increased - noticeable by the examiner

3 Tongue protruding out because of increased Thickness

गवी (Heaviness) 0 No Heaviness

1 Feeling mild heaviness but no difficulty in Tongue movement

2 Difficulty in Tongue movement especially during intake of liquid

3 Difficulty in Tongue movement especially during intake of hard food

4 Difficulty in Tongue movement especially during Pronunciation

भासोदगभ शालभसरकणिकाब (thorn like papilla)

0 No change in appearance of tongue

1 13 part of tongue covered with red fleshy thorn like papilla

2 23 part of tongue covered with thorn like papilla

3 Whole tongue covered with thorn like papilla

43

Code Signs amp Symptoms Score Gradations Remarks

134 अरास (स) शवमथ

(Swelling at ventral surface of tongue)

0 Absent

1 Present

सतबमतत (Restricted tongue movement)

0 -Normal Movement of Tongue -Movement of tongue not affected

1 Tongue movement slightly restricted but does not affect the normal function

2 Tongue movement restricted that affects the normal function

3 Tongue movement arrested

परवदध

(Increase in size)

0 Size not increased

1 Size increased - noticeable by the patient

2 Size increased - noticeable by the examiner

3 Tongue protruding out because of increased size

ऩाक 0 No swelling or suppuration

1 Inflammation with pain and tenderness

2 Inflammation with different types of pain and tenderness along with induration

3 Pus formation and fluctuation positive

अधशोप 0 Absent

1 Present

उननत (elevation of

the tongue due to swelling below the tongue)

0 Normal position of tongue

1 Tongue slightly elevated due to swelling below the tongue

2 Tongue elevation causes discomfort to the patient

3 Tongue touches the palate

भतमसमगचनध

(Fishy smell)

0 Absent

1 Present

44

Code Signs amp Symptoms Score Gradations Remarks

भासशातन (Destruction of flesh of tongue )

0 No Destruction of tongue flesh

1 13 part of tongue flesh is destroyed

2 23 part of tongue flesh is destroyed

3 More than 23 part of tongue is destroyed

135 उऩचजचहवका (स) शवमथ (Swelling) 0 Absent

1 Present

चजहवाभननम

जात (elevation of

tongue because of swelling)

0 Normal position of tongue

1 Tongue slightly elevated due to swelling below the tongue

2 Tongue elevation causes discomfort to the patient

3 Tongue touches the palate

परसक (Salivation) 0 Normal secretion of saliva

1 Occasionally spitting

2 Off and on spitting

3 Continuous spitting which disturbs the work

कणड (Itching) 0 No itching Or According to VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate on work due to severe itching

0r

0 No itching

1 Occasional itching

2 Off and on itching

3 Continuous itching

ऩरयदाह (Burning in

whole tongue)

0 No burning Or According to VAS

1 Occasional burning

2 Intermittent burning

3 Contentious burning dose not relive by any measures

45

Code Signs amp Symptoms Score Gradations Remarks

136 अचधचजचहवका (अर)

अधोचजहवामा शोप

0 Normal position of tongue

(Swelling below the tongue)

1 Tongue slightly elevated due to swelling below the tongue

2 Tongue elevation causes discomfort to the patient

3 Tongue touches the palate

अङकय (Pappilary

growth)

0 Absent

1 Present

ओष (Burning) 0 No Oshh Or According to

VAS

1 Oshh up to 13 part of tongue

2 Oshh in 13 to 23 part of tongue

3 Oshh in more than 23 part of tongue

सतबवान

(Restriction of Movement)

0 Movement of tongue not affected

1 Tongue movement slightly restricted but does not affect the normal function

2 Tongue movement restricted that affect the normal function

3 Tongue movement arrested

खय(Rough) 0 Smooth on touch

1 Mild irregular surface

2 Rough surface

3 Sharp rough surface touch hurts on finger on touch

रक (Pain) 0 No pain Or According to

VAS

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

कणड (Itching) 0 No itching Or According to

VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate on work due to severe itching

0r

0 No itching

46

Code Signs amp Symptoms Score Gradations Remarks

1 Occasional itching

2 Off and on itching

3 Continuous itching

वाकम पवघातकत (Difficulty in speech)

0 No difficulty in speech

1 Unable to speak िति vargavyanjana

2 Difficulty in speaking क vargavyanjana

Swara donrsquot need involvement of tongue

3 Unable to speak

आहयपवघातकत

(Swallowing )

0 Able to eat regular diet

1 Able to eat soft diet

2 Able to eat only liquid diet

3 Unable to swallow anything

47

GRADATION OF TALUGAT ROG

Code - 14

Established by Group BHOJ Dr Krishna Makaia ndash Convener

Dr Rajeshree Unadkat Dr Neelam Dave

Dr Ronakgiri Gosai Dr Jignesh Virapariya

Reviewed by Dr Vijayant Bharadwaj

Edited by Prof Vd Hāridra Dave

48

Code Signs amp Symptoms Score Gradations Remarks

141 गरशचणडका (स)

परवदधो शोप (Swelling extending from palate) (Which is elongated)

0 Normal size of uvula

1 Swelling of uvula that causes discomfort to the patient

2 Swelling of uvula that causes foreign body sensation

3 Difficulty in breathing due to swelling

दीघ शोप

(Elongated Swelling)

0 Normal size of uvula

1 Elongated swelling of uvula that causes discomfort to the patient

2 Elongated swelling of uvula that causes foreign body sensation

3 Difficulty in breathing due to Elongated swelling

धभातफचसतपरकाश शोप =Inflated

swelling like Basti

0 Normal size of uvula

1 Inflated swelling like Basti of uvula that causes discomfort to the patient

2 Inflated swelling like Basti of uvula that causes foreign body sensation

3 Difficulty in breathing due to Inflated swelling like Basti

तषणा 0 Normal feeling of thirst

1 Increased feeling of thirst which is relived after drinking water

The quantity of water is not consider here but the frequency of water is considered

2 Frequent feeling of thirst which is Occasional relived after drinking water

3 Continuous feeling of thirst does not relive after drinking profuse amount of water

कास (Coughing) 0 No coughing

49

Code Signs amp Symptoms Score Gradations Remarks

1 Occasional coughing during eating and speaking

2 Off and on coughing

3 Continuous coughing

शवास 0 No difficulty in breathing

1 Difficulty in breathing occasionally

2 More difficulty in breathing while sleeping

3 Excessive difficulty in breathing

भतमसमफचसततनब शोप (अहर)

0 Normal uvula Used as an adjective

1 Inflated swelling like Matsya-Basti of uvula that causes discomfort to the patient

2 Inflated swelling like Matsya-Basti of uvula that causes foreign body sensation

3 Difficulty in breathing due to Inflated swelling like Matsya-Basti

पररफ (अहर) 0 Normal length of Uvula

(Elongated Swelling)

1 Size of Uvula increased up to lt2 mm

2 Size of Uvula increased more than 2 mm but less than 4 mm

3 Size of Uvula increased gt4 mm that cause discomfort to patient and cause difficulty in breathing

पऩचछिर(अहर) (Sliminess)

0 Absent

1 Present

नासमाऽऽहायभीयमन (अहर)

0 Food does not come out from nose

(Food comes out of nose)

1 Food comes out from nose

कणठोऩयोध(अहर) (Obstruction of throat )

0 -Able to eat regular diet -No difficulty in swallowing of any food

1 Able to swallow liquid or soft diet but not able to swallow hard diet

2 Able to swallow hard diet forcefully

50

Code Signs amp Symptoms Score Gradations Remarks

3 Not able to swallow hard diet with force

वभन(अहर) (Vomiting)

0 No Vaman

1 Feeling of nausea only

2 Only one veg of Vaman in a day

3 Two vegas of Vaman in a day

4 More than two vegas of Vaman in a day

132 तचणडकयी (स)

शोप (Tonsillar

Swelling)

0 Tonsils are located within the tonsillar fossa

1 Tonsils hypertrophy till the brim of the tonsillar fossa

2 Tonsils hypertrophy extends beyond the pillars but not touching each other

3 Tonsils hypertrophy extends beyond the pillars but not touching each other

तोद

(Pricking pain)

0 No pain

1 Occasional pain Or according to VAS

2 Off and on pain

3 Continuous pain

दाह (Burning) 0 No

1 Occasional burning

2 Intermittent burning

3 Contentious burning dose not relive by any measures

परऩाक 0 Absent

1 Present

पऩचछिर शोप(अहर)

Sliminess in swallowing

0 Feeling of Sliminess is Absent

1 Feeling of Sliminess is Present

भनदरक (अहर)

(Mild pain)

0 Absent Or According to

VAS

1 Present

133 अधरष (स)

शोप (Swelling) 0 No swelling

1 13 Swelling in part of the palate

51

Code Signs amp Symptoms Score Gradations Remarks

2 23 swelling in part of palate

3 Swelling in gt than 23 part of palate

सतबधता =Functions of soft palate like deglutition Phonation etc are affected = No mobility of soft palate

0 Normal function of soft palate

1 Soft palate movement reduced but functions are not affected

2 Any one of the functions of soft palate is affected

3 All functions of soft palate are affected

रोटहतवणता

(Redness)

0 No change in colour

1 Pinkish red coloured mucosa in palate

2 Red coloured mucosa in palate

3 Dark red coloured mucosa in palate

रजा (Pain) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

जजवय (Fever) 0 Normal temperature

1 Temperature between 984rsquoF to 100rsquoF

Temperature between 100rsquoF to 101rsquoF

2 Temperature between 101rsquoF to 102rsquoF

3 Temperature between 102rsquoF to 103rsquoF

52

Code Signs amp Symptoms Score Gradations Remarks

4 Temperature between 103rsquoF to 104rsquoF

5 Temperature more than 104rsquoF

134 कछिऩ (स)

कभवत उतमसनन शोप (Swelling

having shape like dorsum of tortoise)

0 No swelling

1 Swelling in 13rd part of the palate

2 Swelling in 23rd part of palate

3 Swelling in gt 23rd part of palate

चियवपदध(अहर)

(Slow growth)

0 Growth within a week

1 Growth within 1 week to 1 month

2 Growth within 1 month to 6 months

3 Growth within gt 6 months

रक (अहर) (Pain) 0 No pain Or According to VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesics

135 तारअफद (स) ऩदमाकाय तारभधम

शोपम (Swelling

like shape of lotus )

0 No swelling

1 Swelling in 13rd part of the palate

2 2 Swelling in 23rd part of palate

3 3 Swelling in gt 23rd part of palate

136 भाससङघात (स) नीरज (Painless) 0 Absent

1 Present

53

Code Signs amp Symptoms Score Gradations Remarks

शोप 0 No swelling

1 Swelling in 13rd part of the palate

2 Swelling in 23rd part of palate

3 Swelling in gt 23rd part of palate

137 तारऩपऩि (स) नीरक (Painless) 0 Absent

1 Present

कोरभातर

Swelling having size of Kola fruit

0 Absent

1 Present

138 तारशोष (स)

शोष (Dryness) 0 No dryness

1 Dryness decreased after drinking water

2 Patient needs water frequently

3 Dryness persist after dinking profuse water

दायण (Tearing of palate)

0 Absent

1 Present

शवास (Difficulty in

breathing)

0 No difficulty in breathing Here difficulty in breathing is due to obstruction

1 Difficulty in breathing occasionally

2 More difficulty in breathing while sleeping position

3 Excessive difficulty in breathing

जजवय(अहर) (Fever) 0 Normal temperature

1 Temperature between 984rsquoF to 100rsquoF

Temperature between 100rsquoF to 101rsquoF

2 Temperature between 101rsquoF to 102rsquoF

3 Temperature between 102rsquoF to 103rsquoF

4 Temperature between 103rsquoF to 104rsquoF

5 Temperature more than 104rsquoF

54

Code Signs amp Symptoms Score Gradations Remarks

139 तारऩाक (स) ऩाक (Suppuration) 0 No swelling or suppuration

1 Inflammation of palate with pain and tenderness

2 Inflammation of palate with different types of pain and tenderness with induration

3 Pus formation and fluctuation positive

1310 तारपऩटिका (अहर) तारभास पऩटिका

Follicles in palate flesh

0 No follicles

1 13 palate covered with follicles

2 23 palate covered with follicles

3 More than 23 palate covered with follicles

रज(अहर) (Pain) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

Occasional pain

खयता(अहर) (Roughness)

0 Smooth on touch

1 Mild irregular surface on touch

2 Rough surface

3 Sharp rough surface which hurts on finger on touch

घनसराव(अहर) (Thick discharge)

0 No discharge

1 Occasional discharge

2 Off and on thick discharge

3 Continuous thick discharge

1311 तारसहतत (अहर) तारभधम तनरक (अहर) =Painless fleshy growth in palate

Only तारभधम तनरक indicates the place and quality of growth both the symptoms can be

merged

55

Code Signs amp Symptoms Score Gradations Remarks

तनरक (Painless) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

भाससहत

(Fleshy growth in palate)

0 No fleshy growth

1 Fleshy growth in 13 part of the palate Swelling

2 Fleshy growth in 23 part of palate swelling

3 Fleshy growth in more than 23 part of palate

56

GRADATION OF SARVASAR ROG

Code - 15

Established by Group BHOJ Dr Krishna Makaia ndash Convener

Dr Rajeshree Unadkat Dr Neelam Dave

Dr Ronakgiri Gosai Dr Jignesh Virapariya

Reviewed by Dr Vijayant Bharadwaj

Edited by Prof Vd Hāridra Dave

57

Code Signs amp Symptoms Score Gradations Remarks

151 वातजसवसय (स) सपोि (Ulcers) 0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

तोद = Pricking pain 0 No pricking pain Or According to VAS

1 Occasional pricking pain

2 Off and on pricking pain

3 Continuous pricking pain

Or

0 No pricking pain

1 Sometimes mild pricking pain

2 Has to take analgesic while pricking pain

सिारयण(अहर) This symptom is for सवसय so this सवसय is the nature of सिारय

0 No movement of सवसय

1 Movement of सवसय is once in a week

2 Movement of सवसय is once in three to four days

3 Movement of सवसय is at every alternate day

4 Movement of सवसय is once in a day

अरण (अहर) Reddish discoloration

0 Colour of वरण is same with colour of surrounding area

1 Colour of वरण is Reddish

2 Colour of वरण is Dark Red

3 Colour of वरण is Reddish black

र (अहर) Dryness 0 वरण is Moist

-No dryness of वरण

1 वरण Needs lubrication once a day

2 वरण Needs frequent lubrication in

a day

3 No benefit with frequent

lubrication of वरण

तामरता (अहर) (Coppery

0 Colour of वरणौषठ is same with colour of surrounding area

58

Code Signs amp Symptoms Score Gradations Remarks

discoloration) This symptom is for

वरणौषठ

1 Colour of वरणौषठ is Tamra Varna

चऱतवचा (अहर) (Free mucous membrane) This symptom is for

वरणौषठ

0

Movement of वरणौषठ is on touch

only

1 Movement of वरणौषठ can be seen by naked eye means without touch

शीतासहा (अहर) (Intolerance to cold) This symptom is for

जजहवा

0 No Intolerance of cold to जजहवा

1 Intolerance of severe cold to जजहवा

2 Intolerance of moderate cold to जजहवा

3 Intolerance of Mild cold to जजहवा

गवी (Heaviness)

This symptom is for

जजहवा

0 No Heaviness

1 Mild heaviness with no difficulty

in movement of जजहवा

2 Moderate heaviness with

difficulty in Movement of जजहवा

3 Sever heaviness with bending down of

सफटटता (अहर) (Ulcer)

0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

कणटाकाधचता (अहर) = Thorn like

appearance

0 No change in appearance

59

Code Signs amp Symptoms Score Gradations Remarks

1 13 part of oral mucous membrane covered with red fleshy thorn like papillae

2 23 part of oral mucous membrane covered with red fleshy thorn like papillae

3 gt23 part of oral mucous membrane covered with red fleshy thorn like papillae

षववणोतत कचछरणमखम (अहर) (Difficulty in mouth opening)

0 Mouth opening more than 3 fingers without difficulty

1 2 to 3 fingers opening of mouth with or without difficulty

2 1 to 2 fingers opening of mouth with or without difficulty

3 Less than 1 finger opening of mouth with or without difficulty

152 पऩतमत(यकतज)सवसय (स) Signs and Symptoms of यकतज सवसय are same as of पऩतमत सवसय so no separate gradations are mentioned

यकतता (Redness) 0 Colour of सवसय- वरण is similar with

surrounding mucous membrane

1 Reddish Colour of सवसय- वरण

2 Bright red Colour of सवसय- वरण

3 Dark red Colour of सवसय- वरण

सदाह (Burning

Sensation)

0 No burning in सवसय- वरण Or According to

VAS

1 Occasional burning in सवसय- वरण

2 Intermittent burning in सवसय- वरण

3 Contentious burning in सवसय- वरण

which does not relive by any measures

तन (तनसब) (Shallow superficial ulcers)

0 No ulcer

1 Ulcer having depth of 05-1 mm

2 Ulcer having depth of 1 ndash 15 mm

3 Ulcer having depth of 15 -2 mm

60

Code Signs amp Symptoms Score Gradations Remarks

ओष (अहर) 0 No (ओष) burning in सवसय- वरण

1 Occasional (ओष) burning in

सवसय- वरण

2 Intermittent (ओष) burning in

सवसय- वरण

3 Contentious (ओष) burning in

सवसय- वरण which does not relive

by any measures

ततकतवकरता (अहर) (Bitter taste in mouth)

0 No alteration in taste

1 Occasionally bitter taste felt in mouth without having any bitter substance

2 Off and on bitter taste felt in mouth without having any bitter substance

3 Continuous bitter taste felt in mouth without having any bitter substance

ारोकषतत समावरणा (अहर)

0 No Ulcer

(Ulcers looking like chemical burns)

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

153 कपज सवसय (स) कणड (Itching) 0 No itching Or According to

VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Unable to work due to itching

0r

0 No itching

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate on work due to severe itching

रजा (Pain)

(अलऩ रजा) 0 No pain Or According to

VAS

1 Occasional pain

61

Code Signs amp Symptoms Score Gradations Remarks

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain This condition should be considered as अलऩ रजा

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

सवणण 0 Colour of वरण is same with colour of near by tissue

1 Colour of वरण is not same with colour of near by tissue

मररासयतवम (अहर) (Sweet taste in mouth)

0 No alteration in taste

1 Occasionally sweet taste felt without eating any sweet substance

2 Off and on Sweet taste Occasionally sweet taste felt without eating any sweet substance

3 Continuous sweet taste Occasionally sweet taste felt without eating any sweet substance

षपजचछिऱता (अहर) (Unctuousness)

0 Absent

1 Present

वरण 0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

154 कफाबभद (अहर) शयाव अबभदम

(शयावपाणडऽबभदम) 0 Colour of growthtumour is same

the colour of surrounding skin

1 Colour of growthtumour is शयाव

(Blackish)

62

Code Signs amp Symptoms Score Gradations Remarks

पाणड अबभदम (शयावपाणडऽबभदम)

0 Colour of growthtumour is same the colour of surrounding skin

1 Colour of growthtumour is पाणड

(Pale)

अबभदम 0 No GrowthTumour TNM Classification for tumours can be applied for growth

1 Growthtumour having sizelt 10 mm

2 Growthtumour having size 10 mm to 20 mm

3 Growthtumour having size gt 20 mm

घटिता तिनना मटदता च षववरभत (Size increases on rubbing cutting and squeezing)

0 Size of GrowthTumour is not increasing by rubbing cutting or squeezing

1 Size of GrowthTumour is increasing up to 10 mm by rubbing cutting or squeezing within a month

2 Size of GrowthTumour is increasing up to 20 mm by rubbing cutting or squeezing within a month

3 Size of GrowthTumour is increasing up to 30 mm by rubbing cutting or squeezing within a month

4 Size of GrowthTumour is increasing up to 40 mm by rubbing cutting or squeezing within a month

155 ऊरधवभगद (अहर) वकतरदौगनधम

(Halitosis)

0 No Halitosis

1 Halitosis is feel by Patient only

2 Halitosis is feel by Patient and examining Doctor only

3 Halitosis is feel by any person from the distance from 5 meters

63

Code Signs amp Symptoms Score Gradations Remarks

4 Halitosis is feel by any person from the distance from more than 5 meters

156 पततवकर (अहर) ऩतममासमता

(Halitosis)

0 No Halitosis

1 Halitosis is feel by Patient only

2 Halitosis is feel by Patient and examining Doctor only

3 Halitosis is feel by any person from the distance from 5 meters

4 Halitosis is feel by any person from the distance from more than 5 meters

157 सतनऩाततक सवसय (अहर) This disease occurs due to aggravation of all three doshas including Rakta Clinical presentation of this disease is found as mixed picture according prominent aggravation of dosha and signs and symptoms will be observed accordingly Gradations should be considered accordingly so it is not required to repeat here

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Page 6: THE GRADATIONS OF DISEASES OF SHALAKYA TANTRA - PART …theassociationofshalaki.com/downloads/GRADATIONS_OF_DISEASE… · 12.05.2019  · I am also very much thankful to Dr Sandhya

5

ACKNOWLEDGEMENT

At the outset it is my prime duty to pay my very sincere thanks to Dr K

R Desai Ex Director AYUSH Govt of Gujarat for providing venue and facilities

at State Training Centre and State Model Institute of Ayurvedic Science

Kolavada Gandhinagar Gujarat Without his kind support and kin interest

workshop was not possible and gradations were not established

I am also thankful to Dr Rajesh Barvaliya Ex IC Principal State Model

Institute of Ayurvedic Science Kolavada Gandhinagar Gujarat for local

support

How can I forget Dr Sejal Shah Ex Research officer Directorate of

AYUSH Govt of Gujarat and her team for their untiring and ancillary support I

am very much thankful to her and her team

It is my privilege to convey my heartfelt thanks to Dr Hemangi Shukla

organizing secretary and Dr Krishna Makadia co-organizing secretary of

workshop for organizing very wonderful workshop Along with that they both

have worked conveners and reviewers

I am very much thankful to Dr Sunil Vashishth for his kind support and

guidance He explained how gradations are useful in research activities and

clinical practice

I am also very much thankful to Dr Sandhya Patel J S Ayurved

Mahavidyalay for her valuable guidance regarding research activity which was

very much useful to our all participants

I am also very much thankful to Dr Mohan Joshi Department of Samhita

Tilak Ayurved Mahavidyalay Pune for his valuable guidance He explained how

to establish gradations and how to understand meaning of Samhita and

Sanskrut in reference to establish gradations

I am very much thankful to Dr Vijayant Bharadwaj he did very good job

as a reviewer He devoted his valuable time from his busy schedule and gave

their valuable suggestion on the basis of his knowledge in the field of Shalakya

Tantra He reviewed gradations established by the experts during workshop

6

I am very much thankful to Smt Swatiben Shah and Dr Deepali Shukla

Department of Sanskrut Samhita State Model Institute of Ayurvedic Science

Kolavada Gandhinagar Gujarat for their valuable guidance to understand

proper meaning of signs and symptoms of diseases in reference to Sanskrut

language and in context Samhita

Last but not least I am very much thankful to all the faculties and PG

scholars of Govt Akhandanand Ayurved Mahavidyalay Ahmedabad and IPGT

amp RA Jamnagar for their valuable support to prepare format for gradations

Prof Vd Hāridra Dave Editor

7

INDEX

No Topic Page No 1 Preface 2 2 Introduction 3

3 Acknowledgement 5 4 Gradations of Oshtha Gat Rog 8

5 Gradations of Danta Mul Gat Rog 20 6 Gradations of Danta Gat Rog 28

7 Gradations of Jihwa Gat Rog 40 8 Gradations of Talu Gat Rog 47

9 Gradations of Sarvasar Rog 56

8

GRADATIONS OF OSHTHA GAT ROG

Code - 10

Established by Group BHOJ Dr Krishna Makaia ndash Convener

Dr Rajeshree Unadkat Dr Neelam Dave

Dr Ronakgiri Gosai Dr Jignesh Virapariya

Reviewed by Dr Vijayant Bharadwaj

Edited by Prof Vd Hāridra Dave

9

Code Signs amp Symptoms Score Gradations Remarks

101 वातज ओषठयोग (स) ककश (Rough) 0 No Karkashata (Smooth surface)

1 Roughness of the surface of Oshtha is not visible by naked eye but can be felt by touching by finger

2 Roughness of surface of Oshtha is visible by naked and can be felt by finger but not hurts the finger

3 Roughness of surface of Oshtha with fissures is visible by naked can be felt by finger not hurts the finger

4 Roughness of surface of Oshtha with fissures is visible by naked can be felt by finger and hurts the finger

ऩरषता (Dryness) 0 No dryness (Moist)

1 Mild dryness No need of lubrication

2 Needs lubrication once or twice a day

3 No benefit with frequent lubrication

सतबधता (Immobile) 0 Lip movement not restricted

1 Difficulty in lip movement

2 Lips movement is totally restricted

3 No lip movement

कषणताअससत

=Blackish

0 No change in colour Make colour scale

1 Darker than normal colour Normal lip colour is variable and depending on natural skin complexion

2 Darker but not complete black

3 Blackish in colour

तीवररगभहारजा (Severe pain)

0 No pain Or According to VAS

1 Pain while movement

2 Continuous pain

3 Discomfort for pain Patient have to take analgesics

दालमत(Creaked lip) 0 No Creaks

1 Single creak

2 Multiple Creaks

10

Code Signs amp Symptoms Score Gradations Remarks

3 Multiple deep creaks (Bleeding)

ऩरयऩाटमत 0 No desquamation

=Desquamation - Sanskrit English dictionary page 870

1 Superficial desquamation of epithelium which looks like soft white scales

2 Deep desquamation of epithelium which looks like hard white scales and ready to bleed

3 Deep desquamation with bleeding

102 पऩतज ओषठयोग (स) आचितोपऩडकासबसत

सषऩाकततसबबशभ

0 No सषऩाकतत Follicles

=Covered with Mustard seed like follicles

1 13 part of lip covered with yellow

mastered seed (सषऩाकतत) like

follicles

2 23 part of lip covered with yellow mastered seed like follicles

3 More than 23 part of lip covered with yellow mastered seed (सषऩाकतत) like follicles

दाह (Burning) 0 No burning Or according to VAS

1 Occasional burning

2 Intermittent burning

3 Continuous burning

ऩाक (Suppuration) 0 No swelling or suppuration

1 Inflammation pain and tenderness

2 Inflammation with different types of pain and tenderness with induration

3 Pus formation and fluctuation positive

ससराव (Discharge) 0 No Discharge

1 Mild discharge sticks on lip

2 Moderate discharge has to be cleaned occasionally

3 Severe or continuous discharge has to be cleaned frequently

This condition should be considered as ससराव

नीरवणता (Bluish discoloration)

0 No discoloration

1 Bluish pink discoloration

2 Pinkish blue discoloration

11

Code Signs amp Symptoms Score Gradations Remarks

3 Lips look more bluish or purplish

ऩीतवणता (Yellowish

discoloration)

0 No discoloration

1 Reddish yellow discoloration

2 Yellowish discoloration

3 Lips look pale yellow

तीकषणासह 0 No irritation to spicy salty sour pungent or hot food

=Intolerance to spicy salty sour pungent or hot food

1 Irritation to spicy and hot food

2 Irritation to spicy salty sour pungent or hot food

3 Irritation to any food

फहकरदा (Excessive moisture)

0 No collection of fluid

1 Follicles with fluid accumulation

2 Follicles with excessive fluid accumulation

3 Follicle with excessive fluid accumulation and patient tries to clean the lips frequently

आशऩाक (Quick

suppuration)

0 Suppuration after 7 days

1 Suppuration within 5 to 7 days

2 Suppuration within 2 to 5 days

3 Suppuration within one day This condition should be considered as

आशऩाक

103 कपज ओषठयोग (स) सवण पऩडका (Follicles

same as lip colour)

0 No Follicles

1 Up to 13 of Oshtha is covered with few of the same coloured and with various sizes of follicles

2 From13 to 23 part of Oshtha is covered with few multiple follicles of the same colour and with various sizes

3 More than 23 part of Oshtha is covered with few multiple follicles of the same colour and with various sizes

कणड (Itching) 0 No itching

12

Code Signs amp Symptoms Score Gradations Remarks

1 Occasional mild itching not disturbing work

2 Off and on moderate itching disturbing work

3 Cannot concentrate in work due to continuous severe itching

शन (Swelling) 0 No Swelling

1 Slightly bigger than normal size not noticed by another person

2 Swelling Noticeable by another person

3 Severe Swelling with restriction of normal movement

पऩचछिरता (Sliminess) 0 No Sliminess

1 Mild sliminess

2 Moderate sliminess

3 Severe sliminess

शीतरता -Subjective

(Feeling of coldness by patient)

0 No feeling of coldness by patient Subjective and objective both should be taken

1 Feeling of coldness by patient but no change in temperature

2 Feeling of coldness by patient which is colder than body temperature on touch by the patient

शीतरता -Objective

(Decreased Temperature)

0 No change in temperature

1 1 less than body temperature

2 gt1less than body temperature

गरता (Heaviness) 0 No Heaviness

1 Mild heaviness no difficulty in lip movement

2 Difficulty in lip function due to Heaviness

3 Protrusion of lip due to heaviness

शीतासह

(Intolerance to cold)

0 No Intolerance to cold

1 Intolerance to severe cold

2 Intolerance to moderate cold

3 Intolerance to Mild cold

13

Code Signs amp Symptoms Score Gradations Remarks

104 सतनऩातज ओषठयोग (स) कषणता (Blackish

discoloration)

0 No change in colour In original Shlok lsquoSakrutrsquo word is used along with all types of discolorations According to expert of Sanskrit language and expert of Samhita subject the meaning of lsquoSakrutrsquo is lsquosometimesrsquo and another meaning of this world is lsquosome partrsquo Here we have taken meaning lsquosome partrsquo

1 13 Part of one lip is blackish in colour

2 13 Part of both lips are blackish in colour

3 23 Part of one lip is blackish in colour

4 23 Part of both lips are blackish in colour

5 More than 23 Part of one lip is blackish in colour

6 More than 23 Part of both lips are blackish in colour

ऩीतता (Yellowish

discoloration)

0 No change in colour

1 13 Part of one lip is yellowish in colour

2 13 Part of both lips are yellowish in colour

3 23 Part of one lip is yellowish in colour

4 23 Part of both lips are yellowish in colour

5 More than 23 Part of one lip is yellowish in colour

6 More than 23 Part of both lips are yellowish in colour

अनकपऩडडकाचितौ 0 No Follicles in any of lips

(Multiple follilcles) 1 13 lipLips isare covered with few follicles of various sizes

2 13 lipLips isare covered with multiple follicles of various sizes

3 23 lipLips isare covered with multiple follicles of various sizes

4 Multiple follicles with various sizes (23 lip covered)

5 More than 23 lipLips isare covered with multiple follicles of various sizes follicles

14

Code Signs amp Symptoms Score Gradations Remarks

दगनधौ (Foul smell) 0 No Foul smell

1 Only patient feel foul smell

2 Nearby Doctor 0r people can feel foul smell

3 Foul smell is not tolerable by the patient and the nearby person

आसरावौ (Discharge) 0 No Discharge is on any of lips In Sannipataja disease usually the mixed type of discharge is found So here the type of discharge is not considered The quantity of discharge is considered

1 Mild discharge collected on any one lip

2 Mild discharge collected on both lips or Moderate discharge collected on any one lip which has to be cleaned occasionally

3 Moderate discharge collected on both lips which has to be cleaned occasionally

4 Moderate discharge collected on both lips which has to be cleaned frequently

5 Severe or continuous discharge collected on lipLips which has to be cleaned frequently

पऩचछिरौ (Sliminess) 0 No sliminess

1 Mild Sliminess

2 Moderate Sliminess

3 Severe Sliminess

अकसभातमरानसशन रजौ (अहर) अकसभात

= All of a sudden = Without any reason = Spontaneous = Both Lips become Mlān swollen and painful all of a sudden andwithout any reason

अकसभातमरानौ (अहर) 0 No change in appearance

(Spontaneous Faded) 1 Lips look dull occasionally

15

Code Signs amp Symptoms Score Gradations Remarks

2 Lips look faded off and on in a day

3 Lips look faded and dirty frequently in a day

अकसभातसशनौ (अहर) 0 No Swelling

(Spontaneous swelling) 1 Occasionally Swelling in a day Here the size of swelling is not considered but the spontaneous nature of swilling is considered

2 Off and on swelling in a day

3 Swelling frequently in a day

अकसभात रजौ (अहर) (Pain)

0 No pain Or According to VAS

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

पवषभऩाककनौ (अहर) (Irregular suppuration )

0 No suppuration

1 Suppuration in 13 part of lips

2 Suppuration in 23 part of lip

3 Suppuration in major of lip

105 यकतज ओषठयोग (स) खजयपर पऩडका 0 No follicles

(Brownish follicles) 1 13 lip covered with brownish colour follicles

2 23 lip covered with brownish colour follicles

3 More than 23 lip covered with follicles

रचधयसराव (रचधय सरवत) (Bleeding)

0 No bleeding

1 Bleeding on touch or movement

2 Spontaneous bleeding

3 Continuous Bleeding

अफद बवत 0 No tumour

1 Tumour is 2 cm in size

2 Tumour is 4 cm in size

3 Tumour is gt4 cm in size

106 भासज ओषठयोग (स) भासपऩणडवत उदगतौ

(Bulky) 0 No Growth This word is used

as an adjective of

Sthoola See सथल

16

Code Signs amp Symptoms Score Gradations Remarks

1 Growth is present in both Oshtha but no discomfort to patient

2 Growth is present in both Oshtha with discomfort to patient

3 Large Growth is present in both Oshtha involving the surrounding region

जनतवशिातर भछिचनत सककसमोबमतो भखात

0 No Maggot Formation

1 Maggot formation on one side of the angle of mouth

2 Maggot Formation on both angles of mouth

3 Excessive maggot Formation

गर 0 No Heaviness in any of the lip

1 Mild heaviness no difficulty in lips movement

2 Difficulty in Lips function due to Heaviness

3 Protrusion of both lips

सथरौ (Bulky)

According to Sanskrit ndash English Dictionary

0 Size not increased

1 Slightly bigger than normal no noticeable by other person

2 Bigger than normal noticeable by another person

3 Bigger size effect the lip movement and lip protrudes down

107 भदज ओषठयोग (स) घतभणडाबौ (Clear

melted butter like)

0 Does not look like filled with clear part of melted butter

Here the specific appearance is given so the area is considerd

1 13 part of both lips looks like filled with clear part of melted butter

2 23 part of both lips looks like filled with clear part of melted butter

3 More than 23 part of both lips looks like filled with clear part of melted butter

कणड 0 No itching Or According to VAS

1 Itching in both lips but not disturbing work

17

Code Signs amp Symptoms Score Gradations Remarks

2 Itching in both lips but disturbing work

3 in both lips and cannot concentrate in work due to itching

Or

0 No itching

1 Occasional itching

2 Off and on itching

3 Continuous itching

चसथयौ 0 Movement of lips not affected

(Immobility) 1 Lip movement slightly affected but no difficulty in speech

2 Lip movement affected which alter the speech

3 Lip movement arrested

भदता (Sponginess) 0 Absent

1 Present

आसराव (अछि सपटिक सङकाशभ) (discharge of clear fluid)

0 No discharge अचछ सफटिक Word is Adjective for the type of discharge So grading is given for the frequency of discharge

1 Occasional discharge

2 Off and on discharge of clear fluid

3 Continuous discharge of clear fluid

गर 0 No Heaviness

1 Mild heaviness no difficulty in lip movement

2 Difficulty in lip function due to heaviness

3 Protrusion of lip due to heaviness

तराबशवमथ (अहर) 0 Does not look like filled with oil As per the घतभणडाब

tailabha is used as adjective so grading is given for Shvayathu

1 13 part of lips looks like filled with oil

2 23 part of lips looks filled with oil

3 More than 23 part of lips looks like filled with oil

सराव 0 No discharge

1 Occasional discharge

2 Off and on discharge of clear fluid

3 Continuous discharge of clear fluid

तराबकरदौ (Moister) 0 Absent Darshan pariksha

18

Code Signs amp Symptoms Score Gradations Remarks

1 Present

कणड 0 No itching Or According to VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate in work due to itching

OR

0 No itching

1 Occasional itching

2 Off and on itching

3 Continuous itching

109 तज ओषठयोग (स) पवदीमता (Tear) 0 No tear

1 Cut Up to epithelial layer

2 Cut Up to Sub epithelial layer

3 Cut up to muscular layer

ऩाटमता (Lips divided

in two parts)

0 Lips divided into two parts

1 Absent

2 Present

गरचथत

(NodulesLumps)

0 No lumps

1 Soft lumps

2 Hard Lumps

3 Multiple lumps

कणड (Itching) 0 No itching Or According to VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate in work due to itching

OR

0 No itching

1 Occasional itching

2 Off and on itching

3 Continuous itching

दशनछिदौ (अहर) (Lips covering the teeth)

0 Covering the teeth completely

1 Partial covering (gt50 ) the teeth

2 Covering the teeth lt50

19

Code Signs amp Symptoms Score Gradations Remarks

3 Not covering the teeth (All teeth exposed)

1010 जराफद (अहर) जरफदफदवद

(Cystic Swelling)

0 No Cystic Swelling

1 Up to 5mm Swelling

2 Swelling up to 5-10mm

3 More than 10mm

1011 यकताफद (स) रचधय सराव

रचधय सरवत 0 No bleeding

(Bleeding) 1 Bleeding on touch or movement

2 Spontaneous bleeding

3 Continuous bleeding

खजयसदश 0 Absent Used as an adjective

(Date fruits like) 1 Present

1012 खणडौषठ (अ)

ओषठोदपवधाकत 0 No separation of lips

(Lips divided separated into two parts)

1 Separation up to vermilion line

2 Separation up to Philtrum

3 Separation up to Collumella

20

GRADATION OF DANTA MOOL GAT ROG

Code ndash 11

Gradations established by Group KARAL Dr Krishna Makadia - Convener

Dantvaidya Saroj Joshi Dantvaidya Harshad Joshi

Dr Kiran Raj Dr Achyuta Atara Dr Pranav Dave

Gradations Reviewed by Dr Hemangi Shukla Dr Krishna Makadia

Edited by Prof Vd Hāridra Dave

21

Code Signs amp Symptoms Score Gradations Remarks

111 शीताद (स) अकसभात यकतसराव 0 No bleeding

1 Occasional bleeding for 1 or 2 times in 1 Prahar

2 Spontaneous Bleeding up to one Prahar

3 Spontaneous Bleeding for more than 1 Prahar (more than 3hrs)

दगनधीतन 0 No foul smell

1 Patient feels foul smell

2 Doctor or person who comes near to patient feels foul smell

3 From distance anyone can feels foul smell who is in the room

4 Foul smell can be feel from outside of the room even

सकषणातन 0 Absent

=Blackish discoloration

1 Present

परकरदीतन 0 Absent

1 Present

भदता 0 Absent

1 Present

दनतभास शीमनत 0 Gums situated At CE junction

1 Recession of gums At cervical 13

2 Recession of gums At middle 13

3 Recession of gums At apical 13

ऩिचनत ि ऩयसऩयभ 0 No Pachan (Pāk)

= Pāk 1 1 Quadrant is involved

2 2 quadrants are involved

3 More than 2 quadrants are involved

112 दनतपपपटक (स) दनतमोसतरीष वा 0 No involvement of teeth

1 Involvement of 2 teeth

2 Involvement of 3 teeth

शवमथ भहान 0 Absent

1 Present

सरज 0 No pain Or according to VAS

1 तीवर =Pain is there but he can do

work or sleep

22

Code Signs amp Symptoms Score Gradations Remarks

2 तीवरतय =Pain is there but he can do

work or sleep

3 तीवरतभ =Patient canrsquot tolerate

शोफ़ो फदयाचसथतनबो घन (अहर) =Kola is

small jujube and badar is big jujube and seed is measuring around 5 mm

0 Not present

1 Shoth up to 25 mm

2 Shoth 25 to 5 mm

3 Shoth is more than 5 mm

ऩाक (अहर) (शीघर ऩछमत)

0 Absent Accumulation of Fluid or pus

1 Present

113 दनतवषट (स) सरवचनत ऩमरचधय

Discharge of blood with pus or only pus

0 No Discharge

1 Blood with Pus Discharge

2 Only pus discharge

िरता 0 No mobility

1 1 mm antero-posterior Mobility

2 2 mm antero-posterior Mobility

3 More than 2 mm antero-posterior amp medial to lateral mobility

114 शौषषर (स) शवमथ 0 Absent

1 Present

रजावान According to VAS scoring

रारासरावी 0 Normal secretion

1 Occasionally splitting

2 On and off splitting

3 Continuous splitting disturbance in work

कणड 0 Absent

1 Occasionally itching

2 On and off itching

3 Continues itching

23

Code Signs amp Symptoms Score Gradations Remarks

दतभासपरशातन 0 Gums situated At CE junction

1 Recession of gums At cervical 13

2 Recession of gums At middle 13 3 Recession of gums At apical 13

115 महाशौषषर (स) दनताशिरचनत 0 No mobility

1 1 mm antero-posterior mobility

2 2 mm antero-posterior mobility

3 More than 2 mm anteroposterior amp medial to lateral mobility

तार अवदीमत 0 Absent Fissure over the Palate

1 Present

दतभासातनऩछमनत 0 No redness

1 Mild redness

2 Moderate redness

3 Severe redness

भख ऩरयऩीडमत 0 No Peedā Or According to VAS

Pain in any part or whole oral cavity

1 Peedā is at those Gums where disease is situated

2 Peedā is at entire Gums

Peedā is at entire Mukh

सचननऩाताजजजजवयवान

(अहर) 0 Normal temperature

1 Temperature between 984rsquoF to 100rsquoF

Temperature between 100rsquoF to 101rsquoF

2 Temperature between 101rsquoF to 102rsquoF

3 Temperature between 102rsquoF to 103rsquoF

4 Temperature between 103rsquoF to 104rsquoF

5 Temperature more than 104rsquoF

सऩमरचधयसरतत (अहर)

0 No Discharge

1 Blood with Pus Discharge

2 only pus discharge

पवशीणदपवजफनधन (अहर)

0 No mobility

1 1 mm antero-posterior mobility 2 2 mm antero-posterior mobility

24

Code Signs amp Symptoms Score Gradations Remarks 3 more than 2 mm antero-posterior

amp medial to lateral mobility

116 पररदर (स) दनतभासातन शीमनत 0 Gums situated At CE junction Depending upon

severity grading has been established

1 Recession of gums At cervical 13

2 Recession of gums At middle 13

3 Recession of gums At apical 13

षठीवतत असक 0 No spitting of blood

1 Occasionally splitting

2 On and off splitting

3 Continuous splitting with disturbance in work

117 उपकश (स) दाह Or According to VAS

ऩाक 0 Absent

1 Present

दनताशिरचनत 0 No mobility

1 1 mm antero-posterior mobility

2 2 mm antero-posterior mobility

3 more than 2 mm antero-posterior amp medial to lateral mobility

आघटिता परसरवचनत 0 Absent

=Bleeding from gums by pressure

1 Bleeding on pressure remains for five minutes

2 Bleeding on pressure remains up to 15 minutes

3 Bleeding on pressure remains up to 30 minutes

4 Bleeding on pressure remains up to 1 hour

5 Bleeding on pressure remains more than 1 hour

भदवदना 0 Absent

1 Present

आधभामनत सरत यकत

0 Absent

1 Present

ऩतत वकतरता (अहर) 0 No foul smell

1 Patient feels foul smell

25

Code Signs amp Symptoms Score Gradations Remarks

2 Doctor or person who comes near to patient feels foul smell

3 From distance anyone can feels foul smell who is in the room

4 Foul smell can be feel from outside of the room even

कणडभचनत (अहर) 0 Absent Or According to VAS

1 Occasionally itching

2 On and off itching

3 Continues itching

िरा (अहर) 0 No mobility

1 1 mm antero-posterior mobility

2 2 mm antero-posterior mobility

3 More than 2 mm antero-posterior amp medial to lateral mobility

118 वदभभ (स) =Traumatic injury(By mechanical Chemical thermal )

घषिष दनतभरष सयबो जामत भहान

0 Absent Mahan suggest itself severity of disease

1 Present

िरदता (अहर) 0 No mobility

1 1 mm antero-posterior mobility

2 2 mm antero-posterior mobility

3 More than 2 mm antero-posterior amp medial to lateral mobility

119 वरभन (स) तीवरवदना 0 No pain Or According to VAS

1 तीवर -Pain is there but he can do

work or sleep

2 तीवरतय -Patient can tolerate

3 तीवरतभ -Patient canrsquot tolerate

1110 अधरमाास (स) भहाञिोथ 0 No Shoth Mahan suggest itself

severity of disease

1 Shoth is Present on that gum only where disease is occurred

2 Shoth is Present on nearby two or three gums where disease is occurred

26

Code Signs amp Symptoms Score Gradations Remarks

3 Shoth is present up to adjoining cheek

This condition should be considered as

भहाञिोथ

भहारजा (स) परततहनतममभमवरतत (अहर)

0 No Rujā (pain) Or According to VAS

2 Rujā (pain) is Present on that gum only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

This condition should be considered as भहारजा amp परततहनतममभमवरतत

रारासरावी 0 Normal secretion

1 Occasionally splitting

2 On and off splitting

3 Continuous splitting disturbance in work

दनतानत कीरवतमशोफ़ (अहर)

0 No Keel vat Shoth

1 Keel vat Shoth is Present on that gum only where disease is occurred

2 Keel vat Shoth is Present on nearby two or three gums where disease is occurred

3 Keel vat Shoth is present up to adjoining cheek

1111 दनतषवदरधर (अहर) दनतभासशोफ़ (ि) 0 No Shoph

1 Shoph is Present on that gum only where disease is occurred

2 Shosh is Present on nearby two or This condition should

27

Code Signs amp Symptoms Score Gradations Remarks

three gums where disease is occurred

be considered as अनत शवमथ According to

Vagbhatta

3 Shosh is extended up to adjoining cheek

This condition should be considered as फाहम शवमथ According to

Vagbhatta

फाहम शवमथ (अहर) This condition is mentioned at दनतभास शोफ़

अनत शवमथ (अहर) This condition is mentioned at दनतभास शोफ़

गर (अहर) 0 Absent

1 Present

रग (अहर) 0 No Rujā (pain) Or According to VAS

2 Rujā (pain) is Present on that gum only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

दाह (अहर) According to VAS

सरवतिननऩमासर (अहर)

0 No Discharge

1 Blood with Pus Discharge

2 Only pus discharge

1112 दतनाडी Scoring is not possible further according to measurement of Nadivrana because X-

ray only detects spread up to the bone Whereas Nadivrana in gingiva periodontal ligament cannot be measured

दतनाडी 0 Absent

1 Present

28

GRADATION OF DANTA GAT ROG

Code ndash 12

Gradations established by Group KARAL Dr Krishna Makadia - Convener

Dantavaidya Saroj Joshi Dantavaidya Harshad Joshi

Dr Kiran Raj Dr Achyuta Atara Dr Pranav Dave

Gradations Reviewed by Dr Hemangi Shukla Dr Krishna Makadia

Edited by Prof Vd Hāridra Dave

29

Code Signs amp Symptoms Score Gradations Remarks

121 दाऱन (स)

तीवररग 0 No Rujā (pain) Or According to VAS

2 Rujā (pain) is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

उषणअसहादनता (अस) 0 No sensitivity in teeth ie with warm

water hot water or

excessive hot water

application on

tooth is not

possible so Time

related and severity

related grading was

finalised(same for

cold)

1 Mild sensitivity in teeth - At a

time

2 Moderate sensitivity in teeth -

Sensitivity remains only for 1

Prahar (up to 3 hrs)

3 Severe sensitivity in teeth -

Sensitivity remains more than

1 Prahar (more than 3 hrs)

शीतअचधकवमथा (अहर) 0 No sensitivity in teeth

1 Mild sensitivity in teeth - At a

time

2 Moderate sensitivity in teeth -

Sensitivity remains only for 1

Prahar (up to 3 hrs)

3 severe sensitivity in teeth-

Sensitivity remains more than

1 Prahar (more than 3 hrs)

22 कममदनत (स) कषण 0 No discoloration

1 Light greyish black

2 Dark greyish black

3 Jet black

30

Code Signs amp Symptoms Score Gradations Remarks

तिदर 0 No cavity It should be

decided by X-ray

1 Cavity within limit of enamel

2 Cavity within limit of dentin

3 Cavity up to pulp

िर 0 No mobility

1 1 mm antero-posterior

mobility

2 2 mm antero-posterior

mobility

3 More than 2 mm antero-

posterior amp medial to lateral

mobility

सरावी 0 No Srāv- after drying

particular teeth with cotton

inserting cotton on cavity

There is no other

method to check

Srāv in Krimidanta

1 Srāv is present

ससयब = Inflammation 0 No inflammation

1 Inflammation is Present भहारज 0 No Rujā (pain) Or According to

VAS 2 Rujā (pain) is Present on that

gum only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

This condition should be considered as भहारज

अतनसभतमतरज 0 No sudden onset of pain

1 Sudden onset of pain is

present

अहततीवराततशभ (अहर) 0 No sudden onset of pain

31

Code Signs amp Symptoms Score Gradations Remarks

1 Sudden onset of pain is

present

पररन (अहर) = Broken due to cavity

0 Cavity is there but it is not

broken

It should be

considered for each

tooth separately

Cavity in that must

be present in

particular tooth

1 13 part of tooth is broken

2 23 of tooth is broken

3 More than 23 of tooth is

broken

4 Total loss of tooth

ऩमसरत (अहर) 0 No Pooya Srāv after drying

particular place

with cotton

inserting cotton on

cavity

1 Pooya Srāv present

यकतसरत (अहर) 0 No Rakta Srāv after drying

particular place

with cotton

inserting cotton on

cavity

1 Rakta Srāv is present

123 दनतहषभ (स)

शीत सऩशन न सहनत 0 No sensitivity by cold touch

in any teeth

1 Ooccassional sensitivity by

cold touch in any toothteeth

for once

2 Sensitivity by cold touch

remains in toothteeth only up

to 1 Prahar (up to 3hrs)

3 Sensitivity by cold touch

remains more than 1 Prahar

(more than 3hrs)

उषण सऩशन न सहनत 0 No sensitivity by hot touch in

any teeth

1 Occassional sensitivity by hot

touch in toothteeth for once

2 Sensitivity by hot touch

remains in toothteeth only up

to 1 Prahar (up to 3hrs)

3 Sensitivity by hot touch

remains in toothteeth more

than 1 Prahar (more than

3hrs)

32

Code Signs amp Symptoms Score Gradations Remarks

परवाताभा = Sensitivity to air

(परवातारशीतबाभा) (अहर)

0 No sensitivity by Pravāt

touch in any tooth

1 Occassional sensitivity by

Pravāt touch in toothteeth for

once

2 Sensitivity by Pravāt touch

remains in toothteeth only up

to 1 Prahar (up to 3hrs)

3 Sensitivity by Pravāt touch

remains in toothteeth more

than 1 Prahar (more than

3hrs)

अरबाभा = Sensitivity to sour food

(परवातारशीतबाभा) (अहर)

0 No sensitivity by eating

sourer food to any tooth

1 Occassional sensitivity by

eating sourer food to any

toothteeth for once

2 Sensitivity by eating sourer

food remains to toothteeth

only up to 1 Prahar (up to

3hrs)

3 Sensitivity by eating sourer

food remains to toothteeth

more than 1 Prahar (more

than 3hrs)

शीतबाभा (परवातारशीतबाभा) (अहर)

0 No sensitivity by eating cold

item to any tooth

1 Occasional sensitivity by

eating cold item to toothteeth

for once

2 Sensitivity by Pravāt touch

remains in toothteeth only up

to 1 Prahar (up to 3hrs)

3 Sensitivity by eating cold

item remains to toothteeth

more than 1 Prahar (more

than 3hrs)

सरजा (अहर) 0 No Rujā (pain)

33

Code Signs amp Symptoms Score Gradations Remarks

2 Rujā (pain) is Present on that gum only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

2 Rujā (pain) is Present on that gum only where disease is occurred and patient can do hisher routine work without disturbance

िर (अहर) 0 No mobility

1 1 mm anterio-posterior

mobility

2 2 mm anterio-posterior

mobility

3 More than 2 mm antero-

posterior amp medial to lateral

mobility

124 भञजनक (स) =Photograph is necessary

(depending upon the severity gradation has been finalised)

वकतर वकरता 0 No deviation

1 Deviation is present

तीवररक 0 No Rujā (pain) Or according to

VAS

2 Rujā (pain) is Present on that gum only where disease is occurred and patient can do hisher routine work without disturbance

34

Code Signs amp Symptoms Score Gradations Remarks

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

This condition should be considered as तीवररक

दनतबङग 0 Tooth is not broken This should be

considered for

single tooth

1 13 part of tooth is broken

2 23 of tooth is broken

3 More than 23 of tooth is

broken

4 Total loss of tooth

125 दनतशकभ रा (स) =Calculus index was selected

शकयव चसथयीबत भर 0 No calculus present

1 Supragingival calculus

covering not more than third

of the exposed tooth surface

2 Supragingival calculus

covering more than 13 but

not more than 23 of the

exposed tooth surface or the

presence of individual flecks

of subgingival calculus

around the cervical portion of

the tooth or both

3 Supragingival calculus

covering more than 23 of the

exposed tooth surface or

continues heavy band 0f

subgingival calculus around

the cervical portion of the

tooth or both

35

Code Signs amp Symptoms Score Gradations Remarks

दनताना गणहयी 0 Absent All 10 Guna of

Danta Sampata

should be

considered required

suggestions for

each Guna

1 Present

ऩततगचनध (अहर) 0 No foul smell Taken grading of

halitosis

1 Patient feels foul smell

2 Doctor or person who comes near to patient feels foul smell

3 From distance anyone can feels foul smell who is in the room

4 Foul smell can be feel from outside of the room even

126 कपामऱका (स)

दनतवलकसम दरनभ = Bracketing of tooth enamel (दरचनत दनतवलकातन)

0 No दरनभ of tooth This should be

considered

separately for each

tooth

1 दरनभ is present of less than 13 of tooth

2 दरनभ is present of more than of 13 of tooth but less than 23 of tooth

3 दरनभ is present of more than of 23 of tooth but no total loss of tooth

4 Total loss of tooth after दरनभ

This condition should be considered as दशनाना पवनाश

दशनाना पवनाश = Total loss of tooth

0 No Any loss of tooth This should be

considered

separately for each

tooth

1 loss of tooth is present of less than 13 of tooth

2 loss of tooth is present of more than of 13 of tooth but less than 23 of tooth

36

Code Signs amp Symptoms Score Gradations Remarks

3 loss of tooth is present of more than of 23 of tooth but no total loss of tooth

4 Total loss of tooth This condition should be considered as दशनाना पवनाश

दनतशातनभ अणश = Thinning of tooth (शातमतममतममणशो दनतात कऩारातन) (अहर)

0 No शातनभ of tooth This should be

considered

separately for each

tooth

1 शातनभ is present in less than 13 of tooth

2 शातनभ is present in more than 13 of tooth but less than 23 of tooth

3 शातनभ is present in more than 23 of tooth but no total loss of tooth

4 Total loss of tooth due to शातनभ

127 शयावदनतक (स) In शमावदनत शमावता amp नीरता should be considered ascending stages

शमावता + नीरता 0 -No any discolouration of

tooth

-Normal colour of tooth

This should be

considered

separately for each

tooth

1 शमावता is Present

2 नीरता is Present

128 हनमो (स) According to Dalhan हनमो is not Dant Rog directly but it is near to

Dantchewing of hard food is one of the causes and there is pain in Dant so it is considered under Danta Rog

हनसचनधपवसहत 0 Absent

1 Can be reset by manual reduction

2 Can be reset by surgical

intervention

129 दनतभद (अहर) तोद =Pricking pain 0 No Pricking pain -Or According to

VAS

- This should be

considered

separately for each

tooth

37

Code Signs amp Symptoms Score Gradations Remarks

2 Pricking pain is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Pricking pain is referred up to Hanu and patient can do hisher routine work without disturbance

4 Pricking pain is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Pricking pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Pricking pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

बद Braking pain 0 No Braking pain -Or According to

VAS

- This should be

considered

separately for each

tooth

2 Braking pain is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Braking pain is referred up to Hanu and patient can do hisher routine work without disturbance

4 Braking pain is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Braking pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Braking pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

38

Code Signs amp Symptoms Score Gradations Remarks

रक Dull pain 0 No Rujā (pain) -Or According to

VAS

- This should be

considered

separately for each

tooth

2 Rujā (pain) is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

सपिन Burstingexpanding pain

0 No Bursting pain -Or According to

VAS

- This should be

considered

separately for each

tooth

2 Bursting pain is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Bursting pain is referred up to Hanu and patient can do hisher routine work without disturbance

4 Bursting pain is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

39

Code Signs amp Symptoms Score Gradations Remarks

5 Bursting pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Bursting pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

1210 दनतचाऱ (अहर) िरतमव = Mobility 0 No = mobility

1 1mm anterio-posterior

mobility

2 2 mm anterio-posterior

mobility

3 More than 2 mm anterio-

posterior amp medial to lateral

mobility

बणादचधकवमथ 0 No Vyatha ndash Pain during

eating

1 Pain during eating of hard

diet only

2 Pain during eating of soft diet

even

1211 कराऱ (स)

=Malocclusion

0 A Normal Molar relationship

exist but there is crowding

misalignment of the teeth

cross bite etc

1 A malocclusion where the

molar relationship shows the

buccal grove of mandibular

first molar distally positioned

when in occlusion with the

mesiobuccal cusp of the

maxillary first molar

2 A malocclusion where the

molar relationship shows the

buccal groove of the

mandibular first molar

mesiallypos

40

GRADATIONS OF JIHWA GAT ROG

Code - 13

Established by Group BHOJ Dr Krishna Makaia ndash Convener

Dr Rajeshree Unadkat Dr Neelam Dave

Dr Ronakgiri Gosai Dr Jignesh Virapariya

Reviewed by Dr Vijayant Bharadwaj

Edited by Prof Vd Hāridra Dave

41

Code Signs amp Symptoms Score Gradations Remarks

131 वाततक चजहवाकिक (स) सपटिता (Creaks) 0 No creaks on tongue

1 Single creak on the dorsum of tongue

2 Multiple Creaks on the dorsum of tongue

3 Multiple deep creaks on the dorsum of tongue (Bleeding)

परसपता (Numbness )

0 No Numbness

1 Numbness in 13 Part of tongue

2 Numbness in 23 Part of tongue

3 Numbness in more than 23 Part of tongue

शाकछिदनपरकाशा (Roughness)

0 Normal surface of tongue on touch

1 Mild rough surface on touch

2 Hard irregular surface on touch

3 Very rough surface which hurts the finger on touch

132 ऩततक चजहवाकिक (स) ऩीता 0 No yellowish discolouration

1 Yellowish discoloration in 13 part

2 Yellowish discoloration in 23 part

3 Yellowish discoloration in more than 23 part of tongue

ऩरयदहमत Burning in entire tongue)

0 No burning Or According to VAS

1 Occasional burning

2 Intermittent burning

3 Continuous burning does not relieve by any measures

दाह (Burning may be

in partially tongue)

0 No Burning Or According to VAS

1 Burning up to 13 part of tongue

2 Burning in 13 to 23 part of tongue

3 Burning in more than 23 part of tongue

42

Code Signs amp Symptoms Score Gradations Remarks

यकतभासाङकयचशिता (Covered with red buds )

0 No change in appearance

1 13 part of tongue covered with red fleshy buds

2 23 part of tongue covered with red fleshy buds

3 Whole tongue covered with red fleshy buds

ओष (Burning) 0 No Oshha Or According to VAS

1 Oshha up to 13 part of tongue

2 Oshha in 13 to 23 part of tongue

3 Oshha in more than 23 part of tongue

133 कपज चजहवाकिक (स) फहरा (Thick) 0 Normal Thickness of Tongue

1 Thickness increased - noticeable by patient

2 Thickness increased - noticeable by the examiner

3 Tongue protruding out because of increased Thickness

गवी (Heaviness) 0 No Heaviness

1 Feeling mild heaviness but no difficulty in Tongue movement

2 Difficulty in Tongue movement especially during intake of liquid

3 Difficulty in Tongue movement especially during intake of hard food

4 Difficulty in Tongue movement especially during Pronunciation

भासोदगभ शालभसरकणिकाब (thorn like papilla)

0 No change in appearance of tongue

1 13 part of tongue covered with red fleshy thorn like papilla

2 23 part of tongue covered with thorn like papilla

3 Whole tongue covered with thorn like papilla

43

Code Signs amp Symptoms Score Gradations Remarks

134 अरास (स) शवमथ

(Swelling at ventral surface of tongue)

0 Absent

1 Present

सतबमतत (Restricted tongue movement)

0 -Normal Movement of Tongue -Movement of tongue not affected

1 Tongue movement slightly restricted but does not affect the normal function

2 Tongue movement restricted that affects the normal function

3 Tongue movement arrested

परवदध

(Increase in size)

0 Size not increased

1 Size increased - noticeable by the patient

2 Size increased - noticeable by the examiner

3 Tongue protruding out because of increased size

ऩाक 0 No swelling or suppuration

1 Inflammation with pain and tenderness

2 Inflammation with different types of pain and tenderness along with induration

3 Pus formation and fluctuation positive

अधशोप 0 Absent

1 Present

उननत (elevation of

the tongue due to swelling below the tongue)

0 Normal position of tongue

1 Tongue slightly elevated due to swelling below the tongue

2 Tongue elevation causes discomfort to the patient

3 Tongue touches the palate

भतमसमगचनध

(Fishy smell)

0 Absent

1 Present

44

Code Signs amp Symptoms Score Gradations Remarks

भासशातन (Destruction of flesh of tongue )

0 No Destruction of tongue flesh

1 13 part of tongue flesh is destroyed

2 23 part of tongue flesh is destroyed

3 More than 23 part of tongue is destroyed

135 उऩचजचहवका (स) शवमथ (Swelling) 0 Absent

1 Present

चजहवाभननम

जात (elevation of

tongue because of swelling)

0 Normal position of tongue

1 Tongue slightly elevated due to swelling below the tongue

2 Tongue elevation causes discomfort to the patient

3 Tongue touches the palate

परसक (Salivation) 0 Normal secretion of saliva

1 Occasionally spitting

2 Off and on spitting

3 Continuous spitting which disturbs the work

कणड (Itching) 0 No itching Or According to VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate on work due to severe itching

0r

0 No itching

1 Occasional itching

2 Off and on itching

3 Continuous itching

ऩरयदाह (Burning in

whole tongue)

0 No burning Or According to VAS

1 Occasional burning

2 Intermittent burning

3 Contentious burning dose not relive by any measures

45

Code Signs amp Symptoms Score Gradations Remarks

136 अचधचजचहवका (अर)

अधोचजहवामा शोप

0 Normal position of tongue

(Swelling below the tongue)

1 Tongue slightly elevated due to swelling below the tongue

2 Tongue elevation causes discomfort to the patient

3 Tongue touches the palate

अङकय (Pappilary

growth)

0 Absent

1 Present

ओष (Burning) 0 No Oshh Or According to

VAS

1 Oshh up to 13 part of tongue

2 Oshh in 13 to 23 part of tongue

3 Oshh in more than 23 part of tongue

सतबवान

(Restriction of Movement)

0 Movement of tongue not affected

1 Tongue movement slightly restricted but does not affect the normal function

2 Tongue movement restricted that affect the normal function

3 Tongue movement arrested

खय(Rough) 0 Smooth on touch

1 Mild irregular surface

2 Rough surface

3 Sharp rough surface touch hurts on finger on touch

रक (Pain) 0 No pain Or According to

VAS

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

कणड (Itching) 0 No itching Or According to

VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate on work due to severe itching

0r

0 No itching

46

Code Signs amp Symptoms Score Gradations Remarks

1 Occasional itching

2 Off and on itching

3 Continuous itching

वाकम पवघातकत (Difficulty in speech)

0 No difficulty in speech

1 Unable to speak िति vargavyanjana

2 Difficulty in speaking क vargavyanjana

Swara donrsquot need involvement of tongue

3 Unable to speak

आहयपवघातकत

(Swallowing )

0 Able to eat regular diet

1 Able to eat soft diet

2 Able to eat only liquid diet

3 Unable to swallow anything

47

GRADATION OF TALUGAT ROG

Code - 14

Established by Group BHOJ Dr Krishna Makaia ndash Convener

Dr Rajeshree Unadkat Dr Neelam Dave

Dr Ronakgiri Gosai Dr Jignesh Virapariya

Reviewed by Dr Vijayant Bharadwaj

Edited by Prof Vd Hāridra Dave

48

Code Signs amp Symptoms Score Gradations Remarks

141 गरशचणडका (स)

परवदधो शोप (Swelling extending from palate) (Which is elongated)

0 Normal size of uvula

1 Swelling of uvula that causes discomfort to the patient

2 Swelling of uvula that causes foreign body sensation

3 Difficulty in breathing due to swelling

दीघ शोप

(Elongated Swelling)

0 Normal size of uvula

1 Elongated swelling of uvula that causes discomfort to the patient

2 Elongated swelling of uvula that causes foreign body sensation

3 Difficulty in breathing due to Elongated swelling

धभातफचसतपरकाश शोप =Inflated

swelling like Basti

0 Normal size of uvula

1 Inflated swelling like Basti of uvula that causes discomfort to the patient

2 Inflated swelling like Basti of uvula that causes foreign body sensation

3 Difficulty in breathing due to Inflated swelling like Basti

तषणा 0 Normal feeling of thirst

1 Increased feeling of thirst which is relived after drinking water

The quantity of water is not consider here but the frequency of water is considered

2 Frequent feeling of thirst which is Occasional relived after drinking water

3 Continuous feeling of thirst does not relive after drinking profuse amount of water

कास (Coughing) 0 No coughing

49

Code Signs amp Symptoms Score Gradations Remarks

1 Occasional coughing during eating and speaking

2 Off and on coughing

3 Continuous coughing

शवास 0 No difficulty in breathing

1 Difficulty in breathing occasionally

2 More difficulty in breathing while sleeping

3 Excessive difficulty in breathing

भतमसमफचसततनब शोप (अहर)

0 Normal uvula Used as an adjective

1 Inflated swelling like Matsya-Basti of uvula that causes discomfort to the patient

2 Inflated swelling like Matsya-Basti of uvula that causes foreign body sensation

3 Difficulty in breathing due to Inflated swelling like Matsya-Basti

पररफ (अहर) 0 Normal length of Uvula

(Elongated Swelling)

1 Size of Uvula increased up to lt2 mm

2 Size of Uvula increased more than 2 mm but less than 4 mm

3 Size of Uvula increased gt4 mm that cause discomfort to patient and cause difficulty in breathing

पऩचछिर(अहर) (Sliminess)

0 Absent

1 Present

नासमाऽऽहायभीयमन (अहर)

0 Food does not come out from nose

(Food comes out of nose)

1 Food comes out from nose

कणठोऩयोध(अहर) (Obstruction of throat )

0 -Able to eat regular diet -No difficulty in swallowing of any food

1 Able to swallow liquid or soft diet but not able to swallow hard diet

2 Able to swallow hard diet forcefully

50

Code Signs amp Symptoms Score Gradations Remarks

3 Not able to swallow hard diet with force

वभन(अहर) (Vomiting)

0 No Vaman

1 Feeling of nausea only

2 Only one veg of Vaman in a day

3 Two vegas of Vaman in a day

4 More than two vegas of Vaman in a day

132 तचणडकयी (स)

शोप (Tonsillar

Swelling)

0 Tonsils are located within the tonsillar fossa

1 Tonsils hypertrophy till the brim of the tonsillar fossa

2 Tonsils hypertrophy extends beyond the pillars but not touching each other

3 Tonsils hypertrophy extends beyond the pillars but not touching each other

तोद

(Pricking pain)

0 No pain

1 Occasional pain Or according to VAS

2 Off and on pain

3 Continuous pain

दाह (Burning) 0 No

1 Occasional burning

2 Intermittent burning

3 Contentious burning dose not relive by any measures

परऩाक 0 Absent

1 Present

पऩचछिर शोप(अहर)

Sliminess in swallowing

0 Feeling of Sliminess is Absent

1 Feeling of Sliminess is Present

भनदरक (अहर)

(Mild pain)

0 Absent Or According to

VAS

1 Present

133 अधरष (स)

शोप (Swelling) 0 No swelling

1 13 Swelling in part of the palate

51

Code Signs amp Symptoms Score Gradations Remarks

2 23 swelling in part of palate

3 Swelling in gt than 23 part of palate

सतबधता =Functions of soft palate like deglutition Phonation etc are affected = No mobility of soft palate

0 Normal function of soft palate

1 Soft palate movement reduced but functions are not affected

2 Any one of the functions of soft palate is affected

3 All functions of soft palate are affected

रोटहतवणता

(Redness)

0 No change in colour

1 Pinkish red coloured mucosa in palate

2 Red coloured mucosa in palate

3 Dark red coloured mucosa in palate

रजा (Pain) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

जजवय (Fever) 0 Normal temperature

1 Temperature between 984rsquoF to 100rsquoF

Temperature between 100rsquoF to 101rsquoF

2 Temperature between 101rsquoF to 102rsquoF

3 Temperature between 102rsquoF to 103rsquoF

52

Code Signs amp Symptoms Score Gradations Remarks

4 Temperature between 103rsquoF to 104rsquoF

5 Temperature more than 104rsquoF

134 कछिऩ (स)

कभवत उतमसनन शोप (Swelling

having shape like dorsum of tortoise)

0 No swelling

1 Swelling in 13rd part of the palate

2 Swelling in 23rd part of palate

3 Swelling in gt 23rd part of palate

चियवपदध(अहर)

(Slow growth)

0 Growth within a week

1 Growth within 1 week to 1 month

2 Growth within 1 month to 6 months

3 Growth within gt 6 months

रक (अहर) (Pain) 0 No pain Or According to VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesics

135 तारअफद (स) ऩदमाकाय तारभधम

शोपम (Swelling

like shape of lotus )

0 No swelling

1 Swelling in 13rd part of the palate

2 2 Swelling in 23rd part of palate

3 3 Swelling in gt 23rd part of palate

136 भाससङघात (स) नीरज (Painless) 0 Absent

1 Present

53

Code Signs amp Symptoms Score Gradations Remarks

शोप 0 No swelling

1 Swelling in 13rd part of the palate

2 Swelling in 23rd part of palate

3 Swelling in gt 23rd part of palate

137 तारऩपऩि (स) नीरक (Painless) 0 Absent

1 Present

कोरभातर

Swelling having size of Kola fruit

0 Absent

1 Present

138 तारशोष (स)

शोष (Dryness) 0 No dryness

1 Dryness decreased after drinking water

2 Patient needs water frequently

3 Dryness persist after dinking profuse water

दायण (Tearing of palate)

0 Absent

1 Present

शवास (Difficulty in

breathing)

0 No difficulty in breathing Here difficulty in breathing is due to obstruction

1 Difficulty in breathing occasionally

2 More difficulty in breathing while sleeping position

3 Excessive difficulty in breathing

जजवय(अहर) (Fever) 0 Normal temperature

1 Temperature between 984rsquoF to 100rsquoF

Temperature between 100rsquoF to 101rsquoF

2 Temperature between 101rsquoF to 102rsquoF

3 Temperature between 102rsquoF to 103rsquoF

4 Temperature between 103rsquoF to 104rsquoF

5 Temperature more than 104rsquoF

54

Code Signs amp Symptoms Score Gradations Remarks

139 तारऩाक (स) ऩाक (Suppuration) 0 No swelling or suppuration

1 Inflammation of palate with pain and tenderness

2 Inflammation of palate with different types of pain and tenderness with induration

3 Pus formation and fluctuation positive

1310 तारपऩटिका (अहर) तारभास पऩटिका

Follicles in palate flesh

0 No follicles

1 13 palate covered with follicles

2 23 palate covered with follicles

3 More than 23 palate covered with follicles

रज(अहर) (Pain) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

Occasional pain

खयता(अहर) (Roughness)

0 Smooth on touch

1 Mild irregular surface on touch

2 Rough surface

3 Sharp rough surface which hurts on finger on touch

घनसराव(अहर) (Thick discharge)

0 No discharge

1 Occasional discharge

2 Off and on thick discharge

3 Continuous thick discharge

1311 तारसहतत (अहर) तारभधम तनरक (अहर) =Painless fleshy growth in palate

Only तारभधम तनरक indicates the place and quality of growth both the symptoms can be

merged

55

Code Signs amp Symptoms Score Gradations Remarks

तनरक (Painless) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

भाससहत

(Fleshy growth in palate)

0 No fleshy growth

1 Fleshy growth in 13 part of the palate Swelling

2 Fleshy growth in 23 part of palate swelling

3 Fleshy growth in more than 23 part of palate

56

GRADATION OF SARVASAR ROG

Code - 15

Established by Group BHOJ Dr Krishna Makaia ndash Convener

Dr Rajeshree Unadkat Dr Neelam Dave

Dr Ronakgiri Gosai Dr Jignesh Virapariya

Reviewed by Dr Vijayant Bharadwaj

Edited by Prof Vd Hāridra Dave

57

Code Signs amp Symptoms Score Gradations Remarks

151 वातजसवसय (स) सपोि (Ulcers) 0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

तोद = Pricking pain 0 No pricking pain Or According to VAS

1 Occasional pricking pain

2 Off and on pricking pain

3 Continuous pricking pain

Or

0 No pricking pain

1 Sometimes mild pricking pain

2 Has to take analgesic while pricking pain

सिारयण(अहर) This symptom is for सवसय so this सवसय is the nature of सिारय

0 No movement of सवसय

1 Movement of सवसय is once in a week

2 Movement of सवसय is once in three to four days

3 Movement of सवसय is at every alternate day

4 Movement of सवसय is once in a day

अरण (अहर) Reddish discoloration

0 Colour of वरण is same with colour of surrounding area

1 Colour of वरण is Reddish

2 Colour of वरण is Dark Red

3 Colour of वरण is Reddish black

र (अहर) Dryness 0 वरण is Moist

-No dryness of वरण

1 वरण Needs lubrication once a day

2 वरण Needs frequent lubrication in

a day

3 No benefit with frequent

lubrication of वरण

तामरता (अहर) (Coppery

0 Colour of वरणौषठ is same with colour of surrounding area

58

Code Signs amp Symptoms Score Gradations Remarks

discoloration) This symptom is for

वरणौषठ

1 Colour of वरणौषठ is Tamra Varna

चऱतवचा (अहर) (Free mucous membrane) This symptom is for

वरणौषठ

0

Movement of वरणौषठ is on touch

only

1 Movement of वरणौषठ can be seen by naked eye means without touch

शीतासहा (अहर) (Intolerance to cold) This symptom is for

जजहवा

0 No Intolerance of cold to जजहवा

1 Intolerance of severe cold to जजहवा

2 Intolerance of moderate cold to जजहवा

3 Intolerance of Mild cold to जजहवा

गवी (Heaviness)

This symptom is for

जजहवा

0 No Heaviness

1 Mild heaviness with no difficulty

in movement of जजहवा

2 Moderate heaviness with

difficulty in Movement of जजहवा

3 Sever heaviness with bending down of

सफटटता (अहर) (Ulcer)

0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

कणटाकाधचता (अहर) = Thorn like

appearance

0 No change in appearance

59

Code Signs amp Symptoms Score Gradations Remarks

1 13 part of oral mucous membrane covered with red fleshy thorn like papillae

2 23 part of oral mucous membrane covered with red fleshy thorn like papillae

3 gt23 part of oral mucous membrane covered with red fleshy thorn like papillae

षववणोतत कचछरणमखम (अहर) (Difficulty in mouth opening)

0 Mouth opening more than 3 fingers without difficulty

1 2 to 3 fingers opening of mouth with or without difficulty

2 1 to 2 fingers opening of mouth with or without difficulty

3 Less than 1 finger opening of mouth with or without difficulty

152 पऩतमत(यकतज)सवसय (स) Signs and Symptoms of यकतज सवसय are same as of पऩतमत सवसय so no separate gradations are mentioned

यकतता (Redness) 0 Colour of सवसय- वरण is similar with

surrounding mucous membrane

1 Reddish Colour of सवसय- वरण

2 Bright red Colour of सवसय- वरण

3 Dark red Colour of सवसय- वरण

सदाह (Burning

Sensation)

0 No burning in सवसय- वरण Or According to

VAS

1 Occasional burning in सवसय- वरण

2 Intermittent burning in सवसय- वरण

3 Contentious burning in सवसय- वरण

which does not relive by any measures

तन (तनसब) (Shallow superficial ulcers)

0 No ulcer

1 Ulcer having depth of 05-1 mm

2 Ulcer having depth of 1 ndash 15 mm

3 Ulcer having depth of 15 -2 mm

60

Code Signs amp Symptoms Score Gradations Remarks

ओष (अहर) 0 No (ओष) burning in सवसय- वरण

1 Occasional (ओष) burning in

सवसय- वरण

2 Intermittent (ओष) burning in

सवसय- वरण

3 Contentious (ओष) burning in

सवसय- वरण which does not relive

by any measures

ततकतवकरता (अहर) (Bitter taste in mouth)

0 No alteration in taste

1 Occasionally bitter taste felt in mouth without having any bitter substance

2 Off and on bitter taste felt in mouth without having any bitter substance

3 Continuous bitter taste felt in mouth without having any bitter substance

ारोकषतत समावरणा (अहर)

0 No Ulcer

(Ulcers looking like chemical burns)

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

153 कपज सवसय (स) कणड (Itching) 0 No itching Or According to

VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Unable to work due to itching

0r

0 No itching

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate on work due to severe itching

रजा (Pain)

(अलऩ रजा) 0 No pain Or According to

VAS

1 Occasional pain

61

Code Signs amp Symptoms Score Gradations Remarks

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain This condition should be considered as अलऩ रजा

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

सवणण 0 Colour of वरण is same with colour of near by tissue

1 Colour of वरण is not same with colour of near by tissue

मररासयतवम (अहर) (Sweet taste in mouth)

0 No alteration in taste

1 Occasionally sweet taste felt without eating any sweet substance

2 Off and on Sweet taste Occasionally sweet taste felt without eating any sweet substance

3 Continuous sweet taste Occasionally sweet taste felt without eating any sweet substance

षपजचछिऱता (अहर) (Unctuousness)

0 Absent

1 Present

वरण 0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

154 कफाबभद (अहर) शयाव अबभदम

(शयावपाणडऽबभदम) 0 Colour of growthtumour is same

the colour of surrounding skin

1 Colour of growthtumour is शयाव

(Blackish)

62

Code Signs amp Symptoms Score Gradations Remarks

पाणड अबभदम (शयावपाणडऽबभदम)

0 Colour of growthtumour is same the colour of surrounding skin

1 Colour of growthtumour is पाणड

(Pale)

अबभदम 0 No GrowthTumour TNM Classification for tumours can be applied for growth

1 Growthtumour having sizelt 10 mm

2 Growthtumour having size 10 mm to 20 mm

3 Growthtumour having size gt 20 mm

घटिता तिनना मटदता च षववरभत (Size increases on rubbing cutting and squeezing)

0 Size of GrowthTumour is not increasing by rubbing cutting or squeezing

1 Size of GrowthTumour is increasing up to 10 mm by rubbing cutting or squeezing within a month

2 Size of GrowthTumour is increasing up to 20 mm by rubbing cutting or squeezing within a month

3 Size of GrowthTumour is increasing up to 30 mm by rubbing cutting or squeezing within a month

4 Size of GrowthTumour is increasing up to 40 mm by rubbing cutting or squeezing within a month

155 ऊरधवभगद (अहर) वकतरदौगनधम

(Halitosis)

0 No Halitosis

1 Halitosis is feel by Patient only

2 Halitosis is feel by Patient and examining Doctor only

3 Halitosis is feel by any person from the distance from 5 meters

63

Code Signs amp Symptoms Score Gradations Remarks

4 Halitosis is feel by any person from the distance from more than 5 meters

156 पततवकर (अहर) ऩतममासमता

(Halitosis)

0 No Halitosis

1 Halitosis is feel by Patient only

2 Halitosis is feel by Patient and examining Doctor only

3 Halitosis is feel by any person from the distance from 5 meters

4 Halitosis is feel by any person from the distance from more than 5 meters

157 सतनऩाततक सवसय (अहर) This disease occurs due to aggravation of all three doshas including Rakta Clinical presentation of this disease is found as mixed picture according prominent aggravation of dosha and signs and symptoms will be observed accordingly Gradations should be considered accordingly so it is not required to repeat here

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Page 7: THE GRADATIONS OF DISEASES OF SHALAKYA TANTRA - PART …theassociationofshalaki.com/downloads/GRADATIONS_OF_DISEASE… · 12.05.2019  · I am also very much thankful to Dr Sandhya

6

I am very much thankful to Smt Swatiben Shah and Dr Deepali Shukla

Department of Sanskrut Samhita State Model Institute of Ayurvedic Science

Kolavada Gandhinagar Gujarat for their valuable guidance to understand

proper meaning of signs and symptoms of diseases in reference to Sanskrut

language and in context Samhita

Last but not least I am very much thankful to all the faculties and PG

scholars of Govt Akhandanand Ayurved Mahavidyalay Ahmedabad and IPGT

amp RA Jamnagar for their valuable support to prepare format for gradations

Prof Vd Hāridra Dave Editor

7

INDEX

No Topic Page No 1 Preface 2 2 Introduction 3

3 Acknowledgement 5 4 Gradations of Oshtha Gat Rog 8

5 Gradations of Danta Mul Gat Rog 20 6 Gradations of Danta Gat Rog 28

7 Gradations of Jihwa Gat Rog 40 8 Gradations of Talu Gat Rog 47

9 Gradations of Sarvasar Rog 56

8

GRADATIONS OF OSHTHA GAT ROG

Code - 10

Established by Group BHOJ Dr Krishna Makaia ndash Convener

Dr Rajeshree Unadkat Dr Neelam Dave

Dr Ronakgiri Gosai Dr Jignesh Virapariya

Reviewed by Dr Vijayant Bharadwaj

Edited by Prof Vd Hāridra Dave

9

Code Signs amp Symptoms Score Gradations Remarks

101 वातज ओषठयोग (स) ककश (Rough) 0 No Karkashata (Smooth surface)

1 Roughness of the surface of Oshtha is not visible by naked eye but can be felt by touching by finger

2 Roughness of surface of Oshtha is visible by naked and can be felt by finger but not hurts the finger

3 Roughness of surface of Oshtha with fissures is visible by naked can be felt by finger not hurts the finger

4 Roughness of surface of Oshtha with fissures is visible by naked can be felt by finger and hurts the finger

ऩरषता (Dryness) 0 No dryness (Moist)

1 Mild dryness No need of lubrication

2 Needs lubrication once or twice a day

3 No benefit with frequent lubrication

सतबधता (Immobile) 0 Lip movement not restricted

1 Difficulty in lip movement

2 Lips movement is totally restricted

3 No lip movement

कषणताअससत

=Blackish

0 No change in colour Make colour scale

1 Darker than normal colour Normal lip colour is variable and depending on natural skin complexion

2 Darker but not complete black

3 Blackish in colour

तीवररगभहारजा (Severe pain)

0 No pain Or According to VAS

1 Pain while movement

2 Continuous pain

3 Discomfort for pain Patient have to take analgesics

दालमत(Creaked lip) 0 No Creaks

1 Single creak

2 Multiple Creaks

10

Code Signs amp Symptoms Score Gradations Remarks

3 Multiple deep creaks (Bleeding)

ऩरयऩाटमत 0 No desquamation

=Desquamation - Sanskrit English dictionary page 870

1 Superficial desquamation of epithelium which looks like soft white scales

2 Deep desquamation of epithelium which looks like hard white scales and ready to bleed

3 Deep desquamation with bleeding

102 पऩतज ओषठयोग (स) आचितोपऩडकासबसत

सषऩाकततसबबशभ

0 No सषऩाकतत Follicles

=Covered with Mustard seed like follicles

1 13 part of lip covered with yellow

mastered seed (सषऩाकतत) like

follicles

2 23 part of lip covered with yellow mastered seed like follicles

3 More than 23 part of lip covered with yellow mastered seed (सषऩाकतत) like follicles

दाह (Burning) 0 No burning Or according to VAS

1 Occasional burning

2 Intermittent burning

3 Continuous burning

ऩाक (Suppuration) 0 No swelling or suppuration

1 Inflammation pain and tenderness

2 Inflammation with different types of pain and tenderness with induration

3 Pus formation and fluctuation positive

ससराव (Discharge) 0 No Discharge

1 Mild discharge sticks on lip

2 Moderate discharge has to be cleaned occasionally

3 Severe or continuous discharge has to be cleaned frequently

This condition should be considered as ससराव

नीरवणता (Bluish discoloration)

0 No discoloration

1 Bluish pink discoloration

2 Pinkish blue discoloration

11

Code Signs amp Symptoms Score Gradations Remarks

3 Lips look more bluish or purplish

ऩीतवणता (Yellowish

discoloration)

0 No discoloration

1 Reddish yellow discoloration

2 Yellowish discoloration

3 Lips look pale yellow

तीकषणासह 0 No irritation to spicy salty sour pungent or hot food

=Intolerance to spicy salty sour pungent or hot food

1 Irritation to spicy and hot food

2 Irritation to spicy salty sour pungent or hot food

3 Irritation to any food

फहकरदा (Excessive moisture)

0 No collection of fluid

1 Follicles with fluid accumulation

2 Follicles with excessive fluid accumulation

3 Follicle with excessive fluid accumulation and patient tries to clean the lips frequently

आशऩाक (Quick

suppuration)

0 Suppuration after 7 days

1 Suppuration within 5 to 7 days

2 Suppuration within 2 to 5 days

3 Suppuration within one day This condition should be considered as

आशऩाक

103 कपज ओषठयोग (स) सवण पऩडका (Follicles

same as lip colour)

0 No Follicles

1 Up to 13 of Oshtha is covered with few of the same coloured and with various sizes of follicles

2 From13 to 23 part of Oshtha is covered with few multiple follicles of the same colour and with various sizes

3 More than 23 part of Oshtha is covered with few multiple follicles of the same colour and with various sizes

कणड (Itching) 0 No itching

12

Code Signs amp Symptoms Score Gradations Remarks

1 Occasional mild itching not disturbing work

2 Off and on moderate itching disturbing work

3 Cannot concentrate in work due to continuous severe itching

शन (Swelling) 0 No Swelling

1 Slightly bigger than normal size not noticed by another person

2 Swelling Noticeable by another person

3 Severe Swelling with restriction of normal movement

पऩचछिरता (Sliminess) 0 No Sliminess

1 Mild sliminess

2 Moderate sliminess

3 Severe sliminess

शीतरता -Subjective

(Feeling of coldness by patient)

0 No feeling of coldness by patient Subjective and objective both should be taken

1 Feeling of coldness by patient but no change in temperature

2 Feeling of coldness by patient which is colder than body temperature on touch by the patient

शीतरता -Objective

(Decreased Temperature)

0 No change in temperature

1 1 less than body temperature

2 gt1less than body temperature

गरता (Heaviness) 0 No Heaviness

1 Mild heaviness no difficulty in lip movement

2 Difficulty in lip function due to Heaviness

3 Protrusion of lip due to heaviness

शीतासह

(Intolerance to cold)

0 No Intolerance to cold

1 Intolerance to severe cold

2 Intolerance to moderate cold

3 Intolerance to Mild cold

13

Code Signs amp Symptoms Score Gradations Remarks

104 सतनऩातज ओषठयोग (स) कषणता (Blackish

discoloration)

0 No change in colour In original Shlok lsquoSakrutrsquo word is used along with all types of discolorations According to expert of Sanskrit language and expert of Samhita subject the meaning of lsquoSakrutrsquo is lsquosometimesrsquo and another meaning of this world is lsquosome partrsquo Here we have taken meaning lsquosome partrsquo

1 13 Part of one lip is blackish in colour

2 13 Part of both lips are blackish in colour

3 23 Part of one lip is blackish in colour

4 23 Part of both lips are blackish in colour

5 More than 23 Part of one lip is blackish in colour

6 More than 23 Part of both lips are blackish in colour

ऩीतता (Yellowish

discoloration)

0 No change in colour

1 13 Part of one lip is yellowish in colour

2 13 Part of both lips are yellowish in colour

3 23 Part of one lip is yellowish in colour

4 23 Part of both lips are yellowish in colour

5 More than 23 Part of one lip is yellowish in colour

6 More than 23 Part of both lips are yellowish in colour

अनकपऩडडकाचितौ 0 No Follicles in any of lips

(Multiple follilcles) 1 13 lipLips isare covered with few follicles of various sizes

2 13 lipLips isare covered with multiple follicles of various sizes

3 23 lipLips isare covered with multiple follicles of various sizes

4 Multiple follicles with various sizes (23 lip covered)

5 More than 23 lipLips isare covered with multiple follicles of various sizes follicles

14

Code Signs amp Symptoms Score Gradations Remarks

दगनधौ (Foul smell) 0 No Foul smell

1 Only patient feel foul smell

2 Nearby Doctor 0r people can feel foul smell

3 Foul smell is not tolerable by the patient and the nearby person

आसरावौ (Discharge) 0 No Discharge is on any of lips In Sannipataja disease usually the mixed type of discharge is found So here the type of discharge is not considered The quantity of discharge is considered

1 Mild discharge collected on any one lip

2 Mild discharge collected on both lips or Moderate discharge collected on any one lip which has to be cleaned occasionally

3 Moderate discharge collected on both lips which has to be cleaned occasionally

4 Moderate discharge collected on both lips which has to be cleaned frequently

5 Severe or continuous discharge collected on lipLips which has to be cleaned frequently

पऩचछिरौ (Sliminess) 0 No sliminess

1 Mild Sliminess

2 Moderate Sliminess

3 Severe Sliminess

अकसभातमरानसशन रजौ (अहर) अकसभात

= All of a sudden = Without any reason = Spontaneous = Both Lips become Mlān swollen and painful all of a sudden andwithout any reason

अकसभातमरानौ (अहर) 0 No change in appearance

(Spontaneous Faded) 1 Lips look dull occasionally

15

Code Signs amp Symptoms Score Gradations Remarks

2 Lips look faded off and on in a day

3 Lips look faded and dirty frequently in a day

अकसभातसशनौ (अहर) 0 No Swelling

(Spontaneous swelling) 1 Occasionally Swelling in a day Here the size of swelling is not considered but the spontaneous nature of swilling is considered

2 Off and on swelling in a day

3 Swelling frequently in a day

अकसभात रजौ (अहर) (Pain)

0 No pain Or According to VAS

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

पवषभऩाककनौ (अहर) (Irregular suppuration )

0 No suppuration

1 Suppuration in 13 part of lips

2 Suppuration in 23 part of lip

3 Suppuration in major of lip

105 यकतज ओषठयोग (स) खजयपर पऩडका 0 No follicles

(Brownish follicles) 1 13 lip covered with brownish colour follicles

2 23 lip covered with brownish colour follicles

3 More than 23 lip covered with follicles

रचधयसराव (रचधय सरवत) (Bleeding)

0 No bleeding

1 Bleeding on touch or movement

2 Spontaneous bleeding

3 Continuous Bleeding

अफद बवत 0 No tumour

1 Tumour is 2 cm in size

2 Tumour is 4 cm in size

3 Tumour is gt4 cm in size

106 भासज ओषठयोग (स) भासपऩणडवत उदगतौ

(Bulky) 0 No Growth This word is used

as an adjective of

Sthoola See सथल

16

Code Signs amp Symptoms Score Gradations Remarks

1 Growth is present in both Oshtha but no discomfort to patient

2 Growth is present in both Oshtha with discomfort to patient

3 Large Growth is present in both Oshtha involving the surrounding region

जनतवशिातर भछिचनत सककसमोबमतो भखात

0 No Maggot Formation

1 Maggot formation on one side of the angle of mouth

2 Maggot Formation on both angles of mouth

3 Excessive maggot Formation

गर 0 No Heaviness in any of the lip

1 Mild heaviness no difficulty in lips movement

2 Difficulty in Lips function due to Heaviness

3 Protrusion of both lips

सथरौ (Bulky)

According to Sanskrit ndash English Dictionary

0 Size not increased

1 Slightly bigger than normal no noticeable by other person

2 Bigger than normal noticeable by another person

3 Bigger size effect the lip movement and lip protrudes down

107 भदज ओषठयोग (स) घतभणडाबौ (Clear

melted butter like)

0 Does not look like filled with clear part of melted butter

Here the specific appearance is given so the area is considerd

1 13 part of both lips looks like filled with clear part of melted butter

2 23 part of both lips looks like filled with clear part of melted butter

3 More than 23 part of both lips looks like filled with clear part of melted butter

कणड 0 No itching Or According to VAS

1 Itching in both lips but not disturbing work

17

Code Signs amp Symptoms Score Gradations Remarks

2 Itching in both lips but disturbing work

3 in both lips and cannot concentrate in work due to itching

Or

0 No itching

1 Occasional itching

2 Off and on itching

3 Continuous itching

चसथयौ 0 Movement of lips not affected

(Immobility) 1 Lip movement slightly affected but no difficulty in speech

2 Lip movement affected which alter the speech

3 Lip movement arrested

भदता (Sponginess) 0 Absent

1 Present

आसराव (अछि सपटिक सङकाशभ) (discharge of clear fluid)

0 No discharge अचछ सफटिक Word is Adjective for the type of discharge So grading is given for the frequency of discharge

1 Occasional discharge

2 Off and on discharge of clear fluid

3 Continuous discharge of clear fluid

गर 0 No Heaviness

1 Mild heaviness no difficulty in lip movement

2 Difficulty in lip function due to heaviness

3 Protrusion of lip due to heaviness

तराबशवमथ (अहर) 0 Does not look like filled with oil As per the घतभणडाब

tailabha is used as adjective so grading is given for Shvayathu

1 13 part of lips looks like filled with oil

2 23 part of lips looks filled with oil

3 More than 23 part of lips looks like filled with oil

सराव 0 No discharge

1 Occasional discharge

2 Off and on discharge of clear fluid

3 Continuous discharge of clear fluid

तराबकरदौ (Moister) 0 Absent Darshan pariksha

18

Code Signs amp Symptoms Score Gradations Remarks

1 Present

कणड 0 No itching Or According to VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate in work due to itching

OR

0 No itching

1 Occasional itching

2 Off and on itching

3 Continuous itching

109 तज ओषठयोग (स) पवदीमता (Tear) 0 No tear

1 Cut Up to epithelial layer

2 Cut Up to Sub epithelial layer

3 Cut up to muscular layer

ऩाटमता (Lips divided

in two parts)

0 Lips divided into two parts

1 Absent

2 Present

गरचथत

(NodulesLumps)

0 No lumps

1 Soft lumps

2 Hard Lumps

3 Multiple lumps

कणड (Itching) 0 No itching Or According to VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate in work due to itching

OR

0 No itching

1 Occasional itching

2 Off and on itching

3 Continuous itching

दशनछिदौ (अहर) (Lips covering the teeth)

0 Covering the teeth completely

1 Partial covering (gt50 ) the teeth

2 Covering the teeth lt50

19

Code Signs amp Symptoms Score Gradations Remarks

3 Not covering the teeth (All teeth exposed)

1010 जराफद (अहर) जरफदफदवद

(Cystic Swelling)

0 No Cystic Swelling

1 Up to 5mm Swelling

2 Swelling up to 5-10mm

3 More than 10mm

1011 यकताफद (स) रचधय सराव

रचधय सरवत 0 No bleeding

(Bleeding) 1 Bleeding on touch or movement

2 Spontaneous bleeding

3 Continuous bleeding

खजयसदश 0 Absent Used as an adjective

(Date fruits like) 1 Present

1012 खणडौषठ (अ)

ओषठोदपवधाकत 0 No separation of lips

(Lips divided separated into two parts)

1 Separation up to vermilion line

2 Separation up to Philtrum

3 Separation up to Collumella

20

GRADATION OF DANTA MOOL GAT ROG

Code ndash 11

Gradations established by Group KARAL Dr Krishna Makadia - Convener

Dantvaidya Saroj Joshi Dantvaidya Harshad Joshi

Dr Kiran Raj Dr Achyuta Atara Dr Pranav Dave

Gradations Reviewed by Dr Hemangi Shukla Dr Krishna Makadia

Edited by Prof Vd Hāridra Dave

21

Code Signs amp Symptoms Score Gradations Remarks

111 शीताद (स) अकसभात यकतसराव 0 No bleeding

1 Occasional bleeding for 1 or 2 times in 1 Prahar

2 Spontaneous Bleeding up to one Prahar

3 Spontaneous Bleeding for more than 1 Prahar (more than 3hrs)

दगनधीतन 0 No foul smell

1 Patient feels foul smell

2 Doctor or person who comes near to patient feels foul smell

3 From distance anyone can feels foul smell who is in the room

4 Foul smell can be feel from outside of the room even

सकषणातन 0 Absent

=Blackish discoloration

1 Present

परकरदीतन 0 Absent

1 Present

भदता 0 Absent

1 Present

दनतभास शीमनत 0 Gums situated At CE junction

1 Recession of gums At cervical 13

2 Recession of gums At middle 13

3 Recession of gums At apical 13

ऩिचनत ि ऩयसऩयभ 0 No Pachan (Pāk)

= Pāk 1 1 Quadrant is involved

2 2 quadrants are involved

3 More than 2 quadrants are involved

112 दनतपपपटक (स) दनतमोसतरीष वा 0 No involvement of teeth

1 Involvement of 2 teeth

2 Involvement of 3 teeth

शवमथ भहान 0 Absent

1 Present

सरज 0 No pain Or according to VAS

1 तीवर =Pain is there but he can do

work or sleep

22

Code Signs amp Symptoms Score Gradations Remarks

2 तीवरतय =Pain is there but he can do

work or sleep

3 तीवरतभ =Patient canrsquot tolerate

शोफ़ो फदयाचसथतनबो घन (अहर) =Kola is

small jujube and badar is big jujube and seed is measuring around 5 mm

0 Not present

1 Shoth up to 25 mm

2 Shoth 25 to 5 mm

3 Shoth is more than 5 mm

ऩाक (अहर) (शीघर ऩछमत)

0 Absent Accumulation of Fluid or pus

1 Present

113 दनतवषट (स) सरवचनत ऩमरचधय

Discharge of blood with pus or only pus

0 No Discharge

1 Blood with Pus Discharge

2 Only pus discharge

िरता 0 No mobility

1 1 mm antero-posterior Mobility

2 2 mm antero-posterior Mobility

3 More than 2 mm antero-posterior amp medial to lateral mobility

114 शौषषर (स) शवमथ 0 Absent

1 Present

रजावान According to VAS scoring

रारासरावी 0 Normal secretion

1 Occasionally splitting

2 On and off splitting

3 Continuous splitting disturbance in work

कणड 0 Absent

1 Occasionally itching

2 On and off itching

3 Continues itching

23

Code Signs amp Symptoms Score Gradations Remarks

दतभासपरशातन 0 Gums situated At CE junction

1 Recession of gums At cervical 13

2 Recession of gums At middle 13 3 Recession of gums At apical 13

115 महाशौषषर (स) दनताशिरचनत 0 No mobility

1 1 mm antero-posterior mobility

2 2 mm antero-posterior mobility

3 More than 2 mm anteroposterior amp medial to lateral mobility

तार अवदीमत 0 Absent Fissure over the Palate

1 Present

दतभासातनऩछमनत 0 No redness

1 Mild redness

2 Moderate redness

3 Severe redness

भख ऩरयऩीडमत 0 No Peedā Or According to VAS

Pain in any part or whole oral cavity

1 Peedā is at those Gums where disease is situated

2 Peedā is at entire Gums

Peedā is at entire Mukh

सचननऩाताजजजजवयवान

(अहर) 0 Normal temperature

1 Temperature between 984rsquoF to 100rsquoF

Temperature between 100rsquoF to 101rsquoF

2 Temperature between 101rsquoF to 102rsquoF

3 Temperature between 102rsquoF to 103rsquoF

4 Temperature between 103rsquoF to 104rsquoF

5 Temperature more than 104rsquoF

सऩमरचधयसरतत (अहर)

0 No Discharge

1 Blood with Pus Discharge

2 only pus discharge

पवशीणदपवजफनधन (अहर)

0 No mobility

1 1 mm antero-posterior mobility 2 2 mm antero-posterior mobility

24

Code Signs amp Symptoms Score Gradations Remarks 3 more than 2 mm antero-posterior

amp medial to lateral mobility

116 पररदर (स) दनतभासातन शीमनत 0 Gums situated At CE junction Depending upon

severity grading has been established

1 Recession of gums At cervical 13

2 Recession of gums At middle 13

3 Recession of gums At apical 13

षठीवतत असक 0 No spitting of blood

1 Occasionally splitting

2 On and off splitting

3 Continuous splitting with disturbance in work

117 उपकश (स) दाह Or According to VAS

ऩाक 0 Absent

1 Present

दनताशिरचनत 0 No mobility

1 1 mm antero-posterior mobility

2 2 mm antero-posterior mobility

3 more than 2 mm antero-posterior amp medial to lateral mobility

आघटिता परसरवचनत 0 Absent

=Bleeding from gums by pressure

1 Bleeding on pressure remains for five minutes

2 Bleeding on pressure remains up to 15 minutes

3 Bleeding on pressure remains up to 30 minutes

4 Bleeding on pressure remains up to 1 hour

5 Bleeding on pressure remains more than 1 hour

भदवदना 0 Absent

1 Present

आधभामनत सरत यकत

0 Absent

1 Present

ऩतत वकतरता (अहर) 0 No foul smell

1 Patient feels foul smell

25

Code Signs amp Symptoms Score Gradations Remarks

2 Doctor or person who comes near to patient feels foul smell

3 From distance anyone can feels foul smell who is in the room

4 Foul smell can be feel from outside of the room even

कणडभचनत (अहर) 0 Absent Or According to VAS

1 Occasionally itching

2 On and off itching

3 Continues itching

िरा (अहर) 0 No mobility

1 1 mm antero-posterior mobility

2 2 mm antero-posterior mobility

3 More than 2 mm antero-posterior amp medial to lateral mobility

118 वदभभ (स) =Traumatic injury(By mechanical Chemical thermal )

घषिष दनतभरष सयबो जामत भहान

0 Absent Mahan suggest itself severity of disease

1 Present

िरदता (अहर) 0 No mobility

1 1 mm antero-posterior mobility

2 2 mm antero-posterior mobility

3 More than 2 mm antero-posterior amp medial to lateral mobility

119 वरभन (स) तीवरवदना 0 No pain Or According to VAS

1 तीवर -Pain is there but he can do

work or sleep

2 तीवरतय -Patient can tolerate

3 तीवरतभ -Patient canrsquot tolerate

1110 अधरमाास (स) भहाञिोथ 0 No Shoth Mahan suggest itself

severity of disease

1 Shoth is Present on that gum only where disease is occurred

2 Shoth is Present on nearby two or three gums where disease is occurred

26

Code Signs amp Symptoms Score Gradations Remarks

3 Shoth is present up to adjoining cheek

This condition should be considered as

भहाञिोथ

भहारजा (स) परततहनतममभमवरतत (अहर)

0 No Rujā (pain) Or According to VAS

2 Rujā (pain) is Present on that gum only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

This condition should be considered as भहारजा amp परततहनतममभमवरतत

रारासरावी 0 Normal secretion

1 Occasionally splitting

2 On and off splitting

3 Continuous splitting disturbance in work

दनतानत कीरवतमशोफ़ (अहर)

0 No Keel vat Shoth

1 Keel vat Shoth is Present on that gum only where disease is occurred

2 Keel vat Shoth is Present on nearby two or three gums where disease is occurred

3 Keel vat Shoth is present up to adjoining cheek

1111 दनतषवदरधर (अहर) दनतभासशोफ़ (ि) 0 No Shoph

1 Shoph is Present on that gum only where disease is occurred

2 Shosh is Present on nearby two or This condition should

27

Code Signs amp Symptoms Score Gradations Remarks

three gums where disease is occurred

be considered as अनत शवमथ According to

Vagbhatta

3 Shosh is extended up to adjoining cheek

This condition should be considered as फाहम शवमथ According to

Vagbhatta

फाहम शवमथ (अहर) This condition is mentioned at दनतभास शोफ़

अनत शवमथ (अहर) This condition is mentioned at दनतभास शोफ़

गर (अहर) 0 Absent

1 Present

रग (अहर) 0 No Rujā (pain) Or According to VAS

2 Rujā (pain) is Present on that gum only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

दाह (अहर) According to VAS

सरवतिननऩमासर (अहर)

0 No Discharge

1 Blood with Pus Discharge

2 Only pus discharge

1112 दतनाडी Scoring is not possible further according to measurement of Nadivrana because X-

ray only detects spread up to the bone Whereas Nadivrana in gingiva periodontal ligament cannot be measured

दतनाडी 0 Absent

1 Present

28

GRADATION OF DANTA GAT ROG

Code ndash 12

Gradations established by Group KARAL Dr Krishna Makadia - Convener

Dantavaidya Saroj Joshi Dantavaidya Harshad Joshi

Dr Kiran Raj Dr Achyuta Atara Dr Pranav Dave

Gradations Reviewed by Dr Hemangi Shukla Dr Krishna Makadia

Edited by Prof Vd Hāridra Dave

29

Code Signs amp Symptoms Score Gradations Remarks

121 दाऱन (स)

तीवररग 0 No Rujā (pain) Or According to VAS

2 Rujā (pain) is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

उषणअसहादनता (अस) 0 No sensitivity in teeth ie with warm

water hot water or

excessive hot water

application on

tooth is not

possible so Time

related and severity

related grading was

finalised(same for

cold)

1 Mild sensitivity in teeth - At a

time

2 Moderate sensitivity in teeth -

Sensitivity remains only for 1

Prahar (up to 3 hrs)

3 Severe sensitivity in teeth -

Sensitivity remains more than

1 Prahar (more than 3 hrs)

शीतअचधकवमथा (अहर) 0 No sensitivity in teeth

1 Mild sensitivity in teeth - At a

time

2 Moderate sensitivity in teeth -

Sensitivity remains only for 1

Prahar (up to 3 hrs)

3 severe sensitivity in teeth-

Sensitivity remains more than

1 Prahar (more than 3 hrs)

22 कममदनत (स) कषण 0 No discoloration

1 Light greyish black

2 Dark greyish black

3 Jet black

30

Code Signs amp Symptoms Score Gradations Remarks

तिदर 0 No cavity It should be

decided by X-ray

1 Cavity within limit of enamel

2 Cavity within limit of dentin

3 Cavity up to pulp

िर 0 No mobility

1 1 mm antero-posterior

mobility

2 2 mm antero-posterior

mobility

3 More than 2 mm antero-

posterior amp medial to lateral

mobility

सरावी 0 No Srāv- after drying

particular teeth with cotton

inserting cotton on cavity

There is no other

method to check

Srāv in Krimidanta

1 Srāv is present

ससयब = Inflammation 0 No inflammation

1 Inflammation is Present भहारज 0 No Rujā (pain) Or According to

VAS 2 Rujā (pain) is Present on that

gum only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

This condition should be considered as भहारज

अतनसभतमतरज 0 No sudden onset of pain

1 Sudden onset of pain is

present

अहततीवराततशभ (अहर) 0 No sudden onset of pain

31

Code Signs amp Symptoms Score Gradations Remarks

1 Sudden onset of pain is

present

पररन (अहर) = Broken due to cavity

0 Cavity is there but it is not

broken

It should be

considered for each

tooth separately

Cavity in that must

be present in

particular tooth

1 13 part of tooth is broken

2 23 of tooth is broken

3 More than 23 of tooth is

broken

4 Total loss of tooth

ऩमसरत (अहर) 0 No Pooya Srāv after drying

particular place

with cotton

inserting cotton on

cavity

1 Pooya Srāv present

यकतसरत (अहर) 0 No Rakta Srāv after drying

particular place

with cotton

inserting cotton on

cavity

1 Rakta Srāv is present

123 दनतहषभ (स)

शीत सऩशन न सहनत 0 No sensitivity by cold touch

in any teeth

1 Ooccassional sensitivity by

cold touch in any toothteeth

for once

2 Sensitivity by cold touch

remains in toothteeth only up

to 1 Prahar (up to 3hrs)

3 Sensitivity by cold touch

remains more than 1 Prahar

(more than 3hrs)

उषण सऩशन न सहनत 0 No sensitivity by hot touch in

any teeth

1 Occassional sensitivity by hot

touch in toothteeth for once

2 Sensitivity by hot touch

remains in toothteeth only up

to 1 Prahar (up to 3hrs)

3 Sensitivity by hot touch

remains in toothteeth more

than 1 Prahar (more than

3hrs)

32

Code Signs amp Symptoms Score Gradations Remarks

परवाताभा = Sensitivity to air

(परवातारशीतबाभा) (अहर)

0 No sensitivity by Pravāt

touch in any tooth

1 Occassional sensitivity by

Pravāt touch in toothteeth for

once

2 Sensitivity by Pravāt touch

remains in toothteeth only up

to 1 Prahar (up to 3hrs)

3 Sensitivity by Pravāt touch

remains in toothteeth more

than 1 Prahar (more than

3hrs)

अरबाभा = Sensitivity to sour food

(परवातारशीतबाभा) (अहर)

0 No sensitivity by eating

sourer food to any tooth

1 Occassional sensitivity by

eating sourer food to any

toothteeth for once

2 Sensitivity by eating sourer

food remains to toothteeth

only up to 1 Prahar (up to

3hrs)

3 Sensitivity by eating sourer

food remains to toothteeth

more than 1 Prahar (more

than 3hrs)

शीतबाभा (परवातारशीतबाभा) (अहर)

0 No sensitivity by eating cold

item to any tooth

1 Occasional sensitivity by

eating cold item to toothteeth

for once

2 Sensitivity by Pravāt touch

remains in toothteeth only up

to 1 Prahar (up to 3hrs)

3 Sensitivity by eating cold

item remains to toothteeth

more than 1 Prahar (more

than 3hrs)

सरजा (अहर) 0 No Rujā (pain)

33

Code Signs amp Symptoms Score Gradations Remarks

2 Rujā (pain) is Present on that gum only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

2 Rujā (pain) is Present on that gum only where disease is occurred and patient can do hisher routine work without disturbance

िर (अहर) 0 No mobility

1 1 mm anterio-posterior

mobility

2 2 mm anterio-posterior

mobility

3 More than 2 mm antero-

posterior amp medial to lateral

mobility

124 भञजनक (स) =Photograph is necessary

(depending upon the severity gradation has been finalised)

वकतर वकरता 0 No deviation

1 Deviation is present

तीवररक 0 No Rujā (pain) Or according to

VAS

2 Rujā (pain) is Present on that gum only where disease is occurred and patient can do hisher routine work without disturbance

34

Code Signs amp Symptoms Score Gradations Remarks

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

This condition should be considered as तीवररक

दनतबङग 0 Tooth is not broken This should be

considered for

single tooth

1 13 part of tooth is broken

2 23 of tooth is broken

3 More than 23 of tooth is

broken

4 Total loss of tooth

125 दनतशकभ रा (स) =Calculus index was selected

शकयव चसथयीबत भर 0 No calculus present

1 Supragingival calculus

covering not more than third

of the exposed tooth surface

2 Supragingival calculus

covering more than 13 but

not more than 23 of the

exposed tooth surface or the

presence of individual flecks

of subgingival calculus

around the cervical portion of

the tooth or both

3 Supragingival calculus

covering more than 23 of the

exposed tooth surface or

continues heavy band 0f

subgingival calculus around

the cervical portion of the

tooth or both

35

Code Signs amp Symptoms Score Gradations Remarks

दनताना गणहयी 0 Absent All 10 Guna of

Danta Sampata

should be

considered required

suggestions for

each Guna

1 Present

ऩततगचनध (अहर) 0 No foul smell Taken grading of

halitosis

1 Patient feels foul smell

2 Doctor or person who comes near to patient feels foul smell

3 From distance anyone can feels foul smell who is in the room

4 Foul smell can be feel from outside of the room even

126 कपामऱका (स)

दनतवलकसम दरनभ = Bracketing of tooth enamel (दरचनत दनतवलकातन)

0 No दरनभ of tooth This should be

considered

separately for each

tooth

1 दरनभ is present of less than 13 of tooth

2 दरनभ is present of more than of 13 of tooth but less than 23 of tooth

3 दरनभ is present of more than of 23 of tooth but no total loss of tooth

4 Total loss of tooth after दरनभ

This condition should be considered as दशनाना पवनाश

दशनाना पवनाश = Total loss of tooth

0 No Any loss of tooth This should be

considered

separately for each

tooth

1 loss of tooth is present of less than 13 of tooth

2 loss of tooth is present of more than of 13 of tooth but less than 23 of tooth

36

Code Signs amp Symptoms Score Gradations Remarks

3 loss of tooth is present of more than of 23 of tooth but no total loss of tooth

4 Total loss of tooth This condition should be considered as दशनाना पवनाश

दनतशातनभ अणश = Thinning of tooth (शातमतममतममणशो दनतात कऩारातन) (अहर)

0 No शातनभ of tooth This should be

considered

separately for each

tooth

1 शातनभ is present in less than 13 of tooth

2 शातनभ is present in more than 13 of tooth but less than 23 of tooth

3 शातनभ is present in more than 23 of tooth but no total loss of tooth

4 Total loss of tooth due to शातनभ

127 शयावदनतक (स) In शमावदनत शमावता amp नीरता should be considered ascending stages

शमावता + नीरता 0 -No any discolouration of

tooth

-Normal colour of tooth

This should be

considered

separately for each

tooth

1 शमावता is Present

2 नीरता is Present

128 हनमो (स) According to Dalhan हनमो is not Dant Rog directly but it is near to

Dantchewing of hard food is one of the causes and there is pain in Dant so it is considered under Danta Rog

हनसचनधपवसहत 0 Absent

1 Can be reset by manual reduction

2 Can be reset by surgical

intervention

129 दनतभद (अहर) तोद =Pricking pain 0 No Pricking pain -Or According to

VAS

- This should be

considered

separately for each

tooth

37

Code Signs amp Symptoms Score Gradations Remarks

2 Pricking pain is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Pricking pain is referred up to Hanu and patient can do hisher routine work without disturbance

4 Pricking pain is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Pricking pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Pricking pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

बद Braking pain 0 No Braking pain -Or According to

VAS

- This should be

considered

separately for each

tooth

2 Braking pain is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Braking pain is referred up to Hanu and patient can do hisher routine work without disturbance

4 Braking pain is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Braking pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Braking pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

38

Code Signs amp Symptoms Score Gradations Remarks

रक Dull pain 0 No Rujā (pain) -Or According to

VAS

- This should be

considered

separately for each

tooth

2 Rujā (pain) is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

सपिन Burstingexpanding pain

0 No Bursting pain -Or According to

VAS

- This should be

considered

separately for each

tooth

2 Bursting pain is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Bursting pain is referred up to Hanu and patient can do hisher routine work without disturbance

4 Bursting pain is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

39

Code Signs amp Symptoms Score Gradations Remarks

5 Bursting pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Bursting pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

1210 दनतचाऱ (अहर) िरतमव = Mobility 0 No = mobility

1 1mm anterio-posterior

mobility

2 2 mm anterio-posterior

mobility

3 More than 2 mm anterio-

posterior amp medial to lateral

mobility

बणादचधकवमथ 0 No Vyatha ndash Pain during

eating

1 Pain during eating of hard

diet only

2 Pain during eating of soft diet

even

1211 कराऱ (स)

=Malocclusion

0 A Normal Molar relationship

exist but there is crowding

misalignment of the teeth

cross bite etc

1 A malocclusion where the

molar relationship shows the

buccal grove of mandibular

first molar distally positioned

when in occlusion with the

mesiobuccal cusp of the

maxillary first molar

2 A malocclusion where the

molar relationship shows the

buccal groove of the

mandibular first molar

mesiallypos

40

GRADATIONS OF JIHWA GAT ROG

Code - 13

Established by Group BHOJ Dr Krishna Makaia ndash Convener

Dr Rajeshree Unadkat Dr Neelam Dave

Dr Ronakgiri Gosai Dr Jignesh Virapariya

Reviewed by Dr Vijayant Bharadwaj

Edited by Prof Vd Hāridra Dave

41

Code Signs amp Symptoms Score Gradations Remarks

131 वाततक चजहवाकिक (स) सपटिता (Creaks) 0 No creaks on tongue

1 Single creak on the dorsum of tongue

2 Multiple Creaks on the dorsum of tongue

3 Multiple deep creaks on the dorsum of tongue (Bleeding)

परसपता (Numbness )

0 No Numbness

1 Numbness in 13 Part of tongue

2 Numbness in 23 Part of tongue

3 Numbness in more than 23 Part of tongue

शाकछिदनपरकाशा (Roughness)

0 Normal surface of tongue on touch

1 Mild rough surface on touch

2 Hard irregular surface on touch

3 Very rough surface which hurts the finger on touch

132 ऩततक चजहवाकिक (स) ऩीता 0 No yellowish discolouration

1 Yellowish discoloration in 13 part

2 Yellowish discoloration in 23 part

3 Yellowish discoloration in more than 23 part of tongue

ऩरयदहमत Burning in entire tongue)

0 No burning Or According to VAS

1 Occasional burning

2 Intermittent burning

3 Continuous burning does not relieve by any measures

दाह (Burning may be

in partially tongue)

0 No Burning Or According to VAS

1 Burning up to 13 part of tongue

2 Burning in 13 to 23 part of tongue

3 Burning in more than 23 part of tongue

42

Code Signs amp Symptoms Score Gradations Remarks

यकतभासाङकयचशिता (Covered with red buds )

0 No change in appearance

1 13 part of tongue covered with red fleshy buds

2 23 part of tongue covered with red fleshy buds

3 Whole tongue covered with red fleshy buds

ओष (Burning) 0 No Oshha Or According to VAS

1 Oshha up to 13 part of tongue

2 Oshha in 13 to 23 part of tongue

3 Oshha in more than 23 part of tongue

133 कपज चजहवाकिक (स) फहरा (Thick) 0 Normal Thickness of Tongue

1 Thickness increased - noticeable by patient

2 Thickness increased - noticeable by the examiner

3 Tongue protruding out because of increased Thickness

गवी (Heaviness) 0 No Heaviness

1 Feeling mild heaviness but no difficulty in Tongue movement

2 Difficulty in Tongue movement especially during intake of liquid

3 Difficulty in Tongue movement especially during intake of hard food

4 Difficulty in Tongue movement especially during Pronunciation

भासोदगभ शालभसरकणिकाब (thorn like papilla)

0 No change in appearance of tongue

1 13 part of tongue covered with red fleshy thorn like papilla

2 23 part of tongue covered with thorn like papilla

3 Whole tongue covered with thorn like papilla

43

Code Signs amp Symptoms Score Gradations Remarks

134 अरास (स) शवमथ

(Swelling at ventral surface of tongue)

0 Absent

1 Present

सतबमतत (Restricted tongue movement)

0 -Normal Movement of Tongue -Movement of tongue not affected

1 Tongue movement slightly restricted but does not affect the normal function

2 Tongue movement restricted that affects the normal function

3 Tongue movement arrested

परवदध

(Increase in size)

0 Size not increased

1 Size increased - noticeable by the patient

2 Size increased - noticeable by the examiner

3 Tongue protruding out because of increased size

ऩाक 0 No swelling or suppuration

1 Inflammation with pain and tenderness

2 Inflammation with different types of pain and tenderness along with induration

3 Pus formation and fluctuation positive

अधशोप 0 Absent

1 Present

उननत (elevation of

the tongue due to swelling below the tongue)

0 Normal position of tongue

1 Tongue slightly elevated due to swelling below the tongue

2 Tongue elevation causes discomfort to the patient

3 Tongue touches the palate

भतमसमगचनध

(Fishy smell)

0 Absent

1 Present

44

Code Signs amp Symptoms Score Gradations Remarks

भासशातन (Destruction of flesh of tongue )

0 No Destruction of tongue flesh

1 13 part of tongue flesh is destroyed

2 23 part of tongue flesh is destroyed

3 More than 23 part of tongue is destroyed

135 उऩचजचहवका (स) शवमथ (Swelling) 0 Absent

1 Present

चजहवाभननम

जात (elevation of

tongue because of swelling)

0 Normal position of tongue

1 Tongue slightly elevated due to swelling below the tongue

2 Tongue elevation causes discomfort to the patient

3 Tongue touches the palate

परसक (Salivation) 0 Normal secretion of saliva

1 Occasionally spitting

2 Off and on spitting

3 Continuous spitting which disturbs the work

कणड (Itching) 0 No itching Or According to VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate on work due to severe itching

0r

0 No itching

1 Occasional itching

2 Off and on itching

3 Continuous itching

ऩरयदाह (Burning in

whole tongue)

0 No burning Or According to VAS

1 Occasional burning

2 Intermittent burning

3 Contentious burning dose not relive by any measures

45

Code Signs amp Symptoms Score Gradations Remarks

136 अचधचजचहवका (अर)

अधोचजहवामा शोप

0 Normal position of tongue

(Swelling below the tongue)

1 Tongue slightly elevated due to swelling below the tongue

2 Tongue elevation causes discomfort to the patient

3 Tongue touches the palate

अङकय (Pappilary

growth)

0 Absent

1 Present

ओष (Burning) 0 No Oshh Or According to

VAS

1 Oshh up to 13 part of tongue

2 Oshh in 13 to 23 part of tongue

3 Oshh in more than 23 part of tongue

सतबवान

(Restriction of Movement)

0 Movement of tongue not affected

1 Tongue movement slightly restricted but does not affect the normal function

2 Tongue movement restricted that affect the normal function

3 Tongue movement arrested

खय(Rough) 0 Smooth on touch

1 Mild irregular surface

2 Rough surface

3 Sharp rough surface touch hurts on finger on touch

रक (Pain) 0 No pain Or According to

VAS

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

कणड (Itching) 0 No itching Or According to

VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate on work due to severe itching

0r

0 No itching

46

Code Signs amp Symptoms Score Gradations Remarks

1 Occasional itching

2 Off and on itching

3 Continuous itching

वाकम पवघातकत (Difficulty in speech)

0 No difficulty in speech

1 Unable to speak िति vargavyanjana

2 Difficulty in speaking क vargavyanjana

Swara donrsquot need involvement of tongue

3 Unable to speak

आहयपवघातकत

(Swallowing )

0 Able to eat regular diet

1 Able to eat soft diet

2 Able to eat only liquid diet

3 Unable to swallow anything

47

GRADATION OF TALUGAT ROG

Code - 14

Established by Group BHOJ Dr Krishna Makaia ndash Convener

Dr Rajeshree Unadkat Dr Neelam Dave

Dr Ronakgiri Gosai Dr Jignesh Virapariya

Reviewed by Dr Vijayant Bharadwaj

Edited by Prof Vd Hāridra Dave

48

Code Signs amp Symptoms Score Gradations Remarks

141 गरशचणडका (स)

परवदधो शोप (Swelling extending from palate) (Which is elongated)

0 Normal size of uvula

1 Swelling of uvula that causes discomfort to the patient

2 Swelling of uvula that causes foreign body sensation

3 Difficulty in breathing due to swelling

दीघ शोप

(Elongated Swelling)

0 Normal size of uvula

1 Elongated swelling of uvula that causes discomfort to the patient

2 Elongated swelling of uvula that causes foreign body sensation

3 Difficulty in breathing due to Elongated swelling

धभातफचसतपरकाश शोप =Inflated

swelling like Basti

0 Normal size of uvula

1 Inflated swelling like Basti of uvula that causes discomfort to the patient

2 Inflated swelling like Basti of uvula that causes foreign body sensation

3 Difficulty in breathing due to Inflated swelling like Basti

तषणा 0 Normal feeling of thirst

1 Increased feeling of thirst which is relived after drinking water

The quantity of water is not consider here but the frequency of water is considered

2 Frequent feeling of thirst which is Occasional relived after drinking water

3 Continuous feeling of thirst does not relive after drinking profuse amount of water

कास (Coughing) 0 No coughing

49

Code Signs amp Symptoms Score Gradations Remarks

1 Occasional coughing during eating and speaking

2 Off and on coughing

3 Continuous coughing

शवास 0 No difficulty in breathing

1 Difficulty in breathing occasionally

2 More difficulty in breathing while sleeping

3 Excessive difficulty in breathing

भतमसमफचसततनब शोप (अहर)

0 Normal uvula Used as an adjective

1 Inflated swelling like Matsya-Basti of uvula that causes discomfort to the patient

2 Inflated swelling like Matsya-Basti of uvula that causes foreign body sensation

3 Difficulty in breathing due to Inflated swelling like Matsya-Basti

पररफ (अहर) 0 Normal length of Uvula

(Elongated Swelling)

1 Size of Uvula increased up to lt2 mm

2 Size of Uvula increased more than 2 mm but less than 4 mm

3 Size of Uvula increased gt4 mm that cause discomfort to patient and cause difficulty in breathing

पऩचछिर(अहर) (Sliminess)

0 Absent

1 Present

नासमाऽऽहायभीयमन (अहर)

0 Food does not come out from nose

(Food comes out of nose)

1 Food comes out from nose

कणठोऩयोध(अहर) (Obstruction of throat )

0 -Able to eat regular diet -No difficulty in swallowing of any food

1 Able to swallow liquid or soft diet but not able to swallow hard diet

2 Able to swallow hard diet forcefully

50

Code Signs amp Symptoms Score Gradations Remarks

3 Not able to swallow hard diet with force

वभन(अहर) (Vomiting)

0 No Vaman

1 Feeling of nausea only

2 Only one veg of Vaman in a day

3 Two vegas of Vaman in a day

4 More than two vegas of Vaman in a day

132 तचणडकयी (स)

शोप (Tonsillar

Swelling)

0 Tonsils are located within the tonsillar fossa

1 Tonsils hypertrophy till the brim of the tonsillar fossa

2 Tonsils hypertrophy extends beyond the pillars but not touching each other

3 Tonsils hypertrophy extends beyond the pillars but not touching each other

तोद

(Pricking pain)

0 No pain

1 Occasional pain Or according to VAS

2 Off and on pain

3 Continuous pain

दाह (Burning) 0 No

1 Occasional burning

2 Intermittent burning

3 Contentious burning dose not relive by any measures

परऩाक 0 Absent

1 Present

पऩचछिर शोप(अहर)

Sliminess in swallowing

0 Feeling of Sliminess is Absent

1 Feeling of Sliminess is Present

भनदरक (अहर)

(Mild pain)

0 Absent Or According to

VAS

1 Present

133 अधरष (स)

शोप (Swelling) 0 No swelling

1 13 Swelling in part of the palate

51

Code Signs amp Symptoms Score Gradations Remarks

2 23 swelling in part of palate

3 Swelling in gt than 23 part of palate

सतबधता =Functions of soft palate like deglutition Phonation etc are affected = No mobility of soft palate

0 Normal function of soft palate

1 Soft palate movement reduced but functions are not affected

2 Any one of the functions of soft palate is affected

3 All functions of soft palate are affected

रोटहतवणता

(Redness)

0 No change in colour

1 Pinkish red coloured mucosa in palate

2 Red coloured mucosa in palate

3 Dark red coloured mucosa in palate

रजा (Pain) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

जजवय (Fever) 0 Normal temperature

1 Temperature between 984rsquoF to 100rsquoF

Temperature between 100rsquoF to 101rsquoF

2 Temperature between 101rsquoF to 102rsquoF

3 Temperature between 102rsquoF to 103rsquoF

52

Code Signs amp Symptoms Score Gradations Remarks

4 Temperature between 103rsquoF to 104rsquoF

5 Temperature more than 104rsquoF

134 कछिऩ (स)

कभवत उतमसनन शोप (Swelling

having shape like dorsum of tortoise)

0 No swelling

1 Swelling in 13rd part of the palate

2 Swelling in 23rd part of palate

3 Swelling in gt 23rd part of palate

चियवपदध(अहर)

(Slow growth)

0 Growth within a week

1 Growth within 1 week to 1 month

2 Growth within 1 month to 6 months

3 Growth within gt 6 months

रक (अहर) (Pain) 0 No pain Or According to VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesics

135 तारअफद (स) ऩदमाकाय तारभधम

शोपम (Swelling

like shape of lotus )

0 No swelling

1 Swelling in 13rd part of the palate

2 2 Swelling in 23rd part of palate

3 3 Swelling in gt 23rd part of palate

136 भाससङघात (स) नीरज (Painless) 0 Absent

1 Present

53

Code Signs amp Symptoms Score Gradations Remarks

शोप 0 No swelling

1 Swelling in 13rd part of the palate

2 Swelling in 23rd part of palate

3 Swelling in gt 23rd part of palate

137 तारऩपऩि (स) नीरक (Painless) 0 Absent

1 Present

कोरभातर

Swelling having size of Kola fruit

0 Absent

1 Present

138 तारशोष (स)

शोष (Dryness) 0 No dryness

1 Dryness decreased after drinking water

2 Patient needs water frequently

3 Dryness persist after dinking profuse water

दायण (Tearing of palate)

0 Absent

1 Present

शवास (Difficulty in

breathing)

0 No difficulty in breathing Here difficulty in breathing is due to obstruction

1 Difficulty in breathing occasionally

2 More difficulty in breathing while sleeping position

3 Excessive difficulty in breathing

जजवय(अहर) (Fever) 0 Normal temperature

1 Temperature between 984rsquoF to 100rsquoF

Temperature between 100rsquoF to 101rsquoF

2 Temperature between 101rsquoF to 102rsquoF

3 Temperature between 102rsquoF to 103rsquoF

4 Temperature between 103rsquoF to 104rsquoF

5 Temperature more than 104rsquoF

54

Code Signs amp Symptoms Score Gradations Remarks

139 तारऩाक (स) ऩाक (Suppuration) 0 No swelling or suppuration

1 Inflammation of palate with pain and tenderness

2 Inflammation of palate with different types of pain and tenderness with induration

3 Pus formation and fluctuation positive

1310 तारपऩटिका (अहर) तारभास पऩटिका

Follicles in palate flesh

0 No follicles

1 13 palate covered with follicles

2 23 palate covered with follicles

3 More than 23 palate covered with follicles

रज(अहर) (Pain) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

Occasional pain

खयता(अहर) (Roughness)

0 Smooth on touch

1 Mild irregular surface on touch

2 Rough surface

3 Sharp rough surface which hurts on finger on touch

घनसराव(अहर) (Thick discharge)

0 No discharge

1 Occasional discharge

2 Off and on thick discharge

3 Continuous thick discharge

1311 तारसहतत (अहर) तारभधम तनरक (अहर) =Painless fleshy growth in palate

Only तारभधम तनरक indicates the place and quality of growth both the symptoms can be

merged

55

Code Signs amp Symptoms Score Gradations Remarks

तनरक (Painless) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

भाससहत

(Fleshy growth in palate)

0 No fleshy growth

1 Fleshy growth in 13 part of the palate Swelling

2 Fleshy growth in 23 part of palate swelling

3 Fleshy growth in more than 23 part of palate

56

GRADATION OF SARVASAR ROG

Code - 15

Established by Group BHOJ Dr Krishna Makaia ndash Convener

Dr Rajeshree Unadkat Dr Neelam Dave

Dr Ronakgiri Gosai Dr Jignesh Virapariya

Reviewed by Dr Vijayant Bharadwaj

Edited by Prof Vd Hāridra Dave

57

Code Signs amp Symptoms Score Gradations Remarks

151 वातजसवसय (स) सपोि (Ulcers) 0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

तोद = Pricking pain 0 No pricking pain Or According to VAS

1 Occasional pricking pain

2 Off and on pricking pain

3 Continuous pricking pain

Or

0 No pricking pain

1 Sometimes mild pricking pain

2 Has to take analgesic while pricking pain

सिारयण(अहर) This symptom is for सवसय so this सवसय is the nature of सिारय

0 No movement of सवसय

1 Movement of सवसय is once in a week

2 Movement of सवसय is once in three to four days

3 Movement of सवसय is at every alternate day

4 Movement of सवसय is once in a day

अरण (अहर) Reddish discoloration

0 Colour of वरण is same with colour of surrounding area

1 Colour of वरण is Reddish

2 Colour of वरण is Dark Red

3 Colour of वरण is Reddish black

र (अहर) Dryness 0 वरण is Moist

-No dryness of वरण

1 वरण Needs lubrication once a day

2 वरण Needs frequent lubrication in

a day

3 No benefit with frequent

lubrication of वरण

तामरता (अहर) (Coppery

0 Colour of वरणौषठ is same with colour of surrounding area

58

Code Signs amp Symptoms Score Gradations Remarks

discoloration) This symptom is for

वरणौषठ

1 Colour of वरणौषठ is Tamra Varna

चऱतवचा (अहर) (Free mucous membrane) This symptom is for

वरणौषठ

0

Movement of वरणौषठ is on touch

only

1 Movement of वरणौषठ can be seen by naked eye means without touch

शीतासहा (अहर) (Intolerance to cold) This symptom is for

जजहवा

0 No Intolerance of cold to जजहवा

1 Intolerance of severe cold to जजहवा

2 Intolerance of moderate cold to जजहवा

3 Intolerance of Mild cold to जजहवा

गवी (Heaviness)

This symptom is for

जजहवा

0 No Heaviness

1 Mild heaviness with no difficulty

in movement of जजहवा

2 Moderate heaviness with

difficulty in Movement of जजहवा

3 Sever heaviness with bending down of

सफटटता (अहर) (Ulcer)

0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

कणटाकाधचता (अहर) = Thorn like

appearance

0 No change in appearance

59

Code Signs amp Symptoms Score Gradations Remarks

1 13 part of oral mucous membrane covered with red fleshy thorn like papillae

2 23 part of oral mucous membrane covered with red fleshy thorn like papillae

3 gt23 part of oral mucous membrane covered with red fleshy thorn like papillae

षववणोतत कचछरणमखम (अहर) (Difficulty in mouth opening)

0 Mouth opening more than 3 fingers without difficulty

1 2 to 3 fingers opening of mouth with or without difficulty

2 1 to 2 fingers opening of mouth with or without difficulty

3 Less than 1 finger opening of mouth with or without difficulty

152 पऩतमत(यकतज)सवसय (स) Signs and Symptoms of यकतज सवसय are same as of पऩतमत सवसय so no separate gradations are mentioned

यकतता (Redness) 0 Colour of सवसय- वरण is similar with

surrounding mucous membrane

1 Reddish Colour of सवसय- वरण

2 Bright red Colour of सवसय- वरण

3 Dark red Colour of सवसय- वरण

सदाह (Burning

Sensation)

0 No burning in सवसय- वरण Or According to

VAS

1 Occasional burning in सवसय- वरण

2 Intermittent burning in सवसय- वरण

3 Contentious burning in सवसय- वरण

which does not relive by any measures

तन (तनसब) (Shallow superficial ulcers)

0 No ulcer

1 Ulcer having depth of 05-1 mm

2 Ulcer having depth of 1 ndash 15 mm

3 Ulcer having depth of 15 -2 mm

60

Code Signs amp Symptoms Score Gradations Remarks

ओष (अहर) 0 No (ओष) burning in सवसय- वरण

1 Occasional (ओष) burning in

सवसय- वरण

2 Intermittent (ओष) burning in

सवसय- वरण

3 Contentious (ओष) burning in

सवसय- वरण which does not relive

by any measures

ततकतवकरता (अहर) (Bitter taste in mouth)

0 No alteration in taste

1 Occasionally bitter taste felt in mouth without having any bitter substance

2 Off and on bitter taste felt in mouth without having any bitter substance

3 Continuous bitter taste felt in mouth without having any bitter substance

ारोकषतत समावरणा (अहर)

0 No Ulcer

(Ulcers looking like chemical burns)

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

153 कपज सवसय (स) कणड (Itching) 0 No itching Or According to

VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Unable to work due to itching

0r

0 No itching

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate on work due to severe itching

रजा (Pain)

(अलऩ रजा) 0 No pain Or According to

VAS

1 Occasional pain

61

Code Signs amp Symptoms Score Gradations Remarks

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain This condition should be considered as अलऩ रजा

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

सवणण 0 Colour of वरण is same with colour of near by tissue

1 Colour of वरण is not same with colour of near by tissue

मररासयतवम (अहर) (Sweet taste in mouth)

0 No alteration in taste

1 Occasionally sweet taste felt without eating any sweet substance

2 Off and on Sweet taste Occasionally sweet taste felt without eating any sweet substance

3 Continuous sweet taste Occasionally sweet taste felt without eating any sweet substance

षपजचछिऱता (अहर) (Unctuousness)

0 Absent

1 Present

वरण 0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

154 कफाबभद (अहर) शयाव अबभदम

(शयावपाणडऽबभदम) 0 Colour of growthtumour is same

the colour of surrounding skin

1 Colour of growthtumour is शयाव

(Blackish)

62

Code Signs amp Symptoms Score Gradations Remarks

पाणड अबभदम (शयावपाणडऽबभदम)

0 Colour of growthtumour is same the colour of surrounding skin

1 Colour of growthtumour is पाणड

(Pale)

अबभदम 0 No GrowthTumour TNM Classification for tumours can be applied for growth

1 Growthtumour having sizelt 10 mm

2 Growthtumour having size 10 mm to 20 mm

3 Growthtumour having size gt 20 mm

घटिता तिनना मटदता च षववरभत (Size increases on rubbing cutting and squeezing)

0 Size of GrowthTumour is not increasing by rubbing cutting or squeezing

1 Size of GrowthTumour is increasing up to 10 mm by rubbing cutting or squeezing within a month

2 Size of GrowthTumour is increasing up to 20 mm by rubbing cutting or squeezing within a month

3 Size of GrowthTumour is increasing up to 30 mm by rubbing cutting or squeezing within a month

4 Size of GrowthTumour is increasing up to 40 mm by rubbing cutting or squeezing within a month

155 ऊरधवभगद (अहर) वकतरदौगनधम

(Halitosis)

0 No Halitosis

1 Halitosis is feel by Patient only

2 Halitosis is feel by Patient and examining Doctor only

3 Halitosis is feel by any person from the distance from 5 meters

63

Code Signs amp Symptoms Score Gradations Remarks

4 Halitosis is feel by any person from the distance from more than 5 meters

156 पततवकर (अहर) ऩतममासमता

(Halitosis)

0 No Halitosis

1 Halitosis is feel by Patient only

2 Halitosis is feel by Patient and examining Doctor only

3 Halitosis is feel by any person from the distance from 5 meters

4 Halitosis is feel by any person from the distance from more than 5 meters

157 सतनऩाततक सवसय (अहर) This disease occurs due to aggravation of all three doshas including Rakta Clinical presentation of this disease is found as mixed picture according prominent aggravation of dosha and signs and symptoms will be observed accordingly Gradations should be considered accordingly so it is not required to repeat here

helliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip

Page 8: THE GRADATIONS OF DISEASES OF SHALAKYA TANTRA - PART …theassociationofshalaki.com/downloads/GRADATIONS_OF_DISEASE… · 12.05.2019  · I am also very much thankful to Dr Sandhya

7

INDEX

No Topic Page No 1 Preface 2 2 Introduction 3

3 Acknowledgement 5 4 Gradations of Oshtha Gat Rog 8

5 Gradations of Danta Mul Gat Rog 20 6 Gradations of Danta Gat Rog 28

7 Gradations of Jihwa Gat Rog 40 8 Gradations of Talu Gat Rog 47

9 Gradations of Sarvasar Rog 56

8

GRADATIONS OF OSHTHA GAT ROG

Code - 10

Established by Group BHOJ Dr Krishna Makaia ndash Convener

Dr Rajeshree Unadkat Dr Neelam Dave

Dr Ronakgiri Gosai Dr Jignesh Virapariya

Reviewed by Dr Vijayant Bharadwaj

Edited by Prof Vd Hāridra Dave

9

Code Signs amp Symptoms Score Gradations Remarks

101 वातज ओषठयोग (स) ककश (Rough) 0 No Karkashata (Smooth surface)

1 Roughness of the surface of Oshtha is not visible by naked eye but can be felt by touching by finger

2 Roughness of surface of Oshtha is visible by naked and can be felt by finger but not hurts the finger

3 Roughness of surface of Oshtha with fissures is visible by naked can be felt by finger not hurts the finger

4 Roughness of surface of Oshtha with fissures is visible by naked can be felt by finger and hurts the finger

ऩरषता (Dryness) 0 No dryness (Moist)

1 Mild dryness No need of lubrication

2 Needs lubrication once or twice a day

3 No benefit with frequent lubrication

सतबधता (Immobile) 0 Lip movement not restricted

1 Difficulty in lip movement

2 Lips movement is totally restricted

3 No lip movement

कषणताअससत

=Blackish

0 No change in colour Make colour scale

1 Darker than normal colour Normal lip colour is variable and depending on natural skin complexion

2 Darker but not complete black

3 Blackish in colour

तीवररगभहारजा (Severe pain)

0 No pain Or According to VAS

1 Pain while movement

2 Continuous pain

3 Discomfort for pain Patient have to take analgesics

दालमत(Creaked lip) 0 No Creaks

1 Single creak

2 Multiple Creaks

10

Code Signs amp Symptoms Score Gradations Remarks

3 Multiple deep creaks (Bleeding)

ऩरयऩाटमत 0 No desquamation

=Desquamation - Sanskrit English dictionary page 870

1 Superficial desquamation of epithelium which looks like soft white scales

2 Deep desquamation of epithelium which looks like hard white scales and ready to bleed

3 Deep desquamation with bleeding

102 पऩतज ओषठयोग (स) आचितोपऩडकासबसत

सषऩाकततसबबशभ

0 No सषऩाकतत Follicles

=Covered with Mustard seed like follicles

1 13 part of lip covered with yellow

mastered seed (सषऩाकतत) like

follicles

2 23 part of lip covered with yellow mastered seed like follicles

3 More than 23 part of lip covered with yellow mastered seed (सषऩाकतत) like follicles

दाह (Burning) 0 No burning Or according to VAS

1 Occasional burning

2 Intermittent burning

3 Continuous burning

ऩाक (Suppuration) 0 No swelling or suppuration

1 Inflammation pain and tenderness

2 Inflammation with different types of pain and tenderness with induration

3 Pus formation and fluctuation positive

ससराव (Discharge) 0 No Discharge

1 Mild discharge sticks on lip

2 Moderate discharge has to be cleaned occasionally

3 Severe or continuous discharge has to be cleaned frequently

This condition should be considered as ससराव

नीरवणता (Bluish discoloration)

0 No discoloration

1 Bluish pink discoloration

2 Pinkish blue discoloration

11

Code Signs amp Symptoms Score Gradations Remarks

3 Lips look more bluish or purplish

ऩीतवणता (Yellowish

discoloration)

0 No discoloration

1 Reddish yellow discoloration

2 Yellowish discoloration

3 Lips look pale yellow

तीकषणासह 0 No irritation to spicy salty sour pungent or hot food

=Intolerance to spicy salty sour pungent or hot food

1 Irritation to spicy and hot food

2 Irritation to spicy salty sour pungent or hot food

3 Irritation to any food

फहकरदा (Excessive moisture)

0 No collection of fluid

1 Follicles with fluid accumulation

2 Follicles with excessive fluid accumulation

3 Follicle with excessive fluid accumulation and patient tries to clean the lips frequently

आशऩाक (Quick

suppuration)

0 Suppuration after 7 days

1 Suppuration within 5 to 7 days

2 Suppuration within 2 to 5 days

3 Suppuration within one day This condition should be considered as

आशऩाक

103 कपज ओषठयोग (स) सवण पऩडका (Follicles

same as lip colour)

0 No Follicles

1 Up to 13 of Oshtha is covered with few of the same coloured and with various sizes of follicles

2 From13 to 23 part of Oshtha is covered with few multiple follicles of the same colour and with various sizes

3 More than 23 part of Oshtha is covered with few multiple follicles of the same colour and with various sizes

कणड (Itching) 0 No itching

12

Code Signs amp Symptoms Score Gradations Remarks

1 Occasional mild itching not disturbing work

2 Off and on moderate itching disturbing work

3 Cannot concentrate in work due to continuous severe itching

शन (Swelling) 0 No Swelling

1 Slightly bigger than normal size not noticed by another person

2 Swelling Noticeable by another person

3 Severe Swelling with restriction of normal movement

पऩचछिरता (Sliminess) 0 No Sliminess

1 Mild sliminess

2 Moderate sliminess

3 Severe sliminess

शीतरता -Subjective

(Feeling of coldness by patient)

0 No feeling of coldness by patient Subjective and objective both should be taken

1 Feeling of coldness by patient but no change in temperature

2 Feeling of coldness by patient which is colder than body temperature on touch by the patient

शीतरता -Objective

(Decreased Temperature)

0 No change in temperature

1 1 less than body temperature

2 gt1less than body temperature

गरता (Heaviness) 0 No Heaviness

1 Mild heaviness no difficulty in lip movement

2 Difficulty in lip function due to Heaviness

3 Protrusion of lip due to heaviness

शीतासह

(Intolerance to cold)

0 No Intolerance to cold

1 Intolerance to severe cold

2 Intolerance to moderate cold

3 Intolerance to Mild cold

13

Code Signs amp Symptoms Score Gradations Remarks

104 सतनऩातज ओषठयोग (स) कषणता (Blackish

discoloration)

0 No change in colour In original Shlok lsquoSakrutrsquo word is used along with all types of discolorations According to expert of Sanskrit language and expert of Samhita subject the meaning of lsquoSakrutrsquo is lsquosometimesrsquo and another meaning of this world is lsquosome partrsquo Here we have taken meaning lsquosome partrsquo

1 13 Part of one lip is blackish in colour

2 13 Part of both lips are blackish in colour

3 23 Part of one lip is blackish in colour

4 23 Part of both lips are blackish in colour

5 More than 23 Part of one lip is blackish in colour

6 More than 23 Part of both lips are blackish in colour

ऩीतता (Yellowish

discoloration)

0 No change in colour

1 13 Part of one lip is yellowish in colour

2 13 Part of both lips are yellowish in colour

3 23 Part of one lip is yellowish in colour

4 23 Part of both lips are yellowish in colour

5 More than 23 Part of one lip is yellowish in colour

6 More than 23 Part of both lips are yellowish in colour

अनकपऩडडकाचितौ 0 No Follicles in any of lips

(Multiple follilcles) 1 13 lipLips isare covered with few follicles of various sizes

2 13 lipLips isare covered with multiple follicles of various sizes

3 23 lipLips isare covered with multiple follicles of various sizes

4 Multiple follicles with various sizes (23 lip covered)

5 More than 23 lipLips isare covered with multiple follicles of various sizes follicles

14

Code Signs amp Symptoms Score Gradations Remarks

दगनधौ (Foul smell) 0 No Foul smell

1 Only patient feel foul smell

2 Nearby Doctor 0r people can feel foul smell

3 Foul smell is not tolerable by the patient and the nearby person

आसरावौ (Discharge) 0 No Discharge is on any of lips In Sannipataja disease usually the mixed type of discharge is found So here the type of discharge is not considered The quantity of discharge is considered

1 Mild discharge collected on any one lip

2 Mild discharge collected on both lips or Moderate discharge collected on any one lip which has to be cleaned occasionally

3 Moderate discharge collected on both lips which has to be cleaned occasionally

4 Moderate discharge collected on both lips which has to be cleaned frequently

5 Severe or continuous discharge collected on lipLips which has to be cleaned frequently

पऩचछिरौ (Sliminess) 0 No sliminess

1 Mild Sliminess

2 Moderate Sliminess

3 Severe Sliminess

अकसभातमरानसशन रजौ (अहर) अकसभात

= All of a sudden = Without any reason = Spontaneous = Both Lips become Mlān swollen and painful all of a sudden andwithout any reason

अकसभातमरानौ (अहर) 0 No change in appearance

(Spontaneous Faded) 1 Lips look dull occasionally

15

Code Signs amp Symptoms Score Gradations Remarks

2 Lips look faded off and on in a day

3 Lips look faded and dirty frequently in a day

अकसभातसशनौ (अहर) 0 No Swelling

(Spontaneous swelling) 1 Occasionally Swelling in a day Here the size of swelling is not considered but the spontaneous nature of swilling is considered

2 Off and on swelling in a day

3 Swelling frequently in a day

अकसभात रजौ (अहर) (Pain)

0 No pain Or According to VAS

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

पवषभऩाककनौ (अहर) (Irregular suppuration )

0 No suppuration

1 Suppuration in 13 part of lips

2 Suppuration in 23 part of lip

3 Suppuration in major of lip

105 यकतज ओषठयोग (स) खजयपर पऩडका 0 No follicles

(Brownish follicles) 1 13 lip covered with brownish colour follicles

2 23 lip covered with brownish colour follicles

3 More than 23 lip covered with follicles

रचधयसराव (रचधय सरवत) (Bleeding)

0 No bleeding

1 Bleeding on touch or movement

2 Spontaneous bleeding

3 Continuous Bleeding

अफद बवत 0 No tumour

1 Tumour is 2 cm in size

2 Tumour is 4 cm in size

3 Tumour is gt4 cm in size

106 भासज ओषठयोग (स) भासपऩणडवत उदगतौ

(Bulky) 0 No Growth This word is used

as an adjective of

Sthoola See सथल

16

Code Signs amp Symptoms Score Gradations Remarks

1 Growth is present in both Oshtha but no discomfort to patient

2 Growth is present in both Oshtha with discomfort to patient

3 Large Growth is present in both Oshtha involving the surrounding region

जनतवशिातर भछिचनत सककसमोबमतो भखात

0 No Maggot Formation

1 Maggot formation on one side of the angle of mouth

2 Maggot Formation on both angles of mouth

3 Excessive maggot Formation

गर 0 No Heaviness in any of the lip

1 Mild heaviness no difficulty in lips movement

2 Difficulty in Lips function due to Heaviness

3 Protrusion of both lips

सथरौ (Bulky)

According to Sanskrit ndash English Dictionary

0 Size not increased

1 Slightly bigger than normal no noticeable by other person

2 Bigger than normal noticeable by another person

3 Bigger size effect the lip movement and lip protrudes down

107 भदज ओषठयोग (स) घतभणडाबौ (Clear

melted butter like)

0 Does not look like filled with clear part of melted butter

Here the specific appearance is given so the area is considerd

1 13 part of both lips looks like filled with clear part of melted butter

2 23 part of both lips looks like filled with clear part of melted butter

3 More than 23 part of both lips looks like filled with clear part of melted butter

कणड 0 No itching Or According to VAS

1 Itching in both lips but not disturbing work

17

Code Signs amp Symptoms Score Gradations Remarks

2 Itching in both lips but disturbing work

3 in both lips and cannot concentrate in work due to itching

Or

0 No itching

1 Occasional itching

2 Off and on itching

3 Continuous itching

चसथयौ 0 Movement of lips not affected

(Immobility) 1 Lip movement slightly affected but no difficulty in speech

2 Lip movement affected which alter the speech

3 Lip movement arrested

भदता (Sponginess) 0 Absent

1 Present

आसराव (अछि सपटिक सङकाशभ) (discharge of clear fluid)

0 No discharge अचछ सफटिक Word is Adjective for the type of discharge So grading is given for the frequency of discharge

1 Occasional discharge

2 Off and on discharge of clear fluid

3 Continuous discharge of clear fluid

गर 0 No Heaviness

1 Mild heaviness no difficulty in lip movement

2 Difficulty in lip function due to heaviness

3 Protrusion of lip due to heaviness

तराबशवमथ (अहर) 0 Does not look like filled with oil As per the घतभणडाब

tailabha is used as adjective so grading is given for Shvayathu

1 13 part of lips looks like filled with oil

2 23 part of lips looks filled with oil

3 More than 23 part of lips looks like filled with oil

सराव 0 No discharge

1 Occasional discharge

2 Off and on discharge of clear fluid

3 Continuous discharge of clear fluid

तराबकरदौ (Moister) 0 Absent Darshan pariksha

18

Code Signs amp Symptoms Score Gradations Remarks

1 Present

कणड 0 No itching Or According to VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate in work due to itching

OR

0 No itching

1 Occasional itching

2 Off and on itching

3 Continuous itching

109 तज ओषठयोग (स) पवदीमता (Tear) 0 No tear

1 Cut Up to epithelial layer

2 Cut Up to Sub epithelial layer

3 Cut up to muscular layer

ऩाटमता (Lips divided

in two parts)

0 Lips divided into two parts

1 Absent

2 Present

गरचथत

(NodulesLumps)

0 No lumps

1 Soft lumps

2 Hard Lumps

3 Multiple lumps

कणड (Itching) 0 No itching Or According to VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate in work due to itching

OR

0 No itching

1 Occasional itching

2 Off and on itching

3 Continuous itching

दशनछिदौ (अहर) (Lips covering the teeth)

0 Covering the teeth completely

1 Partial covering (gt50 ) the teeth

2 Covering the teeth lt50

19

Code Signs amp Symptoms Score Gradations Remarks

3 Not covering the teeth (All teeth exposed)

1010 जराफद (अहर) जरफदफदवद

(Cystic Swelling)

0 No Cystic Swelling

1 Up to 5mm Swelling

2 Swelling up to 5-10mm

3 More than 10mm

1011 यकताफद (स) रचधय सराव

रचधय सरवत 0 No bleeding

(Bleeding) 1 Bleeding on touch or movement

2 Spontaneous bleeding

3 Continuous bleeding

खजयसदश 0 Absent Used as an adjective

(Date fruits like) 1 Present

1012 खणडौषठ (अ)

ओषठोदपवधाकत 0 No separation of lips

(Lips divided separated into two parts)

1 Separation up to vermilion line

2 Separation up to Philtrum

3 Separation up to Collumella

20

GRADATION OF DANTA MOOL GAT ROG

Code ndash 11

Gradations established by Group KARAL Dr Krishna Makadia - Convener

Dantvaidya Saroj Joshi Dantvaidya Harshad Joshi

Dr Kiran Raj Dr Achyuta Atara Dr Pranav Dave

Gradations Reviewed by Dr Hemangi Shukla Dr Krishna Makadia

Edited by Prof Vd Hāridra Dave

21

Code Signs amp Symptoms Score Gradations Remarks

111 शीताद (स) अकसभात यकतसराव 0 No bleeding

1 Occasional bleeding for 1 or 2 times in 1 Prahar

2 Spontaneous Bleeding up to one Prahar

3 Spontaneous Bleeding for more than 1 Prahar (more than 3hrs)

दगनधीतन 0 No foul smell

1 Patient feels foul smell

2 Doctor or person who comes near to patient feels foul smell

3 From distance anyone can feels foul smell who is in the room

4 Foul smell can be feel from outside of the room even

सकषणातन 0 Absent

=Blackish discoloration

1 Present

परकरदीतन 0 Absent

1 Present

भदता 0 Absent

1 Present

दनतभास शीमनत 0 Gums situated At CE junction

1 Recession of gums At cervical 13

2 Recession of gums At middle 13

3 Recession of gums At apical 13

ऩिचनत ि ऩयसऩयभ 0 No Pachan (Pāk)

= Pāk 1 1 Quadrant is involved

2 2 quadrants are involved

3 More than 2 quadrants are involved

112 दनतपपपटक (स) दनतमोसतरीष वा 0 No involvement of teeth

1 Involvement of 2 teeth

2 Involvement of 3 teeth

शवमथ भहान 0 Absent

1 Present

सरज 0 No pain Or according to VAS

1 तीवर =Pain is there but he can do

work or sleep

22

Code Signs amp Symptoms Score Gradations Remarks

2 तीवरतय =Pain is there but he can do

work or sleep

3 तीवरतभ =Patient canrsquot tolerate

शोफ़ो फदयाचसथतनबो घन (अहर) =Kola is

small jujube and badar is big jujube and seed is measuring around 5 mm

0 Not present

1 Shoth up to 25 mm

2 Shoth 25 to 5 mm

3 Shoth is more than 5 mm

ऩाक (अहर) (शीघर ऩछमत)

0 Absent Accumulation of Fluid or pus

1 Present

113 दनतवषट (स) सरवचनत ऩमरचधय

Discharge of blood with pus or only pus

0 No Discharge

1 Blood with Pus Discharge

2 Only pus discharge

िरता 0 No mobility

1 1 mm antero-posterior Mobility

2 2 mm antero-posterior Mobility

3 More than 2 mm antero-posterior amp medial to lateral mobility

114 शौषषर (स) शवमथ 0 Absent

1 Present

रजावान According to VAS scoring

रारासरावी 0 Normal secretion

1 Occasionally splitting

2 On and off splitting

3 Continuous splitting disturbance in work

कणड 0 Absent

1 Occasionally itching

2 On and off itching

3 Continues itching

23

Code Signs amp Symptoms Score Gradations Remarks

दतभासपरशातन 0 Gums situated At CE junction

1 Recession of gums At cervical 13

2 Recession of gums At middle 13 3 Recession of gums At apical 13

115 महाशौषषर (स) दनताशिरचनत 0 No mobility

1 1 mm antero-posterior mobility

2 2 mm antero-posterior mobility

3 More than 2 mm anteroposterior amp medial to lateral mobility

तार अवदीमत 0 Absent Fissure over the Palate

1 Present

दतभासातनऩछमनत 0 No redness

1 Mild redness

2 Moderate redness

3 Severe redness

भख ऩरयऩीडमत 0 No Peedā Or According to VAS

Pain in any part or whole oral cavity

1 Peedā is at those Gums where disease is situated

2 Peedā is at entire Gums

Peedā is at entire Mukh

सचननऩाताजजजजवयवान

(अहर) 0 Normal temperature

1 Temperature between 984rsquoF to 100rsquoF

Temperature between 100rsquoF to 101rsquoF

2 Temperature between 101rsquoF to 102rsquoF

3 Temperature between 102rsquoF to 103rsquoF

4 Temperature between 103rsquoF to 104rsquoF

5 Temperature more than 104rsquoF

सऩमरचधयसरतत (अहर)

0 No Discharge

1 Blood with Pus Discharge

2 only pus discharge

पवशीणदपवजफनधन (अहर)

0 No mobility

1 1 mm antero-posterior mobility 2 2 mm antero-posterior mobility

24

Code Signs amp Symptoms Score Gradations Remarks 3 more than 2 mm antero-posterior

amp medial to lateral mobility

116 पररदर (स) दनतभासातन शीमनत 0 Gums situated At CE junction Depending upon

severity grading has been established

1 Recession of gums At cervical 13

2 Recession of gums At middle 13

3 Recession of gums At apical 13

षठीवतत असक 0 No spitting of blood

1 Occasionally splitting

2 On and off splitting

3 Continuous splitting with disturbance in work

117 उपकश (स) दाह Or According to VAS

ऩाक 0 Absent

1 Present

दनताशिरचनत 0 No mobility

1 1 mm antero-posterior mobility

2 2 mm antero-posterior mobility

3 more than 2 mm antero-posterior amp medial to lateral mobility

आघटिता परसरवचनत 0 Absent

=Bleeding from gums by pressure

1 Bleeding on pressure remains for five minutes

2 Bleeding on pressure remains up to 15 minutes

3 Bleeding on pressure remains up to 30 minutes

4 Bleeding on pressure remains up to 1 hour

5 Bleeding on pressure remains more than 1 hour

भदवदना 0 Absent

1 Present

आधभामनत सरत यकत

0 Absent

1 Present

ऩतत वकतरता (अहर) 0 No foul smell

1 Patient feels foul smell

25

Code Signs amp Symptoms Score Gradations Remarks

2 Doctor or person who comes near to patient feels foul smell

3 From distance anyone can feels foul smell who is in the room

4 Foul smell can be feel from outside of the room even

कणडभचनत (अहर) 0 Absent Or According to VAS

1 Occasionally itching

2 On and off itching

3 Continues itching

िरा (अहर) 0 No mobility

1 1 mm antero-posterior mobility

2 2 mm antero-posterior mobility

3 More than 2 mm antero-posterior amp medial to lateral mobility

118 वदभभ (स) =Traumatic injury(By mechanical Chemical thermal )

घषिष दनतभरष सयबो जामत भहान

0 Absent Mahan suggest itself severity of disease

1 Present

िरदता (अहर) 0 No mobility

1 1 mm antero-posterior mobility

2 2 mm antero-posterior mobility

3 More than 2 mm antero-posterior amp medial to lateral mobility

119 वरभन (स) तीवरवदना 0 No pain Or According to VAS

1 तीवर -Pain is there but he can do

work or sleep

2 तीवरतय -Patient can tolerate

3 तीवरतभ -Patient canrsquot tolerate

1110 अधरमाास (स) भहाञिोथ 0 No Shoth Mahan suggest itself

severity of disease

1 Shoth is Present on that gum only where disease is occurred

2 Shoth is Present on nearby two or three gums where disease is occurred

26

Code Signs amp Symptoms Score Gradations Remarks

3 Shoth is present up to adjoining cheek

This condition should be considered as

भहाञिोथ

भहारजा (स) परततहनतममभमवरतत (अहर)

0 No Rujā (pain) Or According to VAS

2 Rujā (pain) is Present on that gum only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

This condition should be considered as भहारजा amp परततहनतममभमवरतत

रारासरावी 0 Normal secretion

1 Occasionally splitting

2 On and off splitting

3 Continuous splitting disturbance in work

दनतानत कीरवतमशोफ़ (अहर)

0 No Keel vat Shoth

1 Keel vat Shoth is Present on that gum only where disease is occurred

2 Keel vat Shoth is Present on nearby two or three gums where disease is occurred

3 Keel vat Shoth is present up to adjoining cheek

1111 दनतषवदरधर (अहर) दनतभासशोफ़ (ि) 0 No Shoph

1 Shoph is Present on that gum only where disease is occurred

2 Shosh is Present on nearby two or This condition should

27

Code Signs amp Symptoms Score Gradations Remarks

three gums where disease is occurred

be considered as अनत शवमथ According to

Vagbhatta

3 Shosh is extended up to adjoining cheek

This condition should be considered as फाहम शवमथ According to

Vagbhatta

फाहम शवमथ (अहर) This condition is mentioned at दनतभास शोफ़

अनत शवमथ (अहर) This condition is mentioned at दनतभास शोफ़

गर (अहर) 0 Absent

1 Present

रग (अहर) 0 No Rujā (pain) Or According to VAS

2 Rujā (pain) is Present on that gum only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

दाह (अहर) According to VAS

सरवतिननऩमासर (अहर)

0 No Discharge

1 Blood with Pus Discharge

2 Only pus discharge

1112 दतनाडी Scoring is not possible further according to measurement of Nadivrana because X-

ray only detects spread up to the bone Whereas Nadivrana in gingiva periodontal ligament cannot be measured

दतनाडी 0 Absent

1 Present

28

GRADATION OF DANTA GAT ROG

Code ndash 12

Gradations established by Group KARAL Dr Krishna Makadia - Convener

Dantavaidya Saroj Joshi Dantavaidya Harshad Joshi

Dr Kiran Raj Dr Achyuta Atara Dr Pranav Dave

Gradations Reviewed by Dr Hemangi Shukla Dr Krishna Makadia

Edited by Prof Vd Hāridra Dave

29

Code Signs amp Symptoms Score Gradations Remarks

121 दाऱन (स)

तीवररग 0 No Rujā (pain) Or According to VAS

2 Rujā (pain) is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

उषणअसहादनता (अस) 0 No sensitivity in teeth ie with warm

water hot water or

excessive hot water

application on

tooth is not

possible so Time

related and severity

related grading was

finalised(same for

cold)

1 Mild sensitivity in teeth - At a

time

2 Moderate sensitivity in teeth -

Sensitivity remains only for 1

Prahar (up to 3 hrs)

3 Severe sensitivity in teeth -

Sensitivity remains more than

1 Prahar (more than 3 hrs)

शीतअचधकवमथा (अहर) 0 No sensitivity in teeth

1 Mild sensitivity in teeth - At a

time

2 Moderate sensitivity in teeth -

Sensitivity remains only for 1

Prahar (up to 3 hrs)

3 severe sensitivity in teeth-

Sensitivity remains more than

1 Prahar (more than 3 hrs)

22 कममदनत (स) कषण 0 No discoloration

1 Light greyish black

2 Dark greyish black

3 Jet black

30

Code Signs amp Symptoms Score Gradations Remarks

तिदर 0 No cavity It should be

decided by X-ray

1 Cavity within limit of enamel

2 Cavity within limit of dentin

3 Cavity up to pulp

िर 0 No mobility

1 1 mm antero-posterior

mobility

2 2 mm antero-posterior

mobility

3 More than 2 mm antero-

posterior amp medial to lateral

mobility

सरावी 0 No Srāv- after drying

particular teeth with cotton

inserting cotton on cavity

There is no other

method to check

Srāv in Krimidanta

1 Srāv is present

ससयब = Inflammation 0 No inflammation

1 Inflammation is Present भहारज 0 No Rujā (pain) Or According to

VAS 2 Rujā (pain) is Present on that

gum only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

This condition should be considered as भहारज

अतनसभतमतरज 0 No sudden onset of pain

1 Sudden onset of pain is

present

अहततीवराततशभ (अहर) 0 No sudden onset of pain

31

Code Signs amp Symptoms Score Gradations Remarks

1 Sudden onset of pain is

present

पररन (अहर) = Broken due to cavity

0 Cavity is there but it is not

broken

It should be

considered for each

tooth separately

Cavity in that must

be present in

particular tooth

1 13 part of tooth is broken

2 23 of tooth is broken

3 More than 23 of tooth is

broken

4 Total loss of tooth

ऩमसरत (अहर) 0 No Pooya Srāv after drying

particular place

with cotton

inserting cotton on

cavity

1 Pooya Srāv present

यकतसरत (अहर) 0 No Rakta Srāv after drying

particular place

with cotton

inserting cotton on

cavity

1 Rakta Srāv is present

123 दनतहषभ (स)

शीत सऩशन न सहनत 0 No sensitivity by cold touch

in any teeth

1 Ooccassional sensitivity by

cold touch in any toothteeth

for once

2 Sensitivity by cold touch

remains in toothteeth only up

to 1 Prahar (up to 3hrs)

3 Sensitivity by cold touch

remains more than 1 Prahar

(more than 3hrs)

उषण सऩशन न सहनत 0 No sensitivity by hot touch in

any teeth

1 Occassional sensitivity by hot

touch in toothteeth for once

2 Sensitivity by hot touch

remains in toothteeth only up

to 1 Prahar (up to 3hrs)

3 Sensitivity by hot touch

remains in toothteeth more

than 1 Prahar (more than

3hrs)

32

Code Signs amp Symptoms Score Gradations Remarks

परवाताभा = Sensitivity to air

(परवातारशीतबाभा) (अहर)

0 No sensitivity by Pravāt

touch in any tooth

1 Occassional sensitivity by

Pravāt touch in toothteeth for

once

2 Sensitivity by Pravāt touch

remains in toothteeth only up

to 1 Prahar (up to 3hrs)

3 Sensitivity by Pravāt touch

remains in toothteeth more

than 1 Prahar (more than

3hrs)

अरबाभा = Sensitivity to sour food

(परवातारशीतबाभा) (अहर)

0 No sensitivity by eating

sourer food to any tooth

1 Occassional sensitivity by

eating sourer food to any

toothteeth for once

2 Sensitivity by eating sourer

food remains to toothteeth

only up to 1 Prahar (up to

3hrs)

3 Sensitivity by eating sourer

food remains to toothteeth

more than 1 Prahar (more

than 3hrs)

शीतबाभा (परवातारशीतबाभा) (अहर)

0 No sensitivity by eating cold

item to any tooth

1 Occasional sensitivity by

eating cold item to toothteeth

for once

2 Sensitivity by Pravāt touch

remains in toothteeth only up

to 1 Prahar (up to 3hrs)

3 Sensitivity by eating cold

item remains to toothteeth

more than 1 Prahar (more

than 3hrs)

सरजा (अहर) 0 No Rujā (pain)

33

Code Signs amp Symptoms Score Gradations Remarks

2 Rujā (pain) is Present on that gum only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

2 Rujā (pain) is Present on that gum only where disease is occurred and patient can do hisher routine work without disturbance

िर (अहर) 0 No mobility

1 1 mm anterio-posterior

mobility

2 2 mm anterio-posterior

mobility

3 More than 2 mm antero-

posterior amp medial to lateral

mobility

124 भञजनक (स) =Photograph is necessary

(depending upon the severity gradation has been finalised)

वकतर वकरता 0 No deviation

1 Deviation is present

तीवररक 0 No Rujā (pain) Or according to

VAS

2 Rujā (pain) is Present on that gum only where disease is occurred and patient can do hisher routine work without disturbance

34

Code Signs amp Symptoms Score Gradations Remarks

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

This condition should be considered as तीवररक

दनतबङग 0 Tooth is not broken This should be

considered for

single tooth

1 13 part of tooth is broken

2 23 of tooth is broken

3 More than 23 of tooth is

broken

4 Total loss of tooth

125 दनतशकभ रा (स) =Calculus index was selected

शकयव चसथयीबत भर 0 No calculus present

1 Supragingival calculus

covering not more than third

of the exposed tooth surface

2 Supragingival calculus

covering more than 13 but

not more than 23 of the

exposed tooth surface or the

presence of individual flecks

of subgingival calculus

around the cervical portion of

the tooth or both

3 Supragingival calculus

covering more than 23 of the

exposed tooth surface or

continues heavy band 0f

subgingival calculus around

the cervical portion of the

tooth or both

35

Code Signs amp Symptoms Score Gradations Remarks

दनताना गणहयी 0 Absent All 10 Guna of

Danta Sampata

should be

considered required

suggestions for

each Guna

1 Present

ऩततगचनध (अहर) 0 No foul smell Taken grading of

halitosis

1 Patient feels foul smell

2 Doctor or person who comes near to patient feels foul smell

3 From distance anyone can feels foul smell who is in the room

4 Foul smell can be feel from outside of the room even

126 कपामऱका (स)

दनतवलकसम दरनभ = Bracketing of tooth enamel (दरचनत दनतवलकातन)

0 No दरनभ of tooth This should be

considered

separately for each

tooth

1 दरनभ is present of less than 13 of tooth

2 दरनभ is present of more than of 13 of tooth but less than 23 of tooth

3 दरनभ is present of more than of 23 of tooth but no total loss of tooth

4 Total loss of tooth after दरनभ

This condition should be considered as दशनाना पवनाश

दशनाना पवनाश = Total loss of tooth

0 No Any loss of tooth This should be

considered

separately for each

tooth

1 loss of tooth is present of less than 13 of tooth

2 loss of tooth is present of more than of 13 of tooth but less than 23 of tooth

36

Code Signs amp Symptoms Score Gradations Remarks

3 loss of tooth is present of more than of 23 of tooth but no total loss of tooth

4 Total loss of tooth This condition should be considered as दशनाना पवनाश

दनतशातनभ अणश = Thinning of tooth (शातमतममतममणशो दनतात कऩारातन) (अहर)

0 No शातनभ of tooth This should be

considered

separately for each

tooth

1 शातनभ is present in less than 13 of tooth

2 शातनभ is present in more than 13 of tooth but less than 23 of tooth

3 शातनभ is present in more than 23 of tooth but no total loss of tooth

4 Total loss of tooth due to शातनभ

127 शयावदनतक (स) In शमावदनत शमावता amp नीरता should be considered ascending stages

शमावता + नीरता 0 -No any discolouration of

tooth

-Normal colour of tooth

This should be

considered

separately for each

tooth

1 शमावता is Present

2 नीरता is Present

128 हनमो (स) According to Dalhan हनमो is not Dant Rog directly but it is near to

Dantchewing of hard food is one of the causes and there is pain in Dant so it is considered under Danta Rog

हनसचनधपवसहत 0 Absent

1 Can be reset by manual reduction

2 Can be reset by surgical

intervention

129 दनतभद (अहर) तोद =Pricking pain 0 No Pricking pain -Or According to

VAS

- This should be

considered

separately for each

tooth

37

Code Signs amp Symptoms Score Gradations Remarks

2 Pricking pain is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Pricking pain is referred up to Hanu and patient can do hisher routine work without disturbance

4 Pricking pain is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Pricking pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Pricking pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

बद Braking pain 0 No Braking pain -Or According to

VAS

- This should be

considered

separately for each

tooth

2 Braking pain is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Braking pain is referred up to Hanu and patient can do hisher routine work without disturbance

4 Braking pain is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Braking pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Braking pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

38

Code Signs amp Symptoms Score Gradations Remarks

रक Dull pain 0 No Rujā (pain) -Or According to

VAS

- This should be

considered

separately for each

tooth

2 Rujā (pain) is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

सपिन Burstingexpanding pain

0 No Bursting pain -Or According to

VAS

- This should be

considered

separately for each

tooth

2 Bursting pain is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Bursting pain is referred up to Hanu and patient can do hisher routine work without disturbance

4 Bursting pain is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

39

Code Signs amp Symptoms Score Gradations Remarks

5 Bursting pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Bursting pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

1210 दनतचाऱ (अहर) िरतमव = Mobility 0 No = mobility

1 1mm anterio-posterior

mobility

2 2 mm anterio-posterior

mobility

3 More than 2 mm anterio-

posterior amp medial to lateral

mobility

बणादचधकवमथ 0 No Vyatha ndash Pain during

eating

1 Pain during eating of hard

diet only

2 Pain during eating of soft diet

even

1211 कराऱ (स)

=Malocclusion

0 A Normal Molar relationship

exist but there is crowding

misalignment of the teeth

cross bite etc

1 A malocclusion where the

molar relationship shows the

buccal grove of mandibular

first molar distally positioned

when in occlusion with the

mesiobuccal cusp of the

maxillary first molar

2 A malocclusion where the

molar relationship shows the

buccal groove of the

mandibular first molar

mesiallypos

40

GRADATIONS OF JIHWA GAT ROG

Code - 13

Established by Group BHOJ Dr Krishna Makaia ndash Convener

Dr Rajeshree Unadkat Dr Neelam Dave

Dr Ronakgiri Gosai Dr Jignesh Virapariya

Reviewed by Dr Vijayant Bharadwaj

Edited by Prof Vd Hāridra Dave

41

Code Signs amp Symptoms Score Gradations Remarks

131 वाततक चजहवाकिक (स) सपटिता (Creaks) 0 No creaks on tongue

1 Single creak on the dorsum of tongue

2 Multiple Creaks on the dorsum of tongue

3 Multiple deep creaks on the dorsum of tongue (Bleeding)

परसपता (Numbness )

0 No Numbness

1 Numbness in 13 Part of tongue

2 Numbness in 23 Part of tongue

3 Numbness in more than 23 Part of tongue

शाकछिदनपरकाशा (Roughness)

0 Normal surface of tongue on touch

1 Mild rough surface on touch

2 Hard irregular surface on touch

3 Very rough surface which hurts the finger on touch

132 ऩततक चजहवाकिक (स) ऩीता 0 No yellowish discolouration

1 Yellowish discoloration in 13 part

2 Yellowish discoloration in 23 part

3 Yellowish discoloration in more than 23 part of tongue

ऩरयदहमत Burning in entire tongue)

0 No burning Or According to VAS

1 Occasional burning

2 Intermittent burning

3 Continuous burning does not relieve by any measures

दाह (Burning may be

in partially tongue)

0 No Burning Or According to VAS

1 Burning up to 13 part of tongue

2 Burning in 13 to 23 part of tongue

3 Burning in more than 23 part of tongue

42

Code Signs amp Symptoms Score Gradations Remarks

यकतभासाङकयचशिता (Covered with red buds )

0 No change in appearance

1 13 part of tongue covered with red fleshy buds

2 23 part of tongue covered with red fleshy buds

3 Whole tongue covered with red fleshy buds

ओष (Burning) 0 No Oshha Or According to VAS

1 Oshha up to 13 part of tongue

2 Oshha in 13 to 23 part of tongue

3 Oshha in more than 23 part of tongue

133 कपज चजहवाकिक (स) फहरा (Thick) 0 Normal Thickness of Tongue

1 Thickness increased - noticeable by patient

2 Thickness increased - noticeable by the examiner

3 Tongue protruding out because of increased Thickness

गवी (Heaviness) 0 No Heaviness

1 Feeling mild heaviness but no difficulty in Tongue movement

2 Difficulty in Tongue movement especially during intake of liquid

3 Difficulty in Tongue movement especially during intake of hard food

4 Difficulty in Tongue movement especially during Pronunciation

भासोदगभ शालभसरकणिकाब (thorn like papilla)

0 No change in appearance of tongue

1 13 part of tongue covered with red fleshy thorn like papilla

2 23 part of tongue covered with thorn like papilla

3 Whole tongue covered with thorn like papilla

43

Code Signs amp Symptoms Score Gradations Remarks

134 अरास (स) शवमथ

(Swelling at ventral surface of tongue)

0 Absent

1 Present

सतबमतत (Restricted tongue movement)

0 -Normal Movement of Tongue -Movement of tongue not affected

1 Tongue movement slightly restricted but does not affect the normal function

2 Tongue movement restricted that affects the normal function

3 Tongue movement arrested

परवदध

(Increase in size)

0 Size not increased

1 Size increased - noticeable by the patient

2 Size increased - noticeable by the examiner

3 Tongue protruding out because of increased size

ऩाक 0 No swelling or suppuration

1 Inflammation with pain and tenderness

2 Inflammation with different types of pain and tenderness along with induration

3 Pus formation and fluctuation positive

अधशोप 0 Absent

1 Present

उननत (elevation of

the tongue due to swelling below the tongue)

0 Normal position of tongue

1 Tongue slightly elevated due to swelling below the tongue

2 Tongue elevation causes discomfort to the patient

3 Tongue touches the palate

भतमसमगचनध

(Fishy smell)

0 Absent

1 Present

44

Code Signs amp Symptoms Score Gradations Remarks

भासशातन (Destruction of flesh of tongue )

0 No Destruction of tongue flesh

1 13 part of tongue flesh is destroyed

2 23 part of tongue flesh is destroyed

3 More than 23 part of tongue is destroyed

135 उऩचजचहवका (स) शवमथ (Swelling) 0 Absent

1 Present

चजहवाभननम

जात (elevation of

tongue because of swelling)

0 Normal position of tongue

1 Tongue slightly elevated due to swelling below the tongue

2 Tongue elevation causes discomfort to the patient

3 Tongue touches the palate

परसक (Salivation) 0 Normal secretion of saliva

1 Occasionally spitting

2 Off and on spitting

3 Continuous spitting which disturbs the work

कणड (Itching) 0 No itching Or According to VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate on work due to severe itching

0r

0 No itching

1 Occasional itching

2 Off and on itching

3 Continuous itching

ऩरयदाह (Burning in

whole tongue)

0 No burning Or According to VAS

1 Occasional burning

2 Intermittent burning

3 Contentious burning dose not relive by any measures

45

Code Signs amp Symptoms Score Gradations Remarks

136 अचधचजचहवका (अर)

अधोचजहवामा शोप

0 Normal position of tongue

(Swelling below the tongue)

1 Tongue slightly elevated due to swelling below the tongue

2 Tongue elevation causes discomfort to the patient

3 Tongue touches the palate

अङकय (Pappilary

growth)

0 Absent

1 Present

ओष (Burning) 0 No Oshh Or According to

VAS

1 Oshh up to 13 part of tongue

2 Oshh in 13 to 23 part of tongue

3 Oshh in more than 23 part of tongue

सतबवान

(Restriction of Movement)

0 Movement of tongue not affected

1 Tongue movement slightly restricted but does not affect the normal function

2 Tongue movement restricted that affect the normal function

3 Tongue movement arrested

खय(Rough) 0 Smooth on touch

1 Mild irregular surface

2 Rough surface

3 Sharp rough surface touch hurts on finger on touch

रक (Pain) 0 No pain Or According to

VAS

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

कणड (Itching) 0 No itching Or According to

VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate on work due to severe itching

0r

0 No itching

46

Code Signs amp Symptoms Score Gradations Remarks

1 Occasional itching

2 Off and on itching

3 Continuous itching

वाकम पवघातकत (Difficulty in speech)

0 No difficulty in speech

1 Unable to speak िति vargavyanjana

2 Difficulty in speaking क vargavyanjana

Swara donrsquot need involvement of tongue

3 Unable to speak

आहयपवघातकत

(Swallowing )

0 Able to eat regular diet

1 Able to eat soft diet

2 Able to eat only liquid diet

3 Unable to swallow anything

47

GRADATION OF TALUGAT ROG

Code - 14

Established by Group BHOJ Dr Krishna Makaia ndash Convener

Dr Rajeshree Unadkat Dr Neelam Dave

Dr Ronakgiri Gosai Dr Jignesh Virapariya

Reviewed by Dr Vijayant Bharadwaj

Edited by Prof Vd Hāridra Dave

48

Code Signs amp Symptoms Score Gradations Remarks

141 गरशचणडका (स)

परवदधो शोप (Swelling extending from palate) (Which is elongated)

0 Normal size of uvula

1 Swelling of uvula that causes discomfort to the patient

2 Swelling of uvula that causes foreign body sensation

3 Difficulty in breathing due to swelling

दीघ शोप

(Elongated Swelling)

0 Normal size of uvula

1 Elongated swelling of uvula that causes discomfort to the patient

2 Elongated swelling of uvula that causes foreign body sensation

3 Difficulty in breathing due to Elongated swelling

धभातफचसतपरकाश शोप =Inflated

swelling like Basti

0 Normal size of uvula

1 Inflated swelling like Basti of uvula that causes discomfort to the patient

2 Inflated swelling like Basti of uvula that causes foreign body sensation

3 Difficulty in breathing due to Inflated swelling like Basti

तषणा 0 Normal feeling of thirst

1 Increased feeling of thirst which is relived after drinking water

The quantity of water is not consider here but the frequency of water is considered

2 Frequent feeling of thirst which is Occasional relived after drinking water

3 Continuous feeling of thirst does not relive after drinking profuse amount of water

कास (Coughing) 0 No coughing

49

Code Signs amp Symptoms Score Gradations Remarks

1 Occasional coughing during eating and speaking

2 Off and on coughing

3 Continuous coughing

शवास 0 No difficulty in breathing

1 Difficulty in breathing occasionally

2 More difficulty in breathing while sleeping

3 Excessive difficulty in breathing

भतमसमफचसततनब शोप (अहर)

0 Normal uvula Used as an adjective

1 Inflated swelling like Matsya-Basti of uvula that causes discomfort to the patient

2 Inflated swelling like Matsya-Basti of uvula that causes foreign body sensation

3 Difficulty in breathing due to Inflated swelling like Matsya-Basti

पररफ (अहर) 0 Normal length of Uvula

(Elongated Swelling)

1 Size of Uvula increased up to lt2 mm

2 Size of Uvula increased more than 2 mm but less than 4 mm

3 Size of Uvula increased gt4 mm that cause discomfort to patient and cause difficulty in breathing

पऩचछिर(अहर) (Sliminess)

0 Absent

1 Present

नासमाऽऽहायभीयमन (अहर)

0 Food does not come out from nose

(Food comes out of nose)

1 Food comes out from nose

कणठोऩयोध(अहर) (Obstruction of throat )

0 -Able to eat regular diet -No difficulty in swallowing of any food

1 Able to swallow liquid or soft diet but not able to swallow hard diet

2 Able to swallow hard diet forcefully

50

Code Signs amp Symptoms Score Gradations Remarks

3 Not able to swallow hard diet with force

वभन(अहर) (Vomiting)

0 No Vaman

1 Feeling of nausea only

2 Only one veg of Vaman in a day

3 Two vegas of Vaman in a day

4 More than two vegas of Vaman in a day

132 तचणडकयी (स)

शोप (Tonsillar

Swelling)

0 Tonsils are located within the tonsillar fossa

1 Tonsils hypertrophy till the brim of the tonsillar fossa

2 Tonsils hypertrophy extends beyond the pillars but not touching each other

3 Tonsils hypertrophy extends beyond the pillars but not touching each other

तोद

(Pricking pain)

0 No pain

1 Occasional pain Or according to VAS

2 Off and on pain

3 Continuous pain

दाह (Burning) 0 No

1 Occasional burning

2 Intermittent burning

3 Contentious burning dose not relive by any measures

परऩाक 0 Absent

1 Present

पऩचछिर शोप(अहर)

Sliminess in swallowing

0 Feeling of Sliminess is Absent

1 Feeling of Sliminess is Present

भनदरक (अहर)

(Mild pain)

0 Absent Or According to

VAS

1 Present

133 अधरष (स)

शोप (Swelling) 0 No swelling

1 13 Swelling in part of the palate

51

Code Signs amp Symptoms Score Gradations Remarks

2 23 swelling in part of palate

3 Swelling in gt than 23 part of palate

सतबधता =Functions of soft palate like deglutition Phonation etc are affected = No mobility of soft palate

0 Normal function of soft palate

1 Soft palate movement reduced but functions are not affected

2 Any one of the functions of soft palate is affected

3 All functions of soft palate are affected

रोटहतवणता

(Redness)

0 No change in colour

1 Pinkish red coloured mucosa in palate

2 Red coloured mucosa in palate

3 Dark red coloured mucosa in palate

रजा (Pain) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

जजवय (Fever) 0 Normal temperature

1 Temperature between 984rsquoF to 100rsquoF

Temperature between 100rsquoF to 101rsquoF

2 Temperature between 101rsquoF to 102rsquoF

3 Temperature between 102rsquoF to 103rsquoF

52

Code Signs amp Symptoms Score Gradations Remarks

4 Temperature between 103rsquoF to 104rsquoF

5 Temperature more than 104rsquoF

134 कछिऩ (स)

कभवत उतमसनन शोप (Swelling

having shape like dorsum of tortoise)

0 No swelling

1 Swelling in 13rd part of the palate

2 Swelling in 23rd part of palate

3 Swelling in gt 23rd part of palate

चियवपदध(अहर)

(Slow growth)

0 Growth within a week

1 Growth within 1 week to 1 month

2 Growth within 1 month to 6 months

3 Growth within gt 6 months

रक (अहर) (Pain) 0 No pain Or According to VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesics

135 तारअफद (स) ऩदमाकाय तारभधम

शोपम (Swelling

like shape of lotus )

0 No swelling

1 Swelling in 13rd part of the palate

2 2 Swelling in 23rd part of palate

3 3 Swelling in gt 23rd part of palate

136 भाससङघात (स) नीरज (Painless) 0 Absent

1 Present

53

Code Signs amp Symptoms Score Gradations Remarks

शोप 0 No swelling

1 Swelling in 13rd part of the palate

2 Swelling in 23rd part of palate

3 Swelling in gt 23rd part of palate

137 तारऩपऩि (स) नीरक (Painless) 0 Absent

1 Present

कोरभातर

Swelling having size of Kola fruit

0 Absent

1 Present

138 तारशोष (स)

शोष (Dryness) 0 No dryness

1 Dryness decreased after drinking water

2 Patient needs water frequently

3 Dryness persist after dinking profuse water

दायण (Tearing of palate)

0 Absent

1 Present

शवास (Difficulty in

breathing)

0 No difficulty in breathing Here difficulty in breathing is due to obstruction

1 Difficulty in breathing occasionally

2 More difficulty in breathing while sleeping position

3 Excessive difficulty in breathing

जजवय(अहर) (Fever) 0 Normal temperature

1 Temperature between 984rsquoF to 100rsquoF

Temperature between 100rsquoF to 101rsquoF

2 Temperature between 101rsquoF to 102rsquoF

3 Temperature between 102rsquoF to 103rsquoF

4 Temperature between 103rsquoF to 104rsquoF

5 Temperature more than 104rsquoF

54

Code Signs amp Symptoms Score Gradations Remarks

139 तारऩाक (स) ऩाक (Suppuration) 0 No swelling or suppuration

1 Inflammation of palate with pain and tenderness

2 Inflammation of palate with different types of pain and tenderness with induration

3 Pus formation and fluctuation positive

1310 तारपऩटिका (अहर) तारभास पऩटिका

Follicles in palate flesh

0 No follicles

1 13 palate covered with follicles

2 23 palate covered with follicles

3 More than 23 palate covered with follicles

रज(अहर) (Pain) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

Occasional pain

खयता(अहर) (Roughness)

0 Smooth on touch

1 Mild irregular surface on touch

2 Rough surface

3 Sharp rough surface which hurts on finger on touch

घनसराव(अहर) (Thick discharge)

0 No discharge

1 Occasional discharge

2 Off and on thick discharge

3 Continuous thick discharge

1311 तारसहतत (अहर) तारभधम तनरक (अहर) =Painless fleshy growth in palate

Only तारभधम तनरक indicates the place and quality of growth both the symptoms can be

merged

55

Code Signs amp Symptoms Score Gradations Remarks

तनरक (Painless) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

भाससहत

(Fleshy growth in palate)

0 No fleshy growth

1 Fleshy growth in 13 part of the palate Swelling

2 Fleshy growth in 23 part of palate swelling

3 Fleshy growth in more than 23 part of palate

56

GRADATION OF SARVASAR ROG

Code - 15

Established by Group BHOJ Dr Krishna Makaia ndash Convener

Dr Rajeshree Unadkat Dr Neelam Dave

Dr Ronakgiri Gosai Dr Jignesh Virapariya

Reviewed by Dr Vijayant Bharadwaj

Edited by Prof Vd Hāridra Dave

57

Code Signs amp Symptoms Score Gradations Remarks

151 वातजसवसय (स) सपोि (Ulcers) 0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

तोद = Pricking pain 0 No pricking pain Or According to VAS

1 Occasional pricking pain

2 Off and on pricking pain

3 Continuous pricking pain

Or

0 No pricking pain

1 Sometimes mild pricking pain

2 Has to take analgesic while pricking pain

सिारयण(अहर) This symptom is for सवसय so this सवसय is the nature of सिारय

0 No movement of सवसय

1 Movement of सवसय is once in a week

2 Movement of सवसय is once in three to four days

3 Movement of सवसय is at every alternate day

4 Movement of सवसय is once in a day

अरण (अहर) Reddish discoloration

0 Colour of वरण is same with colour of surrounding area

1 Colour of वरण is Reddish

2 Colour of वरण is Dark Red

3 Colour of वरण is Reddish black

र (अहर) Dryness 0 वरण is Moist

-No dryness of वरण

1 वरण Needs lubrication once a day

2 वरण Needs frequent lubrication in

a day

3 No benefit with frequent

lubrication of वरण

तामरता (अहर) (Coppery

0 Colour of वरणौषठ is same with colour of surrounding area

58

Code Signs amp Symptoms Score Gradations Remarks

discoloration) This symptom is for

वरणौषठ

1 Colour of वरणौषठ is Tamra Varna

चऱतवचा (अहर) (Free mucous membrane) This symptom is for

वरणौषठ

0

Movement of वरणौषठ is on touch

only

1 Movement of वरणौषठ can be seen by naked eye means without touch

शीतासहा (अहर) (Intolerance to cold) This symptom is for

जजहवा

0 No Intolerance of cold to जजहवा

1 Intolerance of severe cold to जजहवा

2 Intolerance of moderate cold to जजहवा

3 Intolerance of Mild cold to जजहवा

गवी (Heaviness)

This symptom is for

जजहवा

0 No Heaviness

1 Mild heaviness with no difficulty

in movement of जजहवा

2 Moderate heaviness with

difficulty in Movement of जजहवा

3 Sever heaviness with bending down of

सफटटता (अहर) (Ulcer)

0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

कणटाकाधचता (अहर) = Thorn like

appearance

0 No change in appearance

59

Code Signs amp Symptoms Score Gradations Remarks

1 13 part of oral mucous membrane covered with red fleshy thorn like papillae

2 23 part of oral mucous membrane covered with red fleshy thorn like papillae

3 gt23 part of oral mucous membrane covered with red fleshy thorn like papillae

षववणोतत कचछरणमखम (अहर) (Difficulty in mouth opening)

0 Mouth opening more than 3 fingers without difficulty

1 2 to 3 fingers opening of mouth with or without difficulty

2 1 to 2 fingers opening of mouth with or without difficulty

3 Less than 1 finger opening of mouth with or without difficulty

152 पऩतमत(यकतज)सवसय (स) Signs and Symptoms of यकतज सवसय are same as of पऩतमत सवसय so no separate gradations are mentioned

यकतता (Redness) 0 Colour of सवसय- वरण is similar with

surrounding mucous membrane

1 Reddish Colour of सवसय- वरण

2 Bright red Colour of सवसय- वरण

3 Dark red Colour of सवसय- वरण

सदाह (Burning

Sensation)

0 No burning in सवसय- वरण Or According to

VAS

1 Occasional burning in सवसय- वरण

2 Intermittent burning in सवसय- वरण

3 Contentious burning in सवसय- वरण

which does not relive by any measures

तन (तनसब) (Shallow superficial ulcers)

0 No ulcer

1 Ulcer having depth of 05-1 mm

2 Ulcer having depth of 1 ndash 15 mm

3 Ulcer having depth of 15 -2 mm

60

Code Signs amp Symptoms Score Gradations Remarks

ओष (अहर) 0 No (ओष) burning in सवसय- वरण

1 Occasional (ओष) burning in

सवसय- वरण

2 Intermittent (ओष) burning in

सवसय- वरण

3 Contentious (ओष) burning in

सवसय- वरण which does not relive

by any measures

ततकतवकरता (अहर) (Bitter taste in mouth)

0 No alteration in taste

1 Occasionally bitter taste felt in mouth without having any bitter substance

2 Off and on bitter taste felt in mouth without having any bitter substance

3 Continuous bitter taste felt in mouth without having any bitter substance

ारोकषतत समावरणा (अहर)

0 No Ulcer

(Ulcers looking like chemical burns)

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

153 कपज सवसय (स) कणड (Itching) 0 No itching Or According to

VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Unable to work due to itching

0r

0 No itching

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate on work due to severe itching

रजा (Pain)

(अलऩ रजा) 0 No pain Or According to

VAS

1 Occasional pain

61

Code Signs amp Symptoms Score Gradations Remarks

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain This condition should be considered as अलऩ रजा

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

सवणण 0 Colour of वरण is same with colour of near by tissue

1 Colour of वरण is not same with colour of near by tissue

मररासयतवम (अहर) (Sweet taste in mouth)

0 No alteration in taste

1 Occasionally sweet taste felt without eating any sweet substance

2 Off and on Sweet taste Occasionally sweet taste felt without eating any sweet substance

3 Continuous sweet taste Occasionally sweet taste felt without eating any sweet substance

षपजचछिऱता (अहर) (Unctuousness)

0 Absent

1 Present

वरण 0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

154 कफाबभद (अहर) शयाव अबभदम

(शयावपाणडऽबभदम) 0 Colour of growthtumour is same

the colour of surrounding skin

1 Colour of growthtumour is शयाव

(Blackish)

62

Code Signs amp Symptoms Score Gradations Remarks

पाणड अबभदम (शयावपाणडऽबभदम)

0 Colour of growthtumour is same the colour of surrounding skin

1 Colour of growthtumour is पाणड

(Pale)

अबभदम 0 No GrowthTumour TNM Classification for tumours can be applied for growth

1 Growthtumour having sizelt 10 mm

2 Growthtumour having size 10 mm to 20 mm

3 Growthtumour having size gt 20 mm

घटिता तिनना मटदता च षववरभत (Size increases on rubbing cutting and squeezing)

0 Size of GrowthTumour is not increasing by rubbing cutting or squeezing

1 Size of GrowthTumour is increasing up to 10 mm by rubbing cutting or squeezing within a month

2 Size of GrowthTumour is increasing up to 20 mm by rubbing cutting or squeezing within a month

3 Size of GrowthTumour is increasing up to 30 mm by rubbing cutting or squeezing within a month

4 Size of GrowthTumour is increasing up to 40 mm by rubbing cutting or squeezing within a month

155 ऊरधवभगद (अहर) वकतरदौगनधम

(Halitosis)

0 No Halitosis

1 Halitosis is feel by Patient only

2 Halitosis is feel by Patient and examining Doctor only

3 Halitosis is feel by any person from the distance from 5 meters

63

Code Signs amp Symptoms Score Gradations Remarks

4 Halitosis is feel by any person from the distance from more than 5 meters

156 पततवकर (अहर) ऩतममासमता

(Halitosis)

0 No Halitosis

1 Halitosis is feel by Patient only

2 Halitosis is feel by Patient and examining Doctor only

3 Halitosis is feel by any person from the distance from 5 meters

4 Halitosis is feel by any person from the distance from more than 5 meters

157 सतनऩाततक सवसय (अहर) This disease occurs due to aggravation of all three doshas including Rakta Clinical presentation of this disease is found as mixed picture according prominent aggravation of dosha and signs and symptoms will be observed accordingly Gradations should be considered accordingly so it is not required to repeat here

helliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip

Page 9: THE GRADATIONS OF DISEASES OF SHALAKYA TANTRA - PART …theassociationofshalaki.com/downloads/GRADATIONS_OF_DISEASE… · 12.05.2019  · I am also very much thankful to Dr Sandhya

8

GRADATIONS OF OSHTHA GAT ROG

Code - 10

Established by Group BHOJ Dr Krishna Makaia ndash Convener

Dr Rajeshree Unadkat Dr Neelam Dave

Dr Ronakgiri Gosai Dr Jignesh Virapariya

Reviewed by Dr Vijayant Bharadwaj

Edited by Prof Vd Hāridra Dave

9

Code Signs amp Symptoms Score Gradations Remarks

101 वातज ओषठयोग (स) ककश (Rough) 0 No Karkashata (Smooth surface)

1 Roughness of the surface of Oshtha is not visible by naked eye but can be felt by touching by finger

2 Roughness of surface of Oshtha is visible by naked and can be felt by finger but not hurts the finger

3 Roughness of surface of Oshtha with fissures is visible by naked can be felt by finger not hurts the finger

4 Roughness of surface of Oshtha with fissures is visible by naked can be felt by finger and hurts the finger

ऩरषता (Dryness) 0 No dryness (Moist)

1 Mild dryness No need of lubrication

2 Needs lubrication once or twice a day

3 No benefit with frequent lubrication

सतबधता (Immobile) 0 Lip movement not restricted

1 Difficulty in lip movement

2 Lips movement is totally restricted

3 No lip movement

कषणताअससत

=Blackish

0 No change in colour Make colour scale

1 Darker than normal colour Normal lip colour is variable and depending on natural skin complexion

2 Darker but not complete black

3 Blackish in colour

तीवररगभहारजा (Severe pain)

0 No pain Or According to VAS

1 Pain while movement

2 Continuous pain

3 Discomfort for pain Patient have to take analgesics

दालमत(Creaked lip) 0 No Creaks

1 Single creak

2 Multiple Creaks

10

Code Signs amp Symptoms Score Gradations Remarks

3 Multiple deep creaks (Bleeding)

ऩरयऩाटमत 0 No desquamation

=Desquamation - Sanskrit English dictionary page 870

1 Superficial desquamation of epithelium which looks like soft white scales

2 Deep desquamation of epithelium which looks like hard white scales and ready to bleed

3 Deep desquamation with bleeding

102 पऩतज ओषठयोग (स) आचितोपऩडकासबसत

सषऩाकततसबबशभ

0 No सषऩाकतत Follicles

=Covered with Mustard seed like follicles

1 13 part of lip covered with yellow

mastered seed (सषऩाकतत) like

follicles

2 23 part of lip covered with yellow mastered seed like follicles

3 More than 23 part of lip covered with yellow mastered seed (सषऩाकतत) like follicles

दाह (Burning) 0 No burning Or according to VAS

1 Occasional burning

2 Intermittent burning

3 Continuous burning

ऩाक (Suppuration) 0 No swelling or suppuration

1 Inflammation pain and tenderness

2 Inflammation with different types of pain and tenderness with induration

3 Pus formation and fluctuation positive

ससराव (Discharge) 0 No Discharge

1 Mild discharge sticks on lip

2 Moderate discharge has to be cleaned occasionally

3 Severe or continuous discharge has to be cleaned frequently

This condition should be considered as ससराव

नीरवणता (Bluish discoloration)

0 No discoloration

1 Bluish pink discoloration

2 Pinkish blue discoloration

11

Code Signs amp Symptoms Score Gradations Remarks

3 Lips look more bluish or purplish

ऩीतवणता (Yellowish

discoloration)

0 No discoloration

1 Reddish yellow discoloration

2 Yellowish discoloration

3 Lips look pale yellow

तीकषणासह 0 No irritation to spicy salty sour pungent or hot food

=Intolerance to spicy salty sour pungent or hot food

1 Irritation to spicy and hot food

2 Irritation to spicy salty sour pungent or hot food

3 Irritation to any food

फहकरदा (Excessive moisture)

0 No collection of fluid

1 Follicles with fluid accumulation

2 Follicles with excessive fluid accumulation

3 Follicle with excessive fluid accumulation and patient tries to clean the lips frequently

आशऩाक (Quick

suppuration)

0 Suppuration after 7 days

1 Suppuration within 5 to 7 days

2 Suppuration within 2 to 5 days

3 Suppuration within one day This condition should be considered as

आशऩाक

103 कपज ओषठयोग (स) सवण पऩडका (Follicles

same as lip colour)

0 No Follicles

1 Up to 13 of Oshtha is covered with few of the same coloured and with various sizes of follicles

2 From13 to 23 part of Oshtha is covered with few multiple follicles of the same colour and with various sizes

3 More than 23 part of Oshtha is covered with few multiple follicles of the same colour and with various sizes

कणड (Itching) 0 No itching

12

Code Signs amp Symptoms Score Gradations Remarks

1 Occasional mild itching not disturbing work

2 Off and on moderate itching disturbing work

3 Cannot concentrate in work due to continuous severe itching

शन (Swelling) 0 No Swelling

1 Slightly bigger than normal size not noticed by another person

2 Swelling Noticeable by another person

3 Severe Swelling with restriction of normal movement

पऩचछिरता (Sliminess) 0 No Sliminess

1 Mild sliminess

2 Moderate sliminess

3 Severe sliminess

शीतरता -Subjective

(Feeling of coldness by patient)

0 No feeling of coldness by patient Subjective and objective both should be taken

1 Feeling of coldness by patient but no change in temperature

2 Feeling of coldness by patient which is colder than body temperature on touch by the patient

शीतरता -Objective

(Decreased Temperature)

0 No change in temperature

1 1 less than body temperature

2 gt1less than body temperature

गरता (Heaviness) 0 No Heaviness

1 Mild heaviness no difficulty in lip movement

2 Difficulty in lip function due to Heaviness

3 Protrusion of lip due to heaviness

शीतासह

(Intolerance to cold)

0 No Intolerance to cold

1 Intolerance to severe cold

2 Intolerance to moderate cold

3 Intolerance to Mild cold

13

Code Signs amp Symptoms Score Gradations Remarks

104 सतनऩातज ओषठयोग (स) कषणता (Blackish

discoloration)

0 No change in colour In original Shlok lsquoSakrutrsquo word is used along with all types of discolorations According to expert of Sanskrit language and expert of Samhita subject the meaning of lsquoSakrutrsquo is lsquosometimesrsquo and another meaning of this world is lsquosome partrsquo Here we have taken meaning lsquosome partrsquo

1 13 Part of one lip is blackish in colour

2 13 Part of both lips are blackish in colour

3 23 Part of one lip is blackish in colour

4 23 Part of both lips are blackish in colour

5 More than 23 Part of one lip is blackish in colour

6 More than 23 Part of both lips are blackish in colour

ऩीतता (Yellowish

discoloration)

0 No change in colour

1 13 Part of one lip is yellowish in colour

2 13 Part of both lips are yellowish in colour

3 23 Part of one lip is yellowish in colour

4 23 Part of both lips are yellowish in colour

5 More than 23 Part of one lip is yellowish in colour

6 More than 23 Part of both lips are yellowish in colour

अनकपऩडडकाचितौ 0 No Follicles in any of lips

(Multiple follilcles) 1 13 lipLips isare covered with few follicles of various sizes

2 13 lipLips isare covered with multiple follicles of various sizes

3 23 lipLips isare covered with multiple follicles of various sizes

4 Multiple follicles with various sizes (23 lip covered)

5 More than 23 lipLips isare covered with multiple follicles of various sizes follicles

14

Code Signs amp Symptoms Score Gradations Remarks

दगनधौ (Foul smell) 0 No Foul smell

1 Only patient feel foul smell

2 Nearby Doctor 0r people can feel foul smell

3 Foul smell is not tolerable by the patient and the nearby person

आसरावौ (Discharge) 0 No Discharge is on any of lips In Sannipataja disease usually the mixed type of discharge is found So here the type of discharge is not considered The quantity of discharge is considered

1 Mild discharge collected on any one lip

2 Mild discharge collected on both lips or Moderate discharge collected on any one lip which has to be cleaned occasionally

3 Moderate discharge collected on both lips which has to be cleaned occasionally

4 Moderate discharge collected on both lips which has to be cleaned frequently

5 Severe or continuous discharge collected on lipLips which has to be cleaned frequently

पऩचछिरौ (Sliminess) 0 No sliminess

1 Mild Sliminess

2 Moderate Sliminess

3 Severe Sliminess

अकसभातमरानसशन रजौ (अहर) अकसभात

= All of a sudden = Without any reason = Spontaneous = Both Lips become Mlān swollen and painful all of a sudden andwithout any reason

अकसभातमरानौ (अहर) 0 No change in appearance

(Spontaneous Faded) 1 Lips look dull occasionally

15

Code Signs amp Symptoms Score Gradations Remarks

2 Lips look faded off and on in a day

3 Lips look faded and dirty frequently in a day

अकसभातसशनौ (अहर) 0 No Swelling

(Spontaneous swelling) 1 Occasionally Swelling in a day Here the size of swelling is not considered but the spontaneous nature of swilling is considered

2 Off and on swelling in a day

3 Swelling frequently in a day

अकसभात रजौ (अहर) (Pain)

0 No pain Or According to VAS

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

पवषभऩाककनौ (अहर) (Irregular suppuration )

0 No suppuration

1 Suppuration in 13 part of lips

2 Suppuration in 23 part of lip

3 Suppuration in major of lip

105 यकतज ओषठयोग (स) खजयपर पऩडका 0 No follicles

(Brownish follicles) 1 13 lip covered with brownish colour follicles

2 23 lip covered with brownish colour follicles

3 More than 23 lip covered with follicles

रचधयसराव (रचधय सरवत) (Bleeding)

0 No bleeding

1 Bleeding on touch or movement

2 Spontaneous bleeding

3 Continuous Bleeding

अफद बवत 0 No tumour

1 Tumour is 2 cm in size

2 Tumour is 4 cm in size

3 Tumour is gt4 cm in size

106 भासज ओषठयोग (स) भासपऩणडवत उदगतौ

(Bulky) 0 No Growth This word is used

as an adjective of

Sthoola See सथल

16

Code Signs amp Symptoms Score Gradations Remarks

1 Growth is present in both Oshtha but no discomfort to patient

2 Growth is present in both Oshtha with discomfort to patient

3 Large Growth is present in both Oshtha involving the surrounding region

जनतवशिातर भछिचनत सककसमोबमतो भखात

0 No Maggot Formation

1 Maggot formation on one side of the angle of mouth

2 Maggot Formation on both angles of mouth

3 Excessive maggot Formation

गर 0 No Heaviness in any of the lip

1 Mild heaviness no difficulty in lips movement

2 Difficulty in Lips function due to Heaviness

3 Protrusion of both lips

सथरौ (Bulky)

According to Sanskrit ndash English Dictionary

0 Size not increased

1 Slightly bigger than normal no noticeable by other person

2 Bigger than normal noticeable by another person

3 Bigger size effect the lip movement and lip protrudes down

107 भदज ओषठयोग (स) घतभणडाबौ (Clear

melted butter like)

0 Does not look like filled with clear part of melted butter

Here the specific appearance is given so the area is considerd

1 13 part of both lips looks like filled with clear part of melted butter

2 23 part of both lips looks like filled with clear part of melted butter

3 More than 23 part of both lips looks like filled with clear part of melted butter

कणड 0 No itching Or According to VAS

1 Itching in both lips but not disturbing work

17

Code Signs amp Symptoms Score Gradations Remarks

2 Itching in both lips but disturbing work

3 in both lips and cannot concentrate in work due to itching

Or

0 No itching

1 Occasional itching

2 Off and on itching

3 Continuous itching

चसथयौ 0 Movement of lips not affected

(Immobility) 1 Lip movement slightly affected but no difficulty in speech

2 Lip movement affected which alter the speech

3 Lip movement arrested

भदता (Sponginess) 0 Absent

1 Present

आसराव (अछि सपटिक सङकाशभ) (discharge of clear fluid)

0 No discharge अचछ सफटिक Word is Adjective for the type of discharge So grading is given for the frequency of discharge

1 Occasional discharge

2 Off and on discharge of clear fluid

3 Continuous discharge of clear fluid

गर 0 No Heaviness

1 Mild heaviness no difficulty in lip movement

2 Difficulty in lip function due to heaviness

3 Protrusion of lip due to heaviness

तराबशवमथ (अहर) 0 Does not look like filled with oil As per the घतभणडाब

tailabha is used as adjective so grading is given for Shvayathu

1 13 part of lips looks like filled with oil

2 23 part of lips looks filled with oil

3 More than 23 part of lips looks like filled with oil

सराव 0 No discharge

1 Occasional discharge

2 Off and on discharge of clear fluid

3 Continuous discharge of clear fluid

तराबकरदौ (Moister) 0 Absent Darshan pariksha

18

Code Signs amp Symptoms Score Gradations Remarks

1 Present

कणड 0 No itching Or According to VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate in work due to itching

OR

0 No itching

1 Occasional itching

2 Off and on itching

3 Continuous itching

109 तज ओषठयोग (स) पवदीमता (Tear) 0 No tear

1 Cut Up to epithelial layer

2 Cut Up to Sub epithelial layer

3 Cut up to muscular layer

ऩाटमता (Lips divided

in two parts)

0 Lips divided into two parts

1 Absent

2 Present

गरचथत

(NodulesLumps)

0 No lumps

1 Soft lumps

2 Hard Lumps

3 Multiple lumps

कणड (Itching) 0 No itching Or According to VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate in work due to itching

OR

0 No itching

1 Occasional itching

2 Off and on itching

3 Continuous itching

दशनछिदौ (अहर) (Lips covering the teeth)

0 Covering the teeth completely

1 Partial covering (gt50 ) the teeth

2 Covering the teeth lt50

19

Code Signs amp Symptoms Score Gradations Remarks

3 Not covering the teeth (All teeth exposed)

1010 जराफद (अहर) जरफदफदवद

(Cystic Swelling)

0 No Cystic Swelling

1 Up to 5mm Swelling

2 Swelling up to 5-10mm

3 More than 10mm

1011 यकताफद (स) रचधय सराव

रचधय सरवत 0 No bleeding

(Bleeding) 1 Bleeding on touch or movement

2 Spontaneous bleeding

3 Continuous bleeding

खजयसदश 0 Absent Used as an adjective

(Date fruits like) 1 Present

1012 खणडौषठ (अ)

ओषठोदपवधाकत 0 No separation of lips

(Lips divided separated into two parts)

1 Separation up to vermilion line

2 Separation up to Philtrum

3 Separation up to Collumella

20

GRADATION OF DANTA MOOL GAT ROG

Code ndash 11

Gradations established by Group KARAL Dr Krishna Makadia - Convener

Dantvaidya Saroj Joshi Dantvaidya Harshad Joshi

Dr Kiran Raj Dr Achyuta Atara Dr Pranav Dave

Gradations Reviewed by Dr Hemangi Shukla Dr Krishna Makadia

Edited by Prof Vd Hāridra Dave

21

Code Signs amp Symptoms Score Gradations Remarks

111 शीताद (स) अकसभात यकतसराव 0 No bleeding

1 Occasional bleeding for 1 or 2 times in 1 Prahar

2 Spontaneous Bleeding up to one Prahar

3 Spontaneous Bleeding for more than 1 Prahar (more than 3hrs)

दगनधीतन 0 No foul smell

1 Patient feels foul smell

2 Doctor or person who comes near to patient feels foul smell

3 From distance anyone can feels foul smell who is in the room

4 Foul smell can be feel from outside of the room even

सकषणातन 0 Absent

=Blackish discoloration

1 Present

परकरदीतन 0 Absent

1 Present

भदता 0 Absent

1 Present

दनतभास शीमनत 0 Gums situated At CE junction

1 Recession of gums At cervical 13

2 Recession of gums At middle 13

3 Recession of gums At apical 13

ऩिचनत ि ऩयसऩयभ 0 No Pachan (Pāk)

= Pāk 1 1 Quadrant is involved

2 2 quadrants are involved

3 More than 2 quadrants are involved

112 दनतपपपटक (स) दनतमोसतरीष वा 0 No involvement of teeth

1 Involvement of 2 teeth

2 Involvement of 3 teeth

शवमथ भहान 0 Absent

1 Present

सरज 0 No pain Or according to VAS

1 तीवर =Pain is there but he can do

work or sleep

22

Code Signs amp Symptoms Score Gradations Remarks

2 तीवरतय =Pain is there but he can do

work or sleep

3 तीवरतभ =Patient canrsquot tolerate

शोफ़ो फदयाचसथतनबो घन (अहर) =Kola is

small jujube and badar is big jujube and seed is measuring around 5 mm

0 Not present

1 Shoth up to 25 mm

2 Shoth 25 to 5 mm

3 Shoth is more than 5 mm

ऩाक (अहर) (शीघर ऩछमत)

0 Absent Accumulation of Fluid or pus

1 Present

113 दनतवषट (स) सरवचनत ऩमरचधय

Discharge of blood with pus or only pus

0 No Discharge

1 Blood with Pus Discharge

2 Only pus discharge

िरता 0 No mobility

1 1 mm antero-posterior Mobility

2 2 mm antero-posterior Mobility

3 More than 2 mm antero-posterior amp medial to lateral mobility

114 शौषषर (स) शवमथ 0 Absent

1 Present

रजावान According to VAS scoring

रारासरावी 0 Normal secretion

1 Occasionally splitting

2 On and off splitting

3 Continuous splitting disturbance in work

कणड 0 Absent

1 Occasionally itching

2 On and off itching

3 Continues itching

23

Code Signs amp Symptoms Score Gradations Remarks

दतभासपरशातन 0 Gums situated At CE junction

1 Recession of gums At cervical 13

2 Recession of gums At middle 13 3 Recession of gums At apical 13

115 महाशौषषर (स) दनताशिरचनत 0 No mobility

1 1 mm antero-posterior mobility

2 2 mm antero-posterior mobility

3 More than 2 mm anteroposterior amp medial to lateral mobility

तार अवदीमत 0 Absent Fissure over the Palate

1 Present

दतभासातनऩछमनत 0 No redness

1 Mild redness

2 Moderate redness

3 Severe redness

भख ऩरयऩीडमत 0 No Peedā Or According to VAS

Pain in any part or whole oral cavity

1 Peedā is at those Gums where disease is situated

2 Peedā is at entire Gums

Peedā is at entire Mukh

सचननऩाताजजजजवयवान

(अहर) 0 Normal temperature

1 Temperature between 984rsquoF to 100rsquoF

Temperature between 100rsquoF to 101rsquoF

2 Temperature between 101rsquoF to 102rsquoF

3 Temperature between 102rsquoF to 103rsquoF

4 Temperature between 103rsquoF to 104rsquoF

5 Temperature more than 104rsquoF

सऩमरचधयसरतत (अहर)

0 No Discharge

1 Blood with Pus Discharge

2 only pus discharge

पवशीणदपवजफनधन (अहर)

0 No mobility

1 1 mm antero-posterior mobility 2 2 mm antero-posterior mobility

24

Code Signs amp Symptoms Score Gradations Remarks 3 more than 2 mm antero-posterior

amp medial to lateral mobility

116 पररदर (स) दनतभासातन शीमनत 0 Gums situated At CE junction Depending upon

severity grading has been established

1 Recession of gums At cervical 13

2 Recession of gums At middle 13

3 Recession of gums At apical 13

षठीवतत असक 0 No spitting of blood

1 Occasionally splitting

2 On and off splitting

3 Continuous splitting with disturbance in work

117 उपकश (स) दाह Or According to VAS

ऩाक 0 Absent

1 Present

दनताशिरचनत 0 No mobility

1 1 mm antero-posterior mobility

2 2 mm antero-posterior mobility

3 more than 2 mm antero-posterior amp medial to lateral mobility

आघटिता परसरवचनत 0 Absent

=Bleeding from gums by pressure

1 Bleeding on pressure remains for five minutes

2 Bleeding on pressure remains up to 15 minutes

3 Bleeding on pressure remains up to 30 minutes

4 Bleeding on pressure remains up to 1 hour

5 Bleeding on pressure remains more than 1 hour

भदवदना 0 Absent

1 Present

आधभामनत सरत यकत

0 Absent

1 Present

ऩतत वकतरता (अहर) 0 No foul smell

1 Patient feels foul smell

25

Code Signs amp Symptoms Score Gradations Remarks

2 Doctor or person who comes near to patient feels foul smell

3 From distance anyone can feels foul smell who is in the room

4 Foul smell can be feel from outside of the room even

कणडभचनत (अहर) 0 Absent Or According to VAS

1 Occasionally itching

2 On and off itching

3 Continues itching

िरा (अहर) 0 No mobility

1 1 mm antero-posterior mobility

2 2 mm antero-posterior mobility

3 More than 2 mm antero-posterior amp medial to lateral mobility

118 वदभभ (स) =Traumatic injury(By mechanical Chemical thermal )

घषिष दनतभरष सयबो जामत भहान

0 Absent Mahan suggest itself severity of disease

1 Present

िरदता (अहर) 0 No mobility

1 1 mm antero-posterior mobility

2 2 mm antero-posterior mobility

3 More than 2 mm antero-posterior amp medial to lateral mobility

119 वरभन (स) तीवरवदना 0 No pain Or According to VAS

1 तीवर -Pain is there but he can do

work or sleep

2 तीवरतय -Patient can tolerate

3 तीवरतभ -Patient canrsquot tolerate

1110 अधरमाास (स) भहाञिोथ 0 No Shoth Mahan suggest itself

severity of disease

1 Shoth is Present on that gum only where disease is occurred

2 Shoth is Present on nearby two or three gums where disease is occurred

26

Code Signs amp Symptoms Score Gradations Remarks

3 Shoth is present up to adjoining cheek

This condition should be considered as

भहाञिोथ

भहारजा (स) परततहनतममभमवरतत (अहर)

0 No Rujā (pain) Or According to VAS

2 Rujā (pain) is Present on that gum only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

This condition should be considered as भहारजा amp परततहनतममभमवरतत

रारासरावी 0 Normal secretion

1 Occasionally splitting

2 On and off splitting

3 Continuous splitting disturbance in work

दनतानत कीरवतमशोफ़ (अहर)

0 No Keel vat Shoth

1 Keel vat Shoth is Present on that gum only where disease is occurred

2 Keel vat Shoth is Present on nearby two or three gums where disease is occurred

3 Keel vat Shoth is present up to adjoining cheek

1111 दनतषवदरधर (अहर) दनतभासशोफ़ (ि) 0 No Shoph

1 Shoph is Present on that gum only where disease is occurred

2 Shosh is Present on nearby two or This condition should

27

Code Signs amp Symptoms Score Gradations Remarks

three gums where disease is occurred

be considered as अनत शवमथ According to

Vagbhatta

3 Shosh is extended up to adjoining cheek

This condition should be considered as फाहम शवमथ According to

Vagbhatta

फाहम शवमथ (अहर) This condition is mentioned at दनतभास शोफ़

अनत शवमथ (अहर) This condition is mentioned at दनतभास शोफ़

गर (अहर) 0 Absent

1 Present

रग (अहर) 0 No Rujā (pain) Or According to VAS

2 Rujā (pain) is Present on that gum only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

दाह (अहर) According to VAS

सरवतिननऩमासर (अहर)

0 No Discharge

1 Blood with Pus Discharge

2 Only pus discharge

1112 दतनाडी Scoring is not possible further according to measurement of Nadivrana because X-

ray only detects spread up to the bone Whereas Nadivrana in gingiva periodontal ligament cannot be measured

दतनाडी 0 Absent

1 Present

28

GRADATION OF DANTA GAT ROG

Code ndash 12

Gradations established by Group KARAL Dr Krishna Makadia - Convener

Dantavaidya Saroj Joshi Dantavaidya Harshad Joshi

Dr Kiran Raj Dr Achyuta Atara Dr Pranav Dave

Gradations Reviewed by Dr Hemangi Shukla Dr Krishna Makadia

Edited by Prof Vd Hāridra Dave

29

Code Signs amp Symptoms Score Gradations Remarks

121 दाऱन (स)

तीवररग 0 No Rujā (pain) Or According to VAS

2 Rujā (pain) is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

उषणअसहादनता (अस) 0 No sensitivity in teeth ie with warm

water hot water or

excessive hot water

application on

tooth is not

possible so Time

related and severity

related grading was

finalised(same for

cold)

1 Mild sensitivity in teeth - At a

time

2 Moderate sensitivity in teeth -

Sensitivity remains only for 1

Prahar (up to 3 hrs)

3 Severe sensitivity in teeth -

Sensitivity remains more than

1 Prahar (more than 3 hrs)

शीतअचधकवमथा (अहर) 0 No sensitivity in teeth

1 Mild sensitivity in teeth - At a

time

2 Moderate sensitivity in teeth -

Sensitivity remains only for 1

Prahar (up to 3 hrs)

3 severe sensitivity in teeth-

Sensitivity remains more than

1 Prahar (more than 3 hrs)

22 कममदनत (स) कषण 0 No discoloration

1 Light greyish black

2 Dark greyish black

3 Jet black

30

Code Signs amp Symptoms Score Gradations Remarks

तिदर 0 No cavity It should be

decided by X-ray

1 Cavity within limit of enamel

2 Cavity within limit of dentin

3 Cavity up to pulp

िर 0 No mobility

1 1 mm antero-posterior

mobility

2 2 mm antero-posterior

mobility

3 More than 2 mm antero-

posterior amp medial to lateral

mobility

सरावी 0 No Srāv- after drying

particular teeth with cotton

inserting cotton on cavity

There is no other

method to check

Srāv in Krimidanta

1 Srāv is present

ससयब = Inflammation 0 No inflammation

1 Inflammation is Present भहारज 0 No Rujā (pain) Or According to

VAS 2 Rujā (pain) is Present on that

gum only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

This condition should be considered as भहारज

अतनसभतमतरज 0 No sudden onset of pain

1 Sudden onset of pain is

present

अहततीवराततशभ (अहर) 0 No sudden onset of pain

31

Code Signs amp Symptoms Score Gradations Remarks

1 Sudden onset of pain is

present

पररन (अहर) = Broken due to cavity

0 Cavity is there but it is not

broken

It should be

considered for each

tooth separately

Cavity in that must

be present in

particular tooth

1 13 part of tooth is broken

2 23 of tooth is broken

3 More than 23 of tooth is

broken

4 Total loss of tooth

ऩमसरत (अहर) 0 No Pooya Srāv after drying

particular place

with cotton

inserting cotton on

cavity

1 Pooya Srāv present

यकतसरत (अहर) 0 No Rakta Srāv after drying

particular place

with cotton

inserting cotton on

cavity

1 Rakta Srāv is present

123 दनतहषभ (स)

शीत सऩशन न सहनत 0 No sensitivity by cold touch

in any teeth

1 Ooccassional sensitivity by

cold touch in any toothteeth

for once

2 Sensitivity by cold touch

remains in toothteeth only up

to 1 Prahar (up to 3hrs)

3 Sensitivity by cold touch

remains more than 1 Prahar

(more than 3hrs)

उषण सऩशन न सहनत 0 No sensitivity by hot touch in

any teeth

1 Occassional sensitivity by hot

touch in toothteeth for once

2 Sensitivity by hot touch

remains in toothteeth only up

to 1 Prahar (up to 3hrs)

3 Sensitivity by hot touch

remains in toothteeth more

than 1 Prahar (more than

3hrs)

32

Code Signs amp Symptoms Score Gradations Remarks

परवाताभा = Sensitivity to air

(परवातारशीतबाभा) (अहर)

0 No sensitivity by Pravāt

touch in any tooth

1 Occassional sensitivity by

Pravāt touch in toothteeth for

once

2 Sensitivity by Pravāt touch

remains in toothteeth only up

to 1 Prahar (up to 3hrs)

3 Sensitivity by Pravāt touch

remains in toothteeth more

than 1 Prahar (more than

3hrs)

अरबाभा = Sensitivity to sour food

(परवातारशीतबाभा) (अहर)

0 No sensitivity by eating

sourer food to any tooth

1 Occassional sensitivity by

eating sourer food to any

toothteeth for once

2 Sensitivity by eating sourer

food remains to toothteeth

only up to 1 Prahar (up to

3hrs)

3 Sensitivity by eating sourer

food remains to toothteeth

more than 1 Prahar (more

than 3hrs)

शीतबाभा (परवातारशीतबाभा) (अहर)

0 No sensitivity by eating cold

item to any tooth

1 Occasional sensitivity by

eating cold item to toothteeth

for once

2 Sensitivity by Pravāt touch

remains in toothteeth only up

to 1 Prahar (up to 3hrs)

3 Sensitivity by eating cold

item remains to toothteeth

more than 1 Prahar (more

than 3hrs)

सरजा (अहर) 0 No Rujā (pain)

33

Code Signs amp Symptoms Score Gradations Remarks

2 Rujā (pain) is Present on that gum only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

2 Rujā (pain) is Present on that gum only where disease is occurred and patient can do hisher routine work without disturbance

िर (अहर) 0 No mobility

1 1 mm anterio-posterior

mobility

2 2 mm anterio-posterior

mobility

3 More than 2 mm antero-

posterior amp medial to lateral

mobility

124 भञजनक (स) =Photograph is necessary

(depending upon the severity gradation has been finalised)

वकतर वकरता 0 No deviation

1 Deviation is present

तीवररक 0 No Rujā (pain) Or according to

VAS

2 Rujā (pain) is Present on that gum only where disease is occurred and patient can do hisher routine work without disturbance

34

Code Signs amp Symptoms Score Gradations Remarks

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

This condition should be considered as तीवररक

दनतबङग 0 Tooth is not broken This should be

considered for

single tooth

1 13 part of tooth is broken

2 23 of tooth is broken

3 More than 23 of tooth is

broken

4 Total loss of tooth

125 दनतशकभ रा (स) =Calculus index was selected

शकयव चसथयीबत भर 0 No calculus present

1 Supragingival calculus

covering not more than third

of the exposed tooth surface

2 Supragingival calculus

covering more than 13 but

not more than 23 of the

exposed tooth surface or the

presence of individual flecks

of subgingival calculus

around the cervical portion of

the tooth or both

3 Supragingival calculus

covering more than 23 of the

exposed tooth surface or

continues heavy band 0f

subgingival calculus around

the cervical portion of the

tooth or both

35

Code Signs amp Symptoms Score Gradations Remarks

दनताना गणहयी 0 Absent All 10 Guna of

Danta Sampata

should be

considered required

suggestions for

each Guna

1 Present

ऩततगचनध (अहर) 0 No foul smell Taken grading of

halitosis

1 Patient feels foul smell

2 Doctor or person who comes near to patient feels foul smell

3 From distance anyone can feels foul smell who is in the room

4 Foul smell can be feel from outside of the room even

126 कपामऱका (स)

दनतवलकसम दरनभ = Bracketing of tooth enamel (दरचनत दनतवलकातन)

0 No दरनभ of tooth This should be

considered

separately for each

tooth

1 दरनभ is present of less than 13 of tooth

2 दरनभ is present of more than of 13 of tooth but less than 23 of tooth

3 दरनभ is present of more than of 23 of tooth but no total loss of tooth

4 Total loss of tooth after दरनभ

This condition should be considered as दशनाना पवनाश

दशनाना पवनाश = Total loss of tooth

0 No Any loss of tooth This should be

considered

separately for each

tooth

1 loss of tooth is present of less than 13 of tooth

2 loss of tooth is present of more than of 13 of tooth but less than 23 of tooth

36

Code Signs amp Symptoms Score Gradations Remarks

3 loss of tooth is present of more than of 23 of tooth but no total loss of tooth

4 Total loss of tooth This condition should be considered as दशनाना पवनाश

दनतशातनभ अणश = Thinning of tooth (शातमतममतममणशो दनतात कऩारातन) (अहर)

0 No शातनभ of tooth This should be

considered

separately for each

tooth

1 शातनभ is present in less than 13 of tooth

2 शातनभ is present in more than 13 of tooth but less than 23 of tooth

3 शातनभ is present in more than 23 of tooth but no total loss of tooth

4 Total loss of tooth due to शातनभ

127 शयावदनतक (स) In शमावदनत शमावता amp नीरता should be considered ascending stages

शमावता + नीरता 0 -No any discolouration of

tooth

-Normal colour of tooth

This should be

considered

separately for each

tooth

1 शमावता is Present

2 नीरता is Present

128 हनमो (स) According to Dalhan हनमो is not Dant Rog directly but it is near to

Dantchewing of hard food is one of the causes and there is pain in Dant so it is considered under Danta Rog

हनसचनधपवसहत 0 Absent

1 Can be reset by manual reduction

2 Can be reset by surgical

intervention

129 दनतभद (अहर) तोद =Pricking pain 0 No Pricking pain -Or According to

VAS

- This should be

considered

separately for each

tooth

37

Code Signs amp Symptoms Score Gradations Remarks

2 Pricking pain is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Pricking pain is referred up to Hanu and patient can do hisher routine work without disturbance

4 Pricking pain is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Pricking pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Pricking pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

बद Braking pain 0 No Braking pain -Or According to

VAS

- This should be

considered

separately for each

tooth

2 Braking pain is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Braking pain is referred up to Hanu and patient can do hisher routine work without disturbance

4 Braking pain is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Braking pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Braking pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

38

Code Signs amp Symptoms Score Gradations Remarks

रक Dull pain 0 No Rujā (pain) -Or According to

VAS

- This should be

considered

separately for each

tooth

2 Rujā (pain) is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

सपिन Burstingexpanding pain

0 No Bursting pain -Or According to

VAS

- This should be

considered

separately for each

tooth

2 Bursting pain is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Bursting pain is referred up to Hanu and patient can do hisher routine work without disturbance

4 Bursting pain is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

39

Code Signs amp Symptoms Score Gradations Remarks

5 Bursting pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Bursting pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

1210 दनतचाऱ (अहर) िरतमव = Mobility 0 No = mobility

1 1mm anterio-posterior

mobility

2 2 mm anterio-posterior

mobility

3 More than 2 mm anterio-

posterior amp medial to lateral

mobility

बणादचधकवमथ 0 No Vyatha ndash Pain during

eating

1 Pain during eating of hard

diet only

2 Pain during eating of soft diet

even

1211 कराऱ (स)

=Malocclusion

0 A Normal Molar relationship

exist but there is crowding

misalignment of the teeth

cross bite etc

1 A malocclusion where the

molar relationship shows the

buccal grove of mandibular

first molar distally positioned

when in occlusion with the

mesiobuccal cusp of the

maxillary first molar

2 A malocclusion where the

molar relationship shows the

buccal groove of the

mandibular first molar

mesiallypos

40

GRADATIONS OF JIHWA GAT ROG

Code - 13

Established by Group BHOJ Dr Krishna Makaia ndash Convener

Dr Rajeshree Unadkat Dr Neelam Dave

Dr Ronakgiri Gosai Dr Jignesh Virapariya

Reviewed by Dr Vijayant Bharadwaj

Edited by Prof Vd Hāridra Dave

41

Code Signs amp Symptoms Score Gradations Remarks

131 वाततक चजहवाकिक (स) सपटिता (Creaks) 0 No creaks on tongue

1 Single creak on the dorsum of tongue

2 Multiple Creaks on the dorsum of tongue

3 Multiple deep creaks on the dorsum of tongue (Bleeding)

परसपता (Numbness )

0 No Numbness

1 Numbness in 13 Part of tongue

2 Numbness in 23 Part of tongue

3 Numbness in more than 23 Part of tongue

शाकछिदनपरकाशा (Roughness)

0 Normal surface of tongue on touch

1 Mild rough surface on touch

2 Hard irregular surface on touch

3 Very rough surface which hurts the finger on touch

132 ऩततक चजहवाकिक (स) ऩीता 0 No yellowish discolouration

1 Yellowish discoloration in 13 part

2 Yellowish discoloration in 23 part

3 Yellowish discoloration in more than 23 part of tongue

ऩरयदहमत Burning in entire tongue)

0 No burning Or According to VAS

1 Occasional burning

2 Intermittent burning

3 Continuous burning does not relieve by any measures

दाह (Burning may be

in partially tongue)

0 No Burning Or According to VAS

1 Burning up to 13 part of tongue

2 Burning in 13 to 23 part of tongue

3 Burning in more than 23 part of tongue

42

Code Signs amp Symptoms Score Gradations Remarks

यकतभासाङकयचशिता (Covered with red buds )

0 No change in appearance

1 13 part of tongue covered with red fleshy buds

2 23 part of tongue covered with red fleshy buds

3 Whole tongue covered with red fleshy buds

ओष (Burning) 0 No Oshha Or According to VAS

1 Oshha up to 13 part of tongue

2 Oshha in 13 to 23 part of tongue

3 Oshha in more than 23 part of tongue

133 कपज चजहवाकिक (स) फहरा (Thick) 0 Normal Thickness of Tongue

1 Thickness increased - noticeable by patient

2 Thickness increased - noticeable by the examiner

3 Tongue protruding out because of increased Thickness

गवी (Heaviness) 0 No Heaviness

1 Feeling mild heaviness but no difficulty in Tongue movement

2 Difficulty in Tongue movement especially during intake of liquid

3 Difficulty in Tongue movement especially during intake of hard food

4 Difficulty in Tongue movement especially during Pronunciation

भासोदगभ शालभसरकणिकाब (thorn like papilla)

0 No change in appearance of tongue

1 13 part of tongue covered with red fleshy thorn like papilla

2 23 part of tongue covered with thorn like papilla

3 Whole tongue covered with thorn like papilla

43

Code Signs amp Symptoms Score Gradations Remarks

134 अरास (स) शवमथ

(Swelling at ventral surface of tongue)

0 Absent

1 Present

सतबमतत (Restricted tongue movement)

0 -Normal Movement of Tongue -Movement of tongue not affected

1 Tongue movement slightly restricted but does not affect the normal function

2 Tongue movement restricted that affects the normal function

3 Tongue movement arrested

परवदध

(Increase in size)

0 Size not increased

1 Size increased - noticeable by the patient

2 Size increased - noticeable by the examiner

3 Tongue protruding out because of increased size

ऩाक 0 No swelling or suppuration

1 Inflammation with pain and tenderness

2 Inflammation with different types of pain and tenderness along with induration

3 Pus formation and fluctuation positive

अधशोप 0 Absent

1 Present

उननत (elevation of

the tongue due to swelling below the tongue)

0 Normal position of tongue

1 Tongue slightly elevated due to swelling below the tongue

2 Tongue elevation causes discomfort to the patient

3 Tongue touches the palate

भतमसमगचनध

(Fishy smell)

0 Absent

1 Present

44

Code Signs amp Symptoms Score Gradations Remarks

भासशातन (Destruction of flesh of tongue )

0 No Destruction of tongue flesh

1 13 part of tongue flesh is destroyed

2 23 part of tongue flesh is destroyed

3 More than 23 part of tongue is destroyed

135 उऩचजचहवका (स) शवमथ (Swelling) 0 Absent

1 Present

चजहवाभननम

जात (elevation of

tongue because of swelling)

0 Normal position of tongue

1 Tongue slightly elevated due to swelling below the tongue

2 Tongue elevation causes discomfort to the patient

3 Tongue touches the palate

परसक (Salivation) 0 Normal secretion of saliva

1 Occasionally spitting

2 Off and on spitting

3 Continuous spitting which disturbs the work

कणड (Itching) 0 No itching Or According to VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate on work due to severe itching

0r

0 No itching

1 Occasional itching

2 Off and on itching

3 Continuous itching

ऩरयदाह (Burning in

whole tongue)

0 No burning Or According to VAS

1 Occasional burning

2 Intermittent burning

3 Contentious burning dose not relive by any measures

45

Code Signs amp Symptoms Score Gradations Remarks

136 अचधचजचहवका (अर)

अधोचजहवामा शोप

0 Normal position of tongue

(Swelling below the tongue)

1 Tongue slightly elevated due to swelling below the tongue

2 Tongue elevation causes discomfort to the patient

3 Tongue touches the palate

अङकय (Pappilary

growth)

0 Absent

1 Present

ओष (Burning) 0 No Oshh Or According to

VAS

1 Oshh up to 13 part of tongue

2 Oshh in 13 to 23 part of tongue

3 Oshh in more than 23 part of tongue

सतबवान

(Restriction of Movement)

0 Movement of tongue not affected

1 Tongue movement slightly restricted but does not affect the normal function

2 Tongue movement restricted that affect the normal function

3 Tongue movement arrested

खय(Rough) 0 Smooth on touch

1 Mild irregular surface

2 Rough surface

3 Sharp rough surface touch hurts on finger on touch

रक (Pain) 0 No pain Or According to

VAS

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

कणड (Itching) 0 No itching Or According to

VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate on work due to severe itching

0r

0 No itching

46

Code Signs amp Symptoms Score Gradations Remarks

1 Occasional itching

2 Off and on itching

3 Continuous itching

वाकम पवघातकत (Difficulty in speech)

0 No difficulty in speech

1 Unable to speak िति vargavyanjana

2 Difficulty in speaking क vargavyanjana

Swara donrsquot need involvement of tongue

3 Unable to speak

आहयपवघातकत

(Swallowing )

0 Able to eat regular diet

1 Able to eat soft diet

2 Able to eat only liquid diet

3 Unable to swallow anything

47

GRADATION OF TALUGAT ROG

Code - 14

Established by Group BHOJ Dr Krishna Makaia ndash Convener

Dr Rajeshree Unadkat Dr Neelam Dave

Dr Ronakgiri Gosai Dr Jignesh Virapariya

Reviewed by Dr Vijayant Bharadwaj

Edited by Prof Vd Hāridra Dave

48

Code Signs amp Symptoms Score Gradations Remarks

141 गरशचणडका (स)

परवदधो शोप (Swelling extending from palate) (Which is elongated)

0 Normal size of uvula

1 Swelling of uvula that causes discomfort to the patient

2 Swelling of uvula that causes foreign body sensation

3 Difficulty in breathing due to swelling

दीघ शोप

(Elongated Swelling)

0 Normal size of uvula

1 Elongated swelling of uvula that causes discomfort to the patient

2 Elongated swelling of uvula that causes foreign body sensation

3 Difficulty in breathing due to Elongated swelling

धभातफचसतपरकाश शोप =Inflated

swelling like Basti

0 Normal size of uvula

1 Inflated swelling like Basti of uvula that causes discomfort to the patient

2 Inflated swelling like Basti of uvula that causes foreign body sensation

3 Difficulty in breathing due to Inflated swelling like Basti

तषणा 0 Normal feeling of thirst

1 Increased feeling of thirst which is relived after drinking water

The quantity of water is not consider here but the frequency of water is considered

2 Frequent feeling of thirst which is Occasional relived after drinking water

3 Continuous feeling of thirst does not relive after drinking profuse amount of water

कास (Coughing) 0 No coughing

49

Code Signs amp Symptoms Score Gradations Remarks

1 Occasional coughing during eating and speaking

2 Off and on coughing

3 Continuous coughing

शवास 0 No difficulty in breathing

1 Difficulty in breathing occasionally

2 More difficulty in breathing while sleeping

3 Excessive difficulty in breathing

भतमसमफचसततनब शोप (अहर)

0 Normal uvula Used as an adjective

1 Inflated swelling like Matsya-Basti of uvula that causes discomfort to the patient

2 Inflated swelling like Matsya-Basti of uvula that causes foreign body sensation

3 Difficulty in breathing due to Inflated swelling like Matsya-Basti

पररफ (अहर) 0 Normal length of Uvula

(Elongated Swelling)

1 Size of Uvula increased up to lt2 mm

2 Size of Uvula increased more than 2 mm but less than 4 mm

3 Size of Uvula increased gt4 mm that cause discomfort to patient and cause difficulty in breathing

पऩचछिर(अहर) (Sliminess)

0 Absent

1 Present

नासमाऽऽहायभीयमन (अहर)

0 Food does not come out from nose

(Food comes out of nose)

1 Food comes out from nose

कणठोऩयोध(अहर) (Obstruction of throat )

0 -Able to eat regular diet -No difficulty in swallowing of any food

1 Able to swallow liquid or soft diet but not able to swallow hard diet

2 Able to swallow hard diet forcefully

50

Code Signs amp Symptoms Score Gradations Remarks

3 Not able to swallow hard diet with force

वभन(अहर) (Vomiting)

0 No Vaman

1 Feeling of nausea only

2 Only one veg of Vaman in a day

3 Two vegas of Vaman in a day

4 More than two vegas of Vaman in a day

132 तचणडकयी (स)

शोप (Tonsillar

Swelling)

0 Tonsils are located within the tonsillar fossa

1 Tonsils hypertrophy till the brim of the tonsillar fossa

2 Tonsils hypertrophy extends beyond the pillars but not touching each other

3 Tonsils hypertrophy extends beyond the pillars but not touching each other

तोद

(Pricking pain)

0 No pain

1 Occasional pain Or according to VAS

2 Off and on pain

3 Continuous pain

दाह (Burning) 0 No

1 Occasional burning

2 Intermittent burning

3 Contentious burning dose not relive by any measures

परऩाक 0 Absent

1 Present

पऩचछिर शोप(अहर)

Sliminess in swallowing

0 Feeling of Sliminess is Absent

1 Feeling of Sliminess is Present

भनदरक (अहर)

(Mild pain)

0 Absent Or According to

VAS

1 Present

133 अधरष (स)

शोप (Swelling) 0 No swelling

1 13 Swelling in part of the palate

51

Code Signs amp Symptoms Score Gradations Remarks

2 23 swelling in part of palate

3 Swelling in gt than 23 part of palate

सतबधता =Functions of soft palate like deglutition Phonation etc are affected = No mobility of soft palate

0 Normal function of soft palate

1 Soft palate movement reduced but functions are not affected

2 Any one of the functions of soft palate is affected

3 All functions of soft palate are affected

रोटहतवणता

(Redness)

0 No change in colour

1 Pinkish red coloured mucosa in palate

2 Red coloured mucosa in palate

3 Dark red coloured mucosa in palate

रजा (Pain) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

जजवय (Fever) 0 Normal temperature

1 Temperature between 984rsquoF to 100rsquoF

Temperature between 100rsquoF to 101rsquoF

2 Temperature between 101rsquoF to 102rsquoF

3 Temperature between 102rsquoF to 103rsquoF

52

Code Signs amp Symptoms Score Gradations Remarks

4 Temperature between 103rsquoF to 104rsquoF

5 Temperature more than 104rsquoF

134 कछिऩ (स)

कभवत उतमसनन शोप (Swelling

having shape like dorsum of tortoise)

0 No swelling

1 Swelling in 13rd part of the palate

2 Swelling in 23rd part of palate

3 Swelling in gt 23rd part of palate

चियवपदध(अहर)

(Slow growth)

0 Growth within a week

1 Growth within 1 week to 1 month

2 Growth within 1 month to 6 months

3 Growth within gt 6 months

रक (अहर) (Pain) 0 No pain Or According to VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesics

135 तारअफद (स) ऩदमाकाय तारभधम

शोपम (Swelling

like shape of lotus )

0 No swelling

1 Swelling in 13rd part of the palate

2 2 Swelling in 23rd part of palate

3 3 Swelling in gt 23rd part of palate

136 भाससङघात (स) नीरज (Painless) 0 Absent

1 Present

53

Code Signs amp Symptoms Score Gradations Remarks

शोप 0 No swelling

1 Swelling in 13rd part of the palate

2 Swelling in 23rd part of palate

3 Swelling in gt 23rd part of palate

137 तारऩपऩि (स) नीरक (Painless) 0 Absent

1 Present

कोरभातर

Swelling having size of Kola fruit

0 Absent

1 Present

138 तारशोष (स)

शोष (Dryness) 0 No dryness

1 Dryness decreased after drinking water

2 Patient needs water frequently

3 Dryness persist after dinking profuse water

दायण (Tearing of palate)

0 Absent

1 Present

शवास (Difficulty in

breathing)

0 No difficulty in breathing Here difficulty in breathing is due to obstruction

1 Difficulty in breathing occasionally

2 More difficulty in breathing while sleeping position

3 Excessive difficulty in breathing

जजवय(अहर) (Fever) 0 Normal temperature

1 Temperature between 984rsquoF to 100rsquoF

Temperature between 100rsquoF to 101rsquoF

2 Temperature between 101rsquoF to 102rsquoF

3 Temperature between 102rsquoF to 103rsquoF

4 Temperature between 103rsquoF to 104rsquoF

5 Temperature more than 104rsquoF

54

Code Signs amp Symptoms Score Gradations Remarks

139 तारऩाक (स) ऩाक (Suppuration) 0 No swelling or suppuration

1 Inflammation of palate with pain and tenderness

2 Inflammation of palate with different types of pain and tenderness with induration

3 Pus formation and fluctuation positive

1310 तारपऩटिका (अहर) तारभास पऩटिका

Follicles in palate flesh

0 No follicles

1 13 palate covered with follicles

2 23 palate covered with follicles

3 More than 23 palate covered with follicles

रज(अहर) (Pain) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

Occasional pain

खयता(अहर) (Roughness)

0 Smooth on touch

1 Mild irregular surface on touch

2 Rough surface

3 Sharp rough surface which hurts on finger on touch

घनसराव(अहर) (Thick discharge)

0 No discharge

1 Occasional discharge

2 Off and on thick discharge

3 Continuous thick discharge

1311 तारसहतत (अहर) तारभधम तनरक (अहर) =Painless fleshy growth in palate

Only तारभधम तनरक indicates the place and quality of growth both the symptoms can be

merged

55

Code Signs amp Symptoms Score Gradations Remarks

तनरक (Painless) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

भाससहत

(Fleshy growth in palate)

0 No fleshy growth

1 Fleshy growth in 13 part of the palate Swelling

2 Fleshy growth in 23 part of palate swelling

3 Fleshy growth in more than 23 part of palate

56

GRADATION OF SARVASAR ROG

Code - 15

Established by Group BHOJ Dr Krishna Makaia ndash Convener

Dr Rajeshree Unadkat Dr Neelam Dave

Dr Ronakgiri Gosai Dr Jignesh Virapariya

Reviewed by Dr Vijayant Bharadwaj

Edited by Prof Vd Hāridra Dave

57

Code Signs amp Symptoms Score Gradations Remarks

151 वातजसवसय (स) सपोि (Ulcers) 0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

तोद = Pricking pain 0 No pricking pain Or According to VAS

1 Occasional pricking pain

2 Off and on pricking pain

3 Continuous pricking pain

Or

0 No pricking pain

1 Sometimes mild pricking pain

2 Has to take analgesic while pricking pain

सिारयण(अहर) This symptom is for सवसय so this सवसय is the nature of सिारय

0 No movement of सवसय

1 Movement of सवसय is once in a week

2 Movement of सवसय is once in three to four days

3 Movement of सवसय is at every alternate day

4 Movement of सवसय is once in a day

अरण (अहर) Reddish discoloration

0 Colour of वरण is same with colour of surrounding area

1 Colour of वरण is Reddish

2 Colour of वरण is Dark Red

3 Colour of वरण is Reddish black

र (अहर) Dryness 0 वरण is Moist

-No dryness of वरण

1 वरण Needs lubrication once a day

2 वरण Needs frequent lubrication in

a day

3 No benefit with frequent

lubrication of वरण

तामरता (अहर) (Coppery

0 Colour of वरणौषठ is same with colour of surrounding area

58

Code Signs amp Symptoms Score Gradations Remarks

discoloration) This symptom is for

वरणौषठ

1 Colour of वरणौषठ is Tamra Varna

चऱतवचा (अहर) (Free mucous membrane) This symptom is for

वरणौषठ

0

Movement of वरणौषठ is on touch

only

1 Movement of वरणौषठ can be seen by naked eye means without touch

शीतासहा (अहर) (Intolerance to cold) This symptom is for

जजहवा

0 No Intolerance of cold to जजहवा

1 Intolerance of severe cold to जजहवा

2 Intolerance of moderate cold to जजहवा

3 Intolerance of Mild cold to जजहवा

गवी (Heaviness)

This symptom is for

जजहवा

0 No Heaviness

1 Mild heaviness with no difficulty

in movement of जजहवा

2 Moderate heaviness with

difficulty in Movement of जजहवा

3 Sever heaviness with bending down of

सफटटता (अहर) (Ulcer)

0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

कणटाकाधचता (अहर) = Thorn like

appearance

0 No change in appearance

59

Code Signs amp Symptoms Score Gradations Remarks

1 13 part of oral mucous membrane covered with red fleshy thorn like papillae

2 23 part of oral mucous membrane covered with red fleshy thorn like papillae

3 gt23 part of oral mucous membrane covered with red fleshy thorn like papillae

षववणोतत कचछरणमखम (अहर) (Difficulty in mouth opening)

0 Mouth opening more than 3 fingers without difficulty

1 2 to 3 fingers opening of mouth with or without difficulty

2 1 to 2 fingers opening of mouth with or without difficulty

3 Less than 1 finger opening of mouth with or without difficulty

152 पऩतमत(यकतज)सवसय (स) Signs and Symptoms of यकतज सवसय are same as of पऩतमत सवसय so no separate gradations are mentioned

यकतता (Redness) 0 Colour of सवसय- वरण is similar with

surrounding mucous membrane

1 Reddish Colour of सवसय- वरण

2 Bright red Colour of सवसय- वरण

3 Dark red Colour of सवसय- वरण

सदाह (Burning

Sensation)

0 No burning in सवसय- वरण Or According to

VAS

1 Occasional burning in सवसय- वरण

2 Intermittent burning in सवसय- वरण

3 Contentious burning in सवसय- वरण

which does not relive by any measures

तन (तनसब) (Shallow superficial ulcers)

0 No ulcer

1 Ulcer having depth of 05-1 mm

2 Ulcer having depth of 1 ndash 15 mm

3 Ulcer having depth of 15 -2 mm

60

Code Signs amp Symptoms Score Gradations Remarks

ओष (अहर) 0 No (ओष) burning in सवसय- वरण

1 Occasional (ओष) burning in

सवसय- वरण

2 Intermittent (ओष) burning in

सवसय- वरण

3 Contentious (ओष) burning in

सवसय- वरण which does not relive

by any measures

ततकतवकरता (अहर) (Bitter taste in mouth)

0 No alteration in taste

1 Occasionally bitter taste felt in mouth without having any bitter substance

2 Off and on bitter taste felt in mouth without having any bitter substance

3 Continuous bitter taste felt in mouth without having any bitter substance

ारोकषतत समावरणा (अहर)

0 No Ulcer

(Ulcers looking like chemical burns)

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

153 कपज सवसय (स) कणड (Itching) 0 No itching Or According to

VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Unable to work due to itching

0r

0 No itching

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate on work due to severe itching

रजा (Pain)

(अलऩ रजा) 0 No pain Or According to

VAS

1 Occasional pain

61

Code Signs amp Symptoms Score Gradations Remarks

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain This condition should be considered as अलऩ रजा

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

सवणण 0 Colour of वरण is same with colour of near by tissue

1 Colour of वरण is not same with colour of near by tissue

मररासयतवम (अहर) (Sweet taste in mouth)

0 No alteration in taste

1 Occasionally sweet taste felt without eating any sweet substance

2 Off and on Sweet taste Occasionally sweet taste felt without eating any sweet substance

3 Continuous sweet taste Occasionally sweet taste felt without eating any sweet substance

षपजचछिऱता (अहर) (Unctuousness)

0 Absent

1 Present

वरण 0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

154 कफाबभद (अहर) शयाव अबभदम

(शयावपाणडऽबभदम) 0 Colour of growthtumour is same

the colour of surrounding skin

1 Colour of growthtumour is शयाव

(Blackish)

62

Code Signs amp Symptoms Score Gradations Remarks

पाणड अबभदम (शयावपाणडऽबभदम)

0 Colour of growthtumour is same the colour of surrounding skin

1 Colour of growthtumour is पाणड

(Pale)

अबभदम 0 No GrowthTumour TNM Classification for tumours can be applied for growth

1 Growthtumour having sizelt 10 mm

2 Growthtumour having size 10 mm to 20 mm

3 Growthtumour having size gt 20 mm

घटिता तिनना मटदता च षववरभत (Size increases on rubbing cutting and squeezing)

0 Size of GrowthTumour is not increasing by rubbing cutting or squeezing

1 Size of GrowthTumour is increasing up to 10 mm by rubbing cutting or squeezing within a month

2 Size of GrowthTumour is increasing up to 20 mm by rubbing cutting or squeezing within a month

3 Size of GrowthTumour is increasing up to 30 mm by rubbing cutting or squeezing within a month

4 Size of GrowthTumour is increasing up to 40 mm by rubbing cutting or squeezing within a month

155 ऊरधवभगद (अहर) वकतरदौगनधम

(Halitosis)

0 No Halitosis

1 Halitosis is feel by Patient only

2 Halitosis is feel by Patient and examining Doctor only

3 Halitosis is feel by any person from the distance from 5 meters

63

Code Signs amp Symptoms Score Gradations Remarks

4 Halitosis is feel by any person from the distance from more than 5 meters

156 पततवकर (अहर) ऩतममासमता

(Halitosis)

0 No Halitosis

1 Halitosis is feel by Patient only

2 Halitosis is feel by Patient and examining Doctor only

3 Halitosis is feel by any person from the distance from 5 meters

4 Halitosis is feel by any person from the distance from more than 5 meters

157 सतनऩाततक सवसय (अहर) This disease occurs due to aggravation of all three doshas including Rakta Clinical presentation of this disease is found as mixed picture according prominent aggravation of dosha and signs and symptoms will be observed accordingly Gradations should be considered accordingly so it is not required to repeat here

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Page 10: THE GRADATIONS OF DISEASES OF SHALAKYA TANTRA - PART …theassociationofshalaki.com/downloads/GRADATIONS_OF_DISEASE… · 12.05.2019  · I am also very much thankful to Dr Sandhya

9

Code Signs amp Symptoms Score Gradations Remarks

101 वातज ओषठयोग (स) ककश (Rough) 0 No Karkashata (Smooth surface)

1 Roughness of the surface of Oshtha is not visible by naked eye but can be felt by touching by finger

2 Roughness of surface of Oshtha is visible by naked and can be felt by finger but not hurts the finger

3 Roughness of surface of Oshtha with fissures is visible by naked can be felt by finger not hurts the finger

4 Roughness of surface of Oshtha with fissures is visible by naked can be felt by finger and hurts the finger

ऩरषता (Dryness) 0 No dryness (Moist)

1 Mild dryness No need of lubrication

2 Needs lubrication once or twice a day

3 No benefit with frequent lubrication

सतबधता (Immobile) 0 Lip movement not restricted

1 Difficulty in lip movement

2 Lips movement is totally restricted

3 No lip movement

कषणताअससत

=Blackish

0 No change in colour Make colour scale

1 Darker than normal colour Normal lip colour is variable and depending on natural skin complexion

2 Darker but not complete black

3 Blackish in colour

तीवररगभहारजा (Severe pain)

0 No pain Or According to VAS

1 Pain while movement

2 Continuous pain

3 Discomfort for pain Patient have to take analgesics

दालमत(Creaked lip) 0 No Creaks

1 Single creak

2 Multiple Creaks

10

Code Signs amp Symptoms Score Gradations Remarks

3 Multiple deep creaks (Bleeding)

ऩरयऩाटमत 0 No desquamation

=Desquamation - Sanskrit English dictionary page 870

1 Superficial desquamation of epithelium which looks like soft white scales

2 Deep desquamation of epithelium which looks like hard white scales and ready to bleed

3 Deep desquamation with bleeding

102 पऩतज ओषठयोग (स) आचितोपऩडकासबसत

सषऩाकततसबबशभ

0 No सषऩाकतत Follicles

=Covered with Mustard seed like follicles

1 13 part of lip covered with yellow

mastered seed (सषऩाकतत) like

follicles

2 23 part of lip covered with yellow mastered seed like follicles

3 More than 23 part of lip covered with yellow mastered seed (सषऩाकतत) like follicles

दाह (Burning) 0 No burning Or according to VAS

1 Occasional burning

2 Intermittent burning

3 Continuous burning

ऩाक (Suppuration) 0 No swelling or suppuration

1 Inflammation pain and tenderness

2 Inflammation with different types of pain and tenderness with induration

3 Pus formation and fluctuation positive

ससराव (Discharge) 0 No Discharge

1 Mild discharge sticks on lip

2 Moderate discharge has to be cleaned occasionally

3 Severe or continuous discharge has to be cleaned frequently

This condition should be considered as ससराव

नीरवणता (Bluish discoloration)

0 No discoloration

1 Bluish pink discoloration

2 Pinkish blue discoloration

11

Code Signs amp Symptoms Score Gradations Remarks

3 Lips look more bluish or purplish

ऩीतवणता (Yellowish

discoloration)

0 No discoloration

1 Reddish yellow discoloration

2 Yellowish discoloration

3 Lips look pale yellow

तीकषणासह 0 No irritation to spicy salty sour pungent or hot food

=Intolerance to spicy salty sour pungent or hot food

1 Irritation to spicy and hot food

2 Irritation to spicy salty sour pungent or hot food

3 Irritation to any food

फहकरदा (Excessive moisture)

0 No collection of fluid

1 Follicles with fluid accumulation

2 Follicles with excessive fluid accumulation

3 Follicle with excessive fluid accumulation and patient tries to clean the lips frequently

आशऩाक (Quick

suppuration)

0 Suppuration after 7 days

1 Suppuration within 5 to 7 days

2 Suppuration within 2 to 5 days

3 Suppuration within one day This condition should be considered as

आशऩाक

103 कपज ओषठयोग (स) सवण पऩडका (Follicles

same as lip colour)

0 No Follicles

1 Up to 13 of Oshtha is covered with few of the same coloured and with various sizes of follicles

2 From13 to 23 part of Oshtha is covered with few multiple follicles of the same colour and with various sizes

3 More than 23 part of Oshtha is covered with few multiple follicles of the same colour and with various sizes

कणड (Itching) 0 No itching

12

Code Signs amp Symptoms Score Gradations Remarks

1 Occasional mild itching not disturbing work

2 Off and on moderate itching disturbing work

3 Cannot concentrate in work due to continuous severe itching

शन (Swelling) 0 No Swelling

1 Slightly bigger than normal size not noticed by another person

2 Swelling Noticeable by another person

3 Severe Swelling with restriction of normal movement

पऩचछिरता (Sliminess) 0 No Sliminess

1 Mild sliminess

2 Moderate sliminess

3 Severe sliminess

शीतरता -Subjective

(Feeling of coldness by patient)

0 No feeling of coldness by patient Subjective and objective both should be taken

1 Feeling of coldness by patient but no change in temperature

2 Feeling of coldness by patient which is colder than body temperature on touch by the patient

शीतरता -Objective

(Decreased Temperature)

0 No change in temperature

1 1 less than body temperature

2 gt1less than body temperature

गरता (Heaviness) 0 No Heaviness

1 Mild heaviness no difficulty in lip movement

2 Difficulty in lip function due to Heaviness

3 Protrusion of lip due to heaviness

शीतासह

(Intolerance to cold)

0 No Intolerance to cold

1 Intolerance to severe cold

2 Intolerance to moderate cold

3 Intolerance to Mild cold

13

Code Signs amp Symptoms Score Gradations Remarks

104 सतनऩातज ओषठयोग (स) कषणता (Blackish

discoloration)

0 No change in colour In original Shlok lsquoSakrutrsquo word is used along with all types of discolorations According to expert of Sanskrit language and expert of Samhita subject the meaning of lsquoSakrutrsquo is lsquosometimesrsquo and another meaning of this world is lsquosome partrsquo Here we have taken meaning lsquosome partrsquo

1 13 Part of one lip is blackish in colour

2 13 Part of both lips are blackish in colour

3 23 Part of one lip is blackish in colour

4 23 Part of both lips are blackish in colour

5 More than 23 Part of one lip is blackish in colour

6 More than 23 Part of both lips are blackish in colour

ऩीतता (Yellowish

discoloration)

0 No change in colour

1 13 Part of one lip is yellowish in colour

2 13 Part of both lips are yellowish in colour

3 23 Part of one lip is yellowish in colour

4 23 Part of both lips are yellowish in colour

5 More than 23 Part of one lip is yellowish in colour

6 More than 23 Part of both lips are yellowish in colour

अनकपऩडडकाचितौ 0 No Follicles in any of lips

(Multiple follilcles) 1 13 lipLips isare covered with few follicles of various sizes

2 13 lipLips isare covered with multiple follicles of various sizes

3 23 lipLips isare covered with multiple follicles of various sizes

4 Multiple follicles with various sizes (23 lip covered)

5 More than 23 lipLips isare covered with multiple follicles of various sizes follicles

14

Code Signs amp Symptoms Score Gradations Remarks

दगनधौ (Foul smell) 0 No Foul smell

1 Only patient feel foul smell

2 Nearby Doctor 0r people can feel foul smell

3 Foul smell is not tolerable by the patient and the nearby person

आसरावौ (Discharge) 0 No Discharge is on any of lips In Sannipataja disease usually the mixed type of discharge is found So here the type of discharge is not considered The quantity of discharge is considered

1 Mild discharge collected on any one lip

2 Mild discharge collected on both lips or Moderate discharge collected on any one lip which has to be cleaned occasionally

3 Moderate discharge collected on both lips which has to be cleaned occasionally

4 Moderate discharge collected on both lips which has to be cleaned frequently

5 Severe or continuous discharge collected on lipLips which has to be cleaned frequently

पऩचछिरौ (Sliminess) 0 No sliminess

1 Mild Sliminess

2 Moderate Sliminess

3 Severe Sliminess

अकसभातमरानसशन रजौ (अहर) अकसभात

= All of a sudden = Without any reason = Spontaneous = Both Lips become Mlān swollen and painful all of a sudden andwithout any reason

अकसभातमरानौ (अहर) 0 No change in appearance

(Spontaneous Faded) 1 Lips look dull occasionally

15

Code Signs amp Symptoms Score Gradations Remarks

2 Lips look faded off and on in a day

3 Lips look faded and dirty frequently in a day

अकसभातसशनौ (अहर) 0 No Swelling

(Spontaneous swelling) 1 Occasionally Swelling in a day Here the size of swelling is not considered but the spontaneous nature of swilling is considered

2 Off and on swelling in a day

3 Swelling frequently in a day

अकसभात रजौ (अहर) (Pain)

0 No pain Or According to VAS

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

पवषभऩाककनौ (अहर) (Irregular suppuration )

0 No suppuration

1 Suppuration in 13 part of lips

2 Suppuration in 23 part of lip

3 Suppuration in major of lip

105 यकतज ओषठयोग (स) खजयपर पऩडका 0 No follicles

(Brownish follicles) 1 13 lip covered with brownish colour follicles

2 23 lip covered with brownish colour follicles

3 More than 23 lip covered with follicles

रचधयसराव (रचधय सरवत) (Bleeding)

0 No bleeding

1 Bleeding on touch or movement

2 Spontaneous bleeding

3 Continuous Bleeding

अफद बवत 0 No tumour

1 Tumour is 2 cm in size

2 Tumour is 4 cm in size

3 Tumour is gt4 cm in size

106 भासज ओषठयोग (स) भासपऩणडवत उदगतौ

(Bulky) 0 No Growth This word is used

as an adjective of

Sthoola See सथल

16

Code Signs amp Symptoms Score Gradations Remarks

1 Growth is present in both Oshtha but no discomfort to patient

2 Growth is present in both Oshtha with discomfort to patient

3 Large Growth is present in both Oshtha involving the surrounding region

जनतवशिातर भछिचनत सककसमोबमतो भखात

0 No Maggot Formation

1 Maggot formation on one side of the angle of mouth

2 Maggot Formation on both angles of mouth

3 Excessive maggot Formation

गर 0 No Heaviness in any of the lip

1 Mild heaviness no difficulty in lips movement

2 Difficulty in Lips function due to Heaviness

3 Protrusion of both lips

सथरौ (Bulky)

According to Sanskrit ndash English Dictionary

0 Size not increased

1 Slightly bigger than normal no noticeable by other person

2 Bigger than normal noticeable by another person

3 Bigger size effect the lip movement and lip protrudes down

107 भदज ओषठयोग (स) घतभणडाबौ (Clear

melted butter like)

0 Does not look like filled with clear part of melted butter

Here the specific appearance is given so the area is considerd

1 13 part of both lips looks like filled with clear part of melted butter

2 23 part of both lips looks like filled with clear part of melted butter

3 More than 23 part of both lips looks like filled with clear part of melted butter

कणड 0 No itching Or According to VAS

1 Itching in both lips but not disturbing work

17

Code Signs amp Symptoms Score Gradations Remarks

2 Itching in both lips but disturbing work

3 in both lips and cannot concentrate in work due to itching

Or

0 No itching

1 Occasional itching

2 Off and on itching

3 Continuous itching

चसथयौ 0 Movement of lips not affected

(Immobility) 1 Lip movement slightly affected but no difficulty in speech

2 Lip movement affected which alter the speech

3 Lip movement arrested

भदता (Sponginess) 0 Absent

1 Present

आसराव (अछि सपटिक सङकाशभ) (discharge of clear fluid)

0 No discharge अचछ सफटिक Word is Adjective for the type of discharge So grading is given for the frequency of discharge

1 Occasional discharge

2 Off and on discharge of clear fluid

3 Continuous discharge of clear fluid

गर 0 No Heaviness

1 Mild heaviness no difficulty in lip movement

2 Difficulty in lip function due to heaviness

3 Protrusion of lip due to heaviness

तराबशवमथ (अहर) 0 Does not look like filled with oil As per the घतभणडाब

tailabha is used as adjective so grading is given for Shvayathu

1 13 part of lips looks like filled with oil

2 23 part of lips looks filled with oil

3 More than 23 part of lips looks like filled with oil

सराव 0 No discharge

1 Occasional discharge

2 Off and on discharge of clear fluid

3 Continuous discharge of clear fluid

तराबकरदौ (Moister) 0 Absent Darshan pariksha

18

Code Signs amp Symptoms Score Gradations Remarks

1 Present

कणड 0 No itching Or According to VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate in work due to itching

OR

0 No itching

1 Occasional itching

2 Off and on itching

3 Continuous itching

109 तज ओषठयोग (स) पवदीमता (Tear) 0 No tear

1 Cut Up to epithelial layer

2 Cut Up to Sub epithelial layer

3 Cut up to muscular layer

ऩाटमता (Lips divided

in two parts)

0 Lips divided into two parts

1 Absent

2 Present

गरचथत

(NodulesLumps)

0 No lumps

1 Soft lumps

2 Hard Lumps

3 Multiple lumps

कणड (Itching) 0 No itching Or According to VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate in work due to itching

OR

0 No itching

1 Occasional itching

2 Off and on itching

3 Continuous itching

दशनछिदौ (अहर) (Lips covering the teeth)

0 Covering the teeth completely

1 Partial covering (gt50 ) the teeth

2 Covering the teeth lt50

19

Code Signs amp Symptoms Score Gradations Remarks

3 Not covering the teeth (All teeth exposed)

1010 जराफद (अहर) जरफदफदवद

(Cystic Swelling)

0 No Cystic Swelling

1 Up to 5mm Swelling

2 Swelling up to 5-10mm

3 More than 10mm

1011 यकताफद (स) रचधय सराव

रचधय सरवत 0 No bleeding

(Bleeding) 1 Bleeding on touch or movement

2 Spontaneous bleeding

3 Continuous bleeding

खजयसदश 0 Absent Used as an adjective

(Date fruits like) 1 Present

1012 खणडौषठ (अ)

ओषठोदपवधाकत 0 No separation of lips

(Lips divided separated into two parts)

1 Separation up to vermilion line

2 Separation up to Philtrum

3 Separation up to Collumella

20

GRADATION OF DANTA MOOL GAT ROG

Code ndash 11

Gradations established by Group KARAL Dr Krishna Makadia - Convener

Dantvaidya Saroj Joshi Dantvaidya Harshad Joshi

Dr Kiran Raj Dr Achyuta Atara Dr Pranav Dave

Gradations Reviewed by Dr Hemangi Shukla Dr Krishna Makadia

Edited by Prof Vd Hāridra Dave

21

Code Signs amp Symptoms Score Gradations Remarks

111 शीताद (स) अकसभात यकतसराव 0 No bleeding

1 Occasional bleeding for 1 or 2 times in 1 Prahar

2 Spontaneous Bleeding up to one Prahar

3 Spontaneous Bleeding for more than 1 Prahar (more than 3hrs)

दगनधीतन 0 No foul smell

1 Patient feels foul smell

2 Doctor or person who comes near to patient feels foul smell

3 From distance anyone can feels foul smell who is in the room

4 Foul smell can be feel from outside of the room even

सकषणातन 0 Absent

=Blackish discoloration

1 Present

परकरदीतन 0 Absent

1 Present

भदता 0 Absent

1 Present

दनतभास शीमनत 0 Gums situated At CE junction

1 Recession of gums At cervical 13

2 Recession of gums At middle 13

3 Recession of gums At apical 13

ऩिचनत ि ऩयसऩयभ 0 No Pachan (Pāk)

= Pāk 1 1 Quadrant is involved

2 2 quadrants are involved

3 More than 2 quadrants are involved

112 दनतपपपटक (स) दनतमोसतरीष वा 0 No involvement of teeth

1 Involvement of 2 teeth

2 Involvement of 3 teeth

शवमथ भहान 0 Absent

1 Present

सरज 0 No pain Or according to VAS

1 तीवर =Pain is there but he can do

work or sleep

22

Code Signs amp Symptoms Score Gradations Remarks

2 तीवरतय =Pain is there but he can do

work or sleep

3 तीवरतभ =Patient canrsquot tolerate

शोफ़ो फदयाचसथतनबो घन (अहर) =Kola is

small jujube and badar is big jujube and seed is measuring around 5 mm

0 Not present

1 Shoth up to 25 mm

2 Shoth 25 to 5 mm

3 Shoth is more than 5 mm

ऩाक (अहर) (शीघर ऩछमत)

0 Absent Accumulation of Fluid or pus

1 Present

113 दनतवषट (स) सरवचनत ऩमरचधय

Discharge of blood with pus or only pus

0 No Discharge

1 Blood with Pus Discharge

2 Only pus discharge

िरता 0 No mobility

1 1 mm antero-posterior Mobility

2 2 mm antero-posterior Mobility

3 More than 2 mm antero-posterior amp medial to lateral mobility

114 शौषषर (स) शवमथ 0 Absent

1 Present

रजावान According to VAS scoring

रारासरावी 0 Normal secretion

1 Occasionally splitting

2 On and off splitting

3 Continuous splitting disturbance in work

कणड 0 Absent

1 Occasionally itching

2 On and off itching

3 Continues itching

23

Code Signs amp Symptoms Score Gradations Remarks

दतभासपरशातन 0 Gums situated At CE junction

1 Recession of gums At cervical 13

2 Recession of gums At middle 13 3 Recession of gums At apical 13

115 महाशौषषर (स) दनताशिरचनत 0 No mobility

1 1 mm antero-posterior mobility

2 2 mm antero-posterior mobility

3 More than 2 mm anteroposterior amp medial to lateral mobility

तार अवदीमत 0 Absent Fissure over the Palate

1 Present

दतभासातनऩछमनत 0 No redness

1 Mild redness

2 Moderate redness

3 Severe redness

भख ऩरयऩीडमत 0 No Peedā Or According to VAS

Pain in any part or whole oral cavity

1 Peedā is at those Gums where disease is situated

2 Peedā is at entire Gums

Peedā is at entire Mukh

सचननऩाताजजजजवयवान

(अहर) 0 Normal temperature

1 Temperature between 984rsquoF to 100rsquoF

Temperature between 100rsquoF to 101rsquoF

2 Temperature between 101rsquoF to 102rsquoF

3 Temperature between 102rsquoF to 103rsquoF

4 Temperature between 103rsquoF to 104rsquoF

5 Temperature more than 104rsquoF

सऩमरचधयसरतत (अहर)

0 No Discharge

1 Blood with Pus Discharge

2 only pus discharge

पवशीणदपवजफनधन (अहर)

0 No mobility

1 1 mm antero-posterior mobility 2 2 mm antero-posterior mobility

24

Code Signs amp Symptoms Score Gradations Remarks 3 more than 2 mm antero-posterior

amp medial to lateral mobility

116 पररदर (स) दनतभासातन शीमनत 0 Gums situated At CE junction Depending upon

severity grading has been established

1 Recession of gums At cervical 13

2 Recession of gums At middle 13

3 Recession of gums At apical 13

षठीवतत असक 0 No spitting of blood

1 Occasionally splitting

2 On and off splitting

3 Continuous splitting with disturbance in work

117 उपकश (स) दाह Or According to VAS

ऩाक 0 Absent

1 Present

दनताशिरचनत 0 No mobility

1 1 mm antero-posterior mobility

2 2 mm antero-posterior mobility

3 more than 2 mm antero-posterior amp medial to lateral mobility

आघटिता परसरवचनत 0 Absent

=Bleeding from gums by pressure

1 Bleeding on pressure remains for five minutes

2 Bleeding on pressure remains up to 15 minutes

3 Bleeding on pressure remains up to 30 minutes

4 Bleeding on pressure remains up to 1 hour

5 Bleeding on pressure remains more than 1 hour

भदवदना 0 Absent

1 Present

आधभामनत सरत यकत

0 Absent

1 Present

ऩतत वकतरता (अहर) 0 No foul smell

1 Patient feels foul smell

25

Code Signs amp Symptoms Score Gradations Remarks

2 Doctor or person who comes near to patient feels foul smell

3 From distance anyone can feels foul smell who is in the room

4 Foul smell can be feel from outside of the room even

कणडभचनत (अहर) 0 Absent Or According to VAS

1 Occasionally itching

2 On and off itching

3 Continues itching

िरा (अहर) 0 No mobility

1 1 mm antero-posterior mobility

2 2 mm antero-posterior mobility

3 More than 2 mm antero-posterior amp medial to lateral mobility

118 वदभभ (स) =Traumatic injury(By mechanical Chemical thermal )

घषिष दनतभरष सयबो जामत भहान

0 Absent Mahan suggest itself severity of disease

1 Present

िरदता (अहर) 0 No mobility

1 1 mm antero-posterior mobility

2 2 mm antero-posterior mobility

3 More than 2 mm antero-posterior amp medial to lateral mobility

119 वरभन (स) तीवरवदना 0 No pain Or According to VAS

1 तीवर -Pain is there but he can do

work or sleep

2 तीवरतय -Patient can tolerate

3 तीवरतभ -Patient canrsquot tolerate

1110 अधरमाास (स) भहाञिोथ 0 No Shoth Mahan suggest itself

severity of disease

1 Shoth is Present on that gum only where disease is occurred

2 Shoth is Present on nearby two or three gums where disease is occurred

26

Code Signs amp Symptoms Score Gradations Remarks

3 Shoth is present up to adjoining cheek

This condition should be considered as

भहाञिोथ

भहारजा (स) परततहनतममभमवरतत (अहर)

0 No Rujā (pain) Or According to VAS

2 Rujā (pain) is Present on that gum only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

This condition should be considered as भहारजा amp परततहनतममभमवरतत

रारासरावी 0 Normal secretion

1 Occasionally splitting

2 On and off splitting

3 Continuous splitting disturbance in work

दनतानत कीरवतमशोफ़ (अहर)

0 No Keel vat Shoth

1 Keel vat Shoth is Present on that gum only where disease is occurred

2 Keel vat Shoth is Present on nearby two or three gums where disease is occurred

3 Keel vat Shoth is present up to adjoining cheek

1111 दनतषवदरधर (अहर) दनतभासशोफ़ (ि) 0 No Shoph

1 Shoph is Present on that gum only where disease is occurred

2 Shosh is Present on nearby two or This condition should

27

Code Signs amp Symptoms Score Gradations Remarks

three gums where disease is occurred

be considered as अनत शवमथ According to

Vagbhatta

3 Shosh is extended up to adjoining cheek

This condition should be considered as फाहम शवमथ According to

Vagbhatta

फाहम शवमथ (अहर) This condition is mentioned at दनतभास शोफ़

अनत शवमथ (अहर) This condition is mentioned at दनतभास शोफ़

गर (अहर) 0 Absent

1 Present

रग (अहर) 0 No Rujā (pain) Or According to VAS

2 Rujā (pain) is Present on that gum only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

दाह (अहर) According to VAS

सरवतिननऩमासर (अहर)

0 No Discharge

1 Blood with Pus Discharge

2 Only pus discharge

1112 दतनाडी Scoring is not possible further according to measurement of Nadivrana because X-

ray only detects spread up to the bone Whereas Nadivrana in gingiva periodontal ligament cannot be measured

दतनाडी 0 Absent

1 Present

28

GRADATION OF DANTA GAT ROG

Code ndash 12

Gradations established by Group KARAL Dr Krishna Makadia - Convener

Dantavaidya Saroj Joshi Dantavaidya Harshad Joshi

Dr Kiran Raj Dr Achyuta Atara Dr Pranav Dave

Gradations Reviewed by Dr Hemangi Shukla Dr Krishna Makadia

Edited by Prof Vd Hāridra Dave

29

Code Signs amp Symptoms Score Gradations Remarks

121 दाऱन (स)

तीवररग 0 No Rujā (pain) Or According to VAS

2 Rujā (pain) is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

उषणअसहादनता (अस) 0 No sensitivity in teeth ie with warm

water hot water or

excessive hot water

application on

tooth is not

possible so Time

related and severity

related grading was

finalised(same for

cold)

1 Mild sensitivity in teeth - At a

time

2 Moderate sensitivity in teeth -

Sensitivity remains only for 1

Prahar (up to 3 hrs)

3 Severe sensitivity in teeth -

Sensitivity remains more than

1 Prahar (more than 3 hrs)

शीतअचधकवमथा (अहर) 0 No sensitivity in teeth

1 Mild sensitivity in teeth - At a

time

2 Moderate sensitivity in teeth -

Sensitivity remains only for 1

Prahar (up to 3 hrs)

3 severe sensitivity in teeth-

Sensitivity remains more than

1 Prahar (more than 3 hrs)

22 कममदनत (स) कषण 0 No discoloration

1 Light greyish black

2 Dark greyish black

3 Jet black

30

Code Signs amp Symptoms Score Gradations Remarks

तिदर 0 No cavity It should be

decided by X-ray

1 Cavity within limit of enamel

2 Cavity within limit of dentin

3 Cavity up to pulp

िर 0 No mobility

1 1 mm antero-posterior

mobility

2 2 mm antero-posterior

mobility

3 More than 2 mm antero-

posterior amp medial to lateral

mobility

सरावी 0 No Srāv- after drying

particular teeth with cotton

inserting cotton on cavity

There is no other

method to check

Srāv in Krimidanta

1 Srāv is present

ससयब = Inflammation 0 No inflammation

1 Inflammation is Present भहारज 0 No Rujā (pain) Or According to

VAS 2 Rujā (pain) is Present on that

gum only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

This condition should be considered as भहारज

अतनसभतमतरज 0 No sudden onset of pain

1 Sudden onset of pain is

present

अहततीवराततशभ (अहर) 0 No sudden onset of pain

31

Code Signs amp Symptoms Score Gradations Remarks

1 Sudden onset of pain is

present

पररन (अहर) = Broken due to cavity

0 Cavity is there but it is not

broken

It should be

considered for each

tooth separately

Cavity in that must

be present in

particular tooth

1 13 part of tooth is broken

2 23 of tooth is broken

3 More than 23 of tooth is

broken

4 Total loss of tooth

ऩमसरत (अहर) 0 No Pooya Srāv after drying

particular place

with cotton

inserting cotton on

cavity

1 Pooya Srāv present

यकतसरत (अहर) 0 No Rakta Srāv after drying

particular place

with cotton

inserting cotton on

cavity

1 Rakta Srāv is present

123 दनतहषभ (स)

शीत सऩशन न सहनत 0 No sensitivity by cold touch

in any teeth

1 Ooccassional sensitivity by

cold touch in any toothteeth

for once

2 Sensitivity by cold touch

remains in toothteeth only up

to 1 Prahar (up to 3hrs)

3 Sensitivity by cold touch

remains more than 1 Prahar

(more than 3hrs)

उषण सऩशन न सहनत 0 No sensitivity by hot touch in

any teeth

1 Occassional sensitivity by hot

touch in toothteeth for once

2 Sensitivity by hot touch

remains in toothteeth only up

to 1 Prahar (up to 3hrs)

3 Sensitivity by hot touch

remains in toothteeth more

than 1 Prahar (more than

3hrs)

32

Code Signs amp Symptoms Score Gradations Remarks

परवाताभा = Sensitivity to air

(परवातारशीतबाभा) (अहर)

0 No sensitivity by Pravāt

touch in any tooth

1 Occassional sensitivity by

Pravāt touch in toothteeth for

once

2 Sensitivity by Pravāt touch

remains in toothteeth only up

to 1 Prahar (up to 3hrs)

3 Sensitivity by Pravāt touch

remains in toothteeth more

than 1 Prahar (more than

3hrs)

अरबाभा = Sensitivity to sour food

(परवातारशीतबाभा) (अहर)

0 No sensitivity by eating

sourer food to any tooth

1 Occassional sensitivity by

eating sourer food to any

toothteeth for once

2 Sensitivity by eating sourer

food remains to toothteeth

only up to 1 Prahar (up to

3hrs)

3 Sensitivity by eating sourer

food remains to toothteeth

more than 1 Prahar (more

than 3hrs)

शीतबाभा (परवातारशीतबाभा) (अहर)

0 No sensitivity by eating cold

item to any tooth

1 Occasional sensitivity by

eating cold item to toothteeth

for once

2 Sensitivity by Pravāt touch

remains in toothteeth only up

to 1 Prahar (up to 3hrs)

3 Sensitivity by eating cold

item remains to toothteeth

more than 1 Prahar (more

than 3hrs)

सरजा (अहर) 0 No Rujā (pain)

33

Code Signs amp Symptoms Score Gradations Remarks

2 Rujā (pain) is Present on that gum only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

2 Rujā (pain) is Present on that gum only where disease is occurred and patient can do hisher routine work without disturbance

िर (अहर) 0 No mobility

1 1 mm anterio-posterior

mobility

2 2 mm anterio-posterior

mobility

3 More than 2 mm antero-

posterior amp medial to lateral

mobility

124 भञजनक (स) =Photograph is necessary

(depending upon the severity gradation has been finalised)

वकतर वकरता 0 No deviation

1 Deviation is present

तीवररक 0 No Rujā (pain) Or according to

VAS

2 Rujā (pain) is Present on that gum only where disease is occurred and patient can do hisher routine work without disturbance

34

Code Signs amp Symptoms Score Gradations Remarks

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

This condition should be considered as तीवररक

दनतबङग 0 Tooth is not broken This should be

considered for

single tooth

1 13 part of tooth is broken

2 23 of tooth is broken

3 More than 23 of tooth is

broken

4 Total loss of tooth

125 दनतशकभ रा (स) =Calculus index was selected

शकयव चसथयीबत भर 0 No calculus present

1 Supragingival calculus

covering not more than third

of the exposed tooth surface

2 Supragingival calculus

covering more than 13 but

not more than 23 of the

exposed tooth surface or the

presence of individual flecks

of subgingival calculus

around the cervical portion of

the tooth or both

3 Supragingival calculus

covering more than 23 of the

exposed tooth surface or

continues heavy band 0f

subgingival calculus around

the cervical portion of the

tooth or both

35

Code Signs amp Symptoms Score Gradations Remarks

दनताना गणहयी 0 Absent All 10 Guna of

Danta Sampata

should be

considered required

suggestions for

each Guna

1 Present

ऩततगचनध (अहर) 0 No foul smell Taken grading of

halitosis

1 Patient feels foul smell

2 Doctor or person who comes near to patient feels foul smell

3 From distance anyone can feels foul smell who is in the room

4 Foul smell can be feel from outside of the room even

126 कपामऱका (स)

दनतवलकसम दरनभ = Bracketing of tooth enamel (दरचनत दनतवलकातन)

0 No दरनभ of tooth This should be

considered

separately for each

tooth

1 दरनभ is present of less than 13 of tooth

2 दरनभ is present of more than of 13 of tooth but less than 23 of tooth

3 दरनभ is present of more than of 23 of tooth but no total loss of tooth

4 Total loss of tooth after दरनभ

This condition should be considered as दशनाना पवनाश

दशनाना पवनाश = Total loss of tooth

0 No Any loss of tooth This should be

considered

separately for each

tooth

1 loss of tooth is present of less than 13 of tooth

2 loss of tooth is present of more than of 13 of tooth but less than 23 of tooth

36

Code Signs amp Symptoms Score Gradations Remarks

3 loss of tooth is present of more than of 23 of tooth but no total loss of tooth

4 Total loss of tooth This condition should be considered as दशनाना पवनाश

दनतशातनभ अणश = Thinning of tooth (शातमतममतममणशो दनतात कऩारातन) (अहर)

0 No शातनभ of tooth This should be

considered

separately for each

tooth

1 शातनभ is present in less than 13 of tooth

2 शातनभ is present in more than 13 of tooth but less than 23 of tooth

3 शातनभ is present in more than 23 of tooth but no total loss of tooth

4 Total loss of tooth due to शातनभ

127 शयावदनतक (स) In शमावदनत शमावता amp नीरता should be considered ascending stages

शमावता + नीरता 0 -No any discolouration of

tooth

-Normal colour of tooth

This should be

considered

separately for each

tooth

1 शमावता is Present

2 नीरता is Present

128 हनमो (स) According to Dalhan हनमो is not Dant Rog directly but it is near to

Dantchewing of hard food is one of the causes and there is pain in Dant so it is considered under Danta Rog

हनसचनधपवसहत 0 Absent

1 Can be reset by manual reduction

2 Can be reset by surgical

intervention

129 दनतभद (अहर) तोद =Pricking pain 0 No Pricking pain -Or According to

VAS

- This should be

considered

separately for each

tooth

37

Code Signs amp Symptoms Score Gradations Remarks

2 Pricking pain is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Pricking pain is referred up to Hanu and patient can do hisher routine work without disturbance

4 Pricking pain is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Pricking pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Pricking pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

बद Braking pain 0 No Braking pain -Or According to

VAS

- This should be

considered

separately for each

tooth

2 Braking pain is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Braking pain is referred up to Hanu and patient can do hisher routine work without disturbance

4 Braking pain is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Braking pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Braking pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

38

Code Signs amp Symptoms Score Gradations Remarks

रक Dull pain 0 No Rujā (pain) -Or According to

VAS

- This should be

considered

separately for each

tooth

2 Rujā (pain) is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

सपिन Burstingexpanding pain

0 No Bursting pain -Or According to

VAS

- This should be

considered

separately for each

tooth

2 Bursting pain is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Bursting pain is referred up to Hanu and patient can do hisher routine work without disturbance

4 Bursting pain is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

39

Code Signs amp Symptoms Score Gradations Remarks

5 Bursting pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Bursting pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

1210 दनतचाऱ (अहर) िरतमव = Mobility 0 No = mobility

1 1mm anterio-posterior

mobility

2 2 mm anterio-posterior

mobility

3 More than 2 mm anterio-

posterior amp medial to lateral

mobility

बणादचधकवमथ 0 No Vyatha ndash Pain during

eating

1 Pain during eating of hard

diet only

2 Pain during eating of soft diet

even

1211 कराऱ (स)

=Malocclusion

0 A Normal Molar relationship

exist but there is crowding

misalignment of the teeth

cross bite etc

1 A malocclusion where the

molar relationship shows the

buccal grove of mandibular

first molar distally positioned

when in occlusion with the

mesiobuccal cusp of the

maxillary first molar

2 A malocclusion where the

molar relationship shows the

buccal groove of the

mandibular first molar

mesiallypos

40

GRADATIONS OF JIHWA GAT ROG

Code - 13

Established by Group BHOJ Dr Krishna Makaia ndash Convener

Dr Rajeshree Unadkat Dr Neelam Dave

Dr Ronakgiri Gosai Dr Jignesh Virapariya

Reviewed by Dr Vijayant Bharadwaj

Edited by Prof Vd Hāridra Dave

41

Code Signs amp Symptoms Score Gradations Remarks

131 वाततक चजहवाकिक (स) सपटिता (Creaks) 0 No creaks on tongue

1 Single creak on the dorsum of tongue

2 Multiple Creaks on the dorsum of tongue

3 Multiple deep creaks on the dorsum of tongue (Bleeding)

परसपता (Numbness )

0 No Numbness

1 Numbness in 13 Part of tongue

2 Numbness in 23 Part of tongue

3 Numbness in more than 23 Part of tongue

शाकछिदनपरकाशा (Roughness)

0 Normal surface of tongue on touch

1 Mild rough surface on touch

2 Hard irregular surface on touch

3 Very rough surface which hurts the finger on touch

132 ऩततक चजहवाकिक (स) ऩीता 0 No yellowish discolouration

1 Yellowish discoloration in 13 part

2 Yellowish discoloration in 23 part

3 Yellowish discoloration in more than 23 part of tongue

ऩरयदहमत Burning in entire tongue)

0 No burning Or According to VAS

1 Occasional burning

2 Intermittent burning

3 Continuous burning does not relieve by any measures

दाह (Burning may be

in partially tongue)

0 No Burning Or According to VAS

1 Burning up to 13 part of tongue

2 Burning in 13 to 23 part of tongue

3 Burning in more than 23 part of tongue

42

Code Signs amp Symptoms Score Gradations Remarks

यकतभासाङकयचशिता (Covered with red buds )

0 No change in appearance

1 13 part of tongue covered with red fleshy buds

2 23 part of tongue covered with red fleshy buds

3 Whole tongue covered with red fleshy buds

ओष (Burning) 0 No Oshha Or According to VAS

1 Oshha up to 13 part of tongue

2 Oshha in 13 to 23 part of tongue

3 Oshha in more than 23 part of tongue

133 कपज चजहवाकिक (स) फहरा (Thick) 0 Normal Thickness of Tongue

1 Thickness increased - noticeable by patient

2 Thickness increased - noticeable by the examiner

3 Tongue protruding out because of increased Thickness

गवी (Heaviness) 0 No Heaviness

1 Feeling mild heaviness but no difficulty in Tongue movement

2 Difficulty in Tongue movement especially during intake of liquid

3 Difficulty in Tongue movement especially during intake of hard food

4 Difficulty in Tongue movement especially during Pronunciation

भासोदगभ शालभसरकणिकाब (thorn like papilla)

0 No change in appearance of tongue

1 13 part of tongue covered with red fleshy thorn like papilla

2 23 part of tongue covered with thorn like papilla

3 Whole tongue covered with thorn like papilla

43

Code Signs amp Symptoms Score Gradations Remarks

134 अरास (स) शवमथ

(Swelling at ventral surface of tongue)

0 Absent

1 Present

सतबमतत (Restricted tongue movement)

0 -Normal Movement of Tongue -Movement of tongue not affected

1 Tongue movement slightly restricted but does not affect the normal function

2 Tongue movement restricted that affects the normal function

3 Tongue movement arrested

परवदध

(Increase in size)

0 Size not increased

1 Size increased - noticeable by the patient

2 Size increased - noticeable by the examiner

3 Tongue protruding out because of increased size

ऩाक 0 No swelling or suppuration

1 Inflammation with pain and tenderness

2 Inflammation with different types of pain and tenderness along with induration

3 Pus formation and fluctuation positive

अधशोप 0 Absent

1 Present

उननत (elevation of

the tongue due to swelling below the tongue)

0 Normal position of tongue

1 Tongue slightly elevated due to swelling below the tongue

2 Tongue elevation causes discomfort to the patient

3 Tongue touches the palate

भतमसमगचनध

(Fishy smell)

0 Absent

1 Present

44

Code Signs amp Symptoms Score Gradations Remarks

भासशातन (Destruction of flesh of tongue )

0 No Destruction of tongue flesh

1 13 part of tongue flesh is destroyed

2 23 part of tongue flesh is destroyed

3 More than 23 part of tongue is destroyed

135 उऩचजचहवका (स) शवमथ (Swelling) 0 Absent

1 Present

चजहवाभननम

जात (elevation of

tongue because of swelling)

0 Normal position of tongue

1 Tongue slightly elevated due to swelling below the tongue

2 Tongue elevation causes discomfort to the patient

3 Tongue touches the palate

परसक (Salivation) 0 Normal secretion of saliva

1 Occasionally spitting

2 Off and on spitting

3 Continuous spitting which disturbs the work

कणड (Itching) 0 No itching Or According to VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate on work due to severe itching

0r

0 No itching

1 Occasional itching

2 Off and on itching

3 Continuous itching

ऩरयदाह (Burning in

whole tongue)

0 No burning Or According to VAS

1 Occasional burning

2 Intermittent burning

3 Contentious burning dose not relive by any measures

45

Code Signs amp Symptoms Score Gradations Remarks

136 अचधचजचहवका (अर)

अधोचजहवामा शोप

0 Normal position of tongue

(Swelling below the tongue)

1 Tongue slightly elevated due to swelling below the tongue

2 Tongue elevation causes discomfort to the patient

3 Tongue touches the palate

अङकय (Pappilary

growth)

0 Absent

1 Present

ओष (Burning) 0 No Oshh Or According to

VAS

1 Oshh up to 13 part of tongue

2 Oshh in 13 to 23 part of tongue

3 Oshh in more than 23 part of tongue

सतबवान

(Restriction of Movement)

0 Movement of tongue not affected

1 Tongue movement slightly restricted but does not affect the normal function

2 Tongue movement restricted that affect the normal function

3 Tongue movement arrested

खय(Rough) 0 Smooth on touch

1 Mild irregular surface

2 Rough surface

3 Sharp rough surface touch hurts on finger on touch

रक (Pain) 0 No pain Or According to

VAS

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

कणड (Itching) 0 No itching Or According to

VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate on work due to severe itching

0r

0 No itching

46

Code Signs amp Symptoms Score Gradations Remarks

1 Occasional itching

2 Off and on itching

3 Continuous itching

वाकम पवघातकत (Difficulty in speech)

0 No difficulty in speech

1 Unable to speak िति vargavyanjana

2 Difficulty in speaking क vargavyanjana

Swara donrsquot need involvement of tongue

3 Unable to speak

आहयपवघातकत

(Swallowing )

0 Able to eat regular diet

1 Able to eat soft diet

2 Able to eat only liquid diet

3 Unable to swallow anything

47

GRADATION OF TALUGAT ROG

Code - 14

Established by Group BHOJ Dr Krishna Makaia ndash Convener

Dr Rajeshree Unadkat Dr Neelam Dave

Dr Ronakgiri Gosai Dr Jignesh Virapariya

Reviewed by Dr Vijayant Bharadwaj

Edited by Prof Vd Hāridra Dave

48

Code Signs amp Symptoms Score Gradations Remarks

141 गरशचणडका (स)

परवदधो शोप (Swelling extending from palate) (Which is elongated)

0 Normal size of uvula

1 Swelling of uvula that causes discomfort to the patient

2 Swelling of uvula that causes foreign body sensation

3 Difficulty in breathing due to swelling

दीघ शोप

(Elongated Swelling)

0 Normal size of uvula

1 Elongated swelling of uvula that causes discomfort to the patient

2 Elongated swelling of uvula that causes foreign body sensation

3 Difficulty in breathing due to Elongated swelling

धभातफचसतपरकाश शोप =Inflated

swelling like Basti

0 Normal size of uvula

1 Inflated swelling like Basti of uvula that causes discomfort to the patient

2 Inflated swelling like Basti of uvula that causes foreign body sensation

3 Difficulty in breathing due to Inflated swelling like Basti

तषणा 0 Normal feeling of thirst

1 Increased feeling of thirst which is relived after drinking water

The quantity of water is not consider here but the frequency of water is considered

2 Frequent feeling of thirst which is Occasional relived after drinking water

3 Continuous feeling of thirst does not relive after drinking profuse amount of water

कास (Coughing) 0 No coughing

49

Code Signs amp Symptoms Score Gradations Remarks

1 Occasional coughing during eating and speaking

2 Off and on coughing

3 Continuous coughing

शवास 0 No difficulty in breathing

1 Difficulty in breathing occasionally

2 More difficulty in breathing while sleeping

3 Excessive difficulty in breathing

भतमसमफचसततनब शोप (अहर)

0 Normal uvula Used as an adjective

1 Inflated swelling like Matsya-Basti of uvula that causes discomfort to the patient

2 Inflated swelling like Matsya-Basti of uvula that causes foreign body sensation

3 Difficulty in breathing due to Inflated swelling like Matsya-Basti

पररफ (अहर) 0 Normal length of Uvula

(Elongated Swelling)

1 Size of Uvula increased up to lt2 mm

2 Size of Uvula increased more than 2 mm but less than 4 mm

3 Size of Uvula increased gt4 mm that cause discomfort to patient and cause difficulty in breathing

पऩचछिर(अहर) (Sliminess)

0 Absent

1 Present

नासमाऽऽहायभीयमन (अहर)

0 Food does not come out from nose

(Food comes out of nose)

1 Food comes out from nose

कणठोऩयोध(अहर) (Obstruction of throat )

0 -Able to eat regular diet -No difficulty in swallowing of any food

1 Able to swallow liquid or soft diet but not able to swallow hard diet

2 Able to swallow hard diet forcefully

50

Code Signs amp Symptoms Score Gradations Remarks

3 Not able to swallow hard diet with force

वभन(अहर) (Vomiting)

0 No Vaman

1 Feeling of nausea only

2 Only one veg of Vaman in a day

3 Two vegas of Vaman in a day

4 More than two vegas of Vaman in a day

132 तचणडकयी (स)

शोप (Tonsillar

Swelling)

0 Tonsils are located within the tonsillar fossa

1 Tonsils hypertrophy till the brim of the tonsillar fossa

2 Tonsils hypertrophy extends beyond the pillars but not touching each other

3 Tonsils hypertrophy extends beyond the pillars but not touching each other

तोद

(Pricking pain)

0 No pain

1 Occasional pain Or according to VAS

2 Off and on pain

3 Continuous pain

दाह (Burning) 0 No

1 Occasional burning

2 Intermittent burning

3 Contentious burning dose not relive by any measures

परऩाक 0 Absent

1 Present

पऩचछिर शोप(अहर)

Sliminess in swallowing

0 Feeling of Sliminess is Absent

1 Feeling of Sliminess is Present

भनदरक (अहर)

(Mild pain)

0 Absent Or According to

VAS

1 Present

133 अधरष (स)

शोप (Swelling) 0 No swelling

1 13 Swelling in part of the palate

51

Code Signs amp Symptoms Score Gradations Remarks

2 23 swelling in part of palate

3 Swelling in gt than 23 part of palate

सतबधता =Functions of soft palate like deglutition Phonation etc are affected = No mobility of soft palate

0 Normal function of soft palate

1 Soft palate movement reduced but functions are not affected

2 Any one of the functions of soft palate is affected

3 All functions of soft palate are affected

रोटहतवणता

(Redness)

0 No change in colour

1 Pinkish red coloured mucosa in palate

2 Red coloured mucosa in palate

3 Dark red coloured mucosa in palate

रजा (Pain) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

जजवय (Fever) 0 Normal temperature

1 Temperature between 984rsquoF to 100rsquoF

Temperature between 100rsquoF to 101rsquoF

2 Temperature between 101rsquoF to 102rsquoF

3 Temperature between 102rsquoF to 103rsquoF

52

Code Signs amp Symptoms Score Gradations Remarks

4 Temperature between 103rsquoF to 104rsquoF

5 Temperature more than 104rsquoF

134 कछिऩ (स)

कभवत उतमसनन शोप (Swelling

having shape like dorsum of tortoise)

0 No swelling

1 Swelling in 13rd part of the palate

2 Swelling in 23rd part of palate

3 Swelling in gt 23rd part of palate

चियवपदध(अहर)

(Slow growth)

0 Growth within a week

1 Growth within 1 week to 1 month

2 Growth within 1 month to 6 months

3 Growth within gt 6 months

रक (अहर) (Pain) 0 No pain Or According to VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesics

135 तारअफद (स) ऩदमाकाय तारभधम

शोपम (Swelling

like shape of lotus )

0 No swelling

1 Swelling in 13rd part of the palate

2 2 Swelling in 23rd part of palate

3 3 Swelling in gt 23rd part of palate

136 भाससङघात (स) नीरज (Painless) 0 Absent

1 Present

53

Code Signs amp Symptoms Score Gradations Remarks

शोप 0 No swelling

1 Swelling in 13rd part of the palate

2 Swelling in 23rd part of palate

3 Swelling in gt 23rd part of palate

137 तारऩपऩि (स) नीरक (Painless) 0 Absent

1 Present

कोरभातर

Swelling having size of Kola fruit

0 Absent

1 Present

138 तारशोष (स)

शोष (Dryness) 0 No dryness

1 Dryness decreased after drinking water

2 Patient needs water frequently

3 Dryness persist after dinking profuse water

दायण (Tearing of palate)

0 Absent

1 Present

शवास (Difficulty in

breathing)

0 No difficulty in breathing Here difficulty in breathing is due to obstruction

1 Difficulty in breathing occasionally

2 More difficulty in breathing while sleeping position

3 Excessive difficulty in breathing

जजवय(अहर) (Fever) 0 Normal temperature

1 Temperature between 984rsquoF to 100rsquoF

Temperature between 100rsquoF to 101rsquoF

2 Temperature between 101rsquoF to 102rsquoF

3 Temperature between 102rsquoF to 103rsquoF

4 Temperature between 103rsquoF to 104rsquoF

5 Temperature more than 104rsquoF

54

Code Signs amp Symptoms Score Gradations Remarks

139 तारऩाक (स) ऩाक (Suppuration) 0 No swelling or suppuration

1 Inflammation of palate with pain and tenderness

2 Inflammation of palate with different types of pain and tenderness with induration

3 Pus formation and fluctuation positive

1310 तारपऩटिका (अहर) तारभास पऩटिका

Follicles in palate flesh

0 No follicles

1 13 palate covered with follicles

2 23 palate covered with follicles

3 More than 23 palate covered with follicles

रज(अहर) (Pain) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

Occasional pain

खयता(अहर) (Roughness)

0 Smooth on touch

1 Mild irregular surface on touch

2 Rough surface

3 Sharp rough surface which hurts on finger on touch

घनसराव(अहर) (Thick discharge)

0 No discharge

1 Occasional discharge

2 Off and on thick discharge

3 Continuous thick discharge

1311 तारसहतत (अहर) तारभधम तनरक (अहर) =Painless fleshy growth in palate

Only तारभधम तनरक indicates the place and quality of growth both the symptoms can be

merged

55

Code Signs amp Symptoms Score Gradations Remarks

तनरक (Painless) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

भाससहत

(Fleshy growth in palate)

0 No fleshy growth

1 Fleshy growth in 13 part of the palate Swelling

2 Fleshy growth in 23 part of palate swelling

3 Fleshy growth in more than 23 part of palate

56

GRADATION OF SARVASAR ROG

Code - 15

Established by Group BHOJ Dr Krishna Makaia ndash Convener

Dr Rajeshree Unadkat Dr Neelam Dave

Dr Ronakgiri Gosai Dr Jignesh Virapariya

Reviewed by Dr Vijayant Bharadwaj

Edited by Prof Vd Hāridra Dave

57

Code Signs amp Symptoms Score Gradations Remarks

151 वातजसवसय (स) सपोि (Ulcers) 0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

तोद = Pricking pain 0 No pricking pain Or According to VAS

1 Occasional pricking pain

2 Off and on pricking pain

3 Continuous pricking pain

Or

0 No pricking pain

1 Sometimes mild pricking pain

2 Has to take analgesic while pricking pain

सिारयण(अहर) This symptom is for सवसय so this सवसय is the nature of सिारय

0 No movement of सवसय

1 Movement of सवसय is once in a week

2 Movement of सवसय is once in three to four days

3 Movement of सवसय is at every alternate day

4 Movement of सवसय is once in a day

अरण (अहर) Reddish discoloration

0 Colour of वरण is same with colour of surrounding area

1 Colour of वरण is Reddish

2 Colour of वरण is Dark Red

3 Colour of वरण is Reddish black

र (अहर) Dryness 0 वरण is Moist

-No dryness of वरण

1 वरण Needs lubrication once a day

2 वरण Needs frequent lubrication in

a day

3 No benefit with frequent

lubrication of वरण

तामरता (अहर) (Coppery

0 Colour of वरणौषठ is same with colour of surrounding area

58

Code Signs amp Symptoms Score Gradations Remarks

discoloration) This symptom is for

वरणौषठ

1 Colour of वरणौषठ is Tamra Varna

चऱतवचा (अहर) (Free mucous membrane) This symptom is for

वरणौषठ

0

Movement of वरणौषठ is on touch

only

1 Movement of वरणौषठ can be seen by naked eye means without touch

शीतासहा (अहर) (Intolerance to cold) This symptom is for

जजहवा

0 No Intolerance of cold to जजहवा

1 Intolerance of severe cold to जजहवा

2 Intolerance of moderate cold to जजहवा

3 Intolerance of Mild cold to जजहवा

गवी (Heaviness)

This symptom is for

जजहवा

0 No Heaviness

1 Mild heaviness with no difficulty

in movement of जजहवा

2 Moderate heaviness with

difficulty in Movement of जजहवा

3 Sever heaviness with bending down of

सफटटता (अहर) (Ulcer)

0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

कणटाकाधचता (अहर) = Thorn like

appearance

0 No change in appearance

59

Code Signs amp Symptoms Score Gradations Remarks

1 13 part of oral mucous membrane covered with red fleshy thorn like papillae

2 23 part of oral mucous membrane covered with red fleshy thorn like papillae

3 gt23 part of oral mucous membrane covered with red fleshy thorn like papillae

षववणोतत कचछरणमखम (अहर) (Difficulty in mouth opening)

0 Mouth opening more than 3 fingers without difficulty

1 2 to 3 fingers opening of mouth with or without difficulty

2 1 to 2 fingers opening of mouth with or without difficulty

3 Less than 1 finger opening of mouth with or without difficulty

152 पऩतमत(यकतज)सवसय (स) Signs and Symptoms of यकतज सवसय are same as of पऩतमत सवसय so no separate gradations are mentioned

यकतता (Redness) 0 Colour of सवसय- वरण is similar with

surrounding mucous membrane

1 Reddish Colour of सवसय- वरण

2 Bright red Colour of सवसय- वरण

3 Dark red Colour of सवसय- वरण

सदाह (Burning

Sensation)

0 No burning in सवसय- वरण Or According to

VAS

1 Occasional burning in सवसय- वरण

2 Intermittent burning in सवसय- वरण

3 Contentious burning in सवसय- वरण

which does not relive by any measures

तन (तनसब) (Shallow superficial ulcers)

0 No ulcer

1 Ulcer having depth of 05-1 mm

2 Ulcer having depth of 1 ndash 15 mm

3 Ulcer having depth of 15 -2 mm

60

Code Signs amp Symptoms Score Gradations Remarks

ओष (अहर) 0 No (ओष) burning in सवसय- वरण

1 Occasional (ओष) burning in

सवसय- वरण

2 Intermittent (ओष) burning in

सवसय- वरण

3 Contentious (ओष) burning in

सवसय- वरण which does not relive

by any measures

ततकतवकरता (अहर) (Bitter taste in mouth)

0 No alteration in taste

1 Occasionally bitter taste felt in mouth without having any bitter substance

2 Off and on bitter taste felt in mouth without having any bitter substance

3 Continuous bitter taste felt in mouth without having any bitter substance

ारोकषतत समावरणा (अहर)

0 No Ulcer

(Ulcers looking like chemical burns)

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

153 कपज सवसय (स) कणड (Itching) 0 No itching Or According to

VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Unable to work due to itching

0r

0 No itching

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate on work due to severe itching

रजा (Pain)

(अलऩ रजा) 0 No pain Or According to

VAS

1 Occasional pain

61

Code Signs amp Symptoms Score Gradations Remarks

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain This condition should be considered as अलऩ रजा

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

सवणण 0 Colour of वरण is same with colour of near by tissue

1 Colour of वरण is not same with colour of near by tissue

मररासयतवम (अहर) (Sweet taste in mouth)

0 No alteration in taste

1 Occasionally sweet taste felt without eating any sweet substance

2 Off and on Sweet taste Occasionally sweet taste felt without eating any sweet substance

3 Continuous sweet taste Occasionally sweet taste felt without eating any sweet substance

षपजचछिऱता (अहर) (Unctuousness)

0 Absent

1 Present

वरण 0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

154 कफाबभद (अहर) शयाव अबभदम

(शयावपाणडऽबभदम) 0 Colour of growthtumour is same

the colour of surrounding skin

1 Colour of growthtumour is शयाव

(Blackish)

62

Code Signs amp Symptoms Score Gradations Remarks

पाणड अबभदम (शयावपाणडऽबभदम)

0 Colour of growthtumour is same the colour of surrounding skin

1 Colour of growthtumour is पाणड

(Pale)

अबभदम 0 No GrowthTumour TNM Classification for tumours can be applied for growth

1 Growthtumour having sizelt 10 mm

2 Growthtumour having size 10 mm to 20 mm

3 Growthtumour having size gt 20 mm

घटिता तिनना मटदता च षववरभत (Size increases on rubbing cutting and squeezing)

0 Size of GrowthTumour is not increasing by rubbing cutting or squeezing

1 Size of GrowthTumour is increasing up to 10 mm by rubbing cutting or squeezing within a month

2 Size of GrowthTumour is increasing up to 20 mm by rubbing cutting or squeezing within a month

3 Size of GrowthTumour is increasing up to 30 mm by rubbing cutting or squeezing within a month

4 Size of GrowthTumour is increasing up to 40 mm by rubbing cutting or squeezing within a month

155 ऊरधवभगद (अहर) वकतरदौगनधम

(Halitosis)

0 No Halitosis

1 Halitosis is feel by Patient only

2 Halitosis is feel by Patient and examining Doctor only

3 Halitosis is feel by any person from the distance from 5 meters

63

Code Signs amp Symptoms Score Gradations Remarks

4 Halitosis is feel by any person from the distance from more than 5 meters

156 पततवकर (अहर) ऩतममासमता

(Halitosis)

0 No Halitosis

1 Halitosis is feel by Patient only

2 Halitosis is feel by Patient and examining Doctor only

3 Halitosis is feel by any person from the distance from 5 meters

4 Halitosis is feel by any person from the distance from more than 5 meters

157 सतनऩाततक सवसय (अहर) This disease occurs due to aggravation of all three doshas including Rakta Clinical presentation of this disease is found as mixed picture according prominent aggravation of dosha and signs and symptoms will be observed accordingly Gradations should be considered accordingly so it is not required to repeat here

helliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip

Page 11: THE GRADATIONS OF DISEASES OF SHALAKYA TANTRA - PART …theassociationofshalaki.com/downloads/GRADATIONS_OF_DISEASE… · 12.05.2019  · I am also very much thankful to Dr Sandhya

10

Code Signs amp Symptoms Score Gradations Remarks

3 Multiple deep creaks (Bleeding)

ऩरयऩाटमत 0 No desquamation

=Desquamation - Sanskrit English dictionary page 870

1 Superficial desquamation of epithelium which looks like soft white scales

2 Deep desquamation of epithelium which looks like hard white scales and ready to bleed

3 Deep desquamation with bleeding

102 पऩतज ओषठयोग (स) आचितोपऩडकासबसत

सषऩाकततसबबशभ

0 No सषऩाकतत Follicles

=Covered with Mustard seed like follicles

1 13 part of lip covered with yellow

mastered seed (सषऩाकतत) like

follicles

2 23 part of lip covered with yellow mastered seed like follicles

3 More than 23 part of lip covered with yellow mastered seed (सषऩाकतत) like follicles

दाह (Burning) 0 No burning Or according to VAS

1 Occasional burning

2 Intermittent burning

3 Continuous burning

ऩाक (Suppuration) 0 No swelling or suppuration

1 Inflammation pain and tenderness

2 Inflammation with different types of pain and tenderness with induration

3 Pus formation and fluctuation positive

ससराव (Discharge) 0 No Discharge

1 Mild discharge sticks on lip

2 Moderate discharge has to be cleaned occasionally

3 Severe or continuous discharge has to be cleaned frequently

This condition should be considered as ससराव

नीरवणता (Bluish discoloration)

0 No discoloration

1 Bluish pink discoloration

2 Pinkish blue discoloration

11

Code Signs amp Symptoms Score Gradations Remarks

3 Lips look more bluish or purplish

ऩीतवणता (Yellowish

discoloration)

0 No discoloration

1 Reddish yellow discoloration

2 Yellowish discoloration

3 Lips look pale yellow

तीकषणासह 0 No irritation to spicy salty sour pungent or hot food

=Intolerance to spicy salty sour pungent or hot food

1 Irritation to spicy and hot food

2 Irritation to spicy salty sour pungent or hot food

3 Irritation to any food

फहकरदा (Excessive moisture)

0 No collection of fluid

1 Follicles with fluid accumulation

2 Follicles with excessive fluid accumulation

3 Follicle with excessive fluid accumulation and patient tries to clean the lips frequently

आशऩाक (Quick

suppuration)

0 Suppuration after 7 days

1 Suppuration within 5 to 7 days

2 Suppuration within 2 to 5 days

3 Suppuration within one day This condition should be considered as

आशऩाक

103 कपज ओषठयोग (स) सवण पऩडका (Follicles

same as lip colour)

0 No Follicles

1 Up to 13 of Oshtha is covered with few of the same coloured and with various sizes of follicles

2 From13 to 23 part of Oshtha is covered with few multiple follicles of the same colour and with various sizes

3 More than 23 part of Oshtha is covered with few multiple follicles of the same colour and with various sizes

कणड (Itching) 0 No itching

12

Code Signs amp Symptoms Score Gradations Remarks

1 Occasional mild itching not disturbing work

2 Off and on moderate itching disturbing work

3 Cannot concentrate in work due to continuous severe itching

शन (Swelling) 0 No Swelling

1 Slightly bigger than normal size not noticed by another person

2 Swelling Noticeable by another person

3 Severe Swelling with restriction of normal movement

पऩचछिरता (Sliminess) 0 No Sliminess

1 Mild sliminess

2 Moderate sliminess

3 Severe sliminess

शीतरता -Subjective

(Feeling of coldness by patient)

0 No feeling of coldness by patient Subjective and objective both should be taken

1 Feeling of coldness by patient but no change in temperature

2 Feeling of coldness by patient which is colder than body temperature on touch by the patient

शीतरता -Objective

(Decreased Temperature)

0 No change in temperature

1 1 less than body temperature

2 gt1less than body temperature

गरता (Heaviness) 0 No Heaviness

1 Mild heaviness no difficulty in lip movement

2 Difficulty in lip function due to Heaviness

3 Protrusion of lip due to heaviness

शीतासह

(Intolerance to cold)

0 No Intolerance to cold

1 Intolerance to severe cold

2 Intolerance to moderate cold

3 Intolerance to Mild cold

13

Code Signs amp Symptoms Score Gradations Remarks

104 सतनऩातज ओषठयोग (स) कषणता (Blackish

discoloration)

0 No change in colour In original Shlok lsquoSakrutrsquo word is used along with all types of discolorations According to expert of Sanskrit language and expert of Samhita subject the meaning of lsquoSakrutrsquo is lsquosometimesrsquo and another meaning of this world is lsquosome partrsquo Here we have taken meaning lsquosome partrsquo

1 13 Part of one lip is blackish in colour

2 13 Part of both lips are blackish in colour

3 23 Part of one lip is blackish in colour

4 23 Part of both lips are blackish in colour

5 More than 23 Part of one lip is blackish in colour

6 More than 23 Part of both lips are blackish in colour

ऩीतता (Yellowish

discoloration)

0 No change in colour

1 13 Part of one lip is yellowish in colour

2 13 Part of both lips are yellowish in colour

3 23 Part of one lip is yellowish in colour

4 23 Part of both lips are yellowish in colour

5 More than 23 Part of one lip is yellowish in colour

6 More than 23 Part of both lips are yellowish in colour

अनकपऩडडकाचितौ 0 No Follicles in any of lips

(Multiple follilcles) 1 13 lipLips isare covered with few follicles of various sizes

2 13 lipLips isare covered with multiple follicles of various sizes

3 23 lipLips isare covered with multiple follicles of various sizes

4 Multiple follicles with various sizes (23 lip covered)

5 More than 23 lipLips isare covered with multiple follicles of various sizes follicles

14

Code Signs amp Symptoms Score Gradations Remarks

दगनधौ (Foul smell) 0 No Foul smell

1 Only patient feel foul smell

2 Nearby Doctor 0r people can feel foul smell

3 Foul smell is not tolerable by the patient and the nearby person

आसरावौ (Discharge) 0 No Discharge is on any of lips In Sannipataja disease usually the mixed type of discharge is found So here the type of discharge is not considered The quantity of discharge is considered

1 Mild discharge collected on any one lip

2 Mild discharge collected on both lips or Moderate discharge collected on any one lip which has to be cleaned occasionally

3 Moderate discharge collected on both lips which has to be cleaned occasionally

4 Moderate discharge collected on both lips which has to be cleaned frequently

5 Severe or continuous discharge collected on lipLips which has to be cleaned frequently

पऩचछिरौ (Sliminess) 0 No sliminess

1 Mild Sliminess

2 Moderate Sliminess

3 Severe Sliminess

अकसभातमरानसशन रजौ (अहर) अकसभात

= All of a sudden = Without any reason = Spontaneous = Both Lips become Mlān swollen and painful all of a sudden andwithout any reason

अकसभातमरानौ (अहर) 0 No change in appearance

(Spontaneous Faded) 1 Lips look dull occasionally

15

Code Signs amp Symptoms Score Gradations Remarks

2 Lips look faded off and on in a day

3 Lips look faded and dirty frequently in a day

अकसभातसशनौ (अहर) 0 No Swelling

(Spontaneous swelling) 1 Occasionally Swelling in a day Here the size of swelling is not considered but the spontaneous nature of swilling is considered

2 Off and on swelling in a day

3 Swelling frequently in a day

अकसभात रजौ (अहर) (Pain)

0 No pain Or According to VAS

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

पवषभऩाककनौ (अहर) (Irregular suppuration )

0 No suppuration

1 Suppuration in 13 part of lips

2 Suppuration in 23 part of lip

3 Suppuration in major of lip

105 यकतज ओषठयोग (स) खजयपर पऩडका 0 No follicles

(Brownish follicles) 1 13 lip covered with brownish colour follicles

2 23 lip covered with brownish colour follicles

3 More than 23 lip covered with follicles

रचधयसराव (रचधय सरवत) (Bleeding)

0 No bleeding

1 Bleeding on touch or movement

2 Spontaneous bleeding

3 Continuous Bleeding

अफद बवत 0 No tumour

1 Tumour is 2 cm in size

2 Tumour is 4 cm in size

3 Tumour is gt4 cm in size

106 भासज ओषठयोग (स) भासपऩणडवत उदगतौ

(Bulky) 0 No Growth This word is used

as an adjective of

Sthoola See सथल

16

Code Signs amp Symptoms Score Gradations Remarks

1 Growth is present in both Oshtha but no discomfort to patient

2 Growth is present in both Oshtha with discomfort to patient

3 Large Growth is present in both Oshtha involving the surrounding region

जनतवशिातर भछिचनत सककसमोबमतो भखात

0 No Maggot Formation

1 Maggot formation on one side of the angle of mouth

2 Maggot Formation on both angles of mouth

3 Excessive maggot Formation

गर 0 No Heaviness in any of the lip

1 Mild heaviness no difficulty in lips movement

2 Difficulty in Lips function due to Heaviness

3 Protrusion of both lips

सथरौ (Bulky)

According to Sanskrit ndash English Dictionary

0 Size not increased

1 Slightly bigger than normal no noticeable by other person

2 Bigger than normal noticeable by another person

3 Bigger size effect the lip movement and lip protrudes down

107 भदज ओषठयोग (स) घतभणडाबौ (Clear

melted butter like)

0 Does not look like filled with clear part of melted butter

Here the specific appearance is given so the area is considerd

1 13 part of both lips looks like filled with clear part of melted butter

2 23 part of both lips looks like filled with clear part of melted butter

3 More than 23 part of both lips looks like filled with clear part of melted butter

कणड 0 No itching Or According to VAS

1 Itching in both lips but not disturbing work

17

Code Signs amp Symptoms Score Gradations Remarks

2 Itching in both lips but disturbing work

3 in both lips and cannot concentrate in work due to itching

Or

0 No itching

1 Occasional itching

2 Off and on itching

3 Continuous itching

चसथयौ 0 Movement of lips not affected

(Immobility) 1 Lip movement slightly affected but no difficulty in speech

2 Lip movement affected which alter the speech

3 Lip movement arrested

भदता (Sponginess) 0 Absent

1 Present

आसराव (अछि सपटिक सङकाशभ) (discharge of clear fluid)

0 No discharge अचछ सफटिक Word is Adjective for the type of discharge So grading is given for the frequency of discharge

1 Occasional discharge

2 Off and on discharge of clear fluid

3 Continuous discharge of clear fluid

गर 0 No Heaviness

1 Mild heaviness no difficulty in lip movement

2 Difficulty in lip function due to heaviness

3 Protrusion of lip due to heaviness

तराबशवमथ (अहर) 0 Does not look like filled with oil As per the घतभणडाब

tailabha is used as adjective so grading is given for Shvayathu

1 13 part of lips looks like filled with oil

2 23 part of lips looks filled with oil

3 More than 23 part of lips looks like filled with oil

सराव 0 No discharge

1 Occasional discharge

2 Off and on discharge of clear fluid

3 Continuous discharge of clear fluid

तराबकरदौ (Moister) 0 Absent Darshan pariksha

18

Code Signs amp Symptoms Score Gradations Remarks

1 Present

कणड 0 No itching Or According to VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate in work due to itching

OR

0 No itching

1 Occasional itching

2 Off and on itching

3 Continuous itching

109 तज ओषठयोग (स) पवदीमता (Tear) 0 No tear

1 Cut Up to epithelial layer

2 Cut Up to Sub epithelial layer

3 Cut up to muscular layer

ऩाटमता (Lips divided

in two parts)

0 Lips divided into two parts

1 Absent

2 Present

गरचथत

(NodulesLumps)

0 No lumps

1 Soft lumps

2 Hard Lumps

3 Multiple lumps

कणड (Itching) 0 No itching Or According to VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate in work due to itching

OR

0 No itching

1 Occasional itching

2 Off and on itching

3 Continuous itching

दशनछिदौ (अहर) (Lips covering the teeth)

0 Covering the teeth completely

1 Partial covering (gt50 ) the teeth

2 Covering the teeth lt50

19

Code Signs amp Symptoms Score Gradations Remarks

3 Not covering the teeth (All teeth exposed)

1010 जराफद (अहर) जरफदफदवद

(Cystic Swelling)

0 No Cystic Swelling

1 Up to 5mm Swelling

2 Swelling up to 5-10mm

3 More than 10mm

1011 यकताफद (स) रचधय सराव

रचधय सरवत 0 No bleeding

(Bleeding) 1 Bleeding on touch or movement

2 Spontaneous bleeding

3 Continuous bleeding

खजयसदश 0 Absent Used as an adjective

(Date fruits like) 1 Present

1012 खणडौषठ (अ)

ओषठोदपवधाकत 0 No separation of lips

(Lips divided separated into two parts)

1 Separation up to vermilion line

2 Separation up to Philtrum

3 Separation up to Collumella

20

GRADATION OF DANTA MOOL GAT ROG

Code ndash 11

Gradations established by Group KARAL Dr Krishna Makadia - Convener

Dantvaidya Saroj Joshi Dantvaidya Harshad Joshi

Dr Kiran Raj Dr Achyuta Atara Dr Pranav Dave

Gradations Reviewed by Dr Hemangi Shukla Dr Krishna Makadia

Edited by Prof Vd Hāridra Dave

21

Code Signs amp Symptoms Score Gradations Remarks

111 शीताद (स) अकसभात यकतसराव 0 No bleeding

1 Occasional bleeding for 1 or 2 times in 1 Prahar

2 Spontaneous Bleeding up to one Prahar

3 Spontaneous Bleeding for more than 1 Prahar (more than 3hrs)

दगनधीतन 0 No foul smell

1 Patient feels foul smell

2 Doctor or person who comes near to patient feels foul smell

3 From distance anyone can feels foul smell who is in the room

4 Foul smell can be feel from outside of the room even

सकषणातन 0 Absent

=Blackish discoloration

1 Present

परकरदीतन 0 Absent

1 Present

भदता 0 Absent

1 Present

दनतभास शीमनत 0 Gums situated At CE junction

1 Recession of gums At cervical 13

2 Recession of gums At middle 13

3 Recession of gums At apical 13

ऩिचनत ि ऩयसऩयभ 0 No Pachan (Pāk)

= Pāk 1 1 Quadrant is involved

2 2 quadrants are involved

3 More than 2 quadrants are involved

112 दनतपपपटक (स) दनतमोसतरीष वा 0 No involvement of teeth

1 Involvement of 2 teeth

2 Involvement of 3 teeth

शवमथ भहान 0 Absent

1 Present

सरज 0 No pain Or according to VAS

1 तीवर =Pain is there but he can do

work or sleep

22

Code Signs amp Symptoms Score Gradations Remarks

2 तीवरतय =Pain is there but he can do

work or sleep

3 तीवरतभ =Patient canrsquot tolerate

शोफ़ो फदयाचसथतनबो घन (अहर) =Kola is

small jujube and badar is big jujube and seed is measuring around 5 mm

0 Not present

1 Shoth up to 25 mm

2 Shoth 25 to 5 mm

3 Shoth is more than 5 mm

ऩाक (अहर) (शीघर ऩछमत)

0 Absent Accumulation of Fluid or pus

1 Present

113 दनतवषट (स) सरवचनत ऩमरचधय

Discharge of blood with pus or only pus

0 No Discharge

1 Blood with Pus Discharge

2 Only pus discharge

िरता 0 No mobility

1 1 mm antero-posterior Mobility

2 2 mm antero-posterior Mobility

3 More than 2 mm antero-posterior amp medial to lateral mobility

114 शौषषर (स) शवमथ 0 Absent

1 Present

रजावान According to VAS scoring

रारासरावी 0 Normal secretion

1 Occasionally splitting

2 On and off splitting

3 Continuous splitting disturbance in work

कणड 0 Absent

1 Occasionally itching

2 On and off itching

3 Continues itching

23

Code Signs amp Symptoms Score Gradations Remarks

दतभासपरशातन 0 Gums situated At CE junction

1 Recession of gums At cervical 13

2 Recession of gums At middle 13 3 Recession of gums At apical 13

115 महाशौषषर (स) दनताशिरचनत 0 No mobility

1 1 mm antero-posterior mobility

2 2 mm antero-posterior mobility

3 More than 2 mm anteroposterior amp medial to lateral mobility

तार अवदीमत 0 Absent Fissure over the Palate

1 Present

दतभासातनऩछमनत 0 No redness

1 Mild redness

2 Moderate redness

3 Severe redness

भख ऩरयऩीडमत 0 No Peedā Or According to VAS

Pain in any part or whole oral cavity

1 Peedā is at those Gums where disease is situated

2 Peedā is at entire Gums

Peedā is at entire Mukh

सचननऩाताजजजजवयवान

(अहर) 0 Normal temperature

1 Temperature between 984rsquoF to 100rsquoF

Temperature between 100rsquoF to 101rsquoF

2 Temperature between 101rsquoF to 102rsquoF

3 Temperature between 102rsquoF to 103rsquoF

4 Temperature between 103rsquoF to 104rsquoF

5 Temperature more than 104rsquoF

सऩमरचधयसरतत (अहर)

0 No Discharge

1 Blood with Pus Discharge

2 only pus discharge

पवशीणदपवजफनधन (अहर)

0 No mobility

1 1 mm antero-posterior mobility 2 2 mm antero-posterior mobility

24

Code Signs amp Symptoms Score Gradations Remarks 3 more than 2 mm antero-posterior

amp medial to lateral mobility

116 पररदर (स) दनतभासातन शीमनत 0 Gums situated At CE junction Depending upon

severity grading has been established

1 Recession of gums At cervical 13

2 Recession of gums At middle 13

3 Recession of gums At apical 13

षठीवतत असक 0 No spitting of blood

1 Occasionally splitting

2 On and off splitting

3 Continuous splitting with disturbance in work

117 उपकश (स) दाह Or According to VAS

ऩाक 0 Absent

1 Present

दनताशिरचनत 0 No mobility

1 1 mm antero-posterior mobility

2 2 mm antero-posterior mobility

3 more than 2 mm antero-posterior amp medial to lateral mobility

आघटिता परसरवचनत 0 Absent

=Bleeding from gums by pressure

1 Bleeding on pressure remains for five minutes

2 Bleeding on pressure remains up to 15 minutes

3 Bleeding on pressure remains up to 30 minutes

4 Bleeding on pressure remains up to 1 hour

5 Bleeding on pressure remains more than 1 hour

भदवदना 0 Absent

1 Present

आधभामनत सरत यकत

0 Absent

1 Present

ऩतत वकतरता (अहर) 0 No foul smell

1 Patient feels foul smell

25

Code Signs amp Symptoms Score Gradations Remarks

2 Doctor or person who comes near to patient feels foul smell

3 From distance anyone can feels foul smell who is in the room

4 Foul smell can be feel from outside of the room even

कणडभचनत (अहर) 0 Absent Or According to VAS

1 Occasionally itching

2 On and off itching

3 Continues itching

िरा (अहर) 0 No mobility

1 1 mm antero-posterior mobility

2 2 mm antero-posterior mobility

3 More than 2 mm antero-posterior amp medial to lateral mobility

118 वदभभ (स) =Traumatic injury(By mechanical Chemical thermal )

घषिष दनतभरष सयबो जामत भहान

0 Absent Mahan suggest itself severity of disease

1 Present

िरदता (अहर) 0 No mobility

1 1 mm antero-posterior mobility

2 2 mm antero-posterior mobility

3 More than 2 mm antero-posterior amp medial to lateral mobility

119 वरभन (स) तीवरवदना 0 No pain Or According to VAS

1 तीवर -Pain is there but he can do

work or sleep

2 तीवरतय -Patient can tolerate

3 तीवरतभ -Patient canrsquot tolerate

1110 अधरमाास (स) भहाञिोथ 0 No Shoth Mahan suggest itself

severity of disease

1 Shoth is Present on that gum only where disease is occurred

2 Shoth is Present on nearby two or three gums where disease is occurred

26

Code Signs amp Symptoms Score Gradations Remarks

3 Shoth is present up to adjoining cheek

This condition should be considered as

भहाञिोथ

भहारजा (स) परततहनतममभमवरतत (अहर)

0 No Rujā (pain) Or According to VAS

2 Rujā (pain) is Present on that gum only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

This condition should be considered as भहारजा amp परततहनतममभमवरतत

रारासरावी 0 Normal secretion

1 Occasionally splitting

2 On and off splitting

3 Continuous splitting disturbance in work

दनतानत कीरवतमशोफ़ (अहर)

0 No Keel vat Shoth

1 Keel vat Shoth is Present on that gum only where disease is occurred

2 Keel vat Shoth is Present on nearby two or three gums where disease is occurred

3 Keel vat Shoth is present up to adjoining cheek

1111 दनतषवदरधर (अहर) दनतभासशोफ़ (ि) 0 No Shoph

1 Shoph is Present on that gum only where disease is occurred

2 Shosh is Present on nearby two or This condition should

27

Code Signs amp Symptoms Score Gradations Remarks

three gums where disease is occurred

be considered as अनत शवमथ According to

Vagbhatta

3 Shosh is extended up to adjoining cheek

This condition should be considered as फाहम शवमथ According to

Vagbhatta

फाहम शवमथ (अहर) This condition is mentioned at दनतभास शोफ़

अनत शवमथ (अहर) This condition is mentioned at दनतभास शोफ़

गर (अहर) 0 Absent

1 Present

रग (अहर) 0 No Rujā (pain) Or According to VAS

2 Rujā (pain) is Present on that gum only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

दाह (अहर) According to VAS

सरवतिननऩमासर (अहर)

0 No Discharge

1 Blood with Pus Discharge

2 Only pus discharge

1112 दतनाडी Scoring is not possible further according to measurement of Nadivrana because X-

ray only detects spread up to the bone Whereas Nadivrana in gingiva periodontal ligament cannot be measured

दतनाडी 0 Absent

1 Present

28

GRADATION OF DANTA GAT ROG

Code ndash 12

Gradations established by Group KARAL Dr Krishna Makadia - Convener

Dantavaidya Saroj Joshi Dantavaidya Harshad Joshi

Dr Kiran Raj Dr Achyuta Atara Dr Pranav Dave

Gradations Reviewed by Dr Hemangi Shukla Dr Krishna Makadia

Edited by Prof Vd Hāridra Dave

29

Code Signs amp Symptoms Score Gradations Remarks

121 दाऱन (स)

तीवररग 0 No Rujā (pain) Or According to VAS

2 Rujā (pain) is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

उषणअसहादनता (अस) 0 No sensitivity in teeth ie with warm

water hot water or

excessive hot water

application on

tooth is not

possible so Time

related and severity

related grading was

finalised(same for

cold)

1 Mild sensitivity in teeth - At a

time

2 Moderate sensitivity in teeth -

Sensitivity remains only for 1

Prahar (up to 3 hrs)

3 Severe sensitivity in teeth -

Sensitivity remains more than

1 Prahar (more than 3 hrs)

शीतअचधकवमथा (अहर) 0 No sensitivity in teeth

1 Mild sensitivity in teeth - At a

time

2 Moderate sensitivity in teeth -

Sensitivity remains only for 1

Prahar (up to 3 hrs)

3 severe sensitivity in teeth-

Sensitivity remains more than

1 Prahar (more than 3 hrs)

22 कममदनत (स) कषण 0 No discoloration

1 Light greyish black

2 Dark greyish black

3 Jet black

30

Code Signs amp Symptoms Score Gradations Remarks

तिदर 0 No cavity It should be

decided by X-ray

1 Cavity within limit of enamel

2 Cavity within limit of dentin

3 Cavity up to pulp

िर 0 No mobility

1 1 mm antero-posterior

mobility

2 2 mm antero-posterior

mobility

3 More than 2 mm antero-

posterior amp medial to lateral

mobility

सरावी 0 No Srāv- after drying

particular teeth with cotton

inserting cotton on cavity

There is no other

method to check

Srāv in Krimidanta

1 Srāv is present

ससयब = Inflammation 0 No inflammation

1 Inflammation is Present भहारज 0 No Rujā (pain) Or According to

VAS 2 Rujā (pain) is Present on that

gum only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

This condition should be considered as भहारज

अतनसभतमतरज 0 No sudden onset of pain

1 Sudden onset of pain is

present

अहततीवराततशभ (अहर) 0 No sudden onset of pain

31

Code Signs amp Symptoms Score Gradations Remarks

1 Sudden onset of pain is

present

पररन (अहर) = Broken due to cavity

0 Cavity is there but it is not

broken

It should be

considered for each

tooth separately

Cavity in that must

be present in

particular tooth

1 13 part of tooth is broken

2 23 of tooth is broken

3 More than 23 of tooth is

broken

4 Total loss of tooth

ऩमसरत (अहर) 0 No Pooya Srāv after drying

particular place

with cotton

inserting cotton on

cavity

1 Pooya Srāv present

यकतसरत (अहर) 0 No Rakta Srāv after drying

particular place

with cotton

inserting cotton on

cavity

1 Rakta Srāv is present

123 दनतहषभ (स)

शीत सऩशन न सहनत 0 No sensitivity by cold touch

in any teeth

1 Ooccassional sensitivity by

cold touch in any toothteeth

for once

2 Sensitivity by cold touch

remains in toothteeth only up

to 1 Prahar (up to 3hrs)

3 Sensitivity by cold touch

remains more than 1 Prahar

(more than 3hrs)

उषण सऩशन न सहनत 0 No sensitivity by hot touch in

any teeth

1 Occassional sensitivity by hot

touch in toothteeth for once

2 Sensitivity by hot touch

remains in toothteeth only up

to 1 Prahar (up to 3hrs)

3 Sensitivity by hot touch

remains in toothteeth more

than 1 Prahar (more than

3hrs)

32

Code Signs amp Symptoms Score Gradations Remarks

परवाताभा = Sensitivity to air

(परवातारशीतबाभा) (अहर)

0 No sensitivity by Pravāt

touch in any tooth

1 Occassional sensitivity by

Pravāt touch in toothteeth for

once

2 Sensitivity by Pravāt touch

remains in toothteeth only up

to 1 Prahar (up to 3hrs)

3 Sensitivity by Pravāt touch

remains in toothteeth more

than 1 Prahar (more than

3hrs)

अरबाभा = Sensitivity to sour food

(परवातारशीतबाभा) (अहर)

0 No sensitivity by eating

sourer food to any tooth

1 Occassional sensitivity by

eating sourer food to any

toothteeth for once

2 Sensitivity by eating sourer

food remains to toothteeth

only up to 1 Prahar (up to

3hrs)

3 Sensitivity by eating sourer

food remains to toothteeth

more than 1 Prahar (more

than 3hrs)

शीतबाभा (परवातारशीतबाभा) (अहर)

0 No sensitivity by eating cold

item to any tooth

1 Occasional sensitivity by

eating cold item to toothteeth

for once

2 Sensitivity by Pravāt touch

remains in toothteeth only up

to 1 Prahar (up to 3hrs)

3 Sensitivity by eating cold

item remains to toothteeth

more than 1 Prahar (more

than 3hrs)

सरजा (अहर) 0 No Rujā (pain)

33

Code Signs amp Symptoms Score Gradations Remarks

2 Rujā (pain) is Present on that gum only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

2 Rujā (pain) is Present on that gum only where disease is occurred and patient can do hisher routine work without disturbance

िर (अहर) 0 No mobility

1 1 mm anterio-posterior

mobility

2 2 mm anterio-posterior

mobility

3 More than 2 mm antero-

posterior amp medial to lateral

mobility

124 भञजनक (स) =Photograph is necessary

(depending upon the severity gradation has been finalised)

वकतर वकरता 0 No deviation

1 Deviation is present

तीवररक 0 No Rujā (pain) Or according to

VAS

2 Rujā (pain) is Present on that gum only where disease is occurred and patient can do hisher routine work without disturbance

34

Code Signs amp Symptoms Score Gradations Remarks

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

This condition should be considered as तीवररक

दनतबङग 0 Tooth is not broken This should be

considered for

single tooth

1 13 part of tooth is broken

2 23 of tooth is broken

3 More than 23 of tooth is

broken

4 Total loss of tooth

125 दनतशकभ रा (स) =Calculus index was selected

शकयव चसथयीबत भर 0 No calculus present

1 Supragingival calculus

covering not more than third

of the exposed tooth surface

2 Supragingival calculus

covering more than 13 but

not more than 23 of the

exposed tooth surface or the

presence of individual flecks

of subgingival calculus

around the cervical portion of

the tooth or both

3 Supragingival calculus

covering more than 23 of the

exposed tooth surface or

continues heavy band 0f

subgingival calculus around

the cervical portion of the

tooth or both

35

Code Signs amp Symptoms Score Gradations Remarks

दनताना गणहयी 0 Absent All 10 Guna of

Danta Sampata

should be

considered required

suggestions for

each Guna

1 Present

ऩततगचनध (अहर) 0 No foul smell Taken grading of

halitosis

1 Patient feels foul smell

2 Doctor or person who comes near to patient feels foul smell

3 From distance anyone can feels foul smell who is in the room

4 Foul smell can be feel from outside of the room even

126 कपामऱका (स)

दनतवलकसम दरनभ = Bracketing of tooth enamel (दरचनत दनतवलकातन)

0 No दरनभ of tooth This should be

considered

separately for each

tooth

1 दरनभ is present of less than 13 of tooth

2 दरनभ is present of more than of 13 of tooth but less than 23 of tooth

3 दरनभ is present of more than of 23 of tooth but no total loss of tooth

4 Total loss of tooth after दरनभ

This condition should be considered as दशनाना पवनाश

दशनाना पवनाश = Total loss of tooth

0 No Any loss of tooth This should be

considered

separately for each

tooth

1 loss of tooth is present of less than 13 of tooth

2 loss of tooth is present of more than of 13 of tooth but less than 23 of tooth

36

Code Signs amp Symptoms Score Gradations Remarks

3 loss of tooth is present of more than of 23 of tooth but no total loss of tooth

4 Total loss of tooth This condition should be considered as दशनाना पवनाश

दनतशातनभ अणश = Thinning of tooth (शातमतममतममणशो दनतात कऩारातन) (अहर)

0 No शातनभ of tooth This should be

considered

separately for each

tooth

1 शातनभ is present in less than 13 of tooth

2 शातनभ is present in more than 13 of tooth but less than 23 of tooth

3 शातनभ is present in more than 23 of tooth but no total loss of tooth

4 Total loss of tooth due to शातनभ

127 शयावदनतक (स) In शमावदनत शमावता amp नीरता should be considered ascending stages

शमावता + नीरता 0 -No any discolouration of

tooth

-Normal colour of tooth

This should be

considered

separately for each

tooth

1 शमावता is Present

2 नीरता is Present

128 हनमो (स) According to Dalhan हनमो is not Dant Rog directly but it is near to

Dantchewing of hard food is one of the causes and there is pain in Dant so it is considered under Danta Rog

हनसचनधपवसहत 0 Absent

1 Can be reset by manual reduction

2 Can be reset by surgical

intervention

129 दनतभद (अहर) तोद =Pricking pain 0 No Pricking pain -Or According to

VAS

- This should be

considered

separately for each

tooth

37

Code Signs amp Symptoms Score Gradations Remarks

2 Pricking pain is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Pricking pain is referred up to Hanu and patient can do hisher routine work without disturbance

4 Pricking pain is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Pricking pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Pricking pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

बद Braking pain 0 No Braking pain -Or According to

VAS

- This should be

considered

separately for each

tooth

2 Braking pain is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Braking pain is referred up to Hanu and patient can do hisher routine work without disturbance

4 Braking pain is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Braking pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Braking pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

38

Code Signs amp Symptoms Score Gradations Remarks

रक Dull pain 0 No Rujā (pain) -Or According to

VAS

- This should be

considered

separately for each

tooth

2 Rujā (pain) is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

सपिन Burstingexpanding pain

0 No Bursting pain -Or According to

VAS

- This should be

considered

separately for each

tooth

2 Bursting pain is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Bursting pain is referred up to Hanu and patient can do hisher routine work without disturbance

4 Bursting pain is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

39

Code Signs amp Symptoms Score Gradations Remarks

5 Bursting pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Bursting pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

1210 दनतचाऱ (अहर) िरतमव = Mobility 0 No = mobility

1 1mm anterio-posterior

mobility

2 2 mm anterio-posterior

mobility

3 More than 2 mm anterio-

posterior amp medial to lateral

mobility

बणादचधकवमथ 0 No Vyatha ndash Pain during

eating

1 Pain during eating of hard

diet only

2 Pain during eating of soft diet

even

1211 कराऱ (स)

=Malocclusion

0 A Normal Molar relationship

exist but there is crowding

misalignment of the teeth

cross bite etc

1 A malocclusion where the

molar relationship shows the

buccal grove of mandibular

first molar distally positioned

when in occlusion with the

mesiobuccal cusp of the

maxillary first molar

2 A malocclusion where the

molar relationship shows the

buccal groove of the

mandibular first molar

mesiallypos

40

GRADATIONS OF JIHWA GAT ROG

Code - 13

Established by Group BHOJ Dr Krishna Makaia ndash Convener

Dr Rajeshree Unadkat Dr Neelam Dave

Dr Ronakgiri Gosai Dr Jignesh Virapariya

Reviewed by Dr Vijayant Bharadwaj

Edited by Prof Vd Hāridra Dave

41

Code Signs amp Symptoms Score Gradations Remarks

131 वाततक चजहवाकिक (स) सपटिता (Creaks) 0 No creaks on tongue

1 Single creak on the dorsum of tongue

2 Multiple Creaks on the dorsum of tongue

3 Multiple deep creaks on the dorsum of tongue (Bleeding)

परसपता (Numbness )

0 No Numbness

1 Numbness in 13 Part of tongue

2 Numbness in 23 Part of tongue

3 Numbness in more than 23 Part of tongue

शाकछिदनपरकाशा (Roughness)

0 Normal surface of tongue on touch

1 Mild rough surface on touch

2 Hard irregular surface on touch

3 Very rough surface which hurts the finger on touch

132 ऩततक चजहवाकिक (स) ऩीता 0 No yellowish discolouration

1 Yellowish discoloration in 13 part

2 Yellowish discoloration in 23 part

3 Yellowish discoloration in more than 23 part of tongue

ऩरयदहमत Burning in entire tongue)

0 No burning Or According to VAS

1 Occasional burning

2 Intermittent burning

3 Continuous burning does not relieve by any measures

दाह (Burning may be

in partially tongue)

0 No Burning Or According to VAS

1 Burning up to 13 part of tongue

2 Burning in 13 to 23 part of tongue

3 Burning in more than 23 part of tongue

42

Code Signs amp Symptoms Score Gradations Remarks

यकतभासाङकयचशिता (Covered with red buds )

0 No change in appearance

1 13 part of tongue covered with red fleshy buds

2 23 part of tongue covered with red fleshy buds

3 Whole tongue covered with red fleshy buds

ओष (Burning) 0 No Oshha Or According to VAS

1 Oshha up to 13 part of tongue

2 Oshha in 13 to 23 part of tongue

3 Oshha in more than 23 part of tongue

133 कपज चजहवाकिक (स) फहरा (Thick) 0 Normal Thickness of Tongue

1 Thickness increased - noticeable by patient

2 Thickness increased - noticeable by the examiner

3 Tongue protruding out because of increased Thickness

गवी (Heaviness) 0 No Heaviness

1 Feeling mild heaviness but no difficulty in Tongue movement

2 Difficulty in Tongue movement especially during intake of liquid

3 Difficulty in Tongue movement especially during intake of hard food

4 Difficulty in Tongue movement especially during Pronunciation

भासोदगभ शालभसरकणिकाब (thorn like papilla)

0 No change in appearance of tongue

1 13 part of tongue covered with red fleshy thorn like papilla

2 23 part of tongue covered with thorn like papilla

3 Whole tongue covered with thorn like papilla

43

Code Signs amp Symptoms Score Gradations Remarks

134 अरास (स) शवमथ

(Swelling at ventral surface of tongue)

0 Absent

1 Present

सतबमतत (Restricted tongue movement)

0 -Normal Movement of Tongue -Movement of tongue not affected

1 Tongue movement slightly restricted but does not affect the normal function

2 Tongue movement restricted that affects the normal function

3 Tongue movement arrested

परवदध

(Increase in size)

0 Size not increased

1 Size increased - noticeable by the patient

2 Size increased - noticeable by the examiner

3 Tongue protruding out because of increased size

ऩाक 0 No swelling or suppuration

1 Inflammation with pain and tenderness

2 Inflammation with different types of pain and tenderness along with induration

3 Pus formation and fluctuation positive

अधशोप 0 Absent

1 Present

उननत (elevation of

the tongue due to swelling below the tongue)

0 Normal position of tongue

1 Tongue slightly elevated due to swelling below the tongue

2 Tongue elevation causes discomfort to the patient

3 Tongue touches the palate

भतमसमगचनध

(Fishy smell)

0 Absent

1 Present

44

Code Signs amp Symptoms Score Gradations Remarks

भासशातन (Destruction of flesh of tongue )

0 No Destruction of tongue flesh

1 13 part of tongue flesh is destroyed

2 23 part of tongue flesh is destroyed

3 More than 23 part of tongue is destroyed

135 उऩचजचहवका (स) शवमथ (Swelling) 0 Absent

1 Present

चजहवाभननम

जात (elevation of

tongue because of swelling)

0 Normal position of tongue

1 Tongue slightly elevated due to swelling below the tongue

2 Tongue elevation causes discomfort to the patient

3 Tongue touches the palate

परसक (Salivation) 0 Normal secretion of saliva

1 Occasionally spitting

2 Off and on spitting

3 Continuous spitting which disturbs the work

कणड (Itching) 0 No itching Or According to VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate on work due to severe itching

0r

0 No itching

1 Occasional itching

2 Off and on itching

3 Continuous itching

ऩरयदाह (Burning in

whole tongue)

0 No burning Or According to VAS

1 Occasional burning

2 Intermittent burning

3 Contentious burning dose not relive by any measures

45

Code Signs amp Symptoms Score Gradations Remarks

136 अचधचजचहवका (अर)

अधोचजहवामा शोप

0 Normal position of tongue

(Swelling below the tongue)

1 Tongue slightly elevated due to swelling below the tongue

2 Tongue elevation causes discomfort to the patient

3 Tongue touches the palate

अङकय (Pappilary

growth)

0 Absent

1 Present

ओष (Burning) 0 No Oshh Or According to

VAS

1 Oshh up to 13 part of tongue

2 Oshh in 13 to 23 part of tongue

3 Oshh in more than 23 part of tongue

सतबवान

(Restriction of Movement)

0 Movement of tongue not affected

1 Tongue movement slightly restricted but does not affect the normal function

2 Tongue movement restricted that affect the normal function

3 Tongue movement arrested

खय(Rough) 0 Smooth on touch

1 Mild irregular surface

2 Rough surface

3 Sharp rough surface touch hurts on finger on touch

रक (Pain) 0 No pain Or According to

VAS

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

कणड (Itching) 0 No itching Or According to

VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate on work due to severe itching

0r

0 No itching

46

Code Signs amp Symptoms Score Gradations Remarks

1 Occasional itching

2 Off and on itching

3 Continuous itching

वाकम पवघातकत (Difficulty in speech)

0 No difficulty in speech

1 Unable to speak िति vargavyanjana

2 Difficulty in speaking क vargavyanjana

Swara donrsquot need involvement of tongue

3 Unable to speak

आहयपवघातकत

(Swallowing )

0 Able to eat regular diet

1 Able to eat soft diet

2 Able to eat only liquid diet

3 Unable to swallow anything

47

GRADATION OF TALUGAT ROG

Code - 14

Established by Group BHOJ Dr Krishna Makaia ndash Convener

Dr Rajeshree Unadkat Dr Neelam Dave

Dr Ronakgiri Gosai Dr Jignesh Virapariya

Reviewed by Dr Vijayant Bharadwaj

Edited by Prof Vd Hāridra Dave

48

Code Signs amp Symptoms Score Gradations Remarks

141 गरशचणडका (स)

परवदधो शोप (Swelling extending from palate) (Which is elongated)

0 Normal size of uvula

1 Swelling of uvula that causes discomfort to the patient

2 Swelling of uvula that causes foreign body sensation

3 Difficulty in breathing due to swelling

दीघ शोप

(Elongated Swelling)

0 Normal size of uvula

1 Elongated swelling of uvula that causes discomfort to the patient

2 Elongated swelling of uvula that causes foreign body sensation

3 Difficulty in breathing due to Elongated swelling

धभातफचसतपरकाश शोप =Inflated

swelling like Basti

0 Normal size of uvula

1 Inflated swelling like Basti of uvula that causes discomfort to the patient

2 Inflated swelling like Basti of uvula that causes foreign body sensation

3 Difficulty in breathing due to Inflated swelling like Basti

तषणा 0 Normal feeling of thirst

1 Increased feeling of thirst which is relived after drinking water

The quantity of water is not consider here but the frequency of water is considered

2 Frequent feeling of thirst which is Occasional relived after drinking water

3 Continuous feeling of thirst does not relive after drinking profuse amount of water

कास (Coughing) 0 No coughing

49

Code Signs amp Symptoms Score Gradations Remarks

1 Occasional coughing during eating and speaking

2 Off and on coughing

3 Continuous coughing

शवास 0 No difficulty in breathing

1 Difficulty in breathing occasionally

2 More difficulty in breathing while sleeping

3 Excessive difficulty in breathing

भतमसमफचसततनब शोप (अहर)

0 Normal uvula Used as an adjective

1 Inflated swelling like Matsya-Basti of uvula that causes discomfort to the patient

2 Inflated swelling like Matsya-Basti of uvula that causes foreign body sensation

3 Difficulty in breathing due to Inflated swelling like Matsya-Basti

पररफ (अहर) 0 Normal length of Uvula

(Elongated Swelling)

1 Size of Uvula increased up to lt2 mm

2 Size of Uvula increased more than 2 mm but less than 4 mm

3 Size of Uvula increased gt4 mm that cause discomfort to patient and cause difficulty in breathing

पऩचछिर(अहर) (Sliminess)

0 Absent

1 Present

नासमाऽऽहायभीयमन (अहर)

0 Food does not come out from nose

(Food comes out of nose)

1 Food comes out from nose

कणठोऩयोध(अहर) (Obstruction of throat )

0 -Able to eat regular diet -No difficulty in swallowing of any food

1 Able to swallow liquid or soft diet but not able to swallow hard diet

2 Able to swallow hard diet forcefully

50

Code Signs amp Symptoms Score Gradations Remarks

3 Not able to swallow hard diet with force

वभन(अहर) (Vomiting)

0 No Vaman

1 Feeling of nausea only

2 Only one veg of Vaman in a day

3 Two vegas of Vaman in a day

4 More than two vegas of Vaman in a day

132 तचणडकयी (स)

शोप (Tonsillar

Swelling)

0 Tonsils are located within the tonsillar fossa

1 Tonsils hypertrophy till the brim of the tonsillar fossa

2 Tonsils hypertrophy extends beyond the pillars but not touching each other

3 Tonsils hypertrophy extends beyond the pillars but not touching each other

तोद

(Pricking pain)

0 No pain

1 Occasional pain Or according to VAS

2 Off and on pain

3 Continuous pain

दाह (Burning) 0 No

1 Occasional burning

2 Intermittent burning

3 Contentious burning dose not relive by any measures

परऩाक 0 Absent

1 Present

पऩचछिर शोप(अहर)

Sliminess in swallowing

0 Feeling of Sliminess is Absent

1 Feeling of Sliminess is Present

भनदरक (अहर)

(Mild pain)

0 Absent Or According to

VAS

1 Present

133 अधरष (स)

शोप (Swelling) 0 No swelling

1 13 Swelling in part of the palate

51

Code Signs amp Symptoms Score Gradations Remarks

2 23 swelling in part of palate

3 Swelling in gt than 23 part of palate

सतबधता =Functions of soft palate like deglutition Phonation etc are affected = No mobility of soft palate

0 Normal function of soft palate

1 Soft palate movement reduced but functions are not affected

2 Any one of the functions of soft palate is affected

3 All functions of soft palate are affected

रोटहतवणता

(Redness)

0 No change in colour

1 Pinkish red coloured mucosa in palate

2 Red coloured mucosa in palate

3 Dark red coloured mucosa in palate

रजा (Pain) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

जजवय (Fever) 0 Normal temperature

1 Temperature between 984rsquoF to 100rsquoF

Temperature between 100rsquoF to 101rsquoF

2 Temperature between 101rsquoF to 102rsquoF

3 Temperature between 102rsquoF to 103rsquoF

52

Code Signs amp Symptoms Score Gradations Remarks

4 Temperature between 103rsquoF to 104rsquoF

5 Temperature more than 104rsquoF

134 कछिऩ (स)

कभवत उतमसनन शोप (Swelling

having shape like dorsum of tortoise)

0 No swelling

1 Swelling in 13rd part of the palate

2 Swelling in 23rd part of palate

3 Swelling in gt 23rd part of palate

चियवपदध(अहर)

(Slow growth)

0 Growth within a week

1 Growth within 1 week to 1 month

2 Growth within 1 month to 6 months

3 Growth within gt 6 months

रक (अहर) (Pain) 0 No pain Or According to VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesics

135 तारअफद (स) ऩदमाकाय तारभधम

शोपम (Swelling

like shape of lotus )

0 No swelling

1 Swelling in 13rd part of the palate

2 2 Swelling in 23rd part of palate

3 3 Swelling in gt 23rd part of palate

136 भाससङघात (स) नीरज (Painless) 0 Absent

1 Present

53

Code Signs amp Symptoms Score Gradations Remarks

शोप 0 No swelling

1 Swelling in 13rd part of the palate

2 Swelling in 23rd part of palate

3 Swelling in gt 23rd part of palate

137 तारऩपऩि (स) नीरक (Painless) 0 Absent

1 Present

कोरभातर

Swelling having size of Kola fruit

0 Absent

1 Present

138 तारशोष (स)

शोष (Dryness) 0 No dryness

1 Dryness decreased after drinking water

2 Patient needs water frequently

3 Dryness persist after dinking profuse water

दायण (Tearing of palate)

0 Absent

1 Present

शवास (Difficulty in

breathing)

0 No difficulty in breathing Here difficulty in breathing is due to obstruction

1 Difficulty in breathing occasionally

2 More difficulty in breathing while sleeping position

3 Excessive difficulty in breathing

जजवय(अहर) (Fever) 0 Normal temperature

1 Temperature between 984rsquoF to 100rsquoF

Temperature between 100rsquoF to 101rsquoF

2 Temperature between 101rsquoF to 102rsquoF

3 Temperature between 102rsquoF to 103rsquoF

4 Temperature between 103rsquoF to 104rsquoF

5 Temperature more than 104rsquoF

54

Code Signs amp Symptoms Score Gradations Remarks

139 तारऩाक (स) ऩाक (Suppuration) 0 No swelling or suppuration

1 Inflammation of palate with pain and tenderness

2 Inflammation of palate with different types of pain and tenderness with induration

3 Pus formation and fluctuation positive

1310 तारपऩटिका (अहर) तारभास पऩटिका

Follicles in palate flesh

0 No follicles

1 13 palate covered with follicles

2 23 palate covered with follicles

3 More than 23 palate covered with follicles

रज(अहर) (Pain) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

Occasional pain

खयता(अहर) (Roughness)

0 Smooth on touch

1 Mild irregular surface on touch

2 Rough surface

3 Sharp rough surface which hurts on finger on touch

घनसराव(अहर) (Thick discharge)

0 No discharge

1 Occasional discharge

2 Off and on thick discharge

3 Continuous thick discharge

1311 तारसहतत (अहर) तारभधम तनरक (अहर) =Painless fleshy growth in palate

Only तारभधम तनरक indicates the place and quality of growth both the symptoms can be

merged

55

Code Signs amp Symptoms Score Gradations Remarks

तनरक (Painless) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

भाससहत

(Fleshy growth in palate)

0 No fleshy growth

1 Fleshy growth in 13 part of the palate Swelling

2 Fleshy growth in 23 part of palate swelling

3 Fleshy growth in more than 23 part of palate

56

GRADATION OF SARVASAR ROG

Code - 15

Established by Group BHOJ Dr Krishna Makaia ndash Convener

Dr Rajeshree Unadkat Dr Neelam Dave

Dr Ronakgiri Gosai Dr Jignesh Virapariya

Reviewed by Dr Vijayant Bharadwaj

Edited by Prof Vd Hāridra Dave

57

Code Signs amp Symptoms Score Gradations Remarks

151 वातजसवसय (स) सपोि (Ulcers) 0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

तोद = Pricking pain 0 No pricking pain Or According to VAS

1 Occasional pricking pain

2 Off and on pricking pain

3 Continuous pricking pain

Or

0 No pricking pain

1 Sometimes mild pricking pain

2 Has to take analgesic while pricking pain

सिारयण(अहर) This symptom is for सवसय so this सवसय is the nature of सिारय

0 No movement of सवसय

1 Movement of सवसय is once in a week

2 Movement of सवसय is once in three to four days

3 Movement of सवसय is at every alternate day

4 Movement of सवसय is once in a day

अरण (अहर) Reddish discoloration

0 Colour of वरण is same with colour of surrounding area

1 Colour of वरण is Reddish

2 Colour of वरण is Dark Red

3 Colour of वरण is Reddish black

र (अहर) Dryness 0 वरण is Moist

-No dryness of वरण

1 वरण Needs lubrication once a day

2 वरण Needs frequent lubrication in

a day

3 No benefit with frequent

lubrication of वरण

तामरता (अहर) (Coppery

0 Colour of वरणौषठ is same with colour of surrounding area

58

Code Signs amp Symptoms Score Gradations Remarks

discoloration) This symptom is for

वरणौषठ

1 Colour of वरणौषठ is Tamra Varna

चऱतवचा (अहर) (Free mucous membrane) This symptom is for

वरणौषठ

0

Movement of वरणौषठ is on touch

only

1 Movement of वरणौषठ can be seen by naked eye means without touch

शीतासहा (अहर) (Intolerance to cold) This symptom is for

जजहवा

0 No Intolerance of cold to जजहवा

1 Intolerance of severe cold to जजहवा

2 Intolerance of moderate cold to जजहवा

3 Intolerance of Mild cold to जजहवा

गवी (Heaviness)

This symptom is for

जजहवा

0 No Heaviness

1 Mild heaviness with no difficulty

in movement of जजहवा

2 Moderate heaviness with

difficulty in Movement of जजहवा

3 Sever heaviness with bending down of

सफटटता (अहर) (Ulcer)

0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

कणटाकाधचता (अहर) = Thorn like

appearance

0 No change in appearance

59

Code Signs amp Symptoms Score Gradations Remarks

1 13 part of oral mucous membrane covered with red fleshy thorn like papillae

2 23 part of oral mucous membrane covered with red fleshy thorn like papillae

3 gt23 part of oral mucous membrane covered with red fleshy thorn like papillae

षववणोतत कचछरणमखम (अहर) (Difficulty in mouth opening)

0 Mouth opening more than 3 fingers without difficulty

1 2 to 3 fingers opening of mouth with or without difficulty

2 1 to 2 fingers opening of mouth with or without difficulty

3 Less than 1 finger opening of mouth with or without difficulty

152 पऩतमत(यकतज)सवसय (स) Signs and Symptoms of यकतज सवसय are same as of पऩतमत सवसय so no separate gradations are mentioned

यकतता (Redness) 0 Colour of सवसय- वरण is similar with

surrounding mucous membrane

1 Reddish Colour of सवसय- वरण

2 Bright red Colour of सवसय- वरण

3 Dark red Colour of सवसय- वरण

सदाह (Burning

Sensation)

0 No burning in सवसय- वरण Or According to

VAS

1 Occasional burning in सवसय- वरण

2 Intermittent burning in सवसय- वरण

3 Contentious burning in सवसय- वरण

which does not relive by any measures

तन (तनसब) (Shallow superficial ulcers)

0 No ulcer

1 Ulcer having depth of 05-1 mm

2 Ulcer having depth of 1 ndash 15 mm

3 Ulcer having depth of 15 -2 mm

60

Code Signs amp Symptoms Score Gradations Remarks

ओष (अहर) 0 No (ओष) burning in सवसय- वरण

1 Occasional (ओष) burning in

सवसय- वरण

2 Intermittent (ओष) burning in

सवसय- वरण

3 Contentious (ओष) burning in

सवसय- वरण which does not relive

by any measures

ततकतवकरता (अहर) (Bitter taste in mouth)

0 No alteration in taste

1 Occasionally bitter taste felt in mouth without having any bitter substance

2 Off and on bitter taste felt in mouth without having any bitter substance

3 Continuous bitter taste felt in mouth without having any bitter substance

ारोकषतत समावरणा (अहर)

0 No Ulcer

(Ulcers looking like chemical burns)

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

153 कपज सवसय (स) कणड (Itching) 0 No itching Or According to

VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Unable to work due to itching

0r

0 No itching

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate on work due to severe itching

रजा (Pain)

(अलऩ रजा) 0 No pain Or According to

VAS

1 Occasional pain

61

Code Signs amp Symptoms Score Gradations Remarks

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain This condition should be considered as अलऩ रजा

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

सवणण 0 Colour of वरण is same with colour of near by tissue

1 Colour of वरण is not same with colour of near by tissue

मररासयतवम (अहर) (Sweet taste in mouth)

0 No alteration in taste

1 Occasionally sweet taste felt without eating any sweet substance

2 Off and on Sweet taste Occasionally sweet taste felt without eating any sweet substance

3 Continuous sweet taste Occasionally sweet taste felt without eating any sweet substance

षपजचछिऱता (अहर) (Unctuousness)

0 Absent

1 Present

वरण 0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

154 कफाबभद (अहर) शयाव अबभदम

(शयावपाणडऽबभदम) 0 Colour of growthtumour is same

the colour of surrounding skin

1 Colour of growthtumour is शयाव

(Blackish)

62

Code Signs amp Symptoms Score Gradations Remarks

पाणड अबभदम (शयावपाणडऽबभदम)

0 Colour of growthtumour is same the colour of surrounding skin

1 Colour of growthtumour is पाणड

(Pale)

अबभदम 0 No GrowthTumour TNM Classification for tumours can be applied for growth

1 Growthtumour having sizelt 10 mm

2 Growthtumour having size 10 mm to 20 mm

3 Growthtumour having size gt 20 mm

घटिता तिनना मटदता च षववरभत (Size increases on rubbing cutting and squeezing)

0 Size of GrowthTumour is not increasing by rubbing cutting or squeezing

1 Size of GrowthTumour is increasing up to 10 mm by rubbing cutting or squeezing within a month

2 Size of GrowthTumour is increasing up to 20 mm by rubbing cutting or squeezing within a month

3 Size of GrowthTumour is increasing up to 30 mm by rubbing cutting or squeezing within a month

4 Size of GrowthTumour is increasing up to 40 mm by rubbing cutting or squeezing within a month

155 ऊरधवभगद (अहर) वकतरदौगनधम

(Halitosis)

0 No Halitosis

1 Halitosis is feel by Patient only

2 Halitosis is feel by Patient and examining Doctor only

3 Halitosis is feel by any person from the distance from 5 meters

63

Code Signs amp Symptoms Score Gradations Remarks

4 Halitosis is feel by any person from the distance from more than 5 meters

156 पततवकर (अहर) ऩतममासमता

(Halitosis)

0 No Halitosis

1 Halitosis is feel by Patient only

2 Halitosis is feel by Patient and examining Doctor only

3 Halitosis is feel by any person from the distance from 5 meters

4 Halitosis is feel by any person from the distance from more than 5 meters

157 सतनऩाततक सवसय (अहर) This disease occurs due to aggravation of all three doshas including Rakta Clinical presentation of this disease is found as mixed picture according prominent aggravation of dosha and signs and symptoms will be observed accordingly Gradations should be considered accordingly so it is not required to repeat here

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Page 12: THE GRADATIONS OF DISEASES OF SHALAKYA TANTRA - PART …theassociationofshalaki.com/downloads/GRADATIONS_OF_DISEASE… · 12.05.2019  · I am also very much thankful to Dr Sandhya

11

Code Signs amp Symptoms Score Gradations Remarks

3 Lips look more bluish or purplish

ऩीतवणता (Yellowish

discoloration)

0 No discoloration

1 Reddish yellow discoloration

2 Yellowish discoloration

3 Lips look pale yellow

तीकषणासह 0 No irritation to spicy salty sour pungent or hot food

=Intolerance to spicy salty sour pungent or hot food

1 Irritation to spicy and hot food

2 Irritation to spicy salty sour pungent or hot food

3 Irritation to any food

फहकरदा (Excessive moisture)

0 No collection of fluid

1 Follicles with fluid accumulation

2 Follicles with excessive fluid accumulation

3 Follicle with excessive fluid accumulation and patient tries to clean the lips frequently

आशऩाक (Quick

suppuration)

0 Suppuration after 7 days

1 Suppuration within 5 to 7 days

2 Suppuration within 2 to 5 days

3 Suppuration within one day This condition should be considered as

आशऩाक

103 कपज ओषठयोग (स) सवण पऩडका (Follicles

same as lip colour)

0 No Follicles

1 Up to 13 of Oshtha is covered with few of the same coloured and with various sizes of follicles

2 From13 to 23 part of Oshtha is covered with few multiple follicles of the same colour and with various sizes

3 More than 23 part of Oshtha is covered with few multiple follicles of the same colour and with various sizes

कणड (Itching) 0 No itching

12

Code Signs amp Symptoms Score Gradations Remarks

1 Occasional mild itching not disturbing work

2 Off and on moderate itching disturbing work

3 Cannot concentrate in work due to continuous severe itching

शन (Swelling) 0 No Swelling

1 Slightly bigger than normal size not noticed by another person

2 Swelling Noticeable by another person

3 Severe Swelling with restriction of normal movement

पऩचछिरता (Sliminess) 0 No Sliminess

1 Mild sliminess

2 Moderate sliminess

3 Severe sliminess

शीतरता -Subjective

(Feeling of coldness by patient)

0 No feeling of coldness by patient Subjective and objective both should be taken

1 Feeling of coldness by patient but no change in temperature

2 Feeling of coldness by patient which is colder than body temperature on touch by the patient

शीतरता -Objective

(Decreased Temperature)

0 No change in temperature

1 1 less than body temperature

2 gt1less than body temperature

गरता (Heaviness) 0 No Heaviness

1 Mild heaviness no difficulty in lip movement

2 Difficulty in lip function due to Heaviness

3 Protrusion of lip due to heaviness

शीतासह

(Intolerance to cold)

0 No Intolerance to cold

1 Intolerance to severe cold

2 Intolerance to moderate cold

3 Intolerance to Mild cold

13

Code Signs amp Symptoms Score Gradations Remarks

104 सतनऩातज ओषठयोग (स) कषणता (Blackish

discoloration)

0 No change in colour In original Shlok lsquoSakrutrsquo word is used along with all types of discolorations According to expert of Sanskrit language and expert of Samhita subject the meaning of lsquoSakrutrsquo is lsquosometimesrsquo and another meaning of this world is lsquosome partrsquo Here we have taken meaning lsquosome partrsquo

1 13 Part of one lip is blackish in colour

2 13 Part of both lips are blackish in colour

3 23 Part of one lip is blackish in colour

4 23 Part of both lips are blackish in colour

5 More than 23 Part of one lip is blackish in colour

6 More than 23 Part of both lips are blackish in colour

ऩीतता (Yellowish

discoloration)

0 No change in colour

1 13 Part of one lip is yellowish in colour

2 13 Part of both lips are yellowish in colour

3 23 Part of one lip is yellowish in colour

4 23 Part of both lips are yellowish in colour

5 More than 23 Part of one lip is yellowish in colour

6 More than 23 Part of both lips are yellowish in colour

अनकपऩडडकाचितौ 0 No Follicles in any of lips

(Multiple follilcles) 1 13 lipLips isare covered with few follicles of various sizes

2 13 lipLips isare covered with multiple follicles of various sizes

3 23 lipLips isare covered with multiple follicles of various sizes

4 Multiple follicles with various sizes (23 lip covered)

5 More than 23 lipLips isare covered with multiple follicles of various sizes follicles

14

Code Signs amp Symptoms Score Gradations Remarks

दगनधौ (Foul smell) 0 No Foul smell

1 Only patient feel foul smell

2 Nearby Doctor 0r people can feel foul smell

3 Foul smell is not tolerable by the patient and the nearby person

आसरावौ (Discharge) 0 No Discharge is on any of lips In Sannipataja disease usually the mixed type of discharge is found So here the type of discharge is not considered The quantity of discharge is considered

1 Mild discharge collected on any one lip

2 Mild discharge collected on both lips or Moderate discharge collected on any one lip which has to be cleaned occasionally

3 Moderate discharge collected on both lips which has to be cleaned occasionally

4 Moderate discharge collected on both lips which has to be cleaned frequently

5 Severe or continuous discharge collected on lipLips which has to be cleaned frequently

पऩचछिरौ (Sliminess) 0 No sliminess

1 Mild Sliminess

2 Moderate Sliminess

3 Severe Sliminess

अकसभातमरानसशन रजौ (अहर) अकसभात

= All of a sudden = Without any reason = Spontaneous = Both Lips become Mlān swollen and painful all of a sudden andwithout any reason

अकसभातमरानौ (अहर) 0 No change in appearance

(Spontaneous Faded) 1 Lips look dull occasionally

15

Code Signs amp Symptoms Score Gradations Remarks

2 Lips look faded off and on in a day

3 Lips look faded and dirty frequently in a day

अकसभातसशनौ (अहर) 0 No Swelling

(Spontaneous swelling) 1 Occasionally Swelling in a day Here the size of swelling is not considered but the spontaneous nature of swilling is considered

2 Off and on swelling in a day

3 Swelling frequently in a day

अकसभात रजौ (अहर) (Pain)

0 No pain Or According to VAS

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

पवषभऩाककनौ (अहर) (Irregular suppuration )

0 No suppuration

1 Suppuration in 13 part of lips

2 Suppuration in 23 part of lip

3 Suppuration in major of lip

105 यकतज ओषठयोग (स) खजयपर पऩडका 0 No follicles

(Brownish follicles) 1 13 lip covered with brownish colour follicles

2 23 lip covered with brownish colour follicles

3 More than 23 lip covered with follicles

रचधयसराव (रचधय सरवत) (Bleeding)

0 No bleeding

1 Bleeding on touch or movement

2 Spontaneous bleeding

3 Continuous Bleeding

अफद बवत 0 No tumour

1 Tumour is 2 cm in size

2 Tumour is 4 cm in size

3 Tumour is gt4 cm in size

106 भासज ओषठयोग (स) भासपऩणडवत उदगतौ

(Bulky) 0 No Growth This word is used

as an adjective of

Sthoola See सथल

16

Code Signs amp Symptoms Score Gradations Remarks

1 Growth is present in both Oshtha but no discomfort to patient

2 Growth is present in both Oshtha with discomfort to patient

3 Large Growth is present in both Oshtha involving the surrounding region

जनतवशिातर भछिचनत सककसमोबमतो भखात

0 No Maggot Formation

1 Maggot formation on one side of the angle of mouth

2 Maggot Formation on both angles of mouth

3 Excessive maggot Formation

गर 0 No Heaviness in any of the lip

1 Mild heaviness no difficulty in lips movement

2 Difficulty in Lips function due to Heaviness

3 Protrusion of both lips

सथरौ (Bulky)

According to Sanskrit ndash English Dictionary

0 Size not increased

1 Slightly bigger than normal no noticeable by other person

2 Bigger than normal noticeable by another person

3 Bigger size effect the lip movement and lip protrudes down

107 भदज ओषठयोग (स) घतभणडाबौ (Clear

melted butter like)

0 Does not look like filled with clear part of melted butter

Here the specific appearance is given so the area is considerd

1 13 part of both lips looks like filled with clear part of melted butter

2 23 part of both lips looks like filled with clear part of melted butter

3 More than 23 part of both lips looks like filled with clear part of melted butter

कणड 0 No itching Or According to VAS

1 Itching in both lips but not disturbing work

17

Code Signs amp Symptoms Score Gradations Remarks

2 Itching in both lips but disturbing work

3 in both lips and cannot concentrate in work due to itching

Or

0 No itching

1 Occasional itching

2 Off and on itching

3 Continuous itching

चसथयौ 0 Movement of lips not affected

(Immobility) 1 Lip movement slightly affected but no difficulty in speech

2 Lip movement affected which alter the speech

3 Lip movement arrested

भदता (Sponginess) 0 Absent

1 Present

आसराव (अछि सपटिक सङकाशभ) (discharge of clear fluid)

0 No discharge अचछ सफटिक Word is Adjective for the type of discharge So grading is given for the frequency of discharge

1 Occasional discharge

2 Off and on discharge of clear fluid

3 Continuous discharge of clear fluid

गर 0 No Heaviness

1 Mild heaviness no difficulty in lip movement

2 Difficulty in lip function due to heaviness

3 Protrusion of lip due to heaviness

तराबशवमथ (अहर) 0 Does not look like filled with oil As per the घतभणडाब

tailabha is used as adjective so grading is given for Shvayathu

1 13 part of lips looks like filled with oil

2 23 part of lips looks filled with oil

3 More than 23 part of lips looks like filled with oil

सराव 0 No discharge

1 Occasional discharge

2 Off and on discharge of clear fluid

3 Continuous discharge of clear fluid

तराबकरदौ (Moister) 0 Absent Darshan pariksha

18

Code Signs amp Symptoms Score Gradations Remarks

1 Present

कणड 0 No itching Or According to VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate in work due to itching

OR

0 No itching

1 Occasional itching

2 Off and on itching

3 Continuous itching

109 तज ओषठयोग (स) पवदीमता (Tear) 0 No tear

1 Cut Up to epithelial layer

2 Cut Up to Sub epithelial layer

3 Cut up to muscular layer

ऩाटमता (Lips divided

in two parts)

0 Lips divided into two parts

1 Absent

2 Present

गरचथत

(NodulesLumps)

0 No lumps

1 Soft lumps

2 Hard Lumps

3 Multiple lumps

कणड (Itching) 0 No itching Or According to VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate in work due to itching

OR

0 No itching

1 Occasional itching

2 Off and on itching

3 Continuous itching

दशनछिदौ (अहर) (Lips covering the teeth)

0 Covering the teeth completely

1 Partial covering (gt50 ) the teeth

2 Covering the teeth lt50

19

Code Signs amp Symptoms Score Gradations Remarks

3 Not covering the teeth (All teeth exposed)

1010 जराफद (अहर) जरफदफदवद

(Cystic Swelling)

0 No Cystic Swelling

1 Up to 5mm Swelling

2 Swelling up to 5-10mm

3 More than 10mm

1011 यकताफद (स) रचधय सराव

रचधय सरवत 0 No bleeding

(Bleeding) 1 Bleeding on touch or movement

2 Spontaneous bleeding

3 Continuous bleeding

खजयसदश 0 Absent Used as an adjective

(Date fruits like) 1 Present

1012 खणडौषठ (अ)

ओषठोदपवधाकत 0 No separation of lips

(Lips divided separated into two parts)

1 Separation up to vermilion line

2 Separation up to Philtrum

3 Separation up to Collumella

20

GRADATION OF DANTA MOOL GAT ROG

Code ndash 11

Gradations established by Group KARAL Dr Krishna Makadia - Convener

Dantvaidya Saroj Joshi Dantvaidya Harshad Joshi

Dr Kiran Raj Dr Achyuta Atara Dr Pranav Dave

Gradations Reviewed by Dr Hemangi Shukla Dr Krishna Makadia

Edited by Prof Vd Hāridra Dave

21

Code Signs amp Symptoms Score Gradations Remarks

111 शीताद (स) अकसभात यकतसराव 0 No bleeding

1 Occasional bleeding for 1 or 2 times in 1 Prahar

2 Spontaneous Bleeding up to one Prahar

3 Spontaneous Bleeding for more than 1 Prahar (more than 3hrs)

दगनधीतन 0 No foul smell

1 Patient feels foul smell

2 Doctor or person who comes near to patient feels foul smell

3 From distance anyone can feels foul smell who is in the room

4 Foul smell can be feel from outside of the room even

सकषणातन 0 Absent

=Blackish discoloration

1 Present

परकरदीतन 0 Absent

1 Present

भदता 0 Absent

1 Present

दनतभास शीमनत 0 Gums situated At CE junction

1 Recession of gums At cervical 13

2 Recession of gums At middle 13

3 Recession of gums At apical 13

ऩिचनत ि ऩयसऩयभ 0 No Pachan (Pāk)

= Pāk 1 1 Quadrant is involved

2 2 quadrants are involved

3 More than 2 quadrants are involved

112 दनतपपपटक (स) दनतमोसतरीष वा 0 No involvement of teeth

1 Involvement of 2 teeth

2 Involvement of 3 teeth

शवमथ भहान 0 Absent

1 Present

सरज 0 No pain Or according to VAS

1 तीवर =Pain is there but he can do

work or sleep

22

Code Signs amp Symptoms Score Gradations Remarks

2 तीवरतय =Pain is there but he can do

work or sleep

3 तीवरतभ =Patient canrsquot tolerate

शोफ़ो फदयाचसथतनबो घन (अहर) =Kola is

small jujube and badar is big jujube and seed is measuring around 5 mm

0 Not present

1 Shoth up to 25 mm

2 Shoth 25 to 5 mm

3 Shoth is more than 5 mm

ऩाक (अहर) (शीघर ऩछमत)

0 Absent Accumulation of Fluid or pus

1 Present

113 दनतवषट (स) सरवचनत ऩमरचधय

Discharge of blood with pus or only pus

0 No Discharge

1 Blood with Pus Discharge

2 Only pus discharge

िरता 0 No mobility

1 1 mm antero-posterior Mobility

2 2 mm antero-posterior Mobility

3 More than 2 mm antero-posterior amp medial to lateral mobility

114 शौषषर (स) शवमथ 0 Absent

1 Present

रजावान According to VAS scoring

रारासरावी 0 Normal secretion

1 Occasionally splitting

2 On and off splitting

3 Continuous splitting disturbance in work

कणड 0 Absent

1 Occasionally itching

2 On and off itching

3 Continues itching

23

Code Signs amp Symptoms Score Gradations Remarks

दतभासपरशातन 0 Gums situated At CE junction

1 Recession of gums At cervical 13

2 Recession of gums At middle 13 3 Recession of gums At apical 13

115 महाशौषषर (स) दनताशिरचनत 0 No mobility

1 1 mm antero-posterior mobility

2 2 mm antero-posterior mobility

3 More than 2 mm anteroposterior amp medial to lateral mobility

तार अवदीमत 0 Absent Fissure over the Palate

1 Present

दतभासातनऩछमनत 0 No redness

1 Mild redness

2 Moderate redness

3 Severe redness

भख ऩरयऩीडमत 0 No Peedā Or According to VAS

Pain in any part or whole oral cavity

1 Peedā is at those Gums where disease is situated

2 Peedā is at entire Gums

Peedā is at entire Mukh

सचननऩाताजजजजवयवान

(अहर) 0 Normal temperature

1 Temperature between 984rsquoF to 100rsquoF

Temperature between 100rsquoF to 101rsquoF

2 Temperature between 101rsquoF to 102rsquoF

3 Temperature between 102rsquoF to 103rsquoF

4 Temperature between 103rsquoF to 104rsquoF

5 Temperature more than 104rsquoF

सऩमरचधयसरतत (अहर)

0 No Discharge

1 Blood with Pus Discharge

2 only pus discharge

पवशीणदपवजफनधन (अहर)

0 No mobility

1 1 mm antero-posterior mobility 2 2 mm antero-posterior mobility

24

Code Signs amp Symptoms Score Gradations Remarks 3 more than 2 mm antero-posterior

amp medial to lateral mobility

116 पररदर (स) दनतभासातन शीमनत 0 Gums situated At CE junction Depending upon

severity grading has been established

1 Recession of gums At cervical 13

2 Recession of gums At middle 13

3 Recession of gums At apical 13

षठीवतत असक 0 No spitting of blood

1 Occasionally splitting

2 On and off splitting

3 Continuous splitting with disturbance in work

117 उपकश (स) दाह Or According to VAS

ऩाक 0 Absent

1 Present

दनताशिरचनत 0 No mobility

1 1 mm antero-posterior mobility

2 2 mm antero-posterior mobility

3 more than 2 mm antero-posterior amp medial to lateral mobility

आघटिता परसरवचनत 0 Absent

=Bleeding from gums by pressure

1 Bleeding on pressure remains for five minutes

2 Bleeding on pressure remains up to 15 minutes

3 Bleeding on pressure remains up to 30 minutes

4 Bleeding on pressure remains up to 1 hour

5 Bleeding on pressure remains more than 1 hour

भदवदना 0 Absent

1 Present

आधभामनत सरत यकत

0 Absent

1 Present

ऩतत वकतरता (अहर) 0 No foul smell

1 Patient feels foul smell

25

Code Signs amp Symptoms Score Gradations Remarks

2 Doctor or person who comes near to patient feels foul smell

3 From distance anyone can feels foul smell who is in the room

4 Foul smell can be feel from outside of the room even

कणडभचनत (अहर) 0 Absent Or According to VAS

1 Occasionally itching

2 On and off itching

3 Continues itching

िरा (अहर) 0 No mobility

1 1 mm antero-posterior mobility

2 2 mm antero-posterior mobility

3 More than 2 mm antero-posterior amp medial to lateral mobility

118 वदभभ (स) =Traumatic injury(By mechanical Chemical thermal )

घषिष दनतभरष सयबो जामत भहान

0 Absent Mahan suggest itself severity of disease

1 Present

िरदता (अहर) 0 No mobility

1 1 mm antero-posterior mobility

2 2 mm antero-posterior mobility

3 More than 2 mm antero-posterior amp medial to lateral mobility

119 वरभन (स) तीवरवदना 0 No pain Or According to VAS

1 तीवर -Pain is there but he can do

work or sleep

2 तीवरतय -Patient can tolerate

3 तीवरतभ -Patient canrsquot tolerate

1110 अधरमाास (स) भहाञिोथ 0 No Shoth Mahan suggest itself

severity of disease

1 Shoth is Present on that gum only where disease is occurred

2 Shoth is Present on nearby two or three gums where disease is occurred

26

Code Signs amp Symptoms Score Gradations Remarks

3 Shoth is present up to adjoining cheek

This condition should be considered as

भहाञिोथ

भहारजा (स) परततहनतममभमवरतत (अहर)

0 No Rujā (pain) Or According to VAS

2 Rujā (pain) is Present on that gum only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

This condition should be considered as भहारजा amp परततहनतममभमवरतत

रारासरावी 0 Normal secretion

1 Occasionally splitting

2 On and off splitting

3 Continuous splitting disturbance in work

दनतानत कीरवतमशोफ़ (अहर)

0 No Keel vat Shoth

1 Keel vat Shoth is Present on that gum only where disease is occurred

2 Keel vat Shoth is Present on nearby two or three gums where disease is occurred

3 Keel vat Shoth is present up to adjoining cheek

1111 दनतषवदरधर (अहर) दनतभासशोफ़ (ि) 0 No Shoph

1 Shoph is Present on that gum only where disease is occurred

2 Shosh is Present on nearby two or This condition should

27

Code Signs amp Symptoms Score Gradations Remarks

three gums where disease is occurred

be considered as अनत शवमथ According to

Vagbhatta

3 Shosh is extended up to adjoining cheek

This condition should be considered as फाहम शवमथ According to

Vagbhatta

फाहम शवमथ (अहर) This condition is mentioned at दनतभास शोफ़

अनत शवमथ (अहर) This condition is mentioned at दनतभास शोफ़

गर (अहर) 0 Absent

1 Present

रग (अहर) 0 No Rujā (pain) Or According to VAS

2 Rujā (pain) is Present on that gum only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

दाह (अहर) According to VAS

सरवतिननऩमासर (अहर)

0 No Discharge

1 Blood with Pus Discharge

2 Only pus discharge

1112 दतनाडी Scoring is not possible further according to measurement of Nadivrana because X-

ray only detects spread up to the bone Whereas Nadivrana in gingiva periodontal ligament cannot be measured

दतनाडी 0 Absent

1 Present

28

GRADATION OF DANTA GAT ROG

Code ndash 12

Gradations established by Group KARAL Dr Krishna Makadia - Convener

Dantavaidya Saroj Joshi Dantavaidya Harshad Joshi

Dr Kiran Raj Dr Achyuta Atara Dr Pranav Dave

Gradations Reviewed by Dr Hemangi Shukla Dr Krishna Makadia

Edited by Prof Vd Hāridra Dave

29

Code Signs amp Symptoms Score Gradations Remarks

121 दाऱन (स)

तीवररग 0 No Rujā (pain) Or According to VAS

2 Rujā (pain) is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

उषणअसहादनता (अस) 0 No sensitivity in teeth ie with warm

water hot water or

excessive hot water

application on

tooth is not

possible so Time

related and severity

related grading was

finalised(same for

cold)

1 Mild sensitivity in teeth - At a

time

2 Moderate sensitivity in teeth -

Sensitivity remains only for 1

Prahar (up to 3 hrs)

3 Severe sensitivity in teeth -

Sensitivity remains more than

1 Prahar (more than 3 hrs)

शीतअचधकवमथा (अहर) 0 No sensitivity in teeth

1 Mild sensitivity in teeth - At a

time

2 Moderate sensitivity in teeth -

Sensitivity remains only for 1

Prahar (up to 3 hrs)

3 severe sensitivity in teeth-

Sensitivity remains more than

1 Prahar (more than 3 hrs)

22 कममदनत (स) कषण 0 No discoloration

1 Light greyish black

2 Dark greyish black

3 Jet black

30

Code Signs amp Symptoms Score Gradations Remarks

तिदर 0 No cavity It should be

decided by X-ray

1 Cavity within limit of enamel

2 Cavity within limit of dentin

3 Cavity up to pulp

िर 0 No mobility

1 1 mm antero-posterior

mobility

2 2 mm antero-posterior

mobility

3 More than 2 mm antero-

posterior amp medial to lateral

mobility

सरावी 0 No Srāv- after drying

particular teeth with cotton

inserting cotton on cavity

There is no other

method to check

Srāv in Krimidanta

1 Srāv is present

ससयब = Inflammation 0 No inflammation

1 Inflammation is Present भहारज 0 No Rujā (pain) Or According to

VAS 2 Rujā (pain) is Present on that

gum only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

This condition should be considered as भहारज

अतनसभतमतरज 0 No sudden onset of pain

1 Sudden onset of pain is

present

अहततीवराततशभ (अहर) 0 No sudden onset of pain

31

Code Signs amp Symptoms Score Gradations Remarks

1 Sudden onset of pain is

present

पररन (अहर) = Broken due to cavity

0 Cavity is there but it is not

broken

It should be

considered for each

tooth separately

Cavity in that must

be present in

particular tooth

1 13 part of tooth is broken

2 23 of tooth is broken

3 More than 23 of tooth is

broken

4 Total loss of tooth

ऩमसरत (अहर) 0 No Pooya Srāv after drying

particular place

with cotton

inserting cotton on

cavity

1 Pooya Srāv present

यकतसरत (अहर) 0 No Rakta Srāv after drying

particular place

with cotton

inserting cotton on

cavity

1 Rakta Srāv is present

123 दनतहषभ (स)

शीत सऩशन न सहनत 0 No sensitivity by cold touch

in any teeth

1 Ooccassional sensitivity by

cold touch in any toothteeth

for once

2 Sensitivity by cold touch

remains in toothteeth only up

to 1 Prahar (up to 3hrs)

3 Sensitivity by cold touch

remains more than 1 Prahar

(more than 3hrs)

उषण सऩशन न सहनत 0 No sensitivity by hot touch in

any teeth

1 Occassional sensitivity by hot

touch in toothteeth for once

2 Sensitivity by hot touch

remains in toothteeth only up

to 1 Prahar (up to 3hrs)

3 Sensitivity by hot touch

remains in toothteeth more

than 1 Prahar (more than

3hrs)

32

Code Signs amp Symptoms Score Gradations Remarks

परवाताभा = Sensitivity to air

(परवातारशीतबाभा) (अहर)

0 No sensitivity by Pravāt

touch in any tooth

1 Occassional sensitivity by

Pravāt touch in toothteeth for

once

2 Sensitivity by Pravāt touch

remains in toothteeth only up

to 1 Prahar (up to 3hrs)

3 Sensitivity by Pravāt touch

remains in toothteeth more

than 1 Prahar (more than

3hrs)

अरबाभा = Sensitivity to sour food

(परवातारशीतबाभा) (अहर)

0 No sensitivity by eating

sourer food to any tooth

1 Occassional sensitivity by

eating sourer food to any

toothteeth for once

2 Sensitivity by eating sourer

food remains to toothteeth

only up to 1 Prahar (up to

3hrs)

3 Sensitivity by eating sourer

food remains to toothteeth

more than 1 Prahar (more

than 3hrs)

शीतबाभा (परवातारशीतबाभा) (अहर)

0 No sensitivity by eating cold

item to any tooth

1 Occasional sensitivity by

eating cold item to toothteeth

for once

2 Sensitivity by Pravāt touch

remains in toothteeth only up

to 1 Prahar (up to 3hrs)

3 Sensitivity by eating cold

item remains to toothteeth

more than 1 Prahar (more

than 3hrs)

सरजा (अहर) 0 No Rujā (pain)

33

Code Signs amp Symptoms Score Gradations Remarks

2 Rujā (pain) is Present on that gum only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

2 Rujā (pain) is Present on that gum only where disease is occurred and patient can do hisher routine work without disturbance

िर (अहर) 0 No mobility

1 1 mm anterio-posterior

mobility

2 2 mm anterio-posterior

mobility

3 More than 2 mm antero-

posterior amp medial to lateral

mobility

124 भञजनक (स) =Photograph is necessary

(depending upon the severity gradation has been finalised)

वकतर वकरता 0 No deviation

1 Deviation is present

तीवररक 0 No Rujā (pain) Or according to

VAS

2 Rujā (pain) is Present on that gum only where disease is occurred and patient can do hisher routine work without disturbance

34

Code Signs amp Symptoms Score Gradations Remarks

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

This condition should be considered as तीवररक

दनतबङग 0 Tooth is not broken This should be

considered for

single tooth

1 13 part of tooth is broken

2 23 of tooth is broken

3 More than 23 of tooth is

broken

4 Total loss of tooth

125 दनतशकभ रा (स) =Calculus index was selected

शकयव चसथयीबत भर 0 No calculus present

1 Supragingival calculus

covering not more than third

of the exposed tooth surface

2 Supragingival calculus

covering more than 13 but

not more than 23 of the

exposed tooth surface or the

presence of individual flecks

of subgingival calculus

around the cervical portion of

the tooth or both

3 Supragingival calculus

covering more than 23 of the

exposed tooth surface or

continues heavy band 0f

subgingival calculus around

the cervical portion of the

tooth or both

35

Code Signs amp Symptoms Score Gradations Remarks

दनताना गणहयी 0 Absent All 10 Guna of

Danta Sampata

should be

considered required

suggestions for

each Guna

1 Present

ऩततगचनध (अहर) 0 No foul smell Taken grading of

halitosis

1 Patient feels foul smell

2 Doctor or person who comes near to patient feels foul smell

3 From distance anyone can feels foul smell who is in the room

4 Foul smell can be feel from outside of the room even

126 कपामऱका (स)

दनतवलकसम दरनभ = Bracketing of tooth enamel (दरचनत दनतवलकातन)

0 No दरनभ of tooth This should be

considered

separately for each

tooth

1 दरनभ is present of less than 13 of tooth

2 दरनभ is present of more than of 13 of tooth but less than 23 of tooth

3 दरनभ is present of more than of 23 of tooth but no total loss of tooth

4 Total loss of tooth after दरनभ

This condition should be considered as दशनाना पवनाश

दशनाना पवनाश = Total loss of tooth

0 No Any loss of tooth This should be

considered

separately for each

tooth

1 loss of tooth is present of less than 13 of tooth

2 loss of tooth is present of more than of 13 of tooth but less than 23 of tooth

36

Code Signs amp Symptoms Score Gradations Remarks

3 loss of tooth is present of more than of 23 of tooth but no total loss of tooth

4 Total loss of tooth This condition should be considered as दशनाना पवनाश

दनतशातनभ अणश = Thinning of tooth (शातमतममतममणशो दनतात कऩारातन) (अहर)

0 No शातनभ of tooth This should be

considered

separately for each

tooth

1 शातनभ is present in less than 13 of tooth

2 शातनभ is present in more than 13 of tooth but less than 23 of tooth

3 शातनभ is present in more than 23 of tooth but no total loss of tooth

4 Total loss of tooth due to शातनभ

127 शयावदनतक (स) In शमावदनत शमावता amp नीरता should be considered ascending stages

शमावता + नीरता 0 -No any discolouration of

tooth

-Normal colour of tooth

This should be

considered

separately for each

tooth

1 शमावता is Present

2 नीरता is Present

128 हनमो (स) According to Dalhan हनमो is not Dant Rog directly but it is near to

Dantchewing of hard food is one of the causes and there is pain in Dant so it is considered under Danta Rog

हनसचनधपवसहत 0 Absent

1 Can be reset by manual reduction

2 Can be reset by surgical

intervention

129 दनतभद (अहर) तोद =Pricking pain 0 No Pricking pain -Or According to

VAS

- This should be

considered

separately for each

tooth

37

Code Signs amp Symptoms Score Gradations Remarks

2 Pricking pain is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Pricking pain is referred up to Hanu and patient can do hisher routine work without disturbance

4 Pricking pain is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Pricking pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Pricking pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

बद Braking pain 0 No Braking pain -Or According to

VAS

- This should be

considered

separately for each

tooth

2 Braking pain is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Braking pain is referred up to Hanu and patient can do hisher routine work without disturbance

4 Braking pain is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Braking pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Braking pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

38

Code Signs amp Symptoms Score Gradations Remarks

रक Dull pain 0 No Rujā (pain) -Or According to

VAS

- This should be

considered

separately for each

tooth

2 Rujā (pain) is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

सपिन Burstingexpanding pain

0 No Bursting pain -Or According to

VAS

- This should be

considered

separately for each

tooth

2 Bursting pain is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Bursting pain is referred up to Hanu and patient can do hisher routine work without disturbance

4 Bursting pain is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

39

Code Signs amp Symptoms Score Gradations Remarks

5 Bursting pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Bursting pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

1210 दनतचाऱ (अहर) िरतमव = Mobility 0 No = mobility

1 1mm anterio-posterior

mobility

2 2 mm anterio-posterior

mobility

3 More than 2 mm anterio-

posterior amp medial to lateral

mobility

बणादचधकवमथ 0 No Vyatha ndash Pain during

eating

1 Pain during eating of hard

diet only

2 Pain during eating of soft diet

even

1211 कराऱ (स)

=Malocclusion

0 A Normal Molar relationship

exist but there is crowding

misalignment of the teeth

cross bite etc

1 A malocclusion where the

molar relationship shows the

buccal grove of mandibular

first molar distally positioned

when in occlusion with the

mesiobuccal cusp of the

maxillary first molar

2 A malocclusion where the

molar relationship shows the

buccal groove of the

mandibular first molar

mesiallypos

40

GRADATIONS OF JIHWA GAT ROG

Code - 13

Established by Group BHOJ Dr Krishna Makaia ndash Convener

Dr Rajeshree Unadkat Dr Neelam Dave

Dr Ronakgiri Gosai Dr Jignesh Virapariya

Reviewed by Dr Vijayant Bharadwaj

Edited by Prof Vd Hāridra Dave

41

Code Signs amp Symptoms Score Gradations Remarks

131 वाततक चजहवाकिक (स) सपटिता (Creaks) 0 No creaks on tongue

1 Single creak on the dorsum of tongue

2 Multiple Creaks on the dorsum of tongue

3 Multiple deep creaks on the dorsum of tongue (Bleeding)

परसपता (Numbness )

0 No Numbness

1 Numbness in 13 Part of tongue

2 Numbness in 23 Part of tongue

3 Numbness in more than 23 Part of tongue

शाकछिदनपरकाशा (Roughness)

0 Normal surface of tongue on touch

1 Mild rough surface on touch

2 Hard irregular surface on touch

3 Very rough surface which hurts the finger on touch

132 ऩततक चजहवाकिक (स) ऩीता 0 No yellowish discolouration

1 Yellowish discoloration in 13 part

2 Yellowish discoloration in 23 part

3 Yellowish discoloration in more than 23 part of tongue

ऩरयदहमत Burning in entire tongue)

0 No burning Or According to VAS

1 Occasional burning

2 Intermittent burning

3 Continuous burning does not relieve by any measures

दाह (Burning may be

in partially tongue)

0 No Burning Or According to VAS

1 Burning up to 13 part of tongue

2 Burning in 13 to 23 part of tongue

3 Burning in more than 23 part of tongue

42

Code Signs amp Symptoms Score Gradations Remarks

यकतभासाङकयचशिता (Covered with red buds )

0 No change in appearance

1 13 part of tongue covered with red fleshy buds

2 23 part of tongue covered with red fleshy buds

3 Whole tongue covered with red fleshy buds

ओष (Burning) 0 No Oshha Or According to VAS

1 Oshha up to 13 part of tongue

2 Oshha in 13 to 23 part of tongue

3 Oshha in more than 23 part of tongue

133 कपज चजहवाकिक (स) फहरा (Thick) 0 Normal Thickness of Tongue

1 Thickness increased - noticeable by patient

2 Thickness increased - noticeable by the examiner

3 Tongue protruding out because of increased Thickness

गवी (Heaviness) 0 No Heaviness

1 Feeling mild heaviness but no difficulty in Tongue movement

2 Difficulty in Tongue movement especially during intake of liquid

3 Difficulty in Tongue movement especially during intake of hard food

4 Difficulty in Tongue movement especially during Pronunciation

भासोदगभ शालभसरकणिकाब (thorn like papilla)

0 No change in appearance of tongue

1 13 part of tongue covered with red fleshy thorn like papilla

2 23 part of tongue covered with thorn like papilla

3 Whole tongue covered with thorn like papilla

43

Code Signs amp Symptoms Score Gradations Remarks

134 अरास (स) शवमथ

(Swelling at ventral surface of tongue)

0 Absent

1 Present

सतबमतत (Restricted tongue movement)

0 -Normal Movement of Tongue -Movement of tongue not affected

1 Tongue movement slightly restricted but does not affect the normal function

2 Tongue movement restricted that affects the normal function

3 Tongue movement arrested

परवदध

(Increase in size)

0 Size not increased

1 Size increased - noticeable by the patient

2 Size increased - noticeable by the examiner

3 Tongue protruding out because of increased size

ऩाक 0 No swelling or suppuration

1 Inflammation with pain and tenderness

2 Inflammation with different types of pain and tenderness along with induration

3 Pus formation and fluctuation positive

अधशोप 0 Absent

1 Present

उननत (elevation of

the tongue due to swelling below the tongue)

0 Normal position of tongue

1 Tongue slightly elevated due to swelling below the tongue

2 Tongue elevation causes discomfort to the patient

3 Tongue touches the palate

भतमसमगचनध

(Fishy smell)

0 Absent

1 Present

44

Code Signs amp Symptoms Score Gradations Remarks

भासशातन (Destruction of flesh of tongue )

0 No Destruction of tongue flesh

1 13 part of tongue flesh is destroyed

2 23 part of tongue flesh is destroyed

3 More than 23 part of tongue is destroyed

135 उऩचजचहवका (स) शवमथ (Swelling) 0 Absent

1 Present

चजहवाभननम

जात (elevation of

tongue because of swelling)

0 Normal position of tongue

1 Tongue slightly elevated due to swelling below the tongue

2 Tongue elevation causes discomfort to the patient

3 Tongue touches the palate

परसक (Salivation) 0 Normal secretion of saliva

1 Occasionally spitting

2 Off and on spitting

3 Continuous spitting which disturbs the work

कणड (Itching) 0 No itching Or According to VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate on work due to severe itching

0r

0 No itching

1 Occasional itching

2 Off and on itching

3 Continuous itching

ऩरयदाह (Burning in

whole tongue)

0 No burning Or According to VAS

1 Occasional burning

2 Intermittent burning

3 Contentious burning dose not relive by any measures

45

Code Signs amp Symptoms Score Gradations Remarks

136 अचधचजचहवका (अर)

अधोचजहवामा शोप

0 Normal position of tongue

(Swelling below the tongue)

1 Tongue slightly elevated due to swelling below the tongue

2 Tongue elevation causes discomfort to the patient

3 Tongue touches the palate

अङकय (Pappilary

growth)

0 Absent

1 Present

ओष (Burning) 0 No Oshh Or According to

VAS

1 Oshh up to 13 part of tongue

2 Oshh in 13 to 23 part of tongue

3 Oshh in more than 23 part of tongue

सतबवान

(Restriction of Movement)

0 Movement of tongue not affected

1 Tongue movement slightly restricted but does not affect the normal function

2 Tongue movement restricted that affect the normal function

3 Tongue movement arrested

खय(Rough) 0 Smooth on touch

1 Mild irregular surface

2 Rough surface

3 Sharp rough surface touch hurts on finger on touch

रक (Pain) 0 No pain Or According to

VAS

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

कणड (Itching) 0 No itching Or According to

VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate on work due to severe itching

0r

0 No itching

46

Code Signs amp Symptoms Score Gradations Remarks

1 Occasional itching

2 Off and on itching

3 Continuous itching

वाकम पवघातकत (Difficulty in speech)

0 No difficulty in speech

1 Unable to speak िति vargavyanjana

2 Difficulty in speaking क vargavyanjana

Swara donrsquot need involvement of tongue

3 Unable to speak

आहयपवघातकत

(Swallowing )

0 Able to eat regular diet

1 Able to eat soft diet

2 Able to eat only liquid diet

3 Unable to swallow anything

47

GRADATION OF TALUGAT ROG

Code - 14

Established by Group BHOJ Dr Krishna Makaia ndash Convener

Dr Rajeshree Unadkat Dr Neelam Dave

Dr Ronakgiri Gosai Dr Jignesh Virapariya

Reviewed by Dr Vijayant Bharadwaj

Edited by Prof Vd Hāridra Dave

48

Code Signs amp Symptoms Score Gradations Remarks

141 गरशचणडका (स)

परवदधो शोप (Swelling extending from palate) (Which is elongated)

0 Normal size of uvula

1 Swelling of uvula that causes discomfort to the patient

2 Swelling of uvula that causes foreign body sensation

3 Difficulty in breathing due to swelling

दीघ शोप

(Elongated Swelling)

0 Normal size of uvula

1 Elongated swelling of uvula that causes discomfort to the patient

2 Elongated swelling of uvula that causes foreign body sensation

3 Difficulty in breathing due to Elongated swelling

धभातफचसतपरकाश शोप =Inflated

swelling like Basti

0 Normal size of uvula

1 Inflated swelling like Basti of uvula that causes discomfort to the patient

2 Inflated swelling like Basti of uvula that causes foreign body sensation

3 Difficulty in breathing due to Inflated swelling like Basti

तषणा 0 Normal feeling of thirst

1 Increased feeling of thirst which is relived after drinking water

The quantity of water is not consider here but the frequency of water is considered

2 Frequent feeling of thirst which is Occasional relived after drinking water

3 Continuous feeling of thirst does not relive after drinking profuse amount of water

कास (Coughing) 0 No coughing

49

Code Signs amp Symptoms Score Gradations Remarks

1 Occasional coughing during eating and speaking

2 Off and on coughing

3 Continuous coughing

शवास 0 No difficulty in breathing

1 Difficulty in breathing occasionally

2 More difficulty in breathing while sleeping

3 Excessive difficulty in breathing

भतमसमफचसततनब शोप (अहर)

0 Normal uvula Used as an adjective

1 Inflated swelling like Matsya-Basti of uvula that causes discomfort to the patient

2 Inflated swelling like Matsya-Basti of uvula that causes foreign body sensation

3 Difficulty in breathing due to Inflated swelling like Matsya-Basti

पररफ (अहर) 0 Normal length of Uvula

(Elongated Swelling)

1 Size of Uvula increased up to lt2 mm

2 Size of Uvula increased more than 2 mm but less than 4 mm

3 Size of Uvula increased gt4 mm that cause discomfort to patient and cause difficulty in breathing

पऩचछिर(अहर) (Sliminess)

0 Absent

1 Present

नासमाऽऽहायभीयमन (अहर)

0 Food does not come out from nose

(Food comes out of nose)

1 Food comes out from nose

कणठोऩयोध(अहर) (Obstruction of throat )

0 -Able to eat regular diet -No difficulty in swallowing of any food

1 Able to swallow liquid or soft diet but not able to swallow hard diet

2 Able to swallow hard diet forcefully

50

Code Signs amp Symptoms Score Gradations Remarks

3 Not able to swallow hard diet with force

वभन(अहर) (Vomiting)

0 No Vaman

1 Feeling of nausea only

2 Only one veg of Vaman in a day

3 Two vegas of Vaman in a day

4 More than two vegas of Vaman in a day

132 तचणडकयी (स)

शोप (Tonsillar

Swelling)

0 Tonsils are located within the tonsillar fossa

1 Tonsils hypertrophy till the brim of the tonsillar fossa

2 Tonsils hypertrophy extends beyond the pillars but not touching each other

3 Tonsils hypertrophy extends beyond the pillars but not touching each other

तोद

(Pricking pain)

0 No pain

1 Occasional pain Or according to VAS

2 Off and on pain

3 Continuous pain

दाह (Burning) 0 No

1 Occasional burning

2 Intermittent burning

3 Contentious burning dose not relive by any measures

परऩाक 0 Absent

1 Present

पऩचछिर शोप(अहर)

Sliminess in swallowing

0 Feeling of Sliminess is Absent

1 Feeling of Sliminess is Present

भनदरक (अहर)

(Mild pain)

0 Absent Or According to

VAS

1 Present

133 अधरष (स)

शोप (Swelling) 0 No swelling

1 13 Swelling in part of the palate

51

Code Signs amp Symptoms Score Gradations Remarks

2 23 swelling in part of palate

3 Swelling in gt than 23 part of palate

सतबधता =Functions of soft palate like deglutition Phonation etc are affected = No mobility of soft palate

0 Normal function of soft palate

1 Soft palate movement reduced but functions are not affected

2 Any one of the functions of soft palate is affected

3 All functions of soft palate are affected

रोटहतवणता

(Redness)

0 No change in colour

1 Pinkish red coloured mucosa in palate

2 Red coloured mucosa in palate

3 Dark red coloured mucosa in palate

रजा (Pain) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

जजवय (Fever) 0 Normal temperature

1 Temperature between 984rsquoF to 100rsquoF

Temperature between 100rsquoF to 101rsquoF

2 Temperature between 101rsquoF to 102rsquoF

3 Temperature between 102rsquoF to 103rsquoF

52

Code Signs amp Symptoms Score Gradations Remarks

4 Temperature between 103rsquoF to 104rsquoF

5 Temperature more than 104rsquoF

134 कछिऩ (स)

कभवत उतमसनन शोप (Swelling

having shape like dorsum of tortoise)

0 No swelling

1 Swelling in 13rd part of the palate

2 Swelling in 23rd part of palate

3 Swelling in gt 23rd part of palate

चियवपदध(अहर)

(Slow growth)

0 Growth within a week

1 Growth within 1 week to 1 month

2 Growth within 1 month to 6 months

3 Growth within gt 6 months

रक (अहर) (Pain) 0 No pain Or According to VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesics

135 तारअफद (स) ऩदमाकाय तारभधम

शोपम (Swelling

like shape of lotus )

0 No swelling

1 Swelling in 13rd part of the palate

2 2 Swelling in 23rd part of palate

3 3 Swelling in gt 23rd part of palate

136 भाससङघात (स) नीरज (Painless) 0 Absent

1 Present

53

Code Signs amp Symptoms Score Gradations Remarks

शोप 0 No swelling

1 Swelling in 13rd part of the palate

2 Swelling in 23rd part of palate

3 Swelling in gt 23rd part of palate

137 तारऩपऩि (स) नीरक (Painless) 0 Absent

1 Present

कोरभातर

Swelling having size of Kola fruit

0 Absent

1 Present

138 तारशोष (स)

शोष (Dryness) 0 No dryness

1 Dryness decreased after drinking water

2 Patient needs water frequently

3 Dryness persist after dinking profuse water

दायण (Tearing of palate)

0 Absent

1 Present

शवास (Difficulty in

breathing)

0 No difficulty in breathing Here difficulty in breathing is due to obstruction

1 Difficulty in breathing occasionally

2 More difficulty in breathing while sleeping position

3 Excessive difficulty in breathing

जजवय(अहर) (Fever) 0 Normal temperature

1 Temperature between 984rsquoF to 100rsquoF

Temperature between 100rsquoF to 101rsquoF

2 Temperature between 101rsquoF to 102rsquoF

3 Temperature between 102rsquoF to 103rsquoF

4 Temperature between 103rsquoF to 104rsquoF

5 Temperature more than 104rsquoF

54

Code Signs amp Symptoms Score Gradations Remarks

139 तारऩाक (स) ऩाक (Suppuration) 0 No swelling or suppuration

1 Inflammation of palate with pain and tenderness

2 Inflammation of palate with different types of pain and tenderness with induration

3 Pus formation and fluctuation positive

1310 तारपऩटिका (अहर) तारभास पऩटिका

Follicles in palate flesh

0 No follicles

1 13 palate covered with follicles

2 23 palate covered with follicles

3 More than 23 palate covered with follicles

रज(अहर) (Pain) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

Occasional pain

खयता(अहर) (Roughness)

0 Smooth on touch

1 Mild irregular surface on touch

2 Rough surface

3 Sharp rough surface which hurts on finger on touch

घनसराव(अहर) (Thick discharge)

0 No discharge

1 Occasional discharge

2 Off and on thick discharge

3 Continuous thick discharge

1311 तारसहतत (अहर) तारभधम तनरक (अहर) =Painless fleshy growth in palate

Only तारभधम तनरक indicates the place and quality of growth both the symptoms can be

merged

55

Code Signs amp Symptoms Score Gradations Remarks

तनरक (Painless) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

भाससहत

(Fleshy growth in palate)

0 No fleshy growth

1 Fleshy growth in 13 part of the palate Swelling

2 Fleshy growth in 23 part of palate swelling

3 Fleshy growth in more than 23 part of palate

56

GRADATION OF SARVASAR ROG

Code - 15

Established by Group BHOJ Dr Krishna Makaia ndash Convener

Dr Rajeshree Unadkat Dr Neelam Dave

Dr Ronakgiri Gosai Dr Jignesh Virapariya

Reviewed by Dr Vijayant Bharadwaj

Edited by Prof Vd Hāridra Dave

57

Code Signs amp Symptoms Score Gradations Remarks

151 वातजसवसय (स) सपोि (Ulcers) 0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

तोद = Pricking pain 0 No pricking pain Or According to VAS

1 Occasional pricking pain

2 Off and on pricking pain

3 Continuous pricking pain

Or

0 No pricking pain

1 Sometimes mild pricking pain

2 Has to take analgesic while pricking pain

सिारयण(अहर) This symptom is for सवसय so this सवसय is the nature of सिारय

0 No movement of सवसय

1 Movement of सवसय is once in a week

2 Movement of सवसय is once in three to four days

3 Movement of सवसय is at every alternate day

4 Movement of सवसय is once in a day

अरण (अहर) Reddish discoloration

0 Colour of वरण is same with colour of surrounding area

1 Colour of वरण is Reddish

2 Colour of वरण is Dark Red

3 Colour of वरण is Reddish black

र (अहर) Dryness 0 वरण is Moist

-No dryness of वरण

1 वरण Needs lubrication once a day

2 वरण Needs frequent lubrication in

a day

3 No benefit with frequent

lubrication of वरण

तामरता (अहर) (Coppery

0 Colour of वरणौषठ is same with colour of surrounding area

58

Code Signs amp Symptoms Score Gradations Remarks

discoloration) This symptom is for

वरणौषठ

1 Colour of वरणौषठ is Tamra Varna

चऱतवचा (अहर) (Free mucous membrane) This symptom is for

वरणौषठ

0

Movement of वरणौषठ is on touch

only

1 Movement of वरणौषठ can be seen by naked eye means without touch

शीतासहा (अहर) (Intolerance to cold) This symptom is for

जजहवा

0 No Intolerance of cold to जजहवा

1 Intolerance of severe cold to जजहवा

2 Intolerance of moderate cold to जजहवा

3 Intolerance of Mild cold to जजहवा

गवी (Heaviness)

This symptom is for

जजहवा

0 No Heaviness

1 Mild heaviness with no difficulty

in movement of जजहवा

2 Moderate heaviness with

difficulty in Movement of जजहवा

3 Sever heaviness with bending down of

सफटटता (अहर) (Ulcer)

0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

कणटाकाधचता (अहर) = Thorn like

appearance

0 No change in appearance

59

Code Signs amp Symptoms Score Gradations Remarks

1 13 part of oral mucous membrane covered with red fleshy thorn like papillae

2 23 part of oral mucous membrane covered with red fleshy thorn like papillae

3 gt23 part of oral mucous membrane covered with red fleshy thorn like papillae

षववणोतत कचछरणमखम (अहर) (Difficulty in mouth opening)

0 Mouth opening more than 3 fingers without difficulty

1 2 to 3 fingers opening of mouth with or without difficulty

2 1 to 2 fingers opening of mouth with or without difficulty

3 Less than 1 finger opening of mouth with or without difficulty

152 पऩतमत(यकतज)सवसय (स) Signs and Symptoms of यकतज सवसय are same as of पऩतमत सवसय so no separate gradations are mentioned

यकतता (Redness) 0 Colour of सवसय- वरण is similar with

surrounding mucous membrane

1 Reddish Colour of सवसय- वरण

2 Bright red Colour of सवसय- वरण

3 Dark red Colour of सवसय- वरण

सदाह (Burning

Sensation)

0 No burning in सवसय- वरण Or According to

VAS

1 Occasional burning in सवसय- वरण

2 Intermittent burning in सवसय- वरण

3 Contentious burning in सवसय- वरण

which does not relive by any measures

तन (तनसब) (Shallow superficial ulcers)

0 No ulcer

1 Ulcer having depth of 05-1 mm

2 Ulcer having depth of 1 ndash 15 mm

3 Ulcer having depth of 15 -2 mm

60

Code Signs amp Symptoms Score Gradations Remarks

ओष (अहर) 0 No (ओष) burning in सवसय- वरण

1 Occasional (ओष) burning in

सवसय- वरण

2 Intermittent (ओष) burning in

सवसय- वरण

3 Contentious (ओष) burning in

सवसय- वरण which does not relive

by any measures

ततकतवकरता (अहर) (Bitter taste in mouth)

0 No alteration in taste

1 Occasionally bitter taste felt in mouth without having any bitter substance

2 Off and on bitter taste felt in mouth without having any bitter substance

3 Continuous bitter taste felt in mouth without having any bitter substance

ारोकषतत समावरणा (अहर)

0 No Ulcer

(Ulcers looking like chemical burns)

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

153 कपज सवसय (स) कणड (Itching) 0 No itching Or According to

VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Unable to work due to itching

0r

0 No itching

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate on work due to severe itching

रजा (Pain)

(अलऩ रजा) 0 No pain Or According to

VAS

1 Occasional pain

61

Code Signs amp Symptoms Score Gradations Remarks

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain This condition should be considered as अलऩ रजा

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

सवणण 0 Colour of वरण is same with colour of near by tissue

1 Colour of वरण is not same with colour of near by tissue

मररासयतवम (अहर) (Sweet taste in mouth)

0 No alteration in taste

1 Occasionally sweet taste felt without eating any sweet substance

2 Off and on Sweet taste Occasionally sweet taste felt without eating any sweet substance

3 Continuous sweet taste Occasionally sweet taste felt without eating any sweet substance

षपजचछिऱता (अहर) (Unctuousness)

0 Absent

1 Present

वरण 0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

154 कफाबभद (अहर) शयाव अबभदम

(शयावपाणडऽबभदम) 0 Colour of growthtumour is same

the colour of surrounding skin

1 Colour of growthtumour is शयाव

(Blackish)

62

Code Signs amp Symptoms Score Gradations Remarks

पाणड अबभदम (शयावपाणडऽबभदम)

0 Colour of growthtumour is same the colour of surrounding skin

1 Colour of growthtumour is पाणड

(Pale)

अबभदम 0 No GrowthTumour TNM Classification for tumours can be applied for growth

1 Growthtumour having sizelt 10 mm

2 Growthtumour having size 10 mm to 20 mm

3 Growthtumour having size gt 20 mm

घटिता तिनना मटदता च षववरभत (Size increases on rubbing cutting and squeezing)

0 Size of GrowthTumour is not increasing by rubbing cutting or squeezing

1 Size of GrowthTumour is increasing up to 10 mm by rubbing cutting or squeezing within a month

2 Size of GrowthTumour is increasing up to 20 mm by rubbing cutting or squeezing within a month

3 Size of GrowthTumour is increasing up to 30 mm by rubbing cutting or squeezing within a month

4 Size of GrowthTumour is increasing up to 40 mm by rubbing cutting or squeezing within a month

155 ऊरधवभगद (अहर) वकतरदौगनधम

(Halitosis)

0 No Halitosis

1 Halitosis is feel by Patient only

2 Halitosis is feel by Patient and examining Doctor only

3 Halitosis is feel by any person from the distance from 5 meters

63

Code Signs amp Symptoms Score Gradations Remarks

4 Halitosis is feel by any person from the distance from more than 5 meters

156 पततवकर (अहर) ऩतममासमता

(Halitosis)

0 No Halitosis

1 Halitosis is feel by Patient only

2 Halitosis is feel by Patient and examining Doctor only

3 Halitosis is feel by any person from the distance from 5 meters

4 Halitosis is feel by any person from the distance from more than 5 meters

157 सतनऩाततक सवसय (अहर) This disease occurs due to aggravation of all three doshas including Rakta Clinical presentation of this disease is found as mixed picture according prominent aggravation of dosha and signs and symptoms will be observed accordingly Gradations should be considered accordingly so it is not required to repeat here

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Page 13: THE GRADATIONS OF DISEASES OF SHALAKYA TANTRA - PART …theassociationofshalaki.com/downloads/GRADATIONS_OF_DISEASE… · 12.05.2019  · I am also very much thankful to Dr Sandhya

12

Code Signs amp Symptoms Score Gradations Remarks

1 Occasional mild itching not disturbing work

2 Off and on moderate itching disturbing work

3 Cannot concentrate in work due to continuous severe itching

शन (Swelling) 0 No Swelling

1 Slightly bigger than normal size not noticed by another person

2 Swelling Noticeable by another person

3 Severe Swelling with restriction of normal movement

पऩचछिरता (Sliminess) 0 No Sliminess

1 Mild sliminess

2 Moderate sliminess

3 Severe sliminess

शीतरता -Subjective

(Feeling of coldness by patient)

0 No feeling of coldness by patient Subjective and objective both should be taken

1 Feeling of coldness by patient but no change in temperature

2 Feeling of coldness by patient which is colder than body temperature on touch by the patient

शीतरता -Objective

(Decreased Temperature)

0 No change in temperature

1 1 less than body temperature

2 gt1less than body temperature

गरता (Heaviness) 0 No Heaviness

1 Mild heaviness no difficulty in lip movement

2 Difficulty in lip function due to Heaviness

3 Protrusion of lip due to heaviness

शीतासह

(Intolerance to cold)

0 No Intolerance to cold

1 Intolerance to severe cold

2 Intolerance to moderate cold

3 Intolerance to Mild cold

13

Code Signs amp Symptoms Score Gradations Remarks

104 सतनऩातज ओषठयोग (स) कषणता (Blackish

discoloration)

0 No change in colour In original Shlok lsquoSakrutrsquo word is used along with all types of discolorations According to expert of Sanskrit language and expert of Samhita subject the meaning of lsquoSakrutrsquo is lsquosometimesrsquo and another meaning of this world is lsquosome partrsquo Here we have taken meaning lsquosome partrsquo

1 13 Part of one lip is blackish in colour

2 13 Part of both lips are blackish in colour

3 23 Part of one lip is blackish in colour

4 23 Part of both lips are blackish in colour

5 More than 23 Part of one lip is blackish in colour

6 More than 23 Part of both lips are blackish in colour

ऩीतता (Yellowish

discoloration)

0 No change in colour

1 13 Part of one lip is yellowish in colour

2 13 Part of both lips are yellowish in colour

3 23 Part of one lip is yellowish in colour

4 23 Part of both lips are yellowish in colour

5 More than 23 Part of one lip is yellowish in colour

6 More than 23 Part of both lips are yellowish in colour

अनकपऩडडकाचितौ 0 No Follicles in any of lips

(Multiple follilcles) 1 13 lipLips isare covered with few follicles of various sizes

2 13 lipLips isare covered with multiple follicles of various sizes

3 23 lipLips isare covered with multiple follicles of various sizes

4 Multiple follicles with various sizes (23 lip covered)

5 More than 23 lipLips isare covered with multiple follicles of various sizes follicles

14

Code Signs amp Symptoms Score Gradations Remarks

दगनधौ (Foul smell) 0 No Foul smell

1 Only patient feel foul smell

2 Nearby Doctor 0r people can feel foul smell

3 Foul smell is not tolerable by the patient and the nearby person

आसरावौ (Discharge) 0 No Discharge is on any of lips In Sannipataja disease usually the mixed type of discharge is found So here the type of discharge is not considered The quantity of discharge is considered

1 Mild discharge collected on any one lip

2 Mild discharge collected on both lips or Moderate discharge collected on any one lip which has to be cleaned occasionally

3 Moderate discharge collected on both lips which has to be cleaned occasionally

4 Moderate discharge collected on both lips which has to be cleaned frequently

5 Severe or continuous discharge collected on lipLips which has to be cleaned frequently

पऩचछिरौ (Sliminess) 0 No sliminess

1 Mild Sliminess

2 Moderate Sliminess

3 Severe Sliminess

अकसभातमरानसशन रजौ (अहर) अकसभात

= All of a sudden = Without any reason = Spontaneous = Both Lips become Mlān swollen and painful all of a sudden andwithout any reason

अकसभातमरानौ (अहर) 0 No change in appearance

(Spontaneous Faded) 1 Lips look dull occasionally

15

Code Signs amp Symptoms Score Gradations Remarks

2 Lips look faded off and on in a day

3 Lips look faded and dirty frequently in a day

अकसभातसशनौ (अहर) 0 No Swelling

(Spontaneous swelling) 1 Occasionally Swelling in a day Here the size of swelling is not considered but the spontaneous nature of swilling is considered

2 Off and on swelling in a day

3 Swelling frequently in a day

अकसभात रजौ (अहर) (Pain)

0 No pain Or According to VAS

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

पवषभऩाककनौ (अहर) (Irregular suppuration )

0 No suppuration

1 Suppuration in 13 part of lips

2 Suppuration in 23 part of lip

3 Suppuration in major of lip

105 यकतज ओषठयोग (स) खजयपर पऩडका 0 No follicles

(Brownish follicles) 1 13 lip covered with brownish colour follicles

2 23 lip covered with brownish colour follicles

3 More than 23 lip covered with follicles

रचधयसराव (रचधय सरवत) (Bleeding)

0 No bleeding

1 Bleeding on touch or movement

2 Spontaneous bleeding

3 Continuous Bleeding

अफद बवत 0 No tumour

1 Tumour is 2 cm in size

2 Tumour is 4 cm in size

3 Tumour is gt4 cm in size

106 भासज ओषठयोग (स) भासपऩणडवत उदगतौ

(Bulky) 0 No Growth This word is used

as an adjective of

Sthoola See सथल

16

Code Signs amp Symptoms Score Gradations Remarks

1 Growth is present in both Oshtha but no discomfort to patient

2 Growth is present in both Oshtha with discomfort to patient

3 Large Growth is present in both Oshtha involving the surrounding region

जनतवशिातर भछिचनत सककसमोबमतो भखात

0 No Maggot Formation

1 Maggot formation on one side of the angle of mouth

2 Maggot Formation on both angles of mouth

3 Excessive maggot Formation

गर 0 No Heaviness in any of the lip

1 Mild heaviness no difficulty in lips movement

2 Difficulty in Lips function due to Heaviness

3 Protrusion of both lips

सथरौ (Bulky)

According to Sanskrit ndash English Dictionary

0 Size not increased

1 Slightly bigger than normal no noticeable by other person

2 Bigger than normal noticeable by another person

3 Bigger size effect the lip movement and lip protrudes down

107 भदज ओषठयोग (स) घतभणडाबौ (Clear

melted butter like)

0 Does not look like filled with clear part of melted butter

Here the specific appearance is given so the area is considerd

1 13 part of both lips looks like filled with clear part of melted butter

2 23 part of both lips looks like filled with clear part of melted butter

3 More than 23 part of both lips looks like filled with clear part of melted butter

कणड 0 No itching Or According to VAS

1 Itching in both lips but not disturbing work

17

Code Signs amp Symptoms Score Gradations Remarks

2 Itching in both lips but disturbing work

3 in both lips and cannot concentrate in work due to itching

Or

0 No itching

1 Occasional itching

2 Off and on itching

3 Continuous itching

चसथयौ 0 Movement of lips not affected

(Immobility) 1 Lip movement slightly affected but no difficulty in speech

2 Lip movement affected which alter the speech

3 Lip movement arrested

भदता (Sponginess) 0 Absent

1 Present

आसराव (अछि सपटिक सङकाशभ) (discharge of clear fluid)

0 No discharge अचछ सफटिक Word is Adjective for the type of discharge So grading is given for the frequency of discharge

1 Occasional discharge

2 Off and on discharge of clear fluid

3 Continuous discharge of clear fluid

गर 0 No Heaviness

1 Mild heaviness no difficulty in lip movement

2 Difficulty in lip function due to heaviness

3 Protrusion of lip due to heaviness

तराबशवमथ (अहर) 0 Does not look like filled with oil As per the घतभणडाब

tailabha is used as adjective so grading is given for Shvayathu

1 13 part of lips looks like filled with oil

2 23 part of lips looks filled with oil

3 More than 23 part of lips looks like filled with oil

सराव 0 No discharge

1 Occasional discharge

2 Off and on discharge of clear fluid

3 Continuous discharge of clear fluid

तराबकरदौ (Moister) 0 Absent Darshan pariksha

18

Code Signs amp Symptoms Score Gradations Remarks

1 Present

कणड 0 No itching Or According to VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate in work due to itching

OR

0 No itching

1 Occasional itching

2 Off and on itching

3 Continuous itching

109 तज ओषठयोग (स) पवदीमता (Tear) 0 No tear

1 Cut Up to epithelial layer

2 Cut Up to Sub epithelial layer

3 Cut up to muscular layer

ऩाटमता (Lips divided

in two parts)

0 Lips divided into two parts

1 Absent

2 Present

गरचथत

(NodulesLumps)

0 No lumps

1 Soft lumps

2 Hard Lumps

3 Multiple lumps

कणड (Itching) 0 No itching Or According to VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate in work due to itching

OR

0 No itching

1 Occasional itching

2 Off and on itching

3 Continuous itching

दशनछिदौ (अहर) (Lips covering the teeth)

0 Covering the teeth completely

1 Partial covering (gt50 ) the teeth

2 Covering the teeth lt50

19

Code Signs amp Symptoms Score Gradations Remarks

3 Not covering the teeth (All teeth exposed)

1010 जराफद (अहर) जरफदफदवद

(Cystic Swelling)

0 No Cystic Swelling

1 Up to 5mm Swelling

2 Swelling up to 5-10mm

3 More than 10mm

1011 यकताफद (स) रचधय सराव

रचधय सरवत 0 No bleeding

(Bleeding) 1 Bleeding on touch or movement

2 Spontaneous bleeding

3 Continuous bleeding

खजयसदश 0 Absent Used as an adjective

(Date fruits like) 1 Present

1012 खणडौषठ (अ)

ओषठोदपवधाकत 0 No separation of lips

(Lips divided separated into two parts)

1 Separation up to vermilion line

2 Separation up to Philtrum

3 Separation up to Collumella

20

GRADATION OF DANTA MOOL GAT ROG

Code ndash 11

Gradations established by Group KARAL Dr Krishna Makadia - Convener

Dantvaidya Saroj Joshi Dantvaidya Harshad Joshi

Dr Kiran Raj Dr Achyuta Atara Dr Pranav Dave

Gradations Reviewed by Dr Hemangi Shukla Dr Krishna Makadia

Edited by Prof Vd Hāridra Dave

21

Code Signs amp Symptoms Score Gradations Remarks

111 शीताद (स) अकसभात यकतसराव 0 No bleeding

1 Occasional bleeding for 1 or 2 times in 1 Prahar

2 Spontaneous Bleeding up to one Prahar

3 Spontaneous Bleeding for more than 1 Prahar (more than 3hrs)

दगनधीतन 0 No foul smell

1 Patient feels foul smell

2 Doctor or person who comes near to patient feels foul smell

3 From distance anyone can feels foul smell who is in the room

4 Foul smell can be feel from outside of the room even

सकषणातन 0 Absent

=Blackish discoloration

1 Present

परकरदीतन 0 Absent

1 Present

भदता 0 Absent

1 Present

दनतभास शीमनत 0 Gums situated At CE junction

1 Recession of gums At cervical 13

2 Recession of gums At middle 13

3 Recession of gums At apical 13

ऩिचनत ि ऩयसऩयभ 0 No Pachan (Pāk)

= Pāk 1 1 Quadrant is involved

2 2 quadrants are involved

3 More than 2 quadrants are involved

112 दनतपपपटक (स) दनतमोसतरीष वा 0 No involvement of teeth

1 Involvement of 2 teeth

2 Involvement of 3 teeth

शवमथ भहान 0 Absent

1 Present

सरज 0 No pain Or according to VAS

1 तीवर =Pain is there but he can do

work or sleep

22

Code Signs amp Symptoms Score Gradations Remarks

2 तीवरतय =Pain is there but he can do

work or sleep

3 तीवरतभ =Patient canrsquot tolerate

शोफ़ो फदयाचसथतनबो घन (अहर) =Kola is

small jujube and badar is big jujube and seed is measuring around 5 mm

0 Not present

1 Shoth up to 25 mm

2 Shoth 25 to 5 mm

3 Shoth is more than 5 mm

ऩाक (अहर) (शीघर ऩछमत)

0 Absent Accumulation of Fluid or pus

1 Present

113 दनतवषट (स) सरवचनत ऩमरचधय

Discharge of blood with pus or only pus

0 No Discharge

1 Blood with Pus Discharge

2 Only pus discharge

िरता 0 No mobility

1 1 mm antero-posterior Mobility

2 2 mm antero-posterior Mobility

3 More than 2 mm antero-posterior amp medial to lateral mobility

114 शौषषर (स) शवमथ 0 Absent

1 Present

रजावान According to VAS scoring

रारासरावी 0 Normal secretion

1 Occasionally splitting

2 On and off splitting

3 Continuous splitting disturbance in work

कणड 0 Absent

1 Occasionally itching

2 On and off itching

3 Continues itching

23

Code Signs amp Symptoms Score Gradations Remarks

दतभासपरशातन 0 Gums situated At CE junction

1 Recession of gums At cervical 13

2 Recession of gums At middle 13 3 Recession of gums At apical 13

115 महाशौषषर (स) दनताशिरचनत 0 No mobility

1 1 mm antero-posterior mobility

2 2 mm antero-posterior mobility

3 More than 2 mm anteroposterior amp medial to lateral mobility

तार अवदीमत 0 Absent Fissure over the Palate

1 Present

दतभासातनऩछमनत 0 No redness

1 Mild redness

2 Moderate redness

3 Severe redness

भख ऩरयऩीडमत 0 No Peedā Or According to VAS

Pain in any part or whole oral cavity

1 Peedā is at those Gums where disease is situated

2 Peedā is at entire Gums

Peedā is at entire Mukh

सचननऩाताजजजजवयवान

(अहर) 0 Normal temperature

1 Temperature between 984rsquoF to 100rsquoF

Temperature between 100rsquoF to 101rsquoF

2 Temperature between 101rsquoF to 102rsquoF

3 Temperature between 102rsquoF to 103rsquoF

4 Temperature between 103rsquoF to 104rsquoF

5 Temperature more than 104rsquoF

सऩमरचधयसरतत (अहर)

0 No Discharge

1 Blood with Pus Discharge

2 only pus discharge

पवशीणदपवजफनधन (अहर)

0 No mobility

1 1 mm antero-posterior mobility 2 2 mm antero-posterior mobility

24

Code Signs amp Symptoms Score Gradations Remarks 3 more than 2 mm antero-posterior

amp medial to lateral mobility

116 पररदर (स) दनतभासातन शीमनत 0 Gums situated At CE junction Depending upon

severity grading has been established

1 Recession of gums At cervical 13

2 Recession of gums At middle 13

3 Recession of gums At apical 13

षठीवतत असक 0 No spitting of blood

1 Occasionally splitting

2 On and off splitting

3 Continuous splitting with disturbance in work

117 उपकश (स) दाह Or According to VAS

ऩाक 0 Absent

1 Present

दनताशिरचनत 0 No mobility

1 1 mm antero-posterior mobility

2 2 mm antero-posterior mobility

3 more than 2 mm antero-posterior amp medial to lateral mobility

आघटिता परसरवचनत 0 Absent

=Bleeding from gums by pressure

1 Bleeding on pressure remains for five minutes

2 Bleeding on pressure remains up to 15 minutes

3 Bleeding on pressure remains up to 30 minutes

4 Bleeding on pressure remains up to 1 hour

5 Bleeding on pressure remains more than 1 hour

भदवदना 0 Absent

1 Present

आधभामनत सरत यकत

0 Absent

1 Present

ऩतत वकतरता (अहर) 0 No foul smell

1 Patient feels foul smell

25

Code Signs amp Symptoms Score Gradations Remarks

2 Doctor or person who comes near to patient feels foul smell

3 From distance anyone can feels foul smell who is in the room

4 Foul smell can be feel from outside of the room even

कणडभचनत (अहर) 0 Absent Or According to VAS

1 Occasionally itching

2 On and off itching

3 Continues itching

िरा (अहर) 0 No mobility

1 1 mm antero-posterior mobility

2 2 mm antero-posterior mobility

3 More than 2 mm antero-posterior amp medial to lateral mobility

118 वदभभ (स) =Traumatic injury(By mechanical Chemical thermal )

घषिष दनतभरष सयबो जामत भहान

0 Absent Mahan suggest itself severity of disease

1 Present

िरदता (अहर) 0 No mobility

1 1 mm antero-posterior mobility

2 2 mm antero-posterior mobility

3 More than 2 mm antero-posterior amp medial to lateral mobility

119 वरभन (स) तीवरवदना 0 No pain Or According to VAS

1 तीवर -Pain is there but he can do

work or sleep

2 तीवरतय -Patient can tolerate

3 तीवरतभ -Patient canrsquot tolerate

1110 अधरमाास (स) भहाञिोथ 0 No Shoth Mahan suggest itself

severity of disease

1 Shoth is Present on that gum only where disease is occurred

2 Shoth is Present on nearby two or three gums where disease is occurred

26

Code Signs amp Symptoms Score Gradations Remarks

3 Shoth is present up to adjoining cheek

This condition should be considered as

भहाञिोथ

भहारजा (स) परततहनतममभमवरतत (अहर)

0 No Rujā (pain) Or According to VAS

2 Rujā (pain) is Present on that gum only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

This condition should be considered as भहारजा amp परततहनतममभमवरतत

रारासरावी 0 Normal secretion

1 Occasionally splitting

2 On and off splitting

3 Continuous splitting disturbance in work

दनतानत कीरवतमशोफ़ (अहर)

0 No Keel vat Shoth

1 Keel vat Shoth is Present on that gum only where disease is occurred

2 Keel vat Shoth is Present on nearby two or three gums where disease is occurred

3 Keel vat Shoth is present up to adjoining cheek

1111 दनतषवदरधर (अहर) दनतभासशोफ़ (ि) 0 No Shoph

1 Shoph is Present on that gum only where disease is occurred

2 Shosh is Present on nearby two or This condition should

27

Code Signs amp Symptoms Score Gradations Remarks

three gums where disease is occurred

be considered as अनत शवमथ According to

Vagbhatta

3 Shosh is extended up to adjoining cheek

This condition should be considered as फाहम शवमथ According to

Vagbhatta

फाहम शवमथ (अहर) This condition is mentioned at दनतभास शोफ़

अनत शवमथ (अहर) This condition is mentioned at दनतभास शोफ़

गर (अहर) 0 Absent

1 Present

रग (अहर) 0 No Rujā (pain) Or According to VAS

2 Rujā (pain) is Present on that gum only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

दाह (अहर) According to VAS

सरवतिननऩमासर (अहर)

0 No Discharge

1 Blood with Pus Discharge

2 Only pus discharge

1112 दतनाडी Scoring is not possible further according to measurement of Nadivrana because X-

ray only detects spread up to the bone Whereas Nadivrana in gingiva periodontal ligament cannot be measured

दतनाडी 0 Absent

1 Present

28

GRADATION OF DANTA GAT ROG

Code ndash 12

Gradations established by Group KARAL Dr Krishna Makadia - Convener

Dantavaidya Saroj Joshi Dantavaidya Harshad Joshi

Dr Kiran Raj Dr Achyuta Atara Dr Pranav Dave

Gradations Reviewed by Dr Hemangi Shukla Dr Krishna Makadia

Edited by Prof Vd Hāridra Dave

29

Code Signs amp Symptoms Score Gradations Remarks

121 दाऱन (स)

तीवररग 0 No Rujā (pain) Or According to VAS

2 Rujā (pain) is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

उषणअसहादनता (अस) 0 No sensitivity in teeth ie with warm

water hot water or

excessive hot water

application on

tooth is not

possible so Time

related and severity

related grading was

finalised(same for

cold)

1 Mild sensitivity in teeth - At a

time

2 Moderate sensitivity in teeth -

Sensitivity remains only for 1

Prahar (up to 3 hrs)

3 Severe sensitivity in teeth -

Sensitivity remains more than

1 Prahar (more than 3 hrs)

शीतअचधकवमथा (अहर) 0 No sensitivity in teeth

1 Mild sensitivity in teeth - At a

time

2 Moderate sensitivity in teeth -

Sensitivity remains only for 1

Prahar (up to 3 hrs)

3 severe sensitivity in teeth-

Sensitivity remains more than

1 Prahar (more than 3 hrs)

22 कममदनत (स) कषण 0 No discoloration

1 Light greyish black

2 Dark greyish black

3 Jet black

30

Code Signs amp Symptoms Score Gradations Remarks

तिदर 0 No cavity It should be

decided by X-ray

1 Cavity within limit of enamel

2 Cavity within limit of dentin

3 Cavity up to pulp

िर 0 No mobility

1 1 mm antero-posterior

mobility

2 2 mm antero-posterior

mobility

3 More than 2 mm antero-

posterior amp medial to lateral

mobility

सरावी 0 No Srāv- after drying

particular teeth with cotton

inserting cotton on cavity

There is no other

method to check

Srāv in Krimidanta

1 Srāv is present

ससयब = Inflammation 0 No inflammation

1 Inflammation is Present भहारज 0 No Rujā (pain) Or According to

VAS 2 Rujā (pain) is Present on that

gum only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

This condition should be considered as भहारज

अतनसभतमतरज 0 No sudden onset of pain

1 Sudden onset of pain is

present

अहततीवराततशभ (अहर) 0 No sudden onset of pain

31

Code Signs amp Symptoms Score Gradations Remarks

1 Sudden onset of pain is

present

पररन (अहर) = Broken due to cavity

0 Cavity is there but it is not

broken

It should be

considered for each

tooth separately

Cavity in that must

be present in

particular tooth

1 13 part of tooth is broken

2 23 of tooth is broken

3 More than 23 of tooth is

broken

4 Total loss of tooth

ऩमसरत (अहर) 0 No Pooya Srāv after drying

particular place

with cotton

inserting cotton on

cavity

1 Pooya Srāv present

यकतसरत (अहर) 0 No Rakta Srāv after drying

particular place

with cotton

inserting cotton on

cavity

1 Rakta Srāv is present

123 दनतहषभ (स)

शीत सऩशन न सहनत 0 No sensitivity by cold touch

in any teeth

1 Ooccassional sensitivity by

cold touch in any toothteeth

for once

2 Sensitivity by cold touch

remains in toothteeth only up

to 1 Prahar (up to 3hrs)

3 Sensitivity by cold touch

remains more than 1 Prahar

(more than 3hrs)

उषण सऩशन न सहनत 0 No sensitivity by hot touch in

any teeth

1 Occassional sensitivity by hot

touch in toothteeth for once

2 Sensitivity by hot touch

remains in toothteeth only up

to 1 Prahar (up to 3hrs)

3 Sensitivity by hot touch

remains in toothteeth more

than 1 Prahar (more than

3hrs)

32

Code Signs amp Symptoms Score Gradations Remarks

परवाताभा = Sensitivity to air

(परवातारशीतबाभा) (अहर)

0 No sensitivity by Pravāt

touch in any tooth

1 Occassional sensitivity by

Pravāt touch in toothteeth for

once

2 Sensitivity by Pravāt touch

remains in toothteeth only up

to 1 Prahar (up to 3hrs)

3 Sensitivity by Pravāt touch

remains in toothteeth more

than 1 Prahar (more than

3hrs)

अरबाभा = Sensitivity to sour food

(परवातारशीतबाभा) (अहर)

0 No sensitivity by eating

sourer food to any tooth

1 Occassional sensitivity by

eating sourer food to any

toothteeth for once

2 Sensitivity by eating sourer

food remains to toothteeth

only up to 1 Prahar (up to

3hrs)

3 Sensitivity by eating sourer

food remains to toothteeth

more than 1 Prahar (more

than 3hrs)

शीतबाभा (परवातारशीतबाभा) (अहर)

0 No sensitivity by eating cold

item to any tooth

1 Occasional sensitivity by

eating cold item to toothteeth

for once

2 Sensitivity by Pravāt touch

remains in toothteeth only up

to 1 Prahar (up to 3hrs)

3 Sensitivity by eating cold

item remains to toothteeth

more than 1 Prahar (more

than 3hrs)

सरजा (अहर) 0 No Rujā (pain)

33

Code Signs amp Symptoms Score Gradations Remarks

2 Rujā (pain) is Present on that gum only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

2 Rujā (pain) is Present on that gum only where disease is occurred and patient can do hisher routine work without disturbance

िर (अहर) 0 No mobility

1 1 mm anterio-posterior

mobility

2 2 mm anterio-posterior

mobility

3 More than 2 mm antero-

posterior amp medial to lateral

mobility

124 भञजनक (स) =Photograph is necessary

(depending upon the severity gradation has been finalised)

वकतर वकरता 0 No deviation

1 Deviation is present

तीवररक 0 No Rujā (pain) Or according to

VAS

2 Rujā (pain) is Present on that gum only where disease is occurred and patient can do hisher routine work without disturbance

34

Code Signs amp Symptoms Score Gradations Remarks

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

This condition should be considered as तीवररक

दनतबङग 0 Tooth is not broken This should be

considered for

single tooth

1 13 part of tooth is broken

2 23 of tooth is broken

3 More than 23 of tooth is

broken

4 Total loss of tooth

125 दनतशकभ रा (स) =Calculus index was selected

शकयव चसथयीबत भर 0 No calculus present

1 Supragingival calculus

covering not more than third

of the exposed tooth surface

2 Supragingival calculus

covering more than 13 but

not more than 23 of the

exposed tooth surface or the

presence of individual flecks

of subgingival calculus

around the cervical portion of

the tooth or both

3 Supragingival calculus

covering more than 23 of the

exposed tooth surface or

continues heavy band 0f

subgingival calculus around

the cervical portion of the

tooth or both

35

Code Signs amp Symptoms Score Gradations Remarks

दनताना गणहयी 0 Absent All 10 Guna of

Danta Sampata

should be

considered required

suggestions for

each Guna

1 Present

ऩततगचनध (अहर) 0 No foul smell Taken grading of

halitosis

1 Patient feels foul smell

2 Doctor or person who comes near to patient feels foul smell

3 From distance anyone can feels foul smell who is in the room

4 Foul smell can be feel from outside of the room even

126 कपामऱका (स)

दनतवलकसम दरनभ = Bracketing of tooth enamel (दरचनत दनतवलकातन)

0 No दरनभ of tooth This should be

considered

separately for each

tooth

1 दरनभ is present of less than 13 of tooth

2 दरनभ is present of more than of 13 of tooth but less than 23 of tooth

3 दरनभ is present of more than of 23 of tooth but no total loss of tooth

4 Total loss of tooth after दरनभ

This condition should be considered as दशनाना पवनाश

दशनाना पवनाश = Total loss of tooth

0 No Any loss of tooth This should be

considered

separately for each

tooth

1 loss of tooth is present of less than 13 of tooth

2 loss of tooth is present of more than of 13 of tooth but less than 23 of tooth

36

Code Signs amp Symptoms Score Gradations Remarks

3 loss of tooth is present of more than of 23 of tooth but no total loss of tooth

4 Total loss of tooth This condition should be considered as दशनाना पवनाश

दनतशातनभ अणश = Thinning of tooth (शातमतममतममणशो दनतात कऩारातन) (अहर)

0 No शातनभ of tooth This should be

considered

separately for each

tooth

1 शातनभ is present in less than 13 of tooth

2 शातनभ is present in more than 13 of tooth but less than 23 of tooth

3 शातनभ is present in more than 23 of tooth but no total loss of tooth

4 Total loss of tooth due to शातनभ

127 शयावदनतक (स) In शमावदनत शमावता amp नीरता should be considered ascending stages

शमावता + नीरता 0 -No any discolouration of

tooth

-Normal colour of tooth

This should be

considered

separately for each

tooth

1 शमावता is Present

2 नीरता is Present

128 हनमो (स) According to Dalhan हनमो is not Dant Rog directly but it is near to

Dantchewing of hard food is one of the causes and there is pain in Dant so it is considered under Danta Rog

हनसचनधपवसहत 0 Absent

1 Can be reset by manual reduction

2 Can be reset by surgical

intervention

129 दनतभद (अहर) तोद =Pricking pain 0 No Pricking pain -Or According to

VAS

- This should be

considered

separately for each

tooth

37

Code Signs amp Symptoms Score Gradations Remarks

2 Pricking pain is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Pricking pain is referred up to Hanu and patient can do hisher routine work without disturbance

4 Pricking pain is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Pricking pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Pricking pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

बद Braking pain 0 No Braking pain -Or According to

VAS

- This should be

considered

separately for each

tooth

2 Braking pain is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Braking pain is referred up to Hanu and patient can do hisher routine work without disturbance

4 Braking pain is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Braking pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Braking pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

38

Code Signs amp Symptoms Score Gradations Remarks

रक Dull pain 0 No Rujā (pain) -Or According to

VAS

- This should be

considered

separately for each

tooth

2 Rujā (pain) is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

सपिन Burstingexpanding pain

0 No Bursting pain -Or According to

VAS

- This should be

considered

separately for each

tooth

2 Bursting pain is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Bursting pain is referred up to Hanu and patient can do hisher routine work without disturbance

4 Bursting pain is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

39

Code Signs amp Symptoms Score Gradations Remarks

5 Bursting pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Bursting pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

1210 दनतचाऱ (अहर) िरतमव = Mobility 0 No = mobility

1 1mm anterio-posterior

mobility

2 2 mm anterio-posterior

mobility

3 More than 2 mm anterio-

posterior amp medial to lateral

mobility

बणादचधकवमथ 0 No Vyatha ndash Pain during

eating

1 Pain during eating of hard

diet only

2 Pain during eating of soft diet

even

1211 कराऱ (स)

=Malocclusion

0 A Normal Molar relationship

exist but there is crowding

misalignment of the teeth

cross bite etc

1 A malocclusion where the

molar relationship shows the

buccal grove of mandibular

first molar distally positioned

when in occlusion with the

mesiobuccal cusp of the

maxillary first molar

2 A malocclusion where the

molar relationship shows the

buccal groove of the

mandibular first molar

mesiallypos

40

GRADATIONS OF JIHWA GAT ROG

Code - 13

Established by Group BHOJ Dr Krishna Makaia ndash Convener

Dr Rajeshree Unadkat Dr Neelam Dave

Dr Ronakgiri Gosai Dr Jignesh Virapariya

Reviewed by Dr Vijayant Bharadwaj

Edited by Prof Vd Hāridra Dave

41

Code Signs amp Symptoms Score Gradations Remarks

131 वाततक चजहवाकिक (स) सपटिता (Creaks) 0 No creaks on tongue

1 Single creak on the dorsum of tongue

2 Multiple Creaks on the dorsum of tongue

3 Multiple deep creaks on the dorsum of tongue (Bleeding)

परसपता (Numbness )

0 No Numbness

1 Numbness in 13 Part of tongue

2 Numbness in 23 Part of tongue

3 Numbness in more than 23 Part of tongue

शाकछिदनपरकाशा (Roughness)

0 Normal surface of tongue on touch

1 Mild rough surface on touch

2 Hard irregular surface on touch

3 Very rough surface which hurts the finger on touch

132 ऩततक चजहवाकिक (स) ऩीता 0 No yellowish discolouration

1 Yellowish discoloration in 13 part

2 Yellowish discoloration in 23 part

3 Yellowish discoloration in more than 23 part of tongue

ऩरयदहमत Burning in entire tongue)

0 No burning Or According to VAS

1 Occasional burning

2 Intermittent burning

3 Continuous burning does not relieve by any measures

दाह (Burning may be

in partially tongue)

0 No Burning Or According to VAS

1 Burning up to 13 part of tongue

2 Burning in 13 to 23 part of tongue

3 Burning in more than 23 part of tongue

42

Code Signs amp Symptoms Score Gradations Remarks

यकतभासाङकयचशिता (Covered with red buds )

0 No change in appearance

1 13 part of tongue covered with red fleshy buds

2 23 part of tongue covered with red fleshy buds

3 Whole tongue covered with red fleshy buds

ओष (Burning) 0 No Oshha Or According to VAS

1 Oshha up to 13 part of tongue

2 Oshha in 13 to 23 part of tongue

3 Oshha in more than 23 part of tongue

133 कपज चजहवाकिक (स) फहरा (Thick) 0 Normal Thickness of Tongue

1 Thickness increased - noticeable by patient

2 Thickness increased - noticeable by the examiner

3 Tongue protruding out because of increased Thickness

गवी (Heaviness) 0 No Heaviness

1 Feeling mild heaviness but no difficulty in Tongue movement

2 Difficulty in Tongue movement especially during intake of liquid

3 Difficulty in Tongue movement especially during intake of hard food

4 Difficulty in Tongue movement especially during Pronunciation

भासोदगभ शालभसरकणिकाब (thorn like papilla)

0 No change in appearance of tongue

1 13 part of tongue covered with red fleshy thorn like papilla

2 23 part of tongue covered with thorn like papilla

3 Whole tongue covered with thorn like papilla

43

Code Signs amp Symptoms Score Gradations Remarks

134 अरास (स) शवमथ

(Swelling at ventral surface of tongue)

0 Absent

1 Present

सतबमतत (Restricted tongue movement)

0 -Normal Movement of Tongue -Movement of tongue not affected

1 Tongue movement slightly restricted but does not affect the normal function

2 Tongue movement restricted that affects the normal function

3 Tongue movement arrested

परवदध

(Increase in size)

0 Size not increased

1 Size increased - noticeable by the patient

2 Size increased - noticeable by the examiner

3 Tongue protruding out because of increased size

ऩाक 0 No swelling or suppuration

1 Inflammation with pain and tenderness

2 Inflammation with different types of pain and tenderness along with induration

3 Pus formation and fluctuation positive

अधशोप 0 Absent

1 Present

उननत (elevation of

the tongue due to swelling below the tongue)

0 Normal position of tongue

1 Tongue slightly elevated due to swelling below the tongue

2 Tongue elevation causes discomfort to the patient

3 Tongue touches the palate

भतमसमगचनध

(Fishy smell)

0 Absent

1 Present

44

Code Signs amp Symptoms Score Gradations Remarks

भासशातन (Destruction of flesh of tongue )

0 No Destruction of tongue flesh

1 13 part of tongue flesh is destroyed

2 23 part of tongue flesh is destroyed

3 More than 23 part of tongue is destroyed

135 उऩचजचहवका (स) शवमथ (Swelling) 0 Absent

1 Present

चजहवाभननम

जात (elevation of

tongue because of swelling)

0 Normal position of tongue

1 Tongue slightly elevated due to swelling below the tongue

2 Tongue elevation causes discomfort to the patient

3 Tongue touches the palate

परसक (Salivation) 0 Normal secretion of saliva

1 Occasionally spitting

2 Off and on spitting

3 Continuous spitting which disturbs the work

कणड (Itching) 0 No itching Or According to VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate on work due to severe itching

0r

0 No itching

1 Occasional itching

2 Off and on itching

3 Continuous itching

ऩरयदाह (Burning in

whole tongue)

0 No burning Or According to VAS

1 Occasional burning

2 Intermittent burning

3 Contentious burning dose not relive by any measures

45

Code Signs amp Symptoms Score Gradations Remarks

136 अचधचजचहवका (अर)

अधोचजहवामा शोप

0 Normal position of tongue

(Swelling below the tongue)

1 Tongue slightly elevated due to swelling below the tongue

2 Tongue elevation causes discomfort to the patient

3 Tongue touches the palate

अङकय (Pappilary

growth)

0 Absent

1 Present

ओष (Burning) 0 No Oshh Or According to

VAS

1 Oshh up to 13 part of tongue

2 Oshh in 13 to 23 part of tongue

3 Oshh in more than 23 part of tongue

सतबवान

(Restriction of Movement)

0 Movement of tongue not affected

1 Tongue movement slightly restricted but does not affect the normal function

2 Tongue movement restricted that affect the normal function

3 Tongue movement arrested

खय(Rough) 0 Smooth on touch

1 Mild irregular surface

2 Rough surface

3 Sharp rough surface touch hurts on finger on touch

रक (Pain) 0 No pain Or According to

VAS

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

कणड (Itching) 0 No itching Or According to

VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate on work due to severe itching

0r

0 No itching

46

Code Signs amp Symptoms Score Gradations Remarks

1 Occasional itching

2 Off and on itching

3 Continuous itching

वाकम पवघातकत (Difficulty in speech)

0 No difficulty in speech

1 Unable to speak िति vargavyanjana

2 Difficulty in speaking क vargavyanjana

Swara donrsquot need involvement of tongue

3 Unable to speak

आहयपवघातकत

(Swallowing )

0 Able to eat regular diet

1 Able to eat soft diet

2 Able to eat only liquid diet

3 Unable to swallow anything

47

GRADATION OF TALUGAT ROG

Code - 14

Established by Group BHOJ Dr Krishna Makaia ndash Convener

Dr Rajeshree Unadkat Dr Neelam Dave

Dr Ronakgiri Gosai Dr Jignesh Virapariya

Reviewed by Dr Vijayant Bharadwaj

Edited by Prof Vd Hāridra Dave

48

Code Signs amp Symptoms Score Gradations Remarks

141 गरशचणडका (स)

परवदधो शोप (Swelling extending from palate) (Which is elongated)

0 Normal size of uvula

1 Swelling of uvula that causes discomfort to the patient

2 Swelling of uvula that causes foreign body sensation

3 Difficulty in breathing due to swelling

दीघ शोप

(Elongated Swelling)

0 Normal size of uvula

1 Elongated swelling of uvula that causes discomfort to the patient

2 Elongated swelling of uvula that causes foreign body sensation

3 Difficulty in breathing due to Elongated swelling

धभातफचसतपरकाश शोप =Inflated

swelling like Basti

0 Normal size of uvula

1 Inflated swelling like Basti of uvula that causes discomfort to the patient

2 Inflated swelling like Basti of uvula that causes foreign body sensation

3 Difficulty in breathing due to Inflated swelling like Basti

तषणा 0 Normal feeling of thirst

1 Increased feeling of thirst which is relived after drinking water

The quantity of water is not consider here but the frequency of water is considered

2 Frequent feeling of thirst which is Occasional relived after drinking water

3 Continuous feeling of thirst does not relive after drinking profuse amount of water

कास (Coughing) 0 No coughing

49

Code Signs amp Symptoms Score Gradations Remarks

1 Occasional coughing during eating and speaking

2 Off and on coughing

3 Continuous coughing

शवास 0 No difficulty in breathing

1 Difficulty in breathing occasionally

2 More difficulty in breathing while sleeping

3 Excessive difficulty in breathing

भतमसमफचसततनब शोप (अहर)

0 Normal uvula Used as an adjective

1 Inflated swelling like Matsya-Basti of uvula that causes discomfort to the patient

2 Inflated swelling like Matsya-Basti of uvula that causes foreign body sensation

3 Difficulty in breathing due to Inflated swelling like Matsya-Basti

पररफ (अहर) 0 Normal length of Uvula

(Elongated Swelling)

1 Size of Uvula increased up to lt2 mm

2 Size of Uvula increased more than 2 mm but less than 4 mm

3 Size of Uvula increased gt4 mm that cause discomfort to patient and cause difficulty in breathing

पऩचछिर(अहर) (Sliminess)

0 Absent

1 Present

नासमाऽऽहायभीयमन (अहर)

0 Food does not come out from nose

(Food comes out of nose)

1 Food comes out from nose

कणठोऩयोध(अहर) (Obstruction of throat )

0 -Able to eat regular diet -No difficulty in swallowing of any food

1 Able to swallow liquid or soft diet but not able to swallow hard diet

2 Able to swallow hard diet forcefully

50

Code Signs amp Symptoms Score Gradations Remarks

3 Not able to swallow hard diet with force

वभन(अहर) (Vomiting)

0 No Vaman

1 Feeling of nausea only

2 Only one veg of Vaman in a day

3 Two vegas of Vaman in a day

4 More than two vegas of Vaman in a day

132 तचणडकयी (स)

शोप (Tonsillar

Swelling)

0 Tonsils are located within the tonsillar fossa

1 Tonsils hypertrophy till the brim of the tonsillar fossa

2 Tonsils hypertrophy extends beyond the pillars but not touching each other

3 Tonsils hypertrophy extends beyond the pillars but not touching each other

तोद

(Pricking pain)

0 No pain

1 Occasional pain Or according to VAS

2 Off and on pain

3 Continuous pain

दाह (Burning) 0 No

1 Occasional burning

2 Intermittent burning

3 Contentious burning dose not relive by any measures

परऩाक 0 Absent

1 Present

पऩचछिर शोप(अहर)

Sliminess in swallowing

0 Feeling of Sliminess is Absent

1 Feeling of Sliminess is Present

भनदरक (अहर)

(Mild pain)

0 Absent Or According to

VAS

1 Present

133 अधरष (स)

शोप (Swelling) 0 No swelling

1 13 Swelling in part of the palate

51

Code Signs amp Symptoms Score Gradations Remarks

2 23 swelling in part of palate

3 Swelling in gt than 23 part of palate

सतबधता =Functions of soft palate like deglutition Phonation etc are affected = No mobility of soft palate

0 Normal function of soft palate

1 Soft palate movement reduced but functions are not affected

2 Any one of the functions of soft palate is affected

3 All functions of soft palate are affected

रोटहतवणता

(Redness)

0 No change in colour

1 Pinkish red coloured mucosa in palate

2 Red coloured mucosa in palate

3 Dark red coloured mucosa in palate

रजा (Pain) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

जजवय (Fever) 0 Normal temperature

1 Temperature between 984rsquoF to 100rsquoF

Temperature between 100rsquoF to 101rsquoF

2 Temperature between 101rsquoF to 102rsquoF

3 Temperature between 102rsquoF to 103rsquoF

52

Code Signs amp Symptoms Score Gradations Remarks

4 Temperature between 103rsquoF to 104rsquoF

5 Temperature more than 104rsquoF

134 कछिऩ (स)

कभवत उतमसनन शोप (Swelling

having shape like dorsum of tortoise)

0 No swelling

1 Swelling in 13rd part of the palate

2 Swelling in 23rd part of palate

3 Swelling in gt 23rd part of palate

चियवपदध(अहर)

(Slow growth)

0 Growth within a week

1 Growth within 1 week to 1 month

2 Growth within 1 month to 6 months

3 Growth within gt 6 months

रक (अहर) (Pain) 0 No pain Or According to VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesics

135 तारअफद (स) ऩदमाकाय तारभधम

शोपम (Swelling

like shape of lotus )

0 No swelling

1 Swelling in 13rd part of the palate

2 2 Swelling in 23rd part of palate

3 3 Swelling in gt 23rd part of palate

136 भाससङघात (स) नीरज (Painless) 0 Absent

1 Present

53

Code Signs amp Symptoms Score Gradations Remarks

शोप 0 No swelling

1 Swelling in 13rd part of the palate

2 Swelling in 23rd part of palate

3 Swelling in gt 23rd part of palate

137 तारऩपऩि (स) नीरक (Painless) 0 Absent

1 Present

कोरभातर

Swelling having size of Kola fruit

0 Absent

1 Present

138 तारशोष (स)

शोष (Dryness) 0 No dryness

1 Dryness decreased after drinking water

2 Patient needs water frequently

3 Dryness persist after dinking profuse water

दायण (Tearing of palate)

0 Absent

1 Present

शवास (Difficulty in

breathing)

0 No difficulty in breathing Here difficulty in breathing is due to obstruction

1 Difficulty in breathing occasionally

2 More difficulty in breathing while sleeping position

3 Excessive difficulty in breathing

जजवय(अहर) (Fever) 0 Normal temperature

1 Temperature between 984rsquoF to 100rsquoF

Temperature between 100rsquoF to 101rsquoF

2 Temperature between 101rsquoF to 102rsquoF

3 Temperature between 102rsquoF to 103rsquoF

4 Temperature between 103rsquoF to 104rsquoF

5 Temperature more than 104rsquoF

54

Code Signs amp Symptoms Score Gradations Remarks

139 तारऩाक (स) ऩाक (Suppuration) 0 No swelling or suppuration

1 Inflammation of palate with pain and tenderness

2 Inflammation of palate with different types of pain and tenderness with induration

3 Pus formation and fluctuation positive

1310 तारपऩटिका (अहर) तारभास पऩटिका

Follicles in palate flesh

0 No follicles

1 13 palate covered with follicles

2 23 palate covered with follicles

3 More than 23 palate covered with follicles

रज(अहर) (Pain) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

Occasional pain

खयता(अहर) (Roughness)

0 Smooth on touch

1 Mild irregular surface on touch

2 Rough surface

3 Sharp rough surface which hurts on finger on touch

घनसराव(अहर) (Thick discharge)

0 No discharge

1 Occasional discharge

2 Off and on thick discharge

3 Continuous thick discharge

1311 तारसहतत (अहर) तारभधम तनरक (अहर) =Painless fleshy growth in palate

Only तारभधम तनरक indicates the place and quality of growth both the symptoms can be

merged

55

Code Signs amp Symptoms Score Gradations Remarks

तनरक (Painless) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

भाससहत

(Fleshy growth in palate)

0 No fleshy growth

1 Fleshy growth in 13 part of the palate Swelling

2 Fleshy growth in 23 part of palate swelling

3 Fleshy growth in more than 23 part of palate

56

GRADATION OF SARVASAR ROG

Code - 15

Established by Group BHOJ Dr Krishna Makaia ndash Convener

Dr Rajeshree Unadkat Dr Neelam Dave

Dr Ronakgiri Gosai Dr Jignesh Virapariya

Reviewed by Dr Vijayant Bharadwaj

Edited by Prof Vd Hāridra Dave

57

Code Signs amp Symptoms Score Gradations Remarks

151 वातजसवसय (स) सपोि (Ulcers) 0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

तोद = Pricking pain 0 No pricking pain Or According to VAS

1 Occasional pricking pain

2 Off and on pricking pain

3 Continuous pricking pain

Or

0 No pricking pain

1 Sometimes mild pricking pain

2 Has to take analgesic while pricking pain

सिारयण(अहर) This symptom is for सवसय so this सवसय is the nature of सिारय

0 No movement of सवसय

1 Movement of सवसय is once in a week

2 Movement of सवसय is once in three to four days

3 Movement of सवसय is at every alternate day

4 Movement of सवसय is once in a day

अरण (अहर) Reddish discoloration

0 Colour of वरण is same with colour of surrounding area

1 Colour of वरण is Reddish

2 Colour of वरण is Dark Red

3 Colour of वरण is Reddish black

र (अहर) Dryness 0 वरण is Moist

-No dryness of वरण

1 वरण Needs lubrication once a day

2 वरण Needs frequent lubrication in

a day

3 No benefit with frequent

lubrication of वरण

तामरता (अहर) (Coppery

0 Colour of वरणौषठ is same with colour of surrounding area

58

Code Signs amp Symptoms Score Gradations Remarks

discoloration) This symptom is for

वरणौषठ

1 Colour of वरणौषठ is Tamra Varna

चऱतवचा (अहर) (Free mucous membrane) This symptom is for

वरणौषठ

0

Movement of वरणौषठ is on touch

only

1 Movement of वरणौषठ can be seen by naked eye means without touch

शीतासहा (अहर) (Intolerance to cold) This symptom is for

जजहवा

0 No Intolerance of cold to जजहवा

1 Intolerance of severe cold to जजहवा

2 Intolerance of moderate cold to जजहवा

3 Intolerance of Mild cold to जजहवा

गवी (Heaviness)

This symptom is for

जजहवा

0 No Heaviness

1 Mild heaviness with no difficulty

in movement of जजहवा

2 Moderate heaviness with

difficulty in Movement of जजहवा

3 Sever heaviness with bending down of

सफटटता (अहर) (Ulcer)

0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

कणटाकाधचता (अहर) = Thorn like

appearance

0 No change in appearance

59

Code Signs amp Symptoms Score Gradations Remarks

1 13 part of oral mucous membrane covered with red fleshy thorn like papillae

2 23 part of oral mucous membrane covered with red fleshy thorn like papillae

3 gt23 part of oral mucous membrane covered with red fleshy thorn like papillae

षववणोतत कचछरणमखम (अहर) (Difficulty in mouth opening)

0 Mouth opening more than 3 fingers without difficulty

1 2 to 3 fingers opening of mouth with or without difficulty

2 1 to 2 fingers opening of mouth with or without difficulty

3 Less than 1 finger opening of mouth with or without difficulty

152 पऩतमत(यकतज)सवसय (स) Signs and Symptoms of यकतज सवसय are same as of पऩतमत सवसय so no separate gradations are mentioned

यकतता (Redness) 0 Colour of सवसय- वरण is similar with

surrounding mucous membrane

1 Reddish Colour of सवसय- वरण

2 Bright red Colour of सवसय- वरण

3 Dark red Colour of सवसय- वरण

सदाह (Burning

Sensation)

0 No burning in सवसय- वरण Or According to

VAS

1 Occasional burning in सवसय- वरण

2 Intermittent burning in सवसय- वरण

3 Contentious burning in सवसय- वरण

which does not relive by any measures

तन (तनसब) (Shallow superficial ulcers)

0 No ulcer

1 Ulcer having depth of 05-1 mm

2 Ulcer having depth of 1 ndash 15 mm

3 Ulcer having depth of 15 -2 mm

60

Code Signs amp Symptoms Score Gradations Remarks

ओष (अहर) 0 No (ओष) burning in सवसय- वरण

1 Occasional (ओष) burning in

सवसय- वरण

2 Intermittent (ओष) burning in

सवसय- वरण

3 Contentious (ओष) burning in

सवसय- वरण which does not relive

by any measures

ततकतवकरता (अहर) (Bitter taste in mouth)

0 No alteration in taste

1 Occasionally bitter taste felt in mouth without having any bitter substance

2 Off and on bitter taste felt in mouth without having any bitter substance

3 Continuous bitter taste felt in mouth without having any bitter substance

ारोकषतत समावरणा (अहर)

0 No Ulcer

(Ulcers looking like chemical burns)

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

153 कपज सवसय (स) कणड (Itching) 0 No itching Or According to

VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Unable to work due to itching

0r

0 No itching

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate on work due to severe itching

रजा (Pain)

(अलऩ रजा) 0 No pain Or According to

VAS

1 Occasional pain

61

Code Signs amp Symptoms Score Gradations Remarks

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain This condition should be considered as अलऩ रजा

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

सवणण 0 Colour of वरण is same with colour of near by tissue

1 Colour of वरण is not same with colour of near by tissue

मररासयतवम (अहर) (Sweet taste in mouth)

0 No alteration in taste

1 Occasionally sweet taste felt without eating any sweet substance

2 Off and on Sweet taste Occasionally sweet taste felt without eating any sweet substance

3 Continuous sweet taste Occasionally sweet taste felt without eating any sweet substance

षपजचछिऱता (अहर) (Unctuousness)

0 Absent

1 Present

वरण 0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

154 कफाबभद (अहर) शयाव अबभदम

(शयावपाणडऽबभदम) 0 Colour of growthtumour is same

the colour of surrounding skin

1 Colour of growthtumour is शयाव

(Blackish)

62

Code Signs amp Symptoms Score Gradations Remarks

पाणड अबभदम (शयावपाणडऽबभदम)

0 Colour of growthtumour is same the colour of surrounding skin

1 Colour of growthtumour is पाणड

(Pale)

अबभदम 0 No GrowthTumour TNM Classification for tumours can be applied for growth

1 Growthtumour having sizelt 10 mm

2 Growthtumour having size 10 mm to 20 mm

3 Growthtumour having size gt 20 mm

घटिता तिनना मटदता च षववरभत (Size increases on rubbing cutting and squeezing)

0 Size of GrowthTumour is not increasing by rubbing cutting or squeezing

1 Size of GrowthTumour is increasing up to 10 mm by rubbing cutting or squeezing within a month

2 Size of GrowthTumour is increasing up to 20 mm by rubbing cutting or squeezing within a month

3 Size of GrowthTumour is increasing up to 30 mm by rubbing cutting or squeezing within a month

4 Size of GrowthTumour is increasing up to 40 mm by rubbing cutting or squeezing within a month

155 ऊरधवभगद (अहर) वकतरदौगनधम

(Halitosis)

0 No Halitosis

1 Halitosis is feel by Patient only

2 Halitosis is feel by Patient and examining Doctor only

3 Halitosis is feel by any person from the distance from 5 meters

63

Code Signs amp Symptoms Score Gradations Remarks

4 Halitosis is feel by any person from the distance from more than 5 meters

156 पततवकर (अहर) ऩतममासमता

(Halitosis)

0 No Halitosis

1 Halitosis is feel by Patient only

2 Halitosis is feel by Patient and examining Doctor only

3 Halitosis is feel by any person from the distance from 5 meters

4 Halitosis is feel by any person from the distance from more than 5 meters

157 सतनऩाततक सवसय (अहर) This disease occurs due to aggravation of all three doshas including Rakta Clinical presentation of this disease is found as mixed picture according prominent aggravation of dosha and signs and symptoms will be observed accordingly Gradations should be considered accordingly so it is not required to repeat here

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Page 14: THE GRADATIONS OF DISEASES OF SHALAKYA TANTRA - PART …theassociationofshalaki.com/downloads/GRADATIONS_OF_DISEASE… · 12.05.2019  · I am also very much thankful to Dr Sandhya

13

Code Signs amp Symptoms Score Gradations Remarks

104 सतनऩातज ओषठयोग (स) कषणता (Blackish

discoloration)

0 No change in colour In original Shlok lsquoSakrutrsquo word is used along with all types of discolorations According to expert of Sanskrit language and expert of Samhita subject the meaning of lsquoSakrutrsquo is lsquosometimesrsquo and another meaning of this world is lsquosome partrsquo Here we have taken meaning lsquosome partrsquo

1 13 Part of one lip is blackish in colour

2 13 Part of both lips are blackish in colour

3 23 Part of one lip is blackish in colour

4 23 Part of both lips are blackish in colour

5 More than 23 Part of one lip is blackish in colour

6 More than 23 Part of both lips are blackish in colour

ऩीतता (Yellowish

discoloration)

0 No change in colour

1 13 Part of one lip is yellowish in colour

2 13 Part of both lips are yellowish in colour

3 23 Part of one lip is yellowish in colour

4 23 Part of both lips are yellowish in colour

5 More than 23 Part of one lip is yellowish in colour

6 More than 23 Part of both lips are yellowish in colour

अनकपऩडडकाचितौ 0 No Follicles in any of lips

(Multiple follilcles) 1 13 lipLips isare covered with few follicles of various sizes

2 13 lipLips isare covered with multiple follicles of various sizes

3 23 lipLips isare covered with multiple follicles of various sizes

4 Multiple follicles with various sizes (23 lip covered)

5 More than 23 lipLips isare covered with multiple follicles of various sizes follicles

14

Code Signs amp Symptoms Score Gradations Remarks

दगनधौ (Foul smell) 0 No Foul smell

1 Only patient feel foul smell

2 Nearby Doctor 0r people can feel foul smell

3 Foul smell is not tolerable by the patient and the nearby person

आसरावौ (Discharge) 0 No Discharge is on any of lips In Sannipataja disease usually the mixed type of discharge is found So here the type of discharge is not considered The quantity of discharge is considered

1 Mild discharge collected on any one lip

2 Mild discharge collected on both lips or Moderate discharge collected on any one lip which has to be cleaned occasionally

3 Moderate discharge collected on both lips which has to be cleaned occasionally

4 Moderate discharge collected on both lips which has to be cleaned frequently

5 Severe or continuous discharge collected on lipLips which has to be cleaned frequently

पऩचछिरौ (Sliminess) 0 No sliminess

1 Mild Sliminess

2 Moderate Sliminess

3 Severe Sliminess

अकसभातमरानसशन रजौ (अहर) अकसभात

= All of a sudden = Without any reason = Spontaneous = Both Lips become Mlān swollen and painful all of a sudden andwithout any reason

अकसभातमरानौ (अहर) 0 No change in appearance

(Spontaneous Faded) 1 Lips look dull occasionally

15

Code Signs amp Symptoms Score Gradations Remarks

2 Lips look faded off and on in a day

3 Lips look faded and dirty frequently in a day

अकसभातसशनौ (अहर) 0 No Swelling

(Spontaneous swelling) 1 Occasionally Swelling in a day Here the size of swelling is not considered but the spontaneous nature of swilling is considered

2 Off and on swelling in a day

3 Swelling frequently in a day

अकसभात रजौ (अहर) (Pain)

0 No pain Or According to VAS

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

पवषभऩाककनौ (अहर) (Irregular suppuration )

0 No suppuration

1 Suppuration in 13 part of lips

2 Suppuration in 23 part of lip

3 Suppuration in major of lip

105 यकतज ओषठयोग (स) खजयपर पऩडका 0 No follicles

(Brownish follicles) 1 13 lip covered with brownish colour follicles

2 23 lip covered with brownish colour follicles

3 More than 23 lip covered with follicles

रचधयसराव (रचधय सरवत) (Bleeding)

0 No bleeding

1 Bleeding on touch or movement

2 Spontaneous bleeding

3 Continuous Bleeding

अफद बवत 0 No tumour

1 Tumour is 2 cm in size

2 Tumour is 4 cm in size

3 Tumour is gt4 cm in size

106 भासज ओषठयोग (स) भासपऩणडवत उदगतौ

(Bulky) 0 No Growth This word is used

as an adjective of

Sthoola See सथल

16

Code Signs amp Symptoms Score Gradations Remarks

1 Growth is present in both Oshtha but no discomfort to patient

2 Growth is present in both Oshtha with discomfort to patient

3 Large Growth is present in both Oshtha involving the surrounding region

जनतवशिातर भछिचनत सककसमोबमतो भखात

0 No Maggot Formation

1 Maggot formation on one side of the angle of mouth

2 Maggot Formation on both angles of mouth

3 Excessive maggot Formation

गर 0 No Heaviness in any of the lip

1 Mild heaviness no difficulty in lips movement

2 Difficulty in Lips function due to Heaviness

3 Protrusion of both lips

सथरौ (Bulky)

According to Sanskrit ndash English Dictionary

0 Size not increased

1 Slightly bigger than normal no noticeable by other person

2 Bigger than normal noticeable by another person

3 Bigger size effect the lip movement and lip protrudes down

107 भदज ओषठयोग (स) घतभणडाबौ (Clear

melted butter like)

0 Does not look like filled with clear part of melted butter

Here the specific appearance is given so the area is considerd

1 13 part of both lips looks like filled with clear part of melted butter

2 23 part of both lips looks like filled with clear part of melted butter

3 More than 23 part of both lips looks like filled with clear part of melted butter

कणड 0 No itching Or According to VAS

1 Itching in both lips but not disturbing work

17

Code Signs amp Symptoms Score Gradations Remarks

2 Itching in both lips but disturbing work

3 in both lips and cannot concentrate in work due to itching

Or

0 No itching

1 Occasional itching

2 Off and on itching

3 Continuous itching

चसथयौ 0 Movement of lips not affected

(Immobility) 1 Lip movement slightly affected but no difficulty in speech

2 Lip movement affected which alter the speech

3 Lip movement arrested

भदता (Sponginess) 0 Absent

1 Present

आसराव (अछि सपटिक सङकाशभ) (discharge of clear fluid)

0 No discharge अचछ सफटिक Word is Adjective for the type of discharge So grading is given for the frequency of discharge

1 Occasional discharge

2 Off and on discharge of clear fluid

3 Continuous discharge of clear fluid

गर 0 No Heaviness

1 Mild heaviness no difficulty in lip movement

2 Difficulty in lip function due to heaviness

3 Protrusion of lip due to heaviness

तराबशवमथ (अहर) 0 Does not look like filled with oil As per the घतभणडाब

tailabha is used as adjective so grading is given for Shvayathu

1 13 part of lips looks like filled with oil

2 23 part of lips looks filled with oil

3 More than 23 part of lips looks like filled with oil

सराव 0 No discharge

1 Occasional discharge

2 Off and on discharge of clear fluid

3 Continuous discharge of clear fluid

तराबकरदौ (Moister) 0 Absent Darshan pariksha

18

Code Signs amp Symptoms Score Gradations Remarks

1 Present

कणड 0 No itching Or According to VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate in work due to itching

OR

0 No itching

1 Occasional itching

2 Off and on itching

3 Continuous itching

109 तज ओषठयोग (स) पवदीमता (Tear) 0 No tear

1 Cut Up to epithelial layer

2 Cut Up to Sub epithelial layer

3 Cut up to muscular layer

ऩाटमता (Lips divided

in two parts)

0 Lips divided into two parts

1 Absent

2 Present

गरचथत

(NodulesLumps)

0 No lumps

1 Soft lumps

2 Hard Lumps

3 Multiple lumps

कणड (Itching) 0 No itching Or According to VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate in work due to itching

OR

0 No itching

1 Occasional itching

2 Off and on itching

3 Continuous itching

दशनछिदौ (अहर) (Lips covering the teeth)

0 Covering the teeth completely

1 Partial covering (gt50 ) the teeth

2 Covering the teeth lt50

19

Code Signs amp Symptoms Score Gradations Remarks

3 Not covering the teeth (All teeth exposed)

1010 जराफद (अहर) जरफदफदवद

(Cystic Swelling)

0 No Cystic Swelling

1 Up to 5mm Swelling

2 Swelling up to 5-10mm

3 More than 10mm

1011 यकताफद (स) रचधय सराव

रचधय सरवत 0 No bleeding

(Bleeding) 1 Bleeding on touch or movement

2 Spontaneous bleeding

3 Continuous bleeding

खजयसदश 0 Absent Used as an adjective

(Date fruits like) 1 Present

1012 खणडौषठ (अ)

ओषठोदपवधाकत 0 No separation of lips

(Lips divided separated into two parts)

1 Separation up to vermilion line

2 Separation up to Philtrum

3 Separation up to Collumella

20

GRADATION OF DANTA MOOL GAT ROG

Code ndash 11

Gradations established by Group KARAL Dr Krishna Makadia - Convener

Dantvaidya Saroj Joshi Dantvaidya Harshad Joshi

Dr Kiran Raj Dr Achyuta Atara Dr Pranav Dave

Gradations Reviewed by Dr Hemangi Shukla Dr Krishna Makadia

Edited by Prof Vd Hāridra Dave

21

Code Signs amp Symptoms Score Gradations Remarks

111 शीताद (स) अकसभात यकतसराव 0 No bleeding

1 Occasional bleeding for 1 or 2 times in 1 Prahar

2 Spontaneous Bleeding up to one Prahar

3 Spontaneous Bleeding for more than 1 Prahar (more than 3hrs)

दगनधीतन 0 No foul smell

1 Patient feels foul smell

2 Doctor or person who comes near to patient feels foul smell

3 From distance anyone can feels foul smell who is in the room

4 Foul smell can be feel from outside of the room even

सकषणातन 0 Absent

=Blackish discoloration

1 Present

परकरदीतन 0 Absent

1 Present

भदता 0 Absent

1 Present

दनतभास शीमनत 0 Gums situated At CE junction

1 Recession of gums At cervical 13

2 Recession of gums At middle 13

3 Recession of gums At apical 13

ऩिचनत ि ऩयसऩयभ 0 No Pachan (Pāk)

= Pāk 1 1 Quadrant is involved

2 2 quadrants are involved

3 More than 2 quadrants are involved

112 दनतपपपटक (स) दनतमोसतरीष वा 0 No involvement of teeth

1 Involvement of 2 teeth

2 Involvement of 3 teeth

शवमथ भहान 0 Absent

1 Present

सरज 0 No pain Or according to VAS

1 तीवर =Pain is there but he can do

work or sleep

22

Code Signs amp Symptoms Score Gradations Remarks

2 तीवरतय =Pain is there but he can do

work or sleep

3 तीवरतभ =Patient canrsquot tolerate

शोफ़ो फदयाचसथतनबो घन (अहर) =Kola is

small jujube and badar is big jujube and seed is measuring around 5 mm

0 Not present

1 Shoth up to 25 mm

2 Shoth 25 to 5 mm

3 Shoth is more than 5 mm

ऩाक (अहर) (शीघर ऩछमत)

0 Absent Accumulation of Fluid or pus

1 Present

113 दनतवषट (स) सरवचनत ऩमरचधय

Discharge of blood with pus or only pus

0 No Discharge

1 Blood with Pus Discharge

2 Only pus discharge

िरता 0 No mobility

1 1 mm antero-posterior Mobility

2 2 mm antero-posterior Mobility

3 More than 2 mm antero-posterior amp medial to lateral mobility

114 शौषषर (स) शवमथ 0 Absent

1 Present

रजावान According to VAS scoring

रारासरावी 0 Normal secretion

1 Occasionally splitting

2 On and off splitting

3 Continuous splitting disturbance in work

कणड 0 Absent

1 Occasionally itching

2 On and off itching

3 Continues itching

23

Code Signs amp Symptoms Score Gradations Remarks

दतभासपरशातन 0 Gums situated At CE junction

1 Recession of gums At cervical 13

2 Recession of gums At middle 13 3 Recession of gums At apical 13

115 महाशौषषर (स) दनताशिरचनत 0 No mobility

1 1 mm antero-posterior mobility

2 2 mm antero-posterior mobility

3 More than 2 mm anteroposterior amp medial to lateral mobility

तार अवदीमत 0 Absent Fissure over the Palate

1 Present

दतभासातनऩछमनत 0 No redness

1 Mild redness

2 Moderate redness

3 Severe redness

भख ऩरयऩीडमत 0 No Peedā Or According to VAS

Pain in any part or whole oral cavity

1 Peedā is at those Gums where disease is situated

2 Peedā is at entire Gums

Peedā is at entire Mukh

सचननऩाताजजजजवयवान

(अहर) 0 Normal temperature

1 Temperature between 984rsquoF to 100rsquoF

Temperature between 100rsquoF to 101rsquoF

2 Temperature between 101rsquoF to 102rsquoF

3 Temperature between 102rsquoF to 103rsquoF

4 Temperature between 103rsquoF to 104rsquoF

5 Temperature more than 104rsquoF

सऩमरचधयसरतत (अहर)

0 No Discharge

1 Blood with Pus Discharge

2 only pus discharge

पवशीणदपवजफनधन (अहर)

0 No mobility

1 1 mm antero-posterior mobility 2 2 mm antero-posterior mobility

24

Code Signs amp Symptoms Score Gradations Remarks 3 more than 2 mm antero-posterior

amp medial to lateral mobility

116 पररदर (स) दनतभासातन शीमनत 0 Gums situated At CE junction Depending upon

severity grading has been established

1 Recession of gums At cervical 13

2 Recession of gums At middle 13

3 Recession of gums At apical 13

षठीवतत असक 0 No spitting of blood

1 Occasionally splitting

2 On and off splitting

3 Continuous splitting with disturbance in work

117 उपकश (स) दाह Or According to VAS

ऩाक 0 Absent

1 Present

दनताशिरचनत 0 No mobility

1 1 mm antero-posterior mobility

2 2 mm antero-posterior mobility

3 more than 2 mm antero-posterior amp medial to lateral mobility

आघटिता परसरवचनत 0 Absent

=Bleeding from gums by pressure

1 Bleeding on pressure remains for five minutes

2 Bleeding on pressure remains up to 15 minutes

3 Bleeding on pressure remains up to 30 minutes

4 Bleeding on pressure remains up to 1 hour

5 Bleeding on pressure remains more than 1 hour

भदवदना 0 Absent

1 Present

आधभामनत सरत यकत

0 Absent

1 Present

ऩतत वकतरता (अहर) 0 No foul smell

1 Patient feels foul smell

25

Code Signs amp Symptoms Score Gradations Remarks

2 Doctor or person who comes near to patient feels foul smell

3 From distance anyone can feels foul smell who is in the room

4 Foul smell can be feel from outside of the room even

कणडभचनत (अहर) 0 Absent Or According to VAS

1 Occasionally itching

2 On and off itching

3 Continues itching

िरा (अहर) 0 No mobility

1 1 mm antero-posterior mobility

2 2 mm antero-posterior mobility

3 More than 2 mm antero-posterior amp medial to lateral mobility

118 वदभभ (स) =Traumatic injury(By mechanical Chemical thermal )

घषिष दनतभरष सयबो जामत भहान

0 Absent Mahan suggest itself severity of disease

1 Present

िरदता (अहर) 0 No mobility

1 1 mm antero-posterior mobility

2 2 mm antero-posterior mobility

3 More than 2 mm antero-posterior amp medial to lateral mobility

119 वरभन (स) तीवरवदना 0 No pain Or According to VAS

1 तीवर -Pain is there but he can do

work or sleep

2 तीवरतय -Patient can tolerate

3 तीवरतभ -Patient canrsquot tolerate

1110 अधरमाास (स) भहाञिोथ 0 No Shoth Mahan suggest itself

severity of disease

1 Shoth is Present on that gum only where disease is occurred

2 Shoth is Present on nearby two or three gums where disease is occurred

26

Code Signs amp Symptoms Score Gradations Remarks

3 Shoth is present up to adjoining cheek

This condition should be considered as

भहाञिोथ

भहारजा (स) परततहनतममभमवरतत (अहर)

0 No Rujā (pain) Or According to VAS

2 Rujā (pain) is Present on that gum only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

This condition should be considered as भहारजा amp परततहनतममभमवरतत

रारासरावी 0 Normal secretion

1 Occasionally splitting

2 On and off splitting

3 Continuous splitting disturbance in work

दनतानत कीरवतमशोफ़ (अहर)

0 No Keel vat Shoth

1 Keel vat Shoth is Present on that gum only where disease is occurred

2 Keel vat Shoth is Present on nearby two or three gums where disease is occurred

3 Keel vat Shoth is present up to adjoining cheek

1111 दनतषवदरधर (अहर) दनतभासशोफ़ (ि) 0 No Shoph

1 Shoph is Present on that gum only where disease is occurred

2 Shosh is Present on nearby two or This condition should

27

Code Signs amp Symptoms Score Gradations Remarks

three gums where disease is occurred

be considered as अनत शवमथ According to

Vagbhatta

3 Shosh is extended up to adjoining cheek

This condition should be considered as फाहम शवमथ According to

Vagbhatta

फाहम शवमथ (अहर) This condition is mentioned at दनतभास शोफ़

अनत शवमथ (अहर) This condition is mentioned at दनतभास शोफ़

गर (अहर) 0 Absent

1 Present

रग (अहर) 0 No Rujā (pain) Or According to VAS

2 Rujā (pain) is Present on that gum only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

दाह (अहर) According to VAS

सरवतिननऩमासर (अहर)

0 No Discharge

1 Blood with Pus Discharge

2 Only pus discharge

1112 दतनाडी Scoring is not possible further according to measurement of Nadivrana because X-

ray only detects spread up to the bone Whereas Nadivrana in gingiva periodontal ligament cannot be measured

दतनाडी 0 Absent

1 Present

28

GRADATION OF DANTA GAT ROG

Code ndash 12

Gradations established by Group KARAL Dr Krishna Makadia - Convener

Dantavaidya Saroj Joshi Dantavaidya Harshad Joshi

Dr Kiran Raj Dr Achyuta Atara Dr Pranav Dave

Gradations Reviewed by Dr Hemangi Shukla Dr Krishna Makadia

Edited by Prof Vd Hāridra Dave

29

Code Signs amp Symptoms Score Gradations Remarks

121 दाऱन (स)

तीवररग 0 No Rujā (pain) Or According to VAS

2 Rujā (pain) is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

उषणअसहादनता (अस) 0 No sensitivity in teeth ie with warm

water hot water or

excessive hot water

application on

tooth is not

possible so Time

related and severity

related grading was

finalised(same for

cold)

1 Mild sensitivity in teeth - At a

time

2 Moderate sensitivity in teeth -

Sensitivity remains only for 1

Prahar (up to 3 hrs)

3 Severe sensitivity in teeth -

Sensitivity remains more than

1 Prahar (more than 3 hrs)

शीतअचधकवमथा (अहर) 0 No sensitivity in teeth

1 Mild sensitivity in teeth - At a

time

2 Moderate sensitivity in teeth -

Sensitivity remains only for 1

Prahar (up to 3 hrs)

3 severe sensitivity in teeth-

Sensitivity remains more than

1 Prahar (more than 3 hrs)

22 कममदनत (स) कषण 0 No discoloration

1 Light greyish black

2 Dark greyish black

3 Jet black

30

Code Signs amp Symptoms Score Gradations Remarks

तिदर 0 No cavity It should be

decided by X-ray

1 Cavity within limit of enamel

2 Cavity within limit of dentin

3 Cavity up to pulp

िर 0 No mobility

1 1 mm antero-posterior

mobility

2 2 mm antero-posterior

mobility

3 More than 2 mm antero-

posterior amp medial to lateral

mobility

सरावी 0 No Srāv- after drying

particular teeth with cotton

inserting cotton on cavity

There is no other

method to check

Srāv in Krimidanta

1 Srāv is present

ससयब = Inflammation 0 No inflammation

1 Inflammation is Present भहारज 0 No Rujā (pain) Or According to

VAS 2 Rujā (pain) is Present on that

gum only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

This condition should be considered as भहारज

अतनसभतमतरज 0 No sudden onset of pain

1 Sudden onset of pain is

present

अहततीवराततशभ (अहर) 0 No sudden onset of pain

31

Code Signs amp Symptoms Score Gradations Remarks

1 Sudden onset of pain is

present

पररन (अहर) = Broken due to cavity

0 Cavity is there but it is not

broken

It should be

considered for each

tooth separately

Cavity in that must

be present in

particular tooth

1 13 part of tooth is broken

2 23 of tooth is broken

3 More than 23 of tooth is

broken

4 Total loss of tooth

ऩमसरत (अहर) 0 No Pooya Srāv after drying

particular place

with cotton

inserting cotton on

cavity

1 Pooya Srāv present

यकतसरत (अहर) 0 No Rakta Srāv after drying

particular place

with cotton

inserting cotton on

cavity

1 Rakta Srāv is present

123 दनतहषभ (स)

शीत सऩशन न सहनत 0 No sensitivity by cold touch

in any teeth

1 Ooccassional sensitivity by

cold touch in any toothteeth

for once

2 Sensitivity by cold touch

remains in toothteeth only up

to 1 Prahar (up to 3hrs)

3 Sensitivity by cold touch

remains more than 1 Prahar

(more than 3hrs)

उषण सऩशन न सहनत 0 No sensitivity by hot touch in

any teeth

1 Occassional sensitivity by hot

touch in toothteeth for once

2 Sensitivity by hot touch

remains in toothteeth only up

to 1 Prahar (up to 3hrs)

3 Sensitivity by hot touch

remains in toothteeth more

than 1 Prahar (more than

3hrs)

32

Code Signs amp Symptoms Score Gradations Remarks

परवाताभा = Sensitivity to air

(परवातारशीतबाभा) (अहर)

0 No sensitivity by Pravāt

touch in any tooth

1 Occassional sensitivity by

Pravāt touch in toothteeth for

once

2 Sensitivity by Pravāt touch

remains in toothteeth only up

to 1 Prahar (up to 3hrs)

3 Sensitivity by Pravāt touch

remains in toothteeth more

than 1 Prahar (more than

3hrs)

अरबाभा = Sensitivity to sour food

(परवातारशीतबाभा) (अहर)

0 No sensitivity by eating

sourer food to any tooth

1 Occassional sensitivity by

eating sourer food to any

toothteeth for once

2 Sensitivity by eating sourer

food remains to toothteeth

only up to 1 Prahar (up to

3hrs)

3 Sensitivity by eating sourer

food remains to toothteeth

more than 1 Prahar (more

than 3hrs)

शीतबाभा (परवातारशीतबाभा) (अहर)

0 No sensitivity by eating cold

item to any tooth

1 Occasional sensitivity by

eating cold item to toothteeth

for once

2 Sensitivity by Pravāt touch

remains in toothteeth only up

to 1 Prahar (up to 3hrs)

3 Sensitivity by eating cold

item remains to toothteeth

more than 1 Prahar (more

than 3hrs)

सरजा (अहर) 0 No Rujā (pain)

33

Code Signs amp Symptoms Score Gradations Remarks

2 Rujā (pain) is Present on that gum only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

2 Rujā (pain) is Present on that gum only where disease is occurred and patient can do hisher routine work without disturbance

िर (अहर) 0 No mobility

1 1 mm anterio-posterior

mobility

2 2 mm anterio-posterior

mobility

3 More than 2 mm antero-

posterior amp medial to lateral

mobility

124 भञजनक (स) =Photograph is necessary

(depending upon the severity gradation has been finalised)

वकतर वकरता 0 No deviation

1 Deviation is present

तीवररक 0 No Rujā (pain) Or according to

VAS

2 Rujā (pain) is Present on that gum only where disease is occurred and patient can do hisher routine work without disturbance

34

Code Signs amp Symptoms Score Gradations Remarks

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

This condition should be considered as तीवररक

दनतबङग 0 Tooth is not broken This should be

considered for

single tooth

1 13 part of tooth is broken

2 23 of tooth is broken

3 More than 23 of tooth is

broken

4 Total loss of tooth

125 दनतशकभ रा (स) =Calculus index was selected

शकयव चसथयीबत भर 0 No calculus present

1 Supragingival calculus

covering not more than third

of the exposed tooth surface

2 Supragingival calculus

covering more than 13 but

not more than 23 of the

exposed tooth surface or the

presence of individual flecks

of subgingival calculus

around the cervical portion of

the tooth or both

3 Supragingival calculus

covering more than 23 of the

exposed tooth surface or

continues heavy band 0f

subgingival calculus around

the cervical portion of the

tooth or both

35

Code Signs amp Symptoms Score Gradations Remarks

दनताना गणहयी 0 Absent All 10 Guna of

Danta Sampata

should be

considered required

suggestions for

each Guna

1 Present

ऩततगचनध (अहर) 0 No foul smell Taken grading of

halitosis

1 Patient feels foul smell

2 Doctor or person who comes near to patient feels foul smell

3 From distance anyone can feels foul smell who is in the room

4 Foul smell can be feel from outside of the room even

126 कपामऱका (स)

दनतवलकसम दरनभ = Bracketing of tooth enamel (दरचनत दनतवलकातन)

0 No दरनभ of tooth This should be

considered

separately for each

tooth

1 दरनभ is present of less than 13 of tooth

2 दरनभ is present of more than of 13 of tooth but less than 23 of tooth

3 दरनभ is present of more than of 23 of tooth but no total loss of tooth

4 Total loss of tooth after दरनभ

This condition should be considered as दशनाना पवनाश

दशनाना पवनाश = Total loss of tooth

0 No Any loss of tooth This should be

considered

separately for each

tooth

1 loss of tooth is present of less than 13 of tooth

2 loss of tooth is present of more than of 13 of tooth but less than 23 of tooth

36

Code Signs amp Symptoms Score Gradations Remarks

3 loss of tooth is present of more than of 23 of tooth but no total loss of tooth

4 Total loss of tooth This condition should be considered as दशनाना पवनाश

दनतशातनभ अणश = Thinning of tooth (शातमतममतममणशो दनतात कऩारातन) (अहर)

0 No शातनभ of tooth This should be

considered

separately for each

tooth

1 शातनभ is present in less than 13 of tooth

2 शातनभ is present in more than 13 of tooth but less than 23 of tooth

3 शातनभ is present in more than 23 of tooth but no total loss of tooth

4 Total loss of tooth due to शातनभ

127 शयावदनतक (स) In शमावदनत शमावता amp नीरता should be considered ascending stages

शमावता + नीरता 0 -No any discolouration of

tooth

-Normal colour of tooth

This should be

considered

separately for each

tooth

1 शमावता is Present

2 नीरता is Present

128 हनमो (स) According to Dalhan हनमो is not Dant Rog directly but it is near to

Dantchewing of hard food is one of the causes and there is pain in Dant so it is considered under Danta Rog

हनसचनधपवसहत 0 Absent

1 Can be reset by manual reduction

2 Can be reset by surgical

intervention

129 दनतभद (अहर) तोद =Pricking pain 0 No Pricking pain -Or According to

VAS

- This should be

considered

separately for each

tooth

37

Code Signs amp Symptoms Score Gradations Remarks

2 Pricking pain is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Pricking pain is referred up to Hanu and patient can do hisher routine work without disturbance

4 Pricking pain is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Pricking pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Pricking pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

बद Braking pain 0 No Braking pain -Or According to

VAS

- This should be

considered

separately for each

tooth

2 Braking pain is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Braking pain is referred up to Hanu and patient can do hisher routine work without disturbance

4 Braking pain is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Braking pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Braking pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

38

Code Signs amp Symptoms Score Gradations Remarks

रक Dull pain 0 No Rujā (pain) -Or According to

VAS

- This should be

considered

separately for each

tooth

2 Rujā (pain) is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

सपिन Burstingexpanding pain

0 No Bursting pain -Or According to

VAS

- This should be

considered

separately for each

tooth

2 Bursting pain is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Bursting pain is referred up to Hanu and patient can do hisher routine work without disturbance

4 Bursting pain is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

39

Code Signs amp Symptoms Score Gradations Remarks

5 Bursting pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Bursting pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

1210 दनतचाऱ (अहर) िरतमव = Mobility 0 No = mobility

1 1mm anterio-posterior

mobility

2 2 mm anterio-posterior

mobility

3 More than 2 mm anterio-

posterior amp medial to lateral

mobility

बणादचधकवमथ 0 No Vyatha ndash Pain during

eating

1 Pain during eating of hard

diet only

2 Pain during eating of soft diet

even

1211 कराऱ (स)

=Malocclusion

0 A Normal Molar relationship

exist but there is crowding

misalignment of the teeth

cross bite etc

1 A malocclusion where the

molar relationship shows the

buccal grove of mandibular

first molar distally positioned

when in occlusion with the

mesiobuccal cusp of the

maxillary first molar

2 A malocclusion where the

molar relationship shows the

buccal groove of the

mandibular first molar

mesiallypos

40

GRADATIONS OF JIHWA GAT ROG

Code - 13

Established by Group BHOJ Dr Krishna Makaia ndash Convener

Dr Rajeshree Unadkat Dr Neelam Dave

Dr Ronakgiri Gosai Dr Jignesh Virapariya

Reviewed by Dr Vijayant Bharadwaj

Edited by Prof Vd Hāridra Dave

41

Code Signs amp Symptoms Score Gradations Remarks

131 वाततक चजहवाकिक (स) सपटिता (Creaks) 0 No creaks on tongue

1 Single creak on the dorsum of tongue

2 Multiple Creaks on the dorsum of tongue

3 Multiple deep creaks on the dorsum of tongue (Bleeding)

परसपता (Numbness )

0 No Numbness

1 Numbness in 13 Part of tongue

2 Numbness in 23 Part of tongue

3 Numbness in more than 23 Part of tongue

शाकछिदनपरकाशा (Roughness)

0 Normal surface of tongue on touch

1 Mild rough surface on touch

2 Hard irregular surface on touch

3 Very rough surface which hurts the finger on touch

132 ऩततक चजहवाकिक (स) ऩीता 0 No yellowish discolouration

1 Yellowish discoloration in 13 part

2 Yellowish discoloration in 23 part

3 Yellowish discoloration in more than 23 part of tongue

ऩरयदहमत Burning in entire tongue)

0 No burning Or According to VAS

1 Occasional burning

2 Intermittent burning

3 Continuous burning does not relieve by any measures

दाह (Burning may be

in partially tongue)

0 No Burning Or According to VAS

1 Burning up to 13 part of tongue

2 Burning in 13 to 23 part of tongue

3 Burning in more than 23 part of tongue

42

Code Signs amp Symptoms Score Gradations Remarks

यकतभासाङकयचशिता (Covered with red buds )

0 No change in appearance

1 13 part of tongue covered with red fleshy buds

2 23 part of tongue covered with red fleshy buds

3 Whole tongue covered with red fleshy buds

ओष (Burning) 0 No Oshha Or According to VAS

1 Oshha up to 13 part of tongue

2 Oshha in 13 to 23 part of tongue

3 Oshha in more than 23 part of tongue

133 कपज चजहवाकिक (स) फहरा (Thick) 0 Normal Thickness of Tongue

1 Thickness increased - noticeable by patient

2 Thickness increased - noticeable by the examiner

3 Tongue protruding out because of increased Thickness

गवी (Heaviness) 0 No Heaviness

1 Feeling mild heaviness but no difficulty in Tongue movement

2 Difficulty in Tongue movement especially during intake of liquid

3 Difficulty in Tongue movement especially during intake of hard food

4 Difficulty in Tongue movement especially during Pronunciation

भासोदगभ शालभसरकणिकाब (thorn like papilla)

0 No change in appearance of tongue

1 13 part of tongue covered with red fleshy thorn like papilla

2 23 part of tongue covered with thorn like papilla

3 Whole tongue covered with thorn like papilla

43

Code Signs amp Symptoms Score Gradations Remarks

134 अरास (स) शवमथ

(Swelling at ventral surface of tongue)

0 Absent

1 Present

सतबमतत (Restricted tongue movement)

0 -Normal Movement of Tongue -Movement of tongue not affected

1 Tongue movement slightly restricted but does not affect the normal function

2 Tongue movement restricted that affects the normal function

3 Tongue movement arrested

परवदध

(Increase in size)

0 Size not increased

1 Size increased - noticeable by the patient

2 Size increased - noticeable by the examiner

3 Tongue protruding out because of increased size

ऩाक 0 No swelling or suppuration

1 Inflammation with pain and tenderness

2 Inflammation with different types of pain and tenderness along with induration

3 Pus formation and fluctuation positive

अधशोप 0 Absent

1 Present

उननत (elevation of

the tongue due to swelling below the tongue)

0 Normal position of tongue

1 Tongue slightly elevated due to swelling below the tongue

2 Tongue elevation causes discomfort to the patient

3 Tongue touches the palate

भतमसमगचनध

(Fishy smell)

0 Absent

1 Present

44

Code Signs amp Symptoms Score Gradations Remarks

भासशातन (Destruction of flesh of tongue )

0 No Destruction of tongue flesh

1 13 part of tongue flesh is destroyed

2 23 part of tongue flesh is destroyed

3 More than 23 part of tongue is destroyed

135 उऩचजचहवका (स) शवमथ (Swelling) 0 Absent

1 Present

चजहवाभननम

जात (elevation of

tongue because of swelling)

0 Normal position of tongue

1 Tongue slightly elevated due to swelling below the tongue

2 Tongue elevation causes discomfort to the patient

3 Tongue touches the palate

परसक (Salivation) 0 Normal secretion of saliva

1 Occasionally spitting

2 Off and on spitting

3 Continuous spitting which disturbs the work

कणड (Itching) 0 No itching Or According to VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate on work due to severe itching

0r

0 No itching

1 Occasional itching

2 Off and on itching

3 Continuous itching

ऩरयदाह (Burning in

whole tongue)

0 No burning Or According to VAS

1 Occasional burning

2 Intermittent burning

3 Contentious burning dose not relive by any measures

45

Code Signs amp Symptoms Score Gradations Remarks

136 अचधचजचहवका (अर)

अधोचजहवामा शोप

0 Normal position of tongue

(Swelling below the tongue)

1 Tongue slightly elevated due to swelling below the tongue

2 Tongue elevation causes discomfort to the patient

3 Tongue touches the palate

अङकय (Pappilary

growth)

0 Absent

1 Present

ओष (Burning) 0 No Oshh Or According to

VAS

1 Oshh up to 13 part of tongue

2 Oshh in 13 to 23 part of tongue

3 Oshh in more than 23 part of tongue

सतबवान

(Restriction of Movement)

0 Movement of tongue not affected

1 Tongue movement slightly restricted but does not affect the normal function

2 Tongue movement restricted that affect the normal function

3 Tongue movement arrested

खय(Rough) 0 Smooth on touch

1 Mild irregular surface

2 Rough surface

3 Sharp rough surface touch hurts on finger on touch

रक (Pain) 0 No pain Or According to

VAS

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

कणड (Itching) 0 No itching Or According to

VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate on work due to severe itching

0r

0 No itching

46

Code Signs amp Symptoms Score Gradations Remarks

1 Occasional itching

2 Off and on itching

3 Continuous itching

वाकम पवघातकत (Difficulty in speech)

0 No difficulty in speech

1 Unable to speak िति vargavyanjana

2 Difficulty in speaking क vargavyanjana

Swara donrsquot need involvement of tongue

3 Unable to speak

आहयपवघातकत

(Swallowing )

0 Able to eat regular diet

1 Able to eat soft diet

2 Able to eat only liquid diet

3 Unable to swallow anything

47

GRADATION OF TALUGAT ROG

Code - 14

Established by Group BHOJ Dr Krishna Makaia ndash Convener

Dr Rajeshree Unadkat Dr Neelam Dave

Dr Ronakgiri Gosai Dr Jignesh Virapariya

Reviewed by Dr Vijayant Bharadwaj

Edited by Prof Vd Hāridra Dave

48

Code Signs amp Symptoms Score Gradations Remarks

141 गरशचणडका (स)

परवदधो शोप (Swelling extending from palate) (Which is elongated)

0 Normal size of uvula

1 Swelling of uvula that causes discomfort to the patient

2 Swelling of uvula that causes foreign body sensation

3 Difficulty in breathing due to swelling

दीघ शोप

(Elongated Swelling)

0 Normal size of uvula

1 Elongated swelling of uvula that causes discomfort to the patient

2 Elongated swelling of uvula that causes foreign body sensation

3 Difficulty in breathing due to Elongated swelling

धभातफचसतपरकाश शोप =Inflated

swelling like Basti

0 Normal size of uvula

1 Inflated swelling like Basti of uvula that causes discomfort to the patient

2 Inflated swelling like Basti of uvula that causes foreign body sensation

3 Difficulty in breathing due to Inflated swelling like Basti

तषणा 0 Normal feeling of thirst

1 Increased feeling of thirst which is relived after drinking water

The quantity of water is not consider here but the frequency of water is considered

2 Frequent feeling of thirst which is Occasional relived after drinking water

3 Continuous feeling of thirst does not relive after drinking profuse amount of water

कास (Coughing) 0 No coughing

49

Code Signs amp Symptoms Score Gradations Remarks

1 Occasional coughing during eating and speaking

2 Off and on coughing

3 Continuous coughing

शवास 0 No difficulty in breathing

1 Difficulty in breathing occasionally

2 More difficulty in breathing while sleeping

3 Excessive difficulty in breathing

भतमसमफचसततनब शोप (अहर)

0 Normal uvula Used as an adjective

1 Inflated swelling like Matsya-Basti of uvula that causes discomfort to the patient

2 Inflated swelling like Matsya-Basti of uvula that causes foreign body sensation

3 Difficulty in breathing due to Inflated swelling like Matsya-Basti

पररफ (अहर) 0 Normal length of Uvula

(Elongated Swelling)

1 Size of Uvula increased up to lt2 mm

2 Size of Uvula increased more than 2 mm but less than 4 mm

3 Size of Uvula increased gt4 mm that cause discomfort to patient and cause difficulty in breathing

पऩचछिर(अहर) (Sliminess)

0 Absent

1 Present

नासमाऽऽहायभीयमन (अहर)

0 Food does not come out from nose

(Food comes out of nose)

1 Food comes out from nose

कणठोऩयोध(अहर) (Obstruction of throat )

0 -Able to eat regular diet -No difficulty in swallowing of any food

1 Able to swallow liquid or soft diet but not able to swallow hard diet

2 Able to swallow hard diet forcefully

50

Code Signs amp Symptoms Score Gradations Remarks

3 Not able to swallow hard diet with force

वभन(अहर) (Vomiting)

0 No Vaman

1 Feeling of nausea only

2 Only one veg of Vaman in a day

3 Two vegas of Vaman in a day

4 More than two vegas of Vaman in a day

132 तचणडकयी (स)

शोप (Tonsillar

Swelling)

0 Tonsils are located within the tonsillar fossa

1 Tonsils hypertrophy till the brim of the tonsillar fossa

2 Tonsils hypertrophy extends beyond the pillars but not touching each other

3 Tonsils hypertrophy extends beyond the pillars but not touching each other

तोद

(Pricking pain)

0 No pain

1 Occasional pain Or according to VAS

2 Off and on pain

3 Continuous pain

दाह (Burning) 0 No

1 Occasional burning

2 Intermittent burning

3 Contentious burning dose not relive by any measures

परऩाक 0 Absent

1 Present

पऩचछिर शोप(अहर)

Sliminess in swallowing

0 Feeling of Sliminess is Absent

1 Feeling of Sliminess is Present

भनदरक (अहर)

(Mild pain)

0 Absent Or According to

VAS

1 Present

133 अधरष (स)

शोप (Swelling) 0 No swelling

1 13 Swelling in part of the palate

51

Code Signs amp Symptoms Score Gradations Remarks

2 23 swelling in part of palate

3 Swelling in gt than 23 part of palate

सतबधता =Functions of soft palate like deglutition Phonation etc are affected = No mobility of soft palate

0 Normal function of soft palate

1 Soft palate movement reduced but functions are not affected

2 Any one of the functions of soft palate is affected

3 All functions of soft palate are affected

रोटहतवणता

(Redness)

0 No change in colour

1 Pinkish red coloured mucosa in palate

2 Red coloured mucosa in palate

3 Dark red coloured mucosa in palate

रजा (Pain) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

जजवय (Fever) 0 Normal temperature

1 Temperature between 984rsquoF to 100rsquoF

Temperature between 100rsquoF to 101rsquoF

2 Temperature between 101rsquoF to 102rsquoF

3 Temperature between 102rsquoF to 103rsquoF

52

Code Signs amp Symptoms Score Gradations Remarks

4 Temperature between 103rsquoF to 104rsquoF

5 Temperature more than 104rsquoF

134 कछिऩ (स)

कभवत उतमसनन शोप (Swelling

having shape like dorsum of tortoise)

0 No swelling

1 Swelling in 13rd part of the palate

2 Swelling in 23rd part of palate

3 Swelling in gt 23rd part of palate

चियवपदध(अहर)

(Slow growth)

0 Growth within a week

1 Growth within 1 week to 1 month

2 Growth within 1 month to 6 months

3 Growth within gt 6 months

रक (अहर) (Pain) 0 No pain Or According to VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesics

135 तारअफद (स) ऩदमाकाय तारभधम

शोपम (Swelling

like shape of lotus )

0 No swelling

1 Swelling in 13rd part of the palate

2 2 Swelling in 23rd part of palate

3 3 Swelling in gt 23rd part of palate

136 भाससङघात (स) नीरज (Painless) 0 Absent

1 Present

53

Code Signs amp Symptoms Score Gradations Remarks

शोप 0 No swelling

1 Swelling in 13rd part of the palate

2 Swelling in 23rd part of palate

3 Swelling in gt 23rd part of palate

137 तारऩपऩि (स) नीरक (Painless) 0 Absent

1 Present

कोरभातर

Swelling having size of Kola fruit

0 Absent

1 Present

138 तारशोष (स)

शोष (Dryness) 0 No dryness

1 Dryness decreased after drinking water

2 Patient needs water frequently

3 Dryness persist after dinking profuse water

दायण (Tearing of palate)

0 Absent

1 Present

शवास (Difficulty in

breathing)

0 No difficulty in breathing Here difficulty in breathing is due to obstruction

1 Difficulty in breathing occasionally

2 More difficulty in breathing while sleeping position

3 Excessive difficulty in breathing

जजवय(अहर) (Fever) 0 Normal temperature

1 Temperature between 984rsquoF to 100rsquoF

Temperature between 100rsquoF to 101rsquoF

2 Temperature between 101rsquoF to 102rsquoF

3 Temperature between 102rsquoF to 103rsquoF

4 Temperature between 103rsquoF to 104rsquoF

5 Temperature more than 104rsquoF

54

Code Signs amp Symptoms Score Gradations Remarks

139 तारऩाक (स) ऩाक (Suppuration) 0 No swelling or suppuration

1 Inflammation of palate with pain and tenderness

2 Inflammation of palate with different types of pain and tenderness with induration

3 Pus formation and fluctuation positive

1310 तारपऩटिका (अहर) तारभास पऩटिका

Follicles in palate flesh

0 No follicles

1 13 palate covered with follicles

2 23 palate covered with follicles

3 More than 23 palate covered with follicles

रज(अहर) (Pain) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

Occasional pain

खयता(अहर) (Roughness)

0 Smooth on touch

1 Mild irregular surface on touch

2 Rough surface

3 Sharp rough surface which hurts on finger on touch

घनसराव(अहर) (Thick discharge)

0 No discharge

1 Occasional discharge

2 Off and on thick discharge

3 Continuous thick discharge

1311 तारसहतत (अहर) तारभधम तनरक (अहर) =Painless fleshy growth in palate

Only तारभधम तनरक indicates the place and quality of growth both the symptoms can be

merged

55

Code Signs amp Symptoms Score Gradations Remarks

तनरक (Painless) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

भाससहत

(Fleshy growth in palate)

0 No fleshy growth

1 Fleshy growth in 13 part of the palate Swelling

2 Fleshy growth in 23 part of palate swelling

3 Fleshy growth in more than 23 part of palate

56

GRADATION OF SARVASAR ROG

Code - 15

Established by Group BHOJ Dr Krishna Makaia ndash Convener

Dr Rajeshree Unadkat Dr Neelam Dave

Dr Ronakgiri Gosai Dr Jignesh Virapariya

Reviewed by Dr Vijayant Bharadwaj

Edited by Prof Vd Hāridra Dave

57

Code Signs amp Symptoms Score Gradations Remarks

151 वातजसवसय (स) सपोि (Ulcers) 0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

तोद = Pricking pain 0 No pricking pain Or According to VAS

1 Occasional pricking pain

2 Off and on pricking pain

3 Continuous pricking pain

Or

0 No pricking pain

1 Sometimes mild pricking pain

2 Has to take analgesic while pricking pain

सिारयण(अहर) This symptom is for सवसय so this सवसय is the nature of सिारय

0 No movement of सवसय

1 Movement of सवसय is once in a week

2 Movement of सवसय is once in three to four days

3 Movement of सवसय is at every alternate day

4 Movement of सवसय is once in a day

अरण (अहर) Reddish discoloration

0 Colour of वरण is same with colour of surrounding area

1 Colour of वरण is Reddish

2 Colour of वरण is Dark Red

3 Colour of वरण is Reddish black

र (अहर) Dryness 0 वरण is Moist

-No dryness of वरण

1 वरण Needs lubrication once a day

2 वरण Needs frequent lubrication in

a day

3 No benefit with frequent

lubrication of वरण

तामरता (अहर) (Coppery

0 Colour of वरणौषठ is same with colour of surrounding area

58

Code Signs amp Symptoms Score Gradations Remarks

discoloration) This symptom is for

वरणौषठ

1 Colour of वरणौषठ is Tamra Varna

चऱतवचा (अहर) (Free mucous membrane) This symptom is for

वरणौषठ

0

Movement of वरणौषठ is on touch

only

1 Movement of वरणौषठ can be seen by naked eye means without touch

शीतासहा (अहर) (Intolerance to cold) This symptom is for

जजहवा

0 No Intolerance of cold to जजहवा

1 Intolerance of severe cold to जजहवा

2 Intolerance of moderate cold to जजहवा

3 Intolerance of Mild cold to जजहवा

गवी (Heaviness)

This symptom is for

जजहवा

0 No Heaviness

1 Mild heaviness with no difficulty

in movement of जजहवा

2 Moderate heaviness with

difficulty in Movement of जजहवा

3 Sever heaviness with bending down of

सफटटता (अहर) (Ulcer)

0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

कणटाकाधचता (अहर) = Thorn like

appearance

0 No change in appearance

59

Code Signs amp Symptoms Score Gradations Remarks

1 13 part of oral mucous membrane covered with red fleshy thorn like papillae

2 23 part of oral mucous membrane covered with red fleshy thorn like papillae

3 gt23 part of oral mucous membrane covered with red fleshy thorn like papillae

षववणोतत कचछरणमखम (अहर) (Difficulty in mouth opening)

0 Mouth opening more than 3 fingers without difficulty

1 2 to 3 fingers opening of mouth with or without difficulty

2 1 to 2 fingers opening of mouth with or without difficulty

3 Less than 1 finger opening of mouth with or without difficulty

152 पऩतमत(यकतज)सवसय (स) Signs and Symptoms of यकतज सवसय are same as of पऩतमत सवसय so no separate gradations are mentioned

यकतता (Redness) 0 Colour of सवसय- वरण is similar with

surrounding mucous membrane

1 Reddish Colour of सवसय- वरण

2 Bright red Colour of सवसय- वरण

3 Dark red Colour of सवसय- वरण

सदाह (Burning

Sensation)

0 No burning in सवसय- वरण Or According to

VAS

1 Occasional burning in सवसय- वरण

2 Intermittent burning in सवसय- वरण

3 Contentious burning in सवसय- वरण

which does not relive by any measures

तन (तनसब) (Shallow superficial ulcers)

0 No ulcer

1 Ulcer having depth of 05-1 mm

2 Ulcer having depth of 1 ndash 15 mm

3 Ulcer having depth of 15 -2 mm

60

Code Signs amp Symptoms Score Gradations Remarks

ओष (अहर) 0 No (ओष) burning in सवसय- वरण

1 Occasional (ओष) burning in

सवसय- वरण

2 Intermittent (ओष) burning in

सवसय- वरण

3 Contentious (ओष) burning in

सवसय- वरण which does not relive

by any measures

ततकतवकरता (अहर) (Bitter taste in mouth)

0 No alteration in taste

1 Occasionally bitter taste felt in mouth without having any bitter substance

2 Off and on bitter taste felt in mouth without having any bitter substance

3 Continuous bitter taste felt in mouth without having any bitter substance

ारोकषतत समावरणा (अहर)

0 No Ulcer

(Ulcers looking like chemical burns)

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

153 कपज सवसय (स) कणड (Itching) 0 No itching Or According to

VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Unable to work due to itching

0r

0 No itching

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate on work due to severe itching

रजा (Pain)

(अलऩ रजा) 0 No pain Or According to

VAS

1 Occasional pain

61

Code Signs amp Symptoms Score Gradations Remarks

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain This condition should be considered as अलऩ रजा

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

सवणण 0 Colour of वरण is same with colour of near by tissue

1 Colour of वरण is not same with colour of near by tissue

मररासयतवम (अहर) (Sweet taste in mouth)

0 No alteration in taste

1 Occasionally sweet taste felt without eating any sweet substance

2 Off and on Sweet taste Occasionally sweet taste felt without eating any sweet substance

3 Continuous sweet taste Occasionally sweet taste felt without eating any sweet substance

षपजचछिऱता (अहर) (Unctuousness)

0 Absent

1 Present

वरण 0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

154 कफाबभद (अहर) शयाव अबभदम

(शयावपाणडऽबभदम) 0 Colour of growthtumour is same

the colour of surrounding skin

1 Colour of growthtumour is शयाव

(Blackish)

62

Code Signs amp Symptoms Score Gradations Remarks

पाणड अबभदम (शयावपाणडऽबभदम)

0 Colour of growthtumour is same the colour of surrounding skin

1 Colour of growthtumour is पाणड

(Pale)

अबभदम 0 No GrowthTumour TNM Classification for tumours can be applied for growth

1 Growthtumour having sizelt 10 mm

2 Growthtumour having size 10 mm to 20 mm

3 Growthtumour having size gt 20 mm

घटिता तिनना मटदता च षववरभत (Size increases on rubbing cutting and squeezing)

0 Size of GrowthTumour is not increasing by rubbing cutting or squeezing

1 Size of GrowthTumour is increasing up to 10 mm by rubbing cutting or squeezing within a month

2 Size of GrowthTumour is increasing up to 20 mm by rubbing cutting or squeezing within a month

3 Size of GrowthTumour is increasing up to 30 mm by rubbing cutting or squeezing within a month

4 Size of GrowthTumour is increasing up to 40 mm by rubbing cutting or squeezing within a month

155 ऊरधवभगद (अहर) वकतरदौगनधम

(Halitosis)

0 No Halitosis

1 Halitosis is feel by Patient only

2 Halitosis is feel by Patient and examining Doctor only

3 Halitosis is feel by any person from the distance from 5 meters

63

Code Signs amp Symptoms Score Gradations Remarks

4 Halitosis is feel by any person from the distance from more than 5 meters

156 पततवकर (अहर) ऩतममासमता

(Halitosis)

0 No Halitosis

1 Halitosis is feel by Patient only

2 Halitosis is feel by Patient and examining Doctor only

3 Halitosis is feel by any person from the distance from 5 meters

4 Halitosis is feel by any person from the distance from more than 5 meters

157 सतनऩाततक सवसय (अहर) This disease occurs due to aggravation of all three doshas including Rakta Clinical presentation of this disease is found as mixed picture according prominent aggravation of dosha and signs and symptoms will be observed accordingly Gradations should be considered accordingly so it is not required to repeat here

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Page 15: THE GRADATIONS OF DISEASES OF SHALAKYA TANTRA - PART …theassociationofshalaki.com/downloads/GRADATIONS_OF_DISEASE… · 12.05.2019  · I am also very much thankful to Dr Sandhya

14

Code Signs amp Symptoms Score Gradations Remarks

दगनधौ (Foul smell) 0 No Foul smell

1 Only patient feel foul smell

2 Nearby Doctor 0r people can feel foul smell

3 Foul smell is not tolerable by the patient and the nearby person

आसरावौ (Discharge) 0 No Discharge is on any of lips In Sannipataja disease usually the mixed type of discharge is found So here the type of discharge is not considered The quantity of discharge is considered

1 Mild discharge collected on any one lip

2 Mild discharge collected on both lips or Moderate discharge collected on any one lip which has to be cleaned occasionally

3 Moderate discharge collected on both lips which has to be cleaned occasionally

4 Moderate discharge collected on both lips which has to be cleaned frequently

5 Severe or continuous discharge collected on lipLips which has to be cleaned frequently

पऩचछिरौ (Sliminess) 0 No sliminess

1 Mild Sliminess

2 Moderate Sliminess

3 Severe Sliminess

अकसभातमरानसशन रजौ (अहर) अकसभात

= All of a sudden = Without any reason = Spontaneous = Both Lips become Mlān swollen and painful all of a sudden andwithout any reason

अकसभातमरानौ (अहर) 0 No change in appearance

(Spontaneous Faded) 1 Lips look dull occasionally

15

Code Signs amp Symptoms Score Gradations Remarks

2 Lips look faded off and on in a day

3 Lips look faded and dirty frequently in a day

अकसभातसशनौ (अहर) 0 No Swelling

(Spontaneous swelling) 1 Occasionally Swelling in a day Here the size of swelling is not considered but the spontaneous nature of swilling is considered

2 Off and on swelling in a day

3 Swelling frequently in a day

अकसभात रजौ (अहर) (Pain)

0 No pain Or According to VAS

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

पवषभऩाककनौ (अहर) (Irregular suppuration )

0 No suppuration

1 Suppuration in 13 part of lips

2 Suppuration in 23 part of lip

3 Suppuration in major of lip

105 यकतज ओषठयोग (स) खजयपर पऩडका 0 No follicles

(Brownish follicles) 1 13 lip covered with brownish colour follicles

2 23 lip covered with brownish colour follicles

3 More than 23 lip covered with follicles

रचधयसराव (रचधय सरवत) (Bleeding)

0 No bleeding

1 Bleeding on touch or movement

2 Spontaneous bleeding

3 Continuous Bleeding

अफद बवत 0 No tumour

1 Tumour is 2 cm in size

2 Tumour is 4 cm in size

3 Tumour is gt4 cm in size

106 भासज ओषठयोग (स) भासपऩणडवत उदगतौ

(Bulky) 0 No Growth This word is used

as an adjective of

Sthoola See सथल

16

Code Signs amp Symptoms Score Gradations Remarks

1 Growth is present in both Oshtha but no discomfort to patient

2 Growth is present in both Oshtha with discomfort to patient

3 Large Growth is present in both Oshtha involving the surrounding region

जनतवशिातर भछिचनत सककसमोबमतो भखात

0 No Maggot Formation

1 Maggot formation on one side of the angle of mouth

2 Maggot Formation on both angles of mouth

3 Excessive maggot Formation

गर 0 No Heaviness in any of the lip

1 Mild heaviness no difficulty in lips movement

2 Difficulty in Lips function due to Heaviness

3 Protrusion of both lips

सथरौ (Bulky)

According to Sanskrit ndash English Dictionary

0 Size not increased

1 Slightly bigger than normal no noticeable by other person

2 Bigger than normal noticeable by another person

3 Bigger size effect the lip movement and lip protrudes down

107 भदज ओषठयोग (स) घतभणडाबौ (Clear

melted butter like)

0 Does not look like filled with clear part of melted butter

Here the specific appearance is given so the area is considerd

1 13 part of both lips looks like filled with clear part of melted butter

2 23 part of both lips looks like filled with clear part of melted butter

3 More than 23 part of both lips looks like filled with clear part of melted butter

कणड 0 No itching Or According to VAS

1 Itching in both lips but not disturbing work

17

Code Signs amp Symptoms Score Gradations Remarks

2 Itching in both lips but disturbing work

3 in both lips and cannot concentrate in work due to itching

Or

0 No itching

1 Occasional itching

2 Off and on itching

3 Continuous itching

चसथयौ 0 Movement of lips not affected

(Immobility) 1 Lip movement slightly affected but no difficulty in speech

2 Lip movement affected which alter the speech

3 Lip movement arrested

भदता (Sponginess) 0 Absent

1 Present

आसराव (अछि सपटिक सङकाशभ) (discharge of clear fluid)

0 No discharge अचछ सफटिक Word is Adjective for the type of discharge So grading is given for the frequency of discharge

1 Occasional discharge

2 Off and on discharge of clear fluid

3 Continuous discharge of clear fluid

गर 0 No Heaviness

1 Mild heaviness no difficulty in lip movement

2 Difficulty in lip function due to heaviness

3 Protrusion of lip due to heaviness

तराबशवमथ (अहर) 0 Does not look like filled with oil As per the घतभणडाब

tailabha is used as adjective so grading is given for Shvayathu

1 13 part of lips looks like filled with oil

2 23 part of lips looks filled with oil

3 More than 23 part of lips looks like filled with oil

सराव 0 No discharge

1 Occasional discharge

2 Off and on discharge of clear fluid

3 Continuous discharge of clear fluid

तराबकरदौ (Moister) 0 Absent Darshan pariksha

18

Code Signs amp Symptoms Score Gradations Remarks

1 Present

कणड 0 No itching Or According to VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate in work due to itching

OR

0 No itching

1 Occasional itching

2 Off and on itching

3 Continuous itching

109 तज ओषठयोग (स) पवदीमता (Tear) 0 No tear

1 Cut Up to epithelial layer

2 Cut Up to Sub epithelial layer

3 Cut up to muscular layer

ऩाटमता (Lips divided

in two parts)

0 Lips divided into two parts

1 Absent

2 Present

गरचथत

(NodulesLumps)

0 No lumps

1 Soft lumps

2 Hard Lumps

3 Multiple lumps

कणड (Itching) 0 No itching Or According to VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate in work due to itching

OR

0 No itching

1 Occasional itching

2 Off and on itching

3 Continuous itching

दशनछिदौ (अहर) (Lips covering the teeth)

0 Covering the teeth completely

1 Partial covering (gt50 ) the teeth

2 Covering the teeth lt50

19

Code Signs amp Symptoms Score Gradations Remarks

3 Not covering the teeth (All teeth exposed)

1010 जराफद (अहर) जरफदफदवद

(Cystic Swelling)

0 No Cystic Swelling

1 Up to 5mm Swelling

2 Swelling up to 5-10mm

3 More than 10mm

1011 यकताफद (स) रचधय सराव

रचधय सरवत 0 No bleeding

(Bleeding) 1 Bleeding on touch or movement

2 Spontaneous bleeding

3 Continuous bleeding

खजयसदश 0 Absent Used as an adjective

(Date fruits like) 1 Present

1012 खणडौषठ (अ)

ओषठोदपवधाकत 0 No separation of lips

(Lips divided separated into two parts)

1 Separation up to vermilion line

2 Separation up to Philtrum

3 Separation up to Collumella

20

GRADATION OF DANTA MOOL GAT ROG

Code ndash 11

Gradations established by Group KARAL Dr Krishna Makadia - Convener

Dantvaidya Saroj Joshi Dantvaidya Harshad Joshi

Dr Kiran Raj Dr Achyuta Atara Dr Pranav Dave

Gradations Reviewed by Dr Hemangi Shukla Dr Krishna Makadia

Edited by Prof Vd Hāridra Dave

21

Code Signs amp Symptoms Score Gradations Remarks

111 शीताद (स) अकसभात यकतसराव 0 No bleeding

1 Occasional bleeding for 1 or 2 times in 1 Prahar

2 Spontaneous Bleeding up to one Prahar

3 Spontaneous Bleeding for more than 1 Prahar (more than 3hrs)

दगनधीतन 0 No foul smell

1 Patient feels foul smell

2 Doctor or person who comes near to patient feels foul smell

3 From distance anyone can feels foul smell who is in the room

4 Foul smell can be feel from outside of the room even

सकषणातन 0 Absent

=Blackish discoloration

1 Present

परकरदीतन 0 Absent

1 Present

भदता 0 Absent

1 Present

दनतभास शीमनत 0 Gums situated At CE junction

1 Recession of gums At cervical 13

2 Recession of gums At middle 13

3 Recession of gums At apical 13

ऩिचनत ि ऩयसऩयभ 0 No Pachan (Pāk)

= Pāk 1 1 Quadrant is involved

2 2 quadrants are involved

3 More than 2 quadrants are involved

112 दनतपपपटक (स) दनतमोसतरीष वा 0 No involvement of teeth

1 Involvement of 2 teeth

2 Involvement of 3 teeth

शवमथ भहान 0 Absent

1 Present

सरज 0 No pain Or according to VAS

1 तीवर =Pain is there but he can do

work or sleep

22

Code Signs amp Symptoms Score Gradations Remarks

2 तीवरतय =Pain is there but he can do

work or sleep

3 तीवरतभ =Patient canrsquot tolerate

शोफ़ो फदयाचसथतनबो घन (अहर) =Kola is

small jujube and badar is big jujube and seed is measuring around 5 mm

0 Not present

1 Shoth up to 25 mm

2 Shoth 25 to 5 mm

3 Shoth is more than 5 mm

ऩाक (अहर) (शीघर ऩछमत)

0 Absent Accumulation of Fluid or pus

1 Present

113 दनतवषट (स) सरवचनत ऩमरचधय

Discharge of blood with pus or only pus

0 No Discharge

1 Blood with Pus Discharge

2 Only pus discharge

िरता 0 No mobility

1 1 mm antero-posterior Mobility

2 2 mm antero-posterior Mobility

3 More than 2 mm antero-posterior amp medial to lateral mobility

114 शौषषर (स) शवमथ 0 Absent

1 Present

रजावान According to VAS scoring

रारासरावी 0 Normal secretion

1 Occasionally splitting

2 On and off splitting

3 Continuous splitting disturbance in work

कणड 0 Absent

1 Occasionally itching

2 On and off itching

3 Continues itching

23

Code Signs amp Symptoms Score Gradations Remarks

दतभासपरशातन 0 Gums situated At CE junction

1 Recession of gums At cervical 13

2 Recession of gums At middle 13 3 Recession of gums At apical 13

115 महाशौषषर (स) दनताशिरचनत 0 No mobility

1 1 mm antero-posterior mobility

2 2 mm antero-posterior mobility

3 More than 2 mm anteroposterior amp medial to lateral mobility

तार अवदीमत 0 Absent Fissure over the Palate

1 Present

दतभासातनऩछमनत 0 No redness

1 Mild redness

2 Moderate redness

3 Severe redness

भख ऩरयऩीडमत 0 No Peedā Or According to VAS

Pain in any part or whole oral cavity

1 Peedā is at those Gums where disease is situated

2 Peedā is at entire Gums

Peedā is at entire Mukh

सचननऩाताजजजजवयवान

(अहर) 0 Normal temperature

1 Temperature between 984rsquoF to 100rsquoF

Temperature between 100rsquoF to 101rsquoF

2 Temperature between 101rsquoF to 102rsquoF

3 Temperature between 102rsquoF to 103rsquoF

4 Temperature between 103rsquoF to 104rsquoF

5 Temperature more than 104rsquoF

सऩमरचधयसरतत (अहर)

0 No Discharge

1 Blood with Pus Discharge

2 only pus discharge

पवशीणदपवजफनधन (अहर)

0 No mobility

1 1 mm antero-posterior mobility 2 2 mm antero-posterior mobility

24

Code Signs amp Symptoms Score Gradations Remarks 3 more than 2 mm antero-posterior

amp medial to lateral mobility

116 पररदर (स) दनतभासातन शीमनत 0 Gums situated At CE junction Depending upon

severity grading has been established

1 Recession of gums At cervical 13

2 Recession of gums At middle 13

3 Recession of gums At apical 13

षठीवतत असक 0 No spitting of blood

1 Occasionally splitting

2 On and off splitting

3 Continuous splitting with disturbance in work

117 उपकश (स) दाह Or According to VAS

ऩाक 0 Absent

1 Present

दनताशिरचनत 0 No mobility

1 1 mm antero-posterior mobility

2 2 mm antero-posterior mobility

3 more than 2 mm antero-posterior amp medial to lateral mobility

आघटिता परसरवचनत 0 Absent

=Bleeding from gums by pressure

1 Bleeding on pressure remains for five minutes

2 Bleeding on pressure remains up to 15 minutes

3 Bleeding on pressure remains up to 30 minutes

4 Bleeding on pressure remains up to 1 hour

5 Bleeding on pressure remains more than 1 hour

भदवदना 0 Absent

1 Present

आधभामनत सरत यकत

0 Absent

1 Present

ऩतत वकतरता (अहर) 0 No foul smell

1 Patient feels foul smell

25

Code Signs amp Symptoms Score Gradations Remarks

2 Doctor or person who comes near to patient feels foul smell

3 From distance anyone can feels foul smell who is in the room

4 Foul smell can be feel from outside of the room even

कणडभचनत (अहर) 0 Absent Or According to VAS

1 Occasionally itching

2 On and off itching

3 Continues itching

िरा (अहर) 0 No mobility

1 1 mm antero-posterior mobility

2 2 mm antero-posterior mobility

3 More than 2 mm antero-posterior amp medial to lateral mobility

118 वदभभ (स) =Traumatic injury(By mechanical Chemical thermal )

घषिष दनतभरष सयबो जामत भहान

0 Absent Mahan suggest itself severity of disease

1 Present

िरदता (अहर) 0 No mobility

1 1 mm antero-posterior mobility

2 2 mm antero-posterior mobility

3 More than 2 mm antero-posterior amp medial to lateral mobility

119 वरभन (स) तीवरवदना 0 No pain Or According to VAS

1 तीवर -Pain is there but he can do

work or sleep

2 तीवरतय -Patient can tolerate

3 तीवरतभ -Patient canrsquot tolerate

1110 अधरमाास (स) भहाञिोथ 0 No Shoth Mahan suggest itself

severity of disease

1 Shoth is Present on that gum only where disease is occurred

2 Shoth is Present on nearby two or three gums where disease is occurred

26

Code Signs amp Symptoms Score Gradations Remarks

3 Shoth is present up to adjoining cheek

This condition should be considered as

भहाञिोथ

भहारजा (स) परततहनतममभमवरतत (अहर)

0 No Rujā (pain) Or According to VAS

2 Rujā (pain) is Present on that gum only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

This condition should be considered as भहारजा amp परततहनतममभमवरतत

रारासरावी 0 Normal secretion

1 Occasionally splitting

2 On and off splitting

3 Continuous splitting disturbance in work

दनतानत कीरवतमशोफ़ (अहर)

0 No Keel vat Shoth

1 Keel vat Shoth is Present on that gum only where disease is occurred

2 Keel vat Shoth is Present on nearby two or three gums where disease is occurred

3 Keel vat Shoth is present up to adjoining cheek

1111 दनतषवदरधर (अहर) दनतभासशोफ़ (ि) 0 No Shoph

1 Shoph is Present on that gum only where disease is occurred

2 Shosh is Present on nearby two or This condition should

27

Code Signs amp Symptoms Score Gradations Remarks

three gums where disease is occurred

be considered as अनत शवमथ According to

Vagbhatta

3 Shosh is extended up to adjoining cheek

This condition should be considered as फाहम शवमथ According to

Vagbhatta

फाहम शवमथ (अहर) This condition is mentioned at दनतभास शोफ़

अनत शवमथ (अहर) This condition is mentioned at दनतभास शोफ़

गर (अहर) 0 Absent

1 Present

रग (अहर) 0 No Rujā (pain) Or According to VAS

2 Rujā (pain) is Present on that gum only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

दाह (अहर) According to VAS

सरवतिननऩमासर (अहर)

0 No Discharge

1 Blood with Pus Discharge

2 Only pus discharge

1112 दतनाडी Scoring is not possible further according to measurement of Nadivrana because X-

ray only detects spread up to the bone Whereas Nadivrana in gingiva periodontal ligament cannot be measured

दतनाडी 0 Absent

1 Present

28

GRADATION OF DANTA GAT ROG

Code ndash 12

Gradations established by Group KARAL Dr Krishna Makadia - Convener

Dantavaidya Saroj Joshi Dantavaidya Harshad Joshi

Dr Kiran Raj Dr Achyuta Atara Dr Pranav Dave

Gradations Reviewed by Dr Hemangi Shukla Dr Krishna Makadia

Edited by Prof Vd Hāridra Dave

29

Code Signs amp Symptoms Score Gradations Remarks

121 दाऱन (स)

तीवररग 0 No Rujā (pain) Or According to VAS

2 Rujā (pain) is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

उषणअसहादनता (अस) 0 No sensitivity in teeth ie with warm

water hot water or

excessive hot water

application on

tooth is not

possible so Time

related and severity

related grading was

finalised(same for

cold)

1 Mild sensitivity in teeth - At a

time

2 Moderate sensitivity in teeth -

Sensitivity remains only for 1

Prahar (up to 3 hrs)

3 Severe sensitivity in teeth -

Sensitivity remains more than

1 Prahar (more than 3 hrs)

शीतअचधकवमथा (अहर) 0 No sensitivity in teeth

1 Mild sensitivity in teeth - At a

time

2 Moderate sensitivity in teeth -

Sensitivity remains only for 1

Prahar (up to 3 hrs)

3 severe sensitivity in teeth-

Sensitivity remains more than

1 Prahar (more than 3 hrs)

22 कममदनत (स) कषण 0 No discoloration

1 Light greyish black

2 Dark greyish black

3 Jet black

30

Code Signs amp Symptoms Score Gradations Remarks

तिदर 0 No cavity It should be

decided by X-ray

1 Cavity within limit of enamel

2 Cavity within limit of dentin

3 Cavity up to pulp

िर 0 No mobility

1 1 mm antero-posterior

mobility

2 2 mm antero-posterior

mobility

3 More than 2 mm antero-

posterior amp medial to lateral

mobility

सरावी 0 No Srāv- after drying

particular teeth with cotton

inserting cotton on cavity

There is no other

method to check

Srāv in Krimidanta

1 Srāv is present

ससयब = Inflammation 0 No inflammation

1 Inflammation is Present भहारज 0 No Rujā (pain) Or According to

VAS 2 Rujā (pain) is Present on that

gum only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

This condition should be considered as भहारज

अतनसभतमतरज 0 No sudden onset of pain

1 Sudden onset of pain is

present

अहततीवराततशभ (अहर) 0 No sudden onset of pain

31

Code Signs amp Symptoms Score Gradations Remarks

1 Sudden onset of pain is

present

पररन (अहर) = Broken due to cavity

0 Cavity is there but it is not

broken

It should be

considered for each

tooth separately

Cavity in that must

be present in

particular tooth

1 13 part of tooth is broken

2 23 of tooth is broken

3 More than 23 of tooth is

broken

4 Total loss of tooth

ऩमसरत (अहर) 0 No Pooya Srāv after drying

particular place

with cotton

inserting cotton on

cavity

1 Pooya Srāv present

यकतसरत (अहर) 0 No Rakta Srāv after drying

particular place

with cotton

inserting cotton on

cavity

1 Rakta Srāv is present

123 दनतहषभ (स)

शीत सऩशन न सहनत 0 No sensitivity by cold touch

in any teeth

1 Ooccassional sensitivity by

cold touch in any toothteeth

for once

2 Sensitivity by cold touch

remains in toothteeth only up

to 1 Prahar (up to 3hrs)

3 Sensitivity by cold touch

remains more than 1 Prahar

(more than 3hrs)

उषण सऩशन न सहनत 0 No sensitivity by hot touch in

any teeth

1 Occassional sensitivity by hot

touch in toothteeth for once

2 Sensitivity by hot touch

remains in toothteeth only up

to 1 Prahar (up to 3hrs)

3 Sensitivity by hot touch

remains in toothteeth more

than 1 Prahar (more than

3hrs)

32

Code Signs amp Symptoms Score Gradations Remarks

परवाताभा = Sensitivity to air

(परवातारशीतबाभा) (अहर)

0 No sensitivity by Pravāt

touch in any tooth

1 Occassional sensitivity by

Pravāt touch in toothteeth for

once

2 Sensitivity by Pravāt touch

remains in toothteeth only up

to 1 Prahar (up to 3hrs)

3 Sensitivity by Pravāt touch

remains in toothteeth more

than 1 Prahar (more than

3hrs)

अरबाभा = Sensitivity to sour food

(परवातारशीतबाभा) (अहर)

0 No sensitivity by eating

sourer food to any tooth

1 Occassional sensitivity by

eating sourer food to any

toothteeth for once

2 Sensitivity by eating sourer

food remains to toothteeth

only up to 1 Prahar (up to

3hrs)

3 Sensitivity by eating sourer

food remains to toothteeth

more than 1 Prahar (more

than 3hrs)

शीतबाभा (परवातारशीतबाभा) (अहर)

0 No sensitivity by eating cold

item to any tooth

1 Occasional sensitivity by

eating cold item to toothteeth

for once

2 Sensitivity by Pravāt touch

remains in toothteeth only up

to 1 Prahar (up to 3hrs)

3 Sensitivity by eating cold

item remains to toothteeth

more than 1 Prahar (more

than 3hrs)

सरजा (अहर) 0 No Rujā (pain)

33

Code Signs amp Symptoms Score Gradations Remarks

2 Rujā (pain) is Present on that gum only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

2 Rujā (pain) is Present on that gum only where disease is occurred and patient can do hisher routine work without disturbance

िर (अहर) 0 No mobility

1 1 mm anterio-posterior

mobility

2 2 mm anterio-posterior

mobility

3 More than 2 mm antero-

posterior amp medial to lateral

mobility

124 भञजनक (स) =Photograph is necessary

(depending upon the severity gradation has been finalised)

वकतर वकरता 0 No deviation

1 Deviation is present

तीवररक 0 No Rujā (pain) Or according to

VAS

2 Rujā (pain) is Present on that gum only where disease is occurred and patient can do hisher routine work without disturbance

34

Code Signs amp Symptoms Score Gradations Remarks

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

This condition should be considered as तीवररक

दनतबङग 0 Tooth is not broken This should be

considered for

single tooth

1 13 part of tooth is broken

2 23 of tooth is broken

3 More than 23 of tooth is

broken

4 Total loss of tooth

125 दनतशकभ रा (स) =Calculus index was selected

शकयव चसथयीबत भर 0 No calculus present

1 Supragingival calculus

covering not more than third

of the exposed tooth surface

2 Supragingival calculus

covering more than 13 but

not more than 23 of the

exposed tooth surface or the

presence of individual flecks

of subgingival calculus

around the cervical portion of

the tooth or both

3 Supragingival calculus

covering more than 23 of the

exposed tooth surface or

continues heavy band 0f

subgingival calculus around

the cervical portion of the

tooth or both

35

Code Signs amp Symptoms Score Gradations Remarks

दनताना गणहयी 0 Absent All 10 Guna of

Danta Sampata

should be

considered required

suggestions for

each Guna

1 Present

ऩततगचनध (अहर) 0 No foul smell Taken grading of

halitosis

1 Patient feels foul smell

2 Doctor or person who comes near to patient feels foul smell

3 From distance anyone can feels foul smell who is in the room

4 Foul smell can be feel from outside of the room even

126 कपामऱका (स)

दनतवलकसम दरनभ = Bracketing of tooth enamel (दरचनत दनतवलकातन)

0 No दरनभ of tooth This should be

considered

separately for each

tooth

1 दरनभ is present of less than 13 of tooth

2 दरनभ is present of more than of 13 of tooth but less than 23 of tooth

3 दरनभ is present of more than of 23 of tooth but no total loss of tooth

4 Total loss of tooth after दरनभ

This condition should be considered as दशनाना पवनाश

दशनाना पवनाश = Total loss of tooth

0 No Any loss of tooth This should be

considered

separately for each

tooth

1 loss of tooth is present of less than 13 of tooth

2 loss of tooth is present of more than of 13 of tooth but less than 23 of tooth

36

Code Signs amp Symptoms Score Gradations Remarks

3 loss of tooth is present of more than of 23 of tooth but no total loss of tooth

4 Total loss of tooth This condition should be considered as दशनाना पवनाश

दनतशातनभ अणश = Thinning of tooth (शातमतममतममणशो दनतात कऩारातन) (अहर)

0 No शातनभ of tooth This should be

considered

separately for each

tooth

1 शातनभ is present in less than 13 of tooth

2 शातनभ is present in more than 13 of tooth but less than 23 of tooth

3 शातनभ is present in more than 23 of tooth but no total loss of tooth

4 Total loss of tooth due to शातनभ

127 शयावदनतक (स) In शमावदनत शमावता amp नीरता should be considered ascending stages

शमावता + नीरता 0 -No any discolouration of

tooth

-Normal colour of tooth

This should be

considered

separately for each

tooth

1 शमावता is Present

2 नीरता is Present

128 हनमो (स) According to Dalhan हनमो is not Dant Rog directly but it is near to

Dantchewing of hard food is one of the causes and there is pain in Dant so it is considered under Danta Rog

हनसचनधपवसहत 0 Absent

1 Can be reset by manual reduction

2 Can be reset by surgical

intervention

129 दनतभद (अहर) तोद =Pricking pain 0 No Pricking pain -Or According to

VAS

- This should be

considered

separately for each

tooth

37

Code Signs amp Symptoms Score Gradations Remarks

2 Pricking pain is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Pricking pain is referred up to Hanu and patient can do hisher routine work without disturbance

4 Pricking pain is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Pricking pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Pricking pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

बद Braking pain 0 No Braking pain -Or According to

VAS

- This should be

considered

separately for each

tooth

2 Braking pain is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Braking pain is referred up to Hanu and patient can do hisher routine work without disturbance

4 Braking pain is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Braking pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Braking pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

38

Code Signs amp Symptoms Score Gradations Remarks

रक Dull pain 0 No Rujā (pain) -Or According to

VAS

- This should be

considered

separately for each

tooth

2 Rujā (pain) is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

सपिन Burstingexpanding pain

0 No Bursting pain -Or According to

VAS

- This should be

considered

separately for each

tooth

2 Bursting pain is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Bursting pain is referred up to Hanu and patient can do hisher routine work without disturbance

4 Bursting pain is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

39

Code Signs amp Symptoms Score Gradations Remarks

5 Bursting pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Bursting pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

1210 दनतचाऱ (अहर) िरतमव = Mobility 0 No = mobility

1 1mm anterio-posterior

mobility

2 2 mm anterio-posterior

mobility

3 More than 2 mm anterio-

posterior amp medial to lateral

mobility

बणादचधकवमथ 0 No Vyatha ndash Pain during

eating

1 Pain during eating of hard

diet only

2 Pain during eating of soft diet

even

1211 कराऱ (स)

=Malocclusion

0 A Normal Molar relationship

exist but there is crowding

misalignment of the teeth

cross bite etc

1 A malocclusion where the

molar relationship shows the

buccal grove of mandibular

first molar distally positioned

when in occlusion with the

mesiobuccal cusp of the

maxillary first molar

2 A malocclusion where the

molar relationship shows the

buccal groove of the

mandibular first molar

mesiallypos

40

GRADATIONS OF JIHWA GAT ROG

Code - 13

Established by Group BHOJ Dr Krishna Makaia ndash Convener

Dr Rajeshree Unadkat Dr Neelam Dave

Dr Ronakgiri Gosai Dr Jignesh Virapariya

Reviewed by Dr Vijayant Bharadwaj

Edited by Prof Vd Hāridra Dave

41

Code Signs amp Symptoms Score Gradations Remarks

131 वाततक चजहवाकिक (स) सपटिता (Creaks) 0 No creaks on tongue

1 Single creak on the dorsum of tongue

2 Multiple Creaks on the dorsum of tongue

3 Multiple deep creaks on the dorsum of tongue (Bleeding)

परसपता (Numbness )

0 No Numbness

1 Numbness in 13 Part of tongue

2 Numbness in 23 Part of tongue

3 Numbness in more than 23 Part of tongue

शाकछिदनपरकाशा (Roughness)

0 Normal surface of tongue on touch

1 Mild rough surface on touch

2 Hard irregular surface on touch

3 Very rough surface which hurts the finger on touch

132 ऩततक चजहवाकिक (स) ऩीता 0 No yellowish discolouration

1 Yellowish discoloration in 13 part

2 Yellowish discoloration in 23 part

3 Yellowish discoloration in more than 23 part of tongue

ऩरयदहमत Burning in entire tongue)

0 No burning Or According to VAS

1 Occasional burning

2 Intermittent burning

3 Continuous burning does not relieve by any measures

दाह (Burning may be

in partially tongue)

0 No Burning Or According to VAS

1 Burning up to 13 part of tongue

2 Burning in 13 to 23 part of tongue

3 Burning in more than 23 part of tongue

42

Code Signs amp Symptoms Score Gradations Remarks

यकतभासाङकयचशिता (Covered with red buds )

0 No change in appearance

1 13 part of tongue covered with red fleshy buds

2 23 part of tongue covered with red fleshy buds

3 Whole tongue covered with red fleshy buds

ओष (Burning) 0 No Oshha Or According to VAS

1 Oshha up to 13 part of tongue

2 Oshha in 13 to 23 part of tongue

3 Oshha in more than 23 part of tongue

133 कपज चजहवाकिक (स) फहरा (Thick) 0 Normal Thickness of Tongue

1 Thickness increased - noticeable by patient

2 Thickness increased - noticeable by the examiner

3 Tongue protruding out because of increased Thickness

गवी (Heaviness) 0 No Heaviness

1 Feeling mild heaviness but no difficulty in Tongue movement

2 Difficulty in Tongue movement especially during intake of liquid

3 Difficulty in Tongue movement especially during intake of hard food

4 Difficulty in Tongue movement especially during Pronunciation

भासोदगभ शालभसरकणिकाब (thorn like papilla)

0 No change in appearance of tongue

1 13 part of tongue covered with red fleshy thorn like papilla

2 23 part of tongue covered with thorn like papilla

3 Whole tongue covered with thorn like papilla

43

Code Signs amp Symptoms Score Gradations Remarks

134 अरास (स) शवमथ

(Swelling at ventral surface of tongue)

0 Absent

1 Present

सतबमतत (Restricted tongue movement)

0 -Normal Movement of Tongue -Movement of tongue not affected

1 Tongue movement slightly restricted but does not affect the normal function

2 Tongue movement restricted that affects the normal function

3 Tongue movement arrested

परवदध

(Increase in size)

0 Size not increased

1 Size increased - noticeable by the patient

2 Size increased - noticeable by the examiner

3 Tongue protruding out because of increased size

ऩाक 0 No swelling or suppuration

1 Inflammation with pain and tenderness

2 Inflammation with different types of pain and tenderness along with induration

3 Pus formation and fluctuation positive

अधशोप 0 Absent

1 Present

उननत (elevation of

the tongue due to swelling below the tongue)

0 Normal position of tongue

1 Tongue slightly elevated due to swelling below the tongue

2 Tongue elevation causes discomfort to the patient

3 Tongue touches the palate

भतमसमगचनध

(Fishy smell)

0 Absent

1 Present

44

Code Signs amp Symptoms Score Gradations Remarks

भासशातन (Destruction of flesh of tongue )

0 No Destruction of tongue flesh

1 13 part of tongue flesh is destroyed

2 23 part of tongue flesh is destroyed

3 More than 23 part of tongue is destroyed

135 उऩचजचहवका (स) शवमथ (Swelling) 0 Absent

1 Present

चजहवाभननम

जात (elevation of

tongue because of swelling)

0 Normal position of tongue

1 Tongue slightly elevated due to swelling below the tongue

2 Tongue elevation causes discomfort to the patient

3 Tongue touches the palate

परसक (Salivation) 0 Normal secretion of saliva

1 Occasionally spitting

2 Off and on spitting

3 Continuous spitting which disturbs the work

कणड (Itching) 0 No itching Or According to VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate on work due to severe itching

0r

0 No itching

1 Occasional itching

2 Off and on itching

3 Continuous itching

ऩरयदाह (Burning in

whole tongue)

0 No burning Or According to VAS

1 Occasional burning

2 Intermittent burning

3 Contentious burning dose not relive by any measures

45

Code Signs amp Symptoms Score Gradations Remarks

136 अचधचजचहवका (अर)

अधोचजहवामा शोप

0 Normal position of tongue

(Swelling below the tongue)

1 Tongue slightly elevated due to swelling below the tongue

2 Tongue elevation causes discomfort to the patient

3 Tongue touches the palate

अङकय (Pappilary

growth)

0 Absent

1 Present

ओष (Burning) 0 No Oshh Or According to

VAS

1 Oshh up to 13 part of tongue

2 Oshh in 13 to 23 part of tongue

3 Oshh in more than 23 part of tongue

सतबवान

(Restriction of Movement)

0 Movement of tongue not affected

1 Tongue movement slightly restricted but does not affect the normal function

2 Tongue movement restricted that affect the normal function

3 Tongue movement arrested

खय(Rough) 0 Smooth on touch

1 Mild irregular surface

2 Rough surface

3 Sharp rough surface touch hurts on finger on touch

रक (Pain) 0 No pain Or According to

VAS

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

कणड (Itching) 0 No itching Or According to

VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate on work due to severe itching

0r

0 No itching

46

Code Signs amp Symptoms Score Gradations Remarks

1 Occasional itching

2 Off and on itching

3 Continuous itching

वाकम पवघातकत (Difficulty in speech)

0 No difficulty in speech

1 Unable to speak िति vargavyanjana

2 Difficulty in speaking क vargavyanjana

Swara donrsquot need involvement of tongue

3 Unable to speak

आहयपवघातकत

(Swallowing )

0 Able to eat regular diet

1 Able to eat soft diet

2 Able to eat only liquid diet

3 Unable to swallow anything

47

GRADATION OF TALUGAT ROG

Code - 14

Established by Group BHOJ Dr Krishna Makaia ndash Convener

Dr Rajeshree Unadkat Dr Neelam Dave

Dr Ronakgiri Gosai Dr Jignesh Virapariya

Reviewed by Dr Vijayant Bharadwaj

Edited by Prof Vd Hāridra Dave

48

Code Signs amp Symptoms Score Gradations Remarks

141 गरशचणडका (स)

परवदधो शोप (Swelling extending from palate) (Which is elongated)

0 Normal size of uvula

1 Swelling of uvula that causes discomfort to the patient

2 Swelling of uvula that causes foreign body sensation

3 Difficulty in breathing due to swelling

दीघ शोप

(Elongated Swelling)

0 Normal size of uvula

1 Elongated swelling of uvula that causes discomfort to the patient

2 Elongated swelling of uvula that causes foreign body sensation

3 Difficulty in breathing due to Elongated swelling

धभातफचसतपरकाश शोप =Inflated

swelling like Basti

0 Normal size of uvula

1 Inflated swelling like Basti of uvula that causes discomfort to the patient

2 Inflated swelling like Basti of uvula that causes foreign body sensation

3 Difficulty in breathing due to Inflated swelling like Basti

तषणा 0 Normal feeling of thirst

1 Increased feeling of thirst which is relived after drinking water

The quantity of water is not consider here but the frequency of water is considered

2 Frequent feeling of thirst which is Occasional relived after drinking water

3 Continuous feeling of thirst does not relive after drinking profuse amount of water

कास (Coughing) 0 No coughing

49

Code Signs amp Symptoms Score Gradations Remarks

1 Occasional coughing during eating and speaking

2 Off and on coughing

3 Continuous coughing

शवास 0 No difficulty in breathing

1 Difficulty in breathing occasionally

2 More difficulty in breathing while sleeping

3 Excessive difficulty in breathing

भतमसमफचसततनब शोप (अहर)

0 Normal uvula Used as an adjective

1 Inflated swelling like Matsya-Basti of uvula that causes discomfort to the patient

2 Inflated swelling like Matsya-Basti of uvula that causes foreign body sensation

3 Difficulty in breathing due to Inflated swelling like Matsya-Basti

पररफ (अहर) 0 Normal length of Uvula

(Elongated Swelling)

1 Size of Uvula increased up to lt2 mm

2 Size of Uvula increased more than 2 mm but less than 4 mm

3 Size of Uvula increased gt4 mm that cause discomfort to patient and cause difficulty in breathing

पऩचछिर(अहर) (Sliminess)

0 Absent

1 Present

नासमाऽऽहायभीयमन (अहर)

0 Food does not come out from nose

(Food comes out of nose)

1 Food comes out from nose

कणठोऩयोध(अहर) (Obstruction of throat )

0 -Able to eat regular diet -No difficulty in swallowing of any food

1 Able to swallow liquid or soft diet but not able to swallow hard diet

2 Able to swallow hard diet forcefully

50

Code Signs amp Symptoms Score Gradations Remarks

3 Not able to swallow hard diet with force

वभन(अहर) (Vomiting)

0 No Vaman

1 Feeling of nausea only

2 Only one veg of Vaman in a day

3 Two vegas of Vaman in a day

4 More than two vegas of Vaman in a day

132 तचणडकयी (स)

शोप (Tonsillar

Swelling)

0 Tonsils are located within the tonsillar fossa

1 Tonsils hypertrophy till the brim of the tonsillar fossa

2 Tonsils hypertrophy extends beyond the pillars but not touching each other

3 Tonsils hypertrophy extends beyond the pillars but not touching each other

तोद

(Pricking pain)

0 No pain

1 Occasional pain Or according to VAS

2 Off and on pain

3 Continuous pain

दाह (Burning) 0 No

1 Occasional burning

2 Intermittent burning

3 Contentious burning dose not relive by any measures

परऩाक 0 Absent

1 Present

पऩचछिर शोप(अहर)

Sliminess in swallowing

0 Feeling of Sliminess is Absent

1 Feeling of Sliminess is Present

भनदरक (अहर)

(Mild pain)

0 Absent Or According to

VAS

1 Present

133 अधरष (स)

शोप (Swelling) 0 No swelling

1 13 Swelling in part of the palate

51

Code Signs amp Symptoms Score Gradations Remarks

2 23 swelling in part of palate

3 Swelling in gt than 23 part of palate

सतबधता =Functions of soft palate like deglutition Phonation etc are affected = No mobility of soft palate

0 Normal function of soft palate

1 Soft palate movement reduced but functions are not affected

2 Any one of the functions of soft palate is affected

3 All functions of soft palate are affected

रोटहतवणता

(Redness)

0 No change in colour

1 Pinkish red coloured mucosa in palate

2 Red coloured mucosa in palate

3 Dark red coloured mucosa in palate

रजा (Pain) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

जजवय (Fever) 0 Normal temperature

1 Temperature between 984rsquoF to 100rsquoF

Temperature between 100rsquoF to 101rsquoF

2 Temperature between 101rsquoF to 102rsquoF

3 Temperature between 102rsquoF to 103rsquoF

52

Code Signs amp Symptoms Score Gradations Remarks

4 Temperature between 103rsquoF to 104rsquoF

5 Temperature more than 104rsquoF

134 कछिऩ (स)

कभवत उतमसनन शोप (Swelling

having shape like dorsum of tortoise)

0 No swelling

1 Swelling in 13rd part of the palate

2 Swelling in 23rd part of palate

3 Swelling in gt 23rd part of palate

चियवपदध(अहर)

(Slow growth)

0 Growth within a week

1 Growth within 1 week to 1 month

2 Growth within 1 month to 6 months

3 Growth within gt 6 months

रक (अहर) (Pain) 0 No pain Or According to VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesics

135 तारअफद (स) ऩदमाकाय तारभधम

शोपम (Swelling

like shape of lotus )

0 No swelling

1 Swelling in 13rd part of the palate

2 2 Swelling in 23rd part of palate

3 3 Swelling in gt 23rd part of palate

136 भाससङघात (स) नीरज (Painless) 0 Absent

1 Present

53

Code Signs amp Symptoms Score Gradations Remarks

शोप 0 No swelling

1 Swelling in 13rd part of the palate

2 Swelling in 23rd part of palate

3 Swelling in gt 23rd part of palate

137 तारऩपऩि (स) नीरक (Painless) 0 Absent

1 Present

कोरभातर

Swelling having size of Kola fruit

0 Absent

1 Present

138 तारशोष (स)

शोष (Dryness) 0 No dryness

1 Dryness decreased after drinking water

2 Patient needs water frequently

3 Dryness persist after dinking profuse water

दायण (Tearing of palate)

0 Absent

1 Present

शवास (Difficulty in

breathing)

0 No difficulty in breathing Here difficulty in breathing is due to obstruction

1 Difficulty in breathing occasionally

2 More difficulty in breathing while sleeping position

3 Excessive difficulty in breathing

जजवय(अहर) (Fever) 0 Normal temperature

1 Temperature between 984rsquoF to 100rsquoF

Temperature between 100rsquoF to 101rsquoF

2 Temperature between 101rsquoF to 102rsquoF

3 Temperature between 102rsquoF to 103rsquoF

4 Temperature between 103rsquoF to 104rsquoF

5 Temperature more than 104rsquoF

54

Code Signs amp Symptoms Score Gradations Remarks

139 तारऩाक (स) ऩाक (Suppuration) 0 No swelling or suppuration

1 Inflammation of palate with pain and tenderness

2 Inflammation of palate with different types of pain and tenderness with induration

3 Pus formation and fluctuation positive

1310 तारपऩटिका (अहर) तारभास पऩटिका

Follicles in palate flesh

0 No follicles

1 13 palate covered with follicles

2 23 palate covered with follicles

3 More than 23 palate covered with follicles

रज(अहर) (Pain) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

Occasional pain

खयता(अहर) (Roughness)

0 Smooth on touch

1 Mild irregular surface on touch

2 Rough surface

3 Sharp rough surface which hurts on finger on touch

घनसराव(अहर) (Thick discharge)

0 No discharge

1 Occasional discharge

2 Off and on thick discharge

3 Continuous thick discharge

1311 तारसहतत (अहर) तारभधम तनरक (अहर) =Painless fleshy growth in palate

Only तारभधम तनरक indicates the place and quality of growth both the symptoms can be

merged

55

Code Signs amp Symptoms Score Gradations Remarks

तनरक (Painless) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

भाससहत

(Fleshy growth in palate)

0 No fleshy growth

1 Fleshy growth in 13 part of the palate Swelling

2 Fleshy growth in 23 part of palate swelling

3 Fleshy growth in more than 23 part of palate

56

GRADATION OF SARVASAR ROG

Code - 15

Established by Group BHOJ Dr Krishna Makaia ndash Convener

Dr Rajeshree Unadkat Dr Neelam Dave

Dr Ronakgiri Gosai Dr Jignesh Virapariya

Reviewed by Dr Vijayant Bharadwaj

Edited by Prof Vd Hāridra Dave

57

Code Signs amp Symptoms Score Gradations Remarks

151 वातजसवसय (स) सपोि (Ulcers) 0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

तोद = Pricking pain 0 No pricking pain Or According to VAS

1 Occasional pricking pain

2 Off and on pricking pain

3 Continuous pricking pain

Or

0 No pricking pain

1 Sometimes mild pricking pain

2 Has to take analgesic while pricking pain

सिारयण(अहर) This symptom is for सवसय so this सवसय is the nature of सिारय

0 No movement of सवसय

1 Movement of सवसय is once in a week

2 Movement of सवसय is once in three to four days

3 Movement of सवसय is at every alternate day

4 Movement of सवसय is once in a day

अरण (अहर) Reddish discoloration

0 Colour of वरण is same with colour of surrounding area

1 Colour of वरण is Reddish

2 Colour of वरण is Dark Red

3 Colour of वरण is Reddish black

र (अहर) Dryness 0 वरण is Moist

-No dryness of वरण

1 वरण Needs lubrication once a day

2 वरण Needs frequent lubrication in

a day

3 No benefit with frequent

lubrication of वरण

तामरता (अहर) (Coppery

0 Colour of वरणौषठ is same with colour of surrounding area

58

Code Signs amp Symptoms Score Gradations Remarks

discoloration) This symptom is for

वरणौषठ

1 Colour of वरणौषठ is Tamra Varna

चऱतवचा (अहर) (Free mucous membrane) This symptom is for

वरणौषठ

0

Movement of वरणौषठ is on touch

only

1 Movement of वरणौषठ can be seen by naked eye means without touch

शीतासहा (अहर) (Intolerance to cold) This symptom is for

जजहवा

0 No Intolerance of cold to जजहवा

1 Intolerance of severe cold to जजहवा

2 Intolerance of moderate cold to जजहवा

3 Intolerance of Mild cold to जजहवा

गवी (Heaviness)

This symptom is for

जजहवा

0 No Heaviness

1 Mild heaviness with no difficulty

in movement of जजहवा

2 Moderate heaviness with

difficulty in Movement of जजहवा

3 Sever heaviness with bending down of

सफटटता (अहर) (Ulcer)

0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

कणटाकाधचता (अहर) = Thorn like

appearance

0 No change in appearance

59

Code Signs amp Symptoms Score Gradations Remarks

1 13 part of oral mucous membrane covered with red fleshy thorn like papillae

2 23 part of oral mucous membrane covered with red fleshy thorn like papillae

3 gt23 part of oral mucous membrane covered with red fleshy thorn like papillae

षववणोतत कचछरणमखम (अहर) (Difficulty in mouth opening)

0 Mouth opening more than 3 fingers without difficulty

1 2 to 3 fingers opening of mouth with or without difficulty

2 1 to 2 fingers opening of mouth with or without difficulty

3 Less than 1 finger opening of mouth with or without difficulty

152 पऩतमत(यकतज)सवसय (स) Signs and Symptoms of यकतज सवसय are same as of पऩतमत सवसय so no separate gradations are mentioned

यकतता (Redness) 0 Colour of सवसय- वरण is similar with

surrounding mucous membrane

1 Reddish Colour of सवसय- वरण

2 Bright red Colour of सवसय- वरण

3 Dark red Colour of सवसय- वरण

सदाह (Burning

Sensation)

0 No burning in सवसय- वरण Or According to

VAS

1 Occasional burning in सवसय- वरण

2 Intermittent burning in सवसय- वरण

3 Contentious burning in सवसय- वरण

which does not relive by any measures

तन (तनसब) (Shallow superficial ulcers)

0 No ulcer

1 Ulcer having depth of 05-1 mm

2 Ulcer having depth of 1 ndash 15 mm

3 Ulcer having depth of 15 -2 mm

60

Code Signs amp Symptoms Score Gradations Remarks

ओष (अहर) 0 No (ओष) burning in सवसय- वरण

1 Occasional (ओष) burning in

सवसय- वरण

2 Intermittent (ओष) burning in

सवसय- वरण

3 Contentious (ओष) burning in

सवसय- वरण which does not relive

by any measures

ततकतवकरता (अहर) (Bitter taste in mouth)

0 No alteration in taste

1 Occasionally bitter taste felt in mouth without having any bitter substance

2 Off and on bitter taste felt in mouth without having any bitter substance

3 Continuous bitter taste felt in mouth without having any bitter substance

ारोकषतत समावरणा (अहर)

0 No Ulcer

(Ulcers looking like chemical burns)

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

153 कपज सवसय (स) कणड (Itching) 0 No itching Or According to

VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Unable to work due to itching

0r

0 No itching

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate on work due to severe itching

रजा (Pain)

(अलऩ रजा) 0 No pain Or According to

VAS

1 Occasional pain

61

Code Signs amp Symptoms Score Gradations Remarks

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain This condition should be considered as अलऩ रजा

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

सवणण 0 Colour of वरण is same with colour of near by tissue

1 Colour of वरण is not same with colour of near by tissue

मररासयतवम (अहर) (Sweet taste in mouth)

0 No alteration in taste

1 Occasionally sweet taste felt without eating any sweet substance

2 Off and on Sweet taste Occasionally sweet taste felt without eating any sweet substance

3 Continuous sweet taste Occasionally sweet taste felt without eating any sweet substance

षपजचछिऱता (अहर) (Unctuousness)

0 Absent

1 Present

वरण 0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

154 कफाबभद (अहर) शयाव अबभदम

(शयावपाणडऽबभदम) 0 Colour of growthtumour is same

the colour of surrounding skin

1 Colour of growthtumour is शयाव

(Blackish)

62

Code Signs amp Symptoms Score Gradations Remarks

पाणड अबभदम (शयावपाणडऽबभदम)

0 Colour of growthtumour is same the colour of surrounding skin

1 Colour of growthtumour is पाणड

(Pale)

अबभदम 0 No GrowthTumour TNM Classification for tumours can be applied for growth

1 Growthtumour having sizelt 10 mm

2 Growthtumour having size 10 mm to 20 mm

3 Growthtumour having size gt 20 mm

घटिता तिनना मटदता च षववरभत (Size increases on rubbing cutting and squeezing)

0 Size of GrowthTumour is not increasing by rubbing cutting or squeezing

1 Size of GrowthTumour is increasing up to 10 mm by rubbing cutting or squeezing within a month

2 Size of GrowthTumour is increasing up to 20 mm by rubbing cutting or squeezing within a month

3 Size of GrowthTumour is increasing up to 30 mm by rubbing cutting or squeezing within a month

4 Size of GrowthTumour is increasing up to 40 mm by rubbing cutting or squeezing within a month

155 ऊरधवभगद (अहर) वकतरदौगनधम

(Halitosis)

0 No Halitosis

1 Halitosis is feel by Patient only

2 Halitosis is feel by Patient and examining Doctor only

3 Halitosis is feel by any person from the distance from 5 meters

63

Code Signs amp Symptoms Score Gradations Remarks

4 Halitosis is feel by any person from the distance from more than 5 meters

156 पततवकर (अहर) ऩतममासमता

(Halitosis)

0 No Halitosis

1 Halitosis is feel by Patient only

2 Halitosis is feel by Patient and examining Doctor only

3 Halitosis is feel by any person from the distance from 5 meters

4 Halitosis is feel by any person from the distance from more than 5 meters

157 सतनऩाततक सवसय (अहर) This disease occurs due to aggravation of all three doshas including Rakta Clinical presentation of this disease is found as mixed picture according prominent aggravation of dosha and signs and symptoms will be observed accordingly Gradations should be considered accordingly so it is not required to repeat here

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Page 16: THE GRADATIONS OF DISEASES OF SHALAKYA TANTRA - PART …theassociationofshalaki.com/downloads/GRADATIONS_OF_DISEASE… · 12.05.2019  · I am also very much thankful to Dr Sandhya

15

Code Signs amp Symptoms Score Gradations Remarks

2 Lips look faded off and on in a day

3 Lips look faded and dirty frequently in a day

अकसभातसशनौ (अहर) 0 No Swelling

(Spontaneous swelling) 1 Occasionally Swelling in a day Here the size of swelling is not considered but the spontaneous nature of swilling is considered

2 Off and on swelling in a day

3 Swelling frequently in a day

अकसभात रजौ (अहर) (Pain)

0 No pain Or According to VAS

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

पवषभऩाककनौ (अहर) (Irregular suppuration )

0 No suppuration

1 Suppuration in 13 part of lips

2 Suppuration in 23 part of lip

3 Suppuration in major of lip

105 यकतज ओषठयोग (स) खजयपर पऩडका 0 No follicles

(Brownish follicles) 1 13 lip covered with brownish colour follicles

2 23 lip covered with brownish colour follicles

3 More than 23 lip covered with follicles

रचधयसराव (रचधय सरवत) (Bleeding)

0 No bleeding

1 Bleeding on touch or movement

2 Spontaneous bleeding

3 Continuous Bleeding

अफद बवत 0 No tumour

1 Tumour is 2 cm in size

2 Tumour is 4 cm in size

3 Tumour is gt4 cm in size

106 भासज ओषठयोग (स) भासपऩणडवत उदगतौ

(Bulky) 0 No Growth This word is used

as an adjective of

Sthoola See सथल

16

Code Signs amp Symptoms Score Gradations Remarks

1 Growth is present in both Oshtha but no discomfort to patient

2 Growth is present in both Oshtha with discomfort to patient

3 Large Growth is present in both Oshtha involving the surrounding region

जनतवशिातर भछिचनत सककसमोबमतो भखात

0 No Maggot Formation

1 Maggot formation on one side of the angle of mouth

2 Maggot Formation on both angles of mouth

3 Excessive maggot Formation

गर 0 No Heaviness in any of the lip

1 Mild heaviness no difficulty in lips movement

2 Difficulty in Lips function due to Heaviness

3 Protrusion of both lips

सथरौ (Bulky)

According to Sanskrit ndash English Dictionary

0 Size not increased

1 Slightly bigger than normal no noticeable by other person

2 Bigger than normal noticeable by another person

3 Bigger size effect the lip movement and lip protrudes down

107 भदज ओषठयोग (स) घतभणडाबौ (Clear

melted butter like)

0 Does not look like filled with clear part of melted butter

Here the specific appearance is given so the area is considerd

1 13 part of both lips looks like filled with clear part of melted butter

2 23 part of both lips looks like filled with clear part of melted butter

3 More than 23 part of both lips looks like filled with clear part of melted butter

कणड 0 No itching Or According to VAS

1 Itching in both lips but not disturbing work

17

Code Signs amp Symptoms Score Gradations Remarks

2 Itching in both lips but disturbing work

3 in both lips and cannot concentrate in work due to itching

Or

0 No itching

1 Occasional itching

2 Off and on itching

3 Continuous itching

चसथयौ 0 Movement of lips not affected

(Immobility) 1 Lip movement slightly affected but no difficulty in speech

2 Lip movement affected which alter the speech

3 Lip movement arrested

भदता (Sponginess) 0 Absent

1 Present

आसराव (अछि सपटिक सङकाशभ) (discharge of clear fluid)

0 No discharge अचछ सफटिक Word is Adjective for the type of discharge So grading is given for the frequency of discharge

1 Occasional discharge

2 Off and on discharge of clear fluid

3 Continuous discharge of clear fluid

गर 0 No Heaviness

1 Mild heaviness no difficulty in lip movement

2 Difficulty in lip function due to heaviness

3 Protrusion of lip due to heaviness

तराबशवमथ (अहर) 0 Does not look like filled with oil As per the घतभणडाब

tailabha is used as adjective so grading is given for Shvayathu

1 13 part of lips looks like filled with oil

2 23 part of lips looks filled with oil

3 More than 23 part of lips looks like filled with oil

सराव 0 No discharge

1 Occasional discharge

2 Off and on discharge of clear fluid

3 Continuous discharge of clear fluid

तराबकरदौ (Moister) 0 Absent Darshan pariksha

18

Code Signs amp Symptoms Score Gradations Remarks

1 Present

कणड 0 No itching Or According to VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate in work due to itching

OR

0 No itching

1 Occasional itching

2 Off and on itching

3 Continuous itching

109 तज ओषठयोग (स) पवदीमता (Tear) 0 No tear

1 Cut Up to epithelial layer

2 Cut Up to Sub epithelial layer

3 Cut up to muscular layer

ऩाटमता (Lips divided

in two parts)

0 Lips divided into two parts

1 Absent

2 Present

गरचथत

(NodulesLumps)

0 No lumps

1 Soft lumps

2 Hard Lumps

3 Multiple lumps

कणड (Itching) 0 No itching Or According to VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate in work due to itching

OR

0 No itching

1 Occasional itching

2 Off and on itching

3 Continuous itching

दशनछिदौ (अहर) (Lips covering the teeth)

0 Covering the teeth completely

1 Partial covering (gt50 ) the teeth

2 Covering the teeth lt50

19

Code Signs amp Symptoms Score Gradations Remarks

3 Not covering the teeth (All teeth exposed)

1010 जराफद (अहर) जरफदफदवद

(Cystic Swelling)

0 No Cystic Swelling

1 Up to 5mm Swelling

2 Swelling up to 5-10mm

3 More than 10mm

1011 यकताफद (स) रचधय सराव

रचधय सरवत 0 No bleeding

(Bleeding) 1 Bleeding on touch or movement

2 Spontaneous bleeding

3 Continuous bleeding

खजयसदश 0 Absent Used as an adjective

(Date fruits like) 1 Present

1012 खणडौषठ (अ)

ओषठोदपवधाकत 0 No separation of lips

(Lips divided separated into two parts)

1 Separation up to vermilion line

2 Separation up to Philtrum

3 Separation up to Collumella

20

GRADATION OF DANTA MOOL GAT ROG

Code ndash 11

Gradations established by Group KARAL Dr Krishna Makadia - Convener

Dantvaidya Saroj Joshi Dantvaidya Harshad Joshi

Dr Kiran Raj Dr Achyuta Atara Dr Pranav Dave

Gradations Reviewed by Dr Hemangi Shukla Dr Krishna Makadia

Edited by Prof Vd Hāridra Dave

21

Code Signs amp Symptoms Score Gradations Remarks

111 शीताद (स) अकसभात यकतसराव 0 No bleeding

1 Occasional bleeding for 1 or 2 times in 1 Prahar

2 Spontaneous Bleeding up to one Prahar

3 Spontaneous Bleeding for more than 1 Prahar (more than 3hrs)

दगनधीतन 0 No foul smell

1 Patient feels foul smell

2 Doctor or person who comes near to patient feels foul smell

3 From distance anyone can feels foul smell who is in the room

4 Foul smell can be feel from outside of the room even

सकषणातन 0 Absent

=Blackish discoloration

1 Present

परकरदीतन 0 Absent

1 Present

भदता 0 Absent

1 Present

दनतभास शीमनत 0 Gums situated At CE junction

1 Recession of gums At cervical 13

2 Recession of gums At middle 13

3 Recession of gums At apical 13

ऩिचनत ि ऩयसऩयभ 0 No Pachan (Pāk)

= Pāk 1 1 Quadrant is involved

2 2 quadrants are involved

3 More than 2 quadrants are involved

112 दनतपपपटक (स) दनतमोसतरीष वा 0 No involvement of teeth

1 Involvement of 2 teeth

2 Involvement of 3 teeth

शवमथ भहान 0 Absent

1 Present

सरज 0 No pain Or according to VAS

1 तीवर =Pain is there but he can do

work or sleep

22

Code Signs amp Symptoms Score Gradations Remarks

2 तीवरतय =Pain is there but he can do

work or sleep

3 तीवरतभ =Patient canrsquot tolerate

शोफ़ो फदयाचसथतनबो घन (अहर) =Kola is

small jujube and badar is big jujube and seed is measuring around 5 mm

0 Not present

1 Shoth up to 25 mm

2 Shoth 25 to 5 mm

3 Shoth is more than 5 mm

ऩाक (अहर) (शीघर ऩछमत)

0 Absent Accumulation of Fluid or pus

1 Present

113 दनतवषट (स) सरवचनत ऩमरचधय

Discharge of blood with pus or only pus

0 No Discharge

1 Blood with Pus Discharge

2 Only pus discharge

िरता 0 No mobility

1 1 mm antero-posterior Mobility

2 2 mm antero-posterior Mobility

3 More than 2 mm antero-posterior amp medial to lateral mobility

114 शौषषर (स) शवमथ 0 Absent

1 Present

रजावान According to VAS scoring

रारासरावी 0 Normal secretion

1 Occasionally splitting

2 On and off splitting

3 Continuous splitting disturbance in work

कणड 0 Absent

1 Occasionally itching

2 On and off itching

3 Continues itching

23

Code Signs amp Symptoms Score Gradations Remarks

दतभासपरशातन 0 Gums situated At CE junction

1 Recession of gums At cervical 13

2 Recession of gums At middle 13 3 Recession of gums At apical 13

115 महाशौषषर (स) दनताशिरचनत 0 No mobility

1 1 mm antero-posterior mobility

2 2 mm antero-posterior mobility

3 More than 2 mm anteroposterior amp medial to lateral mobility

तार अवदीमत 0 Absent Fissure over the Palate

1 Present

दतभासातनऩछमनत 0 No redness

1 Mild redness

2 Moderate redness

3 Severe redness

भख ऩरयऩीडमत 0 No Peedā Or According to VAS

Pain in any part or whole oral cavity

1 Peedā is at those Gums where disease is situated

2 Peedā is at entire Gums

Peedā is at entire Mukh

सचननऩाताजजजजवयवान

(अहर) 0 Normal temperature

1 Temperature between 984rsquoF to 100rsquoF

Temperature between 100rsquoF to 101rsquoF

2 Temperature between 101rsquoF to 102rsquoF

3 Temperature between 102rsquoF to 103rsquoF

4 Temperature between 103rsquoF to 104rsquoF

5 Temperature more than 104rsquoF

सऩमरचधयसरतत (अहर)

0 No Discharge

1 Blood with Pus Discharge

2 only pus discharge

पवशीणदपवजफनधन (अहर)

0 No mobility

1 1 mm antero-posterior mobility 2 2 mm antero-posterior mobility

24

Code Signs amp Symptoms Score Gradations Remarks 3 more than 2 mm antero-posterior

amp medial to lateral mobility

116 पररदर (स) दनतभासातन शीमनत 0 Gums situated At CE junction Depending upon

severity grading has been established

1 Recession of gums At cervical 13

2 Recession of gums At middle 13

3 Recession of gums At apical 13

षठीवतत असक 0 No spitting of blood

1 Occasionally splitting

2 On and off splitting

3 Continuous splitting with disturbance in work

117 उपकश (स) दाह Or According to VAS

ऩाक 0 Absent

1 Present

दनताशिरचनत 0 No mobility

1 1 mm antero-posterior mobility

2 2 mm antero-posterior mobility

3 more than 2 mm antero-posterior amp medial to lateral mobility

आघटिता परसरवचनत 0 Absent

=Bleeding from gums by pressure

1 Bleeding on pressure remains for five minutes

2 Bleeding on pressure remains up to 15 minutes

3 Bleeding on pressure remains up to 30 minutes

4 Bleeding on pressure remains up to 1 hour

5 Bleeding on pressure remains more than 1 hour

भदवदना 0 Absent

1 Present

आधभामनत सरत यकत

0 Absent

1 Present

ऩतत वकतरता (अहर) 0 No foul smell

1 Patient feels foul smell

25

Code Signs amp Symptoms Score Gradations Remarks

2 Doctor or person who comes near to patient feels foul smell

3 From distance anyone can feels foul smell who is in the room

4 Foul smell can be feel from outside of the room even

कणडभचनत (अहर) 0 Absent Or According to VAS

1 Occasionally itching

2 On and off itching

3 Continues itching

िरा (अहर) 0 No mobility

1 1 mm antero-posterior mobility

2 2 mm antero-posterior mobility

3 More than 2 mm antero-posterior amp medial to lateral mobility

118 वदभभ (स) =Traumatic injury(By mechanical Chemical thermal )

घषिष दनतभरष सयबो जामत भहान

0 Absent Mahan suggest itself severity of disease

1 Present

िरदता (अहर) 0 No mobility

1 1 mm antero-posterior mobility

2 2 mm antero-posterior mobility

3 More than 2 mm antero-posterior amp medial to lateral mobility

119 वरभन (स) तीवरवदना 0 No pain Or According to VAS

1 तीवर -Pain is there but he can do

work or sleep

2 तीवरतय -Patient can tolerate

3 तीवरतभ -Patient canrsquot tolerate

1110 अधरमाास (स) भहाञिोथ 0 No Shoth Mahan suggest itself

severity of disease

1 Shoth is Present on that gum only where disease is occurred

2 Shoth is Present on nearby two or three gums where disease is occurred

26

Code Signs amp Symptoms Score Gradations Remarks

3 Shoth is present up to adjoining cheek

This condition should be considered as

भहाञिोथ

भहारजा (स) परततहनतममभमवरतत (अहर)

0 No Rujā (pain) Or According to VAS

2 Rujā (pain) is Present on that gum only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

This condition should be considered as भहारजा amp परततहनतममभमवरतत

रारासरावी 0 Normal secretion

1 Occasionally splitting

2 On and off splitting

3 Continuous splitting disturbance in work

दनतानत कीरवतमशोफ़ (अहर)

0 No Keel vat Shoth

1 Keel vat Shoth is Present on that gum only where disease is occurred

2 Keel vat Shoth is Present on nearby two or three gums where disease is occurred

3 Keel vat Shoth is present up to adjoining cheek

1111 दनतषवदरधर (अहर) दनतभासशोफ़ (ि) 0 No Shoph

1 Shoph is Present on that gum only where disease is occurred

2 Shosh is Present on nearby two or This condition should

27

Code Signs amp Symptoms Score Gradations Remarks

three gums where disease is occurred

be considered as अनत शवमथ According to

Vagbhatta

3 Shosh is extended up to adjoining cheek

This condition should be considered as फाहम शवमथ According to

Vagbhatta

फाहम शवमथ (अहर) This condition is mentioned at दनतभास शोफ़

अनत शवमथ (अहर) This condition is mentioned at दनतभास शोफ़

गर (अहर) 0 Absent

1 Present

रग (अहर) 0 No Rujā (pain) Or According to VAS

2 Rujā (pain) is Present on that gum only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

दाह (अहर) According to VAS

सरवतिननऩमासर (अहर)

0 No Discharge

1 Blood with Pus Discharge

2 Only pus discharge

1112 दतनाडी Scoring is not possible further according to measurement of Nadivrana because X-

ray only detects spread up to the bone Whereas Nadivrana in gingiva periodontal ligament cannot be measured

दतनाडी 0 Absent

1 Present

28

GRADATION OF DANTA GAT ROG

Code ndash 12

Gradations established by Group KARAL Dr Krishna Makadia - Convener

Dantavaidya Saroj Joshi Dantavaidya Harshad Joshi

Dr Kiran Raj Dr Achyuta Atara Dr Pranav Dave

Gradations Reviewed by Dr Hemangi Shukla Dr Krishna Makadia

Edited by Prof Vd Hāridra Dave

29

Code Signs amp Symptoms Score Gradations Remarks

121 दाऱन (स)

तीवररग 0 No Rujā (pain) Or According to VAS

2 Rujā (pain) is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

उषणअसहादनता (अस) 0 No sensitivity in teeth ie with warm

water hot water or

excessive hot water

application on

tooth is not

possible so Time

related and severity

related grading was

finalised(same for

cold)

1 Mild sensitivity in teeth - At a

time

2 Moderate sensitivity in teeth -

Sensitivity remains only for 1

Prahar (up to 3 hrs)

3 Severe sensitivity in teeth -

Sensitivity remains more than

1 Prahar (more than 3 hrs)

शीतअचधकवमथा (अहर) 0 No sensitivity in teeth

1 Mild sensitivity in teeth - At a

time

2 Moderate sensitivity in teeth -

Sensitivity remains only for 1

Prahar (up to 3 hrs)

3 severe sensitivity in teeth-

Sensitivity remains more than

1 Prahar (more than 3 hrs)

22 कममदनत (स) कषण 0 No discoloration

1 Light greyish black

2 Dark greyish black

3 Jet black

30

Code Signs amp Symptoms Score Gradations Remarks

तिदर 0 No cavity It should be

decided by X-ray

1 Cavity within limit of enamel

2 Cavity within limit of dentin

3 Cavity up to pulp

िर 0 No mobility

1 1 mm antero-posterior

mobility

2 2 mm antero-posterior

mobility

3 More than 2 mm antero-

posterior amp medial to lateral

mobility

सरावी 0 No Srāv- after drying

particular teeth with cotton

inserting cotton on cavity

There is no other

method to check

Srāv in Krimidanta

1 Srāv is present

ससयब = Inflammation 0 No inflammation

1 Inflammation is Present भहारज 0 No Rujā (pain) Or According to

VAS 2 Rujā (pain) is Present on that

gum only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

This condition should be considered as भहारज

अतनसभतमतरज 0 No sudden onset of pain

1 Sudden onset of pain is

present

अहततीवराततशभ (अहर) 0 No sudden onset of pain

31

Code Signs amp Symptoms Score Gradations Remarks

1 Sudden onset of pain is

present

पररन (अहर) = Broken due to cavity

0 Cavity is there but it is not

broken

It should be

considered for each

tooth separately

Cavity in that must

be present in

particular tooth

1 13 part of tooth is broken

2 23 of tooth is broken

3 More than 23 of tooth is

broken

4 Total loss of tooth

ऩमसरत (अहर) 0 No Pooya Srāv after drying

particular place

with cotton

inserting cotton on

cavity

1 Pooya Srāv present

यकतसरत (अहर) 0 No Rakta Srāv after drying

particular place

with cotton

inserting cotton on

cavity

1 Rakta Srāv is present

123 दनतहषभ (स)

शीत सऩशन न सहनत 0 No sensitivity by cold touch

in any teeth

1 Ooccassional sensitivity by

cold touch in any toothteeth

for once

2 Sensitivity by cold touch

remains in toothteeth only up

to 1 Prahar (up to 3hrs)

3 Sensitivity by cold touch

remains more than 1 Prahar

(more than 3hrs)

उषण सऩशन न सहनत 0 No sensitivity by hot touch in

any teeth

1 Occassional sensitivity by hot

touch in toothteeth for once

2 Sensitivity by hot touch

remains in toothteeth only up

to 1 Prahar (up to 3hrs)

3 Sensitivity by hot touch

remains in toothteeth more

than 1 Prahar (more than

3hrs)

32

Code Signs amp Symptoms Score Gradations Remarks

परवाताभा = Sensitivity to air

(परवातारशीतबाभा) (अहर)

0 No sensitivity by Pravāt

touch in any tooth

1 Occassional sensitivity by

Pravāt touch in toothteeth for

once

2 Sensitivity by Pravāt touch

remains in toothteeth only up

to 1 Prahar (up to 3hrs)

3 Sensitivity by Pravāt touch

remains in toothteeth more

than 1 Prahar (more than

3hrs)

अरबाभा = Sensitivity to sour food

(परवातारशीतबाभा) (अहर)

0 No sensitivity by eating

sourer food to any tooth

1 Occassional sensitivity by

eating sourer food to any

toothteeth for once

2 Sensitivity by eating sourer

food remains to toothteeth

only up to 1 Prahar (up to

3hrs)

3 Sensitivity by eating sourer

food remains to toothteeth

more than 1 Prahar (more

than 3hrs)

शीतबाभा (परवातारशीतबाभा) (अहर)

0 No sensitivity by eating cold

item to any tooth

1 Occasional sensitivity by

eating cold item to toothteeth

for once

2 Sensitivity by Pravāt touch

remains in toothteeth only up

to 1 Prahar (up to 3hrs)

3 Sensitivity by eating cold

item remains to toothteeth

more than 1 Prahar (more

than 3hrs)

सरजा (अहर) 0 No Rujā (pain)

33

Code Signs amp Symptoms Score Gradations Remarks

2 Rujā (pain) is Present on that gum only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

2 Rujā (pain) is Present on that gum only where disease is occurred and patient can do hisher routine work without disturbance

िर (अहर) 0 No mobility

1 1 mm anterio-posterior

mobility

2 2 mm anterio-posterior

mobility

3 More than 2 mm antero-

posterior amp medial to lateral

mobility

124 भञजनक (स) =Photograph is necessary

(depending upon the severity gradation has been finalised)

वकतर वकरता 0 No deviation

1 Deviation is present

तीवररक 0 No Rujā (pain) Or according to

VAS

2 Rujā (pain) is Present on that gum only where disease is occurred and patient can do hisher routine work without disturbance

34

Code Signs amp Symptoms Score Gradations Remarks

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

This condition should be considered as तीवररक

दनतबङग 0 Tooth is not broken This should be

considered for

single tooth

1 13 part of tooth is broken

2 23 of tooth is broken

3 More than 23 of tooth is

broken

4 Total loss of tooth

125 दनतशकभ रा (स) =Calculus index was selected

शकयव चसथयीबत भर 0 No calculus present

1 Supragingival calculus

covering not more than third

of the exposed tooth surface

2 Supragingival calculus

covering more than 13 but

not more than 23 of the

exposed tooth surface or the

presence of individual flecks

of subgingival calculus

around the cervical portion of

the tooth or both

3 Supragingival calculus

covering more than 23 of the

exposed tooth surface or

continues heavy band 0f

subgingival calculus around

the cervical portion of the

tooth or both

35

Code Signs amp Symptoms Score Gradations Remarks

दनताना गणहयी 0 Absent All 10 Guna of

Danta Sampata

should be

considered required

suggestions for

each Guna

1 Present

ऩततगचनध (अहर) 0 No foul smell Taken grading of

halitosis

1 Patient feels foul smell

2 Doctor or person who comes near to patient feels foul smell

3 From distance anyone can feels foul smell who is in the room

4 Foul smell can be feel from outside of the room even

126 कपामऱका (स)

दनतवलकसम दरनभ = Bracketing of tooth enamel (दरचनत दनतवलकातन)

0 No दरनभ of tooth This should be

considered

separately for each

tooth

1 दरनभ is present of less than 13 of tooth

2 दरनभ is present of more than of 13 of tooth but less than 23 of tooth

3 दरनभ is present of more than of 23 of tooth but no total loss of tooth

4 Total loss of tooth after दरनभ

This condition should be considered as दशनाना पवनाश

दशनाना पवनाश = Total loss of tooth

0 No Any loss of tooth This should be

considered

separately for each

tooth

1 loss of tooth is present of less than 13 of tooth

2 loss of tooth is present of more than of 13 of tooth but less than 23 of tooth

36

Code Signs amp Symptoms Score Gradations Remarks

3 loss of tooth is present of more than of 23 of tooth but no total loss of tooth

4 Total loss of tooth This condition should be considered as दशनाना पवनाश

दनतशातनभ अणश = Thinning of tooth (शातमतममतममणशो दनतात कऩारातन) (अहर)

0 No शातनभ of tooth This should be

considered

separately for each

tooth

1 शातनभ is present in less than 13 of tooth

2 शातनभ is present in more than 13 of tooth but less than 23 of tooth

3 शातनभ is present in more than 23 of tooth but no total loss of tooth

4 Total loss of tooth due to शातनभ

127 शयावदनतक (स) In शमावदनत शमावता amp नीरता should be considered ascending stages

शमावता + नीरता 0 -No any discolouration of

tooth

-Normal colour of tooth

This should be

considered

separately for each

tooth

1 शमावता is Present

2 नीरता is Present

128 हनमो (स) According to Dalhan हनमो is not Dant Rog directly but it is near to

Dantchewing of hard food is one of the causes and there is pain in Dant so it is considered under Danta Rog

हनसचनधपवसहत 0 Absent

1 Can be reset by manual reduction

2 Can be reset by surgical

intervention

129 दनतभद (अहर) तोद =Pricking pain 0 No Pricking pain -Or According to

VAS

- This should be

considered

separately for each

tooth

37

Code Signs amp Symptoms Score Gradations Remarks

2 Pricking pain is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Pricking pain is referred up to Hanu and patient can do hisher routine work without disturbance

4 Pricking pain is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Pricking pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Pricking pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

बद Braking pain 0 No Braking pain -Or According to

VAS

- This should be

considered

separately for each

tooth

2 Braking pain is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Braking pain is referred up to Hanu and patient can do hisher routine work without disturbance

4 Braking pain is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Braking pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Braking pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

38

Code Signs amp Symptoms Score Gradations Remarks

रक Dull pain 0 No Rujā (pain) -Or According to

VAS

- This should be

considered

separately for each

tooth

2 Rujā (pain) is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

सपिन Burstingexpanding pain

0 No Bursting pain -Or According to

VAS

- This should be

considered

separately for each

tooth

2 Bursting pain is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Bursting pain is referred up to Hanu and patient can do hisher routine work without disturbance

4 Bursting pain is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

39

Code Signs amp Symptoms Score Gradations Remarks

5 Bursting pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Bursting pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

1210 दनतचाऱ (अहर) िरतमव = Mobility 0 No = mobility

1 1mm anterio-posterior

mobility

2 2 mm anterio-posterior

mobility

3 More than 2 mm anterio-

posterior amp medial to lateral

mobility

बणादचधकवमथ 0 No Vyatha ndash Pain during

eating

1 Pain during eating of hard

diet only

2 Pain during eating of soft diet

even

1211 कराऱ (स)

=Malocclusion

0 A Normal Molar relationship

exist but there is crowding

misalignment of the teeth

cross bite etc

1 A malocclusion where the

molar relationship shows the

buccal grove of mandibular

first molar distally positioned

when in occlusion with the

mesiobuccal cusp of the

maxillary first molar

2 A malocclusion where the

molar relationship shows the

buccal groove of the

mandibular first molar

mesiallypos

40

GRADATIONS OF JIHWA GAT ROG

Code - 13

Established by Group BHOJ Dr Krishna Makaia ndash Convener

Dr Rajeshree Unadkat Dr Neelam Dave

Dr Ronakgiri Gosai Dr Jignesh Virapariya

Reviewed by Dr Vijayant Bharadwaj

Edited by Prof Vd Hāridra Dave

41

Code Signs amp Symptoms Score Gradations Remarks

131 वाततक चजहवाकिक (स) सपटिता (Creaks) 0 No creaks on tongue

1 Single creak on the dorsum of tongue

2 Multiple Creaks on the dorsum of tongue

3 Multiple deep creaks on the dorsum of tongue (Bleeding)

परसपता (Numbness )

0 No Numbness

1 Numbness in 13 Part of tongue

2 Numbness in 23 Part of tongue

3 Numbness in more than 23 Part of tongue

शाकछिदनपरकाशा (Roughness)

0 Normal surface of tongue on touch

1 Mild rough surface on touch

2 Hard irregular surface on touch

3 Very rough surface which hurts the finger on touch

132 ऩततक चजहवाकिक (स) ऩीता 0 No yellowish discolouration

1 Yellowish discoloration in 13 part

2 Yellowish discoloration in 23 part

3 Yellowish discoloration in more than 23 part of tongue

ऩरयदहमत Burning in entire tongue)

0 No burning Or According to VAS

1 Occasional burning

2 Intermittent burning

3 Continuous burning does not relieve by any measures

दाह (Burning may be

in partially tongue)

0 No Burning Or According to VAS

1 Burning up to 13 part of tongue

2 Burning in 13 to 23 part of tongue

3 Burning in more than 23 part of tongue

42

Code Signs amp Symptoms Score Gradations Remarks

यकतभासाङकयचशिता (Covered with red buds )

0 No change in appearance

1 13 part of tongue covered with red fleshy buds

2 23 part of tongue covered with red fleshy buds

3 Whole tongue covered with red fleshy buds

ओष (Burning) 0 No Oshha Or According to VAS

1 Oshha up to 13 part of tongue

2 Oshha in 13 to 23 part of tongue

3 Oshha in more than 23 part of tongue

133 कपज चजहवाकिक (स) फहरा (Thick) 0 Normal Thickness of Tongue

1 Thickness increased - noticeable by patient

2 Thickness increased - noticeable by the examiner

3 Tongue protruding out because of increased Thickness

गवी (Heaviness) 0 No Heaviness

1 Feeling mild heaviness but no difficulty in Tongue movement

2 Difficulty in Tongue movement especially during intake of liquid

3 Difficulty in Tongue movement especially during intake of hard food

4 Difficulty in Tongue movement especially during Pronunciation

भासोदगभ शालभसरकणिकाब (thorn like papilla)

0 No change in appearance of tongue

1 13 part of tongue covered with red fleshy thorn like papilla

2 23 part of tongue covered with thorn like papilla

3 Whole tongue covered with thorn like papilla

43

Code Signs amp Symptoms Score Gradations Remarks

134 अरास (स) शवमथ

(Swelling at ventral surface of tongue)

0 Absent

1 Present

सतबमतत (Restricted tongue movement)

0 -Normal Movement of Tongue -Movement of tongue not affected

1 Tongue movement slightly restricted but does not affect the normal function

2 Tongue movement restricted that affects the normal function

3 Tongue movement arrested

परवदध

(Increase in size)

0 Size not increased

1 Size increased - noticeable by the patient

2 Size increased - noticeable by the examiner

3 Tongue protruding out because of increased size

ऩाक 0 No swelling or suppuration

1 Inflammation with pain and tenderness

2 Inflammation with different types of pain and tenderness along with induration

3 Pus formation and fluctuation positive

अधशोप 0 Absent

1 Present

उननत (elevation of

the tongue due to swelling below the tongue)

0 Normal position of tongue

1 Tongue slightly elevated due to swelling below the tongue

2 Tongue elevation causes discomfort to the patient

3 Tongue touches the palate

भतमसमगचनध

(Fishy smell)

0 Absent

1 Present

44

Code Signs amp Symptoms Score Gradations Remarks

भासशातन (Destruction of flesh of tongue )

0 No Destruction of tongue flesh

1 13 part of tongue flesh is destroyed

2 23 part of tongue flesh is destroyed

3 More than 23 part of tongue is destroyed

135 उऩचजचहवका (स) शवमथ (Swelling) 0 Absent

1 Present

चजहवाभननम

जात (elevation of

tongue because of swelling)

0 Normal position of tongue

1 Tongue slightly elevated due to swelling below the tongue

2 Tongue elevation causes discomfort to the patient

3 Tongue touches the palate

परसक (Salivation) 0 Normal secretion of saliva

1 Occasionally spitting

2 Off and on spitting

3 Continuous spitting which disturbs the work

कणड (Itching) 0 No itching Or According to VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate on work due to severe itching

0r

0 No itching

1 Occasional itching

2 Off and on itching

3 Continuous itching

ऩरयदाह (Burning in

whole tongue)

0 No burning Or According to VAS

1 Occasional burning

2 Intermittent burning

3 Contentious burning dose not relive by any measures

45

Code Signs amp Symptoms Score Gradations Remarks

136 अचधचजचहवका (अर)

अधोचजहवामा शोप

0 Normal position of tongue

(Swelling below the tongue)

1 Tongue slightly elevated due to swelling below the tongue

2 Tongue elevation causes discomfort to the patient

3 Tongue touches the palate

अङकय (Pappilary

growth)

0 Absent

1 Present

ओष (Burning) 0 No Oshh Or According to

VAS

1 Oshh up to 13 part of tongue

2 Oshh in 13 to 23 part of tongue

3 Oshh in more than 23 part of tongue

सतबवान

(Restriction of Movement)

0 Movement of tongue not affected

1 Tongue movement slightly restricted but does not affect the normal function

2 Tongue movement restricted that affect the normal function

3 Tongue movement arrested

खय(Rough) 0 Smooth on touch

1 Mild irregular surface

2 Rough surface

3 Sharp rough surface touch hurts on finger on touch

रक (Pain) 0 No pain Or According to

VAS

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

कणड (Itching) 0 No itching Or According to

VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate on work due to severe itching

0r

0 No itching

46

Code Signs amp Symptoms Score Gradations Remarks

1 Occasional itching

2 Off and on itching

3 Continuous itching

वाकम पवघातकत (Difficulty in speech)

0 No difficulty in speech

1 Unable to speak िति vargavyanjana

2 Difficulty in speaking क vargavyanjana

Swara donrsquot need involvement of tongue

3 Unable to speak

आहयपवघातकत

(Swallowing )

0 Able to eat regular diet

1 Able to eat soft diet

2 Able to eat only liquid diet

3 Unable to swallow anything

47

GRADATION OF TALUGAT ROG

Code - 14

Established by Group BHOJ Dr Krishna Makaia ndash Convener

Dr Rajeshree Unadkat Dr Neelam Dave

Dr Ronakgiri Gosai Dr Jignesh Virapariya

Reviewed by Dr Vijayant Bharadwaj

Edited by Prof Vd Hāridra Dave

48

Code Signs amp Symptoms Score Gradations Remarks

141 गरशचणडका (स)

परवदधो शोप (Swelling extending from palate) (Which is elongated)

0 Normal size of uvula

1 Swelling of uvula that causes discomfort to the patient

2 Swelling of uvula that causes foreign body sensation

3 Difficulty in breathing due to swelling

दीघ शोप

(Elongated Swelling)

0 Normal size of uvula

1 Elongated swelling of uvula that causes discomfort to the patient

2 Elongated swelling of uvula that causes foreign body sensation

3 Difficulty in breathing due to Elongated swelling

धभातफचसतपरकाश शोप =Inflated

swelling like Basti

0 Normal size of uvula

1 Inflated swelling like Basti of uvula that causes discomfort to the patient

2 Inflated swelling like Basti of uvula that causes foreign body sensation

3 Difficulty in breathing due to Inflated swelling like Basti

तषणा 0 Normal feeling of thirst

1 Increased feeling of thirst which is relived after drinking water

The quantity of water is not consider here but the frequency of water is considered

2 Frequent feeling of thirst which is Occasional relived after drinking water

3 Continuous feeling of thirst does not relive after drinking profuse amount of water

कास (Coughing) 0 No coughing

49

Code Signs amp Symptoms Score Gradations Remarks

1 Occasional coughing during eating and speaking

2 Off and on coughing

3 Continuous coughing

शवास 0 No difficulty in breathing

1 Difficulty in breathing occasionally

2 More difficulty in breathing while sleeping

3 Excessive difficulty in breathing

भतमसमफचसततनब शोप (अहर)

0 Normal uvula Used as an adjective

1 Inflated swelling like Matsya-Basti of uvula that causes discomfort to the patient

2 Inflated swelling like Matsya-Basti of uvula that causes foreign body sensation

3 Difficulty in breathing due to Inflated swelling like Matsya-Basti

पररफ (अहर) 0 Normal length of Uvula

(Elongated Swelling)

1 Size of Uvula increased up to lt2 mm

2 Size of Uvula increased more than 2 mm but less than 4 mm

3 Size of Uvula increased gt4 mm that cause discomfort to patient and cause difficulty in breathing

पऩचछिर(अहर) (Sliminess)

0 Absent

1 Present

नासमाऽऽहायभीयमन (अहर)

0 Food does not come out from nose

(Food comes out of nose)

1 Food comes out from nose

कणठोऩयोध(अहर) (Obstruction of throat )

0 -Able to eat regular diet -No difficulty in swallowing of any food

1 Able to swallow liquid or soft diet but not able to swallow hard diet

2 Able to swallow hard diet forcefully

50

Code Signs amp Symptoms Score Gradations Remarks

3 Not able to swallow hard diet with force

वभन(अहर) (Vomiting)

0 No Vaman

1 Feeling of nausea only

2 Only one veg of Vaman in a day

3 Two vegas of Vaman in a day

4 More than two vegas of Vaman in a day

132 तचणडकयी (स)

शोप (Tonsillar

Swelling)

0 Tonsils are located within the tonsillar fossa

1 Tonsils hypertrophy till the brim of the tonsillar fossa

2 Tonsils hypertrophy extends beyond the pillars but not touching each other

3 Tonsils hypertrophy extends beyond the pillars but not touching each other

तोद

(Pricking pain)

0 No pain

1 Occasional pain Or according to VAS

2 Off and on pain

3 Continuous pain

दाह (Burning) 0 No

1 Occasional burning

2 Intermittent burning

3 Contentious burning dose not relive by any measures

परऩाक 0 Absent

1 Present

पऩचछिर शोप(अहर)

Sliminess in swallowing

0 Feeling of Sliminess is Absent

1 Feeling of Sliminess is Present

भनदरक (अहर)

(Mild pain)

0 Absent Or According to

VAS

1 Present

133 अधरष (स)

शोप (Swelling) 0 No swelling

1 13 Swelling in part of the palate

51

Code Signs amp Symptoms Score Gradations Remarks

2 23 swelling in part of palate

3 Swelling in gt than 23 part of palate

सतबधता =Functions of soft palate like deglutition Phonation etc are affected = No mobility of soft palate

0 Normal function of soft palate

1 Soft palate movement reduced but functions are not affected

2 Any one of the functions of soft palate is affected

3 All functions of soft palate are affected

रोटहतवणता

(Redness)

0 No change in colour

1 Pinkish red coloured mucosa in palate

2 Red coloured mucosa in palate

3 Dark red coloured mucosa in palate

रजा (Pain) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

जजवय (Fever) 0 Normal temperature

1 Temperature between 984rsquoF to 100rsquoF

Temperature between 100rsquoF to 101rsquoF

2 Temperature between 101rsquoF to 102rsquoF

3 Temperature between 102rsquoF to 103rsquoF

52

Code Signs amp Symptoms Score Gradations Remarks

4 Temperature between 103rsquoF to 104rsquoF

5 Temperature more than 104rsquoF

134 कछिऩ (स)

कभवत उतमसनन शोप (Swelling

having shape like dorsum of tortoise)

0 No swelling

1 Swelling in 13rd part of the palate

2 Swelling in 23rd part of palate

3 Swelling in gt 23rd part of palate

चियवपदध(अहर)

(Slow growth)

0 Growth within a week

1 Growth within 1 week to 1 month

2 Growth within 1 month to 6 months

3 Growth within gt 6 months

रक (अहर) (Pain) 0 No pain Or According to VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesics

135 तारअफद (स) ऩदमाकाय तारभधम

शोपम (Swelling

like shape of lotus )

0 No swelling

1 Swelling in 13rd part of the palate

2 2 Swelling in 23rd part of palate

3 3 Swelling in gt 23rd part of palate

136 भाससङघात (स) नीरज (Painless) 0 Absent

1 Present

53

Code Signs amp Symptoms Score Gradations Remarks

शोप 0 No swelling

1 Swelling in 13rd part of the palate

2 Swelling in 23rd part of palate

3 Swelling in gt 23rd part of palate

137 तारऩपऩि (स) नीरक (Painless) 0 Absent

1 Present

कोरभातर

Swelling having size of Kola fruit

0 Absent

1 Present

138 तारशोष (स)

शोष (Dryness) 0 No dryness

1 Dryness decreased after drinking water

2 Patient needs water frequently

3 Dryness persist after dinking profuse water

दायण (Tearing of palate)

0 Absent

1 Present

शवास (Difficulty in

breathing)

0 No difficulty in breathing Here difficulty in breathing is due to obstruction

1 Difficulty in breathing occasionally

2 More difficulty in breathing while sleeping position

3 Excessive difficulty in breathing

जजवय(अहर) (Fever) 0 Normal temperature

1 Temperature between 984rsquoF to 100rsquoF

Temperature between 100rsquoF to 101rsquoF

2 Temperature between 101rsquoF to 102rsquoF

3 Temperature between 102rsquoF to 103rsquoF

4 Temperature between 103rsquoF to 104rsquoF

5 Temperature more than 104rsquoF

54

Code Signs amp Symptoms Score Gradations Remarks

139 तारऩाक (स) ऩाक (Suppuration) 0 No swelling or suppuration

1 Inflammation of palate with pain and tenderness

2 Inflammation of palate with different types of pain and tenderness with induration

3 Pus formation and fluctuation positive

1310 तारपऩटिका (अहर) तारभास पऩटिका

Follicles in palate flesh

0 No follicles

1 13 palate covered with follicles

2 23 palate covered with follicles

3 More than 23 palate covered with follicles

रज(अहर) (Pain) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

Occasional pain

खयता(अहर) (Roughness)

0 Smooth on touch

1 Mild irregular surface on touch

2 Rough surface

3 Sharp rough surface which hurts on finger on touch

घनसराव(अहर) (Thick discharge)

0 No discharge

1 Occasional discharge

2 Off and on thick discharge

3 Continuous thick discharge

1311 तारसहतत (अहर) तारभधम तनरक (अहर) =Painless fleshy growth in palate

Only तारभधम तनरक indicates the place and quality of growth both the symptoms can be

merged

55

Code Signs amp Symptoms Score Gradations Remarks

तनरक (Painless) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

भाससहत

(Fleshy growth in palate)

0 No fleshy growth

1 Fleshy growth in 13 part of the palate Swelling

2 Fleshy growth in 23 part of palate swelling

3 Fleshy growth in more than 23 part of palate

56

GRADATION OF SARVASAR ROG

Code - 15

Established by Group BHOJ Dr Krishna Makaia ndash Convener

Dr Rajeshree Unadkat Dr Neelam Dave

Dr Ronakgiri Gosai Dr Jignesh Virapariya

Reviewed by Dr Vijayant Bharadwaj

Edited by Prof Vd Hāridra Dave

57

Code Signs amp Symptoms Score Gradations Remarks

151 वातजसवसय (स) सपोि (Ulcers) 0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

तोद = Pricking pain 0 No pricking pain Or According to VAS

1 Occasional pricking pain

2 Off and on pricking pain

3 Continuous pricking pain

Or

0 No pricking pain

1 Sometimes mild pricking pain

2 Has to take analgesic while pricking pain

सिारयण(अहर) This symptom is for सवसय so this सवसय is the nature of सिारय

0 No movement of सवसय

1 Movement of सवसय is once in a week

2 Movement of सवसय is once in three to four days

3 Movement of सवसय is at every alternate day

4 Movement of सवसय is once in a day

अरण (अहर) Reddish discoloration

0 Colour of वरण is same with colour of surrounding area

1 Colour of वरण is Reddish

2 Colour of वरण is Dark Red

3 Colour of वरण is Reddish black

र (अहर) Dryness 0 वरण is Moist

-No dryness of वरण

1 वरण Needs lubrication once a day

2 वरण Needs frequent lubrication in

a day

3 No benefit with frequent

lubrication of वरण

तामरता (अहर) (Coppery

0 Colour of वरणौषठ is same with colour of surrounding area

58

Code Signs amp Symptoms Score Gradations Remarks

discoloration) This symptom is for

वरणौषठ

1 Colour of वरणौषठ is Tamra Varna

चऱतवचा (अहर) (Free mucous membrane) This symptom is for

वरणौषठ

0

Movement of वरणौषठ is on touch

only

1 Movement of वरणौषठ can be seen by naked eye means without touch

शीतासहा (अहर) (Intolerance to cold) This symptom is for

जजहवा

0 No Intolerance of cold to जजहवा

1 Intolerance of severe cold to जजहवा

2 Intolerance of moderate cold to जजहवा

3 Intolerance of Mild cold to जजहवा

गवी (Heaviness)

This symptom is for

जजहवा

0 No Heaviness

1 Mild heaviness with no difficulty

in movement of जजहवा

2 Moderate heaviness with

difficulty in Movement of जजहवा

3 Sever heaviness with bending down of

सफटटता (अहर) (Ulcer)

0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

कणटाकाधचता (अहर) = Thorn like

appearance

0 No change in appearance

59

Code Signs amp Symptoms Score Gradations Remarks

1 13 part of oral mucous membrane covered with red fleshy thorn like papillae

2 23 part of oral mucous membrane covered with red fleshy thorn like papillae

3 gt23 part of oral mucous membrane covered with red fleshy thorn like papillae

षववणोतत कचछरणमखम (अहर) (Difficulty in mouth opening)

0 Mouth opening more than 3 fingers without difficulty

1 2 to 3 fingers opening of mouth with or without difficulty

2 1 to 2 fingers opening of mouth with or without difficulty

3 Less than 1 finger opening of mouth with or without difficulty

152 पऩतमत(यकतज)सवसय (स) Signs and Symptoms of यकतज सवसय are same as of पऩतमत सवसय so no separate gradations are mentioned

यकतता (Redness) 0 Colour of सवसय- वरण is similar with

surrounding mucous membrane

1 Reddish Colour of सवसय- वरण

2 Bright red Colour of सवसय- वरण

3 Dark red Colour of सवसय- वरण

सदाह (Burning

Sensation)

0 No burning in सवसय- वरण Or According to

VAS

1 Occasional burning in सवसय- वरण

2 Intermittent burning in सवसय- वरण

3 Contentious burning in सवसय- वरण

which does not relive by any measures

तन (तनसब) (Shallow superficial ulcers)

0 No ulcer

1 Ulcer having depth of 05-1 mm

2 Ulcer having depth of 1 ndash 15 mm

3 Ulcer having depth of 15 -2 mm

60

Code Signs amp Symptoms Score Gradations Remarks

ओष (अहर) 0 No (ओष) burning in सवसय- वरण

1 Occasional (ओष) burning in

सवसय- वरण

2 Intermittent (ओष) burning in

सवसय- वरण

3 Contentious (ओष) burning in

सवसय- वरण which does not relive

by any measures

ततकतवकरता (अहर) (Bitter taste in mouth)

0 No alteration in taste

1 Occasionally bitter taste felt in mouth without having any bitter substance

2 Off and on bitter taste felt in mouth without having any bitter substance

3 Continuous bitter taste felt in mouth without having any bitter substance

ारोकषतत समावरणा (अहर)

0 No Ulcer

(Ulcers looking like chemical burns)

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

153 कपज सवसय (स) कणड (Itching) 0 No itching Or According to

VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Unable to work due to itching

0r

0 No itching

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate on work due to severe itching

रजा (Pain)

(अलऩ रजा) 0 No pain Or According to

VAS

1 Occasional pain

61

Code Signs amp Symptoms Score Gradations Remarks

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain This condition should be considered as अलऩ रजा

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

सवणण 0 Colour of वरण is same with colour of near by tissue

1 Colour of वरण is not same with colour of near by tissue

मररासयतवम (अहर) (Sweet taste in mouth)

0 No alteration in taste

1 Occasionally sweet taste felt without eating any sweet substance

2 Off and on Sweet taste Occasionally sweet taste felt without eating any sweet substance

3 Continuous sweet taste Occasionally sweet taste felt without eating any sweet substance

षपजचछिऱता (अहर) (Unctuousness)

0 Absent

1 Present

वरण 0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

154 कफाबभद (अहर) शयाव अबभदम

(शयावपाणडऽबभदम) 0 Colour of growthtumour is same

the colour of surrounding skin

1 Colour of growthtumour is शयाव

(Blackish)

62

Code Signs amp Symptoms Score Gradations Remarks

पाणड अबभदम (शयावपाणडऽबभदम)

0 Colour of growthtumour is same the colour of surrounding skin

1 Colour of growthtumour is पाणड

(Pale)

अबभदम 0 No GrowthTumour TNM Classification for tumours can be applied for growth

1 Growthtumour having sizelt 10 mm

2 Growthtumour having size 10 mm to 20 mm

3 Growthtumour having size gt 20 mm

घटिता तिनना मटदता च षववरभत (Size increases on rubbing cutting and squeezing)

0 Size of GrowthTumour is not increasing by rubbing cutting or squeezing

1 Size of GrowthTumour is increasing up to 10 mm by rubbing cutting or squeezing within a month

2 Size of GrowthTumour is increasing up to 20 mm by rubbing cutting or squeezing within a month

3 Size of GrowthTumour is increasing up to 30 mm by rubbing cutting or squeezing within a month

4 Size of GrowthTumour is increasing up to 40 mm by rubbing cutting or squeezing within a month

155 ऊरधवभगद (अहर) वकतरदौगनधम

(Halitosis)

0 No Halitosis

1 Halitosis is feel by Patient only

2 Halitosis is feel by Patient and examining Doctor only

3 Halitosis is feel by any person from the distance from 5 meters

63

Code Signs amp Symptoms Score Gradations Remarks

4 Halitosis is feel by any person from the distance from more than 5 meters

156 पततवकर (अहर) ऩतममासमता

(Halitosis)

0 No Halitosis

1 Halitosis is feel by Patient only

2 Halitosis is feel by Patient and examining Doctor only

3 Halitosis is feel by any person from the distance from 5 meters

4 Halitosis is feel by any person from the distance from more than 5 meters

157 सतनऩाततक सवसय (अहर) This disease occurs due to aggravation of all three doshas including Rakta Clinical presentation of this disease is found as mixed picture according prominent aggravation of dosha and signs and symptoms will be observed accordingly Gradations should be considered accordingly so it is not required to repeat here

helliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip

Page 17: THE GRADATIONS OF DISEASES OF SHALAKYA TANTRA - PART …theassociationofshalaki.com/downloads/GRADATIONS_OF_DISEASE… · 12.05.2019  · I am also very much thankful to Dr Sandhya

16

Code Signs amp Symptoms Score Gradations Remarks

1 Growth is present in both Oshtha but no discomfort to patient

2 Growth is present in both Oshtha with discomfort to patient

3 Large Growth is present in both Oshtha involving the surrounding region

जनतवशिातर भछिचनत सककसमोबमतो भखात

0 No Maggot Formation

1 Maggot formation on one side of the angle of mouth

2 Maggot Formation on both angles of mouth

3 Excessive maggot Formation

गर 0 No Heaviness in any of the lip

1 Mild heaviness no difficulty in lips movement

2 Difficulty in Lips function due to Heaviness

3 Protrusion of both lips

सथरौ (Bulky)

According to Sanskrit ndash English Dictionary

0 Size not increased

1 Slightly bigger than normal no noticeable by other person

2 Bigger than normal noticeable by another person

3 Bigger size effect the lip movement and lip protrudes down

107 भदज ओषठयोग (स) घतभणडाबौ (Clear

melted butter like)

0 Does not look like filled with clear part of melted butter

Here the specific appearance is given so the area is considerd

1 13 part of both lips looks like filled with clear part of melted butter

2 23 part of both lips looks like filled with clear part of melted butter

3 More than 23 part of both lips looks like filled with clear part of melted butter

कणड 0 No itching Or According to VAS

1 Itching in both lips but not disturbing work

17

Code Signs amp Symptoms Score Gradations Remarks

2 Itching in both lips but disturbing work

3 in both lips and cannot concentrate in work due to itching

Or

0 No itching

1 Occasional itching

2 Off and on itching

3 Continuous itching

चसथयौ 0 Movement of lips not affected

(Immobility) 1 Lip movement slightly affected but no difficulty in speech

2 Lip movement affected which alter the speech

3 Lip movement arrested

भदता (Sponginess) 0 Absent

1 Present

आसराव (अछि सपटिक सङकाशभ) (discharge of clear fluid)

0 No discharge अचछ सफटिक Word is Adjective for the type of discharge So grading is given for the frequency of discharge

1 Occasional discharge

2 Off and on discharge of clear fluid

3 Continuous discharge of clear fluid

गर 0 No Heaviness

1 Mild heaviness no difficulty in lip movement

2 Difficulty in lip function due to heaviness

3 Protrusion of lip due to heaviness

तराबशवमथ (अहर) 0 Does not look like filled with oil As per the घतभणडाब

tailabha is used as adjective so grading is given for Shvayathu

1 13 part of lips looks like filled with oil

2 23 part of lips looks filled with oil

3 More than 23 part of lips looks like filled with oil

सराव 0 No discharge

1 Occasional discharge

2 Off and on discharge of clear fluid

3 Continuous discharge of clear fluid

तराबकरदौ (Moister) 0 Absent Darshan pariksha

18

Code Signs amp Symptoms Score Gradations Remarks

1 Present

कणड 0 No itching Or According to VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate in work due to itching

OR

0 No itching

1 Occasional itching

2 Off and on itching

3 Continuous itching

109 तज ओषठयोग (स) पवदीमता (Tear) 0 No tear

1 Cut Up to epithelial layer

2 Cut Up to Sub epithelial layer

3 Cut up to muscular layer

ऩाटमता (Lips divided

in two parts)

0 Lips divided into two parts

1 Absent

2 Present

गरचथत

(NodulesLumps)

0 No lumps

1 Soft lumps

2 Hard Lumps

3 Multiple lumps

कणड (Itching) 0 No itching Or According to VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate in work due to itching

OR

0 No itching

1 Occasional itching

2 Off and on itching

3 Continuous itching

दशनछिदौ (अहर) (Lips covering the teeth)

0 Covering the teeth completely

1 Partial covering (gt50 ) the teeth

2 Covering the teeth lt50

19

Code Signs amp Symptoms Score Gradations Remarks

3 Not covering the teeth (All teeth exposed)

1010 जराफद (अहर) जरफदफदवद

(Cystic Swelling)

0 No Cystic Swelling

1 Up to 5mm Swelling

2 Swelling up to 5-10mm

3 More than 10mm

1011 यकताफद (स) रचधय सराव

रचधय सरवत 0 No bleeding

(Bleeding) 1 Bleeding on touch or movement

2 Spontaneous bleeding

3 Continuous bleeding

खजयसदश 0 Absent Used as an adjective

(Date fruits like) 1 Present

1012 खणडौषठ (अ)

ओषठोदपवधाकत 0 No separation of lips

(Lips divided separated into two parts)

1 Separation up to vermilion line

2 Separation up to Philtrum

3 Separation up to Collumella

20

GRADATION OF DANTA MOOL GAT ROG

Code ndash 11

Gradations established by Group KARAL Dr Krishna Makadia - Convener

Dantvaidya Saroj Joshi Dantvaidya Harshad Joshi

Dr Kiran Raj Dr Achyuta Atara Dr Pranav Dave

Gradations Reviewed by Dr Hemangi Shukla Dr Krishna Makadia

Edited by Prof Vd Hāridra Dave

21

Code Signs amp Symptoms Score Gradations Remarks

111 शीताद (स) अकसभात यकतसराव 0 No bleeding

1 Occasional bleeding for 1 or 2 times in 1 Prahar

2 Spontaneous Bleeding up to one Prahar

3 Spontaneous Bleeding for more than 1 Prahar (more than 3hrs)

दगनधीतन 0 No foul smell

1 Patient feels foul smell

2 Doctor or person who comes near to patient feels foul smell

3 From distance anyone can feels foul smell who is in the room

4 Foul smell can be feel from outside of the room even

सकषणातन 0 Absent

=Blackish discoloration

1 Present

परकरदीतन 0 Absent

1 Present

भदता 0 Absent

1 Present

दनतभास शीमनत 0 Gums situated At CE junction

1 Recession of gums At cervical 13

2 Recession of gums At middle 13

3 Recession of gums At apical 13

ऩिचनत ि ऩयसऩयभ 0 No Pachan (Pāk)

= Pāk 1 1 Quadrant is involved

2 2 quadrants are involved

3 More than 2 quadrants are involved

112 दनतपपपटक (स) दनतमोसतरीष वा 0 No involvement of teeth

1 Involvement of 2 teeth

2 Involvement of 3 teeth

शवमथ भहान 0 Absent

1 Present

सरज 0 No pain Or according to VAS

1 तीवर =Pain is there but he can do

work or sleep

22

Code Signs amp Symptoms Score Gradations Remarks

2 तीवरतय =Pain is there but he can do

work or sleep

3 तीवरतभ =Patient canrsquot tolerate

शोफ़ो फदयाचसथतनबो घन (अहर) =Kola is

small jujube and badar is big jujube and seed is measuring around 5 mm

0 Not present

1 Shoth up to 25 mm

2 Shoth 25 to 5 mm

3 Shoth is more than 5 mm

ऩाक (अहर) (शीघर ऩछमत)

0 Absent Accumulation of Fluid or pus

1 Present

113 दनतवषट (स) सरवचनत ऩमरचधय

Discharge of blood with pus or only pus

0 No Discharge

1 Blood with Pus Discharge

2 Only pus discharge

िरता 0 No mobility

1 1 mm antero-posterior Mobility

2 2 mm antero-posterior Mobility

3 More than 2 mm antero-posterior amp medial to lateral mobility

114 शौषषर (स) शवमथ 0 Absent

1 Present

रजावान According to VAS scoring

रारासरावी 0 Normal secretion

1 Occasionally splitting

2 On and off splitting

3 Continuous splitting disturbance in work

कणड 0 Absent

1 Occasionally itching

2 On and off itching

3 Continues itching

23

Code Signs amp Symptoms Score Gradations Remarks

दतभासपरशातन 0 Gums situated At CE junction

1 Recession of gums At cervical 13

2 Recession of gums At middle 13 3 Recession of gums At apical 13

115 महाशौषषर (स) दनताशिरचनत 0 No mobility

1 1 mm antero-posterior mobility

2 2 mm antero-posterior mobility

3 More than 2 mm anteroposterior amp medial to lateral mobility

तार अवदीमत 0 Absent Fissure over the Palate

1 Present

दतभासातनऩछमनत 0 No redness

1 Mild redness

2 Moderate redness

3 Severe redness

भख ऩरयऩीडमत 0 No Peedā Or According to VAS

Pain in any part or whole oral cavity

1 Peedā is at those Gums where disease is situated

2 Peedā is at entire Gums

Peedā is at entire Mukh

सचननऩाताजजजजवयवान

(अहर) 0 Normal temperature

1 Temperature between 984rsquoF to 100rsquoF

Temperature between 100rsquoF to 101rsquoF

2 Temperature between 101rsquoF to 102rsquoF

3 Temperature between 102rsquoF to 103rsquoF

4 Temperature between 103rsquoF to 104rsquoF

5 Temperature more than 104rsquoF

सऩमरचधयसरतत (अहर)

0 No Discharge

1 Blood with Pus Discharge

2 only pus discharge

पवशीणदपवजफनधन (अहर)

0 No mobility

1 1 mm antero-posterior mobility 2 2 mm antero-posterior mobility

24

Code Signs amp Symptoms Score Gradations Remarks 3 more than 2 mm antero-posterior

amp medial to lateral mobility

116 पररदर (स) दनतभासातन शीमनत 0 Gums situated At CE junction Depending upon

severity grading has been established

1 Recession of gums At cervical 13

2 Recession of gums At middle 13

3 Recession of gums At apical 13

षठीवतत असक 0 No spitting of blood

1 Occasionally splitting

2 On and off splitting

3 Continuous splitting with disturbance in work

117 उपकश (स) दाह Or According to VAS

ऩाक 0 Absent

1 Present

दनताशिरचनत 0 No mobility

1 1 mm antero-posterior mobility

2 2 mm antero-posterior mobility

3 more than 2 mm antero-posterior amp medial to lateral mobility

आघटिता परसरवचनत 0 Absent

=Bleeding from gums by pressure

1 Bleeding on pressure remains for five minutes

2 Bleeding on pressure remains up to 15 minutes

3 Bleeding on pressure remains up to 30 minutes

4 Bleeding on pressure remains up to 1 hour

5 Bleeding on pressure remains more than 1 hour

भदवदना 0 Absent

1 Present

आधभामनत सरत यकत

0 Absent

1 Present

ऩतत वकतरता (अहर) 0 No foul smell

1 Patient feels foul smell

25

Code Signs amp Symptoms Score Gradations Remarks

2 Doctor or person who comes near to patient feels foul smell

3 From distance anyone can feels foul smell who is in the room

4 Foul smell can be feel from outside of the room even

कणडभचनत (अहर) 0 Absent Or According to VAS

1 Occasionally itching

2 On and off itching

3 Continues itching

िरा (अहर) 0 No mobility

1 1 mm antero-posterior mobility

2 2 mm antero-posterior mobility

3 More than 2 mm antero-posterior amp medial to lateral mobility

118 वदभभ (स) =Traumatic injury(By mechanical Chemical thermal )

घषिष दनतभरष सयबो जामत भहान

0 Absent Mahan suggest itself severity of disease

1 Present

िरदता (अहर) 0 No mobility

1 1 mm antero-posterior mobility

2 2 mm antero-posterior mobility

3 More than 2 mm antero-posterior amp medial to lateral mobility

119 वरभन (स) तीवरवदना 0 No pain Or According to VAS

1 तीवर -Pain is there but he can do

work or sleep

2 तीवरतय -Patient can tolerate

3 तीवरतभ -Patient canrsquot tolerate

1110 अधरमाास (स) भहाञिोथ 0 No Shoth Mahan suggest itself

severity of disease

1 Shoth is Present on that gum only where disease is occurred

2 Shoth is Present on nearby two or three gums where disease is occurred

26

Code Signs amp Symptoms Score Gradations Remarks

3 Shoth is present up to adjoining cheek

This condition should be considered as

भहाञिोथ

भहारजा (स) परततहनतममभमवरतत (अहर)

0 No Rujā (pain) Or According to VAS

2 Rujā (pain) is Present on that gum only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

This condition should be considered as भहारजा amp परततहनतममभमवरतत

रारासरावी 0 Normal secretion

1 Occasionally splitting

2 On and off splitting

3 Continuous splitting disturbance in work

दनतानत कीरवतमशोफ़ (अहर)

0 No Keel vat Shoth

1 Keel vat Shoth is Present on that gum only where disease is occurred

2 Keel vat Shoth is Present on nearby two or three gums where disease is occurred

3 Keel vat Shoth is present up to adjoining cheek

1111 दनतषवदरधर (अहर) दनतभासशोफ़ (ि) 0 No Shoph

1 Shoph is Present on that gum only where disease is occurred

2 Shosh is Present on nearby two or This condition should

27

Code Signs amp Symptoms Score Gradations Remarks

three gums where disease is occurred

be considered as अनत शवमथ According to

Vagbhatta

3 Shosh is extended up to adjoining cheek

This condition should be considered as फाहम शवमथ According to

Vagbhatta

फाहम शवमथ (अहर) This condition is mentioned at दनतभास शोफ़

अनत शवमथ (अहर) This condition is mentioned at दनतभास शोफ़

गर (अहर) 0 Absent

1 Present

रग (अहर) 0 No Rujā (pain) Or According to VAS

2 Rujā (pain) is Present on that gum only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

दाह (अहर) According to VAS

सरवतिननऩमासर (अहर)

0 No Discharge

1 Blood with Pus Discharge

2 Only pus discharge

1112 दतनाडी Scoring is not possible further according to measurement of Nadivrana because X-

ray only detects spread up to the bone Whereas Nadivrana in gingiva periodontal ligament cannot be measured

दतनाडी 0 Absent

1 Present

28

GRADATION OF DANTA GAT ROG

Code ndash 12

Gradations established by Group KARAL Dr Krishna Makadia - Convener

Dantavaidya Saroj Joshi Dantavaidya Harshad Joshi

Dr Kiran Raj Dr Achyuta Atara Dr Pranav Dave

Gradations Reviewed by Dr Hemangi Shukla Dr Krishna Makadia

Edited by Prof Vd Hāridra Dave

29

Code Signs amp Symptoms Score Gradations Remarks

121 दाऱन (स)

तीवररग 0 No Rujā (pain) Or According to VAS

2 Rujā (pain) is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

उषणअसहादनता (अस) 0 No sensitivity in teeth ie with warm

water hot water or

excessive hot water

application on

tooth is not

possible so Time

related and severity

related grading was

finalised(same for

cold)

1 Mild sensitivity in teeth - At a

time

2 Moderate sensitivity in teeth -

Sensitivity remains only for 1

Prahar (up to 3 hrs)

3 Severe sensitivity in teeth -

Sensitivity remains more than

1 Prahar (more than 3 hrs)

शीतअचधकवमथा (अहर) 0 No sensitivity in teeth

1 Mild sensitivity in teeth - At a

time

2 Moderate sensitivity in teeth -

Sensitivity remains only for 1

Prahar (up to 3 hrs)

3 severe sensitivity in teeth-

Sensitivity remains more than

1 Prahar (more than 3 hrs)

22 कममदनत (स) कषण 0 No discoloration

1 Light greyish black

2 Dark greyish black

3 Jet black

30

Code Signs amp Symptoms Score Gradations Remarks

तिदर 0 No cavity It should be

decided by X-ray

1 Cavity within limit of enamel

2 Cavity within limit of dentin

3 Cavity up to pulp

िर 0 No mobility

1 1 mm antero-posterior

mobility

2 2 mm antero-posterior

mobility

3 More than 2 mm antero-

posterior amp medial to lateral

mobility

सरावी 0 No Srāv- after drying

particular teeth with cotton

inserting cotton on cavity

There is no other

method to check

Srāv in Krimidanta

1 Srāv is present

ससयब = Inflammation 0 No inflammation

1 Inflammation is Present भहारज 0 No Rujā (pain) Or According to

VAS 2 Rujā (pain) is Present on that

gum only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

This condition should be considered as भहारज

अतनसभतमतरज 0 No sudden onset of pain

1 Sudden onset of pain is

present

अहततीवराततशभ (अहर) 0 No sudden onset of pain

31

Code Signs amp Symptoms Score Gradations Remarks

1 Sudden onset of pain is

present

पररन (अहर) = Broken due to cavity

0 Cavity is there but it is not

broken

It should be

considered for each

tooth separately

Cavity in that must

be present in

particular tooth

1 13 part of tooth is broken

2 23 of tooth is broken

3 More than 23 of tooth is

broken

4 Total loss of tooth

ऩमसरत (अहर) 0 No Pooya Srāv after drying

particular place

with cotton

inserting cotton on

cavity

1 Pooya Srāv present

यकतसरत (अहर) 0 No Rakta Srāv after drying

particular place

with cotton

inserting cotton on

cavity

1 Rakta Srāv is present

123 दनतहषभ (स)

शीत सऩशन न सहनत 0 No sensitivity by cold touch

in any teeth

1 Ooccassional sensitivity by

cold touch in any toothteeth

for once

2 Sensitivity by cold touch

remains in toothteeth only up

to 1 Prahar (up to 3hrs)

3 Sensitivity by cold touch

remains more than 1 Prahar

(more than 3hrs)

उषण सऩशन न सहनत 0 No sensitivity by hot touch in

any teeth

1 Occassional sensitivity by hot

touch in toothteeth for once

2 Sensitivity by hot touch

remains in toothteeth only up

to 1 Prahar (up to 3hrs)

3 Sensitivity by hot touch

remains in toothteeth more

than 1 Prahar (more than

3hrs)

32

Code Signs amp Symptoms Score Gradations Remarks

परवाताभा = Sensitivity to air

(परवातारशीतबाभा) (अहर)

0 No sensitivity by Pravāt

touch in any tooth

1 Occassional sensitivity by

Pravāt touch in toothteeth for

once

2 Sensitivity by Pravāt touch

remains in toothteeth only up

to 1 Prahar (up to 3hrs)

3 Sensitivity by Pravāt touch

remains in toothteeth more

than 1 Prahar (more than

3hrs)

अरबाभा = Sensitivity to sour food

(परवातारशीतबाभा) (अहर)

0 No sensitivity by eating

sourer food to any tooth

1 Occassional sensitivity by

eating sourer food to any

toothteeth for once

2 Sensitivity by eating sourer

food remains to toothteeth

only up to 1 Prahar (up to

3hrs)

3 Sensitivity by eating sourer

food remains to toothteeth

more than 1 Prahar (more

than 3hrs)

शीतबाभा (परवातारशीतबाभा) (अहर)

0 No sensitivity by eating cold

item to any tooth

1 Occasional sensitivity by

eating cold item to toothteeth

for once

2 Sensitivity by Pravāt touch

remains in toothteeth only up

to 1 Prahar (up to 3hrs)

3 Sensitivity by eating cold

item remains to toothteeth

more than 1 Prahar (more

than 3hrs)

सरजा (अहर) 0 No Rujā (pain)

33

Code Signs amp Symptoms Score Gradations Remarks

2 Rujā (pain) is Present on that gum only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

2 Rujā (pain) is Present on that gum only where disease is occurred and patient can do hisher routine work without disturbance

िर (अहर) 0 No mobility

1 1 mm anterio-posterior

mobility

2 2 mm anterio-posterior

mobility

3 More than 2 mm antero-

posterior amp medial to lateral

mobility

124 भञजनक (स) =Photograph is necessary

(depending upon the severity gradation has been finalised)

वकतर वकरता 0 No deviation

1 Deviation is present

तीवररक 0 No Rujā (pain) Or according to

VAS

2 Rujā (pain) is Present on that gum only where disease is occurred and patient can do hisher routine work without disturbance

34

Code Signs amp Symptoms Score Gradations Remarks

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

This condition should be considered as तीवररक

दनतबङग 0 Tooth is not broken This should be

considered for

single tooth

1 13 part of tooth is broken

2 23 of tooth is broken

3 More than 23 of tooth is

broken

4 Total loss of tooth

125 दनतशकभ रा (स) =Calculus index was selected

शकयव चसथयीबत भर 0 No calculus present

1 Supragingival calculus

covering not more than third

of the exposed tooth surface

2 Supragingival calculus

covering more than 13 but

not more than 23 of the

exposed tooth surface or the

presence of individual flecks

of subgingival calculus

around the cervical portion of

the tooth or both

3 Supragingival calculus

covering more than 23 of the

exposed tooth surface or

continues heavy band 0f

subgingival calculus around

the cervical portion of the

tooth or both

35

Code Signs amp Symptoms Score Gradations Remarks

दनताना गणहयी 0 Absent All 10 Guna of

Danta Sampata

should be

considered required

suggestions for

each Guna

1 Present

ऩततगचनध (अहर) 0 No foul smell Taken grading of

halitosis

1 Patient feels foul smell

2 Doctor or person who comes near to patient feels foul smell

3 From distance anyone can feels foul smell who is in the room

4 Foul smell can be feel from outside of the room even

126 कपामऱका (स)

दनतवलकसम दरनभ = Bracketing of tooth enamel (दरचनत दनतवलकातन)

0 No दरनभ of tooth This should be

considered

separately for each

tooth

1 दरनभ is present of less than 13 of tooth

2 दरनभ is present of more than of 13 of tooth but less than 23 of tooth

3 दरनभ is present of more than of 23 of tooth but no total loss of tooth

4 Total loss of tooth after दरनभ

This condition should be considered as दशनाना पवनाश

दशनाना पवनाश = Total loss of tooth

0 No Any loss of tooth This should be

considered

separately for each

tooth

1 loss of tooth is present of less than 13 of tooth

2 loss of tooth is present of more than of 13 of tooth but less than 23 of tooth

36

Code Signs amp Symptoms Score Gradations Remarks

3 loss of tooth is present of more than of 23 of tooth but no total loss of tooth

4 Total loss of tooth This condition should be considered as दशनाना पवनाश

दनतशातनभ अणश = Thinning of tooth (शातमतममतममणशो दनतात कऩारातन) (अहर)

0 No शातनभ of tooth This should be

considered

separately for each

tooth

1 शातनभ is present in less than 13 of tooth

2 शातनभ is present in more than 13 of tooth but less than 23 of tooth

3 शातनभ is present in more than 23 of tooth but no total loss of tooth

4 Total loss of tooth due to शातनभ

127 शयावदनतक (स) In शमावदनत शमावता amp नीरता should be considered ascending stages

शमावता + नीरता 0 -No any discolouration of

tooth

-Normal colour of tooth

This should be

considered

separately for each

tooth

1 शमावता is Present

2 नीरता is Present

128 हनमो (स) According to Dalhan हनमो is not Dant Rog directly but it is near to

Dantchewing of hard food is one of the causes and there is pain in Dant so it is considered under Danta Rog

हनसचनधपवसहत 0 Absent

1 Can be reset by manual reduction

2 Can be reset by surgical

intervention

129 दनतभद (अहर) तोद =Pricking pain 0 No Pricking pain -Or According to

VAS

- This should be

considered

separately for each

tooth

37

Code Signs amp Symptoms Score Gradations Remarks

2 Pricking pain is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Pricking pain is referred up to Hanu and patient can do hisher routine work without disturbance

4 Pricking pain is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Pricking pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Pricking pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

बद Braking pain 0 No Braking pain -Or According to

VAS

- This should be

considered

separately for each

tooth

2 Braking pain is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Braking pain is referred up to Hanu and patient can do hisher routine work without disturbance

4 Braking pain is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Braking pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Braking pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

38

Code Signs amp Symptoms Score Gradations Remarks

रक Dull pain 0 No Rujā (pain) -Or According to

VAS

- This should be

considered

separately for each

tooth

2 Rujā (pain) is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

सपिन Burstingexpanding pain

0 No Bursting pain -Or According to

VAS

- This should be

considered

separately for each

tooth

2 Bursting pain is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Bursting pain is referred up to Hanu and patient can do hisher routine work without disturbance

4 Bursting pain is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

39

Code Signs amp Symptoms Score Gradations Remarks

5 Bursting pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Bursting pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

1210 दनतचाऱ (अहर) िरतमव = Mobility 0 No = mobility

1 1mm anterio-posterior

mobility

2 2 mm anterio-posterior

mobility

3 More than 2 mm anterio-

posterior amp medial to lateral

mobility

बणादचधकवमथ 0 No Vyatha ndash Pain during

eating

1 Pain during eating of hard

diet only

2 Pain during eating of soft diet

even

1211 कराऱ (स)

=Malocclusion

0 A Normal Molar relationship

exist but there is crowding

misalignment of the teeth

cross bite etc

1 A malocclusion where the

molar relationship shows the

buccal grove of mandibular

first molar distally positioned

when in occlusion with the

mesiobuccal cusp of the

maxillary first molar

2 A malocclusion where the

molar relationship shows the

buccal groove of the

mandibular first molar

mesiallypos

40

GRADATIONS OF JIHWA GAT ROG

Code - 13

Established by Group BHOJ Dr Krishna Makaia ndash Convener

Dr Rajeshree Unadkat Dr Neelam Dave

Dr Ronakgiri Gosai Dr Jignesh Virapariya

Reviewed by Dr Vijayant Bharadwaj

Edited by Prof Vd Hāridra Dave

41

Code Signs amp Symptoms Score Gradations Remarks

131 वाततक चजहवाकिक (स) सपटिता (Creaks) 0 No creaks on tongue

1 Single creak on the dorsum of tongue

2 Multiple Creaks on the dorsum of tongue

3 Multiple deep creaks on the dorsum of tongue (Bleeding)

परसपता (Numbness )

0 No Numbness

1 Numbness in 13 Part of tongue

2 Numbness in 23 Part of tongue

3 Numbness in more than 23 Part of tongue

शाकछिदनपरकाशा (Roughness)

0 Normal surface of tongue on touch

1 Mild rough surface on touch

2 Hard irregular surface on touch

3 Very rough surface which hurts the finger on touch

132 ऩततक चजहवाकिक (स) ऩीता 0 No yellowish discolouration

1 Yellowish discoloration in 13 part

2 Yellowish discoloration in 23 part

3 Yellowish discoloration in more than 23 part of tongue

ऩरयदहमत Burning in entire tongue)

0 No burning Or According to VAS

1 Occasional burning

2 Intermittent burning

3 Continuous burning does not relieve by any measures

दाह (Burning may be

in partially tongue)

0 No Burning Or According to VAS

1 Burning up to 13 part of tongue

2 Burning in 13 to 23 part of tongue

3 Burning in more than 23 part of tongue

42

Code Signs amp Symptoms Score Gradations Remarks

यकतभासाङकयचशिता (Covered with red buds )

0 No change in appearance

1 13 part of tongue covered with red fleshy buds

2 23 part of tongue covered with red fleshy buds

3 Whole tongue covered with red fleshy buds

ओष (Burning) 0 No Oshha Or According to VAS

1 Oshha up to 13 part of tongue

2 Oshha in 13 to 23 part of tongue

3 Oshha in more than 23 part of tongue

133 कपज चजहवाकिक (स) फहरा (Thick) 0 Normal Thickness of Tongue

1 Thickness increased - noticeable by patient

2 Thickness increased - noticeable by the examiner

3 Tongue protruding out because of increased Thickness

गवी (Heaviness) 0 No Heaviness

1 Feeling mild heaviness but no difficulty in Tongue movement

2 Difficulty in Tongue movement especially during intake of liquid

3 Difficulty in Tongue movement especially during intake of hard food

4 Difficulty in Tongue movement especially during Pronunciation

भासोदगभ शालभसरकणिकाब (thorn like papilla)

0 No change in appearance of tongue

1 13 part of tongue covered with red fleshy thorn like papilla

2 23 part of tongue covered with thorn like papilla

3 Whole tongue covered with thorn like papilla

43

Code Signs amp Symptoms Score Gradations Remarks

134 अरास (स) शवमथ

(Swelling at ventral surface of tongue)

0 Absent

1 Present

सतबमतत (Restricted tongue movement)

0 -Normal Movement of Tongue -Movement of tongue not affected

1 Tongue movement slightly restricted but does not affect the normal function

2 Tongue movement restricted that affects the normal function

3 Tongue movement arrested

परवदध

(Increase in size)

0 Size not increased

1 Size increased - noticeable by the patient

2 Size increased - noticeable by the examiner

3 Tongue protruding out because of increased size

ऩाक 0 No swelling or suppuration

1 Inflammation with pain and tenderness

2 Inflammation with different types of pain and tenderness along with induration

3 Pus formation and fluctuation positive

अधशोप 0 Absent

1 Present

उननत (elevation of

the tongue due to swelling below the tongue)

0 Normal position of tongue

1 Tongue slightly elevated due to swelling below the tongue

2 Tongue elevation causes discomfort to the patient

3 Tongue touches the palate

भतमसमगचनध

(Fishy smell)

0 Absent

1 Present

44

Code Signs amp Symptoms Score Gradations Remarks

भासशातन (Destruction of flesh of tongue )

0 No Destruction of tongue flesh

1 13 part of tongue flesh is destroyed

2 23 part of tongue flesh is destroyed

3 More than 23 part of tongue is destroyed

135 उऩचजचहवका (स) शवमथ (Swelling) 0 Absent

1 Present

चजहवाभननम

जात (elevation of

tongue because of swelling)

0 Normal position of tongue

1 Tongue slightly elevated due to swelling below the tongue

2 Tongue elevation causes discomfort to the patient

3 Tongue touches the palate

परसक (Salivation) 0 Normal secretion of saliva

1 Occasionally spitting

2 Off and on spitting

3 Continuous spitting which disturbs the work

कणड (Itching) 0 No itching Or According to VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate on work due to severe itching

0r

0 No itching

1 Occasional itching

2 Off and on itching

3 Continuous itching

ऩरयदाह (Burning in

whole tongue)

0 No burning Or According to VAS

1 Occasional burning

2 Intermittent burning

3 Contentious burning dose not relive by any measures

45

Code Signs amp Symptoms Score Gradations Remarks

136 अचधचजचहवका (अर)

अधोचजहवामा शोप

0 Normal position of tongue

(Swelling below the tongue)

1 Tongue slightly elevated due to swelling below the tongue

2 Tongue elevation causes discomfort to the patient

3 Tongue touches the palate

अङकय (Pappilary

growth)

0 Absent

1 Present

ओष (Burning) 0 No Oshh Or According to

VAS

1 Oshh up to 13 part of tongue

2 Oshh in 13 to 23 part of tongue

3 Oshh in more than 23 part of tongue

सतबवान

(Restriction of Movement)

0 Movement of tongue not affected

1 Tongue movement slightly restricted but does not affect the normal function

2 Tongue movement restricted that affect the normal function

3 Tongue movement arrested

खय(Rough) 0 Smooth on touch

1 Mild irregular surface

2 Rough surface

3 Sharp rough surface touch hurts on finger on touch

रक (Pain) 0 No pain Or According to

VAS

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

कणड (Itching) 0 No itching Or According to

VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate on work due to severe itching

0r

0 No itching

46

Code Signs amp Symptoms Score Gradations Remarks

1 Occasional itching

2 Off and on itching

3 Continuous itching

वाकम पवघातकत (Difficulty in speech)

0 No difficulty in speech

1 Unable to speak िति vargavyanjana

2 Difficulty in speaking क vargavyanjana

Swara donrsquot need involvement of tongue

3 Unable to speak

आहयपवघातकत

(Swallowing )

0 Able to eat regular diet

1 Able to eat soft diet

2 Able to eat only liquid diet

3 Unable to swallow anything

47

GRADATION OF TALUGAT ROG

Code - 14

Established by Group BHOJ Dr Krishna Makaia ndash Convener

Dr Rajeshree Unadkat Dr Neelam Dave

Dr Ronakgiri Gosai Dr Jignesh Virapariya

Reviewed by Dr Vijayant Bharadwaj

Edited by Prof Vd Hāridra Dave

48

Code Signs amp Symptoms Score Gradations Remarks

141 गरशचणडका (स)

परवदधो शोप (Swelling extending from palate) (Which is elongated)

0 Normal size of uvula

1 Swelling of uvula that causes discomfort to the patient

2 Swelling of uvula that causes foreign body sensation

3 Difficulty in breathing due to swelling

दीघ शोप

(Elongated Swelling)

0 Normal size of uvula

1 Elongated swelling of uvula that causes discomfort to the patient

2 Elongated swelling of uvula that causes foreign body sensation

3 Difficulty in breathing due to Elongated swelling

धभातफचसतपरकाश शोप =Inflated

swelling like Basti

0 Normal size of uvula

1 Inflated swelling like Basti of uvula that causes discomfort to the patient

2 Inflated swelling like Basti of uvula that causes foreign body sensation

3 Difficulty in breathing due to Inflated swelling like Basti

तषणा 0 Normal feeling of thirst

1 Increased feeling of thirst which is relived after drinking water

The quantity of water is not consider here but the frequency of water is considered

2 Frequent feeling of thirst which is Occasional relived after drinking water

3 Continuous feeling of thirst does not relive after drinking profuse amount of water

कास (Coughing) 0 No coughing

49

Code Signs amp Symptoms Score Gradations Remarks

1 Occasional coughing during eating and speaking

2 Off and on coughing

3 Continuous coughing

शवास 0 No difficulty in breathing

1 Difficulty in breathing occasionally

2 More difficulty in breathing while sleeping

3 Excessive difficulty in breathing

भतमसमफचसततनब शोप (अहर)

0 Normal uvula Used as an adjective

1 Inflated swelling like Matsya-Basti of uvula that causes discomfort to the patient

2 Inflated swelling like Matsya-Basti of uvula that causes foreign body sensation

3 Difficulty in breathing due to Inflated swelling like Matsya-Basti

पररफ (अहर) 0 Normal length of Uvula

(Elongated Swelling)

1 Size of Uvula increased up to lt2 mm

2 Size of Uvula increased more than 2 mm but less than 4 mm

3 Size of Uvula increased gt4 mm that cause discomfort to patient and cause difficulty in breathing

पऩचछिर(अहर) (Sliminess)

0 Absent

1 Present

नासमाऽऽहायभीयमन (अहर)

0 Food does not come out from nose

(Food comes out of nose)

1 Food comes out from nose

कणठोऩयोध(अहर) (Obstruction of throat )

0 -Able to eat regular diet -No difficulty in swallowing of any food

1 Able to swallow liquid or soft diet but not able to swallow hard diet

2 Able to swallow hard diet forcefully

50

Code Signs amp Symptoms Score Gradations Remarks

3 Not able to swallow hard diet with force

वभन(अहर) (Vomiting)

0 No Vaman

1 Feeling of nausea only

2 Only one veg of Vaman in a day

3 Two vegas of Vaman in a day

4 More than two vegas of Vaman in a day

132 तचणडकयी (स)

शोप (Tonsillar

Swelling)

0 Tonsils are located within the tonsillar fossa

1 Tonsils hypertrophy till the brim of the tonsillar fossa

2 Tonsils hypertrophy extends beyond the pillars but not touching each other

3 Tonsils hypertrophy extends beyond the pillars but not touching each other

तोद

(Pricking pain)

0 No pain

1 Occasional pain Or according to VAS

2 Off and on pain

3 Continuous pain

दाह (Burning) 0 No

1 Occasional burning

2 Intermittent burning

3 Contentious burning dose not relive by any measures

परऩाक 0 Absent

1 Present

पऩचछिर शोप(अहर)

Sliminess in swallowing

0 Feeling of Sliminess is Absent

1 Feeling of Sliminess is Present

भनदरक (अहर)

(Mild pain)

0 Absent Or According to

VAS

1 Present

133 अधरष (स)

शोप (Swelling) 0 No swelling

1 13 Swelling in part of the palate

51

Code Signs amp Symptoms Score Gradations Remarks

2 23 swelling in part of palate

3 Swelling in gt than 23 part of palate

सतबधता =Functions of soft palate like deglutition Phonation etc are affected = No mobility of soft palate

0 Normal function of soft palate

1 Soft palate movement reduced but functions are not affected

2 Any one of the functions of soft palate is affected

3 All functions of soft palate are affected

रोटहतवणता

(Redness)

0 No change in colour

1 Pinkish red coloured mucosa in palate

2 Red coloured mucosa in palate

3 Dark red coloured mucosa in palate

रजा (Pain) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

जजवय (Fever) 0 Normal temperature

1 Temperature between 984rsquoF to 100rsquoF

Temperature between 100rsquoF to 101rsquoF

2 Temperature between 101rsquoF to 102rsquoF

3 Temperature between 102rsquoF to 103rsquoF

52

Code Signs amp Symptoms Score Gradations Remarks

4 Temperature between 103rsquoF to 104rsquoF

5 Temperature more than 104rsquoF

134 कछिऩ (स)

कभवत उतमसनन शोप (Swelling

having shape like dorsum of tortoise)

0 No swelling

1 Swelling in 13rd part of the palate

2 Swelling in 23rd part of palate

3 Swelling in gt 23rd part of palate

चियवपदध(अहर)

(Slow growth)

0 Growth within a week

1 Growth within 1 week to 1 month

2 Growth within 1 month to 6 months

3 Growth within gt 6 months

रक (अहर) (Pain) 0 No pain Or According to VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesics

135 तारअफद (स) ऩदमाकाय तारभधम

शोपम (Swelling

like shape of lotus )

0 No swelling

1 Swelling in 13rd part of the palate

2 2 Swelling in 23rd part of palate

3 3 Swelling in gt 23rd part of palate

136 भाससङघात (स) नीरज (Painless) 0 Absent

1 Present

53

Code Signs amp Symptoms Score Gradations Remarks

शोप 0 No swelling

1 Swelling in 13rd part of the palate

2 Swelling in 23rd part of palate

3 Swelling in gt 23rd part of palate

137 तारऩपऩि (स) नीरक (Painless) 0 Absent

1 Present

कोरभातर

Swelling having size of Kola fruit

0 Absent

1 Present

138 तारशोष (स)

शोष (Dryness) 0 No dryness

1 Dryness decreased after drinking water

2 Patient needs water frequently

3 Dryness persist after dinking profuse water

दायण (Tearing of palate)

0 Absent

1 Present

शवास (Difficulty in

breathing)

0 No difficulty in breathing Here difficulty in breathing is due to obstruction

1 Difficulty in breathing occasionally

2 More difficulty in breathing while sleeping position

3 Excessive difficulty in breathing

जजवय(अहर) (Fever) 0 Normal temperature

1 Temperature between 984rsquoF to 100rsquoF

Temperature between 100rsquoF to 101rsquoF

2 Temperature between 101rsquoF to 102rsquoF

3 Temperature between 102rsquoF to 103rsquoF

4 Temperature between 103rsquoF to 104rsquoF

5 Temperature more than 104rsquoF

54

Code Signs amp Symptoms Score Gradations Remarks

139 तारऩाक (स) ऩाक (Suppuration) 0 No swelling or suppuration

1 Inflammation of palate with pain and tenderness

2 Inflammation of palate with different types of pain and tenderness with induration

3 Pus formation and fluctuation positive

1310 तारपऩटिका (अहर) तारभास पऩटिका

Follicles in palate flesh

0 No follicles

1 13 palate covered with follicles

2 23 palate covered with follicles

3 More than 23 palate covered with follicles

रज(अहर) (Pain) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

Occasional pain

खयता(अहर) (Roughness)

0 Smooth on touch

1 Mild irregular surface on touch

2 Rough surface

3 Sharp rough surface which hurts on finger on touch

घनसराव(अहर) (Thick discharge)

0 No discharge

1 Occasional discharge

2 Off and on thick discharge

3 Continuous thick discharge

1311 तारसहतत (अहर) तारभधम तनरक (अहर) =Painless fleshy growth in palate

Only तारभधम तनरक indicates the place and quality of growth both the symptoms can be

merged

55

Code Signs amp Symptoms Score Gradations Remarks

तनरक (Painless) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

भाससहत

(Fleshy growth in palate)

0 No fleshy growth

1 Fleshy growth in 13 part of the palate Swelling

2 Fleshy growth in 23 part of palate swelling

3 Fleshy growth in more than 23 part of palate

56

GRADATION OF SARVASAR ROG

Code - 15

Established by Group BHOJ Dr Krishna Makaia ndash Convener

Dr Rajeshree Unadkat Dr Neelam Dave

Dr Ronakgiri Gosai Dr Jignesh Virapariya

Reviewed by Dr Vijayant Bharadwaj

Edited by Prof Vd Hāridra Dave

57

Code Signs amp Symptoms Score Gradations Remarks

151 वातजसवसय (स) सपोि (Ulcers) 0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

तोद = Pricking pain 0 No pricking pain Or According to VAS

1 Occasional pricking pain

2 Off and on pricking pain

3 Continuous pricking pain

Or

0 No pricking pain

1 Sometimes mild pricking pain

2 Has to take analgesic while pricking pain

सिारयण(अहर) This symptom is for सवसय so this सवसय is the nature of सिारय

0 No movement of सवसय

1 Movement of सवसय is once in a week

2 Movement of सवसय is once in three to four days

3 Movement of सवसय is at every alternate day

4 Movement of सवसय is once in a day

अरण (अहर) Reddish discoloration

0 Colour of वरण is same with colour of surrounding area

1 Colour of वरण is Reddish

2 Colour of वरण is Dark Red

3 Colour of वरण is Reddish black

र (अहर) Dryness 0 वरण is Moist

-No dryness of वरण

1 वरण Needs lubrication once a day

2 वरण Needs frequent lubrication in

a day

3 No benefit with frequent

lubrication of वरण

तामरता (अहर) (Coppery

0 Colour of वरणौषठ is same with colour of surrounding area

58

Code Signs amp Symptoms Score Gradations Remarks

discoloration) This symptom is for

वरणौषठ

1 Colour of वरणौषठ is Tamra Varna

चऱतवचा (अहर) (Free mucous membrane) This symptom is for

वरणौषठ

0

Movement of वरणौषठ is on touch

only

1 Movement of वरणौषठ can be seen by naked eye means without touch

शीतासहा (अहर) (Intolerance to cold) This symptom is for

जजहवा

0 No Intolerance of cold to जजहवा

1 Intolerance of severe cold to जजहवा

2 Intolerance of moderate cold to जजहवा

3 Intolerance of Mild cold to जजहवा

गवी (Heaviness)

This symptom is for

जजहवा

0 No Heaviness

1 Mild heaviness with no difficulty

in movement of जजहवा

2 Moderate heaviness with

difficulty in Movement of जजहवा

3 Sever heaviness with bending down of

सफटटता (अहर) (Ulcer)

0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

कणटाकाधचता (अहर) = Thorn like

appearance

0 No change in appearance

59

Code Signs amp Symptoms Score Gradations Remarks

1 13 part of oral mucous membrane covered with red fleshy thorn like papillae

2 23 part of oral mucous membrane covered with red fleshy thorn like papillae

3 gt23 part of oral mucous membrane covered with red fleshy thorn like papillae

षववणोतत कचछरणमखम (अहर) (Difficulty in mouth opening)

0 Mouth opening more than 3 fingers without difficulty

1 2 to 3 fingers opening of mouth with or without difficulty

2 1 to 2 fingers opening of mouth with or without difficulty

3 Less than 1 finger opening of mouth with or without difficulty

152 पऩतमत(यकतज)सवसय (स) Signs and Symptoms of यकतज सवसय are same as of पऩतमत सवसय so no separate gradations are mentioned

यकतता (Redness) 0 Colour of सवसय- वरण is similar with

surrounding mucous membrane

1 Reddish Colour of सवसय- वरण

2 Bright red Colour of सवसय- वरण

3 Dark red Colour of सवसय- वरण

सदाह (Burning

Sensation)

0 No burning in सवसय- वरण Or According to

VAS

1 Occasional burning in सवसय- वरण

2 Intermittent burning in सवसय- वरण

3 Contentious burning in सवसय- वरण

which does not relive by any measures

तन (तनसब) (Shallow superficial ulcers)

0 No ulcer

1 Ulcer having depth of 05-1 mm

2 Ulcer having depth of 1 ndash 15 mm

3 Ulcer having depth of 15 -2 mm

60

Code Signs amp Symptoms Score Gradations Remarks

ओष (अहर) 0 No (ओष) burning in सवसय- वरण

1 Occasional (ओष) burning in

सवसय- वरण

2 Intermittent (ओष) burning in

सवसय- वरण

3 Contentious (ओष) burning in

सवसय- वरण which does not relive

by any measures

ततकतवकरता (अहर) (Bitter taste in mouth)

0 No alteration in taste

1 Occasionally bitter taste felt in mouth without having any bitter substance

2 Off and on bitter taste felt in mouth without having any bitter substance

3 Continuous bitter taste felt in mouth without having any bitter substance

ारोकषतत समावरणा (अहर)

0 No Ulcer

(Ulcers looking like chemical burns)

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

153 कपज सवसय (स) कणड (Itching) 0 No itching Or According to

VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Unable to work due to itching

0r

0 No itching

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate on work due to severe itching

रजा (Pain)

(अलऩ रजा) 0 No pain Or According to

VAS

1 Occasional pain

61

Code Signs amp Symptoms Score Gradations Remarks

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain This condition should be considered as अलऩ रजा

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

सवणण 0 Colour of वरण is same with colour of near by tissue

1 Colour of वरण is not same with colour of near by tissue

मररासयतवम (अहर) (Sweet taste in mouth)

0 No alteration in taste

1 Occasionally sweet taste felt without eating any sweet substance

2 Off and on Sweet taste Occasionally sweet taste felt without eating any sweet substance

3 Continuous sweet taste Occasionally sweet taste felt without eating any sweet substance

षपजचछिऱता (अहर) (Unctuousness)

0 Absent

1 Present

वरण 0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

154 कफाबभद (अहर) शयाव अबभदम

(शयावपाणडऽबभदम) 0 Colour of growthtumour is same

the colour of surrounding skin

1 Colour of growthtumour is शयाव

(Blackish)

62

Code Signs amp Symptoms Score Gradations Remarks

पाणड अबभदम (शयावपाणडऽबभदम)

0 Colour of growthtumour is same the colour of surrounding skin

1 Colour of growthtumour is पाणड

(Pale)

अबभदम 0 No GrowthTumour TNM Classification for tumours can be applied for growth

1 Growthtumour having sizelt 10 mm

2 Growthtumour having size 10 mm to 20 mm

3 Growthtumour having size gt 20 mm

घटिता तिनना मटदता च षववरभत (Size increases on rubbing cutting and squeezing)

0 Size of GrowthTumour is not increasing by rubbing cutting or squeezing

1 Size of GrowthTumour is increasing up to 10 mm by rubbing cutting or squeezing within a month

2 Size of GrowthTumour is increasing up to 20 mm by rubbing cutting or squeezing within a month

3 Size of GrowthTumour is increasing up to 30 mm by rubbing cutting or squeezing within a month

4 Size of GrowthTumour is increasing up to 40 mm by rubbing cutting or squeezing within a month

155 ऊरधवभगद (अहर) वकतरदौगनधम

(Halitosis)

0 No Halitosis

1 Halitosis is feel by Patient only

2 Halitosis is feel by Patient and examining Doctor only

3 Halitosis is feel by any person from the distance from 5 meters

63

Code Signs amp Symptoms Score Gradations Remarks

4 Halitosis is feel by any person from the distance from more than 5 meters

156 पततवकर (अहर) ऩतममासमता

(Halitosis)

0 No Halitosis

1 Halitosis is feel by Patient only

2 Halitosis is feel by Patient and examining Doctor only

3 Halitosis is feel by any person from the distance from 5 meters

4 Halitosis is feel by any person from the distance from more than 5 meters

157 सतनऩाततक सवसय (अहर) This disease occurs due to aggravation of all three doshas including Rakta Clinical presentation of this disease is found as mixed picture according prominent aggravation of dosha and signs and symptoms will be observed accordingly Gradations should be considered accordingly so it is not required to repeat here

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Page 18: THE GRADATIONS OF DISEASES OF SHALAKYA TANTRA - PART …theassociationofshalaki.com/downloads/GRADATIONS_OF_DISEASE… · 12.05.2019  · I am also very much thankful to Dr Sandhya

17

Code Signs amp Symptoms Score Gradations Remarks

2 Itching in both lips but disturbing work

3 in both lips and cannot concentrate in work due to itching

Or

0 No itching

1 Occasional itching

2 Off and on itching

3 Continuous itching

चसथयौ 0 Movement of lips not affected

(Immobility) 1 Lip movement slightly affected but no difficulty in speech

2 Lip movement affected which alter the speech

3 Lip movement arrested

भदता (Sponginess) 0 Absent

1 Present

आसराव (अछि सपटिक सङकाशभ) (discharge of clear fluid)

0 No discharge अचछ सफटिक Word is Adjective for the type of discharge So grading is given for the frequency of discharge

1 Occasional discharge

2 Off and on discharge of clear fluid

3 Continuous discharge of clear fluid

गर 0 No Heaviness

1 Mild heaviness no difficulty in lip movement

2 Difficulty in lip function due to heaviness

3 Protrusion of lip due to heaviness

तराबशवमथ (अहर) 0 Does not look like filled with oil As per the घतभणडाब

tailabha is used as adjective so grading is given for Shvayathu

1 13 part of lips looks like filled with oil

2 23 part of lips looks filled with oil

3 More than 23 part of lips looks like filled with oil

सराव 0 No discharge

1 Occasional discharge

2 Off and on discharge of clear fluid

3 Continuous discharge of clear fluid

तराबकरदौ (Moister) 0 Absent Darshan pariksha

18

Code Signs amp Symptoms Score Gradations Remarks

1 Present

कणड 0 No itching Or According to VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate in work due to itching

OR

0 No itching

1 Occasional itching

2 Off and on itching

3 Continuous itching

109 तज ओषठयोग (स) पवदीमता (Tear) 0 No tear

1 Cut Up to epithelial layer

2 Cut Up to Sub epithelial layer

3 Cut up to muscular layer

ऩाटमता (Lips divided

in two parts)

0 Lips divided into two parts

1 Absent

2 Present

गरचथत

(NodulesLumps)

0 No lumps

1 Soft lumps

2 Hard Lumps

3 Multiple lumps

कणड (Itching) 0 No itching Or According to VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate in work due to itching

OR

0 No itching

1 Occasional itching

2 Off and on itching

3 Continuous itching

दशनछिदौ (अहर) (Lips covering the teeth)

0 Covering the teeth completely

1 Partial covering (gt50 ) the teeth

2 Covering the teeth lt50

19

Code Signs amp Symptoms Score Gradations Remarks

3 Not covering the teeth (All teeth exposed)

1010 जराफद (अहर) जरफदफदवद

(Cystic Swelling)

0 No Cystic Swelling

1 Up to 5mm Swelling

2 Swelling up to 5-10mm

3 More than 10mm

1011 यकताफद (स) रचधय सराव

रचधय सरवत 0 No bleeding

(Bleeding) 1 Bleeding on touch or movement

2 Spontaneous bleeding

3 Continuous bleeding

खजयसदश 0 Absent Used as an adjective

(Date fruits like) 1 Present

1012 खणडौषठ (अ)

ओषठोदपवधाकत 0 No separation of lips

(Lips divided separated into two parts)

1 Separation up to vermilion line

2 Separation up to Philtrum

3 Separation up to Collumella

20

GRADATION OF DANTA MOOL GAT ROG

Code ndash 11

Gradations established by Group KARAL Dr Krishna Makadia - Convener

Dantvaidya Saroj Joshi Dantvaidya Harshad Joshi

Dr Kiran Raj Dr Achyuta Atara Dr Pranav Dave

Gradations Reviewed by Dr Hemangi Shukla Dr Krishna Makadia

Edited by Prof Vd Hāridra Dave

21

Code Signs amp Symptoms Score Gradations Remarks

111 शीताद (स) अकसभात यकतसराव 0 No bleeding

1 Occasional bleeding for 1 or 2 times in 1 Prahar

2 Spontaneous Bleeding up to one Prahar

3 Spontaneous Bleeding for more than 1 Prahar (more than 3hrs)

दगनधीतन 0 No foul smell

1 Patient feels foul smell

2 Doctor or person who comes near to patient feels foul smell

3 From distance anyone can feels foul smell who is in the room

4 Foul smell can be feel from outside of the room even

सकषणातन 0 Absent

=Blackish discoloration

1 Present

परकरदीतन 0 Absent

1 Present

भदता 0 Absent

1 Present

दनतभास शीमनत 0 Gums situated At CE junction

1 Recession of gums At cervical 13

2 Recession of gums At middle 13

3 Recession of gums At apical 13

ऩिचनत ि ऩयसऩयभ 0 No Pachan (Pāk)

= Pāk 1 1 Quadrant is involved

2 2 quadrants are involved

3 More than 2 quadrants are involved

112 दनतपपपटक (स) दनतमोसतरीष वा 0 No involvement of teeth

1 Involvement of 2 teeth

2 Involvement of 3 teeth

शवमथ भहान 0 Absent

1 Present

सरज 0 No pain Or according to VAS

1 तीवर =Pain is there but he can do

work or sleep

22

Code Signs amp Symptoms Score Gradations Remarks

2 तीवरतय =Pain is there but he can do

work or sleep

3 तीवरतभ =Patient canrsquot tolerate

शोफ़ो फदयाचसथतनबो घन (अहर) =Kola is

small jujube and badar is big jujube and seed is measuring around 5 mm

0 Not present

1 Shoth up to 25 mm

2 Shoth 25 to 5 mm

3 Shoth is more than 5 mm

ऩाक (अहर) (शीघर ऩछमत)

0 Absent Accumulation of Fluid or pus

1 Present

113 दनतवषट (स) सरवचनत ऩमरचधय

Discharge of blood with pus or only pus

0 No Discharge

1 Blood with Pus Discharge

2 Only pus discharge

िरता 0 No mobility

1 1 mm antero-posterior Mobility

2 2 mm antero-posterior Mobility

3 More than 2 mm antero-posterior amp medial to lateral mobility

114 शौषषर (स) शवमथ 0 Absent

1 Present

रजावान According to VAS scoring

रारासरावी 0 Normal secretion

1 Occasionally splitting

2 On and off splitting

3 Continuous splitting disturbance in work

कणड 0 Absent

1 Occasionally itching

2 On and off itching

3 Continues itching

23

Code Signs amp Symptoms Score Gradations Remarks

दतभासपरशातन 0 Gums situated At CE junction

1 Recession of gums At cervical 13

2 Recession of gums At middle 13 3 Recession of gums At apical 13

115 महाशौषषर (स) दनताशिरचनत 0 No mobility

1 1 mm antero-posterior mobility

2 2 mm antero-posterior mobility

3 More than 2 mm anteroposterior amp medial to lateral mobility

तार अवदीमत 0 Absent Fissure over the Palate

1 Present

दतभासातनऩछमनत 0 No redness

1 Mild redness

2 Moderate redness

3 Severe redness

भख ऩरयऩीडमत 0 No Peedā Or According to VAS

Pain in any part or whole oral cavity

1 Peedā is at those Gums where disease is situated

2 Peedā is at entire Gums

Peedā is at entire Mukh

सचननऩाताजजजजवयवान

(अहर) 0 Normal temperature

1 Temperature between 984rsquoF to 100rsquoF

Temperature between 100rsquoF to 101rsquoF

2 Temperature between 101rsquoF to 102rsquoF

3 Temperature between 102rsquoF to 103rsquoF

4 Temperature between 103rsquoF to 104rsquoF

5 Temperature more than 104rsquoF

सऩमरचधयसरतत (अहर)

0 No Discharge

1 Blood with Pus Discharge

2 only pus discharge

पवशीणदपवजफनधन (अहर)

0 No mobility

1 1 mm antero-posterior mobility 2 2 mm antero-posterior mobility

24

Code Signs amp Symptoms Score Gradations Remarks 3 more than 2 mm antero-posterior

amp medial to lateral mobility

116 पररदर (स) दनतभासातन शीमनत 0 Gums situated At CE junction Depending upon

severity grading has been established

1 Recession of gums At cervical 13

2 Recession of gums At middle 13

3 Recession of gums At apical 13

षठीवतत असक 0 No spitting of blood

1 Occasionally splitting

2 On and off splitting

3 Continuous splitting with disturbance in work

117 उपकश (स) दाह Or According to VAS

ऩाक 0 Absent

1 Present

दनताशिरचनत 0 No mobility

1 1 mm antero-posterior mobility

2 2 mm antero-posterior mobility

3 more than 2 mm antero-posterior amp medial to lateral mobility

आघटिता परसरवचनत 0 Absent

=Bleeding from gums by pressure

1 Bleeding on pressure remains for five minutes

2 Bleeding on pressure remains up to 15 minutes

3 Bleeding on pressure remains up to 30 minutes

4 Bleeding on pressure remains up to 1 hour

5 Bleeding on pressure remains more than 1 hour

भदवदना 0 Absent

1 Present

आधभामनत सरत यकत

0 Absent

1 Present

ऩतत वकतरता (अहर) 0 No foul smell

1 Patient feels foul smell

25

Code Signs amp Symptoms Score Gradations Remarks

2 Doctor or person who comes near to patient feels foul smell

3 From distance anyone can feels foul smell who is in the room

4 Foul smell can be feel from outside of the room even

कणडभचनत (अहर) 0 Absent Or According to VAS

1 Occasionally itching

2 On and off itching

3 Continues itching

िरा (अहर) 0 No mobility

1 1 mm antero-posterior mobility

2 2 mm antero-posterior mobility

3 More than 2 mm antero-posterior amp medial to lateral mobility

118 वदभभ (स) =Traumatic injury(By mechanical Chemical thermal )

घषिष दनतभरष सयबो जामत भहान

0 Absent Mahan suggest itself severity of disease

1 Present

िरदता (अहर) 0 No mobility

1 1 mm antero-posterior mobility

2 2 mm antero-posterior mobility

3 More than 2 mm antero-posterior amp medial to lateral mobility

119 वरभन (स) तीवरवदना 0 No pain Or According to VAS

1 तीवर -Pain is there but he can do

work or sleep

2 तीवरतय -Patient can tolerate

3 तीवरतभ -Patient canrsquot tolerate

1110 अधरमाास (स) भहाञिोथ 0 No Shoth Mahan suggest itself

severity of disease

1 Shoth is Present on that gum only where disease is occurred

2 Shoth is Present on nearby two or three gums where disease is occurred

26

Code Signs amp Symptoms Score Gradations Remarks

3 Shoth is present up to adjoining cheek

This condition should be considered as

भहाञिोथ

भहारजा (स) परततहनतममभमवरतत (अहर)

0 No Rujā (pain) Or According to VAS

2 Rujā (pain) is Present on that gum only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

This condition should be considered as भहारजा amp परततहनतममभमवरतत

रारासरावी 0 Normal secretion

1 Occasionally splitting

2 On and off splitting

3 Continuous splitting disturbance in work

दनतानत कीरवतमशोफ़ (अहर)

0 No Keel vat Shoth

1 Keel vat Shoth is Present on that gum only where disease is occurred

2 Keel vat Shoth is Present on nearby two or three gums where disease is occurred

3 Keel vat Shoth is present up to adjoining cheek

1111 दनतषवदरधर (अहर) दनतभासशोफ़ (ि) 0 No Shoph

1 Shoph is Present on that gum only where disease is occurred

2 Shosh is Present on nearby two or This condition should

27

Code Signs amp Symptoms Score Gradations Remarks

three gums where disease is occurred

be considered as अनत शवमथ According to

Vagbhatta

3 Shosh is extended up to adjoining cheek

This condition should be considered as फाहम शवमथ According to

Vagbhatta

फाहम शवमथ (अहर) This condition is mentioned at दनतभास शोफ़

अनत शवमथ (अहर) This condition is mentioned at दनतभास शोफ़

गर (अहर) 0 Absent

1 Present

रग (अहर) 0 No Rujā (pain) Or According to VAS

2 Rujā (pain) is Present on that gum only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

दाह (अहर) According to VAS

सरवतिननऩमासर (अहर)

0 No Discharge

1 Blood with Pus Discharge

2 Only pus discharge

1112 दतनाडी Scoring is not possible further according to measurement of Nadivrana because X-

ray only detects spread up to the bone Whereas Nadivrana in gingiva periodontal ligament cannot be measured

दतनाडी 0 Absent

1 Present

28

GRADATION OF DANTA GAT ROG

Code ndash 12

Gradations established by Group KARAL Dr Krishna Makadia - Convener

Dantavaidya Saroj Joshi Dantavaidya Harshad Joshi

Dr Kiran Raj Dr Achyuta Atara Dr Pranav Dave

Gradations Reviewed by Dr Hemangi Shukla Dr Krishna Makadia

Edited by Prof Vd Hāridra Dave

29

Code Signs amp Symptoms Score Gradations Remarks

121 दाऱन (स)

तीवररग 0 No Rujā (pain) Or According to VAS

2 Rujā (pain) is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

उषणअसहादनता (अस) 0 No sensitivity in teeth ie with warm

water hot water or

excessive hot water

application on

tooth is not

possible so Time

related and severity

related grading was

finalised(same for

cold)

1 Mild sensitivity in teeth - At a

time

2 Moderate sensitivity in teeth -

Sensitivity remains only for 1

Prahar (up to 3 hrs)

3 Severe sensitivity in teeth -

Sensitivity remains more than

1 Prahar (more than 3 hrs)

शीतअचधकवमथा (अहर) 0 No sensitivity in teeth

1 Mild sensitivity in teeth - At a

time

2 Moderate sensitivity in teeth -

Sensitivity remains only for 1

Prahar (up to 3 hrs)

3 severe sensitivity in teeth-

Sensitivity remains more than

1 Prahar (more than 3 hrs)

22 कममदनत (स) कषण 0 No discoloration

1 Light greyish black

2 Dark greyish black

3 Jet black

30

Code Signs amp Symptoms Score Gradations Remarks

तिदर 0 No cavity It should be

decided by X-ray

1 Cavity within limit of enamel

2 Cavity within limit of dentin

3 Cavity up to pulp

िर 0 No mobility

1 1 mm antero-posterior

mobility

2 2 mm antero-posterior

mobility

3 More than 2 mm antero-

posterior amp medial to lateral

mobility

सरावी 0 No Srāv- after drying

particular teeth with cotton

inserting cotton on cavity

There is no other

method to check

Srāv in Krimidanta

1 Srāv is present

ससयब = Inflammation 0 No inflammation

1 Inflammation is Present भहारज 0 No Rujā (pain) Or According to

VAS 2 Rujā (pain) is Present on that

gum only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

This condition should be considered as भहारज

अतनसभतमतरज 0 No sudden onset of pain

1 Sudden onset of pain is

present

अहततीवराततशभ (अहर) 0 No sudden onset of pain

31

Code Signs amp Symptoms Score Gradations Remarks

1 Sudden onset of pain is

present

पररन (अहर) = Broken due to cavity

0 Cavity is there but it is not

broken

It should be

considered for each

tooth separately

Cavity in that must

be present in

particular tooth

1 13 part of tooth is broken

2 23 of tooth is broken

3 More than 23 of tooth is

broken

4 Total loss of tooth

ऩमसरत (अहर) 0 No Pooya Srāv after drying

particular place

with cotton

inserting cotton on

cavity

1 Pooya Srāv present

यकतसरत (अहर) 0 No Rakta Srāv after drying

particular place

with cotton

inserting cotton on

cavity

1 Rakta Srāv is present

123 दनतहषभ (स)

शीत सऩशन न सहनत 0 No sensitivity by cold touch

in any teeth

1 Ooccassional sensitivity by

cold touch in any toothteeth

for once

2 Sensitivity by cold touch

remains in toothteeth only up

to 1 Prahar (up to 3hrs)

3 Sensitivity by cold touch

remains more than 1 Prahar

(more than 3hrs)

उषण सऩशन न सहनत 0 No sensitivity by hot touch in

any teeth

1 Occassional sensitivity by hot

touch in toothteeth for once

2 Sensitivity by hot touch

remains in toothteeth only up

to 1 Prahar (up to 3hrs)

3 Sensitivity by hot touch

remains in toothteeth more

than 1 Prahar (more than

3hrs)

32

Code Signs amp Symptoms Score Gradations Remarks

परवाताभा = Sensitivity to air

(परवातारशीतबाभा) (अहर)

0 No sensitivity by Pravāt

touch in any tooth

1 Occassional sensitivity by

Pravāt touch in toothteeth for

once

2 Sensitivity by Pravāt touch

remains in toothteeth only up

to 1 Prahar (up to 3hrs)

3 Sensitivity by Pravāt touch

remains in toothteeth more

than 1 Prahar (more than

3hrs)

अरबाभा = Sensitivity to sour food

(परवातारशीतबाभा) (अहर)

0 No sensitivity by eating

sourer food to any tooth

1 Occassional sensitivity by

eating sourer food to any

toothteeth for once

2 Sensitivity by eating sourer

food remains to toothteeth

only up to 1 Prahar (up to

3hrs)

3 Sensitivity by eating sourer

food remains to toothteeth

more than 1 Prahar (more

than 3hrs)

शीतबाभा (परवातारशीतबाभा) (अहर)

0 No sensitivity by eating cold

item to any tooth

1 Occasional sensitivity by

eating cold item to toothteeth

for once

2 Sensitivity by Pravāt touch

remains in toothteeth only up

to 1 Prahar (up to 3hrs)

3 Sensitivity by eating cold

item remains to toothteeth

more than 1 Prahar (more

than 3hrs)

सरजा (अहर) 0 No Rujā (pain)

33

Code Signs amp Symptoms Score Gradations Remarks

2 Rujā (pain) is Present on that gum only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

2 Rujā (pain) is Present on that gum only where disease is occurred and patient can do hisher routine work without disturbance

िर (अहर) 0 No mobility

1 1 mm anterio-posterior

mobility

2 2 mm anterio-posterior

mobility

3 More than 2 mm antero-

posterior amp medial to lateral

mobility

124 भञजनक (स) =Photograph is necessary

(depending upon the severity gradation has been finalised)

वकतर वकरता 0 No deviation

1 Deviation is present

तीवररक 0 No Rujā (pain) Or according to

VAS

2 Rujā (pain) is Present on that gum only where disease is occurred and patient can do hisher routine work without disturbance

34

Code Signs amp Symptoms Score Gradations Remarks

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

This condition should be considered as तीवररक

दनतबङग 0 Tooth is not broken This should be

considered for

single tooth

1 13 part of tooth is broken

2 23 of tooth is broken

3 More than 23 of tooth is

broken

4 Total loss of tooth

125 दनतशकभ रा (स) =Calculus index was selected

शकयव चसथयीबत भर 0 No calculus present

1 Supragingival calculus

covering not more than third

of the exposed tooth surface

2 Supragingival calculus

covering more than 13 but

not more than 23 of the

exposed tooth surface or the

presence of individual flecks

of subgingival calculus

around the cervical portion of

the tooth or both

3 Supragingival calculus

covering more than 23 of the

exposed tooth surface or

continues heavy band 0f

subgingival calculus around

the cervical portion of the

tooth or both

35

Code Signs amp Symptoms Score Gradations Remarks

दनताना गणहयी 0 Absent All 10 Guna of

Danta Sampata

should be

considered required

suggestions for

each Guna

1 Present

ऩततगचनध (अहर) 0 No foul smell Taken grading of

halitosis

1 Patient feels foul smell

2 Doctor or person who comes near to patient feels foul smell

3 From distance anyone can feels foul smell who is in the room

4 Foul smell can be feel from outside of the room even

126 कपामऱका (स)

दनतवलकसम दरनभ = Bracketing of tooth enamel (दरचनत दनतवलकातन)

0 No दरनभ of tooth This should be

considered

separately for each

tooth

1 दरनभ is present of less than 13 of tooth

2 दरनभ is present of more than of 13 of tooth but less than 23 of tooth

3 दरनभ is present of more than of 23 of tooth but no total loss of tooth

4 Total loss of tooth after दरनभ

This condition should be considered as दशनाना पवनाश

दशनाना पवनाश = Total loss of tooth

0 No Any loss of tooth This should be

considered

separately for each

tooth

1 loss of tooth is present of less than 13 of tooth

2 loss of tooth is present of more than of 13 of tooth but less than 23 of tooth

36

Code Signs amp Symptoms Score Gradations Remarks

3 loss of tooth is present of more than of 23 of tooth but no total loss of tooth

4 Total loss of tooth This condition should be considered as दशनाना पवनाश

दनतशातनभ अणश = Thinning of tooth (शातमतममतममणशो दनतात कऩारातन) (अहर)

0 No शातनभ of tooth This should be

considered

separately for each

tooth

1 शातनभ is present in less than 13 of tooth

2 शातनभ is present in more than 13 of tooth but less than 23 of tooth

3 शातनभ is present in more than 23 of tooth but no total loss of tooth

4 Total loss of tooth due to शातनभ

127 शयावदनतक (स) In शमावदनत शमावता amp नीरता should be considered ascending stages

शमावता + नीरता 0 -No any discolouration of

tooth

-Normal colour of tooth

This should be

considered

separately for each

tooth

1 शमावता is Present

2 नीरता is Present

128 हनमो (स) According to Dalhan हनमो is not Dant Rog directly but it is near to

Dantchewing of hard food is one of the causes and there is pain in Dant so it is considered under Danta Rog

हनसचनधपवसहत 0 Absent

1 Can be reset by manual reduction

2 Can be reset by surgical

intervention

129 दनतभद (अहर) तोद =Pricking pain 0 No Pricking pain -Or According to

VAS

- This should be

considered

separately for each

tooth

37

Code Signs amp Symptoms Score Gradations Remarks

2 Pricking pain is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Pricking pain is referred up to Hanu and patient can do hisher routine work without disturbance

4 Pricking pain is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Pricking pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Pricking pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

बद Braking pain 0 No Braking pain -Or According to

VAS

- This should be

considered

separately for each

tooth

2 Braking pain is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Braking pain is referred up to Hanu and patient can do hisher routine work without disturbance

4 Braking pain is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Braking pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Braking pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

38

Code Signs amp Symptoms Score Gradations Remarks

रक Dull pain 0 No Rujā (pain) -Or According to

VAS

- This should be

considered

separately for each

tooth

2 Rujā (pain) is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

सपिन Burstingexpanding pain

0 No Bursting pain -Or According to

VAS

- This should be

considered

separately for each

tooth

2 Bursting pain is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Bursting pain is referred up to Hanu and patient can do hisher routine work without disturbance

4 Bursting pain is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

39

Code Signs amp Symptoms Score Gradations Remarks

5 Bursting pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Bursting pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

1210 दनतचाऱ (अहर) िरतमव = Mobility 0 No = mobility

1 1mm anterio-posterior

mobility

2 2 mm anterio-posterior

mobility

3 More than 2 mm anterio-

posterior amp medial to lateral

mobility

बणादचधकवमथ 0 No Vyatha ndash Pain during

eating

1 Pain during eating of hard

diet only

2 Pain during eating of soft diet

even

1211 कराऱ (स)

=Malocclusion

0 A Normal Molar relationship

exist but there is crowding

misalignment of the teeth

cross bite etc

1 A malocclusion where the

molar relationship shows the

buccal grove of mandibular

first molar distally positioned

when in occlusion with the

mesiobuccal cusp of the

maxillary first molar

2 A malocclusion where the

molar relationship shows the

buccal groove of the

mandibular first molar

mesiallypos

40

GRADATIONS OF JIHWA GAT ROG

Code - 13

Established by Group BHOJ Dr Krishna Makaia ndash Convener

Dr Rajeshree Unadkat Dr Neelam Dave

Dr Ronakgiri Gosai Dr Jignesh Virapariya

Reviewed by Dr Vijayant Bharadwaj

Edited by Prof Vd Hāridra Dave

41

Code Signs amp Symptoms Score Gradations Remarks

131 वाततक चजहवाकिक (स) सपटिता (Creaks) 0 No creaks on tongue

1 Single creak on the dorsum of tongue

2 Multiple Creaks on the dorsum of tongue

3 Multiple deep creaks on the dorsum of tongue (Bleeding)

परसपता (Numbness )

0 No Numbness

1 Numbness in 13 Part of tongue

2 Numbness in 23 Part of tongue

3 Numbness in more than 23 Part of tongue

शाकछिदनपरकाशा (Roughness)

0 Normal surface of tongue on touch

1 Mild rough surface on touch

2 Hard irregular surface on touch

3 Very rough surface which hurts the finger on touch

132 ऩततक चजहवाकिक (स) ऩीता 0 No yellowish discolouration

1 Yellowish discoloration in 13 part

2 Yellowish discoloration in 23 part

3 Yellowish discoloration in more than 23 part of tongue

ऩरयदहमत Burning in entire tongue)

0 No burning Or According to VAS

1 Occasional burning

2 Intermittent burning

3 Continuous burning does not relieve by any measures

दाह (Burning may be

in partially tongue)

0 No Burning Or According to VAS

1 Burning up to 13 part of tongue

2 Burning in 13 to 23 part of tongue

3 Burning in more than 23 part of tongue

42

Code Signs amp Symptoms Score Gradations Remarks

यकतभासाङकयचशिता (Covered with red buds )

0 No change in appearance

1 13 part of tongue covered with red fleshy buds

2 23 part of tongue covered with red fleshy buds

3 Whole tongue covered with red fleshy buds

ओष (Burning) 0 No Oshha Or According to VAS

1 Oshha up to 13 part of tongue

2 Oshha in 13 to 23 part of tongue

3 Oshha in more than 23 part of tongue

133 कपज चजहवाकिक (स) फहरा (Thick) 0 Normal Thickness of Tongue

1 Thickness increased - noticeable by patient

2 Thickness increased - noticeable by the examiner

3 Tongue protruding out because of increased Thickness

गवी (Heaviness) 0 No Heaviness

1 Feeling mild heaviness but no difficulty in Tongue movement

2 Difficulty in Tongue movement especially during intake of liquid

3 Difficulty in Tongue movement especially during intake of hard food

4 Difficulty in Tongue movement especially during Pronunciation

भासोदगभ शालभसरकणिकाब (thorn like papilla)

0 No change in appearance of tongue

1 13 part of tongue covered with red fleshy thorn like papilla

2 23 part of tongue covered with thorn like papilla

3 Whole tongue covered with thorn like papilla

43

Code Signs amp Symptoms Score Gradations Remarks

134 अरास (स) शवमथ

(Swelling at ventral surface of tongue)

0 Absent

1 Present

सतबमतत (Restricted tongue movement)

0 -Normal Movement of Tongue -Movement of tongue not affected

1 Tongue movement slightly restricted but does not affect the normal function

2 Tongue movement restricted that affects the normal function

3 Tongue movement arrested

परवदध

(Increase in size)

0 Size not increased

1 Size increased - noticeable by the patient

2 Size increased - noticeable by the examiner

3 Tongue protruding out because of increased size

ऩाक 0 No swelling or suppuration

1 Inflammation with pain and tenderness

2 Inflammation with different types of pain and tenderness along with induration

3 Pus formation and fluctuation positive

अधशोप 0 Absent

1 Present

उननत (elevation of

the tongue due to swelling below the tongue)

0 Normal position of tongue

1 Tongue slightly elevated due to swelling below the tongue

2 Tongue elevation causes discomfort to the patient

3 Tongue touches the palate

भतमसमगचनध

(Fishy smell)

0 Absent

1 Present

44

Code Signs amp Symptoms Score Gradations Remarks

भासशातन (Destruction of flesh of tongue )

0 No Destruction of tongue flesh

1 13 part of tongue flesh is destroyed

2 23 part of tongue flesh is destroyed

3 More than 23 part of tongue is destroyed

135 उऩचजचहवका (स) शवमथ (Swelling) 0 Absent

1 Present

चजहवाभननम

जात (elevation of

tongue because of swelling)

0 Normal position of tongue

1 Tongue slightly elevated due to swelling below the tongue

2 Tongue elevation causes discomfort to the patient

3 Tongue touches the palate

परसक (Salivation) 0 Normal secretion of saliva

1 Occasionally spitting

2 Off and on spitting

3 Continuous spitting which disturbs the work

कणड (Itching) 0 No itching Or According to VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate on work due to severe itching

0r

0 No itching

1 Occasional itching

2 Off and on itching

3 Continuous itching

ऩरयदाह (Burning in

whole tongue)

0 No burning Or According to VAS

1 Occasional burning

2 Intermittent burning

3 Contentious burning dose not relive by any measures

45

Code Signs amp Symptoms Score Gradations Remarks

136 अचधचजचहवका (अर)

अधोचजहवामा शोप

0 Normal position of tongue

(Swelling below the tongue)

1 Tongue slightly elevated due to swelling below the tongue

2 Tongue elevation causes discomfort to the patient

3 Tongue touches the palate

अङकय (Pappilary

growth)

0 Absent

1 Present

ओष (Burning) 0 No Oshh Or According to

VAS

1 Oshh up to 13 part of tongue

2 Oshh in 13 to 23 part of tongue

3 Oshh in more than 23 part of tongue

सतबवान

(Restriction of Movement)

0 Movement of tongue not affected

1 Tongue movement slightly restricted but does not affect the normal function

2 Tongue movement restricted that affect the normal function

3 Tongue movement arrested

खय(Rough) 0 Smooth on touch

1 Mild irregular surface

2 Rough surface

3 Sharp rough surface touch hurts on finger on touch

रक (Pain) 0 No pain Or According to

VAS

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

कणड (Itching) 0 No itching Or According to

VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate on work due to severe itching

0r

0 No itching

46

Code Signs amp Symptoms Score Gradations Remarks

1 Occasional itching

2 Off and on itching

3 Continuous itching

वाकम पवघातकत (Difficulty in speech)

0 No difficulty in speech

1 Unable to speak िति vargavyanjana

2 Difficulty in speaking क vargavyanjana

Swara donrsquot need involvement of tongue

3 Unable to speak

आहयपवघातकत

(Swallowing )

0 Able to eat regular diet

1 Able to eat soft diet

2 Able to eat only liquid diet

3 Unable to swallow anything

47

GRADATION OF TALUGAT ROG

Code - 14

Established by Group BHOJ Dr Krishna Makaia ndash Convener

Dr Rajeshree Unadkat Dr Neelam Dave

Dr Ronakgiri Gosai Dr Jignesh Virapariya

Reviewed by Dr Vijayant Bharadwaj

Edited by Prof Vd Hāridra Dave

48

Code Signs amp Symptoms Score Gradations Remarks

141 गरशचणडका (स)

परवदधो शोप (Swelling extending from palate) (Which is elongated)

0 Normal size of uvula

1 Swelling of uvula that causes discomfort to the patient

2 Swelling of uvula that causes foreign body sensation

3 Difficulty in breathing due to swelling

दीघ शोप

(Elongated Swelling)

0 Normal size of uvula

1 Elongated swelling of uvula that causes discomfort to the patient

2 Elongated swelling of uvula that causes foreign body sensation

3 Difficulty in breathing due to Elongated swelling

धभातफचसतपरकाश शोप =Inflated

swelling like Basti

0 Normal size of uvula

1 Inflated swelling like Basti of uvula that causes discomfort to the patient

2 Inflated swelling like Basti of uvula that causes foreign body sensation

3 Difficulty in breathing due to Inflated swelling like Basti

तषणा 0 Normal feeling of thirst

1 Increased feeling of thirst which is relived after drinking water

The quantity of water is not consider here but the frequency of water is considered

2 Frequent feeling of thirst which is Occasional relived after drinking water

3 Continuous feeling of thirst does not relive after drinking profuse amount of water

कास (Coughing) 0 No coughing

49

Code Signs amp Symptoms Score Gradations Remarks

1 Occasional coughing during eating and speaking

2 Off and on coughing

3 Continuous coughing

शवास 0 No difficulty in breathing

1 Difficulty in breathing occasionally

2 More difficulty in breathing while sleeping

3 Excessive difficulty in breathing

भतमसमफचसततनब शोप (अहर)

0 Normal uvula Used as an adjective

1 Inflated swelling like Matsya-Basti of uvula that causes discomfort to the patient

2 Inflated swelling like Matsya-Basti of uvula that causes foreign body sensation

3 Difficulty in breathing due to Inflated swelling like Matsya-Basti

पररफ (अहर) 0 Normal length of Uvula

(Elongated Swelling)

1 Size of Uvula increased up to lt2 mm

2 Size of Uvula increased more than 2 mm but less than 4 mm

3 Size of Uvula increased gt4 mm that cause discomfort to patient and cause difficulty in breathing

पऩचछिर(अहर) (Sliminess)

0 Absent

1 Present

नासमाऽऽहायभीयमन (अहर)

0 Food does not come out from nose

(Food comes out of nose)

1 Food comes out from nose

कणठोऩयोध(अहर) (Obstruction of throat )

0 -Able to eat regular diet -No difficulty in swallowing of any food

1 Able to swallow liquid or soft diet but not able to swallow hard diet

2 Able to swallow hard diet forcefully

50

Code Signs amp Symptoms Score Gradations Remarks

3 Not able to swallow hard diet with force

वभन(अहर) (Vomiting)

0 No Vaman

1 Feeling of nausea only

2 Only one veg of Vaman in a day

3 Two vegas of Vaman in a day

4 More than two vegas of Vaman in a day

132 तचणडकयी (स)

शोप (Tonsillar

Swelling)

0 Tonsils are located within the tonsillar fossa

1 Tonsils hypertrophy till the brim of the tonsillar fossa

2 Tonsils hypertrophy extends beyond the pillars but not touching each other

3 Tonsils hypertrophy extends beyond the pillars but not touching each other

तोद

(Pricking pain)

0 No pain

1 Occasional pain Or according to VAS

2 Off and on pain

3 Continuous pain

दाह (Burning) 0 No

1 Occasional burning

2 Intermittent burning

3 Contentious burning dose not relive by any measures

परऩाक 0 Absent

1 Present

पऩचछिर शोप(अहर)

Sliminess in swallowing

0 Feeling of Sliminess is Absent

1 Feeling of Sliminess is Present

भनदरक (अहर)

(Mild pain)

0 Absent Or According to

VAS

1 Present

133 अधरष (स)

शोप (Swelling) 0 No swelling

1 13 Swelling in part of the palate

51

Code Signs amp Symptoms Score Gradations Remarks

2 23 swelling in part of palate

3 Swelling in gt than 23 part of palate

सतबधता =Functions of soft palate like deglutition Phonation etc are affected = No mobility of soft palate

0 Normal function of soft palate

1 Soft palate movement reduced but functions are not affected

2 Any one of the functions of soft palate is affected

3 All functions of soft palate are affected

रोटहतवणता

(Redness)

0 No change in colour

1 Pinkish red coloured mucosa in palate

2 Red coloured mucosa in palate

3 Dark red coloured mucosa in palate

रजा (Pain) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

जजवय (Fever) 0 Normal temperature

1 Temperature between 984rsquoF to 100rsquoF

Temperature between 100rsquoF to 101rsquoF

2 Temperature between 101rsquoF to 102rsquoF

3 Temperature between 102rsquoF to 103rsquoF

52

Code Signs amp Symptoms Score Gradations Remarks

4 Temperature between 103rsquoF to 104rsquoF

5 Temperature more than 104rsquoF

134 कछिऩ (स)

कभवत उतमसनन शोप (Swelling

having shape like dorsum of tortoise)

0 No swelling

1 Swelling in 13rd part of the palate

2 Swelling in 23rd part of palate

3 Swelling in gt 23rd part of palate

चियवपदध(अहर)

(Slow growth)

0 Growth within a week

1 Growth within 1 week to 1 month

2 Growth within 1 month to 6 months

3 Growth within gt 6 months

रक (अहर) (Pain) 0 No pain Or According to VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesics

135 तारअफद (स) ऩदमाकाय तारभधम

शोपम (Swelling

like shape of lotus )

0 No swelling

1 Swelling in 13rd part of the palate

2 2 Swelling in 23rd part of palate

3 3 Swelling in gt 23rd part of palate

136 भाससङघात (स) नीरज (Painless) 0 Absent

1 Present

53

Code Signs amp Symptoms Score Gradations Remarks

शोप 0 No swelling

1 Swelling in 13rd part of the palate

2 Swelling in 23rd part of palate

3 Swelling in gt 23rd part of palate

137 तारऩपऩि (स) नीरक (Painless) 0 Absent

1 Present

कोरभातर

Swelling having size of Kola fruit

0 Absent

1 Present

138 तारशोष (स)

शोष (Dryness) 0 No dryness

1 Dryness decreased after drinking water

2 Patient needs water frequently

3 Dryness persist after dinking profuse water

दायण (Tearing of palate)

0 Absent

1 Present

शवास (Difficulty in

breathing)

0 No difficulty in breathing Here difficulty in breathing is due to obstruction

1 Difficulty in breathing occasionally

2 More difficulty in breathing while sleeping position

3 Excessive difficulty in breathing

जजवय(अहर) (Fever) 0 Normal temperature

1 Temperature between 984rsquoF to 100rsquoF

Temperature between 100rsquoF to 101rsquoF

2 Temperature between 101rsquoF to 102rsquoF

3 Temperature between 102rsquoF to 103rsquoF

4 Temperature between 103rsquoF to 104rsquoF

5 Temperature more than 104rsquoF

54

Code Signs amp Symptoms Score Gradations Remarks

139 तारऩाक (स) ऩाक (Suppuration) 0 No swelling or suppuration

1 Inflammation of palate with pain and tenderness

2 Inflammation of palate with different types of pain and tenderness with induration

3 Pus formation and fluctuation positive

1310 तारपऩटिका (अहर) तारभास पऩटिका

Follicles in palate flesh

0 No follicles

1 13 palate covered with follicles

2 23 palate covered with follicles

3 More than 23 palate covered with follicles

रज(अहर) (Pain) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

Occasional pain

खयता(अहर) (Roughness)

0 Smooth on touch

1 Mild irregular surface on touch

2 Rough surface

3 Sharp rough surface which hurts on finger on touch

घनसराव(अहर) (Thick discharge)

0 No discharge

1 Occasional discharge

2 Off and on thick discharge

3 Continuous thick discharge

1311 तारसहतत (अहर) तारभधम तनरक (अहर) =Painless fleshy growth in palate

Only तारभधम तनरक indicates the place and quality of growth both the symptoms can be

merged

55

Code Signs amp Symptoms Score Gradations Remarks

तनरक (Painless) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

भाससहत

(Fleshy growth in palate)

0 No fleshy growth

1 Fleshy growth in 13 part of the palate Swelling

2 Fleshy growth in 23 part of palate swelling

3 Fleshy growth in more than 23 part of palate

56

GRADATION OF SARVASAR ROG

Code - 15

Established by Group BHOJ Dr Krishna Makaia ndash Convener

Dr Rajeshree Unadkat Dr Neelam Dave

Dr Ronakgiri Gosai Dr Jignesh Virapariya

Reviewed by Dr Vijayant Bharadwaj

Edited by Prof Vd Hāridra Dave

57

Code Signs amp Symptoms Score Gradations Remarks

151 वातजसवसय (स) सपोि (Ulcers) 0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

तोद = Pricking pain 0 No pricking pain Or According to VAS

1 Occasional pricking pain

2 Off and on pricking pain

3 Continuous pricking pain

Or

0 No pricking pain

1 Sometimes mild pricking pain

2 Has to take analgesic while pricking pain

सिारयण(अहर) This symptom is for सवसय so this सवसय is the nature of सिारय

0 No movement of सवसय

1 Movement of सवसय is once in a week

2 Movement of सवसय is once in three to four days

3 Movement of सवसय is at every alternate day

4 Movement of सवसय is once in a day

अरण (अहर) Reddish discoloration

0 Colour of वरण is same with colour of surrounding area

1 Colour of वरण is Reddish

2 Colour of वरण is Dark Red

3 Colour of वरण is Reddish black

र (अहर) Dryness 0 वरण is Moist

-No dryness of वरण

1 वरण Needs lubrication once a day

2 वरण Needs frequent lubrication in

a day

3 No benefit with frequent

lubrication of वरण

तामरता (अहर) (Coppery

0 Colour of वरणौषठ is same with colour of surrounding area

58

Code Signs amp Symptoms Score Gradations Remarks

discoloration) This symptom is for

वरणौषठ

1 Colour of वरणौषठ is Tamra Varna

चऱतवचा (अहर) (Free mucous membrane) This symptom is for

वरणौषठ

0

Movement of वरणौषठ is on touch

only

1 Movement of वरणौषठ can be seen by naked eye means without touch

शीतासहा (अहर) (Intolerance to cold) This symptom is for

जजहवा

0 No Intolerance of cold to जजहवा

1 Intolerance of severe cold to जजहवा

2 Intolerance of moderate cold to जजहवा

3 Intolerance of Mild cold to जजहवा

गवी (Heaviness)

This symptom is for

जजहवा

0 No Heaviness

1 Mild heaviness with no difficulty

in movement of जजहवा

2 Moderate heaviness with

difficulty in Movement of जजहवा

3 Sever heaviness with bending down of

सफटटता (अहर) (Ulcer)

0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

कणटाकाधचता (अहर) = Thorn like

appearance

0 No change in appearance

59

Code Signs amp Symptoms Score Gradations Remarks

1 13 part of oral mucous membrane covered with red fleshy thorn like papillae

2 23 part of oral mucous membrane covered with red fleshy thorn like papillae

3 gt23 part of oral mucous membrane covered with red fleshy thorn like papillae

षववणोतत कचछरणमखम (अहर) (Difficulty in mouth opening)

0 Mouth opening more than 3 fingers without difficulty

1 2 to 3 fingers opening of mouth with or without difficulty

2 1 to 2 fingers opening of mouth with or without difficulty

3 Less than 1 finger opening of mouth with or without difficulty

152 पऩतमत(यकतज)सवसय (स) Signs and Symptoms of यकतज सवसय are same as of पऩतमत सवसय so no separate gradations are mentioned

यकतता (Redness) 0 Colour of सवसय- वरण is similar with

surrounding mucous membrane

1 Reddish Colour of सवसय- वरण

2 Bright red Colour of सवसय- वरण

3 Dark red Colour of सवसय- वरण

सदाह (Burning

Sensation)

0 No burning in सवसय- वरण Or According to

VAS

1 Occasional burning in सवसय- वरण

2 Intermittent burning in सवसय- वरण

3 Contentious burning in सवसय- वरण

which does not relive by any measures

तन (तनसब) (Shallow superficial ulcers)

0 No ulcer

1 Ulcer having depth of 05-1 mm

2 Ulcer having depth of 1 ndash 15 mm

3 Ulcer having depth of 15 -2 mm

60

Code Signs amp Symptoms Score Gradations Remarks

ओष (अहर) 0 No (ओष) burning in सवसय- वरण

1 Occasional (ओष) burning in

सवसय- वरण

2 Intermittent (ओष) burning in

सवसय- वरण

3 Contentious (ओष) burning in

सवसय- वरण which does not relive

by any measures

ततकतवकरता (अहर) (Bitter taste in mouth)

0 No alteration in taste

1 Occasionally bitter taste felt in mouth without having any bitter substance

2 Off and on bitter taste felt in mouth without having any bitter substance

3 Continuous bitter taste felt in mouth without having any bitter substance

ारोकषतत समावरणा (अहर)

0 No Ulcer

(Ulcers looking like chemical burns)

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

153 कपज सवसय (स) कणड (Itching) 0 No itching Or According to

VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Unable to work due to itching

0r

0 No itching

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate on work due to severe itching

रजा (Pain)

(अलऩ रजा) 0 No pain Or According to

VAS

1 Occasional pain

61

Code Signs amp Symptoms Score Gradations Remarks

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain This condition should be considered as अलऩ रजा

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

सवणण 0 Colour of वरण is same with colour of near by tissue

1 Colour of वरण is not same with colour of near by tissue

मररासयतवम (अहर) (Sweet taste in mouth)

0 No alteration in taste

1 Occasionally sweet taste felt without eating any sweet substance

2 Off and on Sweet taste Occasionally sweet taste felt without eating any sweet substance

3 Continuous sweet taste Occasionally sweet taste felt without eating any sweet substance

षपजचछिऱता (अहर) (Unctuousness)

0 Absent

1 Present

वरण 0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

154 कफाबभद (अहर) शयाव अबभदम

(शयावपाणडऽबभदम) 0 Colour of growthtumour is same

the colour of surrounding skin

1 Colour of growthtumour is शयाव

(Blackish)

62

Code Signs amp Symptoms Score Gradations Remarks

पाणड अबभदम (शयावपाणडऽबभदम)

0 Colour of growthtumour is same the colour of surrounding skin

1 Colour of growthtumour is पाणड

(Pale)

अबभदम 0 No GrowthTumour TNM Classification for tumours can be applied for growth

1 Growthtumour having sizelt 10 mm

2 Growthtumour having size 10 mm to 20 mm

3 Growthtumour having size gt 20 mm

घटिता तिनना मटदता च षववरभत (Size increases on rubbing cutting and squeezing)

0 Size of GrowthTumour is not increasing by rubbing cutting or squeezing

1 Size of GrowthTumour is increasing up to 10 mm by rubbing cutting or squeezing within a month

2 Size of GrowthTumour is increasing up to 20 mm by rubbing cutting or squeezing within a month

3 Size of GrowthTumour is increasing up to 30 mm by rubbing cutting or squeezing within a month

4 Size of GrowthTumour is increasing up to 40 mm by rubbing cutting or squeezing within a month

155 ऊरधवभगद (अहर) वकतरदौगनधम

(Halitosis)

0 No Halitosis

1 Halitosis is feel by Patient only

2 Halitosis is feel by Patient and examining Doctor only

3 Halitosis is feel by any person from the distance from 5 meters

63

Code Signs amp Symptoms Score Gradations Remarks

4 Halitosis is feel by any person from the distance from more than 5 meters

156 पततवकर (अहर) ऩतममासमता

(Halitosis)

0 No Halitosis

1 Halitosis is feel by Patient only

2 Halitosis is feel by Patient and examining Doctor only

3 Halitosis is feel by any person from the distance from 5 meters

4 Halitosis is feel by any person from the distance from more than 5 meters

157 सतनऩाततक सवसय (अहर) This disease occurs due to aggravation of all three doshas including Rakta Clinical presentation of this disease is found as mixed picture according prominent aggravation of dosha and signs and symptoms will be observed accordingly Gradations should be considered accordingly so it is not required to repeat here

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Page 19: THE GRADATIONS OF DISEASES OF SHALAKYA TANTRA - PART …theassociationofshalaki.com/downloads/GRADATIONS_OF_DISEASE… · 12.05.2019  · I am also very much thankful to Dr Sandhya

18

Code Signs amp Symptoms Score Gradations Remarks

1 Present

कणड 0 No itching Or According to VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate in work due to itching

OR

0 No itching

1 Occasional itching

2 Off and on itching

3 Continuous itching

109 तज ओषठयोग (स) पवदीमता (Tear) 0 No tear

1 Cut Up to epithelial layer

2 Cut Up to Sub epithelial layer

3 Cut up to muscular layer

ऩाटमता (Lips divided

in two parts)

0 Lips divided into two parts

1 Absent

2 Present

गरचथत

(NodulesLumps)

0 No lumps

1 Soft lumps

2 Hard Lumps

3 Multiple lumps

कणड (Itching) 0 No itching Or According to VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate in work due to itching

OR

0 No itching

1 Occasional itching

2 Off and on itching

3 Continuous itching

दशनछिदौ (अहर) (Lips covering the teeth)

0 Covering the teeth completely

1 Partial covering (gt50 ) the teeth

2 Covering the teeth lt50

19

Code Signs amp Symptoms Score Gradations Remarks

3 Not covering the teeth (All teeth exposed)

1010 जराफद (अहर) जरफदफदवद

(Cystic Swelling)

0 No Cystic Swelling

1 Up to 5mm Swelling

2 Swelling up to 5-10mm

3 More than 10mm

1011 यकताफद (स) रचधय सराव

रचधय सरवत 0 No bleeding

(Bleeding) 1 Bleeding on touch or movement

2 Spontaneous bleeding

3 Continuous bleeding

खजयसदश 0 Absent Used as an adjective

(Date fruits like) 1 Present

1012 खणडौषठ (अ)

ओषठोदपवधाकत 0 No separation of lips

(Lips divided separated into two parts)

1 Separation up to vermilion line

2 Separation up to Philtrum

3 Separation up to Collumella

20

GRADATION OF DANTA MOOL GAT ROG

Code ndash 11

Gradations established by Group KARAL Dr Krishna Makadia - Convener

Dantvaidya Saroj Joshi Dantvaidya Harshad Joshi

Dr Kiran Raj Dr Achyuta Atara Dr Pranav Dave

Gradations Reviewed by Dr Hemangi Shukla Dr Krishna Makadia

Edited by Prof Vd Hāridra Dave

21

Code Signs amp Symptoms Score Gradations Remarks

111 शीताद (स) अकसभात यकतसराव 0 No bleeding

1 Occasional bleeding for 1 or 2 times in 1 Prahar

2 Spontaneous Bleeding up to one Prahar

3 Spontaneous Bleeding for more than 1 Prahar (more than 3hrs)

दगनधीतन 0 No foul smell

1 Patient feels foul smell

2 Doctor or person who comes near to patient feels foul smell

3 From distance anyone can feels foul smell who is in the room

4 Foul smell can be feel from outside of the room even

सकषणातन 0 Absent

=Blackish discoloration

1 Present

परकरदीतन 0 Absent

1 Present

भदता 0 Absent

1 Present

दनतभास शीमनत 0 Gums situated At CE junction

1 Recession of gums At cervical 13

2 Recession of gums At middle 13

3 Recession of gums At apical 13

ऩिचनत ि ऩयसऩयभ 0 No Pachan (Pāk)

= Pāk 1 1 Quadrant is involved

2 2 quadrants are involved

3 More than 2 quadrants are involved

112 दनतपपपटक (स) दनतमोसतरीष वा 0 No involvement of teeth

1 Involvement of 2 teeth

2 Involvement of 3 teeth

शवमथ भहान 0 Absent

1 Present

सरज 0 No pain Or according to VAS

1 तीवर =Pain is there but he can do

work or sleep

22

Code Signs amp Symptoms Score Gradations Remarks

2 तीवरतय =Pain is there but he can do

work or sleep

3 तीवरतभ =Patient canrsquot tolerate

शोफ़ो फदयाचसथतनबो घन (अहर) =Kola is

small jujube and badar is big jujube and seed is measuring around 5 mm

0 Not present

1 Shoth up to 25 mm

2 Shoth 25 to 5 mm

3 Shoth is more than 5 mm

ऩाक (अहर) (शीघर ऩछमत)

0 Absent Accumulation of Fluid or pus

1 Present

113 दनतवषट (स) सरवचनत ऩमरचधय

Discharge of blood with pus or only pus

0 No Discharge

1 Blood with Pus Discharge

2 Only pus discharge

िरता 0 No mobility

1 1 mm antero-posterior Mobility

2 2 mm antero-posterior Mobility

3 More than 2 mm antero-posterior amp medial to lateral mobility

114 शौषषर (स) शवमथ 0 Absent

1 Present

रजावान According to VAS scoring

रारासरावी 0 Normal secretion

1 Occasionally splitting

2 On and off splitting

3 Continuous splitting disturbance in work

कणड 0 Absent

1 Occasionally itching

2 On and off itching

3 Continues itching

23

Code Signs amp Symptoms Score Gradations Remarks

दतभासपरशातन 0 Gums situated At CE junction

1 Recession of gums At cervical 13

2 Recession of gums At middle 13 3 Recession of gums At apical 13

115 महाशौषषर (स) दनताशिरचनत 0 No mobility

1 1 mm antero-posterior mobility

2 2 mm antero-posterior mobility

3 More than 2 mm anteroposterior amp medial to lateral mobility

तार अवदीमत 0 Absent Fissure over the Palate

1 Present

दतभासातनऩछमनत 0 No redness

1 Mild redness

2 Moderate redness

3 Severe redness

भख ऩरयऩीडमत 0 No Peedā Or According to VAS

Pain in any part or whole oral cavity

1 Peedā is at those Gums where disease is situated

2 Peedā is at entire Gums

Peedā is at entire Mukh

सचननऩाताजजजजवयवान

(अहर) 0 Normal temperature

1 Temperature between 984rsquoF to 100rsquoF

Temperature between 100rsquoF to 101rsquoF

2 Temperature between 101rsquoF to 102rsquoF

3 Temperature between 102rsquoF to 103rsquoF

4 Temperature between 103rsquoF to 104rsquoF

5 Temperature more than 104rsquoF

सऩमरचधयसरतत (अहर)

0 No Discharge

1 Blood with Pus Discharge

2 only pus discharge

पवशीणदपवजफनधन (अहर)

0 No mobility

1 1 mm antero-posterior mobility 2 2 mm antero-posterior mobility

24

Code Signs amp Symptoms Score Gradations Remarks 3 more than 2 mm antero-posterior

amp medial to lateral mobility

116 पररदर (स) दनतभासातन शीमनत 0 Gums situated At CE junction Depending upon

severity grading has been established

1 Recession of gums At cervical 13

2 Recession of gums At middle 13

3 Recession of gums At apical 13

षठीवतत असक 0 No spitting of blood

1 Occasionally splitting

2 On and off splitting

3 Continuous splitting with disturbance in work

117 उपकश (स) दाह Or According to VAS

ऩाक 0 Absent

1 Present

दनताशिरचनत 0 No mobility

1 1 mm antero-posterior mobility

2 2 mm antero-posterior mobility

3 more than 2 mm antero-posterior amp medial to lateral mobility

आघटिता परसरवचनत 0 Absent

=Bleeding from gums by pressure

1 Bleeding on pressure remains for five minutes

2 Bleeding on pressure remains up to 15 minutes

3 Bleeding on pressure remains up to 30 minutes

4 Bleeding on pressure remains up to 1 hour

5 Bleeding on pressure remains more than 1 hour

भदवदना 0 Absent

1 Present

आधभामनत सरत यकत

0 Absent

1 Present

ऩतत वकतरता (अहर) 0 No foul smell

1 Patient feels foul smell

25

Code Signs amp Symptoms Score Gradations Remarks

2 Doctor or person who comes near to patient feels foul smell

3 From distance anyone can feels foul smell who is in the room

4 Foul smell can be feel from outside of the room even

कणडभचनत (अहर) 0 Absent Or According to VAS

1 Occasionally itching

2 On and off itching

3 Continues itching

िरा (अहर) 0 No mobility

1 1 mm antero-posterior mobility

2 2 mm antero-posterior mobility

3 More than 2 mm antero-posterior amp medial to lateral mobility

118 वदभभ (स) =Traumatic injury(By mechanical Chemical thermal )

घषिष दनतभरष सयबो जामत भहान

0 Absent Mahan suggest itself severity of disease

1 Present

िरदता (अहर) 0 No mobility

1 1 mm antero-posterior mobility

2 2 mm antero-posterior mobility

3 More than 2 mm antero-posterior amp medial to lateral mobility

119 वरभन (स) तीवरवदना 0 No pain Or According to VAS

1 तीवर -Pain is there but he can do

work or sleep

2 तीवरतय -Patient can tolerate

3 तीवरतभ -Patient canrsquot tolerate

1110 अधरमाास (स) भहाञिोथ 0 No Shoth Mahan suggest itself

severity of disease

1 Shoth is Present on that gum only where disease is occurred

2 Shoth is Present on nearby two or three gums where disease is occurred

26

Code Signs amp Symptoms Score Gradations Remarks

3 Shoth is present up to adjoining cheek

This condition should be considered as

भहाञिोथ

भहारजा (स) परततहनतममभमवरतत (अहर)

0 No Rujā (pain) Or According to VAS

2 Rujā (pain) is Present on that gum only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

This condition should be considered as भहारजा amp परततहनतममभमवरतत

रारासरावी 0 Normal secretion

1 Occasionally splitting

2 On and off splitting

3 Continuous splitting disturbance in work

दनतानत कीरवतमशोफ़ (अहर)

0 No Keel vat Shoth

1 Keel vat Shoth is Present on that gum only where disease is occurred

2 Keel vat Shoth is Present on nearby two or three gums where disease is occurred

3 Keel vat Shoth is present up to adjoining cheek

1111 दनतषवदरधर (अहर) दनतभासशोफ़ (ि) 0 No Shoph

1 Shoph is Present on that gum only where disease is occurred

2 Shosh is Present on nearby two or This condition should

27

Code Signs amp Symptoms Score Gradations Remarks

three gums where disease is occurred

be considered as अनत शवमथ According to

Vagbhatta

3 Shosh is extended up to adjoining cheek

This condition should be considered as फाहम शवमथ According to

Vagbhatta

फाहम शवमथ (अहर) This condition is mentioned at दनतभास शोफ़

अनत शवमथ (अहर) This condition is mentioned at दनतभास शोफ़

गर (अहर) 0 Absent

1 Present

रग (अहर) 0 No Rujā (pain) Or According to VAS

2 Rujā (pain) is Present on that gum only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

दाह (अहर) According to VAS

सरवतिननऩमासर (अहर)

0 No Discharge

1 Blood with Pus Discharge

2 Only pus discharge

1112 दतनाडी Scoring is not possible further according to measurement of Nadivrana because X-

ray only detects spread up to the bone Whereas Nadivrana in gingiva periodontal ligament cannot be measured

दतनाडी 0 Absent

1 Present

28

GRADATION OF DANTA GAT ROG

Code ndash 12

Gradations established by Group KARAL Dr Krishna Makadia - Convener

Dantavaidya Saroj Joshi Dantavaidya Harshad Joshi

Dr Kiran Raj Dr Achyuta Atara Dr Pranav Dave

Gradations Reviewed by Dr Hemangi Shukla Dr Krishna Makadia

Edited by Prof Vd Hāridra Dave

29

Code Signs amp Symptoms Score Gradations Remarks

121 दाऱन (स)

तीवररग 0 No Rujā (pain) Or According to VAS

2 Rujā (pain) is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

उषणअसहादनता (अस) 0 No sensitivity in teeth ie with warm

water hot water or

excessive hot water

application on

tooth is not

possible so Time

related and severity

related grading was

finalised(same for

cold)

1 Mild sensitivity in teeth - At a

time

2 Moderate sensitivity in teeth -

Sensitivity remains only for 1

Prahar (up to 3 hrs)

3 Severe sensitivity in teeth -

Sensitivity remains more than

1 Prahar (more than 3 hrs)

शीतअचधकवमथा (अहर) 0 No sensitivity in teeth

1 Mild sensitivity in teeth - At a

time

2 Moderate sensitivity in teeth -

Sensitivity remains only for 1

Prahar (up to 3 hrs)

3 severe sensitivity in teeth-

Sensitivity remains more than

1 Prahar (more than 3 hrs)

22 कममदनत (स) कषण 0 No discoloration

1 Light greyish black

2 Dark greyish black

3 Jet black

30

Code Signs amp Symptoms Score Gradations Remarks

तिदर 0 No cavity It should be

decided by X-ray

1 Cavity within limit of enamel

2 Cavity within limit of dentin

3 Cavity up to pulp

िर 0 No mobility

1 1 mm antero-posterior

mobility

2 2 mm antero-posterior

mobility

3 More than 2 mm antero-

posterior amp medial to lateral

mobility

सरावी 0 No Srāv- after drying

particular teeth with cotton

inserting cotton on cavity

There is no other

method to check

Srāv in Krimidanta

1 Srāv is present

ससयब = Inflammation 0 No inflammation

1 Inflammation is Present भहारज 0 No Rujā (pain) Or According to

VAS 2 Rujā (pain) is Present on that

gum only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

This condition should be considered as भहारज

अतनसभतमतरज 0 No sudden onset of pain

1 Sudden onset of pain is

present

अहततीवराततशभ (अहर) 0 No sudden onset of pain

31

Code Signs amp Symptoms Score Gradations Remarks

1 Sudden onset of pain is

present

पररन (अहर) = Broken due to cavity

0 Cavity is there but it is not

broken

It should be

considered for each

tooth separately

Cavity in that must

be present in

particular tooth

1 13 part of tooth is broken

2 23 of tooth is broken

3 More than 23 of tooth is

broken

4 Total loss of tooth

ऩमसरत (अहर) 0 No Pooya Srāv after drying

particular place

with cotton

inserting cotton on

cavity

1 Pooya Srāv present

यकतसरत (अहर) 0 No Rakta Srāv after drying

particular place

with cotton

inserting cotton on

cavity

1 Rakta Srāv is present

123 दनतहषभ (स)

शीत सऩशन न सहनत 0 No sensitivity by cold touch

in any teeth

1 Ooccassional sensitivity by

cold touch in any toothteeth

for once

2 Sensitivity by cold touch

remains in toothteeth only up

to 1 Prahar (up to 3hrs)

3 Sensitivity by cold touch

remains more than 1 Prahar

(more than 3hrs)

उषण सऩशन न सहनत 0 No sensitivity by hot touch in

any teeth

1 Occassional sensitivity by hot

touch in toothteeth for once

2 Sensitivity by hot touch

remains in toothteeth only up

to 1 Prahar (up to 3hrs)

3 Sensitivity by hot touch

remains in toothteeth more

than 1 Prahar (more than

3hrs)

32

Code Signs amp Symptoms Score Gradations Remarks

परवाताभा = Sensitivity to air

(परवातारशीतबाभा) (अहर)

0 No sensitivity by Pravāt

touch in any tooth

1 Occassional sensitivity by

Pravāt touch in toothteeth for

once

2 Sensitivity by Pravāt touch

remains in toothteeth only up

to 1 Prahar (up to 3hrs)

3 Sensitivity by Pravāt touch

remains in toothteeth more

than 1 Prahar (more than

3hrs)

अरबाभा = Sensitivity to sour food

(परवातारशीतबाभा) (अहर)

0 No sensitivity by eating

sourer food to any tooth

1 Occassional sensitivity by

eating sourer food to any

toothteeth for once

2 Sensitivity by eating sourer

food remains to toothteeth

only up to 1 Prahar (up to

3hrs)

3 Sensitivity by eating sourer

food remains to toothteeth

more than 1 Prahar (more

than 3hrs)

शीतबाभा (परवातारशीतबाभा) (अहर)

0 No sensitivity by eating cold

item to any tooth

1 Occasional sensitivity by

eating cold item to toothteeth

for once

2 Sensitivity by Pravāt touch

remains in toothteeth only up

to 1 Prahar (up to 3hrs)

3 Sensitivity by eating cold

item remains to toothteeth

more than 1 Prahar (more

than 3hrs)

सरजा (अहर) 0 No Rujā (pain)

33

Code Signs amp Symptoms Score Gradations Remarks

2 Rujā (pain) is Present on that gum only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

2 Rujā (pain) is Present on that gum only where disease is occurred and patient can do hisher routine work without disturbance

िर (अहर) 0 No mobility

1 1 mm anterio-posterior

mobility

2 2 mm anterio-posterior

mobility

3 More than 2 mm antero-

posterior amp medial to lateral

mobility

124 भञजनक (स) =Photograph is necessary

(depending upon the severity gradation has been finalised)

वकतर वकरता 0 No deviation

1 Deviation is present

तीवररक 0 No Rujā (pain) Or according to

VAS

2 Rujā (pain) is Present on that gum only where disease is occurred and patient can do hisher routine work without disturbance

34

Code Signs amp Symptoms Score Gradations Remarks

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

This condition should be considered as तीवररक

दनतबङग 0 Tooth is not broken This should be

considered for

single tooth

1 13 part of tooth is broken

2 23 of tooth is broken

3 More than 23 of tooth is

broken

4 Total loss of tooth

125 दनतशकभ रा (स) =Calculus index was selected

शकयव चसथयीबत भर 0 No calculus present

1 Supragingival calculus

covering not more than third

of the exposed tooth surface

2 Supragingival calculus

covering more than 13 but

not more than 23 of the

exposed tooth surface or the

presence of individual flecks

of subgingival calculus

around the cervical portion of

the tooth or both

3 Supragingival calculus

covering more than 23 of the

exposed tooth surface or

continues heavy band 0f

subgingival calculus around

the cervical portion of the

tooth or both

35

Code Signs amp Symptoms Score Gradations Remarks

दनताना गणहयी 0 Absent All 10 Guna of

Danta Sampata

should be

considered required

suggestions for

each Guna

1 Present

ऩततगचनध (अहर) 0 No foul smell Taken grading of

halitosis

1 Patient feels foul smell

2 Doctor or person who comes near to patient feels foul smell

3 From distance anyone can feels foul smell who is in the room

4 Foul smell can be feel from outside of the room even

126 कपामऱका (स)

दनतवलकसम दरनभ = Bracketing of tooth enamel (दरचनत दनतवलकातन)

0 No दरनभ of tooth This should be

considered

separately for each

tooth

1 दरनभ is present of less than 13 of tooth

2 दरनभ is present of more than of 13 of tooth but less than 23 of tooth

3 दरनभ is present of more than of 23 of tooth but no total loss of tooth

4 Total loss of tooth after दरनभ

This condition should be considered as दशनाना पवनाश

दशनाना पवनाश = Total loss of tooth

0 No Any loss of tooth This should be

considered

separately for each

tooth

1 loss of tooth is present of less than 13 of tooth

2 loss of tooth is present of more than of 13 of tooth but less than 23 of tooth

36

Code Signs amp Symptoms Score Gradations Remarks

3 loss of tooth is present of more than of 23 of tooth but no total loss of tooth

4 Total loss of tooth This condition should be considered as दशनाना पवनाश

दनतशातनभ अणश = Thinning of tooth (शातमतममतममणशो दनतात कऩारातन) (अहर)

0 No शातनभ of tooth This should be

considered

separately for each

tooth

1 शातनभ is present in less than 13 of tooth

2 शातनभ is present in more than 13 of tooth but less than 23 of tooth

3 शातनभ is present in more than 23 of tooth but no total loss of tooth

4 Total loss of tooth due to शातनभ

127 शयावदनतक (स) In शमावदनत शमावता amp नीरता should be considered ascending stages

शमावता + नीरता 0 -No any discolouration of

tooth

-Normal colour of tooth

This should be

considered

separately for each

tooth

1 शमावता is Present

2 नीरता is Present

128 हनमो (स) According to Dalhan हनमो is not Dant Rog directly but it is near to

Dantchewing of hard food is one of the causes and there is pain in Dant so it is considered under Danta Rog

हनसचनधपवसहत 0 Absent

1 Can be reset by manual reduction

2 Can be reset by surgical

intervention

129 दनतभद (अहर) तोद =Pricking pain 0 No Pricking pain -Or According to

VAS

- This should be

considered

separately for each

tooth

37

Code Signs amp Symptoms Score Gradations Remarks

2 Pricking pain is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Pricking pain is referred up to Hanu and patient can do hisher routine work without disturbance

4 Pricking pain is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Pricking pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Pricking pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

बद Braking pain 0 No Braking pain -Or According to

VAS

- This should be

considered

separately for each

tooth

2 Braking pain is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Braking pain is referred up to Hanu and patient can do hisher routine work without disturbance

4 Braking pain is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Braking pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Braking pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

38

Code Signs amp Symptoms Score Gradations Remarks

रक Dull pain 0 No Rujā (pain) -Or According to

VAS

- This should be

considered

separately for each

tooth

2 Rujā (pain) is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

सपिन Burstingexpanding pain

0 No Bursting pain -Or According to

VAS

- This should be

considered

separately for each

tooth

2 Bursting pain is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Bursting pain is referred up to Hanu and patient can do hisher routine work without disturbance

4 Bursting pain is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

39

Code Signs amp Symptoms Score Gradations Remarks

5 Bursting pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Bursting pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

1210 दनतचाऱ (अहर) िरतमव = Mobility 0 No = mobility

1 1mm anterio-posterior

mobility

2 2 mm anterio-posterior

mobility

3 More than 2 mm anterio-

posterior amp medial to lateral

mobility

बणादचधकवमथ 0 No Vyatha ndash Pain during

eating

1 Pain during eating of hard

diet only

2 Pain during eating of soft diet

even

1211 कराऱ (स)

=Malocclusion

0 A Normal Molar relationship

exist but there is crowding

misalignment of the teeth

cross bite etc

1 A malocclusion where the

molar relationship shows the

buccal grove of mandibular

first molar distally positioned

when in occlusion with the

mesiobuccal cusp of the

maxillary first molar

2 A malocclusion where the

molar relationship shows the

buccal groove of the

mandibular first molar

mesiallypos

40

GRADATIONS OF JIHWA GAT ROG

Code - 13

Established by Group BHOJ Dr Krishna Makaia ndash Convener

Dr Rajeshree Unadkat Dr Neelam Dave

Dr Ronakgiri Gosai Dr Jignesh Virapariya

Reviewed by Dr Vijayant Bharadwaj

Edited by Prof Vd Hāridra Dave

41

Code Signs amp Symptoms Score Gradations Remarks

131 वाततक चजहवाकिक (स) सपटिता (Creaks) 0 No creaks on tongue

1 Single creak on the dorsum of tongue

2 Multiple Creaks on the dorsum of tongue

3 Multiple deep creaks on the dorsum of tongue (Bleeding)

परसपता (Numbness )

0 No Numbness

1 Numbness in 13 Part of tongue

2 Numbness in 23 Part of tongue

3 Numbness in more than 23 Part of tongue

शाकछिदनपरकाशा (Roughness)

0 Normal surface of tongue on touch

1 Mild rough surface on touch

2 Hard irregular surface on touch

3 Very rough surface which hurts the finger on touch

132 ऩततक चजहवाकिक (स) ऩीता 0 No yellowish discolouration

1 Yellowish discoloration in 13 part

2 Yellowish discoloration in 23 part

3 Yellowish discoloration in more than 23 part of tongue

ऩरयदहमत Burning in entire tongue)

0 No burning Or According to VAS

1 Occasional burning

2 Intermittent burning

3 Continuous burning does not relieve by any measures

दाह (Burning may be

in partially tongue)

0 No Burning Or According to VAS

1 Burning up to 13 part of tongue

2 Burning in 13 to 23 part of tongue

3 Burning in more than 23 part of tongue

42

Code Signs amp Symptoms Score Gradations Remarks

यकतभासाङकयचशिता (Covered with red buds )

0 No change in appearance

1 13 part of tongue covered with red fleshy buds

2 23 part of tongue covered with red fleshy buds

3 Whole tongue covered with red fleshy buds

ओष (Burning) 0 No Oshha Or According to VAS

1 Oshha up to 13 part of tongue

2 Oshha in 13 to 23 part of tongue

3 Oshha in more than 23 part of tongue

133 कपज चजहवाकिक (स) फहरा (Thick) 0 Normal Thickness of Tongue

1 Thickness increased - noticeable by patient

2 Thickness increased - noticeable by the examiner

3 Tongue protruding out because of increased Thickness

गवी (Heaviness) 0 No Heaviness

1 Feeling mild heaviness but no difficulty in Tongue movement

2 Difficulty in Tongue movement especially during intake of liquid

3 Difficulty in Tongue movement especially during intake of hard food

4 Difficulty in Tongue movement especially during Pronunciation

भासोदगभ शालभसरकणिकाब (thorn like papilla)

0 No change in appearance of tongue

1 13 part of tongue covered with red fleshy thorn like papilla

2 23 part of tongue covered with thorn like papilla

3 Whole tongue covered with thorn like papilla

43

Code Signs amp Symptoms Score Gradations Remarks

134 अरास (स) शवमथ

(Swelling at ventral surface of tongue)

0 Absent

1 Present

सतबमतत (Restricted tongue movement)

0 -Normal Movement of Tongue -Movement of tongue not affected

1 Tongue movement slightly restricted but does not affect the normal function

2 Tongue movement restricted that affects the normal function

3 Tongue movement arrested

परवदध

(Increase in size)

0 Size not increased

1 Size increased - noticeable by the patient

2 Size increased - noticeable by the examiner

3 Tongue protruding out because of increased size

ऩाक 0 No swelling or suppuration

1 Inflammation with pain and tenderness

2 Inflammation with different types of pain and tenderness along with induration

3 Pus formation and fluctuation positive

अधशोप 0 Absent

1 Present

उननत (elevation of

the tongue due to swelling below the tongue)

0 Normal position of tongue

1 Tongue slightly elevated due to swelling below the tongue

2 Tongue elevation causes discomfort to the patient

3 Tongue touches the palate

भतमसमगचनध

(Fishy smell)

0 Absent

1 Present

44

Code Signs amp Symptoms Score Gradations Remarks

भासशातन (Destruction of flesh of tongue )

0 No Destruction of tongue flesh

1 13 part of tongue flesh is destroyed

2 23 part of tongue flesh is destroyed

3 More than 23 part of tongue is destroyed

135 उऩचजचहवका (स) शवमथ (Swelling) 0 Absent

1 Present

चजहवाभननम

जात (elevation of

tongue because of swelling)

0 Normal position of tongue

1 Tongue slightly elevated due to swelling below the tongue

2 Tongue elevation causes discomfort to the patient

3 Tongue touches the palate

परसक (Salivation) 0 Normal secretion of saliva

1 Occasionally spitting

2 Off and on spitting

3 Continuous spitting which disturbs the work

कणड (Itching) 0 No itching Or According to VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate on work due to severe itching

0r

0 No itching

1 Occasional itching

2 Off and on itching

3 Continuous itching

ऩरयदाह (Burning in

whole tongue)

0 No burning Or According to VAS

1 Occasional burning

2 Intermittent burning

3 Contentious burning dose not relive by any measures

45

Code Signs amp Symptoms Score Gradations Remarks

136 अचधचजचहवका (अर)

अधोचजहवामा शोप

0 Normal position of tongue

(Swelling below the tongue)

1 Tongue slightly elevated due to swelling below the tongue

2 Tongue elevation causes discomfort to the patient

3 Tongue touches the palate

अङकय (Pappilary

growth)

0 Absent

1 Present

ओष (Burning) 0 No Oshh Or According to

VAS

1 Oshh up to 13 part of tongue

2 Oshh in 13 to 23 part of tongue

3 Oshh in more than 23 part of tongue

सतबवान

(Restriction of Movement)

0 Movement of tongue not affected

1 Tongue movement slightly restricted but does not affect the normal function

2 Tongue movement restricted that affect the normal function

3 Tongue movement arrested

खय(Rough) 0 Smooth on touch

1 Mild irregular surface

2 Rough surface

3 Sharp rough surface touch hurts on finger on touch

रक (Pain) 0 No pain Or According to

VAS

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

कणड (Itching) 0 No itching Or According to

VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate on work due to severe itching

0r

0 No itching

46

Code Signs amp Symptoms Score Gradations Remarks

1 Occasional itching

2 Off and on itching

3 Continuous itching

वाकम पवघातकत (Difficulty in speech)

0 No difficulty in speech

1 Unable to speak िति vargavyanjana

2 Difficulty in speaking क vargavyanjana

Swara donrsquot need involvement of tongue

3 Unable to speak

आहयपवघातकत

(Swallowing )

0 Able to eat regular diet

1 Able to eat soft diet

2 Able to eat only liquid diet

3 Unable to swallow anything

47

GRADATION OF TALUGAT ROG

Code - 14

Established by Group BHOJ Dr Krishna Makaia ndash Convener

Dr Rajeshree Unadkat Dr Neelam Dave

Dr Ronakgiri Gosai Dr Jignesh Virapariya

Reviewed by Dr Vijayant Bharadwaj

Edited by Prof Vd Hāridra Dave

48

Code Signs amp Symptoms Score Gradations Remarks

141 गरशचणडका (स)

परवदधो शोप (Swelling extending from palate) (Which is elongated)

0 Normal size of uvula

1 Swelling of uvula that causes discomfort to the patient

2 Swelling of uvula that causes foreign body sensation

3 Difficulty in breathing due to swelling

दीघ शोप

(Elongated Swelling)

0 Normal size of uvula

1 Elongated swelling of uvula that causes discomfort to the patient

2 Elongated swelling of uvula that causes foreign body sensation

3 Difficulty in breathing due to Elongated swelling

धभातफचसतपरकाश शोप =Inflated

swelling like Basti

0 Normal size of uvula

1 Inflated swelling like Basti of uvula that causes discomfort to the patient

2 Inflated swelling like Basti of uvula that causes foreign body sensation

3 Difficulty in breathing due to Inflated swelling like Basti

तषणा 0 Normal feeling of thirst

1 Increased feeling of thirst which is relived after drinking water

The quantity of water is not consider here but the frequency of water is considered

2 Frequent feeling of thirst which is Occasional relived after drinking water

3 Continuous feeling of thirst does not relive after drinking profuse amount of water

कास (Coughing) 0 No coughing

49

Code Signs amp Symptoms Score Gradations Remarks

1 Occasional coughing during eating and speaking

2 Off and on coughing

3 Continuous coughing

शवास 0 No difficulty in breathing

1 Difficulty in breathing occasionally

2 More difficulty in breathing while sleeping

3 Excessive difficulty in breathing

भतमसमफचसततनब शोप (अहर)

0 Normal uvula Used as an adjective

1 Inflated swelling like Matsya-Basti of uvula that causes discomfort to the patient

2 Inflated swelling like Matsya-Basti of uvula that causes foreign body sensation

3 Difficulty in breathing due to Inflated swelling like Matsya-Basti

पररफ (अहर) 0 Normal length of Uvula

(Elongated Swelling)

1 Size of Uvula increased up to lt2 mm

2 Size of Uvula increased more than 2 mm but less than 4 mm

3 Size of Uvula increased gt4 mm that cause discomfort to patient and cause difficulty in breathing

पऩचछिर(अहर) (Sliminess)

0 Absent

1 Present

नासमाऽऽहायभीयमन (अहर)

0 Food does not come out from nose

(Food comes out of nose)

1 Food comes out from nose

कणठोऩयोध(अहर) (Obstruction of throat )

0 -Able to eat regular diet -No difficulty in swallowing of any food

1 Able to swallow liquid or soft diet but not able to swallow hard diet

2 Able to swallow hard diet forcefully

50

Code Signs amp Symptoms Score Gradations Remarks

3 Not able to swallow hard diet with force

वभन(अहर) (Vomiting)

0 No Vaman

1 Feeling of nausea only

2 Only one veg of Vaman in a day

3 Two vegas of Vaman in a day

4 More than two vegas of Vaman in a day

132 तचणडकयी (स)

शोप (Tonsillar

Swelling)

0 Tonsils are located within the tonsillar fossa

1 Tonsils hypertrophy till the brim of the tonsillar fossa

2 Tonsils hypertrophy extends beyond the pillars but not touching each other

3 Tonsils hypertrophy extends beyond the pillars but not touching each other

तोद

(Pricking pain)

0 No pain

1 Occasional pain Or according to VAS

2 Off and on pain

3 Continuous pain

दाह (Burning) 0 No

1 Occasional burning

2 Intermittent burning

3 Contentious burning dose not relive by any measures

परऩाक 0 Absent

1 Present

पऩचछिर शोप(अहर)

Sliminess in swallowing

0 Feeling of Sliminess is Absent

1 Feeling of Sliminess is Present

भनदरक (अहर)

(Mild pain)

0 Absent Or According to

VAS

1 Present

133 अधरष (स)

शोप (Swelling) 0 No swelling

1 13 Swelling in part of the palate

51

Code Signs amp Symptoms Score Gradations Remarks

2 23 swelling in part of palate

3 Swelling in gt than 23 part of palate

सतबधता =Functions of soft palate like deglutition Phonation etc are affected = No mobility of soft palate

0 Normal function of soft palate

1 Soft palate movement reduced but functions are not affected

2 Any one of the functions of soft palate is affected

3 All functions of soft palate are affected

रोटहतवणता

(Redness)

0 No change in colour

1 Pinkish red coloured mucosa in palate

2 Red coloured mucosa in palate

3 Dark red coloured mucosa in palate

रजा (Pain) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

जजवय (Fever) 0 Normal temperature

1 Temperature between 984rsquoF to 100rsquoF

Temperature between 100rsquoF to 101rsquoF

2 Temperature between 101rsquoF to 102rsquoF

3 Temperature between 102rsquoF to 103rsquoF

52

Code Signs amp Symptoms Score Gradations Remarks

4 Temperature between 103rsquoF to 104rsquoF

5 Temperature more than 104rsquoF

134 कछिऩ (स)

कभवत उतमसनन शोप (Swelling

having shape like dorsum of tortoise)

0 No swelling

1 Swelling in 13rd part of the palate

2 Swelling in 23rd part of palate

3 Swelling in gt 23rd part of palate

चियवपदध(अहर)

(Slow growth)

0 Growth within a week

1 Growth within 1 week to 1 month

2 Growth within 1 month to 6 months

3 Growth within gt 6 months

रक (अहर) (Pain) 0 No pain Or According to VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesics

135 तारअफद (स) ऩदमाकाय तारभधम

शोपम (Swelling

like shape of lotus )

0 No swelling

1 Swelling in 13rd part of the palate

2 2 Swelling in 23rd part of palate

3 3 Swelling in gt 23rd part of palate

136 भाससङघात (स) नीरज (Painless) 0 Absent

1 Present

53

Code Signs amp Symptoms Score Gradations Remarks

शोप 0 No swelling

1 Swelling in 13rd part of the palate

2 Swelling in 23rd part of palate

3 Swelling in gt 23rd part of palate

137 तारऩपऩि (स) नीरक (Painless) 0 Absent

1 Present

कोरभातर

Swelling having size of Kola fruit

0 Absent

1 Present

138 तारशोष (स)

शोष (Dryness) 0 No dryness

1 Dryness decreased after drinking water

2 Patient needs water frequently

3 Dryness persist after dinking profuse water

दायण (Tearing of palate)

0 Absent

1 Present

शवास (Difficulty in

breathing)

0 No difficulty in breathing Here difficulty in breathing is due to obstruction

1 Difficulty in breathing occasionally

2 More difficulty in breathing while sleeping position

3 Excessive difficulty in breathing

जजवय(अहर) (Fever) 0 Normal temperature

1 Temperature between 984rsquoF to 100rsquoF

Temperature between 100rsquoF to 101rsquoF

2 Temperature between 101rsquoF to 102rsquoF

3 Temperature between 102rsquoF to 103rsquoF

4 Temperature between 103rsquoF to 104rsquoF

5 Temperature more than 104rsquoF

54

Code Signs amp Symptoms Score Gradations Remarks

139 तारऩाक (स) ऩाक (Suppuration) 0 No swelling or suppuration

1 Inflammation of palate with pain and tenderness

2 Inflammation of palate with different types of pain and tenderness with induration

3 Pus formation and fluctuation positive

1310 तारपऩटिका (अहर) तारभास पऩटिका

Follicles in palate flesh

0 No follicles

1 13 palate covered with follicles

2 23 palate covered with follicles

3 More than 23 palate covered with follicles

रज(अहर) (Pain) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

Occasional pain

खयता(अहर) (Roughness)

0 Smooth on touch

1 Mild irregular surface on touch

2 Rough surface

3 Sharp rough surface which hurts on finger on touch

घनसराव(अहर) (Thick discharge)

0 No discharge

1 Occasional discharge

2 Off and on thick discharge

3 Continuous thick discharge

1311 तारसहतत (अहर) तारभधम तनरक (अहर) =Painless fleshy growth in palate

Only तारभधम तनरक indicates the place and quality of growth both the symptoms can be

merged

55

Code Signs amp Symptoms Score Gradations Remarks

तनरक (Painless) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

भाससहत

(Fleshy growth in palate)

0 No fleshy growth

1 Fleshy growth in 13 part of the palate Swelling

2 Fleshy growth in 23 part of palate swelling

3 Fleshy growth in more than 23 part of palate

56

GRADATION OF SARVASAR ROG

Code - 15

Established by Group BHOJ Dr Krishna Makaia ndash Convener

Dr Rajeshree Unadkat Dr Neelam Dave

Dr Ronakgiri Gosai Dr Jignesh Virapariya

Reviewed by Dr Vijayant Bharadwaj

Edited by Prof Vd Hāridra Dave

57

Code Signs amp Symptoms Score Gradations Remarks

151 वातजसवसय (स) सपोि (Ulcers) 0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

तोद = Pricking pain 0 No pricking pain Or According to VAS

1 Occasional pricking pain

2 Off and on pricking pain

3 Continuous pricking pain

Or

0 No pricking pain

1 Sometimes mild pricking pain

2 Has to take analgesic while pricking pain

सिारयण(अहर) This symptom is for सवसय so this सवसय is the nature of सिारय

0 No movement of सवसय

1 Movement of सवसय is once in a week

2 Movement of सवसय is once in three to four days

3 Movement of सवसय is at every alternate day

4 Movement of सवसय is once in a day

अरण (अहर) Reddish discoloration

0 Colour of वरण is same with colour of surrounding area

1 Colour of वरण is Reddish

2 Colour of वरण is Dark Red

3 Colour of वरण is Reddish black

र (अहर) Dryness 0 वरण is Moist

-No dryness of वरण

1 वरण Needs lubrication once a day

2 वरण Needs frequent lubrication in

a day

3 No benefit with frequent

lubrication of वरण

तामरता (अहर) (Coppery

0 Colour of वरणौषठ is same with colour of surrounding area

58

Code Signs amp Symptoms Score Gradations Remarks

discoloration) This symptom is for

वरणौषठ

1 Colour of वरणौषठ is Tamra Varna

चऱतवचा (अहर) (Free mucous membrane) This symptom is for

वरणौषठ

0

Movement of वरणौषठ is on touch

only

1 Movement of वरणौषठ can be seen by naked eye means without touch

शीतासहा (अहर) (Intolerance to cold) This symptom is for

जजहवा

0 No Intolerance of cold to जजहवा

1 Intolerance of severe cold to जजहवा

2 Intolerance of moderate cold to जजहवा

3 Intolerance of Mild cold to जजहवा

गवी (Heaviness)

This symptom is for

जजहवा

0 No Heaviness

1 Mild heaviness with no difficulty

in movement of जजहवा

2 Moderate heaviness with

difficulty in Movement of जजहवा

3 Sever heaviness with bending down of

सफटटता (अहर) (Ulcer)

0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

कणटाकाधचता (अहर) = Thorn like

appearance

0 No change in appearance

59

Code Signs amp Symptoms Score Gradations Remarks

1 13 part of oral mucous membrane covered with red fleshy thorn like papillae

2 23 part of oral mucous membrane covered with red fleshy thorn like papillae

3 gt23 part of oral mucous membrane covered with red fleshy thorn like papillae

षववणोतत कचछरणमखम (अहर) (Difficulty in mouth opening)

0 Mouth opening more than 3 fingers without difficulty

1 2 to 3 fingers opening of mouth with or without difficulty

2 1 to 2 fingers opening of mouth with or without difficulty

3 Less than 1 finger opening of mouth with or without difficulty

152 पऩतमत(यकतज)सवसय (स) Signs and Symptoms of यकतज सवसय are same as of पऩतमत सवसय so no separate gradations are mentioned

यकतता (Redness) 0 Colour of सवसय- वरण is similar with

surrounding mucous membrane

1 Reddish Colour of सवसय- वरण

2 Bright red Colour of सवसय- वरण

3 Dark red Colour of सवसय- वरण

सदाह (Burning

Sensation)

0 No burning in सवसय- वरण Or According to

VAS

1 Occasional burning in सवसय- वरण

2 Intermittent burning in सवसय- वरण

3 Contentious burning in सवसय- वरण

which does not relive by any measures

तन (तनसब) (Shallow superficial ulcers)

0 No ulcer

1 Ulcer having depth of 05-1 mm

2 Ulcer having depth of 1 ndash 15 mm

3 Ulcer having depth of 15 -2 mm

60

Code Signs amp Symptoms Score Gradations Remarks

ओष (अहर) 0 No (ओष) burning in सवसय- वरण

1 Occasional (ओष) burning in

सवसय- वरण

2 Intermittent (ओष) burning in

सवसय- वरण

3 Contentious (ओष) burning in

सवसय- वरण which does not relive

by any measures

ततकतवकरता (अहर) (Bitter taste in mouth)

0 No alteration in taste

1 Occasionally bitter taste felt in mouth without having any bitter substance

2 Off and on bitter taste felt in mouth without having any bitter substance

3 Continuous bitter taste felt in mouth without having any bitter substance

ारोकषतत समावरणा (अहर)

0 No Ulcer

(Ulcers looking like chemical burns)

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

153 कपज सवसय (स) कणड (Itching) 0 No itching Or According to

VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Unable to work due to itching

0r

0 No itching

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate on work due to severe itching

रजा (Pain)

(अलऩ रजा) 0 No pain Or According to

VAS

1 Occasional pain

61

Code Signs amp Symptoms Score Gradations Remarks

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain This condition should be considered as अलऩ रजा

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

सवणण 0 Colour of वरण is same with colour of near by tissue

1 Colour of वरण is not same with colour of near by tissue

मररासयतवम (अहर) (Sweet taste in mouth)

0 No alteration in taste

1 Occasionally sweet taste felt without eating any sweet substance

2 Off and on Sweet taste Occasionally sweet taste felt without eating any sweet substance

3 Continuous sweet taste Occasionally sweet taste felt without eating any sweet substance

षपजचछिऱता (अहर) (Unctuousness)

0 Absent

1 Present

वरण 0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

154 कफाबभद (अहर) शयाव अबभदम

(शयावपाणडऽबभदम) 0 Colour of growthtumour is same

the colour of surrounding skin

1 Colour of growthtumour is शयाव

(Blackish)

62

Code Signs amp Symptoms Score Gradations Remarks

पाणड अबभदम (शयावपाणडऽबभदम)

0 Colour of growthtumour is same the colour of surrounding skin

1 Colour of growthtumour is पाणड

(Pale)

अबभदम 0 No GrowthTumour TNM Classification for tumours can be applied for growth

1 Growthtumour having sizelt 10 mm

2 Growthtumour having size 10 mm to 20 mm

3 Growthtumour having size gt 20 mm

घटिता तिनना मटदता च षववरभत (Size increases on rubbing cutting and squeezing)

0 Size of GrowthTumour is not increasing by rubbing cutting or squeezing

1 Size of GrowthTumour is increasing up to 10 mm by rubbing cutting or squeezing within a month

2 Size of GrowthTumour is increasing up to 20 mm by rubbing cutting or squeezing within a month

3 Size of GrowthTumour is increasing up to 30 mm by rubbing cutting or squeezing within a month

4 Size of GrowthTumour is increasing up to 40 mm by rubbing cutting or squeezing within a month

155 ऊरधवभगद (अहर) वकतरदौगनधम

(Halitosis)

0 No Halitosis

1 Halitosis is feel by Patient only

2 Halitosis is feel by Patient and examining Doctor only

3 Halitosis is feel by any person from the distance from 5 meters

63

Code Signs amp Symptoms Score Gradations Remarks

4 Halitosis is feel by any person from the distance from more than 5 meters

156 पततवकर (अहर) ऩतममासमता

(Halitosis)

0 No Halitosis

1 Halitosis is feel by Patient only

2 Halitosis is feel by Patient and examining Doctor only

3 Halitosis is feel by any person from the distance from 5 meters

4 Halitosis is feel by any person from the distance from more than 5 meters

157 सतनऩाततक सवसय (अहर) This disease occurs due to aggravation of all three doshas including Rakta Clinical presentation of this disease is found as mixed picture according prominent aggravation of dosha and signs and symptoms will be observed accordingly Gradations should be considered accordingly so it is not required to repeat here

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Page 20: THE GRADATIONS OF DISEASES OF SHALAKYA TANTRA - PART …theassociationofshalaki.com/downloads/GRADATIONS_OF_DISEASE… · 12.05.2019  · I am also very much thankful to Dr Sandhya

19

Code Signs amp Symptoms Score Gradations Remarks

3 Not covering the teeth (All teeth exposed)

1010 जराफद (अहर) जरफदफदवद

(Cystic Swelling)

0 No Cystic Swelling

1 Up to 5mm Swelling

2 Swelling up to 5-10mm

3 More than 10mm

1011 यकताफद (स) रचधय सराव

रचधय सरवत 0 No bleeding

(Bleeding) 1 Bleeding on touch or movement

2 Spontaneous bleeding

3 Continuous bleeding

खजयसदश 0 Absent Used as an adjective

(Date fruits like) 1 Present

1012 खणडौषठ (अ)

ओषठोदपवधाकत 0 No separation of lips

(Lips divided separated into two parts)

1 Separation up to vermilion line

2 Separation up to Philtrum

3 Separation up to Collumella

20

GRADATION OF DANTA MOOL GAT ROG

Code ndash 11

Gradations established by Group KARAL Dr Krishna Makadia - Convener

Dantvaidya Saroj Joshi Dantvaidya Harshad Joshi

Dr Kiran Raj Dr Achyuta Atara Dr Pranav Dave

Gradations Reviewed by Dr Hemangi Shukla Dr Krishna Makadia

Edited by Prof Vd Hāridra Dave

21

Code Signs amp Symptoms Score Gradations Remarks

111 शीताद (स) अकसभात यकतसराव 0 No bleeding

1 Occasional bleeding for 1 or 2 times in 1 Prahar

2 Spontaneous Bleeding up to one Prahar

3 Spontaneous Bleeding for more than 1 Prahar (more than 3hrs)

दगनधीतन 0 No foul smell

1 Patient feels foul smell

2 Doctor or person who comes near to patient feels foul smell

3 From distance anyone can feels foul smell who is in the room

4 Foul smell can be feel from outside of the room even

सकषणातन 0 Absent

=Blackish discoloration

1 Present

परकरदीतन 0 Absent

1 Present

भदता 0 Absent

1 Present

दनतभास शीमनत 0 Gums situated At CE junction

1 Recession of gums At cervical 13

2 Recession of gums At middle 13

3 Recession of gums At apical 13

ऩिचनत ि ऩयसऩयभ 0 No Pachan (Pāk)

= Pāk 1 1 Quadrant is involved

2 2 quadrants are involved

3 More than 2 quadrants are involved

112 दनतपपपटक (स) दनतमोसतरीष वा 0 No involvement of teeth

1 Involvement of 2 teeth

2 Involvement of 3 teeth

शवमथ भहान 0 Absent

1 Present

सरज 0 No pain Or according to VAS

1 तीवर =Pain is there but he can do

work or sleep

22

Code Signs amp Symptoms Score Gradations Remarks

2 तीवरतय =Pain is there but he can do

work or sleep

3 तीवरतभ =Patient canrsquot tolerate

शोफ़ो फदयाचसथतनबो घन (अहर) =Kola is

small jujube and badar is big jujube and seed is measuring around 5 mm

0 Not present

1 Shoth up to 25 mm

2 Shoth 25 to 5 mm

3 Shoth is more than 5 mm

ऩाक (अहर) (शीघर ऩछमत)

0 Absent Accumulation of Fluid or pus

1 Present

113 दनतवषट (स) सरवचनत ऩमरचधय

Discharge of blood with pus or only pus

0 No Discharge

1 Blood with Pus Discharge

2 Only pus discharge

िरता 0 No mobility

1 1 mm antero-posterior Mobility

2 2 mm antero-posterior Mobility

3 More than 2 mm antero-posterior amp medial to lateral mobility

114 शौषषर (स) शवमथ 0 Absent

1 Present

रजावान According to VAS scoring

रारासरावी 0 Normal secretion

1 Occasionally splitting

2 On and off splitting

3 Continuous splitting disturbance in work

कणड 0 Absent

1 Occasionally itching

2 On and off itching

3 Continues itching

23

Code Signs amp Symptoms Score Gradations Remarks

दतभासपरशातन 0 Gums situated At CE junction

1 Recession of gums At cervical 13

2 Recession of gums At middle 13 3 Recession of gums At apical 13

115 महाशौषषर (स) दनताशिरचनत 0 No mobility

1 1 mm antero-posterior mobility

2 2 mm antero-posterior mobility

3 More than 2 mm anteroposterior amp medial to lateral mobility

तार अवदीमत 0 Absent Fissure over the Palate

1 Present

दतभासातनऩछमनत 0 No redness

1 Mild redness

2 Moderate redness

3 Severe redness

भख ऩरयऩीडमत 0 No Peedā Or According to VAS

Pain in any part or whole oral cavity

1 Peedā is at those Gums where disease is situated

2 Peedā is at entire Gums

Peedā is at entire Mukh

सचननऩाताजजजजवयवान

(अहर) 0 Normal temperature

1 Temperature between 984rsquoF to 100rsquoF

Temperature between 100rsquoF to 101rsquoF

2 Temperature between 101rsquoF to 102rsquoF

3 Temperature between 102rsquoF to 103rsquoF

4 Temperature between 103rsquoF to 104rsquoF

5 Temperature more than 104rsquoF

सऩमरचधयसरतत (अहर)

0 No Discharge

1 Blood with Pus Discharge

2 only pus discharge

पवशीणदपवजफनधन (अहर)

0 No mobility

1 1 mm antero-posterior mobility 2 2 mm antero-posterior mobility

24

Code Signs amp Symptoms Score Gradations Remarks 3 more than 2 mm antero-posterior

amp medial to lateral mobility

116 पररदर (स) दनतभासातन शीमनत 0 Gums situated At CE junction Depending upon

severity grading has been established

1 Recession of gums At cervical 13

2 Recession of gums At middle 13

3 Recession of gums At apical 13

षठीवतत असक 0 No spitting of blood

1 Occasionally splitting

2 On and off splitting

3 Continuous splitting with disturbance in work

117 उपकश (स) दाह Or According to VAS

ऩाक 0 Absent

1 Present

दनताशिरचनत 0 No mobility

1 1 mm antero-posterior mobility

2 2 mm antero-posterior mobility

3 more than 2 mm antero-posterior amp medial to lateral mobility

आघटिता परसरवचनत 0 Absent

=Bleeding from gums by pressure

1 Bleeding on pressure remains for five minutes

2 Bleeding on pressure remains up to 15 minutes

3 Bleeding on pressure remains up to 30 minutes

4 Bleeding on pressure remains up to 1 hour

5 Bleeding on pressure remains more than 1 hour

भदवदना 0 Absent

1 Present

आधभामनत सरत यकत

0 Absent

1 Present

ऩतत वकतरता (अहर) 0 No foul smell

1 Patient feels foul smell

25

Code Signs amp Symptoms Score Gradations Remarks

2 Doctor or person who comes near to patient feels foul smell

3 From distance anyone can feels foul smell who is in the room

4 Foul smell can be feel from outside of the room even

कणडभचनत (अहर) 0 Absent Or According to VAS

1 Occasionally itching

2 On and off itching

3 Continues itching

िरा (अहर) 0 No mobility

1 1 mm antero-posterior mobility

2 2 mm antero-posterior mobility

3 More than 2 mm antero-posterior amp medial to lateral mobility

118 वदभभ (स) =Traumatic injury(By mechanical Chemical thermal )

घषिष दनतभरष सयबो जामत भहान

0 Absent Mahan suggest itself severity of disease

1 Present

िरदता (अहर) 0 No mobility

1 1 mm antero-posterior mobility

2 2 mm antero-posterior mobility

3 More than 2 mm antero-posterior amp medial to lateral mobility

119 वरभन (स) तीवरवदना 0 No pain Or According to VAS

1 तीवर -Pain is there but he can do

work or sleep

2 तीवरतय -Patient can tolerate

3 तीवरतभ -Patient canrsquot tolerate

1110 अधरमाास (स) भहाञिोथ 0 No Shoth Mahan suggest itself

severity of disease

1 Shoth is Present on that gum only where disease is occurred

2 Shoth is Present on nearby two or three gums where disease is occurred

26

Code Signs amp Symptoms Score Gradations Remarks

3 Shoth is present up to adjoining cheek

This condition should be considered as

भहाञिोथ

भहारजा (स) परततहनतममभमवरतत (अहर)

0 No Rujā (pain) Or According to VAS

2 Rujā (pain) is Present on that gum only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

This condition should be considered as भहारजा amp परततहनतममभमवरतत

रारासरावी 0 Normal secretion

1 Occasionally splitting

2 On and off splitting

3 Continuous splitting disturbance in work

दनतानत कीरवतमशोफ़ (अहर)

0 No Keel vat Shoth

1 Keel vat Shoth is Present on that gum only where disease is occurred

2 Keel vat Shoth is Present on nearby two or three gums where disease is occurred

3 Keel vat Shoth is present up to adjoining cheek

1111 दनतषवदरधर (अहर) दनतभासशोफ़ (ि) 0 No Shoph

1 Shoph is Present on that gum only where disease is occurred

2 Shosh is Present on nearby two or This condition should

27

Code Signs amp Symptoms Score Gradations Remarks

three gums where disease is occurred

be considered as अनत शवमथ According to

Vagbhatta

3 Shosh is extended up to adjoining cheek

This condition should be considered as फाहम शवमथ According to

Vagbhatta

फाहम शवमथ (अहर) This condition is mentioned at दनतभास शोफ़

अनत शवमथ (अहर) This condition is mentioned at दनतभास शोफ़

गर (अहर) 0 Absent

1 Present

रग (अहर) 0 No Rujā (pain) Or According to VAS

2 Rujā (pain) is Present on that gum only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

दाह (अहर) According to VAS

सरवतिननऩमासर (अहर)

0 No Discharge

1 Blood with Pus Discharge

2 Only pus discharge

1112 दतनाडी Scoring is not possible further according to measurement of Nadivrana because X-

ray only detects spread up to the bone Whereas Nadivrana in gingiva periodontal ligament cannot be measured

दतनाडी 0 Absent

1 Present

28

GRADATION OF DANTA GAT ROG

Code ndash 12

Gradations established by Group KARAL Dr Krishna Makadia - Convener

Dantavaidya Saroj Joshi Dantavaidya Harshad Joshi

Dr Kiran Raj Dr Achyuta Atara Dr Pranav Dave

Gradations Reviewed by Dr Hemangi Shukla Dr Krishna Makadia

Edited by Prof Vd Hāridra Dave

29

Code Signs amp Symptoms Score Gradations Remarks

121 दाऱन (स)

तीवररग 0 No Rujā (pain) Or According to VAS

2 Rujā (pain) is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

उषणअसहादनता (अस) 0 No sensitivity in teeth ie with warm

water hot water or

excessive hot water

application on

tooth is not

possible so Time

related and severity

related grading was

finalised(same for

cold)

1 Mild sensitivity in teeth - At a

time

2 Moderate sensitivity in teeth -

Sensitivity remains only for 1

Prahar (up to 3 hrs)

3 Severe sensitivity in teeth -

Sensitivity remains more than

1 Prahar (more than 3 hrs)

शीतअचधकवमथा (अहर) 0 No sensitivity in teeth

1 Mild sensitivity in teeth - At a

time

2 Moderate sensitivity in teeth -

Sensitivity remains only for 1

Prahar (up to 3 hrs)

3 severe sensitivity in teeth-

Sensitivity remains more than

1 Prahar (more than 3 hrs)

22 कममदनत (स) कषण 0 No discoloration

1 Light greyish black

2 Dark greyish black

3 Jet black

30

Code Signs amp Symptoms Score Gradations Remarks

तिदर 0 No cavity It should be

decided by X-ray

1 Cavity within limit of enamel

2 Cavity within limit of dentin

3 Cavity up to pulp

िर 0 No mobility

1 1 mm antero-posterior

mobility

2 2 mm antero-posterior

mobility

3 More than 2 mm antero-

posterior amp medial to lateral

mobility

सरावी 0 No Srāv- after drying

particular teeth with cotton

inserting cotton on cavity

There is no other

method to check

Srāv in Krimidanta

1 Srāv is present

ससयब = Inflammation 0 No inflammation

1 Inflammation is Present भहारज 0 No Rujā (pain) Or According to

VAS 2 Rujā (pain) is Present on that

gum only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

This condition should be considered as भहारज

अतनसभतमतरज 0 No sudden onset of pain

1 Sudden onset of pain is

present

अहततीवराततशभ (अहर) 0 No sudden onset of pain

31

Code Signs amp Symptoms Score Gradations Remarks

1 Sudden onset of pain is

present

पररन (अहर) = Broken due to cavity

0 Cavity is there but it is not

broken

It should be

considered for each

tooth separately

Cavity in that must

be present in

particular tooth

1 13 part of tooth is broken

2 23 of tooth is broken

3 More than 23 of tooth is

broken

4 Total loss of tooth

ऩमसरत (अहर) 0 No Pooya Srāv after drying

particular place

with cotton

inserting cotton on

cavity

1 Pooya Srāv present

यकतसरत (अहर) 0 No Rakta Srāv after drying

particular place

with cotton

inserting cotton on

cavity

1 Rakta Srāv is present

123 दनतहषभ (स)

शीत सऩशन न सहनत 0 No sensitivity by cold touch

in any teeth

1 Ooccassional sensitivity by

cold touch in any toothteeth

for once

2 Sensitivity by cold touch

remains in toothteeth only up

to 1 Prahar (up to 3hrs)

3 Sensitivity by cold touch

remains more than 1 Prahar

(more than 3hrs)

उषण सऩशन न सहनत 0 No sensitivity by hot touch in

any teeth

1 Occassional sensitivity by hot

touch in toothteeth for once

2 Sensitivity by hot touch

remains in toothteeth only up

to 1 Prahar (up to 3hrs)

3 Sensitivity by hot touch

remains in toothteeth more

than 1 Prahar (more than

3hrs)

32

Code Signs amp Symptoms Score Gradations Remarks

परवाताभा = Sensitivity to air

(परवातारशीतबाभा) (अहर)

0 No sensitivity by Pravāt

touch in any tooth

1 Occassional sensitivity by

Pravāt touch in toothteeth for

once

2 Sensitivity by Pravāt touch

remains in toothteeth only up

to 1 Prahar (up to 3hrs)

3 Sensitivity by Pravāt touch

remains in toothteeth more

than 1 Prahar (more than

3hrs)

अरबाभा = Sensitivity to sour food

(परवातारशीतबाभा) (अहर)

0 No sensitivity by eating

sourer food to any tooth

1 Occassional sensitivity by

eating sourer food to any

toothteeth for once

2 Sensitivity by eating sourer

food remains to toothteeth

only up to 1 Prahar (up to

3hrs)

3 Sensitivity by eating sourer

food remains to toothteeth

more than 1 Prahar (more

than 3hrs)

शीतबाभा (परवातारशीतबाभा) (अहर)

0 No sensitivity by eating cold

item to any tooth

1 Occasional sensitivity by

eating cold item to toothteeth

for once

2 Sensitivity by Pravāt touch

remains in toothteeth only up

to 1 Prahar (up to 3hrs)

3 Sensitivity by eating cold

item remains to toothteeth

more than 1 Prahar (more

than 3hrs)

सरजा (अहर) 0 No Rujā (pain)

33

Code Signs amp Symptoms Score Gradations Remarks

2 Rujā (pain) is Present on that gum only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

2 Rujā (pain) is Present on that gum only where disease is occurred and patient can do hisher routine work without disturbance

िर (अहर) 0 No mobility

1 1 mm anterio-posterior

mobility

2 2 mm anterio-posterior

mobility

3 More than 2 mm antero-

posterior amp medial to lateral

mobility

124 भञजनक (स) =Photograph is necessary

(depending upon the severity gradation has been finalised)

वकतर वकरता 0 No deviation

1 Deviation is present

तीवररक 0 No Rujā (pain) Or according to

VAS

2 Rujā (pain) is Present on that gum only where disease is occurred and patient can do hisher routine work without disturbance

34

Code Signs amp Symptoms Score Gradations Remarks

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

This condition should be considered as तीवररक

दनतबङग 0 Tooth is not broken This should be

considered for

single tooth

1 13 part of tooth is broken

2 23 of tooth is broken

3 More than 23 of tooth is

broken

4 Total loss of tooth

125 दनतशकभ रा (स) =Calculus index was selected

शकयव चसथयीबत भर 0 No calculus present

1 Supragingival calculus

covering not more than third

of the exposed tooth surface

2 Supragingival calculus

covering more than 13 but

not more than 23 of the

exposed tooth surface or the

presence of individual flecks

of subgingival calculus

around the cervical portion of

the tooth or both

3 Supragingival calculus

covering more than 23 of the

exposed tooth surface or

continues heavy band 0f

subgingival calculus around

the cervical portion of the

tooth or both

35

Code Signs amp Symptoms Score Gradations Remarks

दनताना गणहयी 0 Absent All 10 Guna of

Danta Sampata

should be

considered required

suggestions for

each Guna

1 Present

ऩततगचनध (अहर) 0 No foul smell Taken grading of

halitosis

1 Patient feels foul smell

2 Doctor or person who comes near to patient feels foul smell

3 From distance anyone can feels foul smell who is in the room

4 Foul smell can be feel from outside of the room even

126 कपामऱका (स)

दनतवलकसम दरनभ = Bracketing of tooth enamel (दरचनत दनतवलकातन)

0 No दरनभ of tooth This should be

considered

separately for each

tooth

1 दरनभ is present of less than 13 of tooth

2 दरनभ is present of more than of 13 of tooth but less than 23 of tooth

3 दरनभ is present of more than of 23 of tooth but no total loss of tooth

4 Total loss of tooth after दरनभ

This condition should be considered as दशनाना पवनाश

दशनाना पवनाश = Total loss of tooth

0 No Any loss of tooth This should be

considered

separately for each

tooth

1 loss of tooth is present of less than 13 of tooth

2 loss of tooth is present of more than of 13 of tooth but less than 23 of tooth

36

Code Signs amp Symptoms Score Gradations Remarks

3 loss of tooth is present of more than of 23 of tooth but no total loss of tooth

4 Total loss of tooth This condition should be considered as दशनाना पवनाश

दनतशातनभ अणश = Thinning of tooth (शातमतममतममणशो दनतात कऩारातन) (अहर)

0 No शातनभ of tooth This should be

considered

separately for each

tooth

1 शातनभ is present in less than 13 of tooth

2 शातनभ is present in more than 13 of tooth but less than 23 of tooth

3 शातनभ is present in more than 23 of tooth but no total loss of tooth

4 Total loss of tooth due to शातनभ

127 शयावदनतक (स) In शमावदनत शमावता amp नीरता should be considered ascending stages

शमावता + नीरता 0 -No any discolouration of

tooth

-Normal colour of tooth

This should be

considered

separately for each

tooth

1 शमावता is Present

2 नीरता is Present

128 हनमो (स) According to Dalhan हनमो is not Dant Rog directly but it is near to

Dantchewing of hard food is one of the causes and there is pain in Dant so it is considered under Danta Rog

हनसचनधपवसहत 0 Absent

1 Can be reset by manual reduction

2 Can be reset by surgical

intervention

129 दनतभद (अहर) तोद =Pricking pain 0 No Pricking pain -Or According to

VAS

- This should be

considered

separately for each

tooth

37

Code Signs amp Symptoms Score Gradations Remarks

2 Pricking pain is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Pricking pain is referred up to Hanu and patient can do hisher routine work without disturbance

4 Pricking pain is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Pricking pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Pricking pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

बद Braking pain 0 No Braking pain -Or According to

VAS

- This should be

considered

separately for each

tooth

2 Braking pain is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Braking pain is referred up to Hanu and patient can do hisher routine work without disturbance

4 Braking pain is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Braking pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Braking pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

38

Code Signs amp Symptoms Score Gradations Remarks

रक Dull pain 0 No Rujā (pain) -Or According to

VAS

- This should be

considered

separately for each

tooth

2 Rujā (pain) is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

सपिन Burstingexpanding pain

0 No Bursting pain -Or According to

VAS

- This should be

considered

separately for each

tooth

2 Bursting pain is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Bursting pain is referred up to Hanu and patient can do hisher routine work without disturbance

4 Bursting pain is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

39

Code Signs amp Symptoms Score Gradations Remarks

5 Bursting pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Bursting pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

1210 दनतचाऱ (अहर) िरतमव = Mobility 0 No = mobility

1 1mm anterio-posterior

mobility

2 2 mm anterio-posterior

mobility

3 More than 2 mm anterio-

posterior amp medial to lateral

mobility

बणादचधकवमथ 0 No Vyatha ndash Pain during

eating

1 Pain during eating of hard

diet only

2 Pain during eating of soft diet

even

1211 कराऱ (स)

=Malocclusion

0 A Normal Molar relationship

exist but there is crowding

misalignment of the teeth

cross bite etc

1 A malocclusion where the

molar relationship shows the

buccal grove of mandibular

first molar distally positioned

when in occlusion with the

mesiobuccal cusp of the

maxillary first molar

2 A malocclusion where the

molar relationship shows the

buccal groove of the

mandibular first molar

mesiallypos

40

GRADATIONS OF JIHWA GAT ROG

Code - 13

Established by Group BHOJ Dr Krishna Makaia ndash Convener

Dr Rajeshree Unadkat Dr Neelam Dave

Dr Ronakgiri Gosai Dr Jignesh Virapariya

Reviewed by Dr Vijayant Bharadwaj

Edited by Prof Vd Hāridra Dave

41

Code Signs amp Symptoms Score Gradations Remarks

131 वाततक चजहवाकिक (स) सपटिता (Creaks) 0 No creaks on tongue

1 Single creak on the dorsum of tongue

2 Multiple Creaks on the dorsum of tongue

3 Multiple deep creaks on the dorsum of tongue (Bleeding)

परसपता (Numbness )

0 No Numbness

1 Numbness in 13 Part of tongue

2 Numbness in 23 Part of tongue

3 Numbness in more than 23 Part of tongue

शाकछिदनपरकाशा (Roughness)

0 Normal surface of tongue on touch

1 Mild rough surface on touch

2 Hard irregular surface on touch

3 Very rough surface which hurts the finger on touch

132 ऩततक चजहवाकिक (स) ऩीता 0 No yellowish discolouration

1 Yellowish discoloration in 13 part

2 Yellowish discoloration in 23 part

3 Yellowish discoloration in more than 23 part of tongue

ऩरयदहमत Burning in entire tongue)

0 No burning Or According to VAS

1 Occasional burning

2 Intermittent burning

3 Continuous burning does not relieve by any measures

दाह (Burning may be

in partially tongue)

0 No Burning Or According to VAS

1 Burning up to 13 part of tongue

2 Burning in 13 to 23 part of tongue

3 Burning in more than 23 part of tongue

42

Code Signs amp Symptoms Score Gradations Remarks

यकतभासाङकयचशिता (Covered with red buds )

0 No change in appearance

1 13 part of tongue covered with red fleshy buds

2 23 part of tongue covered with red fleshy buds

3 Whole tongue covered with red fleshy buds

ओष (Burning) 0 No Oshha Or According to VAS

1 Oshha up to 13 part of tongue

2 Oshha in 13 to 23 part of tongue

3 Oshha in more than 23 part of tongue

133 कपज चजहवाकिक (स) फहरा (Thick) 0 Normal Thickness of Tongue

1 Thickness increased - noticeable by patient

2 Thickness increased - noticeable by the examiner

3 Tongue protruding out because of increased Thickness

गवी (Heaviness) 0 No Heaviness

1 Feeling mild heaviness but no difficulty in Tongue movement

2 Difficulty in Tongue movement especially during intake of liquid

3 Difficulty in Tongue movement especially during intake of hard food

4 Difficulty in Tongue movement especially during Pronunciation

भासोदगभ शालभसरकणिकाब (thorn like papilla)

0 No change in appearance of tongue

1 13 part of tongue covered with red fleshy thorn like papilla

2 23 part of tongue covered with thorn like papilla

3 Whole tongue covered with thorn like papilla

43

Code Signs amp Symptoms Score Gradations Remarks

134 अरास (स) शवमथ

(Swelling at ventral surface of tongue)

0 Absent

1 Present

सतबमतत (Restricted tongue movement)

0 -Normal Movement of Tongue -Movement of tongue not affected

1 Tongue movement slightly restricted but does not affect the normal function

2 Tongue movement restricted that affects the normal function

3 Tongue movement arrested

परवदध

(Increase in size)

0 Size not increased

1 Size increased - noticeable by the patient

2 Size increased - noticeable by the examiner

3 Tongue protruding out because of increased size

ऩाक 0 No swelling or suppuration

1 Inflammation with pain and tenderness

2 Inflammation with different types of pain and tenderness along with induration

3 Pus formation and fluctuation positive

अधशोप 0 Absent

1 Present

उननत (elevation of

the tongue due to swelling below the tongue)

0 Normal position of tongue

1 Tongue slightly elevated due to swelling below the tongue

2 Tongue elevation causes discomfort to the patient

3 Tongue touches the palate

भतमसमगचनध

(Fishy smell)

0 Absent

1 Present

44

Code Signs amp Symptoms Score Gradations Remarks

भासशातन (Destruction of flesh of tongue )

0 No Destruction of tongue flesh

1 13 part of tongue flesh is destroyed

2 23 part of tongue flesh is destroyed

3 More than 23 part of tongue is destroyed

135 उऩचजचहवका (स) शवमथ (Swelling) 0 Absent

1 Present

चजहवाभननम

जात (elevation of

tongue because of swelling)

0 Normal position of tongue

1 Tongue slightly elevated due to swelling below the tongue

2 Tongue elevation causes discomfort to the patient

3 Tongue touches the palate

परसक (Salivation) 0 Normal secretion of saliva

1 Occasionally spitting

2 Off and on spitting

3 Continuous spitting which disturbs the work

कणड (Itching) 0 No itching Or According to VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate on work due to severe itching

0r

0 No itching

1 Occasional itching

2 Off and on itching

3 Continuous itching

ऩरयदाह (Burning in

whole tongue)

0 No burning Or According to VAS

1 Occasional burning

2 Intermittent burning

3 Contentious burning dose not relive by any measures

45

Code Signs amp Symptoms Score Gradations Remarks

136 अचधचजचहवका (अर)

अधोचजहवामा शोप

0 Normal position of tongue

(Swelling below the tongue)

1 Tongue slightly elevated due to swelling below the tongue

2 Tongue elevation causes discomfort to the patient

3 Tongue touches the palate

अङकय (Pappilary

growth)

0 Absent

1 Present

ओष (Burning) 0 No Oshh Or According to

VAS

1 Oshh up to 13 part of tongue

2 Oshh in 13 to 23 part of tongue

3 Oshh in more than 23 part of tongue

सतबवान

(Restriction of Movement)

0 Movement of tongue not affected

1 Tongue movement slightly restricted but does not affect the normal function

2 Tongue movement restricted that affect the normal function

3 Tongue movement arrested

खय(Rough) 0 Smooth on touch

1 Mild irregular surface

2 Rough surface

3 Sharp rough surface touch hurts on finger on touch

रक (Pain) 0 No pain Or According to

VAS

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

कणड (Itching) 0 No itching Or According to

VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate on work due to severe itching

0r

0 No itching

46

Code Signs amp Symptoms Score Gradations Remarks

1 Occasional itching

2 Off and on itching

3 Continuous itching

वाकम पवघातकत (Difficulty in speech)

0 No difficulty in speech

1 Unable to speak िति vargavyanjana

2 Difficulty in speaking क vargavyanjana

Swara donrsquot need involvement of tongue

3 Unable to speak

आहयपवघातकत

(Swallowing )

0 Able to eat regular diet

1 Able to eat soft diet

2 Able to eat only liquid diet

3 Unable to swallow anything

47

GRADATION OF TALUGAT ROG

Code - 14

Established by Group BHOJ Dr Krishna Makaia ndash Convener

Dr Rajeshree Unadkat Dr Neelam Dave

Dr Ronakgiri Gosai Dr Jignesh Virapariya

Reviewed by Dr Vijayant Bharadwaj

Edited by Prof Vd Hāridra Dave

48

Code Signs amp Symptoms Score Gradations Remarks

141 गरशचणडका (स)

परवदधो शोप (Swelling extending from palate) (Which is elongated)

0 Normal size of uvula

1 Swelling of uvula that causes discomfort to the patient

2 Swelling of uvula that causes foreign body sensation

3 Difficulty in breathing due to swelling

दीघ शोप

(Elongated Swelling)

0 Normal size of uvula

1 Elongated swelling of uvula that causes discomfort to the patient

2 Elongated swelling of uvula that causes foreign body sensation

3 Difficulty in breathing due to Elongated swelling

धभातफचसतपरकाश शोप =Inflated

swelling like Basti

0 Normal size of uvula

1 Inflated swelling like Basti of uvula that causes discomfort to the patient

2 Inflated swelling like Basti of uvula that causes foreign body sensation

3 Difficulty in breathing due to Inflated swelling like Basti

तषणा 0 Normal feeling of thirst

1 Increased feeling of thirst which is relived after drinking water

The quantity of water is not consider here but the frequency of water is considered

2 Frequent feeling of thirst which is Occasional relived after drinking water

3 Continuous feeling of thirst does not relive after drinking profuse amount of water

कास (Coughing) 0 No coughing

49

Code Signs amp Symptoms Score Gradations Remarks

1 Occasional coughing during eating and speaking

2 Off and on coughing

3 Continuous coughing

शवास 0 No difficulty in breathing

1 Difficulty in breathing occasionally

2 More difficulty in breathing while sleeping

3 Excessive difficulty in breathing

भतमसमफचसततनब शोप (अहर)

0 Normal uvula Used as an adjective

1 Inflated swelling like Matsya-Basti of uvula that causes discomfort to the patient

2 Inflated swelling like Matsya-Basti of uvula that causes foreign body sensation

3 Difficulty in breathing due to Inflated swelling like Matsya-Basti

पररफ (अहर) 0 Normal length of Uvula

(Elongated Swelling)

1 Size of Uvula increased up to lt2 mm

2 Size of Uvula increased more than 2 mm but less than 4 mm

3 Size of Uvula increased gt4 mm that cause discomfort to patient and cause difficulty in breathing

पऩचछिर(अहर) (Sliminess)

0 Absent

1 Present

नासमाऽऽहायभीयमन (अहर)

0 Food does not come out from nose

(Food comes out of nose)

1 Food comes out from nose

कणठोऩयोध(अहर) (Obstruction of throat )

0 -Able to eat regular diet -No difficulty in swallowing of any food

1 Able to swallow liquid or soft diet but not able to swallow hard diet

2 Able to swallow hard diet forcefully

50

Code Signs amp Symptoms Score Gradations Remarks

3 Not able to swallow hard diet with force

वभन(अहर) (Vomiting)

0 No Vaman

1 Feeling of nausea only

2 Only one veg of Vaman in a day

3 Two vegas of Vaman in a day

4 More than two vegas of Vaman in a day

132 तचणडकयी (स)

शोप (Tonsillar

Swelling)

0 Tonsils are located within the tonsillar fossa

1 Tonsils hypertrophy till the brim of the tonsillar fossa

2 Tonsils hypertrophy extends beyond the pillars but not touching each other

3 Tonsils hypertrophy extends beyond the pillars but not touching each other

तोद

(Pricking pain)

0 No pain

1 Occasional pain Or according to VAS

2 Off and on pain

3 Continuous pain

दाह (Burning) 0 No

1 Occasional burning

2 Intermittent burning

3 Contentious burning dose not relive by any measures

परऩाक 0 Absent

1 Present

पऩचछिर शोप(अहर)

Sliminess in swallowing

0 Feeling of Sliminess is Absent

1 Feeling of Sliminess is Present

भनदरक (अहर)

(Mild pain)

0 Absent Or According to

VAS

1 Present

133 अधरष (स)

शोप (Swelling) 0 No swelling

1 13 Swelling in part of the palate

51

Code Signs amp Symptoms Score Gradations Remarks

2 23 swelling in part of palate

3 Swelling in gt than 23 part of palate

सतबधता =Functions of soft palate like deglutition Phonation etc are affected = No mobility of soft palate

0 Normal function of soft palate

1 Soft palate movement reduced but functions are not affected

2 Any one of the functions of soft palate is affected

3 All functions of soft palate are affected

रोटहतवणता

(Redness)

0 No change in colour

1 Pinkish red coloured mucosa in palate

2 Red coloured mucosa in palate

3 Dark red coloured mucosa in palate

रजा (Pain) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

जजवय (Fever) 0 Normal temperature

1 Temperature between 984rsquoF to 100rsquoF

Temperature between 100rsquoF to 101rsquoF

2 Temperature between 101rsquoF to 102rsquoF

3 Temperature between 102rsquoF to 103rsquoF

52

Code Signs amp Symptoms Score Gradations Remarks

4 Temperature between 103rsquoF to 104rsquoF

5 Temperature more than 104rsquoF

134 कछिऩ (स)

कभवत उतमसनन शोप (Swelling

having shape like dorsum of tortoise)

0 No swelling

1 Swelling in 13rd part of the palate

2 Swelling in 23rd part of palate

3 Swelling in gt 23rd part of palate

चियवपदध(अहर)

(Slow growth)

0 Growth within a week

1 Growth within 1 week to 1 month

2 Growth within 1 month to 6 months

3 Growth within gt 6 months

रक (अहर) (Pain) 0 No pain Or According to VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesics

135 तारअफद (स) ऩदमाकाय तारभधम

शोपम (Swelling

like shape of lotus )

0 No swelling

1 Swelling in 13rd part of the palate

2 2 Swelling in 23rd part of palate

3 3 Swelling in gt 23rd part of palate

136 भाससङघात (स) नीरज (Painless) 0 Absent

1 Present

53

Code Signs amp Symptoms Score Gradations Remarks

शोप 0 No swelling

1 Swelling in 13rd part of the palate

2 Swelling in 23rd part of palate

3 Swelling in gt 23rd part of palate

137 तारऩपऩि (स) नीरक (Painless) 0 Absent

1 Present

कोरभातर

Swelling having size of Kola fruit

0 Absent

1 Present

138 तारशोष (स)

शोष (Dryness) 0 No dryness

1 Dryness decreased after drinking water

2 Patient needs water frequently

3 Dryness persist after dinking profuse water

दायण (Tearing of palate)

0 Absent

1 Present

शवास (Difficulty in

breathing)

0 No difficulty in breathing Here difficulty in breathing is due to obstruction

1 Difficulty in breathing occasionally

2 More difficulty in breathing while sleeping position

3 Excessive difficulty in breathing

जजवय(अहर) (Fever) 0 Normal temperature

1 Temperature between 984rsquoF to 100rsquoF

Temperature between 100rsquoF to 101rsquoF

2 Temperature between 101rsquoF to 102rsquoF

3 Temperature between 102rsquoF to 103rsquoF

4 Temperature between 103rsquoF to 104rsquoF

5 Temperature more than 104rsquoF

54

Code Signs amp Symptoms Score Gradations Remarks

139 तारऩाक (स) ऩाक (Suppuration) 0 No swelling or suppuration

1 Inflammation of palate with pain and tenderness

2 Inflammation of palate with different types of pain and tenderness with induration

3 Pus formation and fluctuation positive

1310 तारपऩटिका (अहर) तारभास पऩटिका

Follicles in palate flesh

0 No follicles

1 13 palate covered with follicles

2 23 palate covered with follicles

3 More than 23 palate covered with follicles

रज(अहर) (Pain) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

Occasional pain

खयता(अहर) (Roughness)

0 Smooth on touch

1 Mild irregular surface on touch

2 Rough surface

3 Sharp rough surface which hurts on finger on touch

घनसराव(अहर) (Thick discharge)

0 No discharge

1 Occasional discharge

2 Off and on thick discharge

3 Continuous thick discharge

1311 तारसहतत (अहर) तारभधम तनरक (अहर) =Painless fleshy growth in palate

Only तारभधम तनरक indicates the place and quality of growth both the symptoms can be

merged

55

Code Signs amp Symptoms Score Gradations Remarks

तनरक (Painless) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

भाससहत

(Fleshy growth in palate)

0 No fleshy growth

1 Fleshy growth in 13 part of the palate Swelling

2 Fleshy growth in 23 part of palate swelling

3 Fleshy growth in more than 23 part of palate

56

GRADATION OF SARVASAR ROG

Code - 15

Established by Group BHOJ Dr Krishna Makaia ndash Convener

Dr Rajeshree Unadkat Dr Neelam Dave

Dr Ronakgiri Gosai Dr Jignesh Virapariya

Reviewed by Dr Vijayant Bharadwaj

Edited by Prof Vd Hāridra Dave

57

Code Signs amp Symptoms Score Gradations Remarks

151 वातजसवसय (स) सपोि (Ulcers) 0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

तोद = Pricking pain 0 No pricking pain Or According to VAS

1 Occasional pricking pain

2 Off and on pricking pain

3 Continuous pricking pain

Or

0 No pricking pain

1 Sometimes mild pricking pain

2 Has to take analgesic while pricking pain

सिारयण(अहर) This symptom is for सवसय so this सवसय is the nature of सिारय

0 No movement of सवसय

1 Movement of सवसय is once in a week

2 Movement of सवसय is once in three to four days

3 Movement of सवसय is at every alternate day

4 Movement of सवसय is once in a day

अरण (अहर) Reddish discoloration

0 Colour of वरण is same with colour of surrounding area

1 Colour of वरण is Reddish

2 Colour of वरण is Dark Red

3 Colour of वरण is Reddish black

र (अहर) Dryness 0 वरण is Moist

-No dryness of वरण

1 वरण Needs lubrication once a day

2 वरण Needs frequent lubrication in

a day

3 No benefit with frequent

lubrication of वरण

तामरता (अहर) (Coppery

0 Colour of वरणौषठ is same with colour of surrounding area

58

Code Signs amp Symptoms Score Gradations Remarks

discoloration) This symptom is for

वरणौषठ

1 Colour of वरणौषठ is Tamra Varna

चऱतवचा (अहर) (Free mucous membrane) This symptom is for

वरणौषठ

0

Movement of वरणौषठ is on touch

only

1 Movement of वरणौषठ can be seen by naked eye means without touch

शीतासहा (अहर) (Intolerance to cold) This symptom is for

जजहवा

0 No Intolerance of cold to जजहवा

1 Intolerance of severe cold to जजहवा

2 Intolerance of moderate cold to जजहवा

3 Intolerance of Mild cold to जजहवा

गवी (Heaviness)

This symptom is for

जजहवा

0 No Heaviness

1 Mild heaviness with no difficulty

in movement of जजहवा

2 Moderate heaviness with

difficulty in Movement of जजहवा

3 Sever heaviness with bending down of

सफटटता (अहर) (Ulcer)

0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

कणटाकाधचता (अहर) = Thorn like

appearance

0 No change in appearance

59

Code Signs amp Symptoms Score Gradations Remarks

1 13 part of oral mucous membrane covered with red fleshy thorn like papillae

2 23 part of oral mucous membrane covered with red fleshy thorn like papillae

3 gt23 part of oral mucous membrane covered with red fleshy thorn like papillae

षववणोतत कचछरणमखम (अहर) (Difficulty in mouth opening)

0 Mouth opening more than 3 fingers without difficulty

1 2 to 3 fingers opening of mouth with or without difficulty

2 1 to 2 fingers opening of mouth with or without difficulty

3 Less than 1 finger opening of mouth with or without difficulty

152 पऩतमत(यकतज)सवसय (स) Signs and Symptoms of यकतज सवसय are same as of पऩतमत सवसय so no separate gradations are mentioned

यकतता (Redness) 0 Colour of सवसय- वरण is similar with

surrounding mucous membrane

1 Reddish Colour of सवसय- वरण

2 Bright red Colour of सवसय- वरण

3 Dark red Colour of सवसय- वरण

सदाह (Burning

Sensation)

0 No burning in सवसय- वरण Or According to

VAS

1 Occasional burning in सवसय- वरण

2 Intermittent burning in सवसय- वरण

3 Contentious burning in सवसय- वरण

which does not relive by any measures

तन (तनसब) (Shallow superficial ulcers)

0 No ulcer

1 Ulcer having depth of 05-1 mm

2 Ulcer having depth of 1 ndash 15 mm

3 Ulcer having depth of 15 -2 mm

60

Code Signs amp Symptoms Score Gradations Remarks

ओष (अहर) 0 No (ओष) burning in सवसय- वरण

1 Occasional (ओष) burning in

सवसय- वरण

2 Intermittent (ओष) burning in

सवसय- वरण

3 Contentious (ओष) burning in

सवसय- वरण which does not relive

by any measures

ततकतवकरता (अहर) (Bitter taste in mouth)

0 No alteration in taste

1 Occasionally bitter taste felt in mouth without having any bitter substance

2 Off and on bitter taste felt in mouth without having any bitter substance

3 Continuous bitter taste felt in mouth without having any bitter substance

ारोकषतत समावरणा (अहर)

0 No Ulcer

(Ulcers looking like chemical burns)

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

153 कपज सवसय (स) कणड (Itching) 0 No itching Or According to

VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Unable to work due to itching

0r

0 No itching

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate on work due to severe itching

रजा (Pain)

(अलऩ रजा) 0 No pain Or According to

VAS

1 Occasional pain

61

Code Signs amp Symptoms Score Gradations Remarks

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain This condition should be considered as अलऩ रजा

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

सवणण 0 Colour of वरण is same with colour of near by tissue

1 Colour of वरण is not same with colour of near by tissue

मररासयतवम (अहर) (Sweet taste in mouth)

0 No alteration in taste

1 Occasionally sweet taste felt without eating any sweet substance

2 Off and on Sweet taste Occasionally sweet taste felt without eating any sweet substance

3 Continuous sweet taste Occasionally sweet taste felt without eating any sweet substance

षपजचछिऱता (अहर) (Unctuousness)

0 Absent

1 Present

वरण 0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

154 कफाबभद (अहर) शयाव अबभदम

(शयावपाणडऽबभदम) 0 Colour of growthtumour is same

the colour of surrounding skin

1 Colour of growthtumour is शयाव

(Blackish)

62

Code Signs amp Symptoms Score Gradations Remarks

पाणड अबभदम (शयावपाणडऽबभदम)

0 Colour of growthtumour is same the colour of surrounding skin

1 Colour of growthtumour is पाणड

(Pale)

अबभदम 0 No GrowthTumour TNM Classification for tumours can be applied for growth

1 Growthtumour having sizelt 10 mm

2 Growthtumour having size 10 mm to 20 mm

3 Growthtumour having size gt 20 mm

घटिता तिनना मटदता च षववरभत (Size increases on rubbing cutting and squeezing)

0 Size of GrowthTumour is not increasing by rubbing cutting or squeezing

1 Size of GrowthTumour is increasing up to 10 mm by rubbing cutting or squeezing within a month

2 Size of GrowthTumour is increasing up to 20 mm by rubbing cutting or squeezing within a month

3 Size of GrowthTumour is increasing up to 30 mm by rubbing cutting or squeezing within a month

4 Size of GrowthTumour is increasing up to 40 mm by rubbing cutting or squeezing within a month

155 ऊरधवभगद (अहर) वकतरदौगनधम

(Halitosis)

0 No Halitosis

1 Halitosis is feel by Patient only

2 Halitosis is feel by Patient and examining Doctor only

3 Halitosis is feel by any person from the distance from 5 meters

63

Code Signs amp Symptoms Score Gradations Remarks

4 Halitosis is feel by any person from the distance from more than 5 meters

156 पततवकर (अहर) ऩतममासमता

(Halitosis)

0 No Halitosis

1 Halitosis is feel by Patient only

2 Halitosis is feel by Patient and examining Doctor only

3 Halitosis is feel by any person from the distance from 5 meters

4 Halitosis is feel by any person from the distance from more than 5 meters

157 सतनऩाततक सवसय (अहर) This disease occurs due to aggravation of all three doshas including Rakta Clinical presentation of this disease is found as mixed picture according prominent aggravation of dosha and signs and symptoms will be observed accordingly Gradations should be considered accordingly so it is not required to repeat here

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Page 21: THE GRADATIONS OF DISEASES OF SHALAKYA TANTRA - PART …theassociationofshalaki.com/downloads/GRADATIONS_OF_DISEASE… · 12.05.2019  · I am also very much thankful to Dr Sandhya

20

GRADATION OF DANTA MOOL GAT ROG

Code ndash 11

Gradations established by Group KARAL Dr Krishna Makadia - Convener

Dantvaidya Saroj Joshi Dantvaidya Harshad Joshi

Dr Kiran Raj Dr Achyuta Atara Dr Pranav Dave

Gradations Reviewed by Dr Hemangi Shukla Dr Krishna Makadia

Edited by Prof Vd Hāridra Dave

21

Code Signs amp Symptoms Score Gradations Remarks

111 शीताद (स) अकसभात यकतसराव 0 No bleeding

1 Occasional bleeding for 1 or 2 times in 1 Prahar

2 Spontaneous Bleeding up to one Prahar

3 Spontaneous Bleeding for more than 1 Prahar (more than 3hrs)

दगनधीतन 0 No foul smell

1 Patient feels foul smell

2 Doctor or person who comes near to patient feels foul smell

3 From distance anyone can feels foul smell who is in the room

4 Foul smell can be feel from outside of the room even

सकषणातन 0 Absent

=Blackish discoloration

1 Present

परकरदीतन 0 Absent

1 Present

भदता 0 Absent

1 Present

दनतभास शीमनत 0 Gums situated At CE junction

1 Recession of gums At cervical 13

2 Recession of gums At middle 13

3 Recession of gums At apical 13

ऩिचनत ि ऩयसऩयभ 0 No Pachan (Pāk)

= Pāk 1 1 Quadrant is involved

2 2 quadrants are involved

3 More than 2 quadrants are involved

112 दनतपपपटक (स) दनतमोसतरीष वा 0 No involvement of teeth

1 Involvement of 2 teeth

2 Involvement of 3 teeth

शवमथ भहान 0 Absent

1 Present

सरज 0 No pain Or according to VAS

1 तीवर =Pain is there but he can do

work or sleep

22

Code Signs amp Symptoms Score Gradations Remarks

2 तीवरतय =Pain is there but he can do

work or sleep

3 तीवरतभ =Patient canrsquot tolerate

शोफ़ो फदयाचसथतनबो घन (अहर) =Kola is

small jujube and badar is big jujube and seed is measuring around 5 mm

0 Not present

1 Shoth up to 25 mm

2 Shoth 25 to 5 mm

3 Shoth is more than 5 mm

ऩाक (अहर) (शीघर ऩछमत)

0 Absent Accumulation of Fluid or pus

1 Present

113 दनतवषट (स) सरवचनत ऩमरचधय

Discharge of blood with pus or only pus

0 No Discharge

1 Blood with Pus Discharge

2 Only pus discharge

िरता 0 No mobility

1 1 mm antero-posterior Mobility

2 2 mm antero-posterior Mobility

3 More than 2 mm antero-posterior amp medial to lateral mobility

114 शौषषर (स) शवमथ 0 Absent

1 Present

रजावान According to VAS scoring

रारासरावी 0 Normal secretion

1 Occasionally splitting

2 On and off splitting

3 Continuous splitting disturbance in work

कणड 0 Absent

1 Occasionally itching

2 On and off itching

3 Continues itching

23

Code Signs amp Symptoms Score Gradations Remarks

दतभासपरशातन 0 Gums situated At CE junction

1 Recession of gums At cervical 13

2 Recession of gums At middle 13 3 Recession of gums At apical 13

115 महाशौषषर (स) दनताशिरचनत 0 No mobility

1 1 mm antero-posterior mobility

2 2 mm antero-posterior mobility

3 More than 2 mm anteroposterior amp medial to lateral mobility

तार अवदीमत 0 Absent Fissure over the Palate

1 Present

दतभासातनऩछमनत 0 No redness

1 Mild redness

2 Moderate redness

3 Severe redness

भख ऩरयऩीडमत 0 No Peedā Or According to VAS

Pain in any part or whole oral cavity

1 Peedā is at those Gums where disease is situated

2 Peedā is at entire Gums

Peedā is at entire Mukh

सचननऩाताजजजजवयवान

(अहर) 0 Normal temperature

1 Temperature between 984rsquoF to 100rsquoF

Temperature between 100rsquoF to 101rsquoF

2 Temperature between 101rsquoF to 102rsquoF

3 Temperature between 102rsquoF to 103rsquoF

4 Temperature between 103rsquoF to 104rsquoF

5 Temperature more than 104rsquoF

सऩमरचधयसरतत (अहर)

0 No Discharge

1 Blood with Pus Discharge

2 only pus discharge

पवशीणदपवजफनधन (अहर)

0 No mobility

1 1 mm antero-posterior mobility 2 2 mm antero-posterior mobility

24

Code Signs amp Symptoms Score Gradations Remarks 3 more than 2 mm antero-posterior

amp medial to lateral mobility

116 पररदर (स) दनतभासातन शीमनत 0 Gums situated At CE junction Depending upon

severity grading has been established

1 Recession of gums At cervical 13

2 Recession of gums At middle 13

3 Recession of gums At apical 13

षठीवतत असक 0 No spitting of blood

1 Occasionally splitting

2 On and off splitting

3 Continuous splitting with disturbance in work

117 उपकश (स) दाह Or According to VAS

ऩाक 0 Absent

1 Present

दनताशिरचनत 0 No mobility

1 1 mm antero-posterior mobility

2 2 mm antero-posterior mobility

3 more than 2 mm antero-posterior amp medial to lateral mobility

आघटिता परसरवचनत 0 Absent

=Bleeding from gums by pressure

1 Bleeding on pressure remains for five minutes

2 Bleeding on pressure remains up to 15 minutes

3 Bleeding on pressure remains up to 30 minutes

4 Bleeding on pressure remains up to 1 hour

5 Bleeding on pressure remains more than 1 hour

भदवदना 0 Absent

1 Present

आधभामनत सरत यकत

0 Absent

1 Present

ऩतत वकतरता (अहर) 0 No foul smell

1 Patient feels foul smell

25

Code Signs amp Symptoms Score Gradations Remarks

2 Doctor or person who comes near to patient feels foul smell

3 From distance anyone can feels foul smell who is in the room

4 Foul smell can be feel from outside of the room even

कणडभचनत (अहर) 0 Absent Or According to VAS

1 Occasionally itching

2 On and off itching

3 Continues itching

िरा (अहर) 0 No mobility

1 1 mm antero-posterior mobility

2 2 mm antero-posterior mobility

3 More than 2 mm antero-posterior amp medial to lateral mobility

118 वदभभ (स) =Traumatic injury(By mechanical Chemical thermal )

घषिष दनतभरष सयबो जामत भहान

0 Absent Mahan suggest itself severity of disease

1 Present

िरदता (अहर) 0 No mobility

1 1 mm antero-posterior mobility

2 2 mm antero-posterior mobility

3 More than 2 mm antero-posterior amp medial to lateral mobility

119 वरभन (स) तीवरवदना 0 No pain Or According to VAS

1 तीवर -Pain is there but he can do

work or sleep

2 तीवरतय -Patient can tolerate

3 तीवरतभ -Patient canrsquot tolerate

1110 अधरमाास (स) भहाञिोथ 0 No Shoth Mahan suggest itself

severity of disease

1 Shoth is Present on that gum only where disease is occurred

2 Shoth is Present on nearby two or three gums where disease is occurred

26

Code Signs amp Symptoms Score Gradations Remarks

3 Shoth is present up to adjoining cheek

This condition should be considered as

भहाञिोथ

भहारजा (स) परततहनतममभमवरतत (अहर)

0 No Rujā (pain) Or According to VAS

2 Rujā (pain) is Present on that gum only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

This condition should be considered as भहारजा amp परततहनतममभमवरतत

रारासरावी 0 Normal secretion

1 Occasionally splitting

2 On and off splitting

3 Continuous splitting disturbance in work

दनतानत कीरवतमशोफ़ (अहर)

0 No Keel vat Shoth

1 Keel vat Shoth is Present on that gum only where disease is occurred

2 Keel vat Shoth is Present on nearby two or three gums where disease is occurred

3 Keel vat Shoth is present up to adjoining cheek

1111 दनतषवदरधर (अहर) दनतभासशोफ़ (ि) 0 No Shoph

1 Shoph is Present on that gum only where disease is occurred

2 Shosh is Present on nearby two or This condition should

27

Code Signs amp Symptoms Score Gradations Remarks

three gums where disease is occurred

be considered as अनत शवमथ According to

Vagbhatta

3 Shosh is extended up to adjoining cheek

This condition should be considered as फाहम शवमथ According to

Vagbhatta

फाहम शवमथ (अहर) This condition is mentioned at दनतभास शोफ़

अनत शवमथ (अहर) This condition is mentioned at दनतभास शोफ़

गर (अहर) 0 Absent

1 Present

रग (अहर) 0 No Rujā (pain) Or According to VAS

2 Rujā (pain) is Present on that gum only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

दाह (अहर) According to VAS

सरवतिननऩमासर (अहर)

0 No Discharge

1 Blood with Pus Discharge

2 Only pus discharge

1112 दतनाडी Scoring is not possible further according to measurement of Nadivrana because X-

ray only detects spread up to the bone Whereas Nadivrana in gingiva periodontal ligament cannot be measured

दतनाडी 0 Absent

1 Present

28

GRADATION OF DANTA GAT ROG

Code ndash 12

Gradations established by Group KARAL Dr Krishna Makadia - Convener

Dantavaidya Saroj Joshi Dantavaidya Harshad Joshi

Dr Kiran Raj Dr Achyuta Atara Dr Pranav Dave

Gradations Reviewed by Dr Hemangi Shukla Dr Krishna Makadia

Edited by Prof Vd Hāridra Dave

29

Code Signs amp Symptoms Score Gradations Remarks

121 दाऱन (स)

तीवररग 0 No Rujā (pain) Or According to VAS

2 Rujā (pain) is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

उषणअसहादनता (अस) 0 No sensitivity in teeth ie with warm

water hot water or

excessive hot water

application on

tooth is not

possible so Time

related and severity

related grading was

finalised(same for

cold)

1 Mild sensitivity in teeth - At a

time

2 Moderate sensitivity in teeth -

Sensitivity remains only for 1

Prahar (up to 3 hrs)

3 Severe sensitivity in teeth -

Sensitivity remains more than

1 Prahar (more than 3 hrs)

शीतअचधकवमथा (अहर) 0 No sensitivity in teeth

1 Mild sensitivity in teeth - At a

time

2 Moderate sensitivity in teeth -

Sensitivity remains only for 1

Prahar (up to 3 hrs)

3 severe sensitivity in teeth-

Sensitivity remains more than

1 Prahar (more than 3 hrs)

22 कममदनत (स) कषण 0 No discoloration

1 Light greyish black

2 Dark greyish black

3 Jet black

30

Code Signs amp Symptoms Score Gradations Remarks

तिदर 0 No cavity It should be

decided by X-ray

1 Cavity within limit of enamel

2 Cavity within limit of dentin

3 Cavity up to pulp

िर 0 No mobility

1 1 mm antero-posterior

mobility

2 2 mm antero-posterior

mobility

3 More than 2 mm antero-

posterior amp medial to lateral

mobility

सरावी 0 No Srāv- after drying

particular teeth with cotton

inserting cotton on cavity

There is no other

method to check

Srāv in Krimidanta

1 Srāv is present

ससयब = Inflammation 0 No inflammation

1 Inflammation is Present भहारज 0 No Rujā (pain) Or According to

VAS 2 Rujā (pain) is Present on that

gum only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

This condition should be considered as भहारज

अतनसभतमतरज 0 No sudden onset of pain

1 Sudden onset of pain is

present

अहततीवराततशभ (अहर) 0 No sudden onset of pain

31

Code Signs amp Symptoms Score Gradations Remarks

1 Sudden onset of pain is

present

पररन (अहर) = Broken due to cavity

0 Cavity is there but it is not

broken

It should be

considered for each

tooth separately

Cavity in that must

be present in

particular tooth

1 13 part of tooth is broken

2 23 of tooth is broken

3 More than 23 of tooth is

broken

4 Total loss of tooth

ऩमसरत (अहर) 0 No Pooya Srāv after drying

particular place

with cotton

inserting cotton on

cavity

1 Pooya Srāv present

यकतसरत (अहर) 0 No Rakta Srāv after drying

particular place

with cotton

inserting cotton on

cavity

1 Rakta Srāv is present

123 दनतहषभ (स)

शीत सऩशन न सहनत 0 No sensitivity by cold touch

in any teeth

1 Ooccassional sensitivity by

cold touch in any toothteeth

for once

2 Sensitivity by cold touch

remains in toothteeth only up

to 1 Prahar (up to 3hrs)

3 Sensitivity by cold touch

remains more than 1 Prahar

(more than 3hrs)

उषण सऩशन न सहनत 0 No sensitivity by hot touch in

any teeth

1 Occassional sensitivity by hot

touch in toothteeth for once

2 Sensitivity by hot touch

remains in toothteeth only up

to 1 Prahar (up to 3hrs)

3 Sensitivity by hot touch

remains in toothteeth more

than 1 Prahar (more than

3hrs)

32

Code Signs amp Symptoms Score Gradations Remarks

परवाताभा = Sensitivity to air

(परवातारशीतबाभा) (अहर)

0 No sensitivity by Pravāt

touch in any tooth

1 Occassional sensitivity by

Pravāt touch in toothteeth for

once

2 Sensitivity by Pravāt touch

remains in toothteeth only up

to 1 Prahar (up to 3hrs)

3 Sensitivity by Pravāt touch

remains in toothteeth more

than 1 Prahar (more than

3hrs)

अरबाभा = Sensitivity to sour food

(परवातारशीतबाभा) (अहर)

0 No sensitivity by eating

sourer food to any tooth

1 Occassional sensitivity by

eating sourer food to any

toothteeth for once

2 Sensitivity by eating sourer

food remains to toothteeth

only up to 1 Prahar (up to

3hrs)

3 Sensitivity by eating sourer

food remains to toothteeth

more than 1 Prahar (more

than 3hrs)

शीतबाभा (परवातारशीतबाभा) (अहर)

0 No sensitivity by eating cold

item to any tooth

1 Occasional sensitivity by

eating cold item to toothteeth

for once

2 Sensitivity by Pravāt touch

remains in toothteeth only up

to 1 Prahar (up to 3hrs)

3 Sensitivity by eating cold

item remains to toothteeth

more than 1 Prahar (more

than 3hrs)

सरजा (अहर) 0 No Rujā (pain)

33

Code Signs amp Symptoms Score Gradations Remarks

2 Rujā (pain) is Present on that gum only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

2 Rujā (pain) is Present on that gum only where disease is occurred and patient can do hisher routine work without disturbance

िर (अहर) 0 No mobility

1 1 mm anterio-posterior

mobility

2 2 mm anterio-posterior

mobility

3 More than 2 mm antero-

posterior amp medial to lateral

mobility

124 भञजनक (स) =Photograph is necessary

(depending upon the severity gradation has been finalised)

वकतर वकरता 0 No deviation

1 Deviation is present

तीवररक 0 No Rujā (pain) Or according to

VAS

2 Rujā (pain) is Present on that gum only where disease is occurred and patient can do hisher routine work without disturbance

34

Code Signs amp Symptoms Score Gradations Remarks

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

This condition should be considered as तीवररक

दनतबङग 0 Tooth is not broken This should be

considered for

single tooth

1 13 part of tooth is broken

2 23 of tooth is broken

3 More than 23 of tooth is

broken

4 Total loss of tooth

125 दनतशकभ रा (स) =Calculus index was selected

शकयव चसथयीबत भर 0 No calculus present

1 Supragingival calculus

covering not more than third

of the exposed tooth surface

2 Supragingival calculus

covering more than 13 but

not more than 23 of the

exposed tooth surface or the

presence of individual flecks

of subgingival calculus

around the cervical portion of

the tooth or both

3 Supragingival calculus

covering more than 23 of the

exposed tooth surface or

continues heavy band 0f

subgingival calculus around

the cervical portion of the

tooth or both

35

Code Signs amp Symptoms Score Gradations Remarks

दनताना गणहयी 0 Absent All 10 Guna of

Danta Sampata

should be

considered required

suggestions for

each Guna

1 Present

ऩततगचनध (अहर) 0 No foul smell Taken grading of

halitosis

1 Patient feels foul smell

2 Doctor or person who comes near to patient feels foul smell

3 From distance anyone can feels foul smell who is in the room

4 Foul smell can be feel from outside of the room even

126 कपामऱका (स)

दनतवलकसम दरनभ = Bracketing of tooth enamel (दरचनत दनतवलकातन)

0 No दरनभ of tooth This should be

considered

separately for each

tooth

1 दरनभ is present of less than 13 of tooth

2 दरनभ is present of more than of 13 of tooth but less than 23 of tooth

3 दरनभ is present of more than of 23 of tooth but no total loss of tooth

4 Total loss of tooth after दरनभ

This condition should be considered as दशनाना पवनाश

दशनाना पवनाश = Total loss of tooth

0 No Any loss of tooth This should be

considered

separately for each

tooth

1 loss of tooth is present of less than 13 of tooth

2 loss of tooth is present of more than of 13 of tooth but less than 23 of tooth

36

Code Signs amp Symptoms Score Gradations Remarks

3 loss of tooth is present of more than of 23 of tooth but no total loss of tooth

4 Total loss of tooth This condition should be considered as दशनाना पवनाश

दनतशातनभ अणश = Thinning of tooth (शातमतममतममणशो दनतात कऩारातन) (अहर)

0 No शातनभ of tooth This should be

considered

separately for each

tooth

1 शातनभ is present in less than 13 of tooth

2 शातनभ is present in more than 13 of tooth but less than 23 of tooth

3 शातनभ is present in more than 23 of tooth but no total loss of tooth

4 Total loss of tooth due to शातनभ

127 शयावदनतक (स) In शमावदनत शमावता amp नीरता should be considered ascending stages

शमावता + नीरता 0 -No any discolouration of

tooth

-Normal colour of tooth

This should be

considered

separately for each

tooth

1 शमावता is Present

2 नीरता is Present

128 हनमो (स) According to Dalhan हनमो is not Dant Rog directly but it is near to

Dantchewing of hard food is one of the causes and there is pain in Dant so it is considered under Danta Rog

हनसचनधपवसहत 0 Absent

1 Can be reset by manual reduction

2 Can be reset by surgical

intervention

129 दनतभद (अहर) तोद =Pricking pain 0 No Pricking pain -Or According to

VAS

- This should be

considered

separately for each

tooth

37

Code Signs amp Symptoms Score Gradations Remarks

2 Pricking pain is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Pricking pain is referred up to Hanu and patient can do hisher routine work without disturbance

4 Pricking pain is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Pricking pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Pricking pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

बद Braking pain 0 No Braking pain -Or According to

VAS

- This should be

considered

separately for each

tooth

2 Braking pain is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Braking pain is referred up to Hanu and patient can do hisher routine work without disturbance

4 Braking pain is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Braking pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Braking pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

38

Code Signs amp Symptoms Score Gradations Remarks

रक Dull pain 0 No Rujā (pain) -Or According to

VAS

- This should be

considered

separately for each

tooth

2 Rujā (pain) is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

सपिन Burstingexpanding pain

0 No Bursting pain -Or According to

VAS

- This should be

considered

separately for each

tooth

2 Bursting pain is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Bursting pain is referred up to Hanu and patient can do hisher routine work without disturbance

4 Bursting pain is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

39

Code Signs amp Symptoms Score Gradations Remarks

5 Bursting pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Bursting pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

1210 दनतचाऱ (अहर) िरतमव = Mobility 0 No = mobility

1 1mm anterio-posterior

mobility

2 2 mm anterio-posterior

mobility

3 More than 2 mm anterio-

posterior amp medial to lateral

mobility

बणादचधकवमथ 0 No Vyatha ndash Pain during

eating

1 Pain during eating of hard

diet only

2 Pain during eating of soft diet

even

1211 कराऱ (स)

=Malocclusion

0 A Normal Molar relationship

exist but there is crowding

misalignment of the teeth

cross bite etc

1 A malocclusion where the

molar relationship shows the

buccal grove of mandibular

first molar distally positioned

when in occlusion with the

mesiobuccal cusp of the

maxillary first molar

2 A malocclusion where the

molar relationship shows the

buccal groove of the

mandibular first molar

mesiallypos

40

GRADATIONS OF JIHWA GAT ROG

Code - 13

Established by Group BHOJ Dr Krishna Makaia ndash Convener

Dr Rajeshree Unadkat Dr Neelam Dave

Dr Ronakgiri Gosai Dr Jignesh Virapariya

Reviewed by Dr Vijayant Bharadwaj

Edited by Prof Vd Hāridra Dave

41

Code Signs amp Symptoms Score Gradations Remarks

131 वाततक चजहवाकिक (स) सपटिता (Creaks) 0 No creaks on tongue

1 Single creak on the dorsum of tongue

2 Multiple Creaks on the dorsum of tongue

3 Multiple deep creaks on the dorsum of tongue (Bleeding)

परसपता (Numbness )

0 No Numbness

1 Numbness in 13 Part of tongue

2 Numbness in 23 Part of tongue

3 Numbness in more than 23 Part of tongue

शाकछिदनपरकाशा (Roughness)

0 Normal surface of tongue on touch

1 Mild rough surface on touch

2 Hard irregular surface on touch

3 Very rough surface which hurts the finger on touch

132 ऩततक चजहवाकिक (स) ऩीता 0 No yellowish discolouration

1 Yellowish discoloration in 13 part

2 Yellowish discoloration in 23 part

3 Yellowish discoloration in more than 23 part of tongue

ऩरयदहमत Burning in entire tongue)

0 No burning Or According to VAS

1 Occasional burning

2 Intermittent burning

3 Continuous burning does not relieve by any measures

दाह (Burning may be

in partially tongue)

0 No Burning Or According to VAS

1 Burning up to 13 part of tongue

2 Burning in 13 to 23 part of tongue

3 Burning in more than 23 part of tongue

42

Code Signs amp Symptoms Score Gradations Remarks

यकतभासाङकयचशिता (Covered with red buds )

0 No change in appearance

1 13 part of tongue covered with red fleshy buds

2 23 part of tongue covered with red fleshy buds

3 Whole tongue covered with red fleshy buds

ओष (Burning) 0 No Oshha Or According to VAS

1 Oshha up to 13 part of tongue

2 Oshha in 13 to 23 part of tongue

3 Oshha in more than 23 part of tongue

133 कपज चजहवाकिक (स) फहरा (Thick) 0 Normal Thickness of Tongue

1 Thickness increased - noticeable by patient

2 Thickness increased - noticeable by the examiner

3 Tongue protruding out because of increased Thickness

गवी (Heaviness) 0 No Heaviness

1 Feeling mild heaviness but no difficulty in Tongue movement

2 Difficulty in Tongue movement especially during intake of liquid

3 Difficulty in Tongue movement especially during intake of hard food

4 Difficulty in Tongue movement especially during Pronunciation

भासोदगभ शालभसरकणिकाब (thorn like papilla)

0 No change in appearance of tongue

1 13 part of tongue covered with red fleshy thorn like papilla

2 23 part of tongue covered with thorn like papilla

3 Whole tongue covered with thorn like papilla

43

Code Signs amp Symptoms Score Gradations Remarks

134 अरास (स) शवमथ

(Swelling at ventral surface of tongue)

0 Absent

1 Present

सतबमतत (Restricted tongue movement)

0 -Normal Movement of Tongue -Movement of tongue not affected

1 Tongue movement slightly restricted but does not affect the normal function

2 Tongue movement restricted that affects the normal function

3 Tongue movement arrested

परवदध

(Increase in size)

0 Size not increased

1 Size increased - noticeable by the patient

2 Size increased - noticeable by the examiner

3 Tongue protruding out because of increased size

ऩाक 0 No swelling or suppuration

1 Inflammation with pain and tenderness

2 Inflammation with different types of pain and tenderness along with induration

3 Pus formation and fluctuation positive

अधशोप 0 Absent

1 Present

उननत (elevation of

the tongue due to swelling below the tongue)

0 Normal position of tongue

1 Tongue slightly elevated due to swelling below the tongue

2 Tongue elevation causes discomfort to the patient

3 Tongue touches the palate

भतमसमगचनध

(Fishy smell)

0 Absent

1 Present

44

Code Signs amp Symptoms Score Gradations Remarks

भासशातन (Destruction of flesh of tongue )

0 No Destruction of tongue flesh

1 13 part of tongue flesh is destroyed

2 23 part of tongue flesh is destroyed

3 More than 23 part of tongue is destroyed

135 उऩचजचहवका (स) शवमथ (Swelling) 0 Absent

1 Present

चजहवाभननम

जात (elevation of

tongue because of swelling)

0 Normal position of tongue

1 Tongue slightly elevated due to swelling below the tongue

2 Tongue elevation causes discomfort to the patient

3 Tongue touches the palate

परसक (Salivation) 0 Normal secretion of saliva

1 Occasionally spitting

2 Off and on spitting

3 Continuous spitting which disturbs the work

कणड (Itching) 0 No itching Or According to VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate on work due to severe itching

0r

0 No itching

1 Occasional itching

2 Off and on itching

3 Continuous itching

ऩरयदाह (Burning in

whole tongue)

0 No burning Or According to VAS

1 Occasional burning

2 Intermittent burning

3 Contentious burning dose not relive by any measures

45

Code Signs amp Symptoms Score Gradations Remarks

136 अचधचजचहवका (अर)

अधोचजहवामा शोप

0 Normal position of tongue

(Swelling below the tongue)

1 Tongue slightly elevated due to swelling below the tongue

2 Tongue elevation causes discomfort to the patient

3 Tongue touches the palate

अङकय (Pappilary

growth)

0 Absent

1 Present

ओष (Burning) 0 No Oshh Or According to

VAS

1 Oshh up to 13 part of tongue

2 Oshh in 13 to 23 part of tongue

3 Oshh in more than 23 part of tongue

सतबवान

(Restriction of Movement)

0 Movement of tongue not affected

1 Tongue movement slightly restricted but does not affect the normal function

2 Tongue movement restricted that affect the normal function

3 Tongue movement arrested

खय(Rough) 0 Smooth on touch

1 Mild irregular surface

2 Rough surface

3 Sharp rough surface touch hurts on finger on touch

रक (Pain) 0 No pain Or According to

VAS

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

कणड (Itching) 0 No itching Or According to

VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate on work due to severe itching

0r

0 No itching

46

Code Signs amp Symptoms Score Gradations Remarks

1 Occasional itching

2 Off and on itching

3 Continuous itching

वाकम पवघातकत (Difficulty in speech)

0 No difficulty in speech

1 Unable to speak िति vargavyanjana

2 Difficulty in speaking क vargavyanjana

Swara donrsquot need involvement of tongue

3 Unable to speak

आहयपवघातकत

(Swallowing )

0 Able to eat regular diet

1 Able to eat soft diet

2 Able to eat only liquid diet

3 Unable to swallow anything

47

GRADATION OF TALUGAT ROG

Code - 14

Established by Group BHOJ Dr Krishna Makaia ndash Convener

Dr Rajeshree Unadkat Dr Neelam Dave

Dr Ronakgiri Gosai Dr Jignesh Virapariya

Reviewed by Dr Vijayant Bharadwaj

Edited by Prof Vd Hāridra Dave

48

Code Signs amp Symptoms Score Gradations Remarks

141 गरशचणडका (स)

परवदधो शोप (Swelling extending from palate) (Which is elongated)

0 Normal size of uvula

1 Swelling of uvula that causes discomfort to the patient

2 Swelling of uvula that causes foreign body sensation

3 Difficulty in breathing due to swelling

दीघ शोप

(Elongated Swelling)

0 Normal size of uvula

1 Elongated swelling of uvula that causes discomfort to the patient

2 Elongated swelling of uvula that causes foreign body sensation

3 Difficulty in breathing due to Elongated swelling

धभातफचसतपरकाश शोप =Inflated

swelling like Basti

0 Normal size of uvula

1 Inflated swelling like Basti of uvula that causes discomfort to the patient

2 Inflated swelling like Basti of uvula that causes foreign body sensation

3 Difficulty in breathing due to Inflated swelling like Basti

तषणा 0 Normal feeling of thirst

1 Increased feeling of thirst which is relived after drinking water

The quantity of water is not consider here but the frequency of water is considered

2 Frequent feeling of thirst which is Occasional relived after drinking water

3 Continuous feeling of thirst does not relive after drinking profuse amount of water

कास (Coughing) 0 No coughing

49

Code Signs amp Symptoms Score Gradations Remarks

1 Occasional coughing during eating and speaking

2 Off and on coughing

3 Continuous coughing

शवास 0 No difficulty in breathing

1 Difficulty in breathing occasionally

2 More difficulty in breathing while sleeping

3 Excessive difficulty in breathing

भतमसमफचसततनब शोप (अहर)

0 Normal uvula Used as an adjective

1 Inflated swelling like Matsya-Basti of uvula that causes discomfort to the patient

2 Inflated swelling like Matsya-Basti of uvula that causes foreign body sensation

3 Difficulty in breathing due to Inflated swelling like Matsya-Basti

पररफ (अहर) 0 Normal length of Uvula

(Elongated Swelling)

1 Size of Uvula increased up to lt2 mm

2 Size of Uvula increased more than 2 mm but less than 4 mm

3 Size of Uvula increased gt4 mm that cause discomfort to patient and cause difficulty in breathing

पऩचछिर(अहर) (Sliminess)

0 Absent

1 Present

नासमाऽऽहायभीयमन (अहर)

0 Food does not come out from nose

(Food comes out of nose)

1 Food comes out from nose

कणठोऩयोध(अहर) (Obstruction of throat )

0 -Able to eat regular diet -No difficulty in swallowing of any food

1 Able to swallow liquid or soft diet but not able to swallow hard diet

2 Able to swallow hard diet forcefully

50

Code Signs amp Symptoms Score Gradations Remarks

3 Not able to swallow hard diet with force

वभन(अहर) (Vomiting)

0 No Vaman

1 Feeling of nausea only

2 Only one veg of Vaman in a day

3 Two vegas of Vaman in a day

4 More than two vegas of Vaman in a day

132 तचणडकयी (स)

शोप (Tonsillar

Swelling)

0 Tonsils are located within the tonsillar fossa

1 Tonsils hypertrophy till the brim of the tonsillar fossa

2 Tonsils hypertrophy extends beyond the pillars but not touching each other

3 Tonsils hypertrophy extends beyond the pillars but not touching each other

तोद

(Pricking pain)

0 No pain

1 Occasional pain Or according to VAS

2 Off and on pain

3 Continuous pain

दाह (Burning) 0 No

1 Occasional burning

2 Intermittent burning

3 Contentious burning dose not relive by any measures

परऩाक 0 Absent

1 Present

पऩचछिर शोप(अहर)

Sliminess in swallowing

0 Feeling of Sliminess is Absent

1 Feeling of Sliminess is Present

भनदरक (अहर)

(Mild pain)

0 Absent Or According to

VAS

1 Present

133 अधरष (स)

शोप (Swelling) 0 No swelling

1 13 Swelling in part of the palate

51

Code Signs amp Symptoms Score Gradations Remarks

2 23 swelling in part of palate

3 Swelling in gt than 23 part of palate

सतबधता =Functions of soft palate like deglutition Phonation etc are affected = No mobility of soft palate

0 Normal function of soft palate

1 Soft palate movement reduced but functions are not affected

2 Any one of the functions of soft palate is affected

3 All functions of soft palate are affected

रोटहतवणता

(Redness)

0 No change in colour

1 Pinkish red coloured mucosa in palate

2 Red coloured mucosa in palate

3 Dark red coloured mucosa in palate

रजा (Pain) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

जजवय (Fever) 0 Normal temperature

1 Temperature between 984rsquoF to 100rsquoF

Temperature between 100rsquoF to 101rsquoF

2 Temperature between 101rsquoF to 102rsquoF

3 Temperature between 102rsquoF to 103rsquoF

52

Code Signs amp Symptoms Score Gradations Remarks

4 Temperature between 103rsquoF to 104rsquoF

5 Temperature more than 104rsquoF

134 कछिऩ (स)

कभवत उतमसनन शोप (Swelling

having shape like dorsum of tortoise)

0 No swelling

1 Swelling in 13rd part of the palate

2 Swelling in 23rd part of palate

3 Swelling in gt 23rd part of palate

चियवपदध(अहर)

(Slow growth)

0 Growth within a week

1 Growth within 1 week to 1 month

2 Growth within 1 month to 6 months

3 Growth within gt 6 months

रक (अहर) (Pain) 0 No pain Or According to VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesics

135 तारअफद (स) ऩदमाकाय तारभधम

शोपम (Swelling

like shape of lotus )

0 No swelling

1 Swelling in 13rd part of the palate

2 2 Swelling in 23rd part of palate

3 3 Swelling in gt 23rd part of palate

136 भाससङघात (स) नीरज (Painless) 0 Absent

1 Present

53

Code Signs amp Symptoms Score Gradations Remarks

शोप 0 No swelling

1 Swelling in 13rd part of the palate

2 Swelling in 23rd part of palate

3 Swelling in gt 23rd part of palate

137 तारऩपऩि (स) नीरक (Painless) 0 Absent

1 Present

कोरभातर

Swelling having size of Kola fruit

0 Absent

1 Present

138 तारशोष (स)

शोष (Dryness) 0 No dryness

1 Dryness decreased after drinking water

2 Patient needs water frequently

3 Dryness persist after dinking profuse water

दायण (Tearing of palate)

0 Absent

1 Present

शवास (Difficulty in

breathing)

0 No difficulty in breathing Here difficulty in breathing is due to obstruction

1 Difficulty in breathing occasionally

2 More difficulty in breathing while sleeping position

3 Excessive difficulty in breathing

जजवय(अहर) (Fever) 0 Normal temperature

1 Temperature between 984rsquoF to 100rsquoF

Temperature between 100rsquoF to 101rsquoF

2 Temperature between 101rsquoF to 102rsquoF

3 Temperature between 102rsquoF to 103rsquoF

4 Temperature between 103rsquoF to 104rsquoF

5 Temperature more than 104rsquoF

54

Code Signs amp Symptoms Score Gradations Remarks

139 तारऩाक (स) ऩाक (Suppuration) 0 No swelling or suppuration

1 Inflammation of palate with pain and tenderness

2 Inflammation of palate with different types of pain and tenderness with induration

3 Pus formation and fluctuation positive

1310 तारपऩटिका (अहर) तारभास पऩटिका

Follicles in palate flesh

0 No follicles

1 13 palate covered with follicles

2 23 palate covered with follicles

3 More than 23 palate covered with follicles

रज(अहर) (Pain) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

Occasional pain

खयता(अहर) (Roughness)

0 Smooth on touch

1 Mild irregular surface on touch

2 Rough surface

3 Sharp rough surface which hurts on finger on touch

घनसराव(अहर) (Thick discharge)

0 No discharge

1 Occasional discharge

2 Off and on thick discharge

3 Continuous thick discharge

1311 तारसहतत (अहर) तारभधम तनरक (अहर) =Painless fleshy growth in palate

Only तारभधम तनरक indicates the place and quality of growth both the symptoms can be

merged

55

Code Signs amp Symptoms Score Gradations Remarks

तनरक (Painless) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

भाससहत

(Fleshy growth in palate)

0 No fleshy growth

1 Fleshy growth in 13 part of the palate Swelling

2 Fleshy growth in 23 part of palate swelling

3 Fleshy growth in more than 23 part of palate

56

GRADATION OF SARVASAR ROG

Code - 15

Established by Group BHOJ Dr Krishna Makaia ndash Convener

Dr Rajeshree Unadkat Dr Neelam Dave

Dr Ronakgiri Gosai Dr Jignesh Virapariya

Reviewed by Dr Vijayant Bharadwaj

Edited by Prof Vd Hāridra Dave

57

Code Signs amp Symptoms Score Gradations Remarks

151 वातजसवसय (स) सपोि (Ulcers) 0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

तोद = Pricking pain 0 No pricking pain Or According to VAS

1 Occasional pricking pain

2 Off and on pricking pain

3 Continuous pricking pain

Or

0 No pricking pain

1 Sometimes mild pricking pain

2 Has to take analgesic while pricking pain

सिारयण(अहर) This symptom is for सवसय so this सवसय is the nature of सिारय

0 No movement of सवसय

1 Movement of सवसय is once in a week

2 Movement of सवसय is once in three to four days

3 Movement of सवसय is at every alternate day

4 Movement of सवसय is once in a day

अरण (अहर) Reddish discoloration

0 Colour of वरण is same with colour of surrounding area

1 Colour of वरण is Reddish

2 Colour of वरण is Dark Red

3 Colour of वरण is Reddish black

र (अहर) Dryness 0 वरण is Moist

-No dryness of वरण

1 वरण Needs lubrication once a day

2 वरण Needs frequent lubrication in

a day

3 No benefit with frequent

lubrication of वरण

तामरता (अहर) (Coppery

0 Colour of वरणौषठ is same with colour of surrounding area

58

Code Signs amp Symptoms Score Gradations Remarks

discoloration) This symptom is for

वरणौषठ

1 Colour of वरणौषठ is Tamra Varna

चऱतवचा (अहर) (Free mucous membrane) This symptom is for

वरणौषठ

0

Movement of वरणौषठ is on touch

only

1 Movement of वरणौषठ can be seen by naked eye means without touch

शीतासहा (अहर) (Intolerance to cold) This symptom is for

जजहवा

0 No Intolerance of cold to जजहवा

1 Intolerance of severe cold to जजहवा

2 Intolerance of moderate cold to जजहवा

3 Intolerance of Mild cold to जजहवा

गवी (Heaviness)

This symptom is for

जजहवा

0 No Heaviness

1 Mild heaviness with no difficulty

in movement of जजहवा

2 Moderate heaviness with

difficulty in Movement of जजहवा

3 Sever heaviness with bending down of

सफटटता (अहर) (Ulcer)

0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

कणटाकाधचता (अहर) = Thorn like

appearance

0 No change in appearance

59

Code Signs amp Symptoms Score Gradations Remarks

1 13 part of oral mucous membrane covered with red fleshy thorn like papillae

2 23 part of oral mucous membrane covered with red fleshy thorn like papillae

3 gt23 part of oral mucous membrane covered with red fleshy thorn like papillae

षववणोतत कचछरणमखम (अहर) (Difficulty in mouth opening)

0 Mouth opening more than 3 fingers without difficulty

1 2 to 3 fingers opening of mouth with or without difficulty

2 1 to 2 fingers opening of mouth with or without difficulty

3 Less than 1 finger opening of mouth with or without difficulty

152 पऩतमत(यकतज)सवसय (स) Signs and Symptoms of यकतज सवसय are same as of पऩतमत सवसय so no separate gradations are mentioned

यकतता (Redness) 0 Colour of सवसय- वरण is similar with

surrounding mucous membrane

1 Reddish Colour of सवसय- वरण

2 Bright red Colour of सवसय- वरण

3 Dark red Colour of सवसय- वरण

सदाह (Burning

Sensation)

0 No burning in सवसय- वरण Or According to

VAS

1 Occasional burning in सवसय- वरण

2 Intermittent burning in सवसय- वरण

3 Contentious burning in सवसय- वरण

which does not relive by any measures

तन (तनसब) (Shallow superficial ulcers)

0 No ulcer

1 Ulcer having depth of 05-1 mm

2 Ulcer having depth of 1 ndash 15 mm

3 Ulcer having depth of 15 -2 mm

60

Code Signs amp Symptoms Score Gradations Remarks

ओष (अहर) 0 No (ओष) burning in सवसय- वरण

1 Occasional (ओष) burning in

सवसय- वरण

2 Intermittent (ओष) burning in

सवसय- वरण

3 Contentious (ओष) burning in

सवसय- वरण which does not relive

by any measures

ततकतवकरता (अहर) (Bitter taste in mouth)

0 No alteration in taste

1 Occasionally bitter taste felt in mouth without having any bitter substance

2 Off and on bitter taste felt in mouth without having any bitter substance

3 Continuous bitter taste felt in mouth without having any bitter substance

ारोकषतत समावरणा (अहर)

0 No Ulcer

(Ulcers looking like chemical burns)

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

153 कपज सवसय (स) कणड (Itching) 0 No itching Or According to

VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Unable to work due to itching

0r

0 No itching

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate on work due to severe itching

रजा (Pain)

(अलऩ रजा) 0 No pain Or According to

VAS

1 Occasional pain

61

Code Signs amp Symptoms Score Gradations Remarks

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain This condition should be considered as अलऩ रजा

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

सवणण 0 Colour of वरण is same with colour of near by tissue

1 Colour of वरण is not same with colour of near by tissue

मररासयतवम (अहर) (Sweet taste in mouth)

0 No alteration in taste

1 Occasionally sweet taste felt without eating any sweet substance

2 Off and on Sweet taste Occasionally sweet taste felt without eating any sweet substance

3 Continuous sweet taste Occasionally sweet taste felt without eating any sweet substance

षपजचछिऱता (अहर) (Unctuousness)

0 Absent

1 Present

वरण 0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

154 कफाबभद (अहर) शयाव अबभदम

(शयावपाणडऽबभदम) 0 Colour of growthtumour is same

the colour of surrounding skin

1 Colour of growthtumour is शयाव

(Blackish)

62

Code Signs amp Symptoms Score Gradations Remarks

पाणड अबभदम (शयावपाणडऽबभदम)

0 Colour of growthtumour is same the colour of surrounding skin

1 Colour of growthtumour is पाणड

(Pale)

अबभदम 0 No GrowthTumour TNM Classification for tumours can be applied for growth

1 Growthtumour having sizelt 10 mm

2 Growthtumour having size 10 mm to 20 mm

3 Growthtumour having size gt 20 mm

घटिता तिनना मटदता च षववरभत (Size increases on rubbing cutting and squeezing)

0 Size of GrowthTumour is not increasing by rubbing cutting or squeezing

1 Size of GrowthTumour is increasing up to 10 mm by rubbing cutting or squeezing within a month

2 Size of GrowthTumour is increasing up to 20 mm by rubbing cutting or squeezing within a month

3 Size of GrowthTumour is increasing up to 30 mm by rubbing cutting or squeezing within a month

4 Size of GrowthTumour is increasing up to 40 mm by rubbing cutting or squeezing within a month

155 ऊरधवभगद (अहर) वकतरदौगनधम

(Halitosis)

0 No Halitosis

1 Halitosis is feel by Patient only

2 Halitosis is feel by Patient and examining Doctor only

3 Halitosis is feel by any person from the distance from 5 meters

63

Code Signs amp Symptoms Score Gradations Remarks

4 Halitosis is feel by any person from the distance from more than 5 meters

156 पततवकर (अहर) ऩतममासमता

(Halitosis)

0 No Halitosis

1 Halitosis is feel by Patient only

2 Halitosis is feel by Patient and examining Doctor only

3 Halitosis is feel by any person from the distance from 5 meters

4 Halitosis is feel by any person from the distance from more than 5 meters

157 सतनऩाततक सवसय (अहर) This disease occurs due to aggravation of all three doshas including Rakta Clinical presentation of this disease is found as mixed picture according prominent aggravation of dosha and signs and symptoms will be observed accordingly Gradations should be considered accordingly so it is not required to repeat here

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Page 22: THE GRADATIONS OF DISEASES OF SHALAKYA TANTRA - PART …theassociationofshalaki.com/downloads/GRADATIONS_OF_DISEASE… · 12.05.2019  · I am also very much thankful to Dr Sandhya

21

Code Signs amp Symptoms Score Gradations Remarks

111 शीताद (स) अकसभात यकतसराव 0 No bleeding

1 Occasional bleeding for 1 or 2 times in 1 Prahar

2 Spontaneous Bleeding up to one Prahar

3 Spontaneous Bleeding for more than 1 Prahar (more than 3hrs)

दगनधीतन 0 No foul smell

1 Patient feels foul smell

2 Doctor or person who comes near to patient feels foul smell

3 From distance anyone can feels foul smell who is in the room

4 Foul smell can be feel from outside of the room even

सकषणातन 0 Absent

=Blackish discoloration

1 Present

परकरदीतन 0 Absent

1 Present

भदता 0 Absent

1 Present

दनतभास शीमनत 0 Gums situated At CE junction

1 Recession of gums At cervical 13

2 Recession of gums At middle 13

3 Recession of gums At apical 13

ऩिचनत ि ऩयसऩयभ 0 No Pachan (Pāk)

= Pāk 1 1 Quadrant is involved

2 2 quadrants are involved

3 More than 2 quadrants are involved

112 दनतपपपटक (स) दनतमोसतरीष वा 0 No involvement of teeth

1 Involvement of 2 teeth

2 Involvement of 3 teeth

शवमथ भहान 0 Absent

1 Present

सरज 0 No pain Or according to VAS

1 तीवर =Pain is there but he can do

work or sleep

22

Code Signs amp Symptoms Score Gradations Remarks

2 तीवरतय =Pain is there but he can do

work or sleep

3 तीवरतभ =Patient canrsquot tolerate

शोफ़ो फदयाचसथतनबो घन (अहर) =Kola is

small jujube and badar is big jujube and seed is measuring around 5 mm

0 Not present

1 Shoth up to 25 mm

2 Shoth 25 to 5 mm

3 Shoth is more than 5 mm

ऩाक (अहर) (शीघर ऩछमत)

0 Absent Accumulation of Fluid or pus

1 Present

113 दनतवषट (स) सरवचनत ऩमरचधय

Discharge of blood with pus or only pus

0 No Discharge

1 Blood with Pus Discharge

2 Only pus discharge

िरता 0 No mobility

1 1 mm antero-posterior Mobility

2 2 mm antero-posterior Mobility

3 More than 2 mm antero-posterior amp medial to lateral mobility

114 शौषषर (स) शवमथ 0 Absent

1 Present

रजावान According to VAS scoring

रारासरावी 0 Normal secretion

1 Occasionally splitting

2 On and off splitting

3 Continuous splitting disturbance in work

कणड 0 Absent

1 Occasionally itching

2 On and off itching

3 Continues itching

23

Code Signs amp Symptoms Score Gradations Remarks

दतभासपरशातन 0 Gums situated At CE junction

1 Recession of gums At cervical 13

2 Recession of gums At middle 13 3 Recession of gums At apical 13

115 महाशौषषर (स) दनताशिरचनत 0 No mobility

1 1 mm antero-posterior mobility

2 2 mm antero-posterior mobility

3 More than 2 mm anteroposterior amp medial to lateral mobility

तार अवदीमत 0 Absent Fissure over the Palate

1 Present

दतभासातनऩछमनत 0 No redness

1 Mild redness

2 Moderate redness

3 Severe redness

भख ऩरयऩीडमत 0 No Peedā Or According to VAS

Pain in any part or whole oral cavity

1 Peedā is at those Gums where disease is situated

2 Peedā is at entire Gums

Peedā is at entire Mukh

सचननऩाताजजजजवयवान

(अहर) 0 Normal temperature

1 Temperature between 984rsquoF to 100rsquoF

Temperature between 100rsquoF to 101rsquoF

2 Temperature between 101rsquoF to 102rsquoF

3 Temperature between 102rsquoF to 103rsquoF

4 Temperature between 103rsquoF to 104rsquoF

5 Temperature more than 104rsquoF

सऩमरचधयसरतत (अहर)

0 No Discharge

1 Blood with Pus Discharge

2 only pus discharge

पवशीणदपवजफनधन (अहर)

0 No mobility

1 1 mm antero-posterior mobility 2 2 mm antero-posterior mobility

24

Code Signs amp Symptoms Score Gradations Remarks 3 more than 2 mm antero-posterior

amp medial to lateral mobility

116 पररदर (स) दनतभासातन शीमनत 0 Gums situated At CE junction Depending upon

severity grading has been established

1 Recession of gums At cervical 13

2 Recession of gums At middle 13

3 Recession of gums At apical 13

षठीवतत असक 0 No spitting of blood

1 Occasionally splitting

2 On and off splitting

3 Continuous splitting with disturbance in work

117 उपकश (स) दाह Or According to VAS

ऩाक 0 Absent

1 Present

दनताशिरचनत 0 No mobility

1 1 mm antero-posterior mobility

2 2 mm antero-posterior mobility

3 more than 2 mm antero-posterior amp medial to lateral mobility

आघटिता परसरवचनत 0 Absent

=Bleeding from gums by pressure

1 Bleeding on pressure remains for five minutes

2 Bleeding on pressure remains up to 15 minutes

3 Bleeding on pressure remains up to 30 minutes

4 Bleeding on pressure remains up to 1 hour

5 Bleeding on pressure remains more than 1 hour

भदवदना 0 Absent

1 Present

आधभामनत सरत यकत

0 Absent

1 Present

ऩतत वकतरता (अहर) 0 No foul smell

1 Patient feels foul smell

25

Code Signs amp Symptoms Score Gradations Remarks

2 Doctor or person who comes near to patient feels foul smell

3 From distance anyone can feels foul smell who is in the room

4 Foul smell can be feel from outside of the room even

कणडभचनत (अहर) 0 Absent Or According to VAS

1 Occasionally itching

2 On and off itching

3 Continues itching

िरा (अहर) 0 No mobility

1 1 mm antero-posterior mobility

2 2 mm antero-posterior mobility

3 More than 2 mm antero-posterior amp medial to lateral mobility

118 वदभभ (स) =Traumatic injury(By mechanical Chemical thermal )

घषिष दनतभरष सयबो जामत भहान

0 Absent Mahan suggest itself severity of disease

1 Present

िरदता (अहर) 0 No mobility

1 1 mm antero-posterior mobility

2 2 mm antero-posterior mobility

3 More than 2 mm antero-posterior amp medial to lateral mobility

119 वरभन (स) तीवरवदना 0 No pain Or According to VAS

1 तीवर -Pain is there but he can do

work or sleep

2 तीवरतय -Patient can tolerate

3 तीवरतभ -Patient canrsquot tolerate

1110 अधरमाास (स) भहाञिोथ 0 No Shoth Mahan suggest itself

severity of disease

1 Shoth is Present on that gum only where disease is occurred

2 Shoth is Present on nearby two or three gums where disease is occurred

26

Code Signs amp Symptoms Score Gradations Remarks

3 Shoth is present up to adjoining cheek

This condition should be considered as

भहाञिोथ

भहारजा (स) परततहनतममभमवरतत (अहर)

0 No Rujā (pain) Or According to VAS

2 Rujā (pain) is Present on that gum only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

This condition should be considered as भहारजा amp परततहनतममभमवरतत

रारासरावी 0 Normal secretion

1 Occasionally splitting

2 On and off splitting

3 Continuous splitting disturbance in work

दनतानत कीरवतमशोफ़ (अहर)

0 No Keel vat Shoth

1 Keel vat Shoth is Present on that gum only where disease is occurred

2 Keel vat Shoth is Present on nearby two or three gums where disease is occurred

3 Keel vat Shoth is present up to adjoining cheek

1111 दनतषवदरधर (अहर) दनतभासशोफ़ (ि) 0 No Shoph

1 Shoph is Present on that gum only where disease is occurred

2 Shosh is Present on nearby two or This condition should

27

Code Signs amp Symptoms Score Gradations Remarks

three gums where disease is occurred

be considered as अनत शवमथ According to

Vagbhatta

3 Shosh is extended up to adjoining cheek

This condition should be considered as फाहम शवमथ According to

Vagbhatta

फाहम शवमथ (अहर) This condition is mentioned at दनतभास शोफ़

अनत शवमथ (अहर) This condition is mentioned at दनतभास शोफ़

गर (अहर) 0 Absent

1 Present

रग (अहर) 0 No Rujā (pain) Or According to VAS

2 Rujā (pain) is Present on that gum only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

दाह (अहर) According to VAS

सरवतिननऩमासर (अहर)

0 No Discharge

1 Blood with Pus Discharge

2 Only pus discharge

1112 दतनाडी Scoring is not possible further according to measurement of Nadivrana because X-

ray only detects spread up to the bone Whereas Nadivrana in gingiva periodontal ligament cannot be measured

दतनाडी 0 Absent

1 Present

28

GRADATION OF DANTA GAT ROG

Code ndash 12

Gradations established by Group KARAL Dr Krishna Makadia - Convener

Dantavaidya Saroj Joshi Dantavaidya Harshad Joshi

Dr Kiran Raj Dr Achyuta Atara Dr Pranav Dave

Gradations Reviewed by Dr Hemangi Shukla Dr Krishna Makadia

Edited by Prof Vd Hāridra Dave

29

Code Signs amp Symptoms Score Gradations Remarks

121 दाऱन (स)

तीवररग 0 No Rujā (pain) Or According to VAS

2 Rujā (pain) is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

उषणअसहादनता (अस) 0 No sensitivity in teeth ie with warm

water hot water or

excessive hot water

application on

tooth is not

possible so Time

related and severity

related grading was

finalised(same for

cold)

1 Mild sensitivity in teeth - At a

time

2 Moderate sensitivity in teeth -

Sensitivity remains only for 1

Prahar (up to 3 hrs)

3 Severe sensitivity in teeth -

Sensitivity remains more than

1 Prahar (more than 3 hrs)

शीतअचधकवमथा (अहर) 0 No sensitivity in teeth

1 Mild sensitivity in teeth - At a

time

2 Moderate sensitivity in teeth -

Sensitivity remains only for 1

Prahar (up to 3 hrs)

3 severe sensitivity in teeth-

Sensitivity remains more than

1 Prahar (more than 3 hrs)

22 कममदनत (स) कषण 0 No discoloration

1 Light greyish black

2 Dark greyish black

3 Jet black

30

Code Signs amp Symptoms Score Gradations Remarks

तिदर 0 No cavity It should be

decided by X-ray

1 Cavity within limit of enamel

2 Cavity within limit of dentin

3 Cavity up to pulp

िर 0 No mobility

1 1 mm antero-posterior

mobility

2 2 mm antero-posterior

mobility

3 More than 2 mm antero-

posterior amp medial to lateral

mobility

सरावी 0 No Srāv- after drying

particular teeth with cotton

inserting cotton on cavity

There is no other

method to check

Srāv in Krimidanta

1 Srāv is present

ससयब = Inflammation 0 No inflammation

1 Inflammation is Present भहारज 0 No Rujā (pain) Or According to

VAS 2 Rujā (pain) is Present on that

gum only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

This condition should be considered as भहारज

अतनसभतमतरज 0 No sudden onset of pain

1 Sudden onset of pain is

present

अहततीवराततशभ (अहर) 0 No sudden onset of pain

31

Code Signs amp Symptoms Score Gradations Remarks

1 Sudden onset of pain is

present

पररन (अहर) = Broken due to cavity

0 Cavity is there but it is not

broken

It should be

considered for each

tooth separately

Cavity in that must

be present in

particular tooth

1 13 part of tooth is broken

2 23 of tooth is broken

3 More than 23 of tooth is

broken

4 Total loss of tooth

ऩमसरत (अहर) 0 No Pooya Srāv after drying

particular place

with cotton

inserting cotton on

cavity

1 Pooya Srāv present

यकतसरत (अहर) 0 No Rakta Srāv after drying

particular place

with cotton

inserting cotton on

cavity

1 Rakta Srāv is present

123 दनतहषभ (स)

शीत सऩशन न सहनत 0 No sensitivity by cold touch

in any teeth

1 Ooccassional sensitivity by

cold touch in any toothteeth

for once

2 Sensitivity by cold touch

remains in toothteeth only up

to 1 Prahar (up to 3hrs)

3 Sensitivity by cold touch

remains more than 1 Prahar

(more than 3hrs)

उषण सऩशन न सहनत 0 No sensitivity by hot touch in

any teeth

1 Occassional sensitivity by hot

touch in toothteeth for once

2 Sensitivity by hot touch

remains in toothteeth only up

to 1 Prahar (up to 3hrs)

3 Sensitivity by hot touch

remains in toothteeth more

than 1 Prahar (more than

3hrs)

32

Code Signs amp Symptoms Score Gradations Remarks

परवाताभा = Sensitivity to air

(परवातारशीतबाभा) (अहर)

0 No sensitivity by Pravāt

touch in any tooth

1 Occassional sensitivity by

Pravāt touch in toothteeth for

once

2 Sensitivity by Pravāt touch

remains in toothteeth only up

to 1 Prahar (up to 3hrs)

3 Sensitivity by Pravāt touch

remains in toothteeth more

than 1 Prahar (more than

3hrs)

अरबाभा = Sensitivity to sour food

(परवातारशीतबाभा) (अहर)

0 No sensitivity by eating

sourer food to any tooth

1 Occassional sensitivity by

eating sourer food to any

toothteeth for once

2 Sensitivity by eating sourer

food remains to toothteeth

only up to 1 Prahar (up to

3hrs)

3 Sensitivity by eating sourer

food remains to toothteeth

more than 1 Prahar (more

than 3hrs)

शीतबाभा (परवातारशीतबाभा) (अहर)

0 No sensitivity by eating cold

item to any tooth

1 Occasional sensitivity by

eating cold item to toothteeth

for once

2 Sensitivity by Pravāt touch

remains in toothteeth only up

to 1 Prahar (up to 3hrs)

3 Sensitivity by eating cold

item remains to toothteeth

more than 1 Prahar (more

than 3hrs)

सरजा (अहर) 0 No Rujā (pain)

33

Code Signs amp Symptoms Score Gradations Remarks

2 Rujā (pain) is Present on that gum only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

2 Rujā (pain) is Present on that gum only where disease is occurred and patient can do hisher routine work without disturbance

िर (अहर) 0 No mobility

1 1 mm anterio-posterior

mobility

2 2 mm anterio-posterior

mobility

3 More than 2 mm antero-

posterior amp medial to lateral

mobility

124 भञजनक (स) =Photograph is necessary

(depending upon the severity gradation has been finalised)

वकतर वकरता 0 No deviation

1 Deviation is present

तीवररक 0 No Rujā (pain) Or according to

VAS

2 Rujā (pain) is Present on that gum only where disease is occurred and patient can do hisher routine work without disturbance

34

Code Signs amp Symptoms Score Gradations Remarks

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

This condition should be considered as तीवररक

दनतबङग 0 Tooth is not broken This should be

considered for

single tooth

1 13 part of tooth is broken

2 23 of tooth is broken

3 More than 23 of tooth is

broken

4 Total loss of tooth

125 दनतशकभ रा (स) =Calculus index was selected

शकयव चसथयीबत भर 0 No calculus present

1 Supragingival calculus

covering not more than third

of the exposed tooth surface

2 Supragingival calculus

covering more than 13 but

not more than 23 of the

exposed tooth surface or the

presence of individual flecks

of subgingival calculus

around the cervical portion of

the tooth or both

3 Supragingival calculus

covering more than 23 of the

exposed tooth surface or

continues heavy band 0f

subgingival calculus around

the cervical portion of the

tooth or both

35

Code Signs amp Symptoms Score Gradations Remarks

दनताना गणहयी 0 Absent All 10 Guna of

Danta Sampata

should be

considered required

suggestions for

each Guna

1 Present

ऩततगचनध (अहर) 0 No foul smell Taken grading of

halitosis

1 Patient feels foul smell

2 Doctor or person who comes near to patient feels foul smell

3 From distance anyone can feels foul smell who is in the room

4 Foul smell can be feel from outside of the room even

126 कपामऱका (स)

दनतवलकसम दरनभ = Bracketing of tooth enamel (दरचनत दनतवलकातन)

0 No दरनभ of tooth This should be

considered

separately for each

tooth

1 दरनभ is present of less than 13 of tooth

2 दरनभ is present of more than of 13 of tooth but less than 23 of tooth

3 दरनभ is present of more than of 23 of tooth but no total loss of tooth

4 Total loss of tooth after दरनभ

This condition should be considered as दशनाना पवनाश

दशनाना पवनाश = Total loss of tooth

0 No Any loss of tooth This should be

considered

separately for each

tooth

1 loss of tooth is present of less than 13 of tooth

2 loss of tooth is present of more than of 13 of tooth but less than 23 of tooth

36

Code Signs amp Symptoms Score Gradations Remarks

3 loss of tooth is present of more than of 23 of tooth but no total loss of tooth

4 Total loss of tooth This condition should be considered as दशनाना पवनाश

दनतशातनभ अणश = Thinning of tooth (शातमतममतममणशो दनतात कऩारातन) (अहर)

0 No शातनभ of tooth This should be

considered

separately for each

tooth

1 शातनभ is present in less than 13 of tooth

2 शातनभ is present in more than 13 of tooth but less than 23 of tooth

3 शातनभ is present in more than 23 of tooth but no total loss of tooth

4 Total loss of tooth due to शातनभ

127 शयावदनतक (स) In शमावदनत शमावता amp नीरता should be considered ascending stages

शमावता + नीरता 0 -No any discolouration of

tooth

-Normal colour of tooth

This should be

considered

separately for each

tooth

1 शमावता is Present

2 नीरता is Present

128 हनमो (स) According to Dalhan हनमो is not Dant Rog directly but it is near to

Dantchewing of hard food is one of the causes and there is pain in Dant so it is considered under Danta Rog

हनसचनधपवसहत 0 Absent

1 Can be reset by manual reduction

2 Can be reset by surgical

intervention

129 दनतभद (अहर) तोद =Pricking pain 0 No Pricking pain -Or According to

VAS

- This should be

considered

separately for each

tooth

37

Code Signs amp Symptoms Score Gradations Remarks

2 Pricking pain is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Pricking pain is referred up to Hanu and patient can do hisher routine work without disturbance

4 Pricking pain is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Pricking pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Pricking pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

बद Braking pain 0 No Braking pain -Or According to

VAS

- This should be

considered

separately for each

tooth

2 Braking pain is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Braking pain is referred up to Hanu and patient can do hisher routine work without disturbance

4 Braking pain is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Braking pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Braking pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

38

Code Signs amp Symptoms Score Gradations Remarks

रक Dull pain 0 No Rujā (pain) -Or According to

VAS

- This should be

considered

separately for each

tooth

2 Rujā (pain) is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

सपिन Burstingexpanding pain

0 No Bursting pain -Or According to

VAS

- This should be

considered

separately for each

tooth

2 Bursting pain is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Bursting pain is referred up to Hanu and patient can do hisher routine work without disturbance

4 Bursting pain is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

39

Code Signs amp Symptoms Score Gradations Remarks

5 Bursting pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Bursting pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

1210 दनतचाऱ (अहर) िरतमव = Mobility 0 No = mobility

1 1mm anterio-posterior

mobility

2 2 mm anterio-posterior

mobility

3 More than 2 mm anterio-

posterior amp medial to lateral

mobility

बणादचधकवमथ 0 No Vyatha ndash Pain during

eating

1 Pain during eating of hard

diet only

2 Pain during eating of soft diet

even

1211 कराऱ (स)

=Malocclusion

0 A Normal Molar relationship

exist but there is crowding

misalignment of the teeth

cross bite etc

1 A malocclusion where the

molar relationship shows the

buccal grove of mandibular

first molar distally positioned

when in occlusion with the

mesiobuccal cusp of the

maxillary first molar

2 A malocclusion where the

molar relationship shows the

buccal groove of the

mandibular first molar

mesiallypos

40

GRADATIONS OF JIHWA GAT ROG

Code - 13

Established by Group BHOJ Dr Krishna Makaia ndash Convener

Dr Rajeshree Unadkat Dr Neelam Dave

Dr Ronakgiri Gosai Dr Jignesh Virapariya

Reviewed by Dr Vijayant Bharadwaj

Edited by Prof Vd Hāridra Dave

41

Code Signs amp Symptoms Score Gradations Remarks

131 वाततक चजहवाकिक (स) सपटिता (Creaks) 0 No creaks on tongue

1 Single creak on the dorsum of tongue

2 Multiple Creaks on the dorsum of tongue

3 Multiple deep creaks on the dorsum of tongue (Bleeding)

परसपता (Numbness )

0 No Numbness

1 Numbness in 13 Part of tongue

2 Numbness in 23 Part of tongue

3 Numbness in more than 23 Part of tongue

शाकछिदनपरकाशा (Roughness)

0 Normal surface of tongue on touch

1 Mild rough surface on touch

2 Hard irregular surface on touch

3 Very rough surface which hurts the finger on touch

132 ऩततक चजहवाकिक (स) ऩीता 0 No yellowish discolouration

1 Yellowish discoloration in 13 part

2 Yellowish discoloration in 23 part

3 Yellowish discoloration in more than 23 part of tongue

ऩरयदहमत Burning in entire tongue)

0 No burning Or According to VAS

1 Occasional burning

2 Intermittent burning

3 Continuous burning does not relieve by any measures

दाह (Burning may be

in partially tongue)

0 No Burning Or According to VAS

1 Burning up to 13 part of tongue

2 Burning in 13 to 23 part of tongue

3 Burning in more than 23 part of tongue

42

Code Signs amp Symptoms Score Gradations Remarks

यकतभासाङकयचशिता (Covered with red buds )

0 No change in appearance

1 13 part of tongue covered with red fleshy buds

2 23 part of tongue covered with red fleshy buds

3 Whole tongue covered with red fleshy buds

ओष (Burning) 0 No Oshha Or According to VAS

1 Oshha up to 13 part of tongue

2 Oshha in 13 to 23 part of tongue

3 Oshha in more than 23 part of tongue

133 कपज चजहवाकिक (स) फहरा (Thick) 0 Normal Thickness of Tongue

1 Thickness increased - noticeable by patient

2 Thickness increased - noticeable by the examiner

3 Tongue protruding out because of increased Thickness

गवी (Heaviness) 0 No Heaviness

1 Feeling mild heaviness but no difficulty in Tongue movement

2 Difficulty in Tongue movement especially during intake of liquid

3 Difficulty in Tongue movement especially during intake of hard food

4 Difficulty in Tongue movement especially during Pronunciation

भासोदगभ शालभसरकणिकाब (thorn like papilla)

0 No change in appearance of tongue

1 13 part of tongue covered with red fleshy thorn like papilla

2 23 part of tongue covered with thorn like papilla

3 Whole tongue covered with thorn like papilla

43

Code Signs amp Symptoms Score Gradations Remarks

134 अरास (स) शवमथ

(Swelling at ventral surface of tongue)

0 Absent

1 Present

सतबमतत (Restricted tongue movement)

0 -Normal Movement of Tongue -Movement of tongue not affected

1 Tongue movement slightly restricted but does not affect the normal function

2 Tongue movement restricted that affects the normal function

3 Tongue movement arrested

परवदध

(Increase in size)

0 Size not increased

1 Size increased - noticeable by the patient

2 Size increased - noticeable by the examiner

3 Tongue protruding out because of increased size

ऩाक 0 No swelling or suppuration

1 Inflammation with pain and tenderness

2 Inflammation with different types of pain and tenderness along with induration

3 Pus formation and fluctuation positive

अधशोप 0 Absent

1 Present

उननत (elevation of

the tongue due to swelling below the tongue)

0 Normal position of tongue

1 Tongue slightly elevated due to swelling below the tongue

2 Tongue elevation causes discomfort to the patient

3 Tongue touches the palate

भतमसमगचनध

(Fishy smell)

0 Absent

1 Present

44

Code Signs amp Symptoms Score Gradations Remarks

भासशातन (Destruction of flesh of tongue )

0 No Destruction of tongue flesh

1 13 part of tongue flesh is destroyed

2 23 part of tongue flesh is destroyed

3 More than 23 part of tongue is destroyed

135 उऩचजचहवका (स) शवमथ (Swelling) 0 Absent

1 Present

चजहवाभननम

जात (elevation of

tongue because of swelling)

0 Normal position of tongue

1 Tongue slightly elevated due to swelling below the tongue

2 Tongue elevation causes discomfort to the patient

3 Tongue touches the palate

परसक (Salivation) 0 Normal secretion of saliva

1 Occasionally spitting

2 Off and on spitting

3 Continuous spitting which disturbs the work

कणड (Itching) 0 No itching Or According to VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate on work due to severe itching

0r

0 No itching

1 Occasional itching

2 Off and on itching

3 Continuous itching

ऩरयदाह (Burning in

whole tongue)

0 No burning Or According to VAS

1 Occasional burning

2 Intermittent burning

3 Contentious burning dose not relive by any measures

45

Code Signs amp Symptoms Score Gradations Remarks

136 अचधचजचहवका (अर)

अधोचजहवामा शोप

0 Normal position of tongue

(Swelling below the tongue)

1 Tongue slightly elevated due to swelling below the tongue

2 Tongue elevation causes discomfort to the patient

3 Tongue touches the palate

अङकय (Pappilary

growth)

0 Absent

1 Present

ओष (Burning) 0 No Oshh Or According to

VAS

1 Oshh up to 13 part of tongue

2 Oshh in 13 to 23 part of tongue

3 Oshh in more than 23 part of tongue

सतबवान

(Restriction of Movement)

0 Movement of tongue not affected

1 Tongue movement slightly restricted but does not affect the normal function

2 Tongue movement restricted that affect the normal function

3 Tongue movement arrested

खय(Rough) 0 Smooth on touch

1 Mild irregular surface

2 Rough surface

3 Sharp rough surface touch hurts on finger on touch

रक (Pain) 0 No pain Or According to

VAS

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

कणड (Itching) 0 No itching Or According to

VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate on work due to severe itching

0r

0 No itching

46

Code Signs amp Symptoms Score Gradations Remarks

1 Occasional itching

2 Off and on itching

3 Continuous itching

वाकम पवघातकत (Difficulty in speech)

0 No difficulty in speech

1 Unable to speak िति vargavyanjana

2 Difficulty in speaking क vargavyanjana

Swara donrsquot need involvement of tongue

3 Unable to speak

आहयपवघातकत

(Swallowing )

0 Able to eat regular diet

1 Able to eat soft diet

2 Able to eat only liquid diet

3 Unable to swallow anything

47

GRADATION OF TALUGAT ROG

Code - 14

Established by Group BHOJ Dr Krishna Makaia ndash Convener

Dr Rajeshree Unadkat Dr Neelam Dave

Dr Ronakgiri Gosai Dr Jignesh Virapariya

Reviewed by Dr Vijayant Bharadwaj

Edited by Prof Vd Hāridra Dave

48

Code Signs amp Symptoms Score Gradations Remarks

141 गरशचणडका (स)

परवदधो शोप (Swelling extending from palate) (Which is elongated)

0 Normal size of uvula

1 Swelling of uvula that causes discomfort to the patient

2 Swelling of uvula that causes foreign body sensation

3 Difficulty in breathing due to swelling

दीघ शोप

(Elongated Swelling)

0 Normal size of uvula

1 Elongated swelling of uvula that causes discomfort to the patient

2 Elongated swelling of uvula that causes foreign body sensation

3 Difficulty in breathing due to Elongated swelling

धभातफचसतपरकाश शोप =Inflated

swelling like Basti

0 Normal size of uvula

1 Inflated swelling like Basti of uvula that causes discomfort to the patient

2 Inflated swelling like Basti of uvula that causes foreign body sensation

3 Difficulty in breathing due to Inflated swelling like Basti

तषणा 0 Normal feeling of thirst

1 Increased feeling of thirst which is relived after drinking water

The quantity of water is not consider here but the frequency of water is considered

2 Frequent feeling of thirst which is Occasional relived after drinking water

3 Continuous feeling of thirst does not relive after drinking profuse amount of water

कास (Coughing) 0 No coughing

49

Code Signs amp Symptoms Score Gradations Remarks

1 Occasional coughing during eating and speaking

2 Off and on coughing

3 Continuous coughing

शवास 0 No difficulty in breathing

1 Difficulty in breathing occasionally

2 More difficulty in breathing while sleeping

3 Excessive difficulty in breathing

भतमसमफचसततनब शोप (अहर)

0 Normal uvula Used as an adjective

1 Inflated swelling like Matsya-Basti of uvula that causes discomfort to the patient

2 Inflated swelling like Matsya-Basti of uvula that causes foreign body sensation

3 Difficulty in breathing due to Inflated swelling like Matsya-Basti

पररफ (अहर) 0 Normal length of Uvula

(Elongated Swelling)

1 Size of Uvula increased up to lt2 mm

2 Size of Uvula increased more than 2 mm but less than 4 mm

3 Size of Uvula increased gt4 mm that cause discomfort to patient and cause difficulty in breathing

पऩचछिर(अहर) (Sliminess)

0 Absent

1 Present

नासमाऽऽहायभीयमन (अहर)

0 Food does not come out from nose

(Food comes out of nose)

1 Food comes out from nose

कणठोऩयोध(अहर) (Obstruction of throat )

0 -Able to eat regular diet -No difficulty in swallowing of any food

1 Able to swallow liquid or soft diet but not able to swallow hard diet

2 Able to swallow hard diet forcefully

50

Code Signs amp Symptoms Score Gradations Remarks

3 Not able to swallow hard diet with force

वभन(अहर) (Vomiting)

0 No Vaman

1 Feeling of nausea only

2 Only one veg of Vaman in a day

3 Two vegas of Vaman in a day

4 More than two vegas of Vaman in a day

132 तचणडकयी (स)

शोप (Tonsillar

Swelling)

0 Tonsils are located within the tonsillar fossa

1 Tonsils hypertrophy till the brim of the tonsillar fossa

2 Tonsils hypertrophy extends beyond the pillars but not touching each other

3 Tonsils hypertrophy extends beyond the pillars but not touching each other

तोद

(Pricking pain)

0 No pain

1 Occasional pain Or according to VAS

2 Off and on pain

3 Continuous pain

दाह (Burning) 0 No

1 Occasional burning

2 Intermittent burning

3 Contentious burning dose not relive by any measures

परऩाक 0 Absent

1 Present

पऩचछिर शोप(अहर)

Sliminess in swallowing

0 Feeling of Sliminess is Absent

1 Feeling of Sliminess is Present

भनदरक (अहर)

(Mild pain)

0 Absent Or According to

VAS

1 Present

133 अधरष (स)

शोप (Swelling) 0 No swelling

1 13 Swelling in part of the palate

51

Code Signs amp Symptoms Score Gradations Remarks

2 23 swelling in part of palate

3 Swelling in gt than 23 part of palate

सतबधता =Functions of soft palate like deglutition Phonation etc are affected = No mobility of soft palate

0 Normal function of soft palate

1 Soft palate movement reduced but functions are not affected

2 Any one of the functions of soft palate is affected

3 All functions of soft palate are affected

रोटहतवणता

(Redness)

0 No change in colour

1 Pinkish red coloured mucosa in palate

2 Red coloured mucosa in palate

3 Dark red coloured mucosa in palate

रजा (Pain) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

जजवय (Fever) 0 Normal temperature

1 Temperature between 984rsquoF to 100rsquoF

Temperature between 100rsquoF to 101rsquoF

2 Temperature between 101rsquoF to 102rsquoF

3 Temperature between 102rsquoF to 103rsquoF

52

Code Signs amp Symptoms Score Gradations Remarks

4 Temperature between 103rsquoF to 104rsquoF

5 Temperature more than 104rsquoF

134 कछिऩ (स)

कभवत उतमसनन शोप (Swelling

having shape like dorsum of tortoise)

0 No swelling

1 Swelling in 13rd part of the palate

2 Swelling in 23rd part of palate

3 Swelling in gt 23rd part of palate

चियवपदध(अहर)

(Slow growth)

0 Growth within a week

1 Growth within 1 week to 1 month

2 Growth within 1 month to 6 months

3 Growth within gt 6 months

रक (अहर) (Pain) 0 No pain Or According to VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesics

135 तारअफद (स) ऩदमाकाय तारभधम

शोपम (Swelling

like shape of lotus )

0 No swelling

1 Swelling in 13rd part of the palate

2 2 Swelling in 23rd part of palate

3 3 Swelling in gt 23rd part of palate

136 भाससङघात (स) नीरज (Painless) 0 Absent

1 Present

53

Code Signs amp Symptoms Score Gradations Remarks

शोप 0 No swelling

1 Swelling in 13rd part of the palate

2 Swelling in 23rd part of palate

3 Swelling in gt 23rd part of palate

137 तारऩपऩि (स) नीरक (Painless) 0 Absent

1 Present

कोरभातर

Swelling having size of Kola fruit

0 Absent

1 Present

138 तारशोष (स)

शोष (Dryness) 0 No dryness

1 Dryness decreased after drinking water

2 Patient needs water frequently

3 Dryness persist after dinking profuse water

दायण (Tearing of palate)

0 Absent

1 Present

शवास (Difficulty in

breathing)

0 No difficulty in breathing Here difficulty in breathing is due to obstruction

1 Difficulty in breathing occasionally

2 More difficulty in breathing while sleeping position

3 Excessive difficulty in breathing

जजवय(अहर) (Fever) 0 Normal temperature

1 Temperature between 984rsquoF to 100rsquoF

Temperature between 100rsquoF to 101rsquoF

2 Temperature between 101rsquoF to 102rsquoF

3 Temperature between 102rsquoF to 103rsquoF

4 Temperature between 103rsquoF to 104rsquoF

5 Temperature more than 104rsquoF

54

Code Signs amp Symptoms Score Gradations Remarks

139 तारऩाक (स) ऩाक (Suppuration) 0 No swelling or suppuration

1 Inflammation of palate with pain and tenderness

2 Inflammation of palate with different types of pain and tenderness with induration

3 Pus formation and fluctuation positive

1310 तारपऩटिका (अहर) तारभास पऩटिका

Follicles in palate flesh

0 No follicles

1 13 palate covered with follicles

2 23 palate covered with follicles

3 More than 23 palate covered with follicles

रज(अहर) (Pain) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

Occasional pain

खयता(अहर) (Roughness)

0 Smooth on touch

1 Mild irregular surface on touch

2 Rough surface

3 Sharp rough surface which hurts on finger on touch

घनसराव(अहर) (Thick discharge)

0 No discharge

1 Occasional discharge

2 Off and on thick discharge

3 Continuous thick discharge

1311 तारसहतत (अहर) तारभधम तनरक (अहर) =Painless fleshy growth in palate

Only तारभधम तनरक indicates the place and quality of growth both the symptoms can be

merged

55

Code Signs amp Symptoms Score Gradations Remarks

तनरक (Painless) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

भाससहत

(Fleshy growth in palate)

0 No fleshy growth

1 Fleshy growth in 13 part of the palate Swelling

2 Fleshy growth in 23 part of palate swelling

3 Fleshy growth in more than 23 part of palate

56

GRADATION OF SARVASAR ROG

Code - 15

Established by Group BHOJ Dr Krishna Makaia ndash Convener

Dr Rajeshree Unadkat Dr Neelam Dave

Dr Ronakgiri Gosai Dr Jignesh Virapariya

Reviewed by Dr Vijayant Bharadwaj

Edited by Prof Vd Hāridra Dave

57

Code Signs amp Symptoms Score Gradations Remarks

151 वातजसवसय (स) सपोि (Ulcers) 0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

तोद = Pricking pain 0 No pricking pain Or According to VAS

1 Occasional pricking pain

2 Off and on pricking pain

3 Continuous pricking pain

Or

0 No pricking pain

1 Sometimes mild pricking pain

2 Has to take analgesic while pricking pain

सिारयण(अहर) This symptom is for सवसय so this सवसय is the nature of सिारय

0 No movement of सवसय

1 Movement of सवसय is once in a week

2 Movement of सवसय is once in three to four days

3 Movement of सवसय is at every alternate day

4 Movement of सवसय is once in a day

अरण (अहर) Reddish discoloration

0 Colour of वरण is same with colour of surrounding area

1 Colour of वरण is Reddish

2 Colour of वरण is Dark Red

3 Colour of वरण is Reddish black

र (अहर) Dryness 0 वरण is Moist

-No dryness of वरण

1 वरण Needs lubrication once a day

2 वरण Needs frequent lubrication in

a day

3 No benefit with frequent

lubrication of वरण

तामरता (अहर) (Coppery

0 Colour of वरणौषठ is same with colour of surrounding area

58

Code Signs amp Symptoms Score Gradations Remarks

discoloration) This symptom is for

वरणौषठ

1 Colour of वरणौषठ is Tamra Varna

चऱतवचा (अहर) (Free mucous membrane) This symptom is for

वरणौषठ

0

Movement of वरणौषठ is on touch

only

1 Movement of वरणौषठ can be seen by naked eye means without touch

शीतासहा (अहर) (Intolerance to cold) This symptom is for

जजहवा

0 No Intolerance of cold to जजहवा

1 Intolerance of severe cold to जजहवा

2 Intolerance of moderate cold to जजहवा

3 Intolerance of Mild cold to जजहवा

गवी (Heaviness)

This symptom is for

जजहवा

0 No Heaviness

1 Mild heaviness with no difficulty

in movement of जजहवा

2 Moderate heaviness with

difficulty in Movement of जजहवा

3 Sever heaviness with bending down of

सफटटता (अहर) (Ulcer)

0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

कणटाकाधचता (अहर) = Thorn like

appearance

0 No change in appearance

59

Code Signs amp Symptoms Score Gradations Remarks

1 13 part of oral mucous membrane covered with red fleshy thorn like papillae

2 23 part of oral mucous membrane covered with red fleshy thorn like papillae

3 gt23 part of oral mucous membrane covered with red fleshy thorn like papillae

षववणोतत कचछरणमखम (अहर) (Difficulty in mouth opening)

0 Mouth opening more than 3 fingers without difficulty

1 2 to 3 fingers opening of mouth with or without difficulty

2 1 to 2 fingers opening of mouth with or without difficulty

3 Less than 1 finger opening of mouth with or without difficulty

152 पऩतमत(यकतज)सवसय (स) Signs and Symptoms of यकतज सवसय are same as of पऩतमत सवसय so no separate gradations are mentioned

यकतता (Redness) 0 Colour of सवसय- वरण is similar with

surrounding mucous membrane

1 Reddish Colour of सवसय- वरण

2 Bright red Colour of सवसय- वरण

3 Dark red Colour of सवसय- वरण

सदाह (Burning

Sensation)

0 No burning in सवसय- वरण Or According to

VAS

1 Occasional burning in सवसय- वरण

2 Intermittent burning in सवसय- वरण

3 Contentious burning in सवसय- वरण

which does not relive by any measures

तन (तनसब) (Shallow superficial ulcers)

0 No ulcer

1 Ulcer having depth of 05-1 mm

2 Ulcer having depth of 1 ndash 15 mm

3 Ulcer having depth of 15 -2 mm

60

Code Signs amp Symptoms Score Gradations Remarks

ओष (अहर) 0 No (ओष) burning in सवसय- वरण

1 Occasional (ओष) burning in

सवसय- वरण

2 Intermittent (ओष) burning in

सवसय- वरण

3 Contentious (ओष) burning in

सवसय- वरण which does not relive

by any measures

ततकतवकरता (अहर) (Bitter taste in mouth)

0 No alteration in taste

1 Occasionally bitter taste felt in mouth without having any bitter substance

2 Off and on bitter taste felt in mouth without having any bitter substance

3 Continuous bitter taste felt in mouth without having any bitter substance

ारोकषतत समावरणा (अहर)

0 No Ulcer

(Ulcers looking like chemical burns)

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

153 कपज सवसय (स) कणड (Itching) 0 No itching Or According to

VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Unable to work due to itching

0r

0 No itching

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate on work due to severe itching

रजा (Pain)

(अलऩ रजा) 0 No pain Or According to

VAS

1 Occasional pain

61

Code Signs amp Symptoms Score Gradations Remarks

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain This condition should be considered as अलऩ रजा

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

सवणण 0 Colour of वरण is same with colour of near by tissue

1 Colour of वरण is not same with colour of near by tissue

मररासयतवम (अहर) (Sweet taste in mouth)

0 No alteration in taste

1 Occasionally sweet taste felt without eating any sweet substance

2 Off and on Sweet taste Occasionally sweet taste felt without eating any sweet substance

3 Continuous sweet taste Occasionally sweet taste felt without eating any sweet substance

षपजचछिऱता (अहर) (Unctuousness)

0 Absent

1 Present

वरण 0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

154 कफाबभद (अहर) शयाव अबभदम

(शयावपाणडऽबभदम) 0 Colour of growthtumour is same

the colour of surrounding skin

1 Colour of growthtumour is शयाव

(Blackish)

62

Code Signs amp Symptoms Score Gradations Remarks

पाणड अबभदम (शयावपाणडऽबभदम)

0 Colour of growthtumour is same the colour of surrounding skin

1 Colour of growthtumour is पाणड

(Pale)

अबभदम 0 No GrowthTumour TNM Classification for tumours can be applied for growth

1 Growthtumour having sizelt 10 mm

2 Growthtumour having size 10 mm to 20 mm

3 Growthtumour having size gt 20 mm

घटिता तिनना मटदता च षववरभत (Size increases on rubbing cutting and squeezing)

0 Size of GrowthTumour is not increasing by rubbing cutting or squeezing

1 Size of GrowthTumour is increasing up to 10 mm by rubbing cutting or squeezing within a month

2 Size of GrowthTumour is increasing up to 20 mm by rubbing cutting or squeezing within a month

3 Size of GrowthTumour is increasing up to 30 mm by rubbing cutting or squeezing within a month

4 Size of GrowthTumour is increasing up to 40 mm by rubbing cutting or squeezing within a month

155 ऊरधवभगद (अहर) वकतरदौगनधम

(Halitosis)

0 No Halitosis

1 Halitosis is feel by Patient only

2 Halitosis is feel by Patient and examining Doctor only

3 Halitosis is feel by any person from the distance from 5 meters

63

Code Signs amp Symptoms Score Gradations Remarks

4 Halitosis is feel by any person from the distance from more than 5 meters

156 पततवकर (अहर) ऩतममासमता

(Halitosis)

0 No Halitosis

1 Halitosis is feel by Patient only

2 Halitosis is feel by Patient and examining Doctor only

3 Halitosis is feel by any person from the distance from 5 meters

4 Halitosis is feel by any person from the distance from more than 5 meters

157 सतनऩाततक सवसय (अहर) This disease occurs due to aggravation of all three doshas including Rakta Clinical presentation of this disease is found as mixed picture according prominent aggravation of dosha and signs and symptoms will be observed accordingly Gradations should be considered accordingly so it is not required to repeat here

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Page 23: THE GRADATIONS OF DISEASES OF SHALAKYA TANTRA - PART …theassociationofshalaki.com/downloads/GRADATIONS_OF_DISEASE… · 12.05.2019  · I am also very much thankful to Dr Sandhya

22

Code Signs amp Symptoms Score Gradations Remarks

2 तीवरतय =Pain is there but he can do

work or sleep

3 तीवरतभ =Patient canrsquot tolerate

शोफ़ो फदयाचसथतनबो घन (अहर) =Kola is

small jujube and badar is big jujube and seed is measuring around 5 mm

0 Not present

1 Shoth up to 25 mm

2 Shoth 25 to 5 mm

3 Shoth is more than 5 mm

ऩाक (अहर) (शीघर ऩछमत)

0 Absent Accumulation of Fluid or pus

1 Present

113 दनतवषट (स) सरवचनत ऩमरचधय

Discharge of blood with pus or only pus

0 No Discharge

1 Blood with Pus Discharge

2 Only pus discharge

िरता 0 No mobility

1 1 mm antero-posterior Mobility

2 2 mm antero-posterior Mobility

3 More than 2 mm antero-posterior amp medial to lateral mobility

114 शौषषर (स) शवमथ 0 Absent

1 Present

रजावान According to VAS scoring

रारासरावी 0 Normal secretion

1 Occasionally splitting

2 On and off splitting

3 Continuous splitting disturbance in work

कणड 0 Absent

1 Occasionally itching

2 On and off itching

3 Continues itching

23

Code Signs amp Symptoms Score Gradations Remarks

दतभासपरशातन 0 Gums situated At CE junction

1 Recession of gums At cervical 13

2 Recession of gums At middle 13 3 Recession of gums At apical 13

115 महाशौषषर (स) दनताशिरचनत 0 No mobility

1 1 mm antero-posterior mobility

2 2 mm antero-posterior mobility

3 More than 2 mm anteroposterior amp medial to lateral mobility

तार अवदीमत 0 Absent Fissure over the Palate

1 Present

दतभासातनऩछमनत 0 No redness

1 Mild redness

2 Moderate redness

3 Severe redness

भख ऩरयऩीडमत 0 No Peedā Or According to VAS

Pain in any part or whole oral cavity

1 Peedā is at those Gums where disease is situated

2 Peedā is at entire Gums

Peedā is at entire Mukh

सचननऩाताजजजजवयवान

(अहर) 0 Normal temperature

1 Temperature between 984rsquoF to 100rsquoF

Temperature between 100rsquoF to 101rsquoF

2 Temperature between 101rsquoF to 102rsquoF

3 Temperature between 102rsquoF to 103rsquoF

4 Temperature between 103rsquoF to 104rsquoF

5 Temperature more than 104rsquoF

सऩमरचधयसरतत (अहर)

0 No Discharge

1 Blood with Pus Discharge

2 only pus discharge

पवशीणदपवजफनधन (अहर)

0 No mobility

1 1 mm antero-posterior mobility 2 2 mm antero-posterior mobility

24

Code Signs amp Symptoms Score Gradations Remarks 3 more than 2 mm antero-posterior

amp medial to lateral mobility

116 पररदर (स) दनतभासातन शीमनत 0 Gums situated At CE junction Depending upon

severity grading has been established

1 Recession of gums At cervical 13

2 Recession of gums At middle 13

3 Recession of gums At apical 13

षठीवतत असक 0 No spitting of blood

1 Occasionally splitting

2 On and off splitting

3 Continuous splitting with disturbance in work

117 उपकश (स) दाह Or According to VAS

ऩाक 0 Absent

1 Present

दनताशिरचनत 0 No mobility

1 1 mm antero-posterior mobility

2 2 mm antero-posterior mobility

3 more than 2 mm antero-posterior amp medial to lateral mobility

आघटिता परसरवचनत 0 Absent

=Bleeding from gums by pressure

1 Bleeding on pressure remains for five minutes

2 Bleeding on pressure remains up to 15 minutes

3 Bleeding on pressure remains up to 30 minutes

4 Bleeding on pressure remains up to 1 hour

5 Bleeding on pressure remains more than 1 hour

भदवदना 0 Absent

1 Present

आधभामनत सरत यकत

0 Absent

1 Present

ऩतत वकतरता (अहर) 0 No foul smell

1 Patient feels foul smell

25

Code Signs amp Symptoms Score Gradations Remarks

2 Doctor or person who comes near to patient feels foul smell

3 From distance anyone can feels foul smell who is in the room

4 Foul smell can be feel from outside of the room even

कणडभचनत (अहर) 0 Absent Or According to VAS

1 Occasionally itching

2 On and off itching

3 Continues itching

िरा (अहर) 0 No mobility

1 1 mm antero-posterior mobility

2 2 mm antero-posterior mobility

3 More than 2 mm antero-posterior amp medial to lateral mobility

118 वदभभ (स) =Traumatic injury(By mechanical Chemical thermal )

घषिष दनतभरष सयबो जामत भहान

0 Absent Mahan suggest itself severity of disease

1 Present

िरदता (अहर) 0 No mobility

1 1 mm antero-posterior mobility

2 2 mm antero-posterior mobility

3 More than 2 mm antero-posterior amp medial to lateral mobility

119 वरभन (स) तीवरवदना 0 No pain Or According to VAS

1 तीवर -Pain is there but he can do

work or sleep

2 तीवरतय -Patient can tolerate

3 तीवरतभ -Patient canrsquot tolerate

1110 अधरमाास (स) भहाञिोथ 0 No Shoth Mahan suggest itself

severity of disease

1 Shoth is Present on that gum only where disease is occurred

2 Shoth is Present on nearby two or three gums where disease is occurred

26

Code Signs amp Symptoms Score Gradations Remarks

3 Shoth is present up to adjoining cheek

This condition should be considered as

भहाञिोथ

भहारजा (स) परततहनतममभमवरतत (अहर)

0 No Rujā (pain) Or According to VAS

2 Rujā (pain) is Present on that gum only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

This condition should be considered as भहारजा amp परततहनतममभमवरतत

रारासरावी 0 Normal secretion

1 Occasionally splitting

2 On and off splitting

3 Continuous splitting disturbance in work

दनतानत कीरवतमशोफ़ (अहर)

0 No Keel vat Shoth

1 Keel vat Shoth is Present on that gum only where disease is occurred

2 Keel vat Shoth is Present on nearby two or three gums where disease is occurred

3 Keel vat Shoth is present up to adjoining cheek

1111 दनतषवदरधर (अहर) दनतभासशोफ़ (ि) 0 No Shoph

1 Shoph is Present on that gum only where disease is occurred

2 Shosh is Present on nearby two or This condition should

27

Code Signs amp Symptoms Score Gradations Remarks

three gums where disease is occurred

be considered as अनत शवमथ According to

Vagbhatta

3 Shosh is extended up to adjoining cheek

This condition should be considered as फाहम शवमथ According to

Vagbhatta

फाहम शवमथ (अहर) This condition is mentioned at दनतभास शोफ़

अनत शवमथ (अहर) This condition is mentioned at दनतभास शोफ़

गर (अहर) 0 Absent

1 Present

रग (अहर) 0 No Rujā (pain) Or According to VAS

2 Rujā (pain) is Present on that gum only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

दाह (अहर) According to VAS

सरवतिननऩमासर (अहर)

0 No Discharge

1 Blood with Pus Discharge

2 Only pus discharge

1112 दतनाडी Scoring is not possible further according to measurement of Nadivrana because X-

ray only detects spread up to the bone Whereas Nadivrana in gingiva periodontal ligament cannot be measured

दतनाडी 0 Absent

1 Present

28

GRADATION OF DANTA GAT ROG

Code ndash 12

Gradations established by Group KARAL Dr Krishna Makadia - Convener

Dantavaidya Saroj Joshi Dantavaidya Harshad Joshi

Dr Kiran Raj Dr Achyuta Atara Dr Pranav Dave

Gradations Reviewed by Dr Hemangi Shukla Dr Krishna Makadia

Edited by Prof Vd Hāridra Dave

29

Code Signs amp Symptoms Score Gradations Remarks

121 दाऱन (स)

तीवररग 0 No Rujā (pain) Or According to VAS

2 Rujā (pain) is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

उषणअसहादनता (अस) 0 No sensitivity in teeth ie with warm

water hot water or

excessive hot water

application on

tooth is not

possible so Time

related and severity

related grading was

finalised(same for

cold)

1 Mild sensitivity in teeth - At a

time

2 Moderate sensitivity in teeth -

Sensitivity remains only for 1

Prahar (up to 3 hrs)

3 Severe sensitivity in teeth -

Sensitivity remains more than

1 Prahar (more than 3 hrs)

शीतअचधकवमथा (अहर) 0 No sensitivity in teeth

1 Mild sensitivity in teeth - At a

time

2 Moderate sensitivity in teeth -

Sensitivity remains only for 1

Prahar (up to 3 hrs)

3 severe sensitivity in teeth-

Sensitivity remains more than

1 Prahar (more than 3 hrs)

22 कममदनत (स) कषण 0 No discoloration

1 Light greyish black

2 Dark greyish black

3 Jet black

30

Code Signs amp Symptoms Score Gradations Remarks

तिदर 0 No cavity It should be

decided by X-ray

1 Cavity within limit of enamel

2 Cavity within limit of dentin

3 Cavity up to pulp

िर 0 No mobility

1 1 mm antero-posterior

mobility

2 2 mm antero-posterior

mobility

3 More than 2 mm antero-

posterior amp medial to lateral

mobility

सरावी 0 No Srāv- after drying

particular teeth with cotton

inserting cotton on cavity

There is no other

method to check

Srāv in Krimidanta

1 Srāv is present

ससयब = Inflammation 0 No inflammation

1 Inflammation is Present भहारज 0 No Rujā (pain) Or According to

VAS 2 Rujā (pain) is Present on that

gum only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

This condition should be considered as भहारज

अतनसभतमतरज 0 No sudden onset of pain

1 Sudden onset of pain is

present

अहततीवराततशभ (अहर) 0 No sudden onset of pain

31

Code Signs amp Symptoms Score Gradations Remarks

1 Sudden onset of pain is

present

पररन (अहर) = Broken due to cavity

0 Cavity is there but it is not

broken

It should be

considered for each

tooth separately

Cavity in that must

be present in

particular tooth

1 13 part of tooth is broken

2 23 of tooth is broken

3 More than 23 of tooth is

broken

4 Total loss of tooth

ऩमसरत (अहर) 0 No Pooya Srāv after drying

particular place

with cotton

inserting cotton on

cavity

1 Pooya Srāv present

यकतसरत (अहर) 0 No Rakta Srāv after drying

particular place

with cotton

inserting cotton on

cavity

1 Rakta Srāv is present

123 दनतहषभ (स)

शीत सऩशन न सहनत 0 No sensitivity by cold touch

in any teeth

1 Ooccassional sensitivity by

cold touch in any toothteeth

for once

2 Sensitivity by cold touch

remains in toothteeth only up

to 1 Prahar (up to 3hrs)

3 Sensitivity by cold touch

remains more than 1 Prahar

(more than 3hrs)

उषण सऩशन न सहनत 0 No sensitivity by hot touch in

any teeth

1 Occassional sensitivity by hot

touch in toothteeth for once

2 Sensitivity by hot touch

remains in toothteeth only up

to 1 Prahar (up to 3hrs)

3 Sensitivity by hot touch

remains in toothteeth more

than 1 Prahar (more than

3hrs)

32

Code Signs amp Symptoms Score Gradations Remarks

परवाताभा = Sensitivity to air

(परवातारशीतबाभा) (अहर)

0 No sensitivity by Pravāt

touch in any tooth

1 Occassional sensitivity by

Pravāt touch in toothteeth for

once

2 Sensitivity by Pravāt touch

remains in toothteeth only up

to 1 Prahar (up to 3hrs)

3 Sensitivity by Pravāt touch

remains in toothteeth more

than 1 Prahar (more than

3hrs)

अरबाभा = Sensitivity to sour food

(परवातारशीतबाभा) (अहर)

0 No sensitivity by eating

sourer food to any tooth

1 Occassional sensitivity by

eating sourer food to any

toothteeth for once

2 Sensitivity by eating sourer

food remains to toothteeth

only up to 1 Prahar (up to

3hrs)

3 Sensitivity by eating sourer

food remains to toothteeth

more than 1 Prahar (more

than 3hrs)

शीतबाभा (परवातारशीतबाभा) (अहर)

0 No sensitivity by eating cold

item to any tooth

1 Occasional sensitivity by

eating cold item to toothteeth

for once

2 Sensitivity by Pravāt touch

remains in toothteeth only up

to 1 Prahar (up to 3hrs)

3 Sensitivity by eating cold

item remains to toothteeth

more than 1 Prahar (more

than 3hrs)

सरजा (अहर) 0 No Rujā (pain)

33

Code Signs amp Symptoms Score Gradations Remarks

2 Rujā (pain) is Present on that gum only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

2 Rujā (pain) is Present on that gum only where disease is occurred and patient can do hisher routine work without disturbance

िर (अहर) 0 No mobility

1 1 mm anterio-posterior

mobility

2 2 mm anterio-posterior

mobility

3 More than 2 mm antero-

posterior amp medial to lateral

mobility

124 भञजनक (स) =Photograph is necessary

(depending upon the severity gradation has been finalised)

वकतर वकरता 0 No deviation

1 Deviation is present

तीवररक 0 No Rujā (pain) Or according to

VAS

2 Rujā (pain) is Present on that gum only where disease is occurred and patient can do hisher routine work without disturbance

34

Code Signs amp Symptoms Score Gradations Remarks

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

This condition should be considered as तीवररक

दनतबङग 0 Tooth is not broken This should be

considered for

single tooth

1 13 part of tooth is broken

2 23 of tooth is broken

3 More than 23 of tooth is

broken

4 Total loss of tooth

125 दनतशकभ रा (स) =Calculus index was selected

शकयव चसथयीबत भर 0 No calculus present

1 Supragingival calculus

covering not more than third

of the exposed tooth surface

2 Supragingival calculus

covering more than 13 but

not more than 23 of the

exposed tooth surface or the

presence of individual flecks

of subgingival calculus

around the cervical portion of

the tooth or both

3 Supragingival calculus

covering more than 23 of the

exposed tooth surface or

continues heavy band 0f

subgingival calculus around

the cervical portion of the

tooth or both

35

Code Signs amp Symptoms Score Gradations Remarks

दनताना गणहयी 0 Absent All 10 Guna of

Danta Sampata

should be

considered required

suggestions for

each Guna

1 Present

ऩततगचनध (अहर) 0 No foul smell Taken grading of

halitosis

1 Patient feels foul smell

2 Doctor or person who comes near to patient feels foul smell

3 From distance anyone can feels foul smell who is in the room

4 Foul smell can be feel from outside of the room even

126 कपामऱका (स)

दनतवलकसम दरनभ = Bracketing of tooth enamel (दरचनत दनतवलकातन)

0 No दरनभ of tooth This should be

considered

separately for each

tooth

1 दरनभ is present of less than 13 of tooth

2 दरनभ is present of more than of 13 of tooth but less than 23 of tooth

3 दरनभ is present of more than of 23 of tooth but no total loss of tooth

4 Total loss of tooth after दरनभ

This condition should be considered as दशनाना पवनाश

दशनाना पवनाश = Total loss of tooth

0 No Any loss of tooth This should be

considered

separately for each

tooth

1 loss of tooth is present of less than 13 of tooth

2 loss of tooth is present of more than of 13 of tooth but less than 23 of tooth

36

Code Signs amp Symptoms Score Gradations Remarks

3 loss of tooth is present of more than of 23 of tooth but no total loss of tooth

4 Total loss of tooth This condition should be considered as दशनाना पवनाश

दनतशातनभ अणश = Thinning of tooth (शातमतममतममणशो दनतात कऩारातन) (अहर)

0 No शातनभ of tooth This should be

considered

separately for each

tooth

1 शातनभ is present in less than 13 of tooth

2 शातनभ is present in more than 13 of tooth but less than 23 of tooth

3 शातनभ is present in more than 23 of tooth but no total loss of tooth

4 Total loss of tooth due to शातनभ

127 शयावदनतक (स) In शमावदनत शमावता amp नीरता should be considered ascending stages

शमावता + नीरता 0 -No any discolouration of

tooth

-Normal colour of tooth

This should be

considered

separately for each

tooth

1 शमावता is Present

2 नीरता is Present

128 हनमो (स) According to Dalhan हनमो is not Dant Rog directly but it is near to

Dantchewing of hard food is one of the causes and there is pain in Dant so it is considered under Danta Rog

हनसचनधपवसहत 0 Absent

1 Can be reset by manual reduction

2 Can be reset by surgical

intervention

129 दनतभद (अहर) तोद =Pricking pain 0 No Pricking pain -Or According to

VAS

- This should be

considered

separately for each

tooth

37

Code Signs amp Symptoms Score Gradations Remarks

2 Pricking pain is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Pricking pain is referred up to Hanu and patient can do hisher routine work without disturbance

4 Pricking pain is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Pricking pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Pricking pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

बद Braking pain 0 No Braking pain -Or According to

VAS

- This should be

considered

separately for each

tooth

2 Braking pain is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Braking pain is referred up to Hanu and patient can do hisher routine work without disturbance

4 Braking pain is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Braking pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Braking pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

38

Code Signs amp Symptoms Score Gradations Remarks

रक Dull pain 0 No Rujā (pain) -Or According to

VAS

- This should be

considered

separately for each

tooth

2 Rujā (pain) is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

सपिन Burstingexpanding pain

0 No Bursting pain -Or According to

VAS

- This should be

considered

separately for each

tooth

2 Bursting pain is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Bursting pain is referred up to Hanu and patient can do hisher routine work without disturbance

4 Bursting pain is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

39

Code Signs amp Symptoms Score Gradations Remarks

5 Bursting pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Bursting pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

1210 दनतचाऱ (अहर) िरतमव = Mobility 0 No = mobility

1 1mm anterio-posterior

mobility

2 2 mm anterio-posterior

mobility

3 More than 2 mm anterio-

posterior amp medial to lateral

mobility

बणादचधकवमथ 0 No Vyatha ndash Pain during

eating

1 Pain during eating of hard

diet only

2 Pain during eating of soft diet

even

1211 कराऱ (स)

=Malocclusion

0 A Normal Molar relationship

exist but there is crowding

misalignment of the teeth

cross bite etc

1 A malocclusion where the

molar relationship shows the

buccal grove of mandibular

first molar distally positioned

when in occlusion with the

mesiobuccal cusp of the

maxillary first molar

2 A malocclusion where the

molar relationship shows the

buccal groove of the

mandibular first molar

mesiallypos

40

GRADATIONS OF JIHWA GAT ROG

Code - 13

Established by Group BHOJ Dr Krishna Makaia ndash Convener

Dr Rajeshree Unadkat Dr Neelam Dave

Dr Ronakgiri Gosai Dr Jignesh Virapariya

Reviewed by Dr Vijayant Bharadwaj

Edited by Prof Vd Hāridra Dave

41

Code Signs amp Symptoms Score Gradations Remarks

131 वाततक चजहवाकिक (स) सपटिता (Creaks) 0 No creaks on tongue

1 Single creak on the dorsum of tongue

2 Multiple Creaks on the dorsum of tongue

3 Multiple deep creaks on the dorsum of tongue (Bleeding)

परसपता (Numbness )

0 No Numbness

1 Numbness in 13 Part of tongue

2 Numbness in 23 Part of tongue

3 Numbness in more than 23 Part of tongue

शाकछिदनपरकाशा (Roughness)

0 Normal surface of tongue on touch

1 Mild rough surface on touch

2 Hard irregular surface on touch

3 Very rough surface which hurts the finger on touch

132 ऩततक चजहवाकिक (स) ऩीता 0 No yellowish discolouration

1 Yellowish discoloration in 13 part

2 Yellowish discoloration in 23 part

3 Yellowish discoloration in more than 23 part of tongue

ऩरयदहमत Burning in entire tongue)

0 No burning Or According to VAS

1 Occasional burning

2 Intermittent burning

3 Continuous burning does not relieve by any measures

दाह (Burning may be

in partially tongue)

0 No Burning Or According to VAS

1 Burning up to 13 part of tongue

2 Burning in 13 to 23 part of tongue

3 Burning in more than 23 part of tongue

42

Code Signs amp Symptoms Score Gradations Remarks

यकतभासाङकयचशिता (Covered with red buds )

0 No change in appearance

1 13 part of tongue covered with red fleshy buds

2 23 part of tongue covered with red fleshy buds

3 Whole tongue covered with red fleshy buds

ओष (Burning) 0 No Oshha Or According to VAS

1 Oshha up to 13 part of tongue

2 Oshha in 13 to 23 part of tongue

3 Oshha in more than 23 part of tongue

133 कपज चजहवाकिक (स) फहरा (Thick) 0 Normal Thickness of Tongue

1 Thickness increased - noticeable by patient

2 Thickness increased - noticeable by the examiner

3 Tongue protruding out because of increased Thickness

गवी (Heaviness) 0 No Heaviness

1 Feeling mild heaviness but no difficulty in Tongue movement

2 Difficulty in Tongue movement especially during intake of liquid

3 Difficulty in Tongue movement especially during intake of hard food

4 Difficulty in Tongue movement especially during Pronunciation

भासोदगभ शालभसरकणिकाब (thorn like papilla)

0 No change in appearance of tongue

1 13 part of tongue covered with red fleshy thorn like papilla

2 23 part of tongue covered with thorn like papilla

3 Whole tongue covered with thorn like papilla

43

Code Signs amp Symptoms Score Gradations Remarks

134 अरास (स) शवमथ

(Swelling at ventral surface of tongue)

0 Absent

1 Present

सतबमतत (Restricted tongue movement)

0 -Normal Movement of Tongue -Movement of tongue not affected

1 Tongue movement slightly restricted but does not affect the normal function

2 Tongue movement restricted that affects the normal function

3 Tongue movement arrested

परवदध

(Increase in size)

0 Size not increased

1 Size increased - noticeable by the patient

2 Size increased - noticeable by the examiner

3 Tongue protruding out because of increased size

ऩाक 0 No swelling or suppuration

1 Inflammation with pain and tenderness

2 Inflammation with different types of pain and tenderness along with induration

3 Pus formation and fluctuation positive

अधशोप 0 Absent

1 Present

उननत (elevation of

the tongue due to swelling below the tongue)

0 Normal position of tongue

1 Tongue slightly elevated due to swelling below the tongue

2 Tongue elevation causes discomfort to the patient

3 Tongue touches the palate

भतमसमगचनध

(Fishy smell)

0 Absent

1 Present

44

Code Signs amp Symptoms Score Gradations Remarks

भासशातन (Destruction of flesh of tongue )

0 No Destruction of tongue flesh

1 13 part of tongue flesh is destroyed

2 23 part of tongue flesh is destroyed

3 More than 23 part of tongue is destroyed

135 उऩचजचहवका (स) शवमथ (Swelling) 0 Absent

1 Present

चजहवाभननम

जात (elevation of

tongue because of swelling)

0 Normal position of tongue

1 Tongue slightly elevated due to swelling below the tongue

2 Tongue elevation causes discomfort to the patient

3 Tongue touches the palate

परसक (Salivation) 0 Normal secretion of saliva

1 Occasionally spitting

2 Off and on spitting

3 Continuous spitting which disturbs the work

कणड (Itching) 0 No itching Or According to VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate on work due to severe itching

0r

0 No itching

1 Occasional itching

2 Off and on itching

3 Continuous itching

ऩरयदाह (Burning in

whole tongue)

0 No burning Or According to VAS

1 Occasional burning

2 Intermittent burning

3 Contentious burning dose not relive by any measures

45

Code Signs amp Symptoms Score Gradations Remarks

136 अचधचजचहवका (अर)

अधोचजहवामा शोप

0 Normal position of tongue

(Swelling below the tongue)

1 Tongue slightly elevated due to swelling below the tongue

2 Tongue elevation causes discomfort to the patient

3 Tongue touches the palate

अङकय (Pappilary

growth)

0 Absent

1 Present

ओष (Burning) 0 No Oshh Or According to

VAS

1 Oshh up to 13 part of tongue

2 Oshh in 13 to 23 part of tongue

3 Oshh in more than 23 part of tongue

सतबवान

(Restriction of Movement)

0 Movement of tongue not affected

1 Tongue movement slightly restricted but does not affect the normal function

2 Tongue movement restricted that affect the normal function

3 Tongue movement arrested

खय(Rough) 0 Smooth on touch

1 Mild irregular surface

2 Rough surface

3 Sharp rough surface touch hurts on finger on touch

रक (Pain) 0 No pain Or According to

VAS

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

कणड (Itching) 0 No itching Or According to

VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate on work due to severe itching

0r

0 No itching

46

Code Signs amp Symptoms Score Gradations Remarks

1 Occasional itching

2 Off and on itching

3 Continuous itching

वाकम पवघातकत (Difficulty in speech)

0 No difficulty in speech

1 Unable to speak िति vargavyanjana

2 Difficulty in speaking क vargavyanjana

Swara donrsquot need involvement of tongue

3 Unable to speak

आहयपवघातकत

(Swallowing )

0 Able to eat regular diet

1 Able to eat soft diet

2 Able to eat only liquid diet

3 Unable to swallow anything

47

GRADATION OF TALUGAT ROG

Code - 14

Established by Group BHOJ Dr Krishna Makaia ndash Convener

Dr Rajeshree Unadkat Dr Neelam Dave

Dr Ronakgiri Gosai Dr Jignesh Virapariya

Reviewed by Dr Vijayant Bharadwaj

Edited by Prof Vd Hāridra Dave

48

Code Signs amp Symptoms Score Gradations Remarks

141 गरशचणडका (स)

परवदधो शोप (Swelling extending from palate) (Which is elongated)

0 Normal size of uvula

1 Swelling of uvula that causes discomfort to the patient

2 Swelling of uvula that causes foreign body sensation

3 Difficulty in breathing due to swelling

दीघ शोप

(Elongated Swelling)

0 Normal size of uvula

1 Elongated swelling of uvula that causes discomfort to the patient

2 Elongated swelling of uvula that causes foreign body sensation

3 Difficulty in breathing due to Elongated swelling

धभातफचसतपरकाश शोप =Inflated

swelling like Basti

0 Normal size of uvula

1 Inflated swelling like Basti of uvula that causes discomfort to the patient

2 Inflated swelling like Basti of uvula that causes foreign body sensation

3 Difficulty in breathing due to Inflated swelling like Basti

तषणा 0 Normal feeling of thirst

1 Increased feeling of thirst which is relived after drinking water

The quantity of water is not consider here but the frequency of water is considered

2 Frequent feeling of thirst which is Occasional relived after drinking water

3 Continuous feeling of thirst does not relive after drinking profuse amount of water

कास (Coughing) 0 No coughing

49

Code Signs amp Symptoms Score Gradations Remarks

1 Occasional coughing during eating and speaking

2 Off and on coughing

3 Continuous coughing

शवास 0 No difficulty in breathing

1 Difficulty in breathing occasionally

2 More difficulty in breathing while sleeping

3 Excessive difficulty in breathing

भतमसमफचसततनब शोप (अहर)

0 Normal uvula Used as an adjective

1 Inflated swelling like Matsya-Basti of uvula that causes discomfort to the patient

2 Inflated swelling like Matsya-Basti of uvula that causes foreign body sensation

3 Difficulty in breathing due to Inflated swelling like Matsya-Basti

पररफ (अहर) 0 Normal length of Uvula

(Elongated Swelling)

1 Size of Uvula increased up to lt2 mm

2 Size of Uvula increased more than 2 mm but less than 4 mm

3 Size of Uvula increased gt4 mm that cause discomfort to patient and cause difficulty in breathing

पऩचछिर(अहर) (Sliminess)

0 Absent

1 Present

नासमाऽऽहायभीयमन (अहर)

0 Food does not come out from nose

(Food comes out of nose)

1 Food comes out from nose

कणठोऩयोध(अहर) (Obstruction of throat )

0 -Able to eat regular diet -No difficulty in swallowing of any food

1 Able to swallow liquid or soft diet but not able to swallow hard diet

2 Able to swallow hard diet forcefully

50

Code Signs amp Symptoms Score Gradations Remarks

3 Not able to swallow hard diet with force

वभन(अहर) (Vomiting)

0 No Vaman

1 Feeling of nausea only

2 Only one veg of Vaman in a day

3 Two vegas of Vaman in a day

4 More than two vegas of Vaman in a day

132 तचणडकयी (स)

शोप (Tonsillar

Swelling)

0 Tonsils are located within the tonsillar fossa

1 Tonsils hypertrophy till the brim of the tonsillar fossa

2 Tonsils hypertrophy extends beyond the pillars but not touching each other

3 Tonsils hypertrophy extends beyond the pillars but not touching each other

तोद

(Pricking pain)

0 No pain

1 Occasional pain Or according to VAS

2 Off and on pain

3 Continuous pain

दाह (Burning) 0 No

1 Occasional burning

2 Intermittent burning

3 Contentious burning dose not relive by any measures

परऩाक 0 Absent

1 Present

पऩचछिर शोप(अहर)

Sliminess in swallowing

0 Feeling of Sliminess is Absent

1 Feeling of Sliminess is Present

भनदरक (अहर)

(Mild pain)

0 Absent Or According to

VAS

1 Present

133 अधरष (स)

शोप (Swelling) 0 No swelling

1 13 Swelling in part of the palate

51

Code Signs amp Symptoms Score Gradations Remarks

2 23 swelling in part of palate

3 Swelling in gt than 23 part of palate

सतबधता =Functions of soft palate like deglutition Phonation etc are affected = No mobility of soft palate

0 Normal function of soft palate

1 Soft palate movement reduced but functions are not affected

2 Any one of the functions of soft palate is affected

3 All functions of soft palate are affected

रोटहतवणता

(Redness)

0 No change in colour

1 Pinkish red coloured mucosa in palate

2 Red coloured mucosa in palate

3 Dark red coloured mucosa in palate

रजा (Pain) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

जजवय (Fever) 0 Normal temperature

1 Temperature between 984rsquoF to 100rsquoF

Temperature between 100rsquoF to 101rsquoF

2 Temperature between 101rsquoF to 102rsquoF

3 Temperature between 102rsquoF to 103rsquoF

52

Code Signs amp Symptoms Score Gradations Remarks

4 Temperature between 103rsquoF to 104rsquoF

5 Temperature more than 104rsquoF

134 कछिऩ (स)

कभवत उतमसनन शोप (Swelling

having shape like dorsum of tortoise)

0 No swelling

1 Swelling in 13rd part of the palate

2 Swelling in 23rd part of palate

3 Swelling in gt 23rd part of palate

चियवपदध(अहर)

(Slow growth)

0 Growth within a week

1 Growth within 1 week to 1 month

2 Growth within 1 month to 6 months

3 Growth within gt 6 months

रक (अहर) (Pain) 0 No pain Or According to VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesics

135 तारअफद (स) ऩदमाकाय तारभधम

शोपम (Swelling

like shape of lotus )

0 No swelling

1 Swelling in 13rd part of the palate

2 2 Swelling in 23rd part of palate

3 3 Swelling in gt 23rd part of palate

136 भाससङघात (स) नीरज (Painless) 0 Absent

1 Present

53

Code Signs amp Symptoms Score Gradations Remarks

शोप 0 No swelling

1 Swelling in 13rd part of the palate

2 Swelling in 23rd part of palate

3 Swelling in gt 23rd part of palate

137 तारऩपऩि (स) नीरक (Painless) 0 Absent

1 Present

कोरभातर

Swelling having size of Kola fruit

0 Absent

1 Present

138 तारशोष (स)

शोष (Dryness) 0 No dryness

1 Dryness decreased after drinking water

2 Patient needs water frequently

3 Dryness persist after dinking profuse water

दायण (Tearing of palate)

0 Absent

1 Present

शवास (Difficulty in

breathing)

0 No difficulty in breathing Here difficulty in breathing is due to obstruction

1 Difficulty in breathing occasionally

2 More difficulty in breathing while sleeping position

3 Excessive difficulty in breathing

जजवय(अहर) (Fever) 0 Normal temperature

1 Temperature between 984rsquoF to 100rsquoF

Temperature between 100rsquoF to 101rsquoF

2 Temperature between 101rsquoF to 102rsquoF

3 Temperature between 102rsquoF to 103rsquoF

4 Temperature between 103rsquoF to 104rsquoF

5 Temperature more than 104rsquoF

54

Code Signs amp Symptoms Score Gradations Remarks

139 तारऩाक (स) ऩाक (Suppuration) 0 No swelling or suppuration

1 Inflammation of palate with pain and tenderness

2 Inflammation of palate with different types of pain and tenderness with induration

3 Pus formation and fluctuation positive

1310 तारपऩटिका (अहर) तारभास पऩटिका

Follicles in palate flesh

0 No follicles

1 13 palate covered with follicles

2 23 palate covered with follicles

3 More than 23 palate covered with follicles

रज(अहर) (Pain) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

Occasional pain

खयता(अहर) (Roughness)

0 Smooth on touch

1 Mild irregular surface on touch

2 Rough surface

3 Sharp rough surface which hurts on finger on touch

घनसराव(अहर) (Thick discharge)

0 No discharge

1 Occasional discharge

2 Off and on thick discharge

3 Continuous thick discharge

1311 तारसहतत (अहर) तारभधम तनरक (अहर) =Painless fleshy growth in palate

Only तारभधम तनरक indicates the place and quality of growth both the symptoms can be

merged

55

Code Signs amp Symptoms Score Gradations Remarks

तनरक (Painless) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

भाससहत

(Fleshy growth in palate)

0 No fleshy growth

1 Fleshy growth in 13 part of the palate Swelling

2 Fleshy growth in 23 part of palate swelling

3 Fleshy growth in more than 23 part of palate

56

GRADATION OF SARVASAR ROG

Code - 15

Established by Group BHOJ Dr Krishna Makaia ndash Convener

Dr Rajeshree Unadkat Dr Neelam Dave

Dr Ronakgiri Gosai Dr Jignesh Virapariya

Reviewed by Dr Vijayant Bharadwaj

Edited by Prof Vd Hāridra Dave

57

Code Signs amp Symptoms Score Gradations Remarks

151 वातजसवसय (स) सपोि (Ulcers) 0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

तोद = Pricking pain 0 No pricking pain Or According to VAS

1 Occasional pricking pain

2 Off and on pricking pain

3 Continuous pricking pain

Or

0 No pricking pain

1 Sometimes mild pricking pain

2 Has to take analgesic while pricking pain

सिारयण(अहर) This symptom is for सवसय so this सवसय is the nature of सिारय

0 No movement of सवसय

1 Movement of सवसय is once in a week

2 Movement of सवसय is once in three to four days

3 Movement of सवसय is at every alternate day

4 Movement of सवसय is once in a day

अरण (अहर) Reddish discoloration

0 Colour of वरण is same with colour of surrounding area

1 Colour of वरण is Reddish

2 Colour of वरण is Dark Red

3 Colour of वरण is Reddish black

र (अहर) Dryness 0 वरण is Moist

-No dryness of वरण

1 वरण Needs lubrication once a day

2 वरण Needs frequent lubrication in

a day

3 No benefit with frequent

lubrication of वरण

तामरता (अहर) (Coppery

0 Colour of वरणौषठ is same with colour of surrounding area

58

Code Signs amp Symptoms Score Gradations Remarks

discoloration) This symptom is for

वरणौषठ

1 Colour of वरणौषठ is Tamra Varna

चऱतवचा (अहर) (Free mucous membrane) This symptom is for

वरणौषठ

0

Movement of वरणौषठ is on touch

only

1 Movement of वरणौषठ can be seen by naked eye means without touch

शीतासहा (अहर) (Intolerance to cold) This symptom is for

जजहवा

0 No Intolerance of cold to जजहवा

1 Intolerance of severe cold to जजहवा

2 Intolerance of moderate cold to जजहवा

3 Intolerance of Mild cold to जजहवा

गवी (Heaviness)

This symptom is for

जजहवा

0 No Heaviness

1 Mild heaviness with no difficulty

in movement of जजहवा

2 Moderate heaviness with

difficulty in Movement of जजहवा

3 Sever heaviness with bending down of

सफटटता (अहर) (Ulcer)

0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

कणटाकाधचता (अहर) = Thorn like

appearance

0 No change in appearance

59

Code Signs amp Symptoms Score Gradations Remarks

1 13 part of oral mucous membrane covered with red fleshy thorn like papillae

2 23 part of oral mucous membrane covered with red fleshy thorn like papillae

3 gt23 part of oral mucous membrane covered with red fleshy thorn like papillae

षववणोतत कचछरणमखम (अहर) (Difficulty in mouth opening)

0 Mouth opening more than 3 fingers without difficulty

1 2 to 3 fingers opening of mouth with or without difficulty

2 1 to 2 fingers opening of mouth with or without difficulty

3 Less than 1 finger opening of mouth with or without difficulty

152 पऩतमत(यकतज)सवसय (स) Signs and Symptoms of यकतज सवसय are same as of पऩतमत सवसय so no separate gradations are mentioned

यकतता (Redness) 0 Colour of सवसय- वरण is similar with

surrounding mucous membrane

1 Reddish Colour of सवसय- वरण

2 Bright red Colour of सवसय- वरण

3 Dark red Colour of सवसय- वरण

सदाह (Burning

Sensation)

0 No burning in सवसय- वरण Or According to

VAS

1 Occasional burning in सवसय- वरण

2 Intermittent burning in सवसय- वरण

3 Contentious burning in सवसय- वरण

which does not relive by any measures

तन (तनसब) (Shallow superficial ulcers)

0 No ulcer

1 Ulcer having depth of 05-1 mm

2 Ulcer having depth of 1 ndash 15 mm

3 Ulcer having depth of 15 -2 mm

60

Code Signs amp Symptoms Score Gradations Remarks

ओष (अहर) 0 No (ओष) burning in सवसय- वरण

1 Occasional (ओष) burning in

सवसय- वरण

2 Intermittent (ओष) burning in

सवसय- वरण

3 Contentious (ओष) burning in

सवसय- वरण which does not relive

by any measures

ततकतवकरता (अहर) (Bitter taste in mouth)

0 No alteration in taste

1 Occasionally bitter taste felt in mouth without having any bitter substance

2 Off and on bitter taste felt in mouth without having any bitter substance

3 Continuous bitter taste felt in mouth without having any bitter substance

ारोकषतत समावरणा (अहर)

0 No Ulcer

(Ulcers looking like chemical burns)

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

153 कपज सवसय (स) कणड (Itching) 0 No itching Or According to

VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Unable to work due to itching

0r

0 No itching

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate on work due to severe itching

रजा (Pain)

(अलऩ रजा) 0 No pain Or According to

VAS

1 Occasional pain

61

Code Signs amp Symptoms Score Gradations Remarks

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain This condition should be considered as अलऩ रजा

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

सवणण 0 Colour of वरण is same with colour of near by tissue

1 Colour of वरण is not same with colour of near by tissue

मररासयतवम (अहर) (Sweet taste in mouth)

0 No alteration in taste

1 Occasionally sweet taste felt without eating any sweet substance

2 Off and on Sweet taste Occasionally sweet taste felt without eating any sweet substance

3 Continuous sweet taste Occasionally sweet taste felt without eating any sweet substance

षपजचछिऱता (अहर) (Unctuousness)

0 Absent

1 Present

वरण 0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

154 कफाबभद (अहर) शयाव अबभदम

(शयावपाणडऽबभदम) 0 Colour of growthtumour is same

the colour of surrounding skin

1 Colour of growthtumour is शयाव

(Blackish)

62

Code Signs amp Symptoms Score Gradations Remarks

पाणड अबभदम (शयावपाणडऽबभदम)

0 Colour of growthtumour is same the colour of surrounding skin

1 Colour of growthtumour is पाणड

(Pale)

अबभदम 0 No GrowthTumour TNM Classification for tumours can be applied for growth

1 Growthtumour having sizelt 10 mm

2 Growthtumour having size 10 mm to 20 mm

3 Growthtumour having size gt 20 mm

घटिता तिनना मटदता च षववरभत (Size increases on rubbing cutting and squeezing)

0 Size of GrowthTumour is not increasing by rubbing cutting or squeezing

1 Size of GrowthTumour is increasing up to 10 mm by rubbing cutting or squeezing within a month

2 Size of GrowthTumour is increasing up to 20 mm by rubbing cutting or squeezing within a month

3 Size of GrowthTumour is increasing up to 30 mm by rubbing cutting or squeezing within a month

4 Size of GrowthTumour is increasing up to 40 mm by rubbing cutting or squeezing within a month

155 ऊरधवभगद (अहर) वकतरदौगनधम

(Halitosis)

0 No Halitosis

1 Halitosis is feel by Patient only

2 Halitosis is feel by Patient and examining Doctor only

3 Halitosis is feel by any person from the distance from 5 meters

63

Code Signs amp Symptoms Score Gradations Remarks

4 Halitosis is feel by any person from the distance from more than 5 meters

156 पततवकर (अहर) ऩतममासमता

(Halitosis)

0 No Halitosis

1 Halitosis is feel by Patient only

2 Halitosis is feel by Patient and examining Doctor only

3 Halitosis is feel by any person from the distance from 5 meters

4 Halitosis is feel by any person from the distance from more than 5 meters

157 सतनऩाततक सवसय (अहर) This disease occurs due to aggravation of all three doshas including Rakta Clinical presentation of this disease is found as mixed picture according prominent aggravation of dosha and signs and symptoms will be observed accordingly Gradations should be considered accordingly so it is not required to repeat here

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Page 24: THE GRADATIONS OF DISEASES OF SHALAKYA TANTRA - PART …theassociationofshalaki.com/downloads/GRADATIONS_OF_DISEASE… · 12.05.2019  · I am also very much thankful to Dr Sandhya

23

Code Signs amp Symptoms Score Gradations Remarks

दतभासपरशातन 0 Gums situated At CE junction

1 Recession of gums At cervical 13

2 Recession of gums At middle 13 3 Recession of gums At apical 13

115 महाशौषषर (स) दनताशिरचनत 0 No mobility

1 1 mm antero-posterior mobility

2 2 mm antero-posterior mobility

3 More than 2 mm anteroposterior amp medial to lateral mobility

तार अवदीमत 0 Absent Fissure over the Palate

1 Present

दतभासातनऩछमनत 0 No redness

1 Mild redness

2 Moderate redness

3 Severe redness

भख ऩरयऩीडमत 0 No Peedā Or According to VAS

Pain in any part or whole oral cavity

1 Peedā is at those Gums where disease is situated

2 Peedā is at entire Gums

Peedā is at entire Mukh

सचननऩाताजजजजवयवान

(अहर) 0 Normal temperature

1 Temperature between 984rsquoF to 100rsquoF

Temperature between 100rsquoF to 101rsquoF

2 Temperature between 101rsquoF to 102rsquoF

3 Temperature between 102rsquoF to 103rsquoF

4 Temperature between 103rsquoF to 104rsquoF

5 Temperature more than 104rsquoF

सऩमरचधयसरतत (अहर)

0 No Discharge

1 Blood with Pus Discharge

2 only pus discharge

पवशीणदपवजफनधन (अहर)

0 No mobility

1 1 mm antero-posterior mobility 2 2 mm antero-posterior mobility

24

Code Signs amp Symptoms Score Gradations Remarks 3 more than 2 mm antero-posterior

amp medial to lateral mobility

116 पररदर (स) दनतभासातन शीमनत 0 Gums situated At CE junction Depending upon

severity grading has been established

1 Recession of gums At cervical 13

2 Recession of gums At middle 13

3 Recession of gums At apical 13

षठीवतत असक 0 No spitting of blood

1 Occasionally splitting

2 On and off splitting

3 Continuous splitting with disturbance in work

117 उपकश (स) दाह Or According to VAS

ऩाक 0 Absent

1 Present

दनताशिरचनत 0 No mobility

1 1 mm antero-posterior mobility

2 2 mm antero-posterior mobility

3 more than 2 mm antero-posterior amp medial to lateral mobility

आघटिता परसरवचनत 0 Absent

=Bleeding from gums by pressure

1 Bleeding on pressure remains for five minutes

2 Bleeding on pressure remains up to 15 minutes

3 Bleeding on pressure remains up to 30 minutes

4 Bleeding on pressure remains up to 1 hour

5 Bleeding on pressure remains more than 1 hour

भदवदना 0 Absent

1 Present

आधभामनत सरत यकत

0 Absent

1 Present

ऩतत वकतरता (अहर) 0 No foul smell

1 Patient feels foul smell

25

Code Signs amp Symptoms Score Gradations Remarks

2 Doctor or person who comes near to patient feels foul smell

3 From distance anyone can feels foul smell who is in the room

4 Foul smell can be feel from outside of the room even

कणडभचनत (अहर) 0 Absent Or According to VAS

1 Occasionally itching

2 On and off itching

3 Continues itching

िरा (अहर) 0 No mobility

1 1 mm antero-posterior mobility

2 2 mm antero-posterior mobility

3 More than 2 mm antero-posterior amp medial to lateral mobility

118 वदभभ (स) =Traumatic injury(By mechanical Chemical thermal )

घषिष दनतभरष सयबो जामत भहान

0 Absent Mahan suggest itself severity of disease

1 Present

िरदता (अहर) 0 No mobility

1 1 mm antero-posterior mobility

2 2 mm antero-posterior mobility

3 More than 2 mm antero-posterior amp medial to lateral mobility

119 वरभन (स) तीवरवदना 0 No pain Or According to VAS

1 तीवर -Pain is there but he can do

work or sleep

2 तीवरतय -Patient can tolerate

3 तीवरतभ -Patient canrsquot tolerate

1110 अधरमाास (स) भहाञिोथ 0 No Shoth Mahan suggest itself

severity of disease

1 Shoth is Present on that gum only where disease is occurred

2 Shoth is Present on nearby two or three gums where disease is occurred

26

Code Signs amp Symptoms Score Gradations Remarks

3 Shoth is present up to adjoining cheek

This condition should be considered as

भहाञिोथ

भहारजा (स) परततहनतममभमवरतत (अहर)

0 No Rujā (pain) Or According to VAS

2 Rujā (pain) is Present on that gum only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

This condition should be considered as भहारजा amp परततहनतममभमवरतत

रारासरावी 0 Normal secretion

1 Occasionally splitting

2 On and off splitting

3 Continuous splitting disturbance in work

दनतानत कीरवतमशोफ़ (अहर)

0 No Keel vat Shoth

1 Keel vat Shoth is Present on that gum only where disease is occurred

2 Keel vat Shoth is Present on nearby two or three gums where disease is occurred

3 Keel vat Shoth is present up to adjoining cheek

1111 दनतषवदरधर (अहर) दनतभासशोफ़ (ि) 0 No Shoph

1 Shoph is Present on that gum only where disease is occurred

2 Shosh is Present on nearby two or This condition should

27

Code Signs amp Symptoms Score Gradations Remarks

three gums where disease is occurred

be considered as अनत शवमथ According to

Vagbhatta

3 Shosh is extended up to adjoining cheek

This condition should be considered as फाहम शवमथ According to

Vagbhatta

फाहम शवमथ (अहर) This condition is mentioned at दनतभास शोफ़

अनत शवमथ (अहर) This condition is mentioned at दनतभास शोफ़

गर (अहर) 0 Absent

1 Present

रग (अहर) 0 No Rujā (pain) Or According to VAS

2 Rujā (pain) is Present on that gum only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

दाह (अहर) According to VAS

सरवतिननऩमासर (अहर)

0 No Discharge

1 Blood with Pus Discharge

2 Only pus discharge

1112 दतनाडी Scoring is not possible further according to measurement of Nadivrana because X-

ray only detects spread up to the bone Whereas Nadivrana in gingiva periodontal ligament cannot be measured

दतनाडी 0 Absent

1 Present

28

GRADATION OF DANTA GAT ROG

Code ndash 12

Gradations established by Group KARAL Dr Krishna Makadia - Convener

Dantavaidya Saroj Joshi Dantavaidya Harshad Joshi

Dr Kiran Raj Dr Achyuta Atara Dr Pranav Dave

Gradations Reviewed by Dr Hemangi Shukla Dr Krishna Makadia

Edited by Prof Vd Hāridra Dave

29

Code Signs amp Symptoms Score Gradations Remarks

121 दाऱन (स)

तीवररग 0 No Rujā (pain) Or According to VAS

2 Rujā (pain) is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

उषणअसहादनता (अस) 0 No sensitivity in teeth ie with warm

water hot water or

excessive hot water

application on

tooth is not

possible so Time

related and severity

related grading was

finalised(same for

cold)

1 Mild sensitivity in teeth - At a

time

2 Moderate sensitivity in teeth -

Sensitivity remains only for 1

Prahar (up to 3 hrs)

3 Severe sensitivity in teeth -

Sensitivity remains more than

1 Prahar (more than 3 hrs)

शीतअचधकवमथा (अहर) 0 No sensitivity in teeth

1 Mild sensitivity in teeth - At a

time

2 Moderate sensitivity in teeth -

Sensitivity remains only for 1

Prahar (up to 3 hrs)

3 severe sensitivity in teeth-

Sensitivity remains more than

1 Prahar (more than 3 hrs)

22 कममदनत (स) कषण 0 No discoloration

1 Light greyish black

2 Dark greyish black

3 Jet black

30

Code Signs amp Symptoms Score Gradations Remarks

तिदर 0 No cavity It should be

decided by X-ray

1 Cavity within limit of enamel

2 Cavity within limit of dentin

3 Cavity up to pulp

िर 0 No mobility

1 1 mm antero-posterior

mobility

2 2 mm antero-posterior

mobility

3 More than 2 mm antero-

posterior amp medial to lateral

mobility

सरावी 0 No Srāv- after drying

particular teeth with cotton

inserting cotton on cavity

There is no other

method to check

Srāv in Krimidanta

1 Srāv is present

ससयब = Inflammation 0 No inflammation

1 Inflammation is Present भहारज 0 No Rujā (pain) Or According to

VAS 2 Rujā (pain) is Present on that

gum only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

This condition should be considered as भहारज

अतनसभतमतरज 0 No sudden onset of pain

1 Sudden onset of pain is

present

अहततीवराततशभ (अहर) 0 No sudden onset of pain

31

Code Signs amp Symptoms Score Gradations Remarks

1 Sudden onset of pain is

present

पररन (अहर) = Broken due to cavity

0 Cavity is there but it is not

broken

It should be

considered for each

tooth separately

Cavity in that must

be present in

particular tooth

1 13 part of tooth is broken

2 23 of tooth is broken

3 More than 23 of tooth is

broken

4 Total loss of tooth

ऩमसरत (अहर) 0 No Pooya Srāv after drying

particular place

with cotton

inserting cotton on

cavity

1 Pooya Srāv present

यकतसरत (अहर) 0 No Rakta Srāv after drying

particular place

with cotton

inserting cotton on

cavity

1 Rakta Srāv is present

123 दनतहषभ (स)

शीत सऩशन न सहनत 0 No sensitivity by cold touch

in any teeth

1 Ooccassional sensitivity by

cold touch in any toothteeth

for once

2 Sensitivity by cold touch

remains in toothteeth only up

to 1 Prahar (up to 3hrs)

3 Sensitivity by cold touch

remains more than 1 Prahar

(more than 3hrs)

उषण सऩशन न सहनत 0 No sensitivity by hot touch in

any teeth

1 Occassional sensitivity by hot

touch in toothteeth for once

2 Sensitivity by hot touch

remains in toothteeth only up

to 1 Prahar (up to 3hrs)

3 Sensitivity by hot touch

remains in toothteeth more

than 1 Prahar (more than

3hrs)

32

Code Signs amp Symptoms Score Gradations Remarks

परवाताभा = Sensitivity to air

(परवातारशीतबाभा) (अहर)

0 No sensitivity by Pravāt

touch in any tooth

1 Occassional sensitivity by

Pravāt touch in toothteeth for

once

2 Sensitivity by Pravāt touch

remains in toothteeth only up

to 1 Prahar (up to 3hrs)

3 Sensitivity by Pravāt touch

remains in toothteeth more

than 1 Prahar (more than

3hrs)

अरबाभा = Sensitivity to sour food

(परवातारशीतबाभा) (अहर)

0 No sensitivity by eating

sourer food to any tooth

1 Occassional sensitivity by

eating sourer food to any

toothteeth for once

2 Sensitivity by eating sourer

food remains to toothteeth

only up to 1 Prahar (up to

3hrs)

3 Sensitivity by eating sourer

food remains to toothteeth

more than 1 Prahar (more

than 3hrs)

शीतबाभा (परवातारशीतबाभा) (अहर)

0 No sensitivity by eating cold

item to any tooth

1 Occasional sensitivity by

eating cold item to toothteeth

for once

2 Sensitivity by Pravāt touch

remains in toothteeth only up

to 1 Prahar (up to 3hrs)

3 Sensitivity by eating cold

item remains to toothteeth

more than 1 Prahar (more

than 3hrs)

सरजा (अहर) 0 No Rujā (pain)

33

Code Signs amp Symptoms Score Gradations Remarks

2 Rujā (pain) is Present on that gum only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

2 Rujā (pain) is Present on that gum only where disease is occurred and patient can do hisher routine work without disturbance

िर (अहर) 0 No mobility

1 1 mm anterio-posterior

mobility

2 2 mm anterio-posterior

mobility

3 More than 2 mm antero-

posterior amp medial to lateral

mobility

124 भञजनक (स) =Photograph is necessary

(depending upon the severity gradation has been finalised)

वकतर वकरता 0 No deviation

1 Deviation is present

तीवररक 0 No Rujā (pain) Or according to

VAS

2 Rujā (pain) is Present on that gum only where disease is occurred and patient can do hisher routine work without disturbance

34

Code Signs amp Symptoms Score Gradations Remarks

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

This condition should be considered as तीवररक

दनतबङग 0 Tooth is not broken This should be

considered for

single tooth

1 13 part of tooth is broken

2 23 of tooth is broken

3 More than 23 of tooth is

broken

4 Total loss of tooth

125 दनतशकभ रा (स) =Calculus index was selected

शकयव चसथयीबत भर 0 No calculus present

1 Supragingival calculus

covering not more than third

of the exposed tooth surface

2 Supragingival calculus

covering more than 13 but

not more than 23 of the

exposed tooth surface or the

presence of individual flecks

of subgingival calculus

around the cervical portion of

the tooth or both

3 Supragingival calculus

covering more than 23 of the

exposed tooth surface or

continues heavy band 0f

subgingival calculus around

the cervical portion of the

tooth or both

35

Code Signs amp Symptoms Score Gradations Remarks

दनताना गणहयी 0 Absent All 10 Guna of

Danta Sampata

should be

considered required

suggestions for

each Guna

1 Present

ऩततगचनध (अहर) 0 No foul smell Taken grading of

halitosis

1 Patient feels foul smell

2 Doctor or person who comes near to patient feels foul smell

3 From distance anyone can feels foul smell who is in the room

4 Foul smell can be feel from outside of the room even

126 कपामऱका (स)

दनतवलकसम दरनभ = Bracketing of tooth enamel (दरचनत दनतवलकातन)

0 No दरनभ of tooth This should be

considered

separately for each

tooth

1 दरनभ is present of less than 13 of tooth

2 दरनभ is present of more than of 13 of tooth but less than 23 of tooth

3 दरनभ is present of more than of 23 of tooth but no total loss of tooth

4 Total loss of tooth after दरनभ

This condition should be considered as दशनाना पवनाश

दशनाना पवनाश = Total loss of tooth

0 No Any loss of tooth This should be

considered

separately for each

tooth

1 loss of tooth is present of less than 13 of tooth

2 loss of tooth is present of more than of 13 of tooth but less than 23 of tooth

36

Code Signs amp Symptoms Score Gradations Remarks

3 loss of tooth is present of more than of 23 of tooth but no total loss of tooth

4 Total loss of tooth This condition should be considered as दशनाना पवनाश

दनतशातनभ अणश = Thinning of tooth (शातमतममतममणशो दनतात कऩारातन) (अहर)

0 No शातनभ of tooth This should be

considered

separately for each

tooth

1 शातनभ is present in less than 13 of tooth

2 शातनभ is present in more than 13 of tooth but less than 23 of tooth

3 शातनभ is present in more than 23 of tooth but no total loss of tooth

4 Total loss of tooth due to शातनभ

127 शयावदनतक (स) In शमावदनत शमावता amp नीरता should be considered ascending stages

शमावता + नीरता 0 -No any discolouration of

tooth

-Normal colour of tooth

This should be

considered

separately for each

tooth

1 शमावता is Present

2 नीरता is Present

128 हनमो (स) According to Dalhan हनमो is not Dant Rog directly but it is near to

Dantchewing of hard food is one of the causes and there is pain in Dant so it is considered under Danta Rog

हनसचनधपवसहत 0 Absent

1 Can be reset by manual reduction

2 Can be reset by surgical

intervention

129 दनतभद (अहर) तोद =Pricking pain 0 No Pricking pain -Or According to

VAS

- This should be

considered

separately for each

tooth

37

Code Signs amp Symptoms Score Gradations Remarks

2 Pricking pain is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Pricking pain is referred up to Hanu and patient can do hisher routine work without disturbance

4 Pricking pain is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Pricking pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Pricking pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

बद Braking pain 0 No Braking pain -Or According to

VAS

- This should be

considered

separately for each

tooth

2 Braking pain is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Braking pain is referred up to Hanu and patient can do hisher routine work without disturbance

4 Braking pain is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Braking pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Braking pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

38

Code Signs amp Symptoms Score Gradations Remarks

रक Dull pain 0 No Rujā (pain) -Or According to

VAS

- This should be

considered

separately for each

tooth

2 Rujā (pain) is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

सपिन Burstingexpanding pain

0 No Bursting pain -Or According to

VAS

- This should be

considered

separately for each

tooth

2 Bursting pain is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Bursting pain is referred up to Hanu and patient can do hisher routine work without disturbance

4 Bursting pain is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

39

Code Signs amp Symptoms Score Gradations Remarks

5 Bursting pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Bursting pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

1210 दनतचाऱ (अहर) िरतमव = Mobility 0 No = mobility

1 1mm anterio-posterior

mobility

2 2 mm anterio-posterior

mobility

3 More than 2 mm anterio-

posterior amp medial to lateral

mobility

बणादचधकवमथ 0 No Vyatha ndash Pain during

eating

1 Pain during eating of hard

diet only

2 Pain during eating of soft diet

even

1211 कराऱ (स)

=Malocclusion

0 A Normal Molar relationship

exist but there is crowding

misalignment of the teeth

cross bite etc

1 A malocclusion where the

molar relationship shows the

buccal grove of mandibular

first molar distally positioned

when in occlusion with the

mesiobuccal cusp of the

maxillary first molar

2 A malocclusion where the

molar relationship shows the

buccal groove of the

mandibular first molar

mesiallypos

40

GRADATIONS OF JIHWA GAT ROG

Code - 13

Established by Group BHOJ Dr Krishna Makaia ndash Convener

Dr Rajeshree Unadkat Dr Neelam Dave

Dr Ronakgiri Gosai Dr Jignesh Virapariya

Reviewed by Dr Vijayant Bharadwaj

Edited by Prof Vd Hāridra Dave

41

Code Signs amp Symptoms Score Gradations Remarks

131 वाततक चजहवाकिक (स) सपटिता (Creaks) 0 No creaks on tongue

1 Single creak on the dorsum of tongue

2 Multiple Creaks on the dorsum of tongue

3 Multiple deep creaks on the dorsum of tongue (Bleeding)

परसपता (Numbness )

0 No Numbness

1 Numbness in 13 Part of tongue

2 Numbness in 23 Part of tongue

3 Numbness in more than 23 Part of tongue

शाकछिदनपरकाशा (Roughness)

0 Normal surface of tongue on touch

1 Mild rough surface on touch

2 Hard irregular surface on touch

3 Very rough surface which hurts the finger on touch

132 ऩततक चजहवाकिक (स) ऩीता 0 No yellowish discolouration

1 Yellowish discoloration in 13 part

2 Yellowish discoloration in 23 part

3 Yellowish discoloration in more than 23 part of tongue

ऩरयदहमत Burning in entire tongue)

0 No burning Or According to VAS

1 Occasional burning

2 Intermittent burning

3 Continuous burning does not relieve by any measures

दाह (Burning may be

in partially tongue)

0 No Burning Or According to VAS

1 Burning up to 13 part of tongue

2 Burning in 13 to 23 part of tongue

3 Burning in more than 23 part of tongue

42

Code Signs amp Symptoms Score Gradations Remarks

यकतभासाङकयचशिता (Covered with red buds )

0 No change in appearance

1 13 part of tongue covered with red fleshy buds

2 23 part of tongue covered with red fleshy buds

3 Whole tongue covered with red fleshy buds

ओष (Burning) 0 No Oshha Or According to VAS

1 Oshha up to 13 part of tongue

2 Oshha in 13 to 23 part of tongue

3 Oshha in more than 23 part of tongue

133 कपज चजहवाकिक (स) फहरा (Thick) 0 Normal Thickness of Tongue

1 Thickness increased - noticeable by patient

2 Thickness increased - noticeable by the examiner

3 Tongue protruding out because of increased Thickness

गवी (Heaviness) 0 No Heaviness

1 Feeling mild heaviness but no difficulty in Tongue movement

2 Difficulty in Tongue movement especially during intake of liquid

3 Difficulty in Tongue movement especially during intake of hard food

4 Difficulty in Tongue movement especially during Pronunciation

भासोदगभ शालभसरकणिकाब (thorn like papilla)

0 No change in appearance of tongue

1 13 part of tongue covered with red fleshy thorn like papilla

2 23 part of tongue covered with thorn like papilla

3 Whole tongue covered with thorn like papilla

43

Code Signs amp Symptoms Score Gradations Remarks

134 अरास (स) शवमथ

(Swelling at ventral surface of tongue)

0 Absent

1 Present

सतबमतत (Restricted tongue movement)

0 -Normal Movement of Tongue -Movement of tongue not affected

1 Tongue movement slightly restricted but does not affect the normal function

2 Tongue movement restricted that affects the normal function

3 Tongue movement arrested

परवदध

(Increase in size)

0 Size not increased

1 Size increased - noticeable by the patient

2 Size increased - noticeable by the examiner

3 Tongue protruding out because of increased size

ऩाक 0 No swelling or suppuration

1 Inflammation with pain and tenderness

2 Inflammation with different types of pain and tenderness along with induration

3 Pus formation and fluctuation positive

अधशोप 0 Absent

1 Present

उननत (elevation of

the tongue due to swelling below the tongue)

0 Normal position of tongue

1 Tongue slightly elevated due to swelling below the tongue

2 Tongue elevation causes discomfort to the patient

3 Tongue touches the palate

भतमसमगचनध

(Fishy smell)

0 Absent

1 Present

44

Code Signs amp Symptoms Score Gradations Remarks

भासशातन (Destruction of flesh of tongue )

0 No Destruction of tongue flesh

1 13 part of tongue flesh is destroyed

2 23 part of tongue flesh is destroyed

3 More than 23 part of tongue is destroyed

135 उऩचजचहवका (स) शवमथ (Swelling) 0 Absent

1 Present

चजहवाभननम

जात (elevation of

tongue because of swelling)

0 Normal position of tongue

1 Tongue slightly elevated due to swelling below the tongue

2 Tongue elevation causes discomfort to the patient

3 Tongue touches the palate

परसक (Salivation) 0 Normal secretion of saliva

1 Occasionally spitting

2 Off and on spitting

3 Continuous spitting which disturbs the work

कणड (Itching) 0 No itching Or According to VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate on work due to severe itching

0r

0 No itching

1 Occasional itching

2 Off and on itching

3 Continuous itching

ऩरयदाह (Burning in

whole tongue)

0 No burning Or According to VAS

1 Occasional burning

2 Intermittent burning

3 Contentious burning dose not relive by any measures

45

Code Signs amp Symptoms Score Gradations Remarks

136 अचधचजचहवका (अर)

अधोचजहवामा शोप

0 Normal position of tongue

(Swelling below the tongue)

1 Tongue slightly elevated due to swelling below the tongue

2 Tongue elevation causes discomfort to the patient

3 Tongue touches the palate

अङकय (Pappilary

growth)

0 Absent

1 Present

ओष (Burning) 0 No Oshh Or According to

VAS

1 Oshh up to 13 part of tongue

2 Oshh in 13 to 23 part of tongue

3 Oshh in more than 23 part of tongue

सतबवान

(Restriction of Movement)

0 Movement of tongue not affected

1 Tongue movement slightly restricted but does not affect the normal function

2 Tongue movement restricted that affect the normal function

3 Tongue movement arrested

खय(Rough) 0 Smooth on touch

1 Mild irregular surface

2 Rough surface

3 Sharp rough surface touch hurts on finger on touch

रक (Pain) 0 No pain Or According to

VAS

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

कणड (Itching) 0 No itching Or According to

VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate on work due to severe itching

0r

0 No itching

46

Code Signs amp Symptoms Score Gradations Remarks

1 Occasional itching

2 Off and on itching

3 Continuous itching

वाकम पवघातकत (Difficulty in speech)

0 No difficulty in speech

1 Unable to speak िति vargavyanjana

2 Difficulty in speaking क vargavyanjana

Swara donrsquot need involvement of tongue

3 Unable to speak

आहयपवघातकत

(Swallowing )

0 Able to eat regular diet

1 Able to eat soft diet

2 Able to eat only liquid diet

3 Unable to swallow anything

47

GRADATION OF TALUGAT ROG

Code - 14

Established by Group BHOJ Dr Krishna Makaia ndash Convener

Dr Rajeshree Unadkat Dr Neelam Dave

Dr Ronakgiri Gosai Dr Jignesh Virapariya

Reviewed by Dr Vijayant Bharadwaj

Edited by Prof Vd Hāridra Dave

48

Code Signs amp Symptoms Score Gradations Remarks

141 गरशचणडका (स)

परवदधो शोप (Swelling extending from palate) (Which is elongated)

0 Normal size of uvula

1 Swelling of uvula that causes discomfort to the patient

2 Swelling of uvula that causes foreign body sensation

3 Difficulty in breathing due to swelling

दीघ शोप

(Elongated Swelling)

0 Normal size of uvula

1 Elongated swelling of uvula that causes discomfort to the patient

2 Elongated swelling of uvula that causes foreign body sensation

3 Difficulty in breathing due to Elongated swelling

धभातफचसतपरकाश शोप =Inflated

swelling like Basti

0 Normal size of uvula

1 Inflated swelling like Basti of uvula that causes discomfort to the patient

2 Inflated swelling like Basti of uvula that causes foreign body sensation

3 Difficulty in breathing due to Inflated swelling like Basti

तषणा 0 Normal feeling of thirst

1 Increased feeling of thirst which is relived after drinking water

The quantity of water is not consider here but the frequency of water is considered

2 Frequent feeling of thirst which is Occasional relived after drinking water

3 Continuous feeling of thirst does not relive after drinking profuse amount of water

कास (Coughing) 0 No coughing

49

Code Signs amp Symptoms Score Gradations Remarks

1 Occasional coughing during eating and speaking

2 Off and on coughing

3 Continuous coughing

शवास 0 No difficulty in breathing

1 Difficulty in breathing occasionally

2 More difficulty in breathing while sleeping

3 Excessive difficulty in breathing

भतमसमफचसततनब शोप (अहर)

0 Normal uvula Used as an adjective

1 Inflated swelling like Matsya-Basti of uvula that causes discomfort to the patient

2 Inflated swelling like Matsya-Basti of uvula that causes foreign body sensation

3 Difficulty in breathing due to Inflated swelling like Matsya-Basti

पररफ (अहर) 0 Normal length of Uvula

(Elongated Swelling)

1 Size of Uvula increased up to lt2 mm

2 Size of Uvula increased more than 2 mm but less than 4 mm

3 Size of Uvula increased gt4 mm that cause discomfort to patient and cause difficulty in breathing

पऩचछिर(अहर) (Sliminess)

0 Absent

1 Present

नासमाऽऽहायभीयमन (अहर)

0 Food does not come out from nose

(Food comes out of nose)

1 Food comes out from nose

कणठोऩयोध(अहर) (Obstruction of throat )

0 -Able to eat regular diet -No difficulty in swallowing of any food

1 Able to swallow liquid or soft diet but not able to swallow hard diet

2 Able to swallow hard diet forcefully

50

Code Signs amp Symptoms Score Gradations Remarks

3 Not able to swallow hard diet with force

वभन(अहर) (Vomiting)

0 No Vaman

1 Feeling of nausea only

2 Only one veg of Vaman in a day

3 Two vegas of Vaman in a day

4 More than two vegas of Vaman in a day

132 तचणडकयी (स)

शोप (Tonsillar

Swelling)

0 Tonsils are located within the tonsillar fossa

1 Tonsils hypertrophy till the brim of the tonsillar fossa

2 Tonsils hypertrophy extends beyond the pillars but not touching each other

3 Tonsils hypertrophy extends beyond the pillars but not touching each other

तोद

(Pricking pain)

0 No pain

1 Occasional pain Or according to VAS

2 Off and on pain

3 Continuous pain

दाह (Burning) 0 No

1 Occasional burning

2 Intermittent burning

3 Contentious burning dose not relive by any measures

परऩाक 0 Absent

1 Present

पऩचछिर शोप(अहर)

Sliminess in swallowing

0 Feeling of Sliminess is Absent

1 Feeling of Sliminess is Present

भनदरक (अहर)

(Mild pain)

0 Absent Or According to

VAS

1 Present

133 अधरष (स)

शोप (Swelling) 0 No swelling

1 13 Swelling in part of the palate

51

Code Signs amp Symptoms Score Gradations Remarks

2 23 swelling in part of palate

3 Swelling in gt than 23 part of palate

सतबधता =Functions of soft palate like deglutition Phonation etc are affected = No mobility of soft palate

0 Normal function of soft palate

1 Soft palate movement reduced but functions are not affected

2 Any one of the functions of soft palate is affected

3 All functions of soft palate are affected

रोटहतवणता

(Redness)

0 No change in colour

1 Pinkish red coloured mucosa in palate

2 Red coloured mucosa in palate

3 Dark red coloured mucosa in palate

रजा (Pain) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

जजवय (Fever) 0 Normal temperature

1 Temperature between 984rsquoF to 100rsquoF

Temperature between 100rsquoF to 101rsquoF

2 Temperature between 101rsquoF to 102rsquoF

3 Temperature between 102rsquoF to 103rsquoF

52

Code Signs amp Symptoms Score Gradations Remarks

4 Temperature between 103rsquoF to 104rsquoF

5 Temperature more than 104rsquoF

134 कछिऩ (स)

कभवत उतमसनन शोप (Swelling

having shape like dorsum of tortoise)

0 No swelling

1 Swelling in 13rd part of the palate

2 Swelling in 23rd part of palate

3 Swelling in gt 23rd part of palate

चियवपदध(अहर)

(Slow growth)

0 Growth within a week

1 Growth within 1 week to 1 month

2 Growth within 1 month to 6 months

3 Growth within gt 6 months

रक (अहर) (Pain) 0 No pain Or According to VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesics

135 तारअफद (स) ऩदमाकाय तारभधम

शोपम (Swelling

like shape of lotus )

0 No swelling

1 Swelling in 13rd part of the palate

2 2 Swelling in 23rd part of palate

3 3 Swelling in gt 23rd part of palate

136 भाससङघात (स) नीरज (Painless) 0 Absent

1 Present

53

Code Signs amp Symptoms Score Gradations Remarks

शोप 0 No swelling

1 Swelling in 13rd part of the palate

2 Swelling in 23rd part of palate

3 Swelling in gt 23rd part of palate

137 तारऩपऩि (स) नीरक (Painless) 0 Absent

1 Present

कोरभातर

Swelling having size of Kola fruit

0 Absent

1 Present

138 तारशोष (स)

शोष (Dryness) 0 No dryness

1 Dryness decreased after drinking water

2 Patient needs water frequently

3 Dryness persist after dinking profuse water

दायण (Tearing of palate)

0 Absent

1 Present

शवास (Difficulty in

breathing)

0 No difficulty in breathing Here difficulty in breathing is due to obstruction

1 Difficulty in breathing occasionally

2 More difficulty in breathing while sleeping position

3 Excessive difficulty in breathing

जजवय(अहर) (Fever) 0 Normal temperature

1 Temperature between 984rsquoF to 100rsquoF

Temperature between 100rsquoF to 101rsquoF

2 Temperature between 101rsquoF to 102rsquoF

3 Temperature between 102rsquoF to 103rsquoF

4 Temperature between 103rsquoF to 104rsquoF

5 Temperature more than 104rsquoF

54

Code Signs amp Symptoms Score Gradations Remarks

139 तारऩाक (स) ऩाक (Suppuration) 0 No swelling or suppuration

1 Inflammation of palate with pain and tenderness

2 Inflammation of palate with different types of pain and tenderness with induration

3 Pus formation and fluctuation positive

1310 तारपऩटिका (अहर) तारभास पऩटिका

Follicles in palate flesh

0 No follicles

1 13 palate covered with follicles

2 23 palate covered with follicles

3 More than 23 palate covered with follicles

रज(अहर) (Pain) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

Occasional pain

खयता(अहर) (Roughness)

0 Smooth on touch

1 Mild irregular surface on touch

2 Rough surface

3 Sharp rough surface which hurts on finger on touch

घनसराव(अहर) (Thick discharge)

0 No discharge

1 Occasional discharge

2 Off and on thick discharge

3 Continuous thick discharge

1311 तारसहतत (अहर) तारभधम तनरक (अहर) =Painless fleshy growth in palate

Only तारभधम तनरक indicates the place and quality of growth both the symptoms can be

merged

55

Code Signs amp Symptoms Score Gradations Remarks

तनरक (Painless) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

भाससहत

(Fleshy growth in palate)

0 No fleshy growth

1 Fleshy growth in 13 part of the palate Swelling

2 Fleshy growth in 23 part of palate swelling

3 Fleshy growth in more than 23 part of palate

56

GRADATION OF SARVASAR ROG

Code - 15

Established by Group BHOJ Dr Krishna Makaia ndash Convener

Dr Rajeshree Unadkat Dr Neelam Dave

Dr Ronakgiri Gosai Dr Jignesh Virapariya

Reviewed by Dr Vijayant Bharadwaj

Edited by Prof Vd Hāridra Dave

57

Code Signs amp Symptoms Score Gradations Remarks

151 वातजसवसय (स) सपोि (Ulcers) 0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

तोद = Pricking pain 0 No pricking pain Or According to VAS

1 Occasional pricking pain

2 Off and on pricking pain

3 Continuous pricking pain

Or

0 No pricking pain

1 Sometimes mild pricking pain

2 Has to take analgesic while pricking pain

सिारयण(अहर) This symptom is for सवसय so this सवसय is the nature of सिारय

0 No movement of सवसय

1 Movement of सवसय is once in a week

2 Movement of सवसय is once in three to four days

3 Movement of सवसय is at every alternate day

4 Movement of सवसय is once in a day

अरण (अहर) Reddish discoloration

0 Colour of वरण is same with colour of surrounding area

1 Colour of वरण is Reddish

2 Colour of वरण is Dark Red

3 Colour of वरण is Reddish black

र (अहर) Dryness 0 वरण is Moist

-No dryness of वरण

1 वरण Needs lubrication once a day

2 वरण Needs frequent lubrication in

a day

3 No benefit with frequent

lubrication of वरण

तामरता (अहर) (Coppery

0 Colour of वरणौषठ is same with colour of surrounding area

58

Code Signs amp Symptoms Score Gradations Remarks

discoloration) This symptom is for

वरणौषठ

1 Colour of वरणौषठ is Tamra Varna

चऱतवचा (अहर) (Free mucous membrane) This symptom is for

वरणौषठ

0

Movement of वरणौषठ is on touch

only

1 Movement of वरणौषठ can be seen by naked eye means without touch

शीतासहा (अहर) (Intolerance to cold) This symptom is for

जजहवा

0 No Intolerance of cold to जजहवा

1 Intolerance of severe cold to जजहवा

2 Intolerance of moderate cold to जजहवा

3 Intolerance of Mild cold to जजहवा

गवी (Heaviness)

This symptom is for

जजहवा

0 No Heaviness

1 Mild heaviness with no difficulty

in movement of जजहवा

2 Moderate heaviness with

difficulty in Movement of जजहवा

3 Sever heaviness with bending down of

सफटटता (अहर) (Ulcer)

0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

कणटाकाधचता (अहर) = Thorn like

appearance

0 No change in appearance

59

Code Signs amp Symptoms Score Gradations Remarks

1 13 part of oral mucous membrane covered with red fleshy thorn like papillae

2 23 part of oral mucous membrane covered with red fleshy thorn like papillae

3 gt23 part of oral mucous membrane covered with red fleshy thorn like papillae

षववणोतत कचछरणमखम (अहर) (Difficulty in mouth opening)

0 Mouth opening more than 3 fingers without difficulty

1 2 to 3 fingers opening of mouth with or without difficulty

2 1 to 2 fingers opening of mouth with or without difficulty

3 Less than 1 finger opening of mouth with or without difficulty

152 पऩतमत(यकतज)सवसय (स) Signs and Symptoms of यकतज सवसय are same as of पऩतमत सवसय so no separate gradations are mentioned

यकतता (Redness) 0 Colour of सवसय- वरण is similar with

surrounding mucous membrane

1 Reddish Colour of सवसय- वरण

2 Bright red Colour of सवसय- वरण

3 Dark red Colour of सवसय- वरण

सदाह (Burning

Sensation)

0 No burning in सवसय- वरण Or According to

VAS

1 Occasional burning in सवसय- वरण

2 Intermittent burning in सवसय- वरण

3 Contentious burning in सवसय- वरण

which does not relive by any measures

तन (तनसब) (Shallow superficial ulcers)

0 No ulcer

1 Ulcer having depth of 05-1 mm

2 Ulcer having depth of 1 ndash 15 mm

3 Ulcer having depth of 15 -2 mm

60

Code Signs amp Symptoms Score Gradations Remarks

ओष (अहर) 0 No (ओष) burning in सवसय- वरण

1 Occasional (ओष) burning in

सवसय- वरण

2 Intermittent (ओष) burning in

सवसय- वरण

3 Contentious (ओष) burning in

सवसय- वरण which does not relive

by any measures

ततकतवकरता (अहर) (Bitter taste in mouth)

0 No alteration in taste

1 Occasionally bitter taste felt in mouth without having any bitter substance

2 Off and on bitter taste felt in mouth without having any bitter substance

3 Continuous bitter taste felt in mouth without having any bitter substance

ारोकषतत समावरणा (अहर)

0 No Ulcer

(Ulcers looking like chemical burns)

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

153 कपज सवसय (स) कणड (Itching) 0 No itching Or According to

VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Unable to work due to itching

0r

0 No itching

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate on work due to severe itching

रजा (Pain)

(अलऩ रजा) 0 No pain Or According to

VAS

1 Occasional pain

61

Code Signs amp Symptoms Score Gradations Remarks

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain This condition should be considered as अलऩ रजा

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

सवणण 0 Colour of वरण is same with colour of near by tissue

1 Colour of वरण is not same with colour of near by tissue

मररासयतवम (अहर) (Sweet taste in mouth)

0 No alteration in taste

1 Occasionally sweet taste felt without eating any sweet substance

2 Off and on Sweet taste Occasionally sweet taste felt without eating any sweet substance

3 Continuous sweet taste Occasionally sweet taste felt without eating any sweet substance

षपजचछिऱता (अहर) (Unctuousness)

0 Absent

1 Present

वरण 0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

154 कफाबभद (अहर) शयाव अबभदम

(शयावपाणडऽबभदम) 0 Colour of growthtumour is same

the colour of surrounding skin

1 Colour of growthtumour is शयाव

(Blackish)

62

Code Signs amp Symptoms Score Gradations Remarks

पाणड अबभदम (शयावपाणडऽबभदम)

0 Colour of growthtumour is same the colour of surrounding skin

1 Colour of growthtumour is पाणड

(Pale)

अबभदम 0 No GrowthTumour TNM Classification for tumours can be applied for growth

1 Growthtumour having sizelt 10 mm

2 Growthtumour having size 10 mm to 20 mm

3 Growthtumour having size gt 20 mm

घटिता तिनना मटदता च षववरभत (Size increases on rubbing cutting and squeezing)

0 Size of GrowthTumour is not increasing by rubbing cutting or squeezing

1 Size of GrowthTumour is increasing up to 10 mm by rubbing cutting or squeezing within a month

2 Size of GrowthTumour is increasing up to 20 mm by rubbing cutting or squeezing within a month

3 Size of GrowthTumour is increasing up to 30 mm by rubbing cutting or squeezing within a month

4 Size of GrowthTumour is increasing up to 40 mm by rubbing cutting or squeezing within a month

155 ऊरधवभगद (अहर) वकतरदौगनधम

(Halitosis)

0 No Halitosis

1 Halitosis is feel by Patient only

2 Halitosis is feel by Patient and examining Doctor only

3 Halitosis is feel by any person from the distance from 5 meters

63

Code Signs amp Symptoms Score Gradations Remarks

4 Halitosis is feel by any person from the distance from more than 5 meters

156 पततवकर (अहर) ऩतममासमता

(Halitosis)

0 No Halitosis

1 Halitosis is feel by Patient only

2 Halitosis is feel by Patient and examining Doctor only

3 Halitosis is feel by any person from the distance from 5 meters

4 Halitosis is feel by any person from the distance from more than 5 meters

157 सतनऩाततक सवसय (अहर) This disease occurs due to aggravation of all three doshas including Rakta Clinical presentation of this disease is found as mixed picture according prominent aggravation of dosha and signs and symptoms will be observed accordingly Gradations should be considered accordingly so it is not required to repeat here

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Page 25: THE GRADATIONS OF DISEASES OF SHALAKYA TANTRA - PART …theassociationofshalaki.com/downloads/GRADATIONS_OF_DISEASE… · 12.05.2019  · I am also very much thankful to Dr Sandhya

24

Code Signs amp Symptoms Score Gradations Remarks 3 more than 2 mm antero-posterior

amp medial to lateral mobility

116 पररदर (स) दनतभासातन शीमनत 0 Gums situated At CE junction Depending upon

severity grading has been established

1 Recession of gums At cervical 13

2 Recession of gums At middle 13

3 Recession of gums At apical 13

षठीवतत असक 0 No spitting of blood

1 Occasionally splitting

2 On and off splitting

3 Continuous splitting with disturbance in work

117 उपकश (स) दाह Or According to VAS

ऩाक 0 Absent

1 Present

दनताशिरचनत 0 No mobility

1 1 mm antero-posterior mobility

2 2 mm antero-posterior mobility

3 more than 2 mm antero-posterior amp medial to lateral mobility

आघटिता परसरवचनत 0 Absent

=Bleeding from gums by pressure

1 Bleeding on pressure remains for five minutes

2 Bleeding on pressure remains up to 15 minutes

3 Bleeding on pressure remains up to 30 minutes

4 Bleeding on pressure remains up to 1 hour

5 Bleeding on pressure remains more than 1 hour

भदवदना 0 Absent

1 Present

आधभामनत सरत यकत

0 Absent

1 Present

ऩतत वकतरता (अहर) 0 No foul smell

1 Patient feels foul smell

25

Code Signs amp Symptoms Score Gradations Remarks

2 Doctor or person who comes near to patient feels foul smell

3 From distance anyone can feels foul smell who is in the room

4 Foul smell can be feel from outside of the room even

कणडभचनत (अहर) 0 Absent Or According to VAS

1 Occasionally itching

2 On and off itching

3 Continues itching

िरा (अहर) 0 No mobility

1 1 mm antero-posterior mobility

2 2 mm antero-posterior mobility

3 More than 2 mm antero-posterior amp medial to lateral mobility

118 वदभभ (स) =Traumatic injury(By mechanical Chemical thermal )

घषिष दनतभरष सयबो जामत भहान

0 Absent Mahan suggest itself severity of disease

1 Present

िरदता (अहर) 0 No mobility

1 1 mm antero-posterior mobility

2 2 mm antero-posterior mobility

3 More than 2 mm antero-posterior amp medial to lateral mobility

119 वरभन (स) तीवरवदना 0 No pain Or According to VAS

1 तीवर -Pain is there but he can do

work or sleep

2 तीवरतय -Patient can tolerate

3 तीवरतभ -Patient canrsquot tolerate

1110 अधरमाास (स) भहाञिोथ 0 No Shoth Mahan suggest itself

severity of disease

1 Shoth is Present on that gum only where disease is occurred

2 Shoth is Present on nearby two or three gums where disease is occurred

26

Code Signs amp Symptoms Score Gradations Remarks

3 Shoth is present up to adjoining cheek

This condition should be considered as

भहाञिोथ

भहारजा (स) परततहनतममभमवरतत (अहर)

0 No Rujā (pain) Or According to VAS

2 Rujā (pain) is Present on that gum only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

This condition should be considered as भहारजा amp परततहनतममभमवरतत

रारासरावी 0 Normal secretion

1 Occasionally splitting

2 On and off splitting

3 Continuous splitting disturbance in work

दनतानत कीरवतमशोफ़ (अहर)

0 No Keel vat Shoth

1 Keel vat Shoth is Present on that gum only where disease is occurred

2 Keel vat Shoth is Present on nearby two or three gums where disease is occurred

3 Keel vat Shoth is present up to adjoining cheek

1111 दनतषवदरधर (अहर) दनतभासशोफ़ (ि) 0 No Shoph

1 Shoph is Present on that gum only where disease is occurred

2 Shosh is Present on nearby two or This condition should

27

Code Signs amp Symptoms Score Gradations Remarks

three gums where disease is occurred

be considered as अनत शवमथ According to

Vagbhatta

3 Shosh is extended up to adjoining cheek

This condition should be considered as फाहम शवमथ According to

Vagbhatta

फाहम शवमथ (अहर) This condition is mentioned at दनतभास शोफ़

अनत शवमथ (अहर) This condition is mentioned at दनतभास शोफ़

गर (अहर) 0 Absent

1 Present

रग (अहर) 0 No Rujā (pain) Or According to VAS

2 Rujā (pain) is Present on that gum only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

दाह (अहर) According to VAS

सरवतिननऩमासर (अहर)

0 No Discharge

1 Blood with Pus Discharge

2 Only pus discharge

1112 दतनाडी Scoring is not possible further according to measurement of Nadivrana because X-

ray only detects spread up to the bone Whereas Nadivrana in gingiva periodontal ligament cannot be measured

दतनाडी 0 Absent

1 Present

28

GRADATION OF DANTA GAT ROG

Code ndash 12

Gradations established by Group KARAL Dr Krishna Makadia - Convener

Dantavaidya Saroj Joshi Dantavaidya Harshad Joshi

Dr Kiran Raj Dr Achyuta Atara Dr Pranav Dave

Gradations Reviewed by Dr Hemangi Shukla Dr Krishna Makadia

Edited by Prof Vd Hāridra Dave

29

Code Signs amp Symptoms Score Gradations Remarks

121 दाऱन (स)

तीवररग 0 No Rujā (pain) Or According to VAS

2 Rujā (pain) is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

उषणअसहादनता (अस) 0 No sensitivity in teeth ie with warm

water hot water or

excessive hot water

application on

tooth is not

possible so Time

related and severity

related grading was

finalised(same for

cold)

1 Mild sensitivity in teeth - At a

time

2 Moderate sensitivity in teeth -

Sensitivity remains only for 1

Prahar (up to 3 hrs)

3 Severe sensitivity in teeth -

Sensitivity remains more than

1 Prahar (more than 3 hrs)

शीतअचधकवमथा (अहर) 0 No sensitivity in teeth

1 Mild sensitivity in teeth - At a

time

2 Moderate sensitivity in teeth -

Sensitivity remains only for 1

Prahar (up to 3 hrs)

3 severe sensitivity in teeth-

Sensitivity remains more than

1 Prahar (more than 3 hrs)

22 कममदनत (स) कषण 0 No discoloration

1 Light greyish black

2 Dark greyish black

3 Jet black

30

Code Signs amp Symptoms Score Gradations Remarks

तिदर 0 No cavity It should be

decided by X-ray

1 Cavity within limit of enamel

2 Cavity within limit of dentin

3 Cavity up to pulp

िर 0 No mobility

1 1 mm antero-posterior

mobility

2 2 mm antero-posterior

mobility

3 More than 2 mm antero-

posterior amp medial to lateral

mobility

सरावी 0 No Srāv- after drying

particular teeth with cotton

inserting cotton on cavity

There is no other

method to check

Srāv in Krimidanta

1 Srāv is present

ससयब = Inflammation 0 No inflammation

1 Inflammation is Present भहारज 0 No Rujā (pain) Or According to

VAS 2 Rujā (pain) is Present on that

gum only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

This condition should be considered as भहारज

अतनसभतमतरज 0 No sudden onset of pain

1 Sudden onset of pain is

present

अहततीवराततशभ (अहर) 0 No sudden onset of pain

31

Code Signs amp Symptoms Score Gradations Remarks

1 Sudden onset of pain is

present

पररन (अहर) = Broken due to cavity

0 Cavity is there but it is not

broken

It should be

considered for each

tooth separately

Cavity in that must

be present in

particular tooth

1 13 part of tooth is broken

2 23 of tooth is broken

3 More than 23 of tooth is

broken

4 Total loss of tooth

ऩमसरत (अहर) 0 No Pooya Srāv after drying

particular place

with cotton

inserting cotton on

cavity

1 Pooya Srāv present

यकतसरत (अहर) 0 No Rakta Srāv after drying

particular place

with cotton

inserting cotton on

cavity

1 Rakta Srāv is present

123 दनतहषभ (स)

शीत सऩशन न सहनत 0 No sensitivity by cold touch

in any teeth

1 Ooccassional sensitivity by

cold touch in any toothteeth

for once

2 Sensitivity by cold touch

remains in toothteeth only up

to 1 Prahar (up to 3hrs)

3 Sensitivity by cold touch

remains more than 1 Prahar

(more than 3hrs)

उषण सऩशन न सहनत 0 No sensitivity by hot touch in

any teeth

1 Occassional sensitivity by hot

touch in toothteeth for once

2 Sensitivity by hot touch

remains in toothteeth only up

to 1 Prahar (up to 3hrs)

3 Sensitivity by hot touch

remains in toothteeth more

than 1 Prahar (more than

3hrs)

32

Code Signs amp Symptoms Score Gradations Remarks

परवाताभा = Sensitivity to air

(परवातारशीतबाभा) (अहर)

0 No sensitivity by Pravāt

touch in any tooth

1 Occassional sensitivity by

Pravāt touch in toothteeth for

once

2 Sensitivity by Pravāt touch

remains in toothteeth only up

to 1 Prahar (up to 3hrs)

3 Sensitivity by Pravāt touch

remains in toothteeth more

than 1 Prahar (more than

3hrs)

अरबाभा = Sensitivity to sour food

(परवातारशीतबाभा) (अहर)

0 No sensitivity by eating

sourer food to any tooth

1 Occassional sensitivity by

eating sourer food to any

toothteeth for once

2 Sensitivity by eating sourer

food remains to toothteeth

only up to 1 Prahar (up to

3hrs)

3 Sensitivity by eating sourer

food remains to toothteeth

more than 1 Prahar (more

than 3hrs)

शीतबाभा (परवातारशीतबाभा) (अहर)

0 No sensitivity by eating cold

item to any tooth

1 Occasional sensitivity by

eating cold item to toothteeth

for once

2 Sensitivity by Pravāt touch

remains in toothteeth only up

to 1 Prahar (up to 3hrs)

3 Sensitivity by eating cold

item remains to toothteeth

more than 1 Prahar (more

than 3hrs)

सरजा (अहर) 0 No Rujā (pain)

33

Code Signs amp Symptoms Score Gradations Remarks

2 Rujā (pain) is Present on that gum only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

2 Rujā (pain) is Present on that gum only where disease is occurred and patient can do hisher routine work without disturbance

िर (अहर) 0 No mobility

1 1 mm anterio-posterior

mobility

2 2 mm anterio-posterior

mobility

3 More than 2 mm antero-

posterior amp medial to lateral

mobility

124 भञजनक (स) =Photograph is necessary

(depending upon the severity gradation has been finalised)

वकतर वकरता 0 No deviation

1 Deviation is present

तीवररक 0 No Rujā (pain) Or according to

VAS

2 Rujā (pain) is Present on that gum only where disease is occurred and patient can do hisher routine work without disturbance

34

Code Signs amp Symptoms Score Gradations Remarks

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

This condition should be considered as तीवररक

दनतबङग 0 Tooth is not broken This should be

considered for

single tooth

1 13 part of tooth is broken

2 23 of tooth is broken

3 More than 23 of tooth is

broken

4 Total loss of tooth

125 दनतशकभ रा (स) =Calculus index was selected

शकयव चसथयीबत भर 0 No calculus present

1 Supragingival calculus

covering not more than third

of the exposed tooth surface

2 Supragingival calculus

covering more than 13 but

not more than 23 of the

exposed tooth surface or the

presence of individual flecks

of subgingival calculus

around the cervical portion of

the tooth or both

3 Supragingival calculus

covering more than 23 of the

exposed tooth surface or

continues heavy band 0f

subgingival calculus around

the cervical portion of the

tooth or both

35

Code Signs amp Symptoms Score Gradations Remarks

दनताना गणहयी 0 Absent All 10 Guna of

Danta Sampata

should be

considered required

suggestions for

each Guna

1 Present

ऩततगचनध (अहर) 0 No foul smell Taken grading of

halitosis

1 Patient feels foul smell

2 Doctor or person who comes near to patient feels foul smell

3 From distance anyone can feels foul smell who is in the room

4 Foul smell can be feel from outside of the room even

126 कपामऱका (स)

दनतवलकसम दरनभ = Bracketing of tooth enamel (दरचनत दनतवलकातन)

0 No दरनभ of tooth This should be

considered

separately for each

tooth

1 दरनभ is present of less than 13 of tooth

2 दरनभ is present of more than of 13 of tooth but less than 23 of tooth

3 दरनभ is present of more than of 23 of tooth but no total loss of tooth

4 Total loss of tooth after दरनभ

This condition should be considered as दशनाना पवनाश

दशनाना पवनाश = Total loss of tooth

0 No Any loss of tooth This should be

considered

separately for each

tooth

1 loss of tooth is present of less than 13 of tooth

2 loss of tooth is present of more than of 13 of tooth but less than 23 of tooth

36

Code Signs amp Symptoms Score Gradations Remarks

3 loss of tooth is present of more than of 23 of tooth but no total loss of tooth

4 Total loss of tooth This condition should be considered as दशनाना पवनाश

दनतशातनभ अणश = Thinning of tooth (शातमतममतममणशो दनतात कऩारातन) (अहर)

0 No शातनभ of tooth This should be

considered

separately for each

tooth

1 शातनभ is present in less than 13 of tooth

2 शातनभ is present in more than 13 of tooth but less than 23 of tooth

3 शातनभ is present in more than 23 of tooth but no total loss of tooth

4 Total loss of tooth due to शातनभ

127 शयावदनतक (स) In शमावदनत शमावता amp नीरता should be considered ascending stages

शमावता + नीरता 0 -No any discolouration of

tooth

-Normal colour of tooth

This should be

considered

separately for each

tooth

1 शमावता is Present

2 नीरता is Present

128 हनमो (स) According to Dalhan हनमो is not Dant Rog directly but it is near to

Dantchewing of hard food is one of the causes and there is pain in Dant so it is considered under Danta Rog

हनसचनधपवसहत 0 Absent

1 Can be reset by manual reduction

2 Can be reset by surgical

intervention

129 दनतभद (अहर) तोद =Pricking pain 0 No Pricking pain -Or According to

VAS

- This should be

considered

separately for each

tooth

37

Code Signs amp Symptoms Score Gradations Remarks

2 Pricking pain is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Pricking pain is referred up to Hanu and patient can do hisher routine work without disturbance

4 Pricking pain is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Pricking pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Pricking pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

बद Braking pain 0 No Braking pain -Or According to

VAS

- This should be

considered

separately for each

tooth

2 Braking pain is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Braking pain is referred up to Hanu and patient can do hisher routine work without disturbance

4 Braking pain is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Braking pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Braking pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

38

Code Signs amp Symptoms Score Gradations Remarks

रक Dull pain 0 No Rujā (pain) -Or According to

VAS

- This should be

considered

separately for each

tooth

2 Rujā (pain) is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

सपिन Burstingexpanding pain

0 No Bursting pain -Or According to

VAS

- This should be

considered

separately for each

tooth

2 Bursting pain is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Bursting pain is referred up to Hanu and patient can do hisher routine work without disturbance

4 Bursting pain is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

39

Code Signs amp Symptoms Score Gradations Remarks

5 Bursting pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Bursting pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

1210 दनतचाऱ (अहर) िरतमव = Mobility 0 No = mobility

1 1mm anterio-posterior

mobility

2 2 mm anterio-posterior

mobility

3 More than 2 mm anterio-

posterior amp medial to lateral

mobility

बणादचधकवमथ 0 No Vyatha ndash Pain during

eating

1 Pain during eating of hard

diet only

2 Pain during eating of soft diet

even

1211 कराऱ (स)

=Malocclusion

0 A Normal Molar relationship

exist but there is crowding

misalignment of the teeth

cross bite etc

1 A malocclusion where the

molar relationship shows the

buccal grove of mandibular

first molar distally positioned

when in occlusion with the

mesiobuccal cusp of the

maxillary first molar

2 A malocclusion where the

molar relationship shows the

buccal groove of the

mandibular first molar

mesiallypos

40

GRADATIONS OF JIHWA GAT ROG

Code - 13

Established by Group BHOJ Dr Krishna Makaia ndash Convener

Dr Rajeshree Unadkat Dr Neelam Dave

Dr Ronakgiri Gosai Dr Jignesh Virapariya

Reviewed by Dr Vijayant Bharadwaj

Edited by Prof Vd Hāridra Dave

41

Code Signs amp Symptoms Score Gradations Remarks

131 वाततक चजहवाकिक (स) सपटिता (Creaks) 0 No creaks on tongue

1 Single creak on the dorsum of tongue

2 Multiple Creaks on the dorsum of tongue

3 Multiple deep creaks on the dorsum of tongue (Bleeding)

परसपता (Numbness )

0 No Numbness

1 Numbness in 13 Part of tongue

2 Numbness in 23 Part of tongue

3 Numbness in more than 23 Part of tongue

शाकछिदनपरकाशा (Roughness)

0 Normal surface of tongue on touch

1 Mild rough surface on touch

2 Hard irregular surface on touch

3 Very rough surface which hurts the finger on touch

132 ऩततक चजहवाकिक (स) ऩीता 0 No yellowish discolouration

1 Yellowish discoloration in 13 part

2 Yellowish discoloration in 23 part

3 Yellowish discoloration in more than 23 part of tongue

ऩरयदहमत Burning in entire tongue)

0 No burning Or According to VAS

1 Occasional burning

2 Intermittent burning

3 Continuous burning does not relieve by any measures

दाह (Burning may be

in partially tongue)

0 No Burning Or According to VAS

1 Burning up to 13 part of tongue

2 Burning in 13 to 23 part of tongue

3 Burning in more than 23 part of tongue

42

Code Signs amp Symptoms Score Gradations Remarks

यकतभासाङकयचशिता (Covered with red buds )

0 No change in appearance

1 13 part of tongue covered with red fleshy buds

2 23 part of tongue covered with red fleshy buds

3 Whole tongue covered with red fleshy buds

ओष (Burning) 0 No Oshha Or According to VAS

1 Oshha up to 13 part of tongue

2 Oshha in 13 to 23 part of tongue

3 Oshha in more than 23 part of tongue

133 कपज चजहवाकिक (स) फहरा (Thick) 0 Normal Thickness of Tongue

1 Thickness increased - noticeable by patient

2 Thickness increased - noticeable by the examiner

3 Tongue protruding out because of increased Thickness

गवी (Heaviness) 0 No Heaviness

1 Feeling mild heaviness but no difficulty in Tongue movement

2 Difficulty in Tongue movement especially during intake of liquid

3 Difficulty in Tongue movement especially during intake of hard food

4 Difficulty in Tongue movement especially during Pronunciation

भासोदगभ शालभसरकणिकाब (thorn like papilla)

0 No change in appearance of tongue

1 13 part of tongue covered with red fleshy thorn like papilla

2 23 part of tongue covered with thorn like papilla

3 Whole tongue covered with thorn like papilla

43

Code Signs amp Symptoms Score Gradations Remarks

134 अरास (स) शवमथ

(Swelling at ventral surface of tongue)

0 Absent

1 Present

सतबमतत (Restricted tongue movement)

0 -Normal Movement of Tongue -Movement of tongue not affected

1 Tongue movement slightly restricted but does not affect the normal function

2 Tongue movement restricted that affects the normal function

3 Tongue movement arrested

परवदध

(Increase in size)

0 Size not increased

1 Size increased - noticeable by the patient

2 Size increased - noticeable by the examiner

3 Tongue protruding out because of increased size

ऩाक 0 No swelling or suppuration

1 Inflammation with pain and tenderness

2 Inflammation with different types of pain and tenderness along with induration

3 Pus formation and fluctuation positive

अधशोप 0 Absent

1 Present

उननत (elevation of

the tongue due to swelling below the tongue)

0 Normal position of tongue

1 Tongue slightly elevated due to swelling below the tongue

2 Tongue elevation causes discomfort to the patient

3 Tongue touches the palate

भतमसमगचनध

(Fishy smell)

0 Absent

1 Present

44

Code Signs amp Symptoms Score Gradations Remarks

भासशातन (Destruction of flesh of tongue )

0 No Destruction of tongue flesh

1 13 part of tongue flesh is destroyed

2 23 part of tongue flesh is destroyed

3 More than 23 part of tongue is destroyed

135 उऩचजचहवका (स) शवमथ (Swelling) 0 Absent

1 Present

चजहवाभननम

जात (elevation of

tongue because of swelling)

0 Normal position of tongue

1 Tongue slightly elevated due to swelling below the tongue

2 Tongue elevation causes discomfort to the patient

3 Tongue touches the palate

परसक (Salivation) 0 Normal secretion of saliva

1 Occasionally spitting

2 Off and on spitting

3 Continuous spitting which disturbs the work

कणड (Itching) 0 No itching Or According to VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate on work due to severe itching

0r

0 No itching

1 Occasional itching

2 Off and on itching

3 Continuous itching

ऩरयदाह (Burning in

whole tongue)

0 No burning Or According to VAS

1 Occasional burning

2 Intermittent burning

3 Contentious burning dose not relive by any measures

45

Code Signs amp Symptoms Score Gradations Remarks

136 अचधचजचहवका (अर)

अधोचजहवामा शोप

0 Normal position of tongue

(Swelling below the tongue)

1 Tongue slightly elevated due to swelling below the tongue

2 Tongue elevation causes discomfort to the patient

3 Tongue touches the palate

अङकय (Pappilary

growth)

0 Absent

1 Present

ओष (Burning) 0 No Oshh Or According to

VAS

1 Oshh up to 13 part of tongue

2 Oshh in 13 to 23 part of tongue

3 Oshh in more than 23 part of tongue

सतबवान

(Restriction of Movement)

0 Movement of tongue not affected

1 Tongue movement slightly restricted but does not affect the normal function

2 Tongue movement restricted that affect the normal function

3 Tongue movement arrested

खय(Rough) 0 Smooth on touch

1 Mild irregular surface

2 Rough surface

3 Sharp rough surface touch hurts on finger on touch

रक (Pain) 0 No pain Or According to

VAS

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

कणड (Itching) 0 No itching Or According to

VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate on work due to severe itching

0r

0 No itching

46

Code Signs amp Symptoms Score Gradations Remarks

1 Occasional itching

2 Off and on itching

3 Continuous itching

वाकम पवघातकत (Difficulty in speech)

0 No difficulty in speech

1 Unable to speak िति vargavyanjana

2 Difficulty in speaking क vargavyanjana

Swara donrsquot need involvement of tongue

3 Unable to speak

आहयपवघातकत

(Swallowing )

0 Able to eat regular diet

1 Able to eat soft diet

2 Able to eat only liquid diet

3 Unable to swallow anything

47

GRADATION OF TALUGAT ROG

Code - 14

Established by Group BHOJ Dr Krishna Makaia ndash Convener

Dr Rajeshree Unadkat Dr Neelam Dave

Dr Ronakgiri Gosai Dr Jignesh Virapariya

Reviewed by Dr Vijayant Bharadwaj

Edited by Prof Vd Hāridra Dave

48

Code Signs amp Symptoms Score Gradations Remarks

141 गरशचणडका (स)

परवदधो शोप (Swelling extending from palate) (Which is elongated)

0 Normal size of uvula

1 Swelling of uvula that causes discomfort to the patient

2 Swelling of uvula that causes foreign body sensation

3 Difficulty in breathing due to swelling

दीघ शोप

(Elongated Swelling)

0 Normal size of uvula

1 Elongated swelling of uvula that causes discomfort to the patient

2 Elongated swelling of uvula that causes foreign body sensation

3 Difficulty in breathing due to Elongated swelling

धभातफचसतपरकाश शोप =Inflated

swelling like Basti

0 Normal size of uvula

1 Inflated swelling like Basti of uvula that causes discomfort to the patient

2 Inflated swelling like Basti of uvula that causes foreign body sensation

3 Difficulty in breathing due to Inflated swelling like Basti

तषणा 0 Normal feeling of thirst

1 Increased feeling of thirst which is relived after drinking water

The quantity of water is not consider here but the frequency of water is considered

2 Frequent feeling of thirst which is Occasional relived after drinking water

3 Continuous feeling of thirst does not relive after drinking profuse amount of water

कास (Coughing) 0 No coughing

49

Code Signs amp Symptoms Score Gradations Remarks

1 Occasional coughing during eating and speaking

2 Off and on coughing

3 Continuous coughing

शवास 0 No difficulty in breathing

1 Difficulty in breathing occasionally

2 More difficulty in breathing while sleeping

3 Excessive difficulty in breathing

भतमसमफचसततनब शोप (अहर)

0 Normal uvula Used as an adjective

1 Inflated swelling like Matsya-Basti of uvula that causes discomfort to the patient

2 Inflated swelling like Matsya-Basti of uvula that causes foreign body sensation

3 Difficulty in breathing due to Inflated swelling like Matsya-Basti

पररफ (अहर) 0 Normal length of Uvula

(Elongated Swelling)

1 Size of Uvula increased up to lt2 mm

2 Size of Uvula increased more than 2 mm but less than 4 mm

3 Size of Uvula increased gt4 mm that cause discomfort to patient and cause difficulty in breathing

पऩचछिर(अहर) (Sliminess)

0 Absent

1 Present

नासमाऽऽहायभीयमन (अहर)

0 Food does not come out from nose

(Food comes out of nose)

1 Food comes out from nose

कणठोऩयोध(अहर) (Obstruction of throat )

0 -Able to eat regular diet -No difficulty in swallowing of any food

1 Able to swallow liquid or soft diet but not able to swallow hard diet

2 Able to swallow hard diet forcefully

50

Code Signs amp Symptoms Score Gradations Remarks

3 Not able to swallow hard diet with force

वभन(अहर) (Vomiting)

0 No Vaman

1 Feeling of nausea only

2 Only one veg of Vaman in a day

3 Two vegas of Vaman in a day

4 More than two vegas of Vaman in a day

132 तचणडकयी (स)

शोप (Tonsillar

Swelling)

0 Tonsils are located within the tonsillar fossa

1 Tonsils hypertrophy till the brim of the tonsillar fossa

2 Tonsils hypertrophy extends beyond the pillars but not touching each other

3 Tonsils hypertrophy extends beyond the pillars but not touching each other

तोद

(Pricking pain)

0 No pain

1 Occasional pain Or according to VAS

2 Off and on pain

3 Continuous pain

दाह (Burning) 0 No

1 Occasional burning

2 Intermittent burning

3 Contentious burning dose not relive by any measures

परऩाक 0 Absent

1 Present

पऩचछिर शोप(अहर)

Sliminess in swallowing

0 Feeling of Sliminess is Absent

1 Feeling of Sliminess is Present

भनदरक (अहर)

(Mild pain)

0 Absent Or According to

VAS

1 Present

133 अधरष (स)

शोप (Swelling) 0 No swelling

1 13 Swelling in part of the palate

51

Code Signs amp Symptoms Score Gradations Remarks

2 23 swelling in part of palate

3 Swelling in gt than 23 part of palate

सतबधता =Functions of soft palate like deglutition Phonation etc are affected = No mobility of soft palate

0 Normal function of soft palate

1 Soft palate movement reduced but functions are not affected

2 Any one of the functions of soft palate is affected

3 All functions of soft palate are affected

रोटहतवणता

(Redness)

0 No change in colour

1 Pinkish red coloured mucosa in palate

2 Red coloured mucosa in palate

3 Dark red coloured mucosa in palate

रजा (Pain) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

जजवय (Fever) 0 Normal temperature

1 Temperature between 984rsquoF to 100rsquoF

Temperature between 100rsquoF to 101rsquoF

2 Temperature between 101rsquoF to 102rsquoF

3 Temperature between 102rsquoF to 103rsquoF

52

Code Signs amp Symptoms Score Gradations Remarks

4 Temperature between 103rsquoF to 104rsquoF

5 Temperature more than 104rsquoF

134 कछिऩ (स)

कभवत उतमसनन शोप (Swelling

having shape like dorsum of tortoise)

0 No swelling

1 Swelling in 13rd part of the palate

2 Swelling in 23rd part of palate

3 Swelling in gt 23rd part of palate

चियवपदध(अहर)

(Slow growth)

0 Growth within a week

1 Growth within 1 week to 1 month

2 Growth within 1 month to 6 months

3 Growth within gt 6 months

रक (अहर) (Pain) 0 No pain Or According to VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesics

135 तारअफद (स) ऩदमाकाय तारभधम

शोपम (Swelling

like shape of lotus )

0 No swelling

1 Swelling in 13rd part of the palate

2 2 Swelling in 23rd part of palate

3 3 Swelling in gt 23rd part of palate

136 भाससङघात (स) नीरज (Painless) 0 Absent

1 Present

53

Code Signs amp Symptoms Score Gradations Remarks

शोप 0 No swelling

1 Swelling in 13rd part of the palate

2 Swelling in 23rd part of palate

3 Swelling in gt 23rd part of palate

137 तारऩपऩि (स) नीरक (Painless) 0 Absent

1 Present

कोरभातर

Swelling having size of Kola fruit

0 Absent

1 Present

138 तारशोष (स)

शोष (Dryness) 0 No dryness

1 Dryness decreased after drinking water

2 Patient needs water frequently

3 Dryness persist after dinking profuse water

दायण (Tearing of palate)

0 Absent

1 Present

शवास (Difficulty in

breathing)

0 No difficulty in breathing Here difficulty in breathing is due to obstruction

1 Difficulty in breathing occasionally

2 More difficulty in breathing while sleeping position

3 Excessive difficulty in breathing

जजवय(अहर) (Fever) 0 Normal temperature

1 Temperature between 984rsquoF to 100rsquoF

Temperature between 100rsquoF to 101rsquoF

2 Temperature between 101rsquoF to 102rsquoF

3 Temperature between 102rsquoF to 103rsquoF

4 Temperature between 103rsquoF to 104rsquoF

5 Temperature more than 104rsquoF

54

Code Signs amp Symptoms Score Gradations Remarks

139 तारऩाक (स) ऩाक (Suppuration) 0 No swelling or suppuration

1 Inflammation of palate with pain and tenderness

2 Inflammation of palate with different types of pain and tenderness with induration

3 Pus formation and fluctuation positive

1310 तारपऩटिका (अहर) तारभास पऩटिका

Follicles in palate flesh

0 No follicles

1 13 palate covered with follicles

2 23 palate covered with follicles

3 More than 23 palate covered with follicles

रज(अहर) (Pain) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

Occasional pain

खयता(अहर) (Roughness)

0 Smooth on touch

1 Mild irregular surface on touch

2 Rough surface

3 Sharp rough surface which hurts on finger on touch

घनसराव(अहर) (Thick discharge)

0 No discharge

1 Occasional discharge

2 Off and on thick discharge

3 Continuous thick discharge

1311 तारसहतत (अहर) तारभधम तनरक (अहर) =Painless fleshy growth in palate

Only तारभधम तनरक indicates the place and quality of growth both the symptoms can be

merged

55

Code Signs amp Symptoms Score Gradations Remarks

तनरक (Painless) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

भाससहत

(Fleshy growth in palate)

0 No fleshy growth

1 Fleshy growth in 13 part of the palate Swelling

2 Fleshy growth in 23 part of palate swelling

3 Fleshy growth in more than 23 part of palate

56

GRADATION OF SARVASAR ROG

Code - 15

Established by Group BHOJ Dr Krishna Makaia ndash Convener

Dr Rajeshree Unadkat Dr Neelam Dave

Dr Ronakgiri Gosai Dr Jignesh Virapariya

Reviewed by Dr Vijayant Bharadwaj

Edited by Prof Vd Hāridra Dave

57

Code Signs amp Symptoms Score Gradations Remarks

151 वातजसवसय (स) सपोि (Ulcers) 0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

तोद = Pricking pain 0 No pricking pain Or According to VAS

1 Occasional pricking pain

2 Off and on pricking pain

3 Continuous pricking pain

Or

0 No pricking pain

1 Sometimes mild pricking pain

2 Has to take analgesic while pricking pain

सिारयण(अहर) This symptom is for सवसय so this सवसय is the nature of सिारय

0 No movement of सवसय

1 Movement of सवसय is once in a week

2 Movement of सवसय is once in three to four days

3 Movement of सवसय is at every alternate day

4 Movement of सवसय is once in a day

अरण (अहर) Reddish discoloration

0 Colour of वरण is same with colour of surrounding area

1 Colour of वरण is Reddish

2 Colour of वरण is Dark Red

3 Colour of वरण is Reddish black

र (अहर) Dryness 0 वरण is Moist

-No dryness of वरण

1 वरण Needs lubrication once a day

2 वरण Needs frequent lubrication in

a day

3 No benefit with frequent

lubrication of वरण

तामरता (अहर) (Coppery

0 Colour of वरणौषठ is same with colour of surrounding area

58

Code Signs amp Symptoms Score Gradations Remarks

discoloration) This symptom is for

वरणौषठ

1 Colour of वरणौषठ is Tamra Varna

चऱतवचा (अहर) (Free mucous membrane) This symptom is for

वरणौषठ

0

Movement of वरणौषठ is on touch

only

1 Movement of वरणौषठ can be seen by naked eye means without touch

शीतासहा (अहर) (Intolerance to cold) This symptom is for

जजहवा

0 No Intolerance of cold to जजहवा

1 Intolerance of severe cold to जजहवा

2 Intolerance of moderate cold to जजहवा

3 Intolerance of Mild cold to जजहवा

गवी (Heaviness)

This symptom is for

जजहवा

0 No Heaviness

1 Mild heaviness with no difficulty

in movement of जजहवा

2 Moderate heaviness with

difficulty in Movement of जजहवा

3 Sever heaviness with bending down of

सफटटता (अहर) (Ulcer)

0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

कणटाकाधचता (अहर) = Thorn like

appearance

0 No change in appearance

59

Code Signs amp Symptoms Score Gradations Remarks

1 13 part of oral mucous membrane covered with red fleshy thorn like papillae

2 23 part of oral mucous membrane covered with red fleshy thorn like papillae

3 gt23 part of oral mucous membrane covered with red fleshy thorn like papillae

षववणोतत कचछरणमखम (अहर) (Difficulty in mouth opening)

0 Mouth opening more than 3 fingers without difficulty

1 2 to 3 fingers opening of mouth with or without difficulty

2 1 to 2 fingers opening of mouth with or without difficulty

3 Less than 1 finger opening of mouth with or without difficulty

152 पऩतमत(यकतज)सवसय (स) Signs and Symptoms of यकतज सवसय are same as of पऩतमत सवसय so no separate gradations are mentioned

यकतता (Redness) 0 Colour of सवसय- वरण is similar with

surrounding mucous membrane

1 Reddish Colour of सवसय- वरण

2 Bright red Colour of सवसय- वरण

3 Dark red Colour of सवसय- वरण

सदाह (Burning

Sensation)

0 No burning in सवसय- वरण Or According to

VAS

1 Occasional burning in सवसय- वरण

2 Intermittent burning in सवसय- वरण

3 Contentious burning in सवसय- वरण

which does not relive by any measures

तन (तनसब) (Shallow superficial ulcers)

0 No ulcer

1 Ulcer having depth of 05-1 mm

2 Ulcer having depth of 1 ndash 15 mm

3 Ulcer having depth of 15 -2 mm

60

Code Signs amp Symptoms Score Gradations Remarks

ओष (अहर) 0 No (ओष) burning in सवसय- वरण

1 Occasional (ओष) burning in

सवसय- वरण

2 Intermittent (ओष) burning in

सवसय- वरण

3 Contentious (ओष) burning in

सवसय- वरण which does not relive

by any measures

ततकतवकरता (अहर) (Bitter taste in mouth)

0 No alteration in taste

1 Occasionally bitter taste felt in mouth without having any bitter substance

2 Off and on bitter taste felt in mouth without having any bitter substance

3 Continuous bitter taste felt in mouth without having any bitter substance

ारोकषतत समावरणा (अहर)

0 No Ulcer

(Ulcers looking like chemical burns)

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

153 कपज सवसय (स) कणड (Itching) 0 No itching Or According to

VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Unable to work due to itching

0r

0 No itching

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate on work due to severe itching

रजा (Pain)

(अलऩ रजा) 0 No pain Or According to

VAS

1 Occasional pain

61

Code Signs amp Symptoms Score Gradations Remarks

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain This condition should be considered as अलऩ रजा

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

सवणण 0 Colour of वरण is same with colour of near by tissue

1 Colour of वरण is not same with colour of near by tissue

मररासयतवम (अहर) (Sweet taste in mouth)

0 No alteration in taste

1 Occasionally sweet taste felt without eating any sweet substance

2 Off and on Sweet taste Occasionally sweet taste felt without eating any sweet substance

3 Continuous sweet taste Occasionally sweet taste felt without eating any sweet substance

षपजचछिऱता (अहर) (Unctuousness)

0 Absent

1 Present

वरण 0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

154 कफाबभद (अहर) शयाव अबभदम

(शयावपाणडऽबभदम) 0 Colour of growthtumour is same

the colour of surrounding skin

1 Colour of growthtumour is शयाव

(Blackish)

62

Code Signs amp Symptoms Score Gradations Remarks

पाणड अबभदम (शयावपाणडऽबभदम)

0 Colour of growthtumour is same the colour of surrounding skin

1 Colour of growthtumour is पाणड

(Pale)

अबभदम 0 No GrowthTumour TNM Classification for tumours can be applied for growth

1 Growthtumour having sizelt 10 mm

2 Growthtumour having size 10 mm to 20 mm

3 Growthtumour having size gt 20 mm

घटिता तिनना मटदता च षववरभत (Size increases on rubbing cutting and squeezing)

0 Size of GrowthTumour is not increasing by rubbing cutting or squeezing

1 Size of GrowthTumour is increasing up to 10 mm by rubbing cutting or squeezing within a month

2 Size of GrowthTumour is increasing up to 20 mm by rubbing cutting or squeezing within a month

3 Size of GrowthTumour is increasing up to 30 mm by rubbing cutting or squeezing within a month

4 Size of GrowthTumour is increasing up to 40 mm by rubbing cutting or squeezing within a month

155 ऊरधवभगद (अहर) वकतरदौगनधम

(Halitosis)

0 No Halitosis

1 Halitosis is feel by Patient only

2 Halitosis is feel by Patient and examining Doctor only

3 Halitosis is feel by any person from the distance from 5 meters

63

Code Signs amp Symptoms Score Gradations Remarks

4 Halitosis is feel by any person from the distance from more than 5 meters

156 पततवकर (अहर) ऩतममासमता

(Halitosis)

0 No Halitosis

1 Halitosis is feel by Patient only

2 Halitosis is feel by Patient and examining Doctor only

3 Halitosis is feel by any person from the distance from 5 meters

4 Halitosis is feel by any person from the distance from more than 5 meters

157 सतनऩाततक सवसय (अहर) This disease occurs due to aggravation of all three doshas including Rakta Clinical presentation of this disease is found as mixed picture according prominent aggravation of dosha and signs and symptoms will be observed accordingly Gradations should be considered accordingly so it is not required to repeat here

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Page 26: THE GRADATIONS OF DISEASES OF SHALAKYA TANTRA - PART …theassociationofshalaki.com/downloads/GRADATIONS_OF_DISEASE… · 12.05.2019  · I am also very much thankful to Dr Sandhya

25

Code Signs amp Symptoms Score Gradations Remarks

2 Doctor or person who comes near to patient feels foul smell

3 From distance anyone can feels foul smell who is in the room

4 Foul smell can be feel from outside of the room even

कणडभचनत (अहर) 0 Absent Or According to VAS

1 Occasionally itching

2 On and off itching

3 Continues itching

िरा (अहर) 0 No mobility

1 1 mm antero-posterior mobility

2 2 mm antero-posterior mobility

3 More than 2 mm antero-posterior amp medial to lateral mobility

118 वदभभ (स) =Traumatic injury(By mechanical Chemical thermal )

घषिष दनतभरष सयबो जामत भहान

0 Absent Mahan suggest itself severity of disease

1 Present

िरदता (अहर) 0 No mobility

1 1 mm antero-posterior mobility

2 2 mm antero-posterior mobility

3 More than 2 mm antero-posterior amp medial to lateral mobility

119 वरभन (स) तीवरवदना 0 No pain Or According to VAS

1 तीवर -Pain is there but he can do

work or sleep

2 तीवरतय -Patient can tolerate

3 तीवरतभ -Patient canrsquot tolerate

1110 अधरमाास (स) भहाञिोथ 0 No Shoth Mahan suggest itself

severity of disease

1 Shoth is Present on that gum only where disease is occurred

2 Shoth is Present on nearby two or three gums where disease is occurred

26

Code Signs amp Symptoms Score Gradations Remarks

3 Shoth is present up to adjoining cheek

This condition should be considered as

भहाञिोथ

भहारजा (स) परततहनतममभमवरतत (अहर)

0 No Rujā (pain) Or According to VAS

2 Rujā (pain) is Present on that gum only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

This condition should be considered as भहारजा amp परततहनतममभमवरतत

रारासरावी 0 Normal secretion

1 Occasionally splitting

2 On and off splitting

3 Continuous splitting disturbance in work

दनतानत कीरवतमशोफ़ (अहर)

0 No Keel vat Shoth

1 Keel vat Shoth is Present on that gum only where disease is occurred

2 Keel vat Shoth is Present on nearby two or three gums where disease is occurred

3 Keel vat Shoth is present up to adjoining cheek

1111 दनतषवदरधर (अहर) दनतभासशोफ़ (ि) 0 No Shoph

1 Shoph is Present on that gum only where disease is occurred

2 Shosh is Present on nearby two or This condition should

27

Code Signs amp Symptoms Score Gradations Remarks

three gums where disease is occurred

be considered as अनत शवमथ According to

Vagbhatta

3 Shosh is extended up to adjoining cheek

This condition should be considered as फाहम शवमथ According to

Vagbhatta

फाहम शवमथ (अहर) This condition is mentioned at दनतभास शोफ़

अनत शवमथ (अहर) This condition is mentioned at दनतभास शोफ़

गर (अहर) 0 Absent

1 Present

रग (अहर) 0 No Rujā (pain) Or According to VAS

2 Rujā (pain) is Present on that gum only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

दाह (अहर) According to VAS

सरवतिननऩमासर (अहर)

0 No Discharge

1 Blood with Pus Discharge

2 Only pus discharge

1112 दतनाडी Scoring is not possible further according to measurement of Nadivrana because X-

ray only detects spread up to the bone Whereas Nadivrana in gingiva periodontal ligament cannot be measured

दतनाडी 0 Absent

1 Present

28

GRADATION OF DANTA GAT ROG

Code ndash 12

Gradations established by Group KARAL Dr Krishna Makadia - Convener

Dantavaidya Saroj Joshi Dantavaidya Harshad Joshi

Dr Kiran Raj Dr Achyuta Atara Dr Pranav Dave

Gradations Reviewed by Dr Hemangi Shukla Dr Krishna Makadia

Edited by Prof Vd Hāridra Dave

29

Code Signs amp Symptoms Score Gradations Remarks

121 दाऱन (स)

तीवररग 0 No Rujā (pain) Or According to VAS

2 Rujā (pain) is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

उषणअसहादनता (अस) 0 No sensitivity in teeth ie with warm

water hot water or

excessive hot water

application on

tooth is not

possible so Time

related and severity

related grading was

finalised(same for

cold)

1 Mild sensitivity in teeth - At a

time

2 Moderate sensitivity in teeth -

Sensitivity remains only for 1

Prahar (up to 3 hrs)

3 Severe sensitivity in teeth -

Sensitivity remains more than

1 Prahar (more than 3 hrs)

शीतअचधकवमथा (अहर) 0 No sensitivity in teeth

1 Mild sensitivity in teeth - At a

time

2 Moderate sensitivity in teeth -

Sensitivity remains only for 1

Prahar (up to 3 hrs)

3 severe sensitivity in teeth-

Sensitivity remains more than

1 Prahar (more than 3 hrs)

22 कममदनत (स) कषण 0 No discoloration

1 Light greyish black

2 Dark greyish black

3 Jet black

30

Code Signs amp Symptoms Score Gradations Remarks

तिदर 0 No cavity It should be

decided by X-ray

1 Cavity within limit of enamel

2 Cavity within limit of dentin

3 Cavity up to pulp

िर 0 No mobility

1 1 mm antero-posterior

mobility

2 2 mm antero-posterior

mobility

3 More than 2 mm antero-

posterior amp medial to lateral

mobility

सरावी 0 No Srāv- after drying

particular teeth with cotton

inserting cotton on cavity

There is no other

method to check

Srāv in Krimidanta

1 Srāv is present

ससयब = Inflammation 0 No inflammation

1 Inflammation is Present भहारज 0 No Rujā (pain) Or According to

VAS 2 Rujā (pain) is Present on that

gum only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

This condition should be considered as भहारज

अतनसभतमतरज 0 No sudden onset of pain

1 Sudden onset of pain is

present

अहततीवराततशभ (अहर) 0 No sudden onset of pain

31

Code Signs amp Symptoms Score Gradations Remarks

1 Sudden onset of pain is

present

पररन (अहर) = Broken due to cavity

0 Cavity is there but it is not

broken

It should be

considered for each

tooth separately

Cavity in that must

be present in

particular tooth

1 13 part of tooth is broken

2 23 of tooth is broken

3 More than 23 of tooth is

broken

4 Total loss of tooth

ऩमसरत (अहर) 0 No Pooya Srāv after drying

particular place

with cotton

inserting cotton on

cavity

1 Pooya Srāv present

यकतसरत (अहर) 0 No Rakta Srāv after drying

particular place

with cotton

inserting cotton on

cavity

1 Rakta Srāv is present

123 दनतहषभ (स)

शीत सऩशन न सहनत 0 No sensitivity by cold touch

in any teeth

1 Ooccassional sensitivity by

cold touch in any toothteeth

for once

2 Sensitivity by cold touch

remains in toothteeth only up

to 1 Prahar (up to 3hrs)

3 Sensitivity by cold touch

remains more than 1 Prahar

(more than 3hrs)

उषण सऩशन न सहनत 0 No sensitivity by hot touch in

any teeth

1 Occassional sensitivity by hot

touch in toothteeth for once

2 Sensitivity by hot touch

remains in toothteeth only up

to 1 Prahar (up to 3hrs)

3 Sensitivity by hot touch

remains in toothteeth more

than 1 Prahar (more than

3hrs)

32

Code Signs amp Symptoms Score Gradations Remarks

परवाताभा = Sensitivity to air

(परवातारशीतबाभा) (अहर)

0 No sensitivity by Pravāt

touch in any tooth

1 Occassional sensitivity by

Pravāt touch in toothteeth for

once

2 Sensitivity by Pravāt touch

remains in toothteeth only up

to 1 Prahar (up to 3hrs)

3 Sensitivity by Pravāt touch

remains in toothteeth more

than 1 Prahar (more than

3hrs)

अरबाभा = Sensitivity to sour food

(परवातारशीतबाभा) (अहर)

0 No sensitivity by eating

sourer food to any tooth

1 Occassional sensitivity by

eating sourer food to any

toothteeth for once

2 Sensitivity by eating sourer

food remains to toothteeth

only up to 1 Prahar (up to

3hrs)

3 Sensitivity by eating sourer

food remains to toothteeth

more than 1 Prahar (more

than 3hrs)

शीतबाभा (परवातारशीतबाभा) (अहर)

0 No sensitivity by eating cold

item to any tooth

1 Occasional sensitivity by

eating cold item to toothteeth

for once

2 Sensitivity by Pravāt touch

remains in toothteeth only up

to 1 Prahar (up to 3hrs)

3 Sensitivity by eating cold

item remains to toothteeth

more than 1 Prahar (more

than 3hrs)

सरजा (अहर) 0 No Rujā (pain)

33

Code Signs amp Symptoms Score Gradations Remarks

2 Rujā (pain) is Present on that gum only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

2 Rujā (pain) is Present on that gum only where disease is occurred and patient can do hisher routine work without disturbance

िर (अहर) 0 No mobility

1 1 mm anterio-posterior

mobility

2 2 mm anterio-posterior

mobility

3 More than 2 mm antero-

posterior amp medial to lateral

mobility

124 भञजनक (स) =Photograph is necessary

(depending upon the severity gradation has been finalised)

वकतर वकरता 0 No deviation

1 Deviation is present

तीवररक 0 No Rujā (pain) Or according to

VAS

2 Rujā (pain) is Present on that gum only where disease is occurred and patient can do hisher routine work without disturbance

34

Code Signs amp Symptoms Score Gradations Remarks

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

This condition should be considered as तीवररक

दनतबङग 0 Tooth is not broken This should be

considered for

single tooth

1 13 part of tooth is broken

2 23 of tooth is broken

3 More than 23 of tooth is

broken

4 Total loss of tooth

125 दनतशकभ रा (स) =Calculus index was selected

शकयव चसथयीबत भर 0 No calculus present

1 Supragingival calculus

covering not more than third

of the exposed tooth surface

2 Supragingival calculus

covering more than 13 but

not more than 23 of the

exposed tooth surface or the

presence of individual flecks

of subgingival calculus

around the cervical portion of

the tooth or both

3 Supragingival calculus

covering more than 23 of the

exposed tooth surface or

continues heavy band 0f

subgingival calculus around

the cervical portion of the

tooth or both

35

Code Signs amp Symptoms Score Gradations Remarks

दनताना गणहयी 0 Absent All 10 Guna of

Danta Sampata

should be

considered required

suggestions for

each Guna

1 Present

ऩततगचनध (अहर) 0 No foul smell Taken grading of

halitosis

1 Patient feels foul smell

2 Doctor or person who comes near to patient feels foul smell

3 From distance anyone can feels foul smell who is in the room

4 Foul smell can be feel from outside of the room even

126 कपामऱका (स)

दनतवलकसम दरनभ = Bracketing of tooth enamel (दरचनत दनतवलकातन)

0 No दरनभ of tooth This should be

considered

separately for each

tooth

1 दरनभ is present of less than 13 of tooth

2 दरनभ is present of more than of 13 of tooth but less than 23 of tooth

3 दरनभ is present of more than of 23 of tooth but no total loss of tooth

4 Total loss of tooth after दरनभ

This condition should be considered as दशनाना पवनाश

दशनाना पवनाश = Total loss of tooth

0 No Any loss of tooth This should be

considered

separately for each

tooth

1 loss of tooth is present of less than 13 of tooth

2 loss of tooth is present of more than of 13 of tooth but less than 23 of tooth

36

Code Signs amp Symptoms Score Gradations Remarks

3 loss of tooth is present of more than of 23 of tooth but no total loss of tooth

4 Total loss of tooth This condition should be considered as दशनाना पवनाश

दनतशातनभ अणश = Thinning of tooth (शातमतममतममणशो दनतात कऩारातन) (अहर)

0 No शातनभ of tooth This should be

considered

separately for each

tooth

1 शातनभ is present in less than 13 of tooth

2 शातनभ is present in more than 13 of tooth but less than 23 of tooth

3 शातनभ is present in more than 23 of tooth but no total loss of tooth

4 Total loss of tooth due to शातनभ

127 शयावदनतक (स) In शमावदनत शमावता amp नीरता should be considered ascending stages

शमावता + नीरता 0 -No any discolouration of

tooth

-Normal colour of tooth

This should be

considered

separately for each

tooth

1 शमावता is Present

2 नीरता is Present

128 हनमो (स) According to Dalhan हनमो is not Dant Rog directly but it is near to

Dantchewing of hard food is one of the causes and there is pain in Dant so it is considered under Danta Rog

हनसचनधपवसहत 0 Absent

1 Can be reset by manual reduction

2 Can be reset by surgical

intervention

129 दनतभद (अहर) तोद =Pricking pain 0 No Pricking pain -Or According to

VAS

- This should be

considered

separately for each

tooth

37

Code Signs amp Symptoms Score Gradations Remarks

2 Pricking pain is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Pricking pain is referred up to Hanu and patient can do hisher routine work without disturbance

4 Pricking pain is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Pricking pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Pricking pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

बद Braking pain 0 No Braking pain -Or According to

VAS

- This should be

considered

separately for each

tooth

2 Braking pain is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Braking pain is referred up to Hanu and patient can do hisher routine work without disturbance

4 Braking pain is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Braking pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Braking pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

38

Code Signs amp Symptoms Score Gradations Remarks

रक Dull pain 0 No Rujā (pain) -Or According to

VAS

- This should be

considered

separately for each

tooth

2 Rujā (pain) is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

सपिन Burstingexpanding pain

0 No Bursting pain -Or According to

VAS

- This should be

considered

separately for each

tooth

2 Bursting pain is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Bursting pain is referred up to Hanu and patient can do hisher routine work without disturbance

4 Bursting pain is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

39

Code Signs amp Symptoms Score Gradations Remarks

5 Bursting pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Bursting pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

1210 दनतचाऱ (अहर) िरतमव = Mobility 0 No = mobility

1 1mm anterio-posterior

mobility

2 2 mm anterio-posterior

mobility

3 More than 2 mm anterio-

posterior amp medial to lateral

mobility

बणादचधकवमथ 0 No Vyatha ndash Pain during

eating

1 Pain during eating of hard

diet only

2 Pain during eating of soft diet

even

1211 कराऱ (स)

=Malocclusion

0 A Normal Molar relationship

exist but there is crowding

misalignment of the teeth

cross bite etc

1 A malocclusion where the

molar relationship shows the

buccal grove of mandibular

first molar distally positioned

when in occlusion with the

mesiobuccal cusp of the

maxillary first molar

2 A malocclusion where the

molar relationship shows the

buccal groove of the

mandibular first molar

mesiallypos

40

GRADATIONS OF JIHWA GAT ROG

Code - 13

Established by Group BHOJ Dr Krishna Makaia ndash Convener

Dr Rajeshree Unadkat Dr Neelam Dave

Dr Ronakgiri Gosai Dr Jignesh Virapariya

Reviewed by Dr Vijayant Bharadwaj

Edited by Prof Vd Hāridra Dave

41

Code Signs amp Symptoms Score Gradations Remarks

131 वाततक चजहवाकिक (स) सपटिता (Creaks) 0 No creaks on tongue

1 Single creak on the dorsum of tongue

2 Multiple Creaks on the dorsum of tongue

3 Multiple deep creaks on the dorsum of tongue (Bleeding)

परसपता (Numbness )

0 No Numbness

1 Numbness in 13 Part of tongue

2 Numbness in 23 Part of tongue

3 Numbness in more than 23 Part of tongue

शाकछिदनपरकाशा (Roughness)

0 Normal surface of tongue on touch

1 Mild rough surface on touch

2 Hard irregular surface on touch

3 Very rough surface which hurts the finger on touch

132 ऩततक चजहवाकिक (स) ऩीता 0 No yellowish discolouration

1 Yellowish discoloration in 13 part

2 Yellowish discoloration in 23 part

3 Yellowish discoloration in more than 23 part of tongue

ऩरयदहमत Burning in entire tongue)

0 No burning Or According to VAS

1 Occasional burning

2 Intermittent burning

3 Continuous burning does not relieve by any measures

दाह (Burning may be

in partially tongue)

0 No Burning Or According to VAS

1 Burning up to 13 part of tongue

2 Burning in 13 to 23 part of tongue

3 Burning in more than 23 part of tongue

42

Code Signs amp Symptoms Score Gradations Remarks

यकतभासाङकयचशिता (Covered with red buds )

0 No change in appearance

1 13 part of tongue covered with red fleshy buds

2 23 part of tongue covered with red fleshy buds

3 Whole tongue covered with red fleshy buds

ओष (Burning) 0 No Oshha Or According to VAS

1 Oshha up to 13 part of tongue

2 Oshha in 13 to 23 part of tongue

3 Oshha in more than 23 part of tongue

133 कपज चजहवाकिक (स) फहरा (Thick) 0 Normal Thickness of Tongue

1 Thickness increased - noticeable by patient

2 Thickness increased - noticeable by the examiner

3 Tongue protruding out because of increased Thickness

गवी (Heaviness) 0 No Heaviness

1 Feeling mild heaviness but no difficulty in Tongue movement

2 Difficulty in Tongue movement especially during intake of liquid

3 Difficulty in Tongue movement especially during intake of hard food

4 Difficulty in Tongue movement especially during Pronunciation

भासोदगभ शालभसरकणिकाब (thorn like papilla)

0 No change in appearance of tongue

1 13 part of tongue covered with red fleshy thorn like papilla

2 23 part of tongue covered with thorn like papilla

3 Whole tongue covered with thorn like papilla

43

Code Signs amp Symptoms Score Gradations Remarks

134 अरास (स) शवमथ

(Swelling at ventral surface of tongue)

0 Absent

1 Present

सतबमतत (Restricted tongue movement)

0 -Normal Movement of Tongue -Movement of tongue not affected

1 Tongue movement slightly restricted but does not affect the normal function

2 Tongue movement restricted that affects the normal function

3 Tongue movement arrested

परवदध

(Increase in size)

0 Size not increased

1 Size increased - noticeable by the patient

2 Size increased - noticeable by the examiner

3 Tongue protruding out because of increased size

ऩाक 0 No swelling or suppuration

1 Inflammation with pain and tenderness

2 Inflammation with different types of pain and tenderness along with induration

3 Pus formation and fluctuation positive

अधशोप 0 Absent

1 Present

उननत (elevation of

the tongue due to swelling below the tongue)

0 Normal position of tongue

1 Tongue slightly elevated due to swelling below the tongue

2 Tongue elevation causes discomfort to the patient

3 Tongue touches the palate

भतमसमगचनध

(Fishy smell)

0 Absent

1 Present

44

Code Signs amp Symptoms Score Gradations Remarks

भासशातन (Destruction of flesh of tongue )

0 No Destruction of tongue flesh

1 13 part of tongue flesh is destroyed

2 23 part of tongue flesh is destroyed

3 More than 23 part of tongue is destroyed

135 उऩचजचहवका (स) शवमथ (Swelling) 0 Absent

1 Present

चजहवाभननम

जात (elevation of

tongue because of swelling)

0 Normal position of tongue

1 Tongue slightly elevated due to swelling below the tongue

2 Tongue elevation causes discomfort to the patient

3 Tongue touches the palate

परसक (Salivation) 0 Normal secretion of saliva

1 Occasionally spitting

2 Off and on spitting

3 Continuous spitting which disturbs the work

कणड (Itching) 0 No itching Or According to VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate on work due to severe itching

0r

0 No itching

1 Occasional itching

2 Off and on itching

3 Continuous itching

ऩरयदाह (Burning in

whole tongue)

0 No burning Or According to VAS

1 Occasional burning

2 Intermittent burning

3 Contentious burning dose not relive by any measures

45

Code Signs amp Symptoms Score Gradations Remarks

136 अचधचजचहवका (अर)

अधोचजहवामा शोप

0 Normal position of tongue

(Swelling below the tongue)

1 Tongue slightly elevated due to swelling below the tongue

2 Tongue elevation causes discomfort to the patient

3 Tongue touches the palate

अङकय (Pappilary

growth)

0 Absent

1 Present

ओष (Burning) 0 No Oshh Or According to

VAS

1 Oshh up to 13 part of tongue

2 Oshh in 13 to 23 part of tongue

3 Oshh in more than 23 part of tongue

सतबवान

(Restriction of Movement)

0 Movement of tongue not affected

1 Tongue movement slightly restricted but does not affect the normal function

2 Tongue movement restricted that affect the normal function

3 Tongue movement arrested

खय(Rough) 0 Smooth on touch

1 Mild irregular surface

2 Rough surface

3 Sharp rough surface touch hurts on finger on touch

रक (Pain) 0 No pain Or According to

VAS

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

कणड (Itching) 0 No itching Or According to

VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate on work due to severe itching

0r

0 No itching

46

Code Signs amp Symptoms Score Gradations Remarks

1 Occasional itching

2 Off and on itching

3 Continuous itching

वाकम पवघातकत (Difficulty in speech)

0 No difficulty in speech

1 Unable to speak िति vargavyanjana

2 Difficulty in speaking क vargavyanjana

Swara donrsquot need involvement of tongue

3 Unable to speak

आहयपवघातकत

(Swallowing )

0 Able to eat regular diet

1 Able to eat soft diet

2 Able to eat only liquid diet

3 Unable to swallow anything

47

GRADATION OF TALUGAT ROG

Code - 14

Established by Group BHOJ Dr Krishna Makaia ndash Convener

Dr Rajeshree Unadkat Dr Neelam Dave

Dr Ronakgiri Gosai Dr Jignesh Virapariya

Reviewed by Dr Vijayant Bharadwaj

Edited by Prof Vd Hāridra Dave

48

Code Signs amp Symptoms Score Gradations Remarks

141 गरशचणडका (स)

परवदधो शोप (Swelling extending from palate) (Which is elongated)

0 Normal size of uvula

1 Swelling of uvula that causes discomfort to the patient

2 Swelling of uvula that causes foreign body sensation

3 Difficulty in breathing due to swelling

दीघ शोप

(Elongated Swelling)

0 Normal size of uvula

1 Elongated swelling of uvula that causes discomfort to the patient

2 Elongated swelling of uvula that causes foreign body sensation

3 Difficulty in breathing due to Elongated swelling

धभातफचसतपरकाश शोप =Inflated

swelling like Basti

0 Normal size of uvula

1 Inflated swelling like Basti of uvula that causes discomfort to the patient

2 Inflated swelling like Basti of uvula that causes foreign body sensation

3 Difficulty in breathing due to Inflated swelling like Basti

तषणा 0 Normal feeling of thirst

1 Increased feeling of thirst which is relived after drinking water

The quantity of water is not consider here but the frequency of water is considered

2 Frequent feeling of thirst which is Occasional relived after drinking water

3 Continuous feeling of thirst does not relive after drinking profuse amount of water

कास (Coughing) 0 No coughing

49

Code Signs amp Symptoms Score Gradations Remarks

1 Occasional coughing during eating and speaking

2 Off and on coughing

3 Continuous coughing

शवास 0 No difficulty in breathing

1 Difficulty in breathing occasionally

2 More difficulty in breathing while sleeping

3 Excessive difficulty in breathing

भतमसमफचसततनब शोप (अहर)

0 Normal uvula Used as an adjective

1 Inflated swelling like Matsya-Basti of uvula that causes discomfort to the patient

2 Inflated swelling like Matsya-Basti of uvula that causes foreign body sensation

3 Difficulty in breathing due to Inflated swelling like Matsya-Basti

पररफ (अहर) 0 Normal length of Uvula

(Elongated Swelling)

1 Size of Uvula increased up to lt2 mm

2 Size of Uvula increased more than 2 mm but less than 4 mm

3 Size of Uvula increased gt4 mm that cause discomfort to patient and cause difficulty in breathing

पऩचछिर(अहर) (Sliminess)

0 Absent

1 Present

नासमाऽऽहायभीयमन (अहर)

0 Food does not come out from nose

(Food comes out of nose)

1 Food comes out from nose

कणठोऩयोध(अहर) (Obstruction of throat )

0 -Able to eat regular diet -No difficulty in swallowing of any food

1 Able to swallow liquid or soft diet but not able to swallow hard diet

2 Able to swallow hard diet forcefully

50

Code Signs amp Symptoms Score Gradations Remarks

3 Not able to swallow hard diet with force

वभन(अहर) (Vomiting)

0 No Vaman

1 Feeling of nausea only

2 Only one veg of Vaman in a day

3 Two vegas of Vaman in a day

4 More than two vegas of Vaman in a day

132 तचणडकयी (स)

शोप (Tonsillar

Swelling)

0 Tonsils are located within the tonsillar fossa

1 Tonsils hypertrophy till the brim of the tonsillar fossa

2 Tonsils hypertrophy extends beyond the pillars but not touching each other

3 Tonsils hypertrophy extends beyond the pillars but not touching each other

तोद

(Pricking pain)

0 No pain

1 Occasional pain Or according to VAS

2 Off and on pain

3 Continuous pain

दाह (Burning) 0 No

1 Occasional burning

2 Intermittent burning

3 Contentious burning dose not relive by any measures

परऩाक 0 Absent

1 Present

पऩचछिर शोप(अहर)

Sliminess in swallowing

0 Feeling of Sliminess is Absent

1 Feeling of Sliminess is Present

भनदरक (अहर)

(Mild pain)

0 Absent Or According to

VAS

1 Present

133 अधरष (स)

शोप (Swelling) 0 No swelling

1 13 Swelling in part of the palate

51

Code Signs amp Symptoms Score Gradations Remarks

2 23 swelling in part of palate

3 Swelling in gt than 23 part of palate

सतबधता =Functions of soft palate like deglutition Phonation etc are affected = No mobility of soft palate

0 Normal function of soft palate

1 Soft palate movement reduced but functions are not affected

2 Any one of the functions of soft palate is affected

3 All functions of soft palate are affected

रोटहतवणता

(Redness)

0 No change in colour

1 Pinkish red coloured mucosa in palate

2 Red coloured mucosa in palate

3 Dark red coloured mucosa in palate

रजा (Pain) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

जजवय (Fever) 0 Normal temperature

1 Temperature between 984rsquoF to 100rsquoF

Temperature between 100rsquoF to 101rsquoF

2 Temperature between 101rsquoF to 102rsquoF

3 Temperature between 102rsquoF to 103rsquoF

52

Code Signs amp Symptoms Score Gradations Remarks

4 Temperature between 103rsquoF to 104rsquoF

5 Temperature more than 104rsquoF

134 कछिऩ (स)

कभवत उतमसनन शोप (Swelling

having shape like dorsum of tortoise)

0 No swelling

1 Swelling in 13rd part of the palate

2 Swelling in 23rd part of palate

3 Swelling in gt 23rd part of palate

चियवपदध(अहर)

(Slow growth)

0 Growth within a week

1 Growth within 1 week to 1 month

2 Growth within 1 month to 6 months

3 Growth within gt 6 months

रक (अहर) (Pain) 0 No pain Or According to VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesics

135 तारअफद (स) ऩदमाकाय तारभधम

शोपम (Swelling

like shape of lotus )

0 No swelling

1 Swelling in 13rd part of the palate

2 2 Swelling in 23rd part of palate

3 3 Swelling in gt 23rd part of palate

136 भाससङघात (स) नीरज (Painless) 0 Absent

1 Present

53

Code Signs amp Symptoms Score Gradations Remarks

शोप 0 No swelling

1 Swelling in 13rd part of the palate

2 Swelling in 23rd part of palate

3 Swelling in gt 23rd part of palate

137 तारऩपऩि (स) नीरक (Painless) 0 Absent

1 Present

कोरभातर

Swelling having size of Kola fruit

0 Absent

1 Present

138 तारशोष (स)

शोष (Dryness) 0 No dryness

1 Dryness decreased after drinking water

2 Patient needs water frequently

3 Dryness persist after dinking profuse water

दायण (Tearing of palate)

0 Absent

1 Present

शवास (Difficulty in

breathing)

0 No difficulty in breathing Here difficulty in breathing is due to obstruction

1 Difficulty in breathing occasionally

2 More difficulty in breathing while sleeping position

3 Excessive difficulty in breathing

जजवय(अहर) (Fever) 0 Normal temperature

1 Temperature between 984rsquoF to 100rsquoF

Temperature between 100rsquoF to 101rsquoF

2 Temperature between 101rsquoF to 102rsquoF

3 Temperature between 102rsquoF to 103rsquoF

4 Temperature between 103rsquoF to 104rsquoF

5 Temperature more than 104rsquoF

54

Code Signs amp Symptoms Score Gradations Remarks

139 तारऩाक (स) ऩाक (Suppuration) 0 No swelling or suppuration

1 Inflammation of palate with pain and tenderness

2 Inflammation of palate with different types of pain and tenderness with induration

3 Pus formation and fluctuation positive

1310 तारपऩटिका (अहर) तारभास पऩटिका

Follicles in palate flesh

0 No follicles

1 13 palate covered with follicles

2 23 palate covered with follicles

3 More than 23 palate covered with follicles

रज(अहर) (Pain) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

Occasional pain

खयता(अहर) (Roughness)

0 Smooth on touch

1 Mild irregular surface on touch

2 Rough surface

3 Sharp rough surface which hurts on finger on touch

घनसराव(अहर) (Thick discharge)

0 No discharge

1 Occasional discharge

2 Off and on thick discharge

3 Continuous thick discharge

1311 तारसहतत (अहर) तारभधम तनरक (अहर) =Painless fleshy growth in palate

Only तारभधम तनरक indicates the place and quality of growth both the symptoms can be

merged

55

Code Signs amp Symptoms Score Gradations Remarks

तनरक (Painless) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

भाससहत

(Fleshy growth in palate)

0 No fleshy growth

1 Fleshy growth in 13 part of the palate Swelling

2 Fleshy growth in 23 part of palate swelling

3 Fleshy growth in more than 23 part of palate

56

GRADATION OF SARVASAR ROG

Code - 15

Established by Group BHOJ Dr Krishna Makaia ndash Convener

Dr Rajeshree Unadkat Dr Neelam Dave

Dr Ronakgiri Gosai Dr Jignesh Virapariya

Reviewed by Dr Vijayant Bharadwaj

Edited by Prof Vd Hāridra Dave

57

Code Signs amp Symptoms Score Gradations Remarks

151 वातजसवसय (स) सपोि (Ulcers) 0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

तोद = Pricking pain 0 No pricking pain Or According to VAS

1 Occasional pricking pain

2 Off and on pricking pain

3 Continuous pricking pain

Or

0 No pricking pain

1 Sometimes mild pricking pain

2 Has to take analgesic while pricking pain

सिारयण(अहर) This symptom is for सवसय so this सवसय is the nature of सिारय

0 No movement of सवसय

1 Movement of सवसय is once in a week

2 Movement of सवसय is once in three to four days

3 Movement of सवसय is at every alternate day

4 Movement of सवसय is once in a day

अरण (अहर) Reddish discoloration

0 Colour of वरण is same with colour of surrounding area

1 Colour of वरण is Reddish

2 Colour of वरण is Dark Red

3 Colour of वरण is Reddish black

र (अहर) Dryness 0 वरण is Moist

-No dryness of वरण

1 वरण Needs lubrication once a day

2 वरण Needs frequent lubrication in

a day

3 No benefit with frequent

lubrication of वरण

तामरता (अहर) (Coppery

0 Colour of वरणौषठ is same with colour of surrounding area

58

Code Signs amp Symptoms Score Gradations Remarks

discoloration) This symptom is for

वरणौषठ

1 Colour of वरणौषठ is Tamra Varna

चऱतवचा (अहर) (Free mucous membrane) This symptom is for

वरणौषठ

0

Movement of वरणौषठ is on touch

only

1 Movement of वरणौषठ can be seen by naked eye means without touch

शीतासहा (अहर) (Intolerance to cold) This symptom is for

जजहवा

0 No Intolerance of cold to जजहवा

1 Intolerance of severe cold to जजहवा

2 Intolerance of moderate cold to जजहवा

3 Intolerance of Mild cold to जजहवा

गवी (Heaviness)

This symptom is for

जजहवा

0 No Heaviness

1 Mild heaviness with no difficulty

in movement of जजहवा

2 Moderate heaviness with

difficulty in Movement of जजहवा

3 Sever heaviness with bending down of

सफटटता (अहर) (Ulcer)

0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

कणटाकाधचता (अहर) = Thorn like

appearance

0 No change in appearance

59

Code Signs amp Symptoms Score Gradations Remarks

1 13 part of oral mucous membrane covered with red fleshy thorn like papillae

2 23 part of oral mucous membrane covered with red fleshy thorn like papillae

3 gt23 part of oral mucous membrane covered with red fleshy thorn like papillae

षववणोतत कचछरणमखम (अहर) (Difficulty in mouth opening)

0 Mouth opening more than 3 fingers without difficulty

1 2 to 3 fingers opening of mouth with or without difficulty

2 1 to 2 fingers opening of mouth with or without difficulty

3 Less than 1 finger opening of mouth with or without difficulty

152 पऩतमत(यकतज)सवसय (स) Signs and Symptoms of यकतज सवसय are same as of पऩतमत सवसय so no separate gradations are mentioned

यकतता (Redness) 0 Colour of सवसय- वरण is similar with

surrounding mucous membrane

1 Reddish Colour of सवसय- वरण

2 Bright red Colour of सवसय- वरण

3 Dark red Colour of सवसय- वरण

सदाह (Burning

Sensation)

0 No burning in सवसय- वरण Or According to

VAS

1 Occasional burning in सवसय- वरण

2 Intermittent burning in सवसय- वरण

3 Contentious burning in सवसय- वरण

which does not relive by any measures

तन (तनसब) (Shallow superficial ulcers)

0 No ulcer

1 Ulcer having depth of 05-1 mm

2 Ulcer having depth of 1 ndash 15 mm

3 Ulcer having depth of 15 -2 mm

60

Code Signs amp Symptoms Score Gradations Remarks

ओष (अहर) 0 No (ओष) burning in सवसय- वरण

1 Occasional (ओष) burning in

सवसय- वरण

2 Intermittent (ओष) burning in

सवसय- वरण

3 Contentious (ओष) burning in

सवसय- वरण which does not relive

by any measures

ततकतवकरता (अहर) (Bitter taste in mouth)

0 No alteration in taste

1 Occasionally bitter taste felt in mouth without having any bitter substance

2 Off and on bitter taste felt in mouth without having any bitter substance

3 Continuous bitter taste felt in mouth without having any bitter substance

ारोकषतत समावरणा (अहर)

0 No Ulcer

(Ulcers looking like chemical burns)

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

153 कपज सवसय (स) कणड (Itching) 0 No itching Or According to

VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Unable to work due to itching

0r

0 No itching

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate on work due to severe itching

रजा (Pain)

(अलऩ रजा) 0 No pain Or According to

VAS

1 Occasional pain

61

Code Signs amp Symptoms Score Gradations Remarks

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain This condition should be considered as अलऩ रजा

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

सवणण 0 Colour of वरण is same with colour of near by tissue

1 Colour of वरण is not same with colour of near by tissue

मररासयतवम (अहर) (Sweet taste in mouth)

0 No alteration in taste

1 Occasionally sweet taste felt without eating any sweet substance

2 Off and on Sweet taste Occasionally sweet taste felt without eating any sweet substance

3 Continuous sweet taste Occasionally sweet taste felt without eating any sweet substance

षपजचछिऱता (अहर) (Unctuousness)

0 Absent

1 Present

वरण 0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

154 कफाबभद (अहर) शयाव अबभदम

(शयावपाणडऽबभदम) 0 Colour of growthtumour is same

the colour of surrounding skin

1 Colour of growthtumour is शयाव

(Blackish)

62

Code Signs amp Symptoms Score Gradations Remarks

पाणड अबभदम (शयावपाणडऽबभदम)

0 Colour of growthtumour is same the colour of surrounding skin

1 Colour of growthtumour is पाणड

(Pale)

अबभदम 0 No GrowthTumour TNM Classification for tumours can be applied for growth

1 Growthtumour having sizelt 10 mm

2 Growthtumour having size 10 mm to 20 mm

3 Growthtumour having size gt 20 mm

घटिता तिनना मटदता च षववरभत (Size increases on rubbing cutting and squeezing)

0 Size of GrowthTumour is not increasing by rubbing cutting or squeezing

1 Size of GrowthTumour is increasing up to 10 mm by rubbing cutting or squeezing within a month

2 Size of GrowthTumour is increasing up to 20 mm by rubbing cutting or squeezing within a month

3 Size of GrowthTumour is increasing up to 30 mm by rubbing cutting or squeezing within a month

4 Size of GrowthTumour is increasing up to 40 mm by rubbing cutting or squeezing within a month

155 ऊरधवभगद (अहर) वकतरदौगनधम

(Halitosis)

0 No Halitosis

1 Halitosis is feel by Patient only

2 Halitosis is feel by Patient and examining Doctor only

3 Halitosis is feel by any person from the distance from 5 meters

63

Code Signs amp Symptoms Score Gradations Remarks

4 Halitosis is feel by any person from the distance from more than 5 meters

156 पततवकर (अहर) ऩतममासमता

(Halitosis)

0 No Halitosis

1 Halitosis is feel by Patient only

2 Halitosis is feel by Patient and examining Doctor only

3 Halitosis is feel by any person from the distance from 5 meters

4 Halitosis is feel by any person from the distance from more than 5 meters

157 सतनऩाततक सवसय (अहर) This disease occurs due to aggravation of all three doshas including Rakta Clinical presentation of this disease is found as mixed picture according prominent aggravation of dosha and signs and symptoms will be observed accordingly Gradations should be considered accordingly so it is not required to repeat here

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Page 27: THE GRADATIONS OF DISEASES OF SHALAKYA TANTRA - PART …theassociationofshalaki.com/downloads/GRADATIONS_OF_DISEASE… · 12.05.2019  · I am also very much thankful to Dr Sandhya

26

Code Signs amp Symptoms Score Gradations Remarks

3 Shoth is present up to adjoining cheek

This condition should be considered as

भहाञिोथ

भहारजा (स) परततहनतममभमवरतत (अहर)

0 No Rujā (pain) Or According to VAS

2 Rujā (pain) is Present on that gum only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

This condition should be considered as भहारजा amp परततहनतममभमवरतत

रारासरावी 0 Normal secretion

1 Occasionally splitting

2 On and off splitting

3 Continuous splitting disturbance in work

दनतानत कीरवतमशोफ़ (अहर)

0 No Keel vat Shoth

1 Keel vat Shoth is Present on that gum only where disease is occurred

2 Keel vat Shoth is Present on nearby two or three gums where disease is occurred

3 Keel vat Shoth is present up to adjoining cheek

1111 दनतषवदरधर (अहर) दनतभासशोफ़ (ि) 0 No Shoph

1 Shoph is Present on that gum only where disease is occurred

2 Shosh is Present on nearby two or This condition should

27

Code Signs amp Symptoms Score Gradations Remarks

three gums where disease is occurred

be considered as अनत शवमथ According to

Vagbhatta

3 Shosh is extended up to adjoining cheek

This condition should be considered as फाहम शवमथ According to

Vagbhatta

फाहम शवमथ (अहर) This condition is mentioned at दनतभास शोफ़

अनत शवमथ (अहर) This condition is mentioned at दनतभास शोफ़

गर (अहर) 0 Absent

1 Present

रग (अहर) 0 No Rujā (pain) Or According to VAS

2 Rujā (pain) is Present on that gum only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

दाह (अहर) According to VAS

सरवतिननऩमासर (अहर)

0 No Discharge

1 Blood with Pus Discharge

2 Only pus discharge

1112 दतनाडी Scoring is not possible further according to measurement of Nadivrana because X-

ray only detects spread up to the bone Whereas Nadivrana in gingiva periodontal ligament cannot be measured

दतनाडी 0 Absent

1 Present

28

GRADATION OF DANTA GAT ROG

Code ndash 12

Gradations established by Group KARAL Dr Krishna Makadia - Convener

Dantavaidya Saroj Joshi Dantavaidya Harshad Joshi

Dr Kiran Raj Dr Achyuta Atara Dr Pranav Dave

Gradations Reviewed by Dr Hemangi Shukla Dr Krishna Makadia

Edited by Prof Vd Hāridra Dave

29

Code Signs amp Symptoms Score Gradations Remarks

121 दाऱन (स)

तीवररग 0 No Rujā (pain) Or According to VAS

2 Rujā (pain) is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

उषणअसहादनता (अस) 0 No sensitivity in teeth ie with warm

water hot water or

excessive hot water

application on

tooth is not

possible so Time

related and severity

related grading was

finalised(same for

cold)

1 Mild sensitivity in teeth - At a

time

2 Moderate sensitivity in teeth -

Sensitivity remains only for 1

Prahar (up to 3 hrs)

3 Severe sensitivity in teeth -

Sensitivity remains more than

1 Prahar (more than 3 hrs)

शीतअचधकवमथा (अहर) 0 No sensitivity in teeth

1 Mild sensitivity in teeth - At a

time

2 Moderate sensitivity in teeth -

Sensitivity remains only for 1

Prahar (up to 3 hrs)

3 severe sensitivity in teeth-

Sensitivity remains more than

1 Prahar (more than 3 hrs)

22 कममदनत (स) कषण 0 No discoloration

1 Light greyish black

2 Dark greyish black

3 Jet black

30

Code Signs amp Symptoms Score Gradations Remarks

तिदर 0 No cavity It should be

decided by X-ray

1 Cavity within limit of enamel

2 Cavity within limit of dentin

3 Cavity up to pulp

िर 0 No mobility

1 1 mm antero-posterior

mobility

2 2 mm antero-posterior

mobility

3 More than 2 mm antero-

posterior amp medial to lateral

mobility

सरावी 0 No Srāv- after drying

particular teeth with cotton

inserting cotton on cavity

There is no other

method to check

Srāv in Krimidanta

1 Srāv is present

ससयब = Inflammation 0 No inflammation

1 Inflammation is Present भहारज 0 No Rujā (pain) Or According to

VAS 2 Rujā (pain) is Present on that

gum only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

This condition should be considered as भहारज

अतनसभतमतरज 0 No sudden onset of pain

1 Sudden onset of pain is

present

अहततीवराततशभ (अहर) 0 No sudden onset of pain

31

Code Signs amp Symptoms Score Gradations Remarks

1 Sudden onset of pain is

present

पररन (अहर) = Broken due to cavity

0 Cavity is there but it is not

broken

It should be

considered for each

tooth separately

Cavity in that must

be present in

particular tooth

1 13 part of tooth is broken

2 23 of tooth is broken

3 More than 23 of tooth is

broken

4 Total loss of tooth

ऩमसरत (अहर) 0 No Pooya Srāv after drying

particular place

with cotton

inserting cotton on

cavity

1 Pooya Srāv present

यकतसरत (अहर) 0 No Rakta Srāv after drying

particular place

with cotton

inserting cotton on

cavity

1 Rakta Srāv is present

123 दनतहषभ (स)

शीत सऩशन न सहनत 0 No sensitivity by cold touch

in any teeth

1 Ooccassional sensitivity by

cold touch in any toothteeth

for once

2 Sensitivity by cold touch

remains in toothteeth only up

to 1 Prahar (up to 3hrs)

3 Sensitivity by cold touch

remains more than 1 Prahar

(more than 3hrs)

उषण सऩशन न सहनत 0 No sensitivity by hot touch in

any teeth

1 Occassional sensitivity by hot

touch in toothteeth for once

2 Sensitivity by hot touch

remains in toothteeth only up

to 1 Prahar (up to 3hrs)

3 Sensitivity by hot touch

remains in toothteeth more

than 1 Prahar (more than

3hrs)

32

Code Signs amp Symptoms Score Gradations Remarks

परवाताभा = Sensitivity to air

(परवातारशीतबाभा) (अहर)

0 No sensitivity by Pravāt

touch in any tooth

1 Occassional sensitivity by

Pravāt touch in toothteeth for

once

2 Sensitivity by Pravāt touch

remains in toothteeth only up

to 1 Prahar (up to 3hrs)

3 Sensitivity by Pravāt touch

remains in toothteeth more

than 1 Prahar (more than

3hrs)

अरबाभा = Sensitivity to sour food

(परवातारशीतबाभा) (अहर)

0 No sensitivity by eating

sourer food to any tooth

1 Occassional sensitivity by

eating sourer food to any

toothteeth for once

2 Sensitivity by eating sourer

food remains to toothteeth

only up to 1 Prahar (up to

3hrs)

3 Sensitivity by eating sourer

food remains to toothteeth

more than 1 Prahar (more

than 3hrs)

शीतबाभा (परवातारशीतबाभा) (अहर)

0 No sensitivity by eating cold

item to any tooth

1 Occasional sensitivity by

eating cold item to toothteeth

for once

2 Sensitivity by Pravāt touch

remains in toothteeth only up

to 1 Prahar (up to 3hrs)

3 Sensitivity by eating cold

item remains to toothteeth

more than 1 Prahar (more

than 3hrs)

सरजा (अहर) 0 No Rujā (pain)

33

Code Signs amp Symptoms Score Gradations Remarks

2 Rujā (pain) is Present on that gum only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

2 Rujā (pain) is Present on that gum only where disease is occurred and patient can do hisher routine work without disturbance

िर (अहर) 0 No mobility

1 1 mm anterio-posterior

mobility

2 2 mm anterio-posterior

mobility

3 More than 2 mm antero-

posterior amp medial to lateral

mobility

124 भञजनक (स) =Photograph is necessary

(depending upon the severity gradation has been finalised)

वकतर वकरता 0 No deviation

1 Deviation is present

तीवररक 0 No Rujā (pain) Or according to

VAS

2 Rujā (pain) is Present on that gum only where disease is occurred and patient can do hisher routine work without disturbance

34

Code Signs amp Symptoms Score Gradations Remarks

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

This condition should be considered as तीवररक

दनतबङग 0 Tooth is not broken This should be

considered for

single tooth

1 13 part of tooth is broken

2 23 of tooth is broken

3 More than 23 of tooth is

broken

4 Total loss of tooth

125 दनतशकभ रा (स) =Calculus index was selected

शकयव चसथयीबत भर 0 No calculus present

1 Supragingival calculus

covering not more than third

of the exposed tooth surface

2 Supragingival calculus

covering more than 13 but

not more than 23 of the

exposed tooth surface or the

presence of individual flecks

of subgingival calculus

around the cervical portion of

the tooth or both

3 Supragingival calculus

covering more than 23 of the

exposed tooth surface or

continues heavy band 0f

subgingival calculus around

the cervical portion of the

tooth or both

35

Code Signs amp Symptoms Score Gradations Remarks

दनताना गणहयी 0 Absent All 10 Guna of

Danta Sampata

should be

considered required

suggestions for

each Guna

1 Present

ऩततगचनध (अहर) 0 No foul smell Taken grading of

halitosis

1 Patient feels foul smell

2 Doctor or person who comes near to patient feels foul smell

3 From distance anyone can feels foul smell who is in the room

4 Foul smell can be feel from outside of the room even

126 कपामऱका (स)

दनतवलकसम दरनभ = Bracketing of tooth enamel (दरचनत दनतवलकातन)

0 No दरनभ of tooth This should be

considered

separately for each

tooth

1 दरनभ is present of less than 13 of tooth

2 दरनभ is present of more than of 13 of tooth but less than 23 of tooth

3 दरनभ is present of more than of 23 of tooth but no total loss of tooth

4 Total loss of tooth after दरनभ

This condition should be considered as दशनाना पवनाश

दशनाना पवनाश = Total loss of tooth

0 No Any loss of tooth This should be

considered

separately for each

tooth

1 loss of tooth is present of less than 13 of tooth

2 loss of tooth is present of more than of 13 of tooth but less than 23 of tooth

36

Code Signs amp Symptoms Score Gradations Remarks

3 loss of tooth is present of more than of 23 of tooth but no total loss of tooth

4 Total loss of tooth This condition should be considered as दशनाना पवनाश

दनतशातनभ अणश = Thinning of tooth (शातमतममतममणशो दनतात कऩारातन) (अहर)

0 No शातनभ of tooth This should be

considered

separately for each

tooth

1 शातनभ is present in less than 13 of tooth

2 शातनभ is present in more than 13 of tooth but less than 23 of tooth

3 शातनभ is present in more than 23 of tooth but no total loss of tooth

4 Total loss of tooth due to शातनभ

127 शयावदनतक (स) In शमावदनत शमावता amp नीरता should be considered ascending stages

शमावता + नीरता 0 -No any discolouration of

tooth

-Normal colour of tooth

This should be

considered

separately for each

tooth

1 शमावता is Present

2 नीरता is Present

128 हनमो (स) According to Dalhan हनमो is not Dant Rog directly but it is near to

Dantchewing of hard food is one of the causes and there is pain in Dant so it is considered under Danta Rog

हनसचनधपवसहत 0 Absent

1 Can be reset by manual reduction

2 Can be reset by surgical

intervention

129 दनतभद (अहर) तोद =Pricking pain 0 No Pricking pain -Or According to

VAS

- This should be

considered

separately for each

tooth

37

Code Signs amp Symptoms Score Gradations Remarks

2 Pricking pain is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Pricking pain is referred up to Hanu and patient can do hisher routine work without disturbance

4 Pricking pain is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Pricking pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Pricking pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

बद Braking pain 0 No Braking pain -Or According to

VAS

- This should be

considered

separately for each

tooth

2 Braking pain is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Braking pain is referred up to Hanu and patient can do hisher routine work without disturbance

4 Braking pain is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Braking pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Braking pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

38

Code Signs amp Symptoms Score Gradations Remarks

रक Dull pain 0 No Rujā (pain) -Or According to

VAS

- This should be

considered

separately for each

tooth

2 Rujā (pain) is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

सपिन Burstingexpanding pain

0 No Bursting pain -Or According to

VAS

- This should be

considered

separately for each

tooth

2 Bursting pain is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Bursting pain is referred up to Hanu and patient can do hisher routine work without disturbance

4 Bursting pain is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

39

Code Signs amp Symptoms Score Gradations Remarks

5 Bursting pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Bursting pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

1210 दनतचाऱ (अहर) िरतमव = Mobility 0 No = mobility

1 1mm anterio-posterior

mobility

2 2 mm anterio-posterior

mobility

3 More than 2 mm anterio-

posterior amp medial to lateral

mobility

बणादचधकवमथ 0 No Vyatha ndash Pain during

eating

1 Pain during eating of hard

diet only

2 Pain during eating of soft diet

even

1211 कराऱ (स)

=Malocclusion

0 A Normal Molar relationship

exist but there is crowding

misalignment of the teeth

cross bite etc

1 A malocclusion where the

molar relationship shows the

buccal grove of mandibular

first molar distally positioned

when in occlusion with the

mesiobuccal cusp of the

maxillary first molar

2 A malocclusion where the

molar relationship shows the

buccal groove of the

mandibular first molar

mesiallypos

40

GRADATIONS OF JIHWA GAT ROG

Code - 13

Established by Group BHOJ Dr Krishna Makaia ndash Convener

Dr Rajeshree Unadkat Dr Neelam Dave

Dr Ronakgiri Gosai Dr Jignesh Virapariya

Reviewed by Dr Vijayant Bharadwaj

Edited by Prof Vd Hāridra Dave

41

Code Signs amp Symptoms Score Gradations Remarks

131 वाततक चजहवाकिक (स) सपटिता (Creaks) 0 No creaks on tongue

1 Single creak on the dorsum of tongue

2 Multiple Creaks on the dorsum of tongue

3 Multiple deep creaks on the dorsum of tongue (Bleeding)

परसपता (Numbness )

0 No Numbness

1 Numbness in 13 Part of tongue

2 Numbness in 23 Part of tongue

3 Numbness in more than 23 Part of tongue

शाकछिदनपरकाशा (Roughness)

0 Normal surface of tongue on touch

1 Mild rough surface on touch

2 Hard irregular surface on touch

3 Very rough surface which hurts the finger on touch

132 ऩततक चजहवाकिक (स) ऩीता 0 No yellowish discolouration

1 Yellowish discoloration in 13 part

2 Yellowish discoloration in 23 part

3 Yellowish discoloration in more than 23 part of tongue

ऩरयदहमत Burning in entire tongue)

0 No burning Or According to VAS

1 Occasional burning

2 Intermittent burning

3 Continuous burning does not relieve by any measures

दाह (Burning may be

in partially tongue)

0 No Burning Or According to VAS

1 Burning up to 13 part of tongue

2 Burning in 13 to 23 part of tongue

3 Burning in more than 23 part of tongue

42

Code Signs amp Symptoms Score Gradations Remarks

यकतभासाङकयचशिता (Covered with red buds )

0 No change in appearance

1 13 part of tongue covered with red fleshy buds

2 23 part of tongue covered with red fleshy buds

3 Whole tongue covered with red fleshy buds

ओष (Burning) 0 No Oshha Or According to VAS

1 Oshha up to 13 part of tongue

2 Oshha in 13 to 23 part of tongue

3 Oshha in more than 23 part of tongue

133 कपज चजहवाकिक (स) फहरा (Thick) 0 Normal Thickness of Tongue

1 Thickness increased - noticeable by patient

2 Thickness increased - noticeable by the examiner

3 Tongue protruding out because of increased Thickness

गवी (Heaviness) 0 No Heaviness

1 Feeling mild heaviness but no difficulty in Tongue movement

2 Difficulty in Tongue movement especially during intake of liquid

3 Difficulty in Tongue movement especially during intake of hard food

4 Difficulty in Tongue movement especially during Pronunciation

भासोदगभ शालभसरकणिकाब (thorn like papilla)

0 No change in appearance of tongue

1 13 part of tongue covered with red fleshy thorn like papilla

2 23 part of tongue covered with thorn like papilla

3 Whole tongue covered with thorn like papilla

43

Code Signs amp Symptoms Score Gradations Remarks

134 अरास (स) शवमथ

(Swelling at ventral surface of tongue)

0 Absent

1 Present

सतबमतत (Restricted tongue movement)

0 -Normal Movement of Tongue -Movement of tongue not affected

1 Tongue movement slightly restricted but does not affect the normal function

2 Tongue movement restricted that affects the normal function

3 Tongue movement arrested

परवदध

(Increase in size)

0 Size not increased

1 Size increased - noticeable by the patient

2 Size increased - noticeable by the examiner

3 Tongue protruding out because of increased size

ऩाक 0 No swelling or suppuration

1 Inflammation with pain and tenderness

2 Inflammation with different types of pain and tenderness along with induration

3 Pus formation and fluctuation positive

अधशोप 0 Absent

1 Present

उननत (elevation of

the tongue due to swelling below the tongue)

0 Normal position of tongue

1 Tongue slightly elevated due to swelling below the tongue

2 Tongue elevation causes discomfort to the patient

3 Tongue touches the palate

भतमसमगचनध

(Fishy smell)

0 Absent

1 Present

44

Code Signs amp Symptoms Score Gradations Remarks

भासशातन (Destruction of flesh of tongue )

0 No Destruction of tongue flesh

1 13 part of tongue flesh is destroyed

2 23 part of tongue flesh is destroyed

3 More than 23 part of tongue is destroyed

135 उऩचजचहवका (स) शवमथ (Swelling) 0 Absent

1 Present

चजहवाभननम

जात (elevation of

tongue because of swelling)

0 Normal position of tongue

1 Tongue slightly elevated due to swelling below the tongue

2 Tongue elevation causes discomfort to the patient

3 Tongue touches the palate

परसक (Salivation) 0 Normal secretion of saliva

1 Occasionally spitting

2 Off and on spitting

3 Continuous spitting which disturbs the work

कणड (Itching) 0 No itching Or According to VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate on work due to severe itching

0r

0 No itching

1 Occasional itching

2 Off and on itching

3 Continuous itching

ऩरयदाह (Burning in

whole tongue)

0 No burning Or According to VAS

1 Occasional burning

2 Intermittent burning

3 Contentious burning dose not relive by any measures

45

Code Signs amp Symptoms Score Gradations Remarks

136 अचधचजचहवका (अर)

अधोचजहवामा शोप

0 Normal position of tongue

(Swelling below the tongue)

1 Tongue slightly elevated due to swelling below the tongue

2 Tongue elevation causes discomfort to the patient

3 Tongue touches the palate

अङकय (Pappilary

growth)

0 Absent

1 Present

ओष (Burning) 0 No Oshh Or According to

VAS

1 Oshh up to 13 part of tongue

2 Oshh in 13 to 23 part of tongue

3 Oshh in more than 23 part of tongue

सतबवान

(Restriction of Movement)

0 Movement of tongue not affected

1 Tongue movement slightly restricted but does not affect the normal function

2 Tongue movement restricted that affect the normal function

3 Tongue movement arrested

खय(Rough) 0 Smooth on touch

1 Mild irregular surface

2 Rough surface

3 Sharp rough surface touch hurts on finger on touch

रक (Pain) 0 No pain Or According to

VAS

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

कणड (Itching) 0 No itching Or According to

VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate on work due to severe itching

0r

0 No itching

46

Code Signs amp Symptoms Score Gradations Remarks

1 Occasional itching

2 Off and on itching

3 Continuous itching

वाकम पवघातकत (Difficulty in speech)

0 No difficulty in speech

1 Unable to speak िति vargavyanjana

2 Difficulty in speaking क vargavyanjana

Swara donrsquot need involvement of tongue

3 Unable to speak

आहयपवघातकत

(Swallowing )

0 Able to eat regular diet

1 Able to eat soft diet

2 Able to eat only liquid diet

3 Unable to swallow anything

47

GRADATION OF TALUGAT ROG

Code - 14

Established by Group BHOJ Dr Krishna Makaia ndash Convener

Dr Rajeshree Unadkat Dr Neelam Dave

Dr Ronakgiri Gosai Dr Jignesh Virapariya

Reviewed by Dr Vijayant Bharadwaj

Edited by Prof Vd Hāridra Dave

48

Code Signs amp Symptoms Score Gradations Remarks

141 गरशचणडका (स)

परवदधो शोप (Swelling extending from palate) (Which is elongated)

0 Normal size of uvula

1 Swelling of uvula that causes discomfort to the patient

2 Swelling of uvula that causes foreign body sensation

3 Difficulty in breathing due to swelling

दीघ शोप

(Elongated Swelling)

0 Normal size of uvula

1 Elongated swelling of uvula that causes discomfort to the patient

2 Elongated swelling of uvula that causes foreign body sensation

3 Difficulty in breathing due to Elongated swelling

धभातफचसतपरकाश शोप =Inflated

swelling like Basti

0 Normal size of uvula

1 Inflated swelling like Basti of uvula that causes discomfort to the patient

2 Inflated swelling like Basti of uvula that causes foreign body sensation

3 Difficulty in breathing due to Inflated swelling like Basti

तषणा 0 Normal feeling of thirst

1 Increased feeling of thirst which is relived after drinking water

The quantity of water is not consider here but the frequency of water is considered

2 Frequent feeling of thirst which is Occasional relived after drinking water

3 Continuous feeling of thirst does not relive after drinking profuse amount of water

कास (Coughing) 0 No coughing

49

Code Signs amp Symptoms Score Gradations Remarks

1 Occasional coughing during eating and speaking

2 Off and on coughing

3 Continuous coughing

शवास 0 No difficulty in breathing

1 Difficulty in breathing occasionally

2 More difficulty in breathing while sleeping

3 Excessive difficulty in breathing

भतमसमफचसततनब शोप (अहर)

0 Normal uvula Used as an adjective

1 Inflated swelling like Matsya-Basti of uvula that causes discomfort to the patient

2 Inflated swelling like Matsya-Basti of uvula that causes foreign body sensation

3 Difficulty in breathing due to Inflated swelling like Matsya-Basti

पररफ (अहर) 0 Normal length of Uvula

(Elongated Swelling)

1 Size of Uvula increased up to lt2 mm

2 Size of Uvula increased more than 2 mm but less than 4 mm

3 Size of Uvula increased gt4 mm that cause discomfort to patient and cause difficulty in breathing

पऩचछिर(अहर) (Sliminess)

0 Absent

1 Present

नासमाऽऽहायभीयमन (अहर)

0 Food does not come out from nose

(Food comes out of nose)

1 Food comes out from nose

कणठोऩयोध(अहर) (Obstruction of throat )

0 -Able to eat regular diet -No difficulty in swallowing of any food

1 Able to swallow liquid or soft diet but not able to swallow hard diet

2 Able to swallow hard diet forcefully

50

Code Signs amp Symptoms Score Gradations Remarks

3 Not able to swallow hard diet with force

वभन(अहर) (Vomiting)

0 No Vaman

1 Feeling of nausea only

2 Only one veg of Vaman in a day

3 Two vegas of Vaman in a day

4 More than two vegas of Vaman in a day

132 तचणडकयी (स)

शोप (Tonsillar

Swelling)

0 Tonsils are located within the tonsillar fossa

1 Tonsils hypertrophy till the brim of the tonsillar fossa

2 Tonsils hypertrophy extends beyond the pillars but not touching each other

3 Tonsils hypertrophy extends beyond the pillars but not touching each other

तोद

(Pricking pain)

0 No pain

1 Occasional pain Or according to VAS

2 Off and on pain

3 Continuous pain

दाह (Burning) 0 No

1 Occasional burning

2 Intermittent burning

3 Contentious burning dose not relive by any measures

परऩाक 0 Absent

1 Present

पऩचछिर शोप(अहर)

Sliminess in swallowing

0 Feeling of Sliminess is Absent

1 Feeling of Sliminess is Present

भनदरक (अहर)

(Mild pain)

0 Absent Or According to

VAS

1 Present

133 अधरष (स)

शोप (Swelling) 0 No swelling

1 13 Swelling in part of the palate

51

Code Signs amp Symptoms Score Gradations Remarks

2 23 swelling in part of palate

3 Swelling in gt than 23 part of palate

सतबधता =Functions of soft palate like deglutition Phonation etc are affected = No mobility of soft palate

0 Normal function of soft palate

1 Soft palate movement reduced but functions are not affected

2 Any one of the functions of soft palate is affected

3 All functions of soft palate are affected

रोटहतवणता

(Redness)

0 No change in colour

1 Pinkish red coloured mucosa in palate

2 Red coloured mucosa in palate

3 Dark red coloured mucosa in palate

रजा (Pain) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

जजवय (Fever) 0 Normal temperature

1 Temperature between 984rsquoF to 100rsquoF

Temperature between 100rsquoF to 101rsquoF

2 Temperature between 101rsquoF to 102rsquoF

3 Temperature between 102rsquoF to 103rsquoF

52

Code Signs amp Symptoms Score Gradations Remarks

4 Temperature between 103rsquoF to 104rsquoF

5 Temperature more than 104rsquoF

134 कछिऩ (स)

कभवत उतमसनन शोप (Swelling

having shape like dorsum of tortoise)

0 No swelling

1 Swelling in 13rd part of the palate

2 Swelling in 23rd part of palate

3 Swelling in gt 23rd part of palate

चियवपदध(अहर)

(Slow growth)

0 Growth within a week

1 Growth within 1 week to 1 month

2 Growth within 1 month to 6 months

3 Growth within gt 6 months

रक (अहर) (Pain) 0 No pain Or According to VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesics

135 तारअफद (स) ऩदमाकाय तारभधम

शोपम (Swelling

like shape of lotus )

0 No swelling

1 Swelling in 13rd part of the palate

2 2 Swelling in 23rd part of palate

3 3 Swelling in gt 23rd part of palate

136 भाससङघात (स) नीरज (Painless) 0 Absent

1 Present

53

Code Signs amp Symptoms Score Gradations Remarks

शोप 0 No swelling

1 Swelling in 13rd part of the palate

2 Swelling in 23rd part of palate

3 Swelling in gt 23rd part of palate

137 तारऩपऩि (स) नीरक (Painless) 0 Absent

1 Present

कोरभातर

Swelling having size of Kola fruit

0 Absent

1 Present

138 तारशोष (स)

शोष (Dryness) 0 No dryness

1 Dryness decreased after drinking water

2 Patient needs water frequently

3 Dryness persist after dinking profuse water

दायण (Tearing of palate)

0 Absent

1 Present

शवास (Difficulty in

breathing)

0 No difficulty in breathing Here difficulty in breathing is due to obstruction

1 Difficulty in breathing occasionally

2 More difficulty in breathing while sleeping position

3 Excessive difficulty in breathing

जजवय(अहर) (Fever) 0 Normal temperature

1 Temperature between 984rsquoF to 100rsquoF

Temperature between 100rsquoF to 101rsquoF

2 Temperature between 101rsquoF to 102rsquoF

3 Temperature between 102rsquoF to 103rsquoF

4 Temperature between 103rsquoF to 104rsquoF

5 Temperature more than 104rsquoF

54

Code Signs amp Symptoms Score Gradations Remarks

139 तारऩाक (स) ऩाक (Suppuration) 0 No swelling or suppuration

1 Inflammation of palate with pain and tenderness

2 Inflammation of palate with different types of pain and tenderness with induration

3 Pus formation and fluctuation positive

1310 तारपऩटिका (अहर) तारभास पऩटिका

Follicles in palate flesh

0 No follicles

1 13 palate covered with follicles

2 23 palate covered with follicles

3 More than 23 palate covered with follicles

रज(अहर) (Pain) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

Occasional pain

खयता(अहर) (Roughness)

0 Smooth on touch

1 Mild irregular surface on touch

2 Rough surface

3 Sharp rough surface which hurts on finger on touch

घनसराव(अहर) (Thick discharge)

0 No discharge

1 Occasional discharge

2 Off and on thick discharge

3 Continuous thick discharge

1311 तारसहतत (अहर) तारभधम तनरक (अहर) =Painless fleshy growth in palate

Only तारभधम तनरक indicates the place and quality of growth both the symptoms can be

merged

55

Code Signs amp Symptoms Score Gradations Remarks

तनरक (Painless) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

भाससहत

(Fleshy growth in palate)

0 No fleshy growth

1 Fleshy growth in 13 part of the palate Swelling

2 Fleshy growth in 23 part of palate swelling

3 Fleshy growth in more than 23 part of palate

56

GRADATION OF SARVASAR ROG

Code - 15

Established by Group BHOJ Dr Krishna Makaia ndash Convener

Dr Rajeshree Unadkat Dr Neelam Dave

Dr Ronakgiri Gosai Dr Jignesh Virapariya

Reviewed by Dr Vijayant Bharadwaj

Edited by Prof Vd Hāridra Dave

57

Code Signs amp Symptoms Score Gradations Remarks

151 वातजसवसय (स) सपोि (Ulcers) 0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

तोद = Pricking pain 0 No pricking pain Or According to VAS

1 Occasional pricking pain

2 Off and on pricking pain

3 Continuous pricking pain

Or

0 No pricking pain

1 Sometimes mild pricking pain

2 Has to take analgesic while pricking pain

सिारयण(अहर) This symptom is for सवसय so this सवसय is the nature of सिारय

0 No movement of सवसय

1 Movement of सवसय is once in a week

2 Movement of सवसय is once in three to four days

3 Movement of सवसय is at every alternate day

4 Movement of सवसय is once in a day

अरण (अहर) Reddish discoloration

0 Colour of वरण is same with colour of surrounding area

1 Colour of वरण is Reddish

2 Colour of वरण is Dark Red

3 Colour of वरण is Reddish black

र (अहर) Dryness 0 वरण is Moist

-No dryness of वरण

1 वरण Needs lubrication once a day

2 वरण Needs frequent lubrication in

a day

3 No benefit with frequent

lubrication of वरण

तामरता (अहर) (Coppery

0 Colour of वरणौषठ is same with colour of surrounding area

58

Code Signs amp Symptoms Score Gradations Remarks

discoloration) This symptom is for

वरणौषठ

1 Colour of वरणौषठ is Tamra Varna

चऱतवचा (अहर) (Free mucous membrane) This symptom is for

वरणौषठ

0

Movement of वरणौषठ is on touch

only

1 Movement of वरणौषठ can be seen by naked eye means without touch

शीतासहा (अहर) (Intolerance to cold) This symptom is for

जजहवा

0 No Intolerance of cold to जजहवा

1 Intolerance of severe cold to जजहवा

2 Intolerance of moderate cold to जजहवा

3 Intolerance of Mild cold to जजहवा

गवी (Heaviness)

This symptom is for

जजहवा

0 No Heaviness

1 Mild heaviness with no difficulty

in movement of जजहवा

2 Moderate heaviness with

difficulty in Movement of जजहवा

3 Sever heaviness with bending down of

सफटटता (अहर) (Ulcer)

0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

कणटाकाधचता (अहर) = Thorn like

appearance

0 No change in appearance

59

Code Signs amp Symptoms Score Gradations Remarks

1 13 part of oral mucous membrane covered with red fleshy thorn like papillae

2 23 part of oral mucous membrane covered with red fleshy thorn like papillae

3 gt23 part of oral mucous membrane covered with red fleshy thorn like papillae

षववणोतत कचछरणमखम (अहर) (Difficulty in mouth opening)

0 Mouth opening more than 3 fingers without difficulty

1 2 to 3 fingers opening of mouth with or without difficulty

2 1 to 2 fingers opening of mouth with or without difficulty

3 Less than 1 finger opening of mouth with or without difficulty

152 पऩतमत(यकतज)सवसय (स) Signs and Symptoms of यकतज सवसय are same as of पऩतमत सवसय so no separate gradations are mentioned

यकतता (Redness) 0 Colour of सवसय- वरण is similar with

surrounding mucous membrane

1 Reddish Colour of सवसय- वरण

2 Bright red Colour of सवसय- वरण

3 Dark red Colour of सवसय- वरण

सदाह (Burning

Sensation)

0 No burning in सवसय- वरण Or According to

VAS

1 Occasional burning in सवसय- वरण

2 Intermittent burning in सवसय- वरण

3 Contentious burning in सवसय- वरण

which does not relive by any measures

तन (तनसब) (Shallow superficial ulcers)

0 No ulcer

1 Ulcer having depth of 05-1 mm

2 Ulcer having depth of 1 ndash 15 mm

3 Ulcer having depth of 15 -2 mm

60

Code Signs amp Symptoms Score Gradations Remarks

ओष (अहर) 0 No (ओष) burning in सवसय- वरण

1 Occasional (ओष) burning in

सवसय- वरण

2 Intermittent (ओष) burning in

सवसय- वरण

3 Contentious (ओष) burning in

सवसय- वरण which does not relive

by any measures

ततकतवकरता (अहर) (Bitter taste in mouth)

0 No alteration in taste

1 Occasionally bitter taste felt in mouth without having any bitter substance

2 Off and on bitter taste felt in mouth without having any bitter substance

3 Continuous bitter taste felt in mouth without having any bitter substance

ारोकषतत समावरणा (अहर)

0 No Ulcer

(Ulcers looking like chemical burns)

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

153 कपज सवसय (स) कणड (Itching) 0 No itching Or According to

VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Unable to work due to itching

0r

0 No itching

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate on work due to severe itching

रजा (Pain)

(अलऩ रजा) 0 No pain Or According to

VAS

1 Occasional pain

61

Code Signs amp Symptoms Score Gradations Remarks

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain This condition should be considered as अलऩ रजा

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

सवणण 0 Colour of वरण is same with colour of near by tissue

1 Colour of वरण is not same with colour of near by tissue

मररासयतवम (अहर) (Sweet taste in mouth)

0 No alteration in taste

1 Occasionally sweet taste felt without eating any sweet substance

2 Off and on Sweet taste Occasionally sweet taste felt without eating any sweet substance

3 Continuous sweet taste Occasionally sweet taste felt without eating any sweet substance

षपजचछिऱता (अहर) (Unctuousness)

0 Absent

1 Present

वरण 0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

154 कफाबभद (अहर) शयाव अबभदम

(शयावपाणडऽबभदम) 0 Colour of growthtumour is same

the colour of surrounding skin

1 Colour of growthtumour is शयाव

(Blackish)

62

Code Signs amp Symptoms Score Gradations Remarks

पाणड अबभदम (शयावपाणडऽबभदम)

0 Colour of growthtumour is same the colour of surrounding skin

1 Colour of growthtumour is पाणड

(Pale)

अबभदम 0 No GrowthTumour TNM Classification for tumours can be applied for growth

1 Growthtumour having sizelt 10 mm

2 Growthtumour having size 10 mm to 20 mm

3 Growthtumour having size gt 20 mm

घटिता तिनना मटदता च षववरभत (Size increases on rubbing cutting and squeezing)

0 Size of GrowthTumour is not increasing by rubbing cutting or squeezing

1 Size of GrowthTumour is increasing up to 10 mm by rubbing cutting or squeezing within a month

2 Size of GrowthTumour is increasing up to 20 mm by rubbing cutting or squeezing within a month

3 Size of GrowthTumour is increasing up to 30 mm by rubbing cutting or squeezing within a month

4 Size of GrowthTumour is increasing up to 40 mm by rubbing cutting or squeezing within a month

155 ऊरधवभगद (अहर) वकतरदौगनधम

(Halitosis)

0 No Halitosis

1 Halitosis is feel by Patient only

2 Halitosis is feel by Patient and examining Doctor only

3 Halitosis is feel by any person from the distance from 5 meters

63

Code Signs amp Symptoms Score Gradations Remarks

4 Halitosis is feel by any person from the distance from more than 5 meters

156 पततवकर (अहर) ऩतममासमता

(Halitosis)

0 No Halitosis

1 Halitosis is feel by Patient only

2 Halitosis is feel by Patient and examining Doctor only

3 Halitosis is feel by any person from the distance from 5 meters

4 Halitosis is feel by any person from the distance from more than 5 meters

157 सतनऩाततक सवसय (अहर) This disease occurs due to aggravation of all three doshas including Rakta Clinical presentation of this disease is found as mixed picture according prominent aggravation of dosha and signs and symptoms will be observed accordingly Gradations should be considered accordingly so it is not required to repeat here

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Page 28: THE GRADATIONS OF DISEASES OF SHALAKYA TANTRA - PART …theassociationofshalaki.com/downloads/GRADATIONS_OF_DISEASE… · 12.05.2019  · I am also very much thankful to Dr Sandhya

27

Code Signs amp Symptoms Score Gradations Remarks

three gums where disease is occurred

be considered as अनत शवमथ According to

Vagbhatta

3 Shosh is extended up to adjoining cheek

This condition should be considered as फाहम शवमथ According to

Vagbhatta

फाहम शवमथ (अहर) This condition is mentioned at दनतभास शोफ़

अनत शवमथ (अहर) This condition is mentioned at दनतभास शोफ़

गर (अहर) 0 Absent

1 Present

रग (अहर) 0 No Rujā (pain) Or According to VAS

2 Rujā (pain) is Present on that gum only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

दाह (अहर) According to VAS

सरवतिननऩमासर (अहर)

0 No Discharge

1 Blood with Pus Discharge

2 Only pus discharge

1112 दतनाडी Scoring is not possible further according to measurement of Nadivrana because X-

ray only detects spread up to the bone Whereas Nadivrana in gingiva periodontal ligament cannot be measured

दतनाडी 0 Absent

1 Present

28

GRADATION OF DANTA GAT ROG

Code ndash 12

Gradations established by Group KARAL Dr Krishna Makadia - Convener

Dantavaidya Saroj Joshi Dantavaidya Harshad Joshi

Dr Kiran Raj Dr Achyuta Atara Dr Pranav Dave

Gradations Reviewed by Dr Hemangi Shukla Dr Krishna Makadia

Edited by Prof Vd Hāridra Dave

29

Code Signs amp Symptoms Score Gradations Remarks

121 दाऱन (स)

तीवररग 0 No Rujā (pain) Or According to VAS

2 Rujā (pain) is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

उषणअसहादनता (अस) 0 No sensitivity in teeth ie with warm

water hot water or

excessive hot water

application on

tooth is not

possible so Time

related and severity

related grading was

finalised(same for

cold)

1 Mild sensitivity in teeth - At a

time

2 Moderate sensitivity in teeth -

Sensitivity remains only for 1

Prahar (up to 3 hrs)

3 Severe sensitivity in teeth -

Sensitivity remains more than

1 Prahar (more than 3 hrs)

शीतअचधकवमथा (अहर) 0 No sensitivity in teeth

1 Mild sensitivity in teeth - At a

time

2 Moderate sensitivity in teeth -

Sensitivity remains only for 1

Prahar (up to 3 hrs)

3 severe sensitivity in teeth-

Sensitivity remains more than

1 Prahar (more than 3 hrs)

22 कममदनत (स) कषण 0 No discoloration

1 Light greyish black

2 Dark greyish black

3 Jet black

30

Code Signs amp Symptoms Score Gradations Remarks

तिदर 0 No cavity It should be

decided by X-ray

1 Cavity within limit of enamel

2 Cavity within limit of dentin

3 Cavity up to pulp

िर 0 No mobility

1 1 mm antero-posterior

mobility

2 2 mm antero-posterior

mobility

3 More than 2 mm antero-

posterior amp medial to lateral

mobility

सरावी 0 No Srāv- after drying

particular teeth with cotton

inserting cotton on cavity

There is no other

method to check

Srāv in Krimidanta

1 Srāv is present

ससयब = Inflammation 0 No inflammation

1 Inflammation is Present भहारज 0 No Rujā (pain) Or According to

VAS 2 Rujā (pain) is Present on that

gum only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

This condition should be considered as भहारज

अतनसभतमतरज 0 No sudden onset of pain

1 Sudden onset of pain is

present

अहततीवराततशभ (अहर) 0 No sudden onset of pain

31

Code Signs amp Symptoms Score Gradations Remarks

1 Sudden onset of pain is

present

पररन (अहर) = Broken due to cavity

0 Cavity is there but it is not

broken

It should be

considered for each

tooth separately

Cavity in that must

be present in

particular tooth

1 13 part of tooth is broken

2 23 of tooth is broken

3 More than 23 of tooth is

broken

4 Total loss of tooth

ऩमसरत (अहर) 0 No Pooya Srāv after drying

particular place

with cotton

inserting cotton on

cavity

1 Pooya Srāv present

यकतसरत (अहर) 0 No Rakta Srāv after drying

particular place

with cotton

inserting cotton on

cavity

1 Rakta Srāv is present

123 दनतहषभ (स)

शीत सऩशन न सहनत 0 No sensitivity by cold touch

in any teeth

1 Ooccassional sensitivity by

cold touch in any toothteeth

for once

2 Sensitivity by cold touch

remains in toothteeth only up

to 1 Prahar (up to 3hrs)

3 Sensitivity by cold touch

remains more than 1 Prahar

(more than 3hrs)

उषण सऩशन न सहनत 0 No sensitivity by hot touch in

any teeth

1 Occassional sensitivity by hot

touch in toothteeth for once

2 Sensitivity by hot touch

remains in toothteeth only up

to 1 Prahar (up to 3hrs)

3 Sensitivity by hot touch

remains in toothteeth more

than 1 Prahar (more than

3hrs)

32

Code Signs amp Symptoms Score Gradations Remarks

परवाताभा = Sensitivity to air

(परवातारशीतबाभा) (अहर)

0 No sensitivity by Pravāt

touch in any tooth

1 Occassional sensitivity by

Pravāt touch in toothteeth for

once

2 Sensitivity by Pravāt touch

remains in toothteeth only up

to 1 Prahar (up to 3hrs)

3 Sensitivity by Pravāt touch

remains in toothteeth more

than 1 Prahar (more than

3hrs)

अरबाभा = Sensitivity to sour food

(परवातारशीतबाभा) (अहर)

0 No sensitivity by eating

sourer food to any tooth

1 Occassional sensitivity by

eating sourer food to any

toothteeth for once

2 Sensitivity by eating sourer

food remains to toothteeth

only up to 1 Prahar (up to

3hrs)

3 Sensitivity by eating sourer

food remains to toothteeth

more than 1 Prahar (more

than 3hrs)

शीतबाभा (परवातारशीतबाभा) (अहर)

0 No sensitivity by eating cold

item to any tooth

1 Occasional sensitivity by

eating cold item to toothteeth

for once

2 Sensitivity by Pravāt touch

remains in toothteeth only up

to 1 Prahar (up to 3hrs)

3 Sensitivity by eating cold

item remains to toothteeth

more than 1 Prahar (more

than 3hrs)

सरजा (अहर) 0 No Rujā (pain)

33

Code Signs amp Symptoms Score Gradations Remarks

2 Rujā (pain) is Present on that gum only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

2 Rujā (pain) is Present on that gum only where disease is occurred and patient can do hisher routine work without disturbance

िर (अहर) 0 No mobility

1 1 mm anterio-posterior

mobility

2 2 mm anterio-posterior

mobility

3 More than 2 mm antero-

posterior amp medial to lateral

mobility

124 भञजनक (स) =Photograph is necessary

(depending upon the severity gradation has been finalised)

वकतर वकरता 0 No deviation

1 Deviation is present

तीवररक 0 No Rujā (pain) Or according to

VAS

2 Rujā (pain) is Present on that gum only where disease is occurred and patient can do hisher routine work without disturbance

34

Code Signs amp Symptoms Score Gradations Remarks

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

This condition should be considered as तीवररक

दनतबङग 0 Tooth is not broken This should be

considered for

single tooth

1 13 part of tooth is broken

2 23 of tooth is broken

3 More than 23 of tooth is

broken

4 Total loss of tooth

125 दनतशकभ रा (स) =Calculus index was selected

शकयव चसथयीबत भर 0 No calculus present

1 Supragingival calculus

covering not more than third

of the exposed tooth surface

2 Supragingival calculus

covering more than 13 but

not more than 23 of the

exposed tooth surface or the

presence of individual flecks

of subgingival calculus

around the cervical portion of

the tooth or both

3 Supragingival calculus

covering more than 23 of the

exposed tooth surface or

continues heavy band 0f

subgingival calculus around

the cervical portion of the

tooth or both

35

Code Signs amp Symptoms Score Gradations Remarks

दनताना गणहयी 0 Absent All 10 Guna of

Danta Sampata

should be

considered required

suggestions for

each Guna

1 Present

ऩततगचनध (अहर) 0 No foul smell Taken grading of

halitosis

1 Patient feels foul smell

2 Doctor or person who comes near to patient feels foul smell

3 From distance anyone can feels foul smell who is in the room

4 Foul smell can be feel from outside of the room even

126 कपामऱका (स)

दनतवलकसम दरनभ = Bracketing of tooth enamel (दरचनत दनतवलकातन)

0 No दरनभ of tooth This should be

considered

separately for each

tooth

1 दरनभ is present of less than 13 of tooth

2 दरनभ is present of more than of 13 of tooth but less than 23 of tooth

3 दरनभ is present of more than of 23 of tooth but no total loss of tooth

4 Total loss of tooth after दरनभ

This condition should be considered as दशनाना पवनाश

दशनाना पवनाश = Total loss of tooth

0 No Any loss of tooth This should be

considered

separately for each

tooth

1 loss of tooth is present of less than 13 of tooth

2 loss of tooth is present of more than of 13 of tooth but less than 23 of tooth

36

Code Signs amp Symptoms Score Gradations Remarks

3 loss of tooth is present of more than of 23 of tooth but no total loss of tooth

4 Total loss of tooth This condition should be considered as दशनाना पवनाश

दनतशातनभ अणश = Thinning of tooth (शातमतममतममणशो दनतात कऩारातन) (अहर)

0 No शातनभ of tooth This should be

considered

separately for each

tooth

1 शातनभ is present in less than 13 of tooth

2 शातनभ is present in more than 13 of tooth but less than 23 of tooth

3 शातनभ is present in more than 23 of tooth but no total loss of tooth

4 Total loss of tooth due to शातनभ

127 शयावदनतक (स) In शमावदनत शमावता amp नीरता should be considered ascending stages

शमावता + नीरता 0 -No any discolouration of

tooth

-Normal colour of tooth

This should be

considered

separately for each

tooth

1 शमावता is Present

2 नीरता is Present

128 हनमो (स) According to Dalhan हनमो is not Dant Rog directly but it is near to

Dantchewing of hard food is one of the causes and there is pain in Dant so it is considered under Danta Rog

हनसचनधपवसहत 0 Absent

1 Can be reset by manual reduction

2 Can be reset by surgical

intervention

129 दनतभद (अहर) तोद =Pricking pain 0 No Pricking pain -Or According to

VAS

- This should be

considered

separately for each

tooth

37

Code Signs amp Symptoms Score Gradations Remarks

2 Pricking pain is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Pricking pain is referred up to Hanu and patient can do hisher routine work without disturbance

4 Pricking pain is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Pricking pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Pricking pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

बद Braking pain 0 No Braking pain -Or According to

VAS

- This should be

considered

separately for each

tooth

2 Braking pain is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Braking pain is referred up to Hanu and patient can do hisher routine work without disturbance

4 Braking pain is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Braking pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Braking pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

38

Code Signs amp Symptoms Score Gradations Remarks

रक Dull pain 0 No Rujā (pain) -Or According to

VAS

- This should be

considered

separately for each

tooth

2 Rujā (pain) is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

सपिन Burstingexpanding pain

0 No Bursting pain -Or According to

VAS

- This should be

considered

separately for each

tooth

2 Bursting pain is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Bursting pain is referred up to Hanu and patient can do hisher routine work without disturbance

4 Bursting pain is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

39

Code Signs amp Symptoms Score Gradations Remarks

5 Bursting pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Bursting pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

1210 दनतचाऱ (अहर) िरतमव = Mobility 0 No = mobility

1 1mm anterio-posterior

mobility

2 2 mm anterio-posterior

mobility

3 More than 2 mm anterio-

posterior amp medial to lateral

mobility

बणादचधकवमथ 0 No Vyatha ndash Pain during

eating

1 Pain during eating of hard

diet only

2 Pain during eating of soft diet

even

1211 कराऱ (स)

=Malocclusion

0 A Normal Molar relationship

exist but there is crowding

misalignment of the teeth

cross bite etc

1 A malocclusion where the

molar relationship shows the

buccal grove of mandibular

first molar distally positioned

when in occlusion with the

mesiobuccal cusp of the

maxillary first molar

2 A malocclusion where the

molar relationship shows the

buccal groove of the

mandibular first molar

mesiallypos

40

GRADATIONS OF JIHWA GAT ROG

Code - 13

Established by Group BHOJ Dr Krishna Makaia ndash Convener

Dr Rajeshree Unadkat Dr Neelam Dave

Dr Ronakgiri Gosai Dr Jignesh Virapariya

Reviewed by Dr Vijayant Bharadwaj

Edited by Prof Vd Hāridra Dave

41

Code Signs amp Symptoms Score Gradations Remarks

131 वाततक चजहवाकिक (स) सपटिता (Creaks) 0 No creaks on tongue

1 Single creak on the dorsum of tongue

2 Multiple Creaks on the dorsum of tongue

3 Multiple deep creaks on the dorsum of tongue (Bleeding)

परसपता (Numbness )

0 No Numbness

1 Numbness in 13 Part of tongue

2 Numbness in 23 Part of tongue

3 Numbness in more than 23 Part of tongue

शाकछिदनपरकाशा (Roughness)

0 Normal surface of tongue on touch

1 Mild rough surface on touch

2 Hard irregular surface on touch

3 Very rough surface which hurts the finger on touch

132 ऩततक चजहवाकिक (स) ऩीता 0 No yellowish discolouration

1 Yellowish discoloration in 13 part

2 Yellowish discoloration in 23 part

3 Yellowish discoloration in more than 23 part of tongue

ऩरयदहमत Burning in entire tongue)

0 No burning Or According to VAS

1 Occasional burning

2 Intermittent burning

3 Continuous burning does not relieve by any measures

दाह (Burning may be

in partially tongue)

0 No Burning Or According to VAS

1 Burning up to 13 part of tongue

2 Burning in 13 to 23 part of tongue

3 Burning in more than 23 part of tongue

42

Code Signs amp Symptoms Score Gradations Remarks

यकतभासाङकयचशिता (Covered with red buds )

0 No change in appearance

1 13 part of tongue covered with red fleshy buds

2 23 part of tongue covered with red fleshy buds

3 Whole tongue covered with red fleshy buds

ओष (Burning) 0 No Oshha Or According to VAS

1 Oshha up to 13 part of tongue

2 Oshha in 13 to 23 part of tongue

3 Oshha in more than 23 part of tongue

133 कपज चजहवाकिक (स) फहरा (Thick) 0 Normal Thickness of Tongue

1 Thickness increased - noticeable by patient

2 Thickness increased - noticeable by the examiner

3 Tongue protruding out because of increased Thickness

गवी (Heaviness) 0 No Heaviness

1 Feeling mild heaviness but no difficulty in Tongue movement

2 Difficulty in Tongue movement especially during intake of liquid

3 Difficulty in Tongue movement especially during intake of hard food

4 Difficulty in Tongue movement especially during Pronunciation

भासोदगभ शालभसरकणिकाब (thorn like papilla)

0 No change in appearance of tongue

1 13 part of tongue covered with red fleshy thorn like papilla

2 23 part of tongue covered with thorn like papilla

3 Whole tongue covered with thorn like papilla

43

Code Signs amp Symptoms Score Gradations Remarks

134 अरास (स) शवमथ

(Swelling at ventral surface of tongue)

0 Absent

1 Present

सतबमतत (Restricted tongue movement)

0 -Normal Movement of Tongue -Movement of tongue not affected

1 Tongue movement slightly restricted but does not affect the normal function

2 Tongue movement restricted that affects the normal function

3 Tongue movement arrested

परवदध

(Increase in size)

0 Size not increased

1 Size increased - noticeable by the patient

2 Size increased - noticeable by the examiner

3 Tongue protruding out because of increased size

ऩाक 0 No swelling or suppuration

1 Inflammation with pain and tenderness

2 Inflammation with different types of pain and tenderness along with induration

3 Pus formation and fluctuation positive

अधशोप 0 Absent

1 Present

उननत (elevation of

the tongue due to swelling below the tongue)

0 Normal position of tongue

1 Tongue slightly elevated due to swelling below the tongue

2 Tongue elevation causes discomfort to the patient

3 Tongue touches the palate

भतमसमगचनध

(Fishy smell)

0 Absent

1 Present

44

Code Signs amp Symptoms Score Gradations Remarks

भासशातन (Destruction of flesh of tongue )

0 No Destruction of tongue flesh

1 13 part of tongue flesh is destroyed

2 23 part of tongue flesh is destroyed

3 More than 23 part of tongue is destroyed

135 उऩचजचहवका (स) शवमथ (Swelling) 0 Absent

1 Present

चजहवाभननम

जात (elevation of

tongue because of swelling)

0 Normal position of tongue

1 Tongue slightly elevated due to swelling below the tongue

2 Tongue elevation causes discomfort to the patient

3 Tongue touches the palate

परसक (Salivation) 0 Normal secretion of saliva

1 Occasionally spitting

2 Off and on spitting

3 Continuous spitting which disturbs the work

कणड (Itching) 0 No itching Or According to VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate on work due to severe itching

0r

0 No itching

1 Occasional itching

2 Off and on itching

3 Continuous itching

ऩरयदाह (Burning in

whole tongue)

0 No burning Or According to VAS

1 Occasional burning

2 Intermittent burning

3 Contentious burning dose not relive by any measures

45

Code Signs amp Symptoms Score Gradations Remarks

136 अचधचजचहवका (अर)

अधोचजहवामा शोप

0 Normal position of tongue

(Swelling below the tongue)

1 Tongue slightly elevated due to swelling below the tongue

2 Tongue elevation causes discomfort to the patient

3 Tongue touches the palate

अङकय (Pappilary

growth)

0 Absent

1 Present

ओष (Burning) 0 No Oshh Or According to

VAS

1 Oshh up to 13 part of tongue

2 Oshh in 13 to 23 part of tongue

3 Oshh in more than 23 part of tongue

सतबवान

(Restriction of Movement)

0 Movement of tongue not affected

1 Tongue movement slightly restricted but does not affect the normal function

2 Tongue movement restricted that affect the normal function

3 Tongue movement arrested

खय(Rough) 0 Smooth on touch

1 Mild irregular surface

2 Rough surface

3 Sharp rough surface touch hurts on finger on touch

रक (Pain) 0 No pain Or According to

VAS

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

कणड (Itching) 0 No itching Or According to

VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate on work due to severe itching

0r

0 No itching

46

Code Signs amp Symptoms Score Gradations Remarks

1 Occasional itching

2 Off and on itching

3 Continuous itching

वाकम पवघातकत (Difficulty in speech)

0 No difficulty in speech

1 Unable to speak िति vargavyanjana

2 Difficulty in speaking क vargavyanjana

Swara donrsquot need involvement of tongue

3 Unable to speak

आहयपवघातकत

(Swallowing )

0 Able to eat regular diet

1 Able to eat soft diet

2 Able to eat only liquid diet

3 Unable to swallow anything

47

GRADATION OF TALUGAT ROG

Code - 14

Established by Group BHOJ Dr Krishna Makaia ndash Convener

Dr Rajeshree Unadkat Dr Neelam Dave

Dr Ronakgiri Gosai Dr Jignesh Virapariya

Reviewed by Dr Vijayant Bharadwaj

Edited by Prof Vd Hāridra Dave

48

Code Signs amp Symptoms Score Gradations Remarks

141 गरशचणडका (स)

परवदधो शोप (Swelling extending from palate) (Which is elongated)

0 Normal size of uvula

1 Swelling of uvula that causes discomfort to the patient

2 Swelling of uvula that causes foreign body sensation

3 Difficulty in breathing due to swelling

दीघ शोप

(Elongated Swelling)

0 Normal size of uvula

1 Elongated swelling of uvula that causes discomfort to the patient

2 Elongated swelling of uvula that causes foreign body sensation

3 Difficulty in breathing due to Elongated swelling

धभातफचसतपरकाश शोप =Inflated

swelling like Basti

0 Normal size of uvula

1 Inflated swelling like Basti of uvula that causes discomfort to the patient

2 Inflated swelling like Basti of uvula that causes foreign body sensation

3 Difficulty in breathing due to Inflated swelling like Basti

तषणा 0 Normal feeling of thirst

1 Increased feeling of thirst which is relived after drinking water

The quantity of water is not consider here but the frequency of water is considered

2 Frequent feeling of thirst which is Occasional relived after drinking water

3 Continuous feeling of thirst does not relive after drinking profuse amount of water

कास (Coughing) 0 No coughing

49

Code Signs amp Symptoms Score Gradations Remarks

1 Occasional coughing during eating and speaking

2 Off and on coughing

3 Continuous coughing

शवास 0 No difficulty in breathing

1 Difficulty in breathing occasionally

2 More difficulty in breathing while sleeping

3 Excessive difficulty in breathing

भतमसमफचसततनब शोप (अहर)

0 Normal uvula Used as an adjective

1 Inflated swelling like Matsya-Basti of uvula that causes discomfort to the patient

2 Inflated swelling like Matsya-Basti of uvula that causes foreign body sensation

3 Difficulty in breathing due to Inflated swelling like Matsya-Basti

पररफ (अहर) 0 Normal length of Uvula

(Elongated Swelling)

1 Size of Uvula increased up to lt2 mm

2 Size of Uvula increased more than 2 mm but less than 4 mm

3 Size of Uvula increased gt4 mm that cause discomfort to patient and cause difficulty in breathing

पऩचछिर(अहर) (Sliminess)

0 Absent

1 Present

नासमाऽऽहायभीयमन (अहर)

0 Food does not come out from nose

(Food comes out of nose)

1 Food comes out from nose

कणठोऩयोध(अहर) (Obstruction of throat )

0 -Able to eat regular diet -No difficulty in swallowing of any food

1 Able to swallow liquid or soft diet but not able to swallow hard diet

2 Able to swallow hard diet forcefully

50

Code Signs amp Symptoms Score Gradations Remarks

3 Not able to swallow hard diet with force

वभन(अहर) (Vomiting)

0 No Vaman

1 Feeling of nausea only

2 Only one veg of Vaman in a day

3 Two vegas of Vaman in a day

4 More than two vegas of Vaman in a day

132 तचणडकयी (स)

शोप (Tonsillar

Swelling)

0 Tonsils are located within the tonsillar fossa

1 Tonsils hypertrophy till the brim of the tonsillar fossa

2 Tonsils hypertrophy extends beyond the pillars but not touching each other

3 Tonsils hypertrophy extends beyond the pillars but not touching each other

तोद

(Pricking pain)

0 No pain

1 Occasional pain Or according to VAS

2 Off and on pain

3 Continuous pain

दाह (Burning) 0 No

1 Occasional burning

2 Intermittent burning

3 Contentious burning dose not relive by any measures

परऩाक 0 Absent

1 Present

पऩचछिर शोप(अहर)

Sliminess in swallowing

0 Feeling of Sliminess is Absent

1 Feeling of Sliminess is Present

भनदरक (अहर)

(Mild pain)

0 Absent Or According to

VAS

1 Present

133 अधरष (स)

शोप (Swelling) 0 No swelling

1 13 Swelling in part of the palate

51

Code Signs amp Symptoms Score Gradations Remarks

2 23 swelling in part of palate

3 Swelling in gt than 23 part of palate

सतबधता =Functions of soft palate like deglutition Phonation etc are affected = No mobility of soft palate

0 Normal function of soft palate

1 Soft palate movement reduced but functions are not affected

2 Any one of the functions of soft palate is affected

3 All functions of soft palate are affected

रोटहतवणता

(Redness)

0 No change in colour

1 Pinkish red coloured mucosa in palate

2 Red coloured mucosa in palate

3 Dark red coloured mucosa in palate

रजा (Pain) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

जजवय (Fever) 0 Normal temperature

1 Temperature between 984rsquoF to 100rsquoF

Temperature between 100rsquoF to 101rsquoF

2 Temperature between 101rsquoF to 102rsquoF

3 Temperature between 102rsquoF to 103rsquoF

52

Code Signs amp Symptoms Score Gradations Remarks

4 Temperature between 103rsquoF to 104rsquoF

5 Temperature more than 104rsquoF

134 कछिऩ (स)

कभवत उतमसनन शोप (Swelling

having shape like dorsum of tortoise)

0 No swelling

1 Swelling in 13rd part of the palate

2 Swelling in 23rd part of palate

3 Swelling in gt 23rd part of palate

चियवपदध(अहर)

(Slow growth)

0 Growth within a week

1 Growth within 1 week to 1 month

2 Growth within 1 month to 6 months

3 Growth within gt 6 months

रक (अहर) (Pain) 0 No pain Or According to VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesics

135 तारअफद (स) ऩदमाकाय तारभधम

शोपम (Swelling

like shape of lotus )

0 No swelling

1 Swelling in 13rd part of the palate

2 2 Swelling in 23rd part of palate

3 3 Swelling in gt 23rd part of palate

136 भाससङघात (स) नीरज (Painless) 0 Absent

1 Present

53

Code Signs amp Symptoms Score Gradations Remarks

शोप 0 No swelling

1 Swelling in 13rd part of the palate

2 Swelling in 23rd part of palate

3 Swelling in gt 23rd part of palate

137 तारऩपऩि (स) नीरक (Painless) 0 Absent

1 Present

कोरभातर

Swelling having size of Kola fruit

0 Absent

1 Present

138 तारशोष (स)

शोष (Dryness) 0 No dryness

1 Dryness decreased after drinking water

2 Patient needs water frequently

3 Dryness persist after dinking profuse water

दायण (Tearing of palate)

0 Absent

1 Present

शवास (Difficulty in

breathing)

0 No difficulty in breathing Here difficulty in breathing is due to obstruction

1 Difficulty in breathing occasionally

2 More difficulty in breathing while sleeping position

3 Excessive difficulty in breathing

जजवय(अहर) (Fever) 0 Normal temperature

1 Temperature between 984rsquoF to 100rsquoF

Temperature between 100rsquoF to 101rsquoF

2 Temperature between 101rsquoF to 102rsquoF

3 Temperature between 102rsquoF to 103rsquoF

4 Temperature between 103rsquoF to 104rsquoF

5 Temperature more than 104rsquoF

54

Code Signs amp Symptoms Score Gradations Remarks

139 तारऩाक (स) ऩाक (Suppuration) 0 No swelling or suppuration

1 Inflammation of palate with pain and tenderness

2 Inflammation of palate with different types of pain and tenderness with induration

3 Pus formation and fluctuation positive

1310 तारपऩटिका (अहर) तारभास पऩटिका

Follicles in palate flesh

0 No follicles

1 13 palate covered with follicles

2 23 palate covered with follicles

3 More than 23 palate covered with follicles

रज(अहर) (Pain) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

Occasional pain

खयता(अहर) (Roughness)

0 Smooth on touch

1 Mild irregular surface on touch

2 Rough surface

3 Sharp rough surface which hurts on finger on touch

घनसराव(अहर) (Thick discharge)

0 No discharge

1 Occasional discharge

2 Off and on thick discharge

3 Continuous thick discharge

1311 तारसहतत (अहर) तारभधम तनरक (अहर) =Painless fleshy growth in palate

Only तारभधम तनरक indicates the place and quality of growth both the symptoms can be

merged

55

Code Signs amp Symptoms Score Gradations Remarks

तनरक (Painless) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

भाससहत

(Fleshy growth in palate)

0 No fleshy growth

1 Fleshy growth in 13 part of the palate Swelling

2 Fleshy growth in 23 part of palate swelling

3 Fleshy growth in more than 23 part of palate

56

GRADATION OF SARVASAR ROG

Code - 15

Established by Group BHOJ Dr Krishna Makaia ndash Convener

Dr Rajeshree Unadkat Dr Neelam Dave

Dr Ronakgiri Gosai Dr Jignesh Virapariya

Reviewed by Dr Vijayant Bharadwaj

Edited by Prof Vd Hāridra Dave

57

Code Signs amp Symptoms Score Gradations Remarks

151 वातजसवसय (स) सपोि (Ulcers) 0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

तोद = Pricking pain 0 No pricking pain Or According to VAS

1 Occasional pricking pain

2 Off and on pricking pain

3 Continuous pricking pain

Or

0 No pricking pain

1 Sometimes mild pricking pain

2 Has to take analgesic while pricking pain

सिारयण(अहर) This symptom is for सवसय so this सवसय is the nature of सिारय

0 No movement of सवसय

1 Movement of सवसय is once in a week

2 Movement of सवसय is once in three to four days

3 Movement of सवसय is at every alternate day

4 Movement of सवसय is once in a day

अरण (अहर) Reddish discoloration

0 Colour of वरण is same with colour of surrounding area

1 Colour of वरण is Reddish

2 Colour of वरण is Dark Red

3 Colour of वरण is Reddish black

र (अहर) Dryness 0 वरण is Moist

-No dryness of वरण

1 वरण Needs lubrication once a day

2 वरण Needs frequent lubrication in

a day

3 No benefit with frequent

lubrication of वरण

तामरता (अहर) (Coppery

0 Colour of वरणौषठ is same with colour of surrounding area

58

Code Signs amp Symptoms Score Gradations Remarks

discoloration) This symptom is for

वरणौषठ

1 Colour of वरणौषठ is Tamra Varna

चऱतवचा (अहर) (Free mucous membrane) This symptom is for

वरणौषठ

0

Movement of वरणौषठ is on touch

only

1 Movement of वरणौषठ can be seen by naked eye means without touch

शीतासहा (अहर) (Intolerance to cold) This symptom is for

जजहवा

0 No Intolerance of cold to जजहवा

1 Intolerance of severe cold to जजहवा

2 Intolerance of moderate cold to जजहवा

3 Intolerance of Mild cold to जजहवा

गवी (Heaviness)

This symptom is for

जजहवा

0 No Heaviness

1 Mild heaviness with no difficulty

in movement of जजहवा

2 Moderate heaviness with

difficulty in Movement of जजहवा

3 Sever heaviness with bending down of

सफटटता (अहर) (Ulcer)

0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

कणटाकाधचता (अहर) = Thorn like

appearance

0 No change in appearance

59

Code Signs amp Symptoms Score Gradations Remarks

1 13 part of oral mucous membrane covered with red fleshy thorn like papillae

2 23 part of oral mucous membrane covered with red fleshy thorn like papillae

3 gt23 part of oral mucous membrane covered with red fleshy thorn like papillae

षववणोतत कचछरणमखम (अहर) (Difficulty in mouth opening)

0 Mouth opening more than 3 fingers without difficulty

1 2 to 3 fingers opening of mouth with or without difficulty

2 1 to 2 fingers opening of mouth with or without difficulty

3 Less than 1 finger opening of mouth with or without difficulty

152 पऩतमत(यकतज)सवसय (स) Signs and Symptoms of यकतज सवसय are same as of पऩतमत सवसय so no separate gradations are mentioned

यकतता (Redness) 0 Colour of सवसय- वरण is similar with

surrounding mucous membrane

1 Reddish Colour of सवसय- वरण

2 Bright red Colour of सवसय- वरण

3 Dark red Colour of सवसय- वरण

सदाह (Burning

Sensation)

0 No burning in सवसय- वरण Or According to

VAS

1 Occasional burning in सवसय- वरण

2 Intermittent burning in सवसय- वरण

3 Contentious burning in सवसय- वरण

which does not relive by any measures

तन (तनसब) (Shallow superficial ulcers)

0 No ulcer

1 Ulcer having depth of 05-1 mm

2 Ulcer having depth of 1 ndash 15 mm

3 Ulcer having depth of 15 -2 mm

60

Code Signs amp Symptoms Score Gradations Remarks

ओष (अहर) 0 No (ओष) burning in सवसय- वरण

1 Occasional (ओष) burning in

सवसय- वरण

2 Intermittent (ओष) burning in

सवसय- वरण

3 Contentious (ओष) burning in

सवसय- वरण which does not relive

by any measures

ततकतवकरता (अहर) (Bitter taste in mouth)

0 No alteration in taste

1 Occasionally bitter taste felt in mouth without having any bitter substance

2 Off and on bitter taste felt in mouth without having any bitter substance

3 Continuous bitter taste felt in mouth without having any bitter substance

ारोकषतत समावरणा (अहर)

0 No Ulcer

(Ulcers looking like chemical burns)

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

153 कपज सवसय (स) कणड (Itching) 0 No itching Or According to

VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Unable to work due to itching

0r

0 No itching

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate on work due to severe itching

रजा (Pain)

(अलऩ रजा) 0 No pain Or According to

VAS

1 Occasional pain

61

Code Signs amp Symptoms Score Gradations Remarks

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain This condition should be considered as अलऩ रजा

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

सवणण 0 Colour of वरण is same with colour of near by tissue

1 Colour of वरण is not same with colour of near by tissue

मररासयतवम (अहर) (Sweet taste in mouth)

0 No alteration in taste

1 Occasionally sweet taste felt without eating any sweet substance

2 Off and on Sweet taste Occasionally sweet taste felt without eating any sweet substance

3 Continuous sweet taste Occasionally sweet taste felt without eating any sweet substance

षपजचछिऱता (अहर) (Unctuousness)

0 Absent

1 Present

वरण 0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

154 कफाबभद (अहर) शयाव अबभदम

(शयावपाणडऽबभदम) 0 Colour of growthtumour is same

the colour of surrounding skin

1 Colour of growthtumour is शयाव

(Blackish)

62

Code Signs amp Symptoms Score Gradations Remarks

पाणड अबभदम (शयावपाणडऽबभदम)

0 Colour of growthtumour is same the colour of surrounding skin

1 Colour of growthtumour is पाणड

(Pale)

अबभदम 0 No GrowthTumour TNM Classification for tumours can be applied for growth

1 Growthtumour having sizelt 10 mm

2 Growthtumour having size 10 mm to 20 mm

3 Growthtumour having size gt 20 mm

घटिता तिनना मटदता च षववरभत (Size increases on rubbing cutting and squeezing)

0 Size of GrowthTumour is not increasing by rubbing cutting or squeezing

1 Size of GrowthTumour is increasing up to 10 mm by rubbing cutting or squeezing within a month

2 Size of GrowthTumour is increasing up to 20 mm by rubbing cutting or squeezing within a month

3 Size of GrowthTumour is increasing up to 30 mm by rubbing cutting or squeezing within a month

4 Size of GrowthTumour is increasing up to 40 mm by rubbing cutting or squeezing within a month

155 ऊरधवभगद (अहर) वकतरदौगनधम

(Halitosis)

0 No Halitosis

1 Halitosis is feel by Patient only

2 Halitosis is feel by Patient and examining Doctor only

3 Halitosis is feel by any person from the distance from 5 meters

63

Code Signs amp Symptoms Score Gradations Remarks

4 Halitosis is feel by any person from the distance from more than 5 meters

156 पततवकर (अहर) ऩतममासमता

(Halitosis)

0 No Halitosis

1 Halitosis is feel by Patient only

2 Halitosis is feel by Patient and examining Doctor only

3 Halitosis is feel by any person from the distance from 5 meters

4 Halitosis is feel by any person from the distance from more than 5 meters

157 सतनऩाततक सवसय (अहर) This disease occurs due to aggravation of all three doshas including Rakta Clinical presentation of this disease is found as mixed picture according prominent aggravation of dosha and signs and symptoms will be observed accordingly Gradations should be considered accordingly so it is not required to repeat here

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Page 29: THE GRADATIONS OF DISEASES OF SHALAKYA TANTRA - PART …theassociationofshalaki.com/downloads/GRADATIONS_OF_DISEASE… · 12.05.2019  · I am also very much thankful to Dr Sandhya

28

GRADATION OF DANTA GAT ROG

Code ndash 12

Gradations established by Group KARAL Dr Krishna Makadia - Convener

Dantavaidya Saroj Joshi Dantavaidya Harshad Joshi

Dr Kiran Raj Dr Achyuta Atara Dr Pranav Dave

Gradations Reviewed by Dr Hemangi Shukla Dr Krishna Makadia

Edited by Prof Vd Hāridra Dave

29

Code Signs amp Symptoms Score Gradations Remarks

121 दाऱन (स)

तीवररग 0 No Rujā (pain) Or According to VAS

2 Rujā (pain) is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

उषणअसहादनता (अस) 0 No sensitivity in teeth ie with warm

water hot water or

excessive hot water

application on

tooth is not

possible so Time

related and severity

related grading was

finalised(same for

cold)

1 Mild sensitivity in teeth - At a

time

2 Moderate sensitivity in teeth -

Sensitivity remains only for 1

Prahar (up to 3 hrs)

3 Severe sensitivity in teeth -

Sensitivity remains more than

1 Prahar (more than 3 hrs)

शीतअचधकवमथा (अहर) 0 No sensitivity in teeth

1 Mild sensitivity in teeth - At a

time

2 Moderate sensitivity in teeth -

Sensitivity remains only for 1

Prahar (up to 3 hrs)

3 severe sensitivity in teeth-

Sensitivity remains more than

1 Prahar (more than 3 hrs)

22 कममदनत (स) कषण 0 No discoloration

1 Light greyish black

2 Dark greyish black

3 Jet black

30

Code Signs amp Symptoms Score Gradations Remarks

तिदर 0 No cavity It should be

decided by X-ray

1 Cavity within limit of enamel

2 Cavity within limit of dentin

3 Cavity up to pulp

िर 0 No mobility

1 1 mm antero-posterior

mobility

2 2 mm antero-posterior

mobility

3 More than 2 mm antero-

posterior amp medial to lateral

mobility

सरावी 0 No Srāv- after drying

particular teeth with cotton

inserting cotton on cavity

There is no other

method to check

Srāv in Krimidanta

1 Srāv is present

ससयब = Inflammation 0 No inflammation

1 Inflammation is Present भहारज 0 No Rujā (pain) Or According to

VAS 2 Rujā (pain) is Present on that

gum only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

This condition should be considered as भहारज

अतनसभतमतरज 0 No sudden onset of pain

1 Sudden onset of pain is

present

अहततीवराततशभ (अहर) 0 No sudden onset of pain

31

Code Signs amp Symptoms Score Gradations Remarks

1 Sudden onset of pain is

present

पररन (अहर) = Broken due to cavity

0 Cavity is there but it is not

broken

It should be

considered for each

tooth separately

Cavity in that must

be present in

particular tooth

1 13 part of tooth is broken

2 23 of tooth is broken

3 More than 23 of tooth is

broken

4 Total loss of tooth

ऩमसरत (अहर) 0 No Pooya Srāv after drying

particular place

with cotton

inserting cotton on

cavity

1 Pooya Srāv present

यकतसरत (अहर) 0 No Rakta Srāv after drying

particular place

with cotton

inserting cotton on

cavity

1 Rakta Srāv is present

123 दनतहषभ (स)

शीत सऩशन न सहनत 0 No sensitivity by cold touch

in any teeth

1 Ooccassional sensitivity by

cold touch in any toothteeth

for once

2 Sensitivity by cold touch

remains in toothteeth only up

to 1 Prahar (up to 3hrs)

3 Sensitivity by cold touch

remains more than 1 Prahar

(more than 3hrs)

उषण सऩशन न सहनत 0 No sensitivity by hot touch in

any teeth

1 Occassional sensitivity by hot

touch in toothteeth for once

2 Sensitivity by hot touch

remains in toothteeth only up

to 1 Prahar (up to 3hrs)

3 Sensitivity by hot touch

remains in toothteeth more

than 1 Prahar (more than

3hrs)

32

Code Signs amp Symptoms Score Gradations Remarks

परवाताभा = Sensitivity to air

(परवातारशीतबाभा) (अहर)

0 No sensitivity by Pravāt

touch in any tooth

1 Occassional sensitivity by

Pravāt touch in toothteeth for

once

2 Sensitivity by Pravāt touch

remains in toothteeth only up

to 1 Prahar (up to 3hrs)

3 Sensitivity by Pravāt touch

remains in toothteeth more

than 1 Prahar (more than

3hrs)

अरबाभा = Sensitivity to sour food

(परवातारशीतबाभा) (अहर)

0 No sensitivity by eating

sourer food to any tooth

1 Occassional sensitivity by

eating sourer food to any

toothteeth for once

2 Sensitivity by eating sourer

food remains to toothteeth

only up to 1 Prahar (up to

3hrs)

3 Sensitivity by eating sourer

food remains to toothteeth

more than 1 Prahar (more

than 3hrs)

शीतबाभा (परवातारशीतबाभा) (अहर)

0 No sensitivity by eating cold

item to any tooth

1 Occasional sensitivity by

eating cold item to toothteeth

for once

2 Sensitivity by Pravāt touch

remains in toothteeth only up

to 1 Prahar (up to 3hrs)

3 Sensitivity by eating cold

item remains to toothteeth

more than 1 Prahar (more

than 3hrs)

सरजा (अहर) 0 No Rujā (pain)

33

Code Signs amp Symptoms Score Gradations Remarks

2 Rujā (pain) is Present on that gum only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

2 Rujā (pain) is Present on that gum only where disease is occurred and patient can do hisher routine work without disturbance

िर (अहर) 0 No mobility

1 1 mm anterio-posterior

mobility

2 2 mm anterio-posterior

mobility

3 More than 2 mm antero-

posterior amp medial to lateral

mobility

124 भञजनक (स) =Photograph is necessary

(depending upon the severity gradation has been finalised)

वकतर वकरता 0 No deviation

1 Deviation is present

तीवररक 0 No Rujā (pain) Or according to

VAS

2 Rujā (pain) is Present on that gum only where disease is occurred and patient can do hisher routine work without disturbance

34

Code Signs amp Symptoms Score Gradations Remarks

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

This condition should be considered as तीवररक

दनतबङग 0 Tooth is not broken This should be

considered for

single tooth

1 13 part of tooth is broken

2 23 of tooth is broken

3 More than 23 of tooth is

broken

4 Total loss of tooth

125 दनतशकभ रा (स) =Calculus index was selected

शकयव चसथयीबत भर 0 No calculus present

1 Supragingival calculus

covering not more than third

of the exposed tooth surface

2 Supragingival calculus

covering more than 13 but

not more than 23 of the

exposed tooth surface or the

presence of individual flecks

of subgingival calculus

around the cervical portion of

the tooth or both

3 Supragingival calculus

covering more than 23 of the

exposed tooth surface or

continues heavy band 0f

subgingival calculus around

the cervical portion of the

tooth or both

35

Code Signs amp Symptoms Score Gradations Remarks

दनताना गणहयी 0 Absent All 10 Guna of

Danta Sampata

should be

considered required

suggestions for

each Guna

1 Present

ऩततगचनध (अहर) 0 No foul smell Taken grading of

halitosis

1 Patient feels foul smell

2 Doctor or person who comes near to patient feels foul smell

3 From distance anyone can feels foul smell who is in the room

4 Foul smell can be feel from outside of the room even

126 कपामऱका (स)

दनतवलकसम दरनभ = Bracketing of tooth enamel (दरचनत दनतवलकातन)

0 No दरनभ of tooth This should be

considered

separately for each

tooth

1 दरनभ is present of less than 13 of tooth

2 दरनभ is present of more than of 13 of tooth but less than 23 of tooth

3 दरनभ is present of more than of 23 of tooth but no total loss of tooth

4 Total loss of tooth after दरनभ

This condition should be considered as दशनाना पवनाश

दशनाना पवनाश = Total loss of tooth

0 No Any loss of tooth This should be

considered

separately for each

tooth

1 loss of tooth is present of less than 13 of tooth

2 loss of tooth is present of more than of 13 of tooth but less than 23 of tooth

36

Code Signs amp Symptoms Score Gradations Remarks

3 loss of tooth is present of more than of 23 of tooth but no total loss of tooth

4 Total loss of tooth This condition should be considered as दशनाना पवनाश

दनतशातनभ अणश = Thinning of tooth (शातमतममतममणशो दनतात कऩारातन) (अहर)

0 No शातनभ of tooth This should be

considered

separately for each

tooth

1 शातनभ is present in less than 13 of tooth

2 शातनभ is present in more than 13 of tooth but less than 23 of tooth

3 शातनभ is present in more than 23 of tooth but no total loss of tooth

4 Total loss of tooth due to शातनभ

127 शयावदनतक (स) In शमावदनत शमावता amp नीरता should be considered ascending stages

शमावता + नीरता 0 -No any discolouration of

tooth

-Normal colour of tooth

This should be

considered

separately for each

tooth

1 शमावता is Present

2 नीरता is Present

128 हनमो (स) According to Dalhan हनमो is not Dant Rog directly but it is near to

Dantchewing of hard food is one of the causes and there is pain in Dant so it is considered under Danta Rog

हनसचनधपवसहत 0 Absent

1 Can be reset by manual reduction

2 Can be reset by surgical

intervention

129 दनतभद (अहर) तोद =Pricking pain 0 No Pricking pain -Or According to

VAS

- This should be

considered

separately for each

tooth

37

Code Signs amp Symptoms Score Gradations Remarks

2 Pricking pain is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Pricking pain is referred up to Hanu and patient can do hisher routine work without disturbance

4 Pricking pain is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Pricking pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Pricking pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

बद Braking pain 0 No Braking pain -Or According to

VAS

- This should be

considered

separately for each

tooth

2 Braking pain is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Braking pain is referred up to Hanu and patient can do hisher routine work without disturbance

4 Braking pain is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Braking pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Braking pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

38

Code Signs amp Symptoms Score Gradations Remarks

रक Dull pain 0 No Rujā (pain) -Or According to

VAS

- This should be

considered

separately for each

tooth

2 Rujā (pain) is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

सपिन Burstingexpanding pain

0 No Bursting pain -Or According to

VAS

- This should be

considered

separately for each

tooth

2 Bursting pain is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Bursting pain is referred up to Hanu and patient can do hisher routine work without disturbance

4 Bursting pain is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

39

Code Signs amp Symptoms Score Gradations Remarks

5 Bursting pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Bursting pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

1210 दनतचाऱ (अहर) िरतमव = Mobility 0 No = mobility

1 1mm anterio-posterior

mobility

2 2 mm anterio-posterior

mobility

3 More than 2 mm anterio-

posterior amp medial to lateral

mobility

बणादचधकवमथ 0 No Vyatha ndash Pain during

eating

1 Pain during eating of hard

diet only

2 Pain during eating of soft diet

even

1211 कराऱ (स)

=Malocclusion

0 A Normal Molar relationship

exist but there is crowding

misalignment of the teeth

cross bite etc

1 A malocclusion where the

molar relationship shows the

buccal grove of mandibular

first molar distally positioned

when in occlusion with the

mesiobuccal cusp of the

maxillary first molar

2 A malocclusion where the

molar relationship shows the

buccal groove of the

mandibular first molar

mesiallypos

40

GRADATIONS OF JIHWA GAT ROG

Code - 13

Established by Group BHOJ Dr Krishna Makaia ndash Convener

Dr Rajeshree Unadkat Dr Neelam Dave

Dr Ronakgiri Gosai Dr Jignesh Virapariya

Reviewed by Dr Vijayant Bharadwaj

Edited by Prof Vd Hāridra Dave

41

Code Signs amp Symptoms Score Gradations Remarks

131 वाततक चजहवाकिक (स) सपटिता (Creaks) 0 No creaks on tongue

1 Single creak on the dorsum of tongue

2 Multiple Creaks on the dorsum of tongue

3 Multiple deep creaks on the dorsum of tongue (Bleeding)

परसपता (Numbness )

0 No Numbness

1 Numbness in 13 Part of tongue

2 Numbness in 23 Part of tongue

3 Numbness in more than 23 Part of tongue

शाकछिदनपरकाशा (Roughness)

0 Normal surface of tongue on touch

1 Mild rough surface on touch

2 Hard irregular surface on touch

3 Very rough surface which hurts the finger on touch

132 ऩततक चजहवाकिक (स) ऩीता 0 No yellowish discolouration

1 Yellowish discoloration in 13 part

2 Yellowish discoloration in 23 part

3 Yellowish discoloration in more than 23 part of tongue

ऩरयदहमत Burning in entire tongue)

0 No burning Or According to VAS

1 Occasional burning

2 Intermittent burning

3 Continuous burning does not relieve by any measures

दाह (Burning may be

in partially tongue)

0 No Burning Or According to VAS

1 Burning up to 13 part of tongue

2 Burning in 13 to 23 part of tongue

3 Burning in more than 23 part of tongue

42

Code Signs amp Symptoms Score Gradations Remarks

यकतभासाङकयचशिता (Covered with red buds )

0 No change in appearance

1 13 part of tongue covered with red fleshy buds

2 23 part of tongue covered with red fleshy buds

3 Whole tongue covered with red fleshy buds

ओष (Burning) 0 No Oshha Or According to VAS

1 Oshha up to 13 part of tongue

2 Oshha in 13 to 23 part of tongue

3 Oshha in more than 23 part of tongue

133 कपज चजहवाकिक (स) फहरा (Thick) 0 Normal Thickness of Tongue

1 Thickness increased - noticeable by patient

2 Thickness increased - noticeable by the examiner

3 Tongue protruding out because of increased Thickness

गवी (Heaviness) 0 No Heaviness

1 Feeling mild heaviness but no difficulty in Tongue movement

2 Difficulty in Tongue movement especially during intake of liquid

3 Difficulty in Tongue movement especially during intake of hard food

4 Difficulty in Tongue movement especially during Pronunciation

भासोदगभ शालभसरकणिकाब (thorn like papilla)

0 No change in appearance of tongue

1 13 part of tongue covered with red fleshy thorn like papilla

2 23 part of tongue covered with thorn like papilla

3 Whole tongue covered with thorn like papilla

43

Code Signs amp Symptoms Score Gradations Remarks

134 अरास (स) शवमथ

(Swelling at ventral surface of tongue)

0 Absent

1 Present

सतबमतत (Restricted tongue movement)

0 -Normal Movement of Tongue -Movement of tongue not affected

1 Tongue movement slightly restricted but does not affect the normal function

2 Tongue movement restricted that affects the normal function

3 Tongue movement arrested

परवदध

(Increase in size)

0 Size not increased

1 Size increased - noticeable by the patient

2 Size increased - noticeable by the examiner

3 Tongue protruding out because of increased size

ऩाक 0 No swelling or suppuration

1 Inflammation with pain and tenderness

2 Inflammation with different types of pain and tenderness along with induration

3 Pus formation and fluctuation positive

अधशोप 0 Absent

1 Present

उननत (elevation of

the tongue due to swelling below the tongue)

0 Normal position of tongue

1 Tongue slightly elevated due to swelling below the tongue

2 Tongue elevation causes discomfort to the patient

3 Tongue touches the palate

भतमसमगचनध

(Fishy smell)

0 Absent

1 Present

44

Code Signs amp Symptoms Score Gradations Remarks

भासशातन (Destruction of flesh of tongue )

0 No Destruction of tongue flesh

1 13 part of tongue flesh is destroyed

2 23 part of tongue flesh is destroyed

3 More than 23 part of tongue is destroyed

135 उऩचजचहवका (स) शवमथ (Swelling) 0 Absent

1 Present

चजहवाभननम

जात (elevation of

tongue because of swelling)

0 Normal position of tongue

1 Tongue slightly elevated due to swelling below the tongue

2 Tongue elevation causes discomfort to the patient

3 Tongue touches the palate

परसक (Salivation) 0 Normal secretion of saliva

1 Occasionally spitting

2 Off and on spitting

3 Continuous spitting which disturbs the work

कणड (Itching) 0 No itching Or According to VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate on work due to severe itching

0r

0 No itching

1 Occasional itching

2 Off and on itching

3 Continuous itching

ऩरयदाह (Burning in

whole tongue)

0 No burning Or According to VAS

1 Occasional burning

2 Intermittent burning

3 Contentious burning dose not relive by any measures

45

Code Signs amp Symptoms Score Gradations Remarks

136 अचधचजचहवका (अर)

अधोचजहवामा शोप

0 Normal position of tongue

(Swelling below the tongue)

1 Tongue slightly elevated due to swelling below the tongue

2 Tongue elevation causes discomfort to the patient

3 Tongue touches the palate

अङकय (Pappilary

growth)

0 Absent

1 Present

ओष (Burning) 0 No Oshh Or According to

VAS

1 Oshh up to 13 part of tongue

2 Oshh in 13 to 23 part of tongue

3 Oshh in more than 23 part of tongue

सतबवान

(Restriction of Movement)

0 Movement of tongue not affected

1 Tongue movement slightly restricted but does not affect the normal function

2 Tongue movement restricted that affect the normal function

3 Tongue movement arrested

खय(Rough) 0 Smooth on touch

1 Mild irregular surface

2 Rough surface

3 Sharp rough surface touch hurts on finger on touch

रक (Pain) 0 No pain Or According to

VAS

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

कणड (Itching) 0 No itching Or According to

VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate on work due to severe itching

0r

0 No itching

46

Code Signs amp Symptoms Score Gradations Remarks

1 Occasional itching

2 Off and on itching

3 Continuous itching

वाकम पवघातकत (Difficulty in speech)

0 No difficulty in speech

1 Unable to speak िति vargavyanjana

2 Difficulty in speaking क vargavyanjana

Swara donrsquot need involvement of tongue

3 Unable to speak

आहयपवघातकत

(Swallowing )

0 Able to eat regular diet

1 Able to eat soft diet

2 Able to eat only liquid diet

3 Unable to swallow anything

47

GRADATION OF TALUGAT ROG

Code - 14

Established by Group BHOJ Dr Krishna Makaia ndash Convener

Dr Rajeshree Unadkat Dr Neelam Dave

Dr Ronakgiri Gosai Dr Jignesh Virapariya

Reviewed by Dr Vijayant Bharadwaj

Edited by Prof Vd Hāridra Dave

48

Code Signs amp Symptoms Score Gradations Remarks

141 गरशचणडका (स)

परवदधो शोप (Swelling extending from palate) (Which is elongated)

0 Normal size of uvula

1 Swelling of uvula that causes discomfort to the patient

2 Swelling of uvula that causes foreign body sensation

3 Difficulty in breathing due to swelling

दीघ शोप

(Elongated Swelling)

0 Normal size of uvula

1 Elongated swelling of uvula that causes discomfort to the patient

2 Elongated swelling of uvula that causes foreign body sensation

3 Difficulty in breathing due to Elongated swelling

धभातफचसतपरकाश शोप =Inflated

swelling like Basti

0 Normal size of uvula

1 Inflated swelling like Basti of uvula that causes discomfort to the patient

2 Inflated swelling like Basti of uvula that causes foreign body sensation

3 Difficulty in breathing due to Inflated swelling like Basti

तषणा 0 Normal feeling of thirst

1 Increased feeling of thirst which is relived after drinking water

The quantity of water is not consider here but the frequency of water is considered

2 Frequent feeling of thirst which is Occasional relived after drinking water

3 Continuous feeling of thirst does not relive after drinking profuse amount of water

कास (Coughing) 0 No coughing

49

Code Signs amp Symptoms Score Gradations Remarks

1 Occasional coughing during eating and speaking

2 Off and on coughing

3 Continuous coughing

शवास 0 No difficulty in breathing

1 Difficulty in breathing occasionally

2 More difficulty in breathing while sleeping

3 Excessive difficulty in breathing

भतमसमफचसततनब शोप (अहर)

0 Normal uvula Used as an adjective

1 Inflated swelling like Matsya-Basti of uvula that causes discomfort to the patient

2 Inflated swelling like Matsya-Basti of uvula that causes foreign body sensation

3 Difficulty in breathing due to Inflated swelling like Matsya-Basti

पररफ (अहर) 0 Normal length of Uvula

(Elongated Swelling)

1 Size of Uvula increased up to lt2 mm

2 Size of Uvula increased more than 2 mm but less than 4 mm

3 Size of Uvula increased gt4 mm that cause discomfort to patient and cause difficulty in breathing

पऩचछिर(अहर) (Sliminess)

0 Absent

1 Present

नासमाऽऽहायभीयमन (अहर)

0 Food does not come out from nose

(Food comes out of nose)

1 Food comes out from nose

कणठोऩयोध(अहर) (Obstruction of throat )

0 -Able to eat regular diet -No difficulty in swallowing of any food

1 Able to swallow liquid or soft diet but not able to swallow hard diet

2 Able to swallow hard diet forcefully

50

Code Signs amp Symptoms Score Gradations Remarks

3 Not able to swallow hard diet with force

वभन(अहर) (Vomiting)

0 No Vaman

1 Feeling of nausea only

2 Only one veg of Vaman in a day

3 Two vegas of Vaman in a day

4 More than two vegas of Vaman in a day

132 तचणडकयी (स)

शोप (Tonsillar

Swelling)

0 Tonsils are located within the tonsillar fossa

1 Tonsils hypertrophy till the brim of the tonsillar fossa

2 Tonsils hypertrophy extends beyond the pillars but not touching each other

3 Tonsils hypertrophy extends beyond the pillars but not touching each other

तोद

(Pricking pain)

0 No pain

1 Occasional pain Or according to VAS

2 Off and on pain

3 Continuous pain

दाह (Burning) 0 No

1 Occasional burning

2 Intermittent burning

3 Contentious burning dose not relive by any measures

परऩाक 0 Absent

1 Present

पऩचछिर शोप(अहर)

Sliminess in swallowing

0 Feeling of Sliminess is Absent

1 Feeling of Sliminess is Present

भनदरक (अहर)

(Mild pain)

0 Absent Or According to

VAS

1 Present

133 अधरष (स)

शोप (Swelling) 0 No swelling

1 13 Swelling in part of the palate

51

Code Signs amp Symptoms Score Gradations Remarks

2 23 swelling in part of palate

3 Swelling in gt than 23 part of palate

सतबधता =Functions of soft palate like deglutition Phonation etc are affected = No mobility of soft palate

0 Normal function of soft palate

1 Soft palate movement reduced but functions are not affected

2 Any one of the functions of soft palate is affected

3 All functions of soft palate are affected

रोटहतवणता

(Redness)

0 No change in colour

1 Pinkish red coloured mucosa in palate

2 Red coloured mucosa in palate

3 Dark red coloured mucosa in palate

रजा (Pain) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

जजवय (Fever) 0 Normal temperature

1 Temperature between 984rsquoF to 100rsquoF

Temperature between 100rsquoF to 101rsquoF

2 Temperature between 101rsquoF to 102rsquoF

3 Temperature between 102rsquoF to 103rsquoF

52

Code Signs amp Symptoms Score Gradations Remarks

4 Temperature between 103rsquoF to 104rsquoF

5 Temperature more than 104rsquoF

134 कछिऩ (स)

कभवत उतमसनन शोप (Swelling

having shape like dorsum of tortoise)

0 No swelling

1 Swelling in 13rd part of the palate

2 Swelling in 23rd part of palate

3 Swelling in gt 23rd part of palate

चियवपदध(अहर)

(Slow growth)

0 Growth within a week

1 Growth within 1 week to 1 month

2 Growth within 1 month to 6 months

3 Growth within gt 6 months

रक (अहर) (Pain) 0 No pain Or According to VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesics

135 तारअफद (स) ऩदमाकाय तारभधम

शोपम (Swelling

like shape of lotus )

0 No swelling

1 Swelling in 13rd part of the palate

2 2 Swelling in 23rd part of palate

3 3 Swelling in gt 23rd part of palate

136 भाससङघात (स) नीरज (Painless) 0 Absent

1 Present

53

Code Signs amp Symptoms Score Gradations Remarks

शोप 0 No swelling

1 Swelling in 13rd part of the palate

2 Swelling in 23rd part of palate

3 Swelling in gt 23rd part of palate

137 तारऩपऩि (स) नीरक (Painless) 0 Absent

1 Present

कोरभातर

Swelling having size of Kola fruit

0 Absent

1 Present

138 तारशोष (स)

शोष (Dryness) 0 No dryness

1 Dryness decreased after drinking water

2 Patient needs water frequently

3 Dryness persist after dinking profuse water

दायण (Tearing of palate)

0 Absent

1 Present

शवास (Difficulty in

breathing)

0 No difficulty in breathing Here difficulty in breathing is due to obstruction

1 Difficulty in breathing occasionally

2 More difficulty in breathing while sleeping position

3 Excessive difficulty in breathing

जजवय(अहर) (Fever) 0 Normal temperature

1 Temperature between 984rsquoF to 100rsquoF

Temperature between 100rsquoF to 101rsquoF

2 Temperature between 101rsquoF to 102rsquoF

3 Temperature between 102rsquoF to 103rsquoF

4 Temperature between 103rsquoF to 104rsquoF

5 Temperature more than 104rsquoF

54

Code Signs amp Symptoms Score Gradations Remarks

139 तारऩाक (स) ऩाक (Suppuration) 0 No swelling or suppuration

1 Inflammation of palate with pain and tenderness

2 Inflammation of palate with different types of pain and tenderness with induration

3 Pus formation and fluctuation positive

1310 तारपऩटिका (अहर) तारभास पऩटिका

Follicles in palate flesh

0 No follicles

1 13 palate covered with follicles

2 23 palate covered with follicles

3 More than 23 palate covered with follicles

रज(अहर) (Pain) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

Occasional pain

खयता(अहर) (Roughness)

0 Smooth on touch

1 Mild irregular surface on touch

2 Rough surface

3 Sharp rough surface which hurts on finger on touch

घनसराव(अहर) (Thick discharge)

0 No discharge

1 Occasional discharge

2 Off and on thick discharge

3 Continuous thick discharge

1311 तारसहतत (अहर) तारभधम तनरक (अहर) =Painless fleshy growth in palate

Only तारभधम तनरक indicates the place and quality of growth both the symptoms can be

merged

55

Code Signs amp Symptoms Score Gradations Remarks

तनरक (Painless) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

भाससहत

(Fleshy growth in palate)

0 No fleshy growth

1 Fleshy growth in 13 part of the palate Swelling

2 Fleshy growth in 23 part of palate swelling

3 Fleshy growth in more than 23 part of palate

56

GRADATION OF SARVASAR ROG

Code - 15

Established by Group BHOJ Dr Krishna Makaia ndash Convener

Dr Rajeshree Unadkat Dr Neelam Dave

Dr Ronakgiri Gosai Dr Jignesh Virapariya

Reviewed by Dr Vijayant Bharadwaj

Edited by Prof Vd Hāridra Dave

57

Code Signs amp Symptoms Score Gradations Remarks

151 वातजसवसय (स) सपोि (Ulcers) 0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

तोद = Pricking pain 0 No pricking pain Or According to VAS

1 Occasional pricking pain

2 Off and on pricking pain

3 Continuous pricking pain

Or

0 No pricking pain

1 Sometimes mild pricking pain

2 Has to take analgesic while pricking pain

सिारयण(अहर) This symptom is for सवसय so this सवसय is the nature of सिारय

0 No movement of सवसय

1 Movement of सवसय is once in a week

2 Movement of सवसय is once in three to four days

3 Movement of सवसय is at every alternate day

4 Movement of सवसय is once in a day

अरण (अहर) Reddish discoloration

0 Colour of वरण is same with colour of surrounding area

1 Colour of वरण is Reddish

2 Colour of वरण is Dark Red

3 Colour of वरण is Reddish black

र (अहर) Dryness 0 वरण is Moist

-No dryness of वरण

1 वरण Needs lubrication once a day

2 वरण Needs frequent lubrication in

a day

3 No benefit with frequent

lubrication of वरण

तामरता (अहर) (Coppery

0 Colour of वरणौषठ is same with colour of surrounding area

58

Code Signs amp Symptoms Score Gradations Remarks

discoloration) This symptom is for

वरणौषठ

1 Colour of वरणौषठ is Tamra Varna

चऱतवचा (अहर) (Free mucous membrane) This symptom is for

वरणौषठ

0

Movement of वरणौषठ is on touch

only

1 Movement of वरणौषठ can be seen by naked eye means without touch

शीतासहा (अहर) (Intolerance to cold) This symptom is for

जजहवा

0 No Intolerance of cold to जजहवा

1 Intolerance of severe cold to जजहवा

2 Intolerance of moderate cold to जजहवा

3 Intolerance of Mild cold to जजहवा

गवी (Heaviness)

This symptom is for

जजहवा

0 No Heaviness

1 Mild heaviness with no difficulty

in movement of जजहवा

2 Moderate heaviness with

difficulty in Movement of जजहवा

3 Sever heaviness with bending down of

सफटटता (अहर) (Ulcer)

0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

कणटाकाधचता (अहर) = Thorn like

appearance

0 No change in appearance

59

Code Signs amp Symptoms Score Gradations Remarks

1 13 part of oral mucous membrane covered with red fleshy thorn like papillae

2 23 part of oral mucous membrane covered with red fleshy thorn like papillae

3 gt23 part of oral mucous membrane covered with red fleshy thorn like papillae

षववणोतत कचछरणमखम (अहर) (Difficulty in mouth opening)

0 Mouth opening more than 3 fingers without difficulty

1 2 to 3 fingers opening of mouth with or without difficulty

2 1 to 2 fingers opening of mouth with or without difficulty

3 Less than 1 finger opening of mouth with or without difficulty

152 पऩतमत(यकतज)सवसय (स) Signs and Symptoms of यकतज सवसय are same as of पऩतमत सवसय so no separate gradations are mentioned

यकतता (Redness) 0 Colour of सवसय- वरण is similar with

surrounding mucous membrane

1 Reddish Colour of सवसय- वरण

2 Bright red Colour of सवसय- वरण

3 Dark red Colour of सवसय- वरण

सदाह (Burning

Sensation)

0 No burning in सवसय- वरण Or According to

VAS

1 Occasional burning in सवसय- वरण

2 Intermittent burning in सवसय- वरण

3 Contentious burning in सवसय- वरण

which does not relive by any measures

तन (तनसब) (Shallow superficial ulcers)

0 No ulcer

1 Ulcer having depth of 05-1 mm

2 Ulcer having depth of 1 ndash 15 mm

3 Ulcer having depth of 15 -2 mm

60

Code Signs amp Symptoms Score Gradations Remarks

ओष (अहर) 0 No (ओष) burning in सवसय- वरण

1 Occasional (ओष) burning in

सवसय- वरण

2 Intermittent (ओष) burning in

सवसय- वरण

3 Contentious (ओष) burning in

सवसय- वरण which does not relive

by any measures

ततकतवकरता (अहर) (Bitter taste in mouth)

0 No alteration in taste

1 Occasionally bitter taste felt in mouth without having any bitter substance

2 Off and on bitter taste felt in mouth without having any bitter substance

3 Continuous bitter taste felt in mouth without having any bitter substance

ारोकषतत समावरणा (अहर)

0 No Ulcer

(Ulcers looking like chemical burns)

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

153 कपज सवसय (स) कणड (Itching) 0 No itching Or According to

VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Unable to work due to itching

0r

0 No itching

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate on work due to severe itching

रजा (Pain)

(अलऩ रजा) 0 No pain Or According to

VAS

1 Occasional pain

61

Code Signs amp Symptoms Score Gradations Remarks

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain This condition should be considered as अलऩ रजा

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

सवणण 0 Colour of वरण is same with colour of near by tissue

1 Colour of वरण is not same with colour of near by tissue

मररासयतवम (अहर) (Sweet taste in mouth)

0 No alteration in taste

1 Occasionally sweet taste felt without eating any sweet substance

2 Off and on Sweet taste Occasionally sweet taste felt without eating any sweet substance

3 Continuous sweet taste Occasionally sweet taste felt without eating any sweet substance

षपजचछिऱता (अहर) (Unctuousness)

0 Absent

1 Present

वरण 0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

154 कफाबभद (अहर) शयाव अबभदम

(शयावपाणडऽबभदम) 0 Colour of growthtumour is same

the colour of surrounding skin

1 Colour of growthtumour is शयाव

(Blackish)

62

Code Signs amp Symptoms Score Gradations Remarks

पाणड अबभदम (शयावपाणडऽबभदम)

0 Colour of growthtumour is same the colour of surrounding skin

1 Colour of growthtumour is पाणड

(Pale)

अबभदम 0 No GrowthTumour TNM Classification for tumours can be applied for growth

1 Growthtumour having sizelt 10 mm

2 Growthtumour having size 10 mm to 20 mm

3 Growthtumour having size gt 20 mm

घटिता तिनना मटदता च षववरभत (Size increases on rubbing cutting and squeezing)

0 Size of GrowthTumour is not increasing by rubbing cutting or squeezing

1 Size of GrowthTumour is increasing up to 10 mm by rubbing cutting or squeezing within a month

2 Size of GrowthTumour is increasing up to 20 mm by rubbing cutting or squeezing within a month

3 Size of GrowthTumour is increasing up to 30 mm by rubbing cutting or squeezing within a month

4 Size of GrowthTumour is increasing up to 40 mm by rubbing cutting or squeezing within a month

155 ऊरधवभगद (अहर) वकतरदौगनधम

(Halitosis)

0 No Halitosis

1 Halitosis is feel by Patient only

2 Halitosis is feel by Patient and examining Doctor only

3 Halitosis is feel by any person from the distance from 5 meters

63

Code Signs amp Symptoms Score Gradations Remarks

4 Halitosis is feel by any person from the distance from more than 5 meters

156 पततवकर (अहर) ऩतममासमता

(Halitosis)

0 No Halitosis

1 Halitosis is feel by Patient only

2 Halitosis is feel by Patient and examining Doctor only

3 Halitosis is feel by any person from the distance from 5 meters

4 Halitosis is feel by any person from the distance from more than 5 meters

157 सतनऩाततक सवसय (अहर) This disease occurs due to aggravation of all three doshas including Rakta Clinical presentation of this disease is found as mixed picture according prominent aggravation of dosha and signs and symptoms will be observed accordingly Gradations should be considered accordingly so it is not required to repeat here

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Page 30: THE GRADATIONS OF DISEASES OF SHALAKYA TANTRA - PART …theassociationofshalaki.com/downloads/GRADATIONS_OF_DISEASE… · 12.05.2019  · I am also very much thankful to Dr Sandhya

29

Code Signs amp Symptoms Score Gradations Remarks

121 दाऱन (स)

तीवररग 0 No Rujā (pain) Or According to VAS

2 Rujā (pain) is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

उषणअसहादनता (अस) 0 No sensitivity in teeth ie with warm

water hot water or

excessive hot water

application on

tooth is not

possible so Time

related and severity

related grading was

finalised(same for

cold)

1 Mild sensitivity in teeth - At a

time

2 Moderate sensitivity in teeth -

Sensitivity remains only for 1

Prahar (up to 3 hrs)

3 Severe sensitivity in teeth -

Sensitivity remains more than

1 Prahar (more than 3 hrs)

शीतअचधकवमथा (अहर) 0 No sensitivity in teeth

1 Mild sensitivity in teeth - At a

time

2 Moderate sensitivity in teeth -

Sensitivity remains only for 1

Prahar (up to 3 hrs)

3 severe sensitivity in teeth-

Sensitivity remains more than

1 Prahar (more than 3 hrs)

22 कममदनत (स) कषण 0 No discoloration

1 Light greyish black

2 Dark greyish black

3 Jet black

30

Code Signs amp Symptoms Score Gradations Remarks

तिदर 0 No cavity It should be

decided by X-ray

1 Cavity within limit of enamel

2 Cavity within limit of dentin

3 Cavity up to pulp

िर 0 No mobility

1 1 mm antero-posterior

mobility

2 2 mm antero-posterior

mobility

3 More than 2 mm antero-

posterior amp medial to lateral

mobility

सरावी 0 No Srāv- after drying

particular teeth with cotton

inserting cotton on cavity

There is no other

method to check

Srāv in Krimidanta

1 Srāv is present

ससयब = Inflammation 0 No inflammation

1 Inflammation is Present भहारज 0 No Rujā (pain) Or According to

VAS 2 Rujā (pain) is Present on that

gum only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

This condition should be considered as भहारज

अतनसभतमतरज 0 No sudden onset of pain

1 Sudden onset of pain is

present

अहततीवराततशभ (अहर) 0 No sudden onset of pain

31

Code Signs amp Symptoms Score Gradations Remarks

1 Sudden onset of pain is

present

पररन (अहर) = Broken due to cavity

0 Cavity is there but it is not

broken

It should be

considered for each

tooth separately

Cavity in that must

be present in

particular tooth

1 13 part of tooth is broken

2 23 of tooth is broken

3 More than 23 of tooth is

broken

4 Total loss of tooth

ऩमसरत (अहर) 0 No Pooya Srāv after drying

particular place

with cotton

inserting cotton on

cavity

1 Pooya Srāv present

यकतसरत (अहर) 0 No Rakta Srāv after drying

particular place

with cotton

inserting cotton on

cavity

1 Rakta Srāv is present

123 दनतहषभ (स)

शीत सऩशन न सहनत 0 No sensitivity by cold touch

in any teeth

1 Ooccassional sensitivity by

cold touch in any toothteeth

for once

2 Sensitivity by cold touch

remains in toothteeth only up

to 1 Prahar (up to 3hrs)

3 Sensitivity by cold touch

remains more than 1 Prahar

(more than 3hrs)

उषण सऩशन न सहनत 0 No sensitivity by hot touch in

any teeth

1 Occassional sensitivity by hot

touch in toothteeth for once

2 Sensitivity by hot touch

remains in toothteeth only up

to 1 Prahar (up to 3hrs)

3 Sensitivity by hot touch

remains in toothteeth more

than 1 Prahar (more than

3hrs)

32

Code Signs amp Symptoms Score Gradations Remarks

परवाताभा = Sensitivity to air

(परवातारशीतबाभा) (अहर)

0 No sensitivity by Pravāt

touch in any tooth

1 Occassional sensitivity by

Pravāt touch in toothteeth for

once

2 Sensitivity by Pravāt touch

remains in toothteeth only up

to 1 Prahar (up to 3hrs)

3 Sensitivity by Pravāt touch

remains in toothteeth more

than 1 Prahar (more than

3hrs)

अरबाभा = Sensitivity to sour food

(परवातारशीतबाभा) (अहर)

0 No sensitivity by eating

sourer food to any tooth

1 Occassional sensitivity by

eating sourer food to any

toothteeth for once

2 Sensitivity by eating sourer

food remains to toothteeth

only up to 1 Prahar (up to

3hrs)

3 Sensitivity by eating sourer

food remains to toothteeth

more than 1 Prahar (more

than 3hrs)

शीतबाभा (परवातारशीतबाभा) (अहर)

0 No sensitivity by eating cold

item to any tooth

1 Occasional sensitivity by

eating cold item to toothteeth

for once

2 Sensitivity by Pravāt touch

remains in toothteeth only up

to 1 Prahar (up to 3hrs)

3 Sensitivity by eating cold

item remains to toothteeth

more than 1 Prahar (more

than 3hrs)

सरजा (अहर) 0 No Rujā (pain)

33

Code Signs amp Symptoms Score Gradations Remarks

2 Rujā (pain) is Present on that gum only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

2 Rujā (pain) is Present on that gum only where disease is occurred and patient can do hisher routine work without disturbance

िर (अहर) 0 No mobility

1 1 mm anterio-posterior

mobility

2 2 mm anterio-posterior

mobility

3 More than 2 mm antero-

posterior amp medial to lateral

mobility

124 भञजनक (स) =Photograph is necessary

(depending upon the severity gradation has been finalised)

वकतर वकरता 0 No deviation

1 Deviation is present

तीवररक 0 No Rujā (pain) Or according to

VAS

2 Rujā (pain) is Present on that gum only where disease is occurred and patient can do hisher routine work without disturbance

34

Code Signs amp Symptoms Score Gradations Remarks

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

This condition should be considered as तीवररक

दनतबङग 0 Tooth is not broken This should be

considered for

single tooth

1 13 part of tooth is broken

2 23 of tooth is broken

3 More than 23 of tooth is

broken

4 Total loss of tooth

125 दनतशकभ रा (स) =Calculus index was selected

शकयव चसथयीबत भर 0 No calculus present

1 Supragingival calculus

covering not more than third

of the exposed tooth surface

2 Supragingival calculus

covering more than 13 but

not more than 23 of the

exposed tooth surface or the

presence of individual flecks

of subgingival calculus

around the cervical portion of

the tooth or both

3 Supragingival calculus

covering more than 23 of the

exposed tooth surface or

continues heavy band 0f

subgingival calculus around

the cervical portion of the

tooth or both

35

Code Signs amp Symptoms Score Gradations Remarks

दनताना गणहयी 0 Absent All 10 Guna of

Danta Sampata

should be

considered required

suggestions for

each Guna

1 Present

ऩततगचनध (अहर) 0 No foul smell Taken grading of

halitosis

1 Patient feels foul smell

2 Doctor or person who comes near to patient feels foul smell

3 From distance anyone can feels foul smell who is in the room

4 Foul smell can be feel from outside of the room even

126 कपामऱका (स)

दनतवलकसम दरनभ = Bracketing of tooth enamel (दरचनत दनतवलकातन)

0 No दरनभ of tooth This should be

considered

separately for each

tooth

1 दरनभ is present of less than 13 of tooth

2 दरनभ is present of more than of 13 of tooth but less than 23 of tooth

3 दरनभ is present of more than of 23 of tooth but no total loss of tooth

4 Total loss of tooth after दरनभ

This condition should be considered as दशनाना पवनाश

दशनाना पवनाश = Total loss of tooth

0 No Any loss of tooth This should be

considered

separately for each

tooth

1 loss of tooth is present of less than 13 of tooth

2 loss of tooth is present of more than of 13 of tooth but less than 23 of tooth

36

Code Signs amp Symptoms Score Gradations Remarks

3 loss of tooth is present of more than of 23 of tooth but no total loss of tooth

4 Total loss of tooth This condition should be considered as दशनाना पवनाश

दनतशातनभ अणश = Thinning of tooth (शातमतममतममणशो दनतात कऩारातन) (अहर)

0 No शातनभ of tooth This should be

considered

separately for each

tooth

1 शातनभ is present in less than 13 of tooth

2 शातनभ is present in more than 13 of tooth but less than 23 of tooth

3 शातनभ is present in more than 23 of tooth but no total loss of tooth

4 Total loss of tooth due to शातनभ

127 शयावदनतक (स) In शमावदनत शमावता amp नीरता should be considered ascending stages

शमावता + नीरता 0 -No any discolouration of

tooth

-Normal colour of tooth

This should be

considered

separately for each

tooth

1 शमावता is Present

2 नीरता is Present

128 हनमो (स) According to Dalhan हनमो is not Dant Rog directly but it is near to

Dantchewing of hard food is one of the causes and there is pain in Dant so it is considered under Danta Rog

हनसचनधपवसहत 0 Absent

1 Can be reset by manual reduction

2 Can be reset by surgical

intervention

129 दनतभद (अहर) तोद =Pricking pain 0 No Pricking pain -Or According to

VAS

- This should be

considered

separately for each

tooth

37

Code Signs amp Symptoms Score Gradations Remarks

2 Pricking pain is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Pricking pain is referred up to Hanu and patient can do hisher routine work without disturbance

4 Pricking pain is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Pricking pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Pricking pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

बद Braking pain 0 No Braking pain -Or According to

VAS

- This should be

considered

separately for each

tooth

2 Braking pain is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Braking pain is referred up to Hanu and patient can do hisher routine work without disturbance

4 Braking pain is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Braking pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Braking pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

38

Code Signs amp Symptoms Score Gradations Remarks

रक Dull pain 0 No Rujā (pain) -Or According to

VAS

- This should be

considered

separately for each

tooth

2 Rujā (pain) is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

सपिन Burstingexpanding pain

0 No Bursting pain -Or According to

VAS

- This should be

considered

separately for each

tooth

2 Bursting pain is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Bursting pain is referred up to Hanu and patient can do hisher routine work without disturbance

4 Bursting pain is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

39

Code Signs amp Symptoms Score Gradations Remarks

5 Bursting pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Bursting pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

1210 दनतचाऱ (अहर) िरतमव = Mobility 0 No = mobility

1 1mm anterio-posterior

mobility

2 2 mm anterio-posterior

mobility

3 More than 2 mm anterio-

posterior amp medial to lateral

mobility

बणादचधकवमथ 0 No Vyatha ndash Pain during

eating

1 Pain during eating of hard

diet only

2 Pain during eating of soft diet

even

1211 कराऱ (स)

=Malocclusion

0 A Normal Molar relationship

exist but there is crowding

misalignment of the teeth

cross bite etc

1 A malocclusion where the

molar relationship shows the

buccal grove of mandibular

first molar distally positioned

when in occlusion with the

mesiobuccal cusp of the

maxillary first molar

2 A malocclusion where the

molar relationship shows the

buccal groove of the

mandibular first molar

mesiallypos

40

GRADATIONS OF JIHWA GAT ROG

Code - 13

Established by Group BHOJ Dr Krishna Makaia ndash Convener

Dr Rajeshree Unadkat Dr Neelam Dave

Dr Ronakgiri Gosai Dr Jignesh Virapariya

Reviewed by Dr Vijayant Bharadwaj

Edited by Prof Vd Hāridra Dave

41

Code Signs amp Symptoms Score Gradations Remarks

131 वाततक चजहवाकिक (स) सपटिता (Creaks) 0 No creaks on tongue

1 Single creak on the dorsum of tongue

2 Multiple Creaks on the dorsum of tongue

3 Multiple deep creaks on the dorsum of tongue (Bleeding)

परसपता (Numbness )

0 No Numbness

1 Numbness in 13 Part of tongue

2 Numbness in 23 Part of tongue

3 Numbness in more than 23 Part of tongue

शाकछिदनपरकाशा (Roughness)

0 Normal surface of tongue on touch

1 Mild rough surface on touch

2 Hard irregular surface on touch

3 Very rough surface which hurts the finger on touch

132 ऩततक चजहवाकिक (स) ऩीता 0 No yellowish discolouration

1 Yellowish discoloration in 13 part

2 Yellowish discoloration in 23 part

3 Yellowish discoloration in more than 23 part of tongue

ऩरयदहमत Burning in entire tongue)

0 No burning Or According to VAS

1 Occasional burning

2 Intermittent burning

3 Continuous burning does not relieve by any measures

दाह (Burning may be

in partially tongue)

0 No Burning Or According to VAS

1 Burning up to 13 part of tongue

2 Burning in 13 to 23 part of tongue

3 Burning in more than 23 part of tongue

42

Code Signs amp Symptoms Score Gradations Remarks

यकतभासाङकयचशिता (Covered with red buds )

0 No change in appearance

1 13 part of tongue covered with red fleshy buds

2 23 part of tongue covered with red fleshy buds

3 Whole tongue covered with red fleshy buds

ओष (Burning) 0 No Oshha Or According to VAS

1 Oshha up to 13 part of tongue

2 Oshha in 13 to 23 part of tongue

3 Oshha in more than 23 part of tongue

133 कपज चजहवाकिक (स) फहरा (Thick) 0 Normal Thickness of Tongue

1 Thickness increased - noticeable by patient

2 Thickness increased - noticeable by the examiner

3 Tongue protruding out because of increased Thickness

गवी (Heaviness) 0 No Heaviness

1 Feeling mild heaviness but no difficulty in Tongue movement

2 Difficulty in Tongue movement especially during intake of liquid

3 Difficulty in Tongue movement especially during intake of hard food

4 Difficulty in Tongue movement especially during Pronunciation

भासोदगभ शालभसरकणिकाब (thorn like papilla)

0 No change in appearance of tongue

1 13 part of tongue covered with red fleshy thorn like papilla

2 23 part of tongue covered with thorn like papilla

3 Whole tongue covered with thorn like papilla

43

Code Signs amp Symptoms Score Gradations Remarks

134 अरास (स) शवमथ

(Swelling at ventral surface of tongue)

0 Absent

1 Present

सतबमतत (Restricted tongue movement)

0 -Normal Movement of Tongue -Movement of tongue not affected

1 Tongue movement slightly restricted but does not affect the normal function

2 Tongue movement restricted that affects the normal function

3 Tongue movement arrested

परवदध

(Increase in size)

0 Size not increased

1 Size increased - noticeable by the patient

2 Size increased - noticeable by the examiner

3 Tongue protruding out because of increased size

ऩाक 0 No swelling or suppuration

1 Inflammation with pain and tenderness

2 Inflammation with different types of pain and tenderness along with induration

3 Pus formation and fluctuation positive

अधशोप 0 Absent

1 Present

उननत (elevation of

the tongue due to swelling below the tongue)

0 Normal position of tongue

1 Tongue slightly elevated due to swelling below the tongue

2 Tongue elevation causes discomfort to the patient

3 Tongue touches the palate

भतमसमगचनध

(Fishy smell)

0 Absent

1 Present

44

Code Signs amp Symptoms Score Gradations Remarks

भासशातन (Destruction of flesh of tongue )

0 No Destruction of tongue flesh

1 13 part of tongue flesh is destroyed

2 23 part of tongue flesh is destroyed

3 More than 23 part of tongue is destroyed

135 उऩचजचहवका (स) शवमथ (Swelling) 0 Absent

1 Present

चजहवाभननम

जात (elevation of

tongue because of swelling)

0 Normal position of tongue

1 Tongue slightly elevated due to swelling below the tongue

2 Tongue elevation causes discomfort to the patient

3 Tongue touches the palate

परसक (Salivation) 0 Normal secretion of saliva

1 Occasionally spitting

2 Off and on spitting

3 Continuous spitting which disturbs the work

कणड (Itching) 0 No itching Or According to VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate on work due to severe itching

0r

0 No itching

1 Occasional itching

2 Off and on itching

3 Continuous itching

ऩरयदाह (Burning in

whole tongue)

0 No burning Or According to VAS

1 Occasional burning

2 Intermittent burning

3 Contentious burning dose not relive by any measures

45

Code Signs amp Symptoms Score Gradations Remarks

136 अचधचजचहवका (अर)

अधोचजहवामा शोप

0 Normal position of tongue

(Swelling below the tongue)

1 Tongue slightly elevated due to swelling below the tongue

2 Tongue elevation causes discomfort to the patient

3 Tongue touches the palate

अङकय (Pappilary

growth)

0 Absent

1 Present

ओष (Burning) 0 No Oshh Or According to

VAS

1 Oshh up to 13 part of tongue

2 Oshh in 13 to 23 part of tongue

3 Oshh in more than 23 part of tongue

सतबवान

(Restriction of Movement)

0 Movement of tongue not affected

1 Tongue movement slightly restricted but does not affect the normal function

2 Tongue movement restricted that affect the normal function

3 Tongue movement arrested

खय(Rough) 0 Smooth on touch

1 Mild irregular surface

2 Rough surface

3 Sharp rough surface touch hurts on finger on touch

रक (Pain) 0 No pain Or According to

VAS

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

कणड (Itching) 0 No itching Or According to

VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate on work due to severe itching

0r

0 No itching

46

Code Signs amp Symptoms Score Gradations Remarks

1 Occasional itching

2 Off and on itching

3 Continuous itching

वाकम पवघातकत (Difficulty in speech)

0 No difficulty in speech

1 Unable to speak िति vargavyanjana

2 Difficulty in speaking क vargavyanjana

Swara donrsquot need involvement of tongue

3 Unable to speak

आहयपवघातकत

(Swallowing )

0 Able to eat regular diet

1 Able to eat soft diet

2 Able to eat only liquid diet

3 Unable to swallow anything

47

GRADATION OF TALUGAT ROG

Code - 14

Established by Group BHOJ Dr Krishna Makaia ndash Convener

Dr Rajeshree Unadkat Dr Neelam Dave

Dr Ronakgiri Gosai Dr Jignesh Virapariya

Reviewed by Dr Vijayant Bharadwaj

Edited by Prof Vd Hāridra Dave

48

Code Signs amp Symptoms Score Gradations Remarks

141 गरशचणडका (स)

परवदधो शोप (Swelling extending from palate) (Which is elongated)

0 Normal size of uvula

1 Swelling of uvula that causes discomfort to the patient

2 Swelling of uvula that causes foreign body sensation

3 Difficulty in breathing due to swelling

दीघ शोप

(Elongated Swelling)

0 Normal size of uvula

1 Elongated swelling of uvula that causes discomfort to the patient

2 Elongated swelling of uvula that causes foreign body sensation

3 Difficulty in breathing due to Elongated swelling

धभातफचसतपरकाश शोप =Inflated

swelling like Basti

0 Normal size of uvula

1 Inflated swelling like Basti of uvula that causes discomfort to the patient

2 Inflated swelling like Basti of uvula that causes foreign body sensation

3 Difficulty in breathing due to Inflated swelling like Basti

तषणा 0 Normal feeling of thirst

1 Increased feeling of thirst which is relived after drinking water

The quantity of water is not consider here but the frequency of water is considered

2 Frequent feeling of thirst which is Occasional relived after drinking water

3 Continuous feeling of thirst does not relive after drinking profuse amount of water

कास (Coughing) 0 No coughing

49

Code Signs amp Symptoms Score Gradations Remarks

1 Occasional coughing during eating and speaking

2 Off and on coughing

3 Continuous coughing

शवास 0 No difficulty in breathing

1 Difficulty in breathing occasionally

2 More difficulty in breathing while sleeping

3 Excessive difficulty in breathing

भतमसमफचसततनब शोप (अहर)

0 Normal uvula Used as an adjective

1 Inflated swelling like Matsya-Basti of uvula that causes discomfort to the patient

2 Inflated swelling like Matsya-Basti of uvula that causes foreign body sensation

3 Difficulty in breathing due to Inflated swelling like Matsya-Basti

पररफ (अहर) 0 Normal length of Uvula

(Elongated Swelling)

1 Size of Uvula increased up to lt2 mm

2 Size of Uvula increased more than 2 mm but less than 4 mm

3 Size of Uvula increased gt4 mm that cause discomfort to patient and cause difficulty in breathing

पऩचछिर(अहर) (Sliminess)

0 Absent

1 Present

नासमाऽऽहायभीयमन (अहर)

0 Food does not come out from nose

(Food comes out of nose)

1 Food comes out from nose

कणठोऩयोध(अहर) (Obstruction of throat )

0 -Able to eat regular diet -No difficulty in swallowing of any food

1 Able to swallow liquid or soft diet but not able to swallow hard diet

2 Able to swallow hard diet forcefully

50

Code Signs amp Symptoms Score Gradations Remarks

3 Not able to swallow hard diet with force

वभन(अहर) (Vomiting)

0 No Vaman

1 Feeling of nausea only

2 Only one veg of Vaman in a day

3 Two vegas of Vaman in a day

4 More than two vegas of Vaman in a day

132 तचणडकयी (स)

शोप (Tonsillar

Swelling)

0 Tonsils are located within the tonsillar fossa

1 Tonsils hypertrophy till the brim of the tonsillar fossa

2 Tonsils hypertrophy extends beyond the pillars but not touching each other

3 Tonsils hypertrophy extends beyond the pillars but not touching each other

तोद

(Pricking pain)

0 No pain

1 Occasional pain Or according to VAS

2 Off and on pain

3 Continuous pain

दाह (Burning) 0 No

1 Occasional burning

2 Intermittent burning

3 Contentious burning dose not relive by any measures

परऩाक 0 Absent

1 Present

पऩचछिर शोप(अहर)

Sliminess in swallowing

0 Feeling of Sliminess is Absent

1 Feeling of Sliminess is Present

भनदरक (अहर)

(Mild pain)

0 Absent Or According to

VAS

1 Present

133 अधरष (स)

शोप (Swelling) 0 No swelling

1 13 Swelling in part of the palate

51

Code Signs amp Symptoms Score Gradations Remarks

2 23 swelling in part of palate

3 Swelling in gt than 23 part of palate

सतबधता =Functions of soft palate like deglutition Phonation etc are affected = No mobility of soft palate

0 Normal function of soft palate

1 Soft palate movement reduced but functions are not affected

2 Any one of the functions of soft palate is affected

3 All functions of soft palate are affected

रोटहतवणता

(Redness)

0 No change in colour

1 Pinkish red coloured mucosa in palate

2 Red coloured mucosa in palate

3 Dark red coloured mucosa in palate

रजा (Pain) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

जजवय (Fever) 0 Normal temperature

1 Temperature between 984rsquoF to 100rsquoF

Temperature between 100rsquoF to 101rsquoF

2 Temperature between 101rsquoF to 102rsquoF

3 Temperature between 102rsquoF to 103rsquoF

52

Code Signs amp Symptoms Score Gradations Remarks

4 Temperature between 103rsquoF to 104rsquoF

5 Temperature more than 104rsquoF

134 कछिऩ (स)

कभवत उतमसनन शोप (Swelling

having shape like dorsum of tortoise)

0 No swelling

1 Swelling in 13rd part of the palate

2 Swelling in 23rd part of palate

3 Swelling in gt 23rd part of palate

चियवपदध(अहर)

(Slow growth)

0 Growth within a week

1 Growth within 1 week to 1 month

2 Growth within 1 month to 6 months

3 Growth within gt 6 months

रक (अहर) (Pain) 0 No pain Or According to VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesics

135 तारअफद (स) ऩदमाकाय तारभधम

शोपम (Swelling

like shape of lotus )

0 No swelling

1 Swelling in 13rd part of the palate

2 2 Swelling in 23rd part of palate

3 3 Swelling in gt 23rd part of palate

136 भाससङघात (स) नीरज (Painless) 0 Absent

1 Present

53

Code Signs amp Symptoms Score Gradations Remarks

शोप 0 No swelling

1 Swelling in 13rd part of the palate

2 Swelling in 23rd part of palate

3 Swelling in gt 23rd part of palate

137 तारऩपऩि (स) नीरक (Painless) 0 Absent

1 Present

कोरभातर

Swelling having size of Kola fruit

0 Absent

1 Present

138 तारशोष (स)

शोष (Dryness) 0 No dryness

1 Dryness decreased after drinking water

2 Patient needs water frequently

3 Dryness persist after dinking profuse water

दायण (Tearing of palate)

0 Absent

1 Present

शवास (Difficulty in

breathing)

0 No difficulty in breathing Here difficulty in breathing is due to obstruction

1 Difficulty in breathing occasionally

2 More difficulty in breathing while sleeping position

3 Excessive difficulty in breathing

जजवय(अहर) (Fever) 0 Normal temperature

1 Temperature between 984rsquoF to 100rsquoF

Temperature between 100rsquoF to 101rsquoF

2 Temperature between 101rsquoF to 102rsquoF

3 Temperature between 102rsquoF to 103rsquoF

4 Temperature between 103rsquoF to 104rsquoF

5 Temperature more than 104rsquoF

54

Code Signs amp Symptoms Score Gradations Remarks

139 तारऩाक (स) ऩाक (Suppuration) 0 No swelling or suppuration

1 Inflammation of palate with pain and tenderness

2 Inflammation of palate with different types of pain and tenderness with induration

3 Pus formation and fluctuation positive

1310 तारपऩटिका (अहर) तारभास पऩटिका

Follicles in palate flesh

0 No follicles

1 13 palate covered with follicles

2 23 palate covered with follicles

3 More than 23 palate covered with follicles

रज(अहर) (Pain) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

Occasional pain

खयता(अहर) (Roughness)

0 Smooth on touch

1 Mild irregular surface on touch

2 Rough surface

3 Sharp rough surface which hurts on finger on touch

घनसराव(अहर) (Thick discharge)

0 No discharge

1 Occasional discharge

2 Off and on thick discharge

3 Continuous thick discharge

1311 तारसहतत (अहर) तारभधम तनरक (अहर) =Painless fleshy growth in palate

Only तारभधम तनरक indicates the place and quality of growth both the symptoms can be

merged

55

Code Signs amp Symptoms Score Gradations Remarks

तनरक (Painless) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

भाससहत

(Fleshy growth in palate)

0 No fleshy growth

1 Fleshy growth in 13 part of the palate Swelling

2 Fleshy growth in 23 part of palate swelling

3 Fleshy growth in more than 23 part of palate

56

GRADATION OF SARVASAR ROG

Code - 15

Established by Group BHOJ Dr Krishna Makaia ndash Convener

Dr Rajeshree Unadkat Dr Neelam Dave

Dr Ronakgiri Gosai Dr Jignesh Virapariya

Reviewed by Dr Vijayant Bharadwaj

Edited by Prof Vd Hāridra Dave

57

Code Signs amp Symptoms Score Gradations Remarks

151 वातजसवसय (स) सपोि (Ulcers) 0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

तोद = Pricking pain 0 No pricking pain Or According to VAS

1 Occasional pricking pain

2 Off and on pricking pain

3 Continuous pricking pain

Or

0 No pricking pain

1 Sometimes mild pricking pain

2 Has to take analgesic while pricking pain

सिारयण(अहर) This symptom is for सवसय so this सवसय is the nature of सिारय

0 No movement of सवसय

1 Movement of सवसय is once in a week

2 Movement of सवसय is once in three to four days

3 Movement of सवसय is at every alternate day

4 Movement of सवसय is once in a day

अरण (अहर) Reddish discoloration

0 Colour of वरण is same with colour of surrounding area

1 Colour of वरण is Reddish

2 Colour of वरण is Dark Red

3 Colour of वरण is Reddish black

र (अहर) Dryness 0 वरण is Moist

-No dryness of वरण

1 वरण Needs lubrication once a day

2 वरण Needs frequent lubrication in

a day

3 No benefit with frequent

lubrication of वरण

तामरता (अहर) (Coppery

0 Colour of वरणौषठ is same with colour of surrounding area

58

Code Signs amp Symptoms Score Gradations Remarks

discoloration) This symptom is for

वरणौषठ

1 Colour of वरणौषठ is Tamra Varna

चऱतवचा (अहर) (Free mucous membrane) This symptom is for

वरणौषठ

0

Movement of वरणौषठ is on touch

only

1 Movement of वरणौषठ can be seen by naked eye means without touch

शीतासहा (अहर) (Intolerance to cold) This symptom is for

जजहवा

0 No Intolerance of cold to जजहवा

1 Intolerance of severe cold to जजहवा

2 Intolerance of moderate cold to जजहवा

3 Intolerance of Mild cold to जजहवा

गवी (Heaviness)

This symptom is for

जजहवा

0 No Heaviness

1 Mild heaviness with no difficulty

in movement of जजहवा

2 Moderate heaviness with

difficulty in Movement of जजहवा

3 Sever heaviness with bending down of

सफटटता (अहर) (Ulcer)

0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

कणटाकाधचता (अहर) = Thorn like

appearance

0 No change in appearance

59

Code Signs amp Symptoms Score Gradations Remarks

1 13 part of oral mucous membrane covered with red fleshy thorn like papillae

2 23 part of oral mucous membrane covered with red fleshy thorn like papillae

3 gt23 part of oral mucous membrane covered with red fleshy thorn like papillae

षववणोतत कचछरणमखम (अहर) (Difficulty in mouth opening)

0 Mouth opening more than 3 fingers without difficulty

1 2 to 3 fingers opening of mouth with or without difficulty

2 1 to 2 fingers opening of mouth with or without difficulty

3 Less than 1 finger opening of mouth with or without difficulty

152 पऩतमत(यकतज)सवसय (स) Signs and Symptoms of यकतज सवसय are same as of पऩतमत सवसय so no separate gradations are mentioned

यकतता (Redness) 0 Colour of सवसय- वरण is similar with

surrounding mucous membrane

1 Reddish Colour of सवसय- वरण

2 Bright red Colour of सवसय- वरण

3 Dark red Colour of सवसय- वरण

सदाह (Burning

Sensation)

0 No burning in सवसय- वरण Or According to

VAS

1 Occasional burning in सवसय- वरण

2 Intermittent burning in सवसय- वरण

3 Contentious burning in सवसय- वरण

which does not relive by any measures

तन (तनसब) (Shallow superficial ulcers)

0 No ulcer

1 Ulcer having depth of 05-1 mm

2 Ulcer having depth of 1 ndash 15 mm

3 Ulcer having depth of 15 -2 mm

60

Code Signs amp Symptoms Score Gradations Remarks

ओष (अहर) 0 No (ओष) burning in सवसय- वरण

1 Occasional (ओष) burning in

सवसय- वरण

2 Intermittent (ओष) burning in

सवसय- वरण

3 Contentious (ओष) burning in

सवसय- वरण which does not relive

by any measures

ततकतवकरता (अहर) (Bitter taste in mouth)

0 No alteration in taste

1 Occasionally bitter taste felt in mouth without having any bitter substance

2 Off and on bitter taste felt in mouth without having any bitter substance

3 Continuous bitter taste felt in mouth without having any bitter substance

ारोकषतत समावरणा (अहर)

0 No Ulcer

(Ulcers looking like chemical burns)

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

153 कपज सवसय (स) कणड (Itching) 0 No itching Or According to

VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Unable to work due to itching

0r

0 No itching

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate on work due to severe itching

रजा (Pain)

(अलऩ रजा) 0 No pain Or According to

VAS

1 Occasional pain

61

Code Signs amp Symptoms Score Gradations Remarks

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain This condition should be considered as अलऩ रजा

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

सवणण 0 Colour of वरण is same with colour of near by tissue

1 Colour of वरण is not same with colour of near by tissue

मररासयतवम (अहर) (Sweet taste in mouth)

0 No alteration in taste

1 Occasionally sweet taste felt without eating any sweet substance

2 Off and on Sweet taste Occasionally sweet taste felt without eating any sweet substance

3 Continuous sweet taste Occasionally sweet taste felt without eating any sweet substance

षपजचछिऱता (अहर) (Unctuousness)

0 Absent

1 Present

वरण 0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

154 कफाबभद (अहर) शयाव अबभदम

(शयावपाणडऽबभदम) 0 Colour of growthtumour is same

the colour of surrounding skin

1 Colour of growthtumour is शयाव

(Blackish)

62

Code Signs amp Symptoms Score Gradations Remarks

पाणड अबभदम (शयावपाणडऽबभदम)

0 Colour of growthtumour is same the colour of surrounding skin

1 Colour of growthtumour is पाणड

(Pale)

अबभदम 0 No GrowthTumour TNM Classification for tumours can be applied for growth

1 Growthtumour having sizelt 10 mm

2 Growthtumour having size 10 mm to 20 mm

3 Growthtumour having size gt 20 mm

घटिता तिनना मटदता च षववरभत (Size increases on rubbing cutting and squeezing)

0 Size of GrowthTumour is not increasing by rubbing cutting or squeezing

1 Size of GrowthTumour is increasing up to 10 mm by rubbing cutting or squeezing within a month

2 Size of GrowthTumour is increasing up to 20 mm by rubbing cutting or squeezing within a month

3 Size of GrowthTumour is increasing up to 30 mm by rubbing cutting or squeezing within a month

4 Size of GrowthTumour is increasing up to 40 mm by rubbing cutting or squeezing within a month

155 ऊरधवभगद (अहर) वकतरदौगनधम

(Halitosis)

0 No Halitosis

1 Halitosis is feel by Patient only

2 Halitosis is feel by Patient and examining Doctor only

3 Halitosis is feel by any person from the distance from 5 meters

63

Code Signs amp Symptoms Score Gradations Remarks

4 Halitosis is feel by any person from the distance from more than 5 meters

156 पततवकर (अहर) ऩतममासमता

(Halitosis)

0 No Halitosis

1 Halitosis is feel by Patient only

2 Halitosis is feel by Patient and examining Doctor only

3 Halitosis is feel by any person from the distance from 5 meters

4 Halitosis is feel by any person from the distance from more than 5 meters

157 सतनऩाततक सवसय (अहर) This disease occurs due to aggravation of all three doshas including Rakta Clinical presentation of this disease is found as mixed picture according prominent aggravation of dosha and signs and symptoms will be observed accordingly Gradations should be considered accordingly so it is not required to repeat here

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Page 31: THE GRADATIONS OF DISEASES OF SHALAKYA TANTRA - PART …theassociationofshalaki.com/downloads/GRADATIONS_OF_DISEASE… · 12.05.2019  · I am also very much thankful to Dr Sandhya

30

Code Signs amp Symptoms Score Gradations Remarks

तिदर 0 No cavity It should be

decided by X-ray

1 Cavity within limit of enamel

2 Cavity within limit of dentin

3 Cavity up to pulp

िर 0 No mobility

1 1 mm antero-posterior

mobility

2 2 mm antero-posterior

mobility

3 More than 2 mm antero-

posterior amp medial to lateral

mobility

सरावी 0 No Srāv- after drying

particular teeth with cotton

inserting cotton on cavity

There is no other

method to check

Srāv in Krimidanta

1 Srāv is present

ससयब = Inflammation 0 No inflammation

1 Inflammation is Present भहारज 0 No Rujā (pain) Or According to

VAS 2 Rujā (pain) is Present on that

gum only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

This condition should be considered as भहारज

अतनसभतमतरज 0 No sudden onset of pain

1 Sudden onset of pain is

present

अहततीवराततशभ (अहर) 0 No sudden onset of pain

31

Code Signs amp Symptoms Score Gradations Remarks

1 Sudden onset of pain is

present

पररन (अहर) = Broken due to cavity

0 Cavity is there but it is not

broken

It should be

considered for each

tooth separately

Cavity in that must

be present in

particular tooth

1 13 part of tooth is broken

2 23 of tooth is broken

3 More than 23 of tooth is

broken

4 Total loss of tooth

ऩमसरत (अहर) 0 No Pooya Srāv after drying

particular place

with cotton

inserting cotton on

cavity

1 Pooya Srāv present

यकतसरत (अहर) 0 No Rakta Srāv after drying

particular place

with cotton

inserting cotton on

cavity

1 Rakta Srāv is present

123 दनतहषभ (स)

शीत सऩशन न सहनत 0 No sensitivity by cold touch

in any teeth

1 Ooccassional sensitivity by

cold touch in any toothteeth

for once

2 Sensitivity by cold touch

remains in toothteeth only up

to 1 Prahar (up to 3hrs)

3 Sensitivity by cold touch

remains more than 1 Prahar

(more than 3hrs)

उषण सऩशन न सहनत 0 No sensitivity by hot touch in

any teeth

1 Occassional sensitivity by hot

touch in toothteeth for once

2 Sensitivity by hot touch

remains in toothteeth only up

to 1 Prahar (up to 3hrs)

3 Sensitivity by hot touch

remains in toothteeth more

than 1 Prahar (more than

3hrs)

32

Code Signs amp Symptoms Score Gradations Remarks

परवाताभा = Sensitivity to air

(परवातारशीतबाभा) (अहर)

0 No sensitivity by Pravāt

touch in any tooth

1 Occassional sensitivity by

Pravāt touch in toothteeth for

once

2 Sensitivity by Pravāt touch

remains in toothteeth only up

to 1 Prahar (up to 3hrs)

3 Sensitivity by Pravāt touch

remains in toothteeth more

than 1 Prahar (more than

3hrs)

अरबाभा = Sensitivity to sour food

(परवातारशीतबाभा) (अहर)

0 No sensitivity by eating

sourer food to any tooth

1 Occassional sensitivity by

eating sourer food to any

toothteeth for once

2 Sensitivity by eating sourer

food remains to toothteeth

only up to 1 Prahar (up to

3hrs)

3 Sensitivity by eating sourer

food remains to toothteeth

more than 1 Prahar (more

than 3hrs)

शीतबाभा (परवातारशीतबाभा) (अहर)

0 No sensitivity by eating cold

item to any tooth

1 Occasional sensitivity by

eating cold item to toothteeth

for once

2 Sensitivity by Pravāt touch

remains in toothteeth only up

to 1 Prahar (up to 3hrs)

3 Sensitivity by eating cold

item remains to toothteeth

more than 1 Prahar (more

than 3hrs)

सरजा (अहर) 0 No Rujā (pain)

33

Code Signs amp Symptoms Score Gradations Remarks

2 Rujā (pain) is Present on that gum only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

2 Rujā (pain) is Present on that gum only where disease is occurred and patient can do hisher routine work without disturbance

िर (अहर) 0 No mobility

1 1 mm anterio-posterior

mobility

2 2 mm anterio-posterior

mobility

3 More than 2 mm antero-

posterior amp medial to lateral

mobility

124 भञजनक (स) =Photograph is necessary

(depending upon the severity gradation has been finalised)

वकतर वकरता 0 No deviation

1 Deviation is present

तीवररक 0 No Rujā (pain) Or according to

VAS

2 Rujā (pain) is Present on that gum only where disease is occurred and patient can do hisher routine work without disturbance

34

Code Signs amp Symptoms Score Gradations Remarks

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

This condition should be considered as तीवररक

दनतबङग 0 Tooth is not broken This should be

considered for

single tooth

1 13 part of tooth is broken

2 23 of tooth is broken

3 More than 23 of tooth is

broken

4 Total loss of tooth

125 दनतशकभ रा (स) =Calculus index was selected

शकयव चसथयीबत भर 0 No calculus present

1 Supragingival calculus

covering not more than third

of the exposed tooth surface

2 Supragingival calculus

covering more than 13 but

not more than 23 of the

exposed tooth surface or the

presence of individual flecks

of subgingival calculus

around the cervical portion of

the tooth or both

3 Supragingival calculus

covering more than 23 of the

exposed tooth surface or

continues heavy band 0f

subgingival calculus around

the cervical portion of the

tooth or both

35

Code Signs amp Symptoms Score Gradations Remarks

दनताना गणहयी 0 Absent All 10 Guna of

Danta Sampata

should be

considered required

suggestions for

each Guna

1 Present

ऩततगचनध (अहर) 0 No foul smell Taken grading of

halitosis

1 Patient feels foul smell

2 Doctor or person who comes near to patient feels foul smell

3 From distance anyone can feels foul smell who is in the room

4 Foul smell can be feel from outside of the room even

126 कपामऱका (स)

दनतवलकसम दरनभ = Bracketing of tooth enamel (दरचनत दनतवलकातन)

0 No दरनभ of tooth This should be

considered

separately for each

tooth

1 दरनभ is present of less than 13 of tooth

2 दरनभ is present of more than of 13 of tooth but less than 23 of tooth

3 दरनभ is present of more than of 23 of tooth but no total loss of tooth

4 Total loss of tooth after दरनभ

This condition should be considered as दशनाना पवनाश

दशनाना पवनाश = Total loss of tooth

0 No Any loss of tooth This should be

considered

separately for each

tooth

1 loss of tooth is present of less than 13 of tooth

2 loss of tooth is present of more than of 13 of tooth but less than 23 of tooth

36

Code Signs amp Symptoms Score Gradations Remarks

3 loss of tooth is present of more than of 23 of tooth but no total loss of tooth

4 Total loss of tooth This condition should be considered as दशनाना पवनाश

दनतशातनभ अणश = Thinning of tooth (शातमतममतममणशो दनतात कऩारातन) (अहर)

0 No शातनभ of tooth This should be

considered

separately for each

tooth

1 शातनभ is present in less than 13 of tooth

2 शातनभ is present in more than 13 of tooth but less than 23 of tooth

3 शातनभ is present in more than 23 of tooth but no total loss of tooth

4 Total loss of tooth due to शातनभ

127 शयावदनतक (स) In शमावदनत शमावता amp नीरता should be considered ascending stages

शमावता + नीरता 0 -No any discolouration of

tooth

-Normal colour of tooth

This should be

considered

separately for each

tooth

1 शमावता is Present

2 नीरता is Present

128 हनमो (स) According to Dalhan हनमो is not Dant Rog directly but it is near to

Dantchewing of hard food is one of the causes and there is pain in Dant so it is considered under Danta Rog

हनसचनधपवसहत 0 Absent

1 Can be reset by manual reduction

2 Can be reset by surgical

intervention

129 दनतभद (अहर) तोद =Pricking pain 0 No Pricking pain -Or According to

VAS

- This should be

considered

separately for each

tooth

37

Code Signs amp Symptoms Score Gradations Remarks

2 Pricking pain is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Pricking pain is referred up to Hanu and patient can do hisher routine work without disturbance

4 Pricking pain is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Pricking pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Pricking pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

बद Braking pain 0 No Braking pain -Or According to

VAS

- This should be

considered

separately for each

tooth

2 Braking pain is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Braking pain is referred up to Hanu and patient can do hisher routine work without disturbance

4 Braking pain is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Braking pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Braking pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

38

Code Signs amp Symptoms Score Gradations Remarks

रक Dull pain 0 No Rujā (pain) -Or According to

VAS

- This should be

considered

separately for each

tooth

2 Rujā (pain) is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

सपिन Burstingexpanding pain

0 No Bursting pain -Or According to

VAS

- This should be

considered

separately for each

tooth

2 Bursting pain is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Bursting pain is referred up to Hanu and patient can do hisher routine work without disturbance

4 Bursting pain is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

39

Code Signs amp Symptoms Score Gradations Remarks

5 Bursting pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Bursting pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

1210 दनतचाऱ (अहर) िरतमव = Mobility 0 No = mobility

1 1mm anterio-posterior

mobility

2 2 mm anterio-posterior

mobility

3 More than 2 mm anterio-

posterior amp medial to lateral

mobility

बणादचधकवमथ 0 No Vyatha ndash Pain during

eating

1 Pain during eating of hard

diet only

2 Pain during eating of soft diet

even

1211 कराऱ (स)

=Malocclusion

0 A Normal Molar relationship

exist but there is crowding

misalignment of the teeth

cross bite etc

1 A malocclusion where the

molar relationship shows the

buccal grove of mandibular

first molar distally positioned

when in occlusion with the

mesiobuccal cusp of the

maxillary first molar

2 A malocclusion where the

molar relationship shows the

buccal groove of the

mandibular first molar

mesiallypos

40

GRADATIONS OF JIHWA GAT ROG

Code - 13

Established by Group BHOJ Dr Krishna Makaia ndash Convener

Dr Rajeshree Unadkat Dr Neelam Dave

Dr Ronakgiri Gosai Dr Jignesh Virapariya

Reviewed by Dr Vijayant Bharadwaj

Edited by Prof Vd Hāridra Dave

41

Code Signs amp Symptoms Score Gradations Remarks

131 वाततक चजहवाकिक (स) सपटिता (Creaks) 0 No creaks on tongue

1 Single creak on the dorsum of tongue

2 Multiple Creaks on the dorsum of tongue

3 Multiple deep creaks on the dorsum of tongue (Bleeding)

परसपता (Numbness )

0 No Numbness

1 Numbness in 13 Part of tongue

2 Numbness in 23 Part of tongue

3 Numbness in more than 23 Part of tongue

शाकछिदनपरकाशा (Roughness)

0 Normal surface of tongue on touch

1 Mild rough surface on touch

2 Hard irregular surface on touch

3 Very rough surface which hurts the finger on touch

132 ऩततक चजहवाकिक (स) ऩीता 0 No yellowish discolouration

1 Yellowish discoloration in 13 part

2 Yellowish discoloration in 23 part

3 Yellowish discoloration in more than 23 part of tongue

ऩरयदहमत Burning in entire tongue)

0 No burning Or According to VAS

1 Occasional burning

2 Intermittent burning

3 Continuous burning does not relieve by any measures

दाह (Burning may be

in partially tongue)

0 No Burning Or According to VAS

1 Burning up to 13 part of tongue

2 Burning in 13 to 23 part of tongue

3 Burning in more than 23 part of tongue

42

Code Signs amp Symptoms Score Gradations Remarks

यकतभासाङकयचशिता (Covered with red buds )

0 No change in appearance

1 13 part of tongue covered with red fleshy buds

2 23 part of tongue covered with red fleshy buds

3 Whole tongue covered with red fleshy buds

ओष (Burning) 0 No Oshha Or According to VAS

1 Oshha up to 13 part of tongue

2 Oshha in 13 to 23 part of tongue

3 Oshha in more than 23 part of tongue

133 कपज चजहवाकिक (स) फहरा (Thick) 0 Normal Thickness of Tongue

1 Thickness increased - noticeable by patient

2 Thickness increased - noticeable by the examiner

3 Tongue protruding out because of increased Thickness

गवी (Heaviness) 0 No Heaviness

1 Feeling mild heaviness but no difficulty in Tongue movement

2 Difficulty in Tongue movement especially during intake of liquid

3 Difficulty in Tongue movement especially during intake of hard food

4 Difficulty in Tongue movement especially during Pronunciation

भासोदगभ शालभसरकणिकाब (thorn like papilla)

0 No change in appearance of tongue

1 13 part of tongue covered with red fleshy thorn like papilla

2 23 part of tongue covered with thorn like papilla

3 Whole tongue covered with thorn like papilla

43

Code Signs amp Symptoms Score Gradations Remarks

134 अरास (स) शवमथ

(Swelling at ventral surface of tongue)

0 Absent

1 Present

सतबमतत (Restricted tongue movement)

0 -Normal Movement of Tongue -Movement of tongue not affected

1 Tongue movement slightly restricted but does not affect the normal function

2 Tongue movement restricted that affects the normal function

3 Tongue movement arrested

परवदध

(Increase in size)

0 Size not increased

1 Size increased - noticeable by the patient

2 Size increased - noticeable by the examiner

3 Tongue protruding out because of increased size

ऩाक 0 No swelling or suppuration

1 Inflammation with pain and tenderness

2 Inflammation with different types of pain and tenderness along with induration

3 Pus formation and fluctuation positive

अधशोप 0 Absent

1 Present

उननत (elevation of

the tongue due to swelling below the tongue)

0 Normal position of tongue

1 Tongue slightly elevated due to swelling below the tongue

2 Tongue elevation causes discomfort to the patient

3 Tongue touches the palate

भतमसमगचनध

(Fishy smell)

0 Absent

1 Present

44

Code Signs amp Symptoms Score Gradations Remarks

भासशातन (Destruction of flesh of tongue )

0 No Destruction of tongue flesh

1 13 part of tongue flesh is destroyed

2 23 part of tongue flesh is destroyed

3 More than 23 part of tongue is destroyed

135 उऩचजचहवका (स) शवमथ (Swelling) 0 Absent

1 Present

चजहवाभननम

जात (elevation of

tongue because of swelling)

0 Normal position of tongue

1 Tongue slightly elevated due to swelling below the tongue

2 Tongue elevation causes discomfort to the patient

3 Tongue touches the palate

परसक (Salivation) 0 Normal secretion of saliva

1 Occasionally spitting

2 Off and on spitting

3 Continuous spitting which disturbs the work

कणड (Itching) 0 No itching Or According to VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate on work due to severe itching

0r

0 No itching

1 Occasional itching

2 Off and on itching

3 Continuous itching

ऩरयदाह (Burning in

whole tongue)

0 No burning Or According to VAS

1 Occasional burning

2 Intermittent burning

3 Contentious burning dose not relive by any measures

45

Code Signs amp Symptoms Score Gradations Remarks

136 अचधचजचहवका (अर)

अधोचजहवामा शोप

0 Normal position of tongue

(Swelling below the tongue)

1 Tongue slightly elevated due to swelling below the tongue

2 Tongue elevation causes discomfort to the patient

3 Tongue touches the palate

अङकय (Pappilary

growth)

0 Absent

1 Present

ओष (Burning) 0 No Oshh Or According to

VAS

1 Oshh up to 13 part of tongue

2 Oshh in 13 to 23 part of tongue

3 Oshh in more than 23 part of tongue

सतबवान

(Restriction of Movement)

0 Movement of tongue not affected

1 Tongue movement slightly restricted but does not affect the normal function

2 Tongue movement restricted that affect the normal function

3 Tongue movement arrested

खय(Rough) 0 Smooth on touch

1 Mild irregular surface

2 Rough surface

3 Sharp rough surface touch hurts on finger on touch

रक (Pain) 0 No pain Or According to

VAS

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

कणड (Itching) 0 No itching Or According to

VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate on work due to severe itching

0r

0 No itching

46

Code Signs amp Symptoms Score Gradations Remarks

1 Occasional itching

2 Off and on itching

3 Continuous itching

वाकम पवघातकत (Difficulty in speech)

0 No difficulty in speech

1 Unable to speak िति vargavyanjana

2 Difficulty in speaking क vargavyanjana

Swara donrsquot need involvement of tongue

3 Unable to speak

आहयपवघातकत

(Swallowing )

0 Able to eat regular diet

1 Able to eat soft diet

2 Able to eat only liquid diet

3 Unable to swallow anything

47

GRADATION OF TALUGAT ROG

Code - 14

Established by Group BHOJ Dr Krishna Makaia ndash Convener

Dr Rajeshree Unadkat Dr Neelam Dave

Dr Ronakgiri Gosai Dr Jignesh Virapariya

Reviewed by Dr Vijayant Bharadwaj

Edited by Prof Vd Hāridra Dave

48

Code Signs amp Symptoms Score Gradations Remarks

141 गरशचणडका (स)

परवदधो शोप (Swelling extending from palate) (Which is elongated)

0 Normal size of uvula

1 Swelling of uvula that causes discomfort to the patient

2 Swelling of uvula that causes foreign body sensation

3 Difficulty in breathing due to swelling

दीघ शोप

(Elongated Swelling)

0 Normal size of uvula

1 Elongated swelling of uvula that causes discomfort to the patient

2 Elongated swelling of uvula that causes foreign body sensation

3 Difficulty in breathing due to Elongated swelling

धभातफचसतपरकाश शोप =Inflated

swelling like Basti

0 Normal size of uvula

1 Inflated swelling like Basti of uvula that causes discomfort to the patient

2 Inflated swelling like Basti of uvula that causes foreign body sensation

3 Difficulty in breathing due to Inflated swelling like Basti

तषणा 0 Normal feeling of thirst

1 Increased feeling of thirst which is relived after drinking water

The quantity of water is not consider here but the frequency of water is considered

2 Frequent feeling of thirst which is Occasional relived after drinking water

3 Continuous feeling of thirst does not relive after drinking profuse amount of water

कास (Coughing) 0 No coughing

49

Code Signs amp Symptoms Score Gradations Remarks

1 Occasional coughing during eating and speaking

2 Off and on coughing

3 Continuous coughing

शवास 0 No difficulty in breathing

1 Difficulty in breathing occasionally

2 More difficulty in breathing while sleeping

3 Excessive difficulty in breathing

भतमसमफचसततनब शोप (अहर)

0 Normal uvula Used as an adjective

1 Inflated swelling like Matsya-Basti of uvula that causes discomfort to the patient

2 Inflated swelling like Matsya-Basti of uvula that causes foreign body sensation

3 Difficulty in breathing due to Inflated swelling like Matsya-Basti

पररफ (अहर) 0 Normal length of Uvula

(Elongated Swelling)

1 Size of Uvula increased up to lt2 mm

2 Size of Uvula increased more than 2 mm but less than 4 mm

3 Size of Uvula increased gt4 mm that cause discomfort to patient and cause difficulty in breathing

पऩचछिर(अहर) (Sliminess)

0 Absent

1 Present

नासमाऽऽहायभीयमन (अहर)

0 Food does not come out from nose

(Food comes out of nose)

1 Food comes out from nose

कणठोऩयोध(अहर) (Obstruction of throat )

0 -Able to eat regular diet -No difficulty in swallowing of any food

1 Able to swallow liquid or soft diet but not able to swallow hard diet

2 Able to swallow hard diet forcefully

50

Code Signs amp Symptoms Score Gradations Remarks

3 Not able to swallow hard diet with force

वभन(अहर) (Vomiting)

0 No Vaman

1 Feeling of nausea only

2 Only one veg of Vaman in a day

3 Two vegas of Vaman in a day

4 More than two vegas of Vaman in a day

132 तचणडकयी (स)

शोप (Tonsillar

Swelling)

0 Tonsils are located within the tonsillar fossa

1 Tonsils hypertrophy till the brim of the tonsillar fossa

2 Tonsils hypertrophy extends beyond the pillars but not touching each other

3 Tonsils hypertrophy extends beyond the pillars but not touching each other

तोद

(Pricking pain)

0 No pain

1 Occasional pain Or according to VAS

2 Off and on pain

3 Continuous pain

दाह (Burning) 0 No

1 Occasional burning

2 Intermittent burning

3 Contentious burning dose not relive by any measures

परऩाक 0 Absent

1 Present

पऩचछिर शोप(अहर)

Sliminess in swallowing

0 Feeling of Sliminess is Absent

1 Feeling of Sliminess is Present

भनदरक (अहर)

(Mild pain)

0 Absent Or According to

VAS

1 Present

133 अधरष (स)

शोप (Swelling) 0 No swelling

1 13 Swelling in part of the palate

51

Code Signs amp Symptoms Score Gradations Remarks

2 23 swelling in part of palate

3 Swelling in gt than 23 part of palate

सतबधता =Functions of soft palate like deglutition Phonation etc are affected = No mobility of soft palate

0 Normal function of soft palate

1 Soft palate movement reduced but functions are not affected

2 Any one of the functions of soft palate is affected

3 All functions of soft palate are affected

रोटहतवणता

(Redness)

0 No change in colour

1 Pinkish red coloured mucosa in palate

2 Red coloured mucosa in palate

3 Dark red coloured mucosa in palate

रजा (Pain) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

जजवय (Fever) 0 Normal temperature

1 Temperature between 984rsquoF to 100rsquoF

Temperature between 100rsquoF to 101rsquoF

2 Temperature between 101rsquoF to 102rsquoF

3 Temperature between 102rsquoF to 103rsquoF

52

Code Signs amp Symptoms Score Gradations Remarks

4 Temperature between 103rsquoF to 104rsquoF

5 Temperature more than 104rsquoF

134 कछिऩ (स)

कभवत उतमसनन शोप (Swelling

having shape like dorsum of tortoise)

0 No swelling

1 Swelling in 13rd part of the palate

2 Swelling in 23rd part of palate

3 Swelling in gt 23rd part of palate

चियवपदध(अहर)

(Slow growth)

0 Growth within a week

1 Growth within 1 week to 1 month

2 Growth within 1 month to 6 months

3 Growth within gt 6 months

रक (अहर) (Pain) 0 No pain Or According to VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesics

135 तारअफद (स) ऩदमाकाय तारभधम

शोपम (Swelling

like shape of lotus )

0 No swelling

1 Swelling in 13rd part of the palate

2 2 Swelling in 23rd part of palate

3 3 Swelling in gt 23rd part of palate

136 भाससङघात (स) नीरज (Painless) 0 Absent

1 Present

53

Code Signs amp Symptoms Score Gradations Remarks

शोप 0 No swelling

1 Swelling in 13rd part of the palate

2 Swelling in 23rd part of palate

3 Swelling in gt 23rd part of palate

137 तारऩपऩि (स) नीरक (Painless) 0 Absent

1 Present

कोरभातर

Swelling having size of Kola fruit

0 Absent

1 Present

138 तारशोष (स)

शोष (Dryness) 0 No dryness

1 Dryness decreased after drinking water

2 Patient needs water frequently

3 Dryness persist after dinking profuse water

दायण (Tearing of palate)

0 Absent

1 Present

शवास (Difficulty in

breathing)

0 No difficulty in breathing Here difficulty in breathing is due to obstruction

1 Difficulty in breathing occasionally

2 More difficulty in breathing while sleeping position

3 Excessive difficulty in breathing

जजवय(अहर) (Fever) 0 Normal temperature

1 Temperature between 984rsquoF to 100rsquoF

Temperature between 100rsquoF to 101rsquoF

2 Temperature between 101rsquoF to 102rsquoF

3 Temperature between 102rsquoF to 103rsquoF

4 Temperature between 103rsquoF to 104rsquoF

5 Temperature more than 104rsquoF

54

Code Signs amp Symptoms Score Gradations Remarks

139 तारऩाक (स) ऩाक (Suppuration) 0 No swelling or suppuration

1 Inflammation of palate with pain and tenderness

2 Inflammation of palate with different types of pain and tenderness with induration

3 Pus formation and fluctuation positive

1310 तारपऩटिका (अहर) तारभास पऩटिका

Follicles in palate flesh

0 No follicles

1 13 palate covered with follicles

2 23 palate covered with follicles

3 More than 23 palate covered with follicles

रज(अहर) (Pain) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

Occasional pain

खयता(अहर) (Roughness)

0 Smooth on touch

1 Mild irregular surface on touch

2 Rough surface

3 Sharp rough surface which hurts on finger on touch

घनसराव(अहर) (Thick discharge)

0 No discharge

1 Occasional discharge

2 Off and on thick discharge

3 Continuous thick discharge

1311 तारसहतत (अहर) तारभधम तनरक (अहर) =Painless fleshy growth in palate

Only तारभधम तनरक indicates the place and quality of growth both the symptoms can be

merged

55

Code Signs amp Symptoms Score Gradations Remarks

तनरक (Painless) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

भाससहत

(Fleshy growth in palate)

0 No fleshy growth

1 Fleshy growth in 13 part of the palate Swelling

2 Fleshy growth in 23 part of palate swelling

3 Fleshy growth in more than 23 part of palate

56

GRADATION OF SARVASAR ROG

Code - 15

Established by Group BHOJ Dr Krishna Makaia ndash Convener

Dr Rajeshree Unadkat Dr Neelam Dave

Dr Ronakgiri Gosai Dr Jignesh Virapariya

Reviewed by Dr Vijayant Bharadwaj

Edited by Prof Vd Hāridra Dave

57

Code Signs amp Symptoms Score Gradations Remarks

151 वातजसवसय (स) सपोि (Ulcers) 0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

तोद = Pricking pain 0 No pricking pain Or According to VAS

1 Occasional pricking pain

2 Off and on pricking pain

3 Continuous pricking pain

Or

0 No pricking pain

1 Sometimes mild pricking pain

2 Has to take analgesic while pricking pain

सिारयण(अहर) This symptom is for सवसय so this सवसय is the nature of सिारय

0 No movement of सवसय

1 Movement of सवसय is once in a week

2 Movement of सवसय is once in three to four days

3 Movement of सवसय is at every alternate day

4 Movement of सवसय is once in a day

अरण (अहर) Reddish discoloration

0 Colour of वरण is same with colour of surrounding area

1 Colour of वरण is Reddish

2 Colour of वरण is Dark Red

3 Colour of वरण is Reddish black

र (अहर) Dryness 0 वरण is Moist

-No dryness of वरण

1 वरण Needs lubrication once a day

2 वरण Needs frequent lubrication in

a day

3 No benefit with frequent

lubrication of वरण

तामरता (अहर) (Coppery

0 Colour of वरणौषठ is same with colour of surrounding area

58

Code Signs amp Symptoms Score Gradations Remarks

discoloration) This symptom is for

वरणौषठ

1 Colour of वरणौषठ is Tamra Varna

चऱतवचा (अहर) (Free mucous membrane) This symptom is for

वरणौषठ

0

Movement of वरणौषठ is on touch

only

1 Movement of वरणौषठ can be seen by naked eye means without touch

शीतासहा (अहर) (Intolerance to cold) This symptom is for

जजहवा

0 No Intolerance of cold to जजहवा

1 Intolerance of severe cold to जजहवा

2 Intolerance of moderate cold to जजहवा

3 Intolerance of Mild cold to जजहवा

गवी (Heaviness)

This symptom is for

जजहवा

0 No Heaviness

1 Mild heaviness with no difficulty

in movement of जजहवा

2 Moderate heaviness with

difficulty in Movement of जजहवा

3 Sever heaviness with bending down of

सफटटता (अहर) (Ulcer)

0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

कणटाकाधचता (अहर) = Thorn like

appearance

0 No change in appearance

59

Code Signs amp Symptoms Score Gradations Remarks

1 13 part of oral mucous membrane covered with red fleshy thorn like papillae

2 23 part of oral mucous membrane covered with red fleshy thorn like papillae

3 gt23 part of oral mucous membrane covered with red fleshy thorn like papillae

षववणोतत कचछरणमखम (अहर) (Difficulty in mouth opening)

0 Mouth opening more than 3 fingers without difficulty

1 2 to 3 fingers opening of mouth with or without difficulty

2 1 to 2 fingers opening of mouth with or without difficulty

3 Less than 1 finger opening of mouth with or without difficulty

152 पऩतमत(यकतज)सवसय (स) Signs and Symptoms of यकतज सवसय are same as of पऩतमत सवसय so no separate gradations are mentioned

यकतता (Redness) 0 Colour of सवसय- वरण is similar with

surrounding mucous membrane

1 Reddish Colour of सवसय- वरण

2 Bright red Colour of सवसय- वरण

3 Dark red Colour of सवसय- वरण

सदाह (Burning

Sensation)

0 No burning in सवसय- वरण Or According to

VAS

1 Occasional burning in सवसय- वरण

2 Intermittent burning in सवसय- वरण

3 Contentious burning in सवसय- वरण

which does not relive by any measures

तन (तनसब) (Shallow superficial ulcers)

0 No ulcer

1 Ulcer having depth of 05-1 mm

2 Ulcer having depth of 1 ndash 15 mm

3 Ulcer having depth of 15 -2 mm

60

Code Signs amp Symptoms Score Gradations Remarks

ओष (अहर) 0 No (ओष) burning in सवसय- वरण

1 Occasional (ओष) burning in

सवसय- वरण

2 Intermittent (ओष) burning in

सवसय- वरण

3 Contentious (ओष) burning in

सवसय- वरण which does not relive

by any measures

ततकतवकरता (अहर) (Bitter taste in mouth)

0 No alteration in taste

1 Occasionally bitter taste felt in mouth without having any bitter substance

2 Off and on bitter taste felt in mouth without having any bitter substance

3 Continuous bitter taste felt in mouth without having any bitter substance

ारोकषतत समावरणा (अहर)

0 No Ulcer

(Ulcers looking like chemical burns)

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

153 कपज सवसय (स) कणड (Itching) 0 No itching Or According to

VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Unable to work due to itching

0r

0 No itching

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate on work due to severe itching

रजा (Pain)

(अलऩ रजा) 0 No pain Or According to

VAS

1 Occasional pain

61

Code Signs amp Symptoms Score Gradations Remarks

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain This condition should be considered as अलऩ रजा

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

सवणण 0 Colour of वरण is same with colour of near by tissue

1 Colour of वरण is not same with colour of near by tissue

मररासयतवम (अहर) (Sweet taste in mouth)

0 No alteration in taste

1 Occasionally sweet taste felt without eating any sweet substance

2 Off and on Sweet taste Occasionally sweet taste felt without eating any sweet substance

3 Continuous sweet taste Occasionally sweet taste felt without eating any sweet substance

षपजचछिऱता (अहर) (Unctuousness)

0 Absent

1 Present

वरण 0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

154 कफाबभद (अहर) शयाव अबभदम

(शयावपाणडऽबभदम) 0 Colour of growthtumour is same

the colour of surrounding skin

1 Colour of growthtumour is शयाव

(Blackish)

62

Code Signs amp Symptoms Score Gradations Remarks

पाणड अबभदम (शयावपाणडऽबभदम)

0 Colour of growthtumour is same the colour of surrounding skin

1 Colour of growthtumour is पाणड

(Pale)

अबभदम 0 No GrowthTumour TNM Classification for tumours can be applied for growth

1 Growthtumour having sizelt 10 mm

2 Growthtumour having size 10 mm to 20 mm

3 Growthtumour having size gt 20 mm

घटिता तिनना मटदता च षववरभत (Size increases on rubbing cutting and squeezing)

0 Size of GrowthTumour is not increasing by rubbing cutting or squeezing

1 Size of GrowthTumour is increasing up to 10 mm by rubbing cutting or squeezing within a month

2 Size of GrowthTumour is increasing up to 20 mm by rubbing cutting or squeezing within a month

3 Size of GrowthTumour is increasing up to 30 mm by rubbing cutting or squeezing within a month

4 Size of GrowthTumour is increasing up to 40 mm by rubbing cutting or squeezing within a month

155 ऊरधवभगद (अहर) वकतरदौगनधम

(Halitosis)

0 No Halitosis

1 Halitosis is feel by Patient only

2 Halitosis is feel by Patient and examining Doctor only

3 Halitosis is feel by any person from the distance from 5 meters

63

Code Signs amp Symptoms Score Gradations Remarks

4 Halitosis is feel by any person from the distance from more than 5 meters

156 पततवकर (अहर) ऩतममासमता

(Halitosis)

0 No Halitosis

1 Halitosis is feel by Patient only

2 Halitosis is feel by Patient and examining Doctor only

3 Halitosis is feel by any person from the distance from 5 meters

4 Halitosis is feel by any person from the distance from more than 5 meters

157 सतनऩाततक सवसय (अहर) This disease occurs due to aggravation of all three doshas including Rakta Clinical presentation of this disease is found as mixed picture according prominent aggravation of dosha and signs and symptoms will be observed accordingly Gradations should be considered accordingly so it is not required to repeat here

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Page 32: THE GRADATIONS OF DISEASES OF SHALAKYA TANTRA - PART …theassociationofshalaki.com/downloads/GRADATIONS_OF_DISEASE… · 12.05.2019  · I am also very much thankful to Dr Sandhya

31

Code Signs amp Symptoms Score Gradations Remarks

1 Sudden onset of pain is

present

पररन (अहर) = Broken due to cavity

0 Cavity is there but it is not

broken

It should be

considered for each

tooth separately

Cavity in that must

be present in

particular tooth

1 13 part of tooth is broken

2 23 of tooth is broken

3 More than 23 of tooth is

broken

4 Total loss of tooth

ऩमसरत (अहर) 0 No Pooya Srāv after drying

particular place

with cotton

inserting cotton on

cavity

1 Pooya Srāv present

यकतसरत (अहर) 0 No Rakta Srāv after drying

particular place

with cotton

inserting cotton on

cavity

1 Rakta Srāv is present

123 दनतहषभ (स)

शीत सऩशन न सहनत 0 No sensitivity by cold touch

in any teeth

1 Ooccassional sensitivity by

cold touch in any toothteeth

for once

2 Sensitivity by cold touch

remains in toothteeth only up

to 1 Prahar (up to 3hrs)

3 Sensitivity by cold touch

remains more than 1 Prahar

(more than 3hrs)

उषण सऩशन न सहनत 0 No sensitivity by hot touch in

any teeth

1 Occassional sensitivity by hot

touch in toothteeth for once

2 Sensitivity by hot touch

remains in toothteeth only up

to 1 Prahar (up to 3hrs)

3 Sensitivity by hot touch

remains in toothteeth more

than 1 Prahar (more than

3hrs)

32

Code Signs amp Symptoms Score Gradations Remarks

परवाताभा = Sensitivity to air

(परवातारशीतबाभा) (अहर)

0 No sensitivity by Pravāt

touch in any tooth

1 Occassional sensitivity by

Pravāt touch in toothteeth for

once

2 Sensitivity by Pravāt touch

remains in toothteeth only up

to 1 Prahar (up to 3hrs)

3 Sensitivity by Pravāt touch

remains in toothteeth more

than 1 Prahar (more than

3hrs)

अरबाभा = Sensitivity to sour food

(परवातारशीतबाभा) (अहर)

0 No sensitivity by eating

sourer food to any tooth

1 Occassional sensitivity by

eating sourer food to any

toothteeth for once

2 Sensitivity by eating sourer

food remains to toothteeth

only up to 1 Prahar (up to

3hrs)

3 Sensitivity by eating sourer

food remains to toothteeth

more than 1 Prahar (more

than 3hrs)

शीतबाभा (परवातारशीतबाभा) (अहर)

0 No sensitivity by eating cold

item to any tooth

1 Occasional sensitivity by

eating cold item to toothteeth

for once

2 Sensitivity by Pravāt touch

remains in toothteeth only up

to 1 Prahar (up to 3hrs)

3 Sensitivity by eating cold

item remains to toothteeth

more than 1 Prahar (more

than 3hrs)

सरजा (अहर) 0 No Rujā (pain)

33

Code Signs amp Symptoms Score Gradations Remarks

2 Rujā (pain) is Present on that gum only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

2 Rujā (pain) is Present on that gum only where disease is occurred and patient can do hisher routine work without disturbance

िर (अहर) 0 No mobility

1 1 mm anterio-posterior

mobility

2 2 mm anterio-posterior

mobility

3 More than 2 mm antero-

posterior amp medial to lateral

mobility

124 भञजनक (स) =Photograph is necessary

(depending upon the severity gradation has been finalised)

वकतर वकरता 0 No deviation

1 Deviation is present

तीवररक 0 No Rujā (pain) Or according to

VAS

2 Rujā (pain) is Present on that gum only where disease is occurred and patient can do hisher routine work without disturbance

34

Code Signs amp Symptoms Score Gradations Remarks

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

This condition should be considered as तीवररक

दनतबङग 0 Tooth is not broken This should be

considered for

single tooth

1 13 part of tooth is broken

2 23 of tooth is broken

3 More than 23 of tooth is

broken

4 Total loss of tooth

125 दनतशकभ रा (स) =Calculus index was selected

शकयव चसथयीबत भर 0 No calculus present

1 Supragingival calculus

covering not more than third

of the exposed tooth surface

2 Supragingival calculus

covering more than 13 but

not more than 23 of the

exposed tooth surface or the

presence of individual flecks

of subgingival calculus

around the cervical portion of

the tooth or both

3 Supragingival calculus

covering more than 23 of the

exposed tooth surface or

continues heavy band 0f

subgingival calculus around

the cervical portion of the

tooth or both

35

Code Signs amp Symptoms Score Gradations Remarks

दनताना गणहयी 0 Absent All 10 Guna of

Danta Sampata

should be

considered required

suggestions for

each Guna

1 Present

ऩततगचनध (अहर) 0 No foul smell Taken grading of

halitosis

1 Patient feels foul smell

2 Doctor or person who comes near to patient feels foul smell

3 From distance anyone can feels foul smell who is in the room

4 Foul smell can be feel from outside of the room even

126 कपामऱका (स)

दनतवलकसम दरनभ = Bracketing of tooth enamel (दरचनत दनतवलकातन)

0 No दरनभ of tooth This should be

considered

separately for each

tooth

1 दरनभ is present of less than 13 of tooth

2 दरनभ is present of more than of 13 of tooth but less than 23 of tooth

3 दरनभ is present of more than of 23 of tooth but no total loss of tooth

4 Total loss of tooth after दरनभ

This condition should be considered as दशनाना पवनाश

दशनाना पवनाश = Total loss of tooth

0 No Any loss of tooth This should be

considered

separately for each

tooth

1 loss of tooth is present of less than 13 of tooth

2 loss of tooth is present of more than of 13 of tooth but less than 23 of tooth

36

Code Signs amp Symptoms Score Gradations Remarks

3 loss of tooth is present of more than of 23 of tooth but no total loss of tooth

4 Total loss of tooth This condition should be considered as दशनाना पवनाश

दनतशातनभ अणश = Thinning of tooth (शातमतममतममणशो दनतात कऩारातन) (अहर)

0 No शातनभ of tooth This should be

considered

separately for each

tooth

1 शातनभ is present in less than 13 of tooth

2 शातनभ is present in more than 13 of tooth but less than 23 of tooth

3 शातनभ is present in more than 23 of tooth but no total loss of tooth

4 Total loss of tooth due to शातनभ

127 शयावदनतक (स) In शमावदनत शमावता amp नीरता should be considered ascending stages

शमावता + नीरता 0 -No any discolouration of

tooth

-Normal colour of tooth

This should be

considered

separately for each

tooth

1 शमावता is Present

2 नीरता is Present

128 हनमो (स) According to Dalhan हनमो is not Dant Rog directly but it is near to

Dantchewing of hard food is one of the causes and there is pain in Dant so it is considered under Danta Rog

हनसचनधपवसहत 0 Absent

1 Can be reset by manual reduction

2 Can be reset by surgical

intervention

129 दनतभद (अहर) तोद =Pricking pain 0 No Pricking pain -Or According to

VAS

- This should be

considered

separately for each

tooth

37

Code Signs amp Symptoms Score Gradations Remarks

2 Pricking pain is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Pricking pain is referred up to Hanu and patient can do hisher routine work without disturbance

4 Pricking pain is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Pricking pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Pricking pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

बद Braking pain 0 No Braking pain -Or According to

VAS

- This should be

considered

separately for each

tooth

2 Braking pain is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Braking pain is referred up to Hanu and patient can do hisher routine work without disturbance

4 Braking pain is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Braking pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Braking pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

38

Code Signs amp Symptoms Score Gradations Remarks

रक Dull pain 0 No Rujā (pain) -Or According to

VAS

- This should be

considered

separately for each

tooth

2 Rujā (pain) is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

सपिन Burstingexpanding pain

0 No Bursting pain -Or According to

VAS

- This should be

considered

separately for each

tooth

2 Bursting pain is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Bursting pain is referred up to Hanu and patient can do hisher routine work without disturbance

4 Bursting pain is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

39

Code Signs amp Symptoms Score Gradations Remarks

5 Bursting pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Bursting pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

1210 दनतचाऱ (अहर) िरतमव = Mobility 0 No = mobility

1 1mm anterio-posterior

mobility

2 2 mm anterio-posterior

mobility

3 More than 2 mm anterio-

posterior amp medial to lateral

mobility

बणादचधकवमथ 0 No Vyatha ndash Pain during

eating

1 Pain during eating of hard

diet only

2 Pain during eating of soft diet

even

1211 कराऱ (स)

=Malocclusion

0 A Normal Molar relationship

exist but there is crowding

misalignment of the teeth

cross bite etc

1 A malocclusion where the

molar relationship shows the

buccal grove of mandibular

first molar distally positioned

when in occlusion with the

mesiobuccal cusp of the

maxillary first molar

2 A malocclusion where the

molar relationship shows the

buccal groove of the

mandibular first molar

mesiallypos

40

GRADATIONS OF JIHWA GAT ROG

Code - 13

Established by Group BHOJ Dr Krishna Makaia ndash Convener

Dr Rajeshree Unadkat Dr Neelam Dave

Dr Ronakgiri Gosai Dr Jignesh Virapariya

Reviewed by Dr Vijayant Bharadwaj

Edited by Prof Vd Hāridra Dave

41

Code Signs amp Symptoms Score Gradations Remarks

131 वाततक चजहवाकिक (स) सपटिता (Creaks) 0 No creaks on tongue

1 Single creak on the dorsum of tongue

2 Multiple Creaks on the dorsum of tongue

3 Multiple deep creaks on the dorsum of tongue (Bleeding)

परसपता (Numbness )

0 No Numbness

1 Numbness in 13 Part of tongue

2 Numbness in 23 Part of tongue

3 Numbness in more than 23 Part of tongue

शाकछिदनपरकाशा (Roughness)

0 Normal surface of tongue on touch

1 Mild rough surface on touch

2 Hard irregular surface on touch

3 Very rough surface which hurts the finger on touch

132 ऩततक चजहवाकिक (स) ऩीता 0 No yellowish discolouration

1 Yellowish discoloration in 13 part

2 Yellowish discoloration in 23 part

3 Yellowish discoloration in more than 23 part of tongue

ऩरयदहमत Burning in entire tongue)

0 No burning Or According to VAS

1 Occasional burning

2 Intermittent burning

3 Continuous burning does not relieve by any measures

दाह (Burning may be

in partially tongue)

0 No Burning Or According to VAS

1 Burning up to 13 part of tongue

2 Burning in 13 to 23 part of tongue

3 Burning in more than 23 part of tongue

42

Code Signs amp Symptoms Score Gradations Remarks

यकतभासाङकयचशिता (Covered with red buds )

0 No change in appearance

1 13 part of tongue covered with red fleshy buds

2 23 part of tongue covered with red fleshy buds

3 Whole tongue covered with red fleshy buds

ओष (Burning) 0 No Oshha Or According to VAS

1 Oshha up to 13 part of tongue

2 Oshha in 13 to 23 part of tongue

3 Oshha in more than 23 part of tongue

133 कपज चजहवाकिक (स) फहरा (Thick) 0 Normal Thickness of Tongue

1 Thickness increased - noticeable by patient

2 Thickness increased - noticeable by the examiner

3 Tongue protruding out because of increased Thickness

गवी (Heaviness) 0 No Heaviness

1 Feeling mild heaviness but no difficulty in Tongue movement

2 Difficulty in Tongue movement especially during intake of liquid

3 Difficulty in Tongue movement especially during intake of hard food

4 Difficulty in Tongue movement especially during Pronunciation

भासोदगभ शालभसरकणिकाब (thorn like papilla)

0 No change in appearance of tongue

1 13 part of tongue covered with red fleshy thorn like papilla

2 23 part of tongue covered with thorn like papilla

3 Whole tongue covered with thorn like papilla

43

Code Signs amp Symptoms Score Gradations Remarks

134 अरास (स) शवमथ

(Swelling at ventral surface of tongue)

0 Absent

1 Present

सतबमतत (Restricted tongue movement)

0 -Normal Movement of Tongue -Movement of tongue not affected

1 Tongue movement slightly restricted but does not affect the normal function

2 Tongue movement restricted that affects the normal function

3 Tongue movement arrested

परवदध

(Increase in size)

0 Size not increased

1 Size increased - noticeable by the patient

2 Size increased - noticeable by the examiner

3 Tongue protruding out because of increased size

ऩाक 0 No swelling or suppuration

1 Inflammation with pain and tenderness

2 Inflammation with different types of pain and tenderness along with induration

3 Pus formation and fluctuation positive

अधशोप 0 Absent

1 Present

उननत (elevation of

the tongue due to swelling below the tongue)

0 Normal position of tongue

1 Tongue slightly elevated due to swelling below the tongue

2 Tongue elevation causes discomfort to the patient

3 Tongue touches the palate

भतमसमगचनध

(Fishy smell)

0 Absent

1 Present

44

Code Signs amp Symptoms Score Gradations Remarks

भासशातन (Destruction of flesh of tongue )

0 No Destruction of tongue flesh

1 13 part of tongue flesh is destroyed

2 23 part of tongue flesh is destroyed

3 More than 23 part of tongue is destroyed

135 उऩचजचहवका (स) शवमथ (Swelling) 0 Absent

1 Present

चजहवाभननम

जात (elevation of

tongue because of swelling)

0 Normal position of tongue

1 Tongue slightly elevated due to swelling below the tongue

2 Tongue elevation causes discomfort to the patient

3 Tongue touches the palate

परसक (Salivation) 0 Normal secretion of saliva

1 Occasionally spitting

2 Off and on spitting

3 Continuous spitting which disturbs the work

कणड (Itching) 0 No itching Or According to VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate on work due to severe itching

0r

0 No itching

1 Occasional itching

2 Off and on itching

3 Continuous itching

ऩरयदाह (Burning in

whole tongue)

0 No burning Or According to VAS

1 Occasional burning

2 Intermittent burning

3 Contentious burning dose not relive by any measures

45

Code Signs amp Symptoms Score Gradations Remarks

136 अचधचजचहवका (अर)

अधोचजहवामा शोप

0 Normal position of tongue

(Swelling below the tongue)

1 Tongue slightly elevated due to swelling below the tongue

2 Tongue elevation causes discomfort to the patient

3 Tongue touches the palate

अङकय (Pappilary

growth)

0 Absent

1 Present

ओष (Burning) 0 No Oshh Or According to

VAS

1 Oshh up to 13 part of tongue

2 Oshh in 13 to 23 part of tongue

3 Oshh in more than 23 part of tongue

सतबवान

(Restriction of Movement)

0 Movement of tongue not affected

1 Tongue movement slightly restricted but does not affect the normal function

2 Tongue movement restricted that affect the normal function

3 Tongue movement arrested

खय(Rough) 0 Smooth on touch

1 Mild irregular surface

2 Rough surface

3 Sharp rough surface touch hurts on finger on touch

रक (Pain) 0 No pain Or According to

VAS

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

कणड (Itching) 0 No itching Or According to

VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate on work due to severe itching

0r

0 No itching

46

Code Signs amp Symptoms Score Gradations Remarks

1 Occasional itching

2 Off and on itching

3 Continuous itching

वाकम पवघातकत (Difficulty in speech)

0 No difficulty in speech

1 Unable to speak िति vargavyanjana

2 Difficulty in speaking क vargavyanjana

Swara donrsquot need involvement of tongue

3 Unable to speak

आहयपवघातकत

(Swallowing )

0 Able to eat regular diet

1 Able to eat soft diet

2 Able to eat only liquid diet

3 Unable to swallow anything

47

GRADATION OF TALUGAT ROG

Code - 14

Established by Group BHOJ Dr Krishna Makaia ndash Convener

Dr Rajeshree Unadkat Dr Neelam Dave

Dr Ronakgiri Gosai Dr Jignesh Virapariya

Reviewed by Dr Vijayant Bharadwaj

Edited by Prof Vd Hāridra Dave

48

Code Signs amp Symptoms Score Gradations Remarks

141 गरशचणडका (स)

परवदधो शोप (Swelling extending from palate) (Which is elongated)

0 Normal size of uvula

1 Swelling of uvula that causes discomfort to the patient

2 Swelling of uvula that causes foreign body sensation

3 Difficulty in breathing due to swelling

दीघ शोप

(Elongated Swelling)

0 Normal size of uvula

1 Elongated swelling of uvula that causes discomfort to the patient

2 Elongated swelling of uvula that causes foreign body sensation

3 Difficulty in breathing due to Elongated swelling

धभातफचसतपरकाश शोप =Inflated

swelling like Basti

0 Normal size of uvula

1 Inflated swelling like Basti of uvula that causes discomfort to the patient

2 Inflated swelling like Basti of uvula that causes foreign body sensation

3 Difficulty in breathing due to Inflated swelling like Basti

तषणा 0 Normal feeling of thirst

1 Increased feeling of thirst which is relived after drinking water

The quantity of water is not consider here but the frequency of water is considered

2 Frequent feeling of thirst which is Occasional relived after drinking water

3 Continuous feeling of thirst does not relive after drinking profuse amount of water

कास (Coughing) 0 No coughing

49

Code Signs amp Symptoms Score Gradations Remarks

1 Occasional coughing during eating and speaking

2 Off and on coughing

3 Continuous coughing

शवास 0 No difficulty in breathing

1 Difficulty in breathing occasionally

2 More difficulty in breathing while sleeping

3 Excessive difficulty in breathing

भतमसमफचसततनब शोप (अहर)

0 Normal uvula Used as an adjective

1 Inflated swelling like Matsya-Basti of uvula that causes discomfort to the patient

2 Inflated swelling like Matsya-Basti of uvula that causes foreign body sensation

3 Difficulty in breathing due to Inflated swelling like Matsya-Basti

पररफ (अहर) 0 Normal length of Uvula

(Elongated Swelling)

1 Size of Uvula increased up to lt2 mm

2 Size of Uvula increased more than 2 mm but less than 4 mm

3 Size of Uvula increased gt4 mm that cause discomfort to patient and cause difficulty in breathing

पऩचछिर(अहर) (Sliminess)

0 Absent

1 Present

नासमाऽऽहायभीयमन (अहर)

0 Food does not come out from nose

(Food comes out of nose)

1 Food comes out from nose

कणठोऩयोध(अहर) (Obstruction of throat )

0 -Able to eat regular diet -No difficulty in swallowing of any food

1 Able to swallow liquid or soft diet but not able to swallow hard diet

2 Able to swallow hard diet forcefully

50

Code Signs amp Symptoms Score Gradations Remarks

3 Not able to swallow hard diet with force

वभन(अहर) (Vomiting)

0 No Vaman

1 Feeling of nausea only

2 Only one veg of Vaman in a day

3 Two vegas of Vaman in a day

4 More than two vegas of Vaman in a day

132 तचणडकयी (स)

शोप (Tonsillar

Swelling)

0 Tonsils are located within the tonsillar fossa

1 Tonsils hypertrophy till the brim of the tonsillar fossa

2 Tonsils hypertrophy extends beyond the pillars but not touching each other

3 Tonsils hypertrophy extends beyond the pillars but not touching each other

तोद

(Pricking pain)

0 No pain

1 Occasional pain Or according to VAS

2 Off and on pain

3 Continuous pain

दाह (Burning) 0 No

1 Occasional burning

2 Intermittent burning

3 Contentious burning dose not relive by any measures

परऩाक 0 Absent

1 Present

पऩचछिर शोप(अहर)

Sliminess in swallowing

0 Feeling of Sliminess is Absent

1 Feeling of Sliminess is Present

भनदरक (अहर)

(Mild pain)

0 Absent Or According to

VAS

1 Present

133 अधरष (स)

शोप (Swelling) 0 No swelling

1 13 Swelling in part of the palate

51

Code Signs amp Symptoms Score Gradations Remarks

2 23 swelling in part of palate

3 Swelling in gt than 23 part of palate

सतबधता =Functions of soft palate like deglutition Phonation etc are affected = No mobility of soft palate

0 Normal function of soft palate

1 Soft palate movement reduced but functions are not affected

2 Any one of the functions of soft palate is affected

3 All functions of soft palate are affected

रोटहतवणता

(Redness)

0 No change in colour

1 Pinkish red coloured mucosa in palate

2 Red coloured mucosa in palate

3 Dark red coloured mucosa in palate

रजा (Pain) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

जजवय (Fever) 0 Normal temperature

1 Temperature between 984rsquoF to 100rsquoF

Temperature between 100rsquoF to 101rsquoF

2 Temperature between 101rsquoF to 102rsquoF

3 Temperature between 102rsquoF to 103rsquoF

52

Code Signs amp Symptoms Score Gradations Remarks

4 Temperature between 103rsquoF to 104rsquoF

5 Temperature more than 104rsquoF

134 कछिऩ (स)

कभवत उतमसनन शोप (Swelling

having shape like dorsum of tortoise)

0 No swelling

1 Swelling in 13rd part of the palate

2 Swelling in 23rd part of palate

3 Swelling in gt 23rd part of palate

चियवपदध(अहर)

(Slow growth)

0 Growth within a week

1 Growth within 1 week to 1 month

2 Growth within 1 month to 6 months

3 Growth within gt 6 months

रक (अहर) (Pain) 0 No pain Or According to VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesics

135 तारअफद (स) ऩदमाकाय तारभधम

शोपम (Swelling

like shape of lotus )

0 No swelling

1 Swelling in 13rd part of the palate

2 2 Swelling in 23rd part of palate

3 3 Swelling in gt 23rd part of palate

136 भाससङघात (स) नीरज (Painless) 0 Absent

1 Present

53

Code Signs amp Symptoms Score Gradations Remarks

शोप 0 No swelling

1 Swelling in 13rd part of the palate

2 Swelling in 23rd part of palate

3 Swelling in gt 23rd part of palate

137 तारऩपऩि (स) नीरक (Painless) 0 Absent

1 Present

कोरभातर

Swelling having size of Kola fruit

0 Absent

1 Present

138 तारशोष (स)

शोष (Dryness) 0 No dryness

1 Dryness decreased after drinking water

2 Patient needs water frequently

3 Dryness persist after dinking profuse water

दायण (Tearing of palate)

0 Absent

1 Present

शवास (Difficulty in

breathing)

0 No difficulty in breathing Here difficulty in breathing is due to obstruction

1 Difficulty in breathing occasionally

2 More difficulty in breathing while sleeping position

3 Excessive difficulty in breathing

जजवय(अहर) (Fever) 0 Normal temperature

1 Temperature between 984rsquoF to 100rsquoF

Temperature between 100rsquoF to 101rsquoF

2 Temperature between 101rsquoF to 102rsquoF

3 Temperature between 102rsquoF to 103rsquoF

4 Temperature between 103rsquoF to 104rsquoF

5 Temperature more than 104rsquoF

54

Code Signs amp Symptoms Score Gradations Remarks

139 तारऩाक (स) ऩाक (Suppuration) 0 No swelling or suppuration

1 Inflammation of palate with pain and tenderness

2 Inflammation of palate with different types of pain and tenderness with induration

3 Pus formation and fluctuation positive

1310 तारपऩटिका (अहर) तारभास पऩटिका

Follicles in palate flesh

0 No follicles

1 13 palate covered with follicles

2 23 palate covered with follicles

3 More than 23 palate covered with follicles

रज(अहर) (Pain) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

Occasional pain

खयता(अहर) (Roughness)

0 Smooth on touch

1 Mild irregular surface on touch

2 Rough surface

3 Sharp rough surface which hurts on finger on touch

घनसराव(अहर) (Thick discharge)

0 No discharge

1 Occasional discharge

2 Off and on thick discharge

3 Continuous thick discharge

1311 तारसहतत (अहर) तारभधम तनरक (अहर) =Painless fleshy growth in palate

Only तारभधम तनरक indicates the place and quality of growth both the symptoms can be

merged

55

Code Signs amp Symptoms Score Gradations Remarks

तनरक (Painless) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

भाससहत

(Fleshy growth in palate)

0 No fleshy growth

1 Fleshy growth in 13 part of the palate Swelling

2 Fleshy growth in 23 part of palate swelling

3 Fleshy growth in more than 23 part of palate

56

GRADATION OF SARVASAR ROG

Code - 15

Established by Group BHOJ Dr Krishna Makaia ndash Convener

Dr Rajeshree Unadkat Dr Neelam Dave

Dr Ronakgiri Gosai Dr Jignesh Virapariya

Reviewed by Dr Vijayant Bharadwaj

Edited by Prof Vd Hāridra Dave

57

Code Signs amp Symptoms Score Gradations Remarks

151 वातजसवसय (स) सपोि (Ulcers) 0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

तोद = Pricking pain 0 No pricking pain Or According to VAS

1 Occasional pricking pain

2 Off and on pricking pain

3 Continuous pricking pain

Or

0 No pricking pain

1 Sometimes mild pricking pain

2 Has to take analgesic while pricking pain

सिारयण(अहर) This symptom is for सवसय so this सवसय is the nature of सिारय

0 No movement of सवसय

1 Movement of सवसय is once in a week

2 Movement of सवसय is once in three to four days

3 Movement of सवसय is at every alternate day

4 Movement of सवसय is once in a day

अरण (अहर) Reddish discoloration

0 Colour of वरण is same with colour of surrounding area

1 Colour of वरण is Reddish

2 Colour of वरण is Dark Red

3 Colour of वरण is Reddish black

र (अहर) Dryness 0 वरण is Moist

-No dryness of वरण

1 वरण Needs lubrication once a day

2 वरण Needs frequent lubrication in

a day

3 No benefit with frequent

lubrication of वरण

तामरता (अहर) (Coppery

0 Colour of वरणौषठ is same with colour of surrounding area

58

Code Signs amp Symptoms Score Gradations Remarks

discoloration) This symptom is for

वरणौषठ

1 Colour of वरणौषठ is Tamra Varna

चऱतवचा (अहर) (Free mucous membrane) This symptom is for

वरणौषठ

0

Movement of वरणौषठ is on touch

only

1 Movement of वरणौषठ can be seen by naked eye means without touch

शीतासहा (अहर) (Intolerance to cold) This symptom is for

जजहवा

0 No Intolerance of cold to जजहवा

1 Intolerance of severe cold to जजहवा

2 Intolerance of moderate cold to जजहवा

3 Intolerance of Mild cold to जजहवा

गवी (Heaviness)

This symptom is for

जजहवा

0 No Heaviness

1 Mild heaviness with no difficulty

in movement of जजहवा

2 Moderate heaviness with

difficulty in Movement of जजहवा

3 Sever heaviness with bending down of

सफटटता (अहर) (Ulcer)

0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

कणटाकाधचता (अहर) = Thorn like

appearance

0 No change in appearance

59

Code Signs amp Symptoms Score Gradations Remarks

1 13 part of oral mucous membrane covered with red fleshy thorn like papillae

2 23 part of oral mucous membrane covered with red fleshy thorn like papillae

3 gt23 part of oral mucous membrane covered with red fleshy thorn like papillae

षववणोतत कचछरणमखम (अहर) (Difficulty in mouth opening)

0 Mouth opening more than 3 fingers without difficulty

1 2 to 3 fingers opening of mouth with or without difficulty

2 1 to 2 fingers opening of mouth with or without difficulty

3 Less than 1 finger opening of mouth with or without difficulty

152 पऩतमत(यकतज)सवसय (स) Signs and Symptoms of यकतज सवसय are same as of पऩतमत सवसय so no separate gradations are mentioned

यकतता (Redness) 0 Colour of सवसय- वरण is similar with

surrounding mucous membrane

1 Reddish Colour of सवसय- वरण

2 Bright red Colour of सवसय- वरण

3 Dark red Colour of सवसय- वरण

सदाह (Burning

Sensation)

0 No burning in सवसय- वरण Or According to

VAS

1 Occasional burning in सवसय- वरण

2 Intermittent burning in सवसय- वरण

3 Contentious burning in सवसय- वरण

which does not relive by any measures

तन (तनसब) (Shallow superficial ulcers)

0 No ulcer

1 Ulcer having depth of 05-1 mm

2 Ulcer having depth of 1 ndash 15 mm

3 Ulcer having depth of 15 -2 mm

60

Code Signs amp Symptoms Score Gradations Remarks

ओष (अहर) 0 No (ओष) burning in सवसय- वरण

1 Occasional (ओष) burning in

सवसय- वरण

2 Intermittent (ओष) burning in

सवसय- वरण

3 Contentious (ओष) burning in

सवसय- वरण which does not relive

by any measures

ततकतवकरता (अहर) (Bitter taste in mouth)

0 No alteration in taste

1 Occasionally bitter taste felt in mouth without having any bitter substance

2 Off and on bitter taste felt in mouth without having any bitter substance

3 Continuous bitter taste felt in mouth without having any bitter substance

ारोकषतत समावरणा (अहर)

0 No Ulcer

(Ulcers looking like chemical burns)

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

153 कपज सवसय (स) कणड (Itching) 0 No itching Or According to

VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Unable to work due to itching

0r

0 No itching

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate on work due to severe itching

रजा (Pain)

(अलऩ रजा) 0 No pain Or According to

VAS

1 Occasional pain

61

Code Signs amp Symptoms Score Gradations Remarks

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain This condition should be considered as अलऩ रजा

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

सवणण 0 Colour of वरण is same with colour of near by tissue

1 Colour of वरण is not same with colour of near by tissue

मररासयतवम (अहर) (Sweet taste in mouth)

0 No alteration in taste

1 Occasionally sweet taste felt without eating any sweet substance

2 Off and on Sweet taste Occasionally sweet taste felt without eating any sweet substance

3 Continuous sweet taste Occasionally sweet taste felt without eating any sweet substance

षपजचछिऱता (अहर) (Unctuousness)

0 Absent

1 Present

वरण 0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

154 कफाबभद (अहर) शयाव अबभदम

(शयावपाणडऽबभदम) 0 Colour of growthtumour is same

the colour of surrounding skin

1 Colour of growthtumour is शयाव

(Blackish)

62

Code Signs amp Symptoms Score Gradations Remarks

पाणड अबभदम (शयावपाणडऽबभदम)

0 Colour of growthtumour is same the colour of surrounding skin

1 Colour of growthtumour is पाणड

(Pale)

अबभदम 0 No GrowthTumour TNM Classification for tumours can be applied for growth

1 Growthtumour having sizelt 10 mm

2 Growthtumour having size 10 mm to 20 mm

3 Growthtumour having size gt 20 mm

घटिता तिनना मटदता च षववरभत (Size increases on rubbing cutting and squeezing)

0 Size of GrowthTumour is not increasing by rubbing cutting or squeezing

1 Size of GrowthTumour is increasing up to 10 mm by rubbing cutting or squeezing within a month

2 Size of GrowthTumour is increasing up to 20 mm by rubbing cutting or squeezing within a month

3 Size of GrowthTumour is increasing up to 30 mm by rubbing cutting or squeezing within a month

4 Size of GrowthTumour is increasing up to 40 mm by rubbing cutting or squeezing within a month

155 ऊरधवभगद (अहर) वकतरदौगनधम

(Halitosis)

0 No Halitosis

1 Halitosis is feel by Patient only

2 Halitosis is feel by Patient and examining Doctor only

3 Halitosis is feel by any person from the distance from 5 meters

63

Code Signs amp Symptoms Score Gradations Remarks

4 Halitosis is feel by any person from the distance from more than 5 meters

156 पततवकर (अहर) ऩतममासमता

(Halitosis)

0 No Halitosis

1 Halitosis is feel by Patient only

2 Halitosis is feel by Patient and examining Doctor only

3 Halitosis is feel by any person from the distance from 5 meters

4 Halitosis is feel by any person from the distance from more than 5 meters

157 सतनऩाततक सवसय (अहर) This disease occurs due to aggravation of all three doshas including Rakta Clinical presentation of this disease is found as mixed picture according prominent aggravation of dosha and signs and symptoms will be observed accordingly Gradations should be considered accordingly so it is not required to repeat here

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Page 33: THE GRADATIONS OF DISEASES OF SHALAKYA TANTRA - PART …theassociationofshalaki.com/downloads/GRADATIONS_OF_DISEASE… · 12.05.2019  · I am also very much thankful to Dr Sandhya

32

Code Signs amp Symptoms Score Gradations Remarks

परवाताभा = Sensitivity to air

(परवातारशीतबाभा) (अहर)

0 No sensitivity by Pravāt

touch in any tooth

1 Occassional sensitivity by

Pravāt touch in toothteeth for

once

2 Sensitivity by Pravāt touch

remains in toothteeth only up

to 1 Prahar (up to 3hrs)

3 Sensitivity by Pravāt touch

remains in toothteeth more

than 1 Prahar (more than

3hrs)

अरबाभा = Sensitivity to sour food

(परवातारशीतबाभा) (अहर)

0 No sensitivity by eating

sourer food to any tooth

1 Occassional sensitivity by

eating sourer food to any

toothteeth for once

2 Sensitivity by eating sourer

food remains to toothteeth

only up to 1 Prahar (up to

3hrs)

3 Sensitivity by eating sourer

food remains to toothteeth

more than 1 Prahar (more

than 3hrs)

शीतबाभा (परवातारशीतबाभा) (अहर)

0 No sensitivity by eating cold

item to any tooth

1 Occasional sensitivity by

eating cold item to toothteeth

for once

2 Sensitivity by Pravāt touch

remains in toothteeth only up

to 1 Prahar (up to 3hrs)

3 Sensitivity by eating cold

item remains to toothteeth

more than 1 Prahar (more

than 3hrs)

सरजा (अहर) 0 No Rujā (pain)

33

Code Signs amp Symptoms Score Gradations Remarks

2 Rujā (pain) is Present on that gum only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

2 Rujā (pain) is Present on that gum only where disease is occurred and patient can do hisher routine work without disturbance

िर (अहर) 0 No mobility

1 1 mm anterio-posterior

mobility

2 2 mm anterio-posterior

mobility

3 More than 2 mm antero-

posterior amp medial to lateral

mobility

124 भञजनक (स) =Photograph is necessary

(depending upon the severity gradation has been finalised)

वकतर वकरता 0 No deviation

1 Deviation is present

तीवररक 0 No Rujā (pain) Or according to

VAS

2 Rujā (pain) is Present on that gum only where disease is occurred and patient can do hisher routine work without disturbance

34

Code Signs amp Symptoms Score Gradations Remarks

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

This condition should be considered as तीवररक

दनतबङग 0 Tooth is not broken This should be

considered for

single tooth

1 13 part of tooth is broken

2 23 of tooth is broken

3 More than 23 of tooth is

broken

4 Total loss of tooth

125 दनतशकभ रा (स) =Calculus index was selected

शकयव चसथयीबत भर 0 No calculus present

1 Supragingival calculus

covering not more than third

of the exposed tooth surface

2 Supragingival calculus

covering more than 13 but

not more than 23 of the

exposed tooth surface or the

presence of individual flecks

of subgingival calculus

around the cervical portion of

the tooth or both

3 Supragingival calculus

covering more than 23 of the

exposed tooth surface or

continues heavy band 0f

subgingival calculus around

the cervical portion of the

tooth or both

35

Code Signs amp Symptoms Score Gradations Remarks

दनताना गणहयी 0 Absent All 10 Guna of

Danta Sampata

should be

considered required

suggestions for

each Guna

1 Present

ऩततगचनध (अहर) 0 No foul smell Taken grading of

halitosis

1 Patient feels foul smell

2 Doctor or person who comes near to patient feels foul smell

3 From distance anyone can feels foul smell who is in the room

4 Foul smell can be feel from outside of the room even

126 कपामऱका (स)

दनतवलकसम दरनभ = Bracketing of tooth enamel (दरचनत दनतवलकातन)

0 No दरनभ of tooth This should be

considered

separately for each

tooth

1 दरनभ is present of less than 13 of tooth

2 दरनभ is present of more than of 13 of tooth but less than 23 of tooth

3 दरनभ is present of more than of 23 of tooth but no total loss of tooth

4 Total loss of tooth after दरनभ

This condition should be considered as दशनाना पवनाश

दशनाना पवनाश = Total loss of tooth

0 No Any loss of tooth This should be

considered

separately for each

tooth

1 loss of tooth is present of less than 13 of tooth

2 loss of tooth is present of more than of 13 of tooth but less than 23 of tooth

36

Code Signs amp Symptoms Score Gradations Remarks

3 loss of tooth is present of more than of 23 of tooth but no total loss of tooth

4 Total loss of tooth This condition should be considered as दशनाना पवनाश

दनतशातनभ अणश = Thinning of tooth (शातमतममतममणशो दनतात कऩारातन) (अहर)

0 No शातनभ of tooth This should be

considered

separately for each

tooth

1 शातनभ is present in less than 13 of tooth

2 शातनभ is present in more than 13 of tooth but less than 23 of tooth

3 शातनभ is present in more than 23 of tooth but no total loss of tooth

4 Total loss of tooth due to शातनभ

127 शयावदनतक (स) In शमावदनत शमावता amp नीरता should be considered ascending stages

शमावता + नीरता 0 -No any discolouration of

tooth

-Normal colour of tooth

This should be

considered

separately for each

tooth

1 शमावता is Present

2 नीरता is Present

128 हनमो (स) According to Dalhan हनमो is not Dant Rog directly but it is near to

Dantchewing of hard food is one of the causes and there is pain in Dant so it is considered under Danta Rog

हनसचनधपवसहत 0 Absent

1 Can be reset by manual reduction

2 Can be reset by surgical

intervention

129 दनतभद (अहर) तोद =Pricking pain 0 No Pricking pain -Or According to

VAS

- This should be

considered

separately for each

tooth

37

Code Signs amp Symptoms Score Gradations Remarks

2 Pricking pain is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Pricking pain is referred up to Hanu and patient can do hisher routine work without disturbance

4 Pricking pain is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Pricking pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Pricking pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

बद Braking pain 0 No Braking pain -Or According to

VAS

- This should be

considered

separately for each

tooth

2 Braking pain is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Braking pain is referred up to Hanu and patient can do hisher routine work without disturbance

4 Braking pain is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Braking pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Braking pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

38

Code Signs amp Symptoms Score Gradations Remarks

रक Dull pain 0 No Rujā (pain) -Or According to

VAS

- This should be

considered

separately for each

tooth

2 Rujā (pain) is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

सपिन Burstingexpanding pain

0 No Bursting pain -Or According to

VAS

- This should be

considered

separately for each

tooth

2 Bursting pain is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Bursting pain is referred up to Hanu and patient can do hisher routine work without disturbance

4 Bursting pain is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

39

Code Signs amp Symptoms Score Gradations Remarks

5 Bursting pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Bursting pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

1210 दनतचाऱ (अहर) िरतमव = Mobility 0 No = mobility

1 1mm anterio-posterior

mobility

2 2 mm anterio-posterior

mobility

3 More than 2 mm anterio-

posterior amp medial to lateral

mobility

बणादचधकवमथ 0 No Vyatha ndash Pain during

eating

1 Pain during eating of hard

diet only

2 Pain during eating of soft diet

even

1211 कराऱ (स)

=Malocclusion

0 A Normal Molar relationship

exist but there is crowding

misalignment of the teeth

cross bite etc

1 A malocclusion where the

molar relationship shows the

buccal grove of mandibular

first molar distally positioned

when in occlusion with the

mesiobuccal cusp of the

maxillary first molar

2 A malocclusion where the

molar relationship shows the

buccal groove of the

mandibular first molar

mesiallypos

40

GRADATIONS OF JIHWA GAT ROG

Code - 13

Established by Group BHOJ Dr Krishna Makaia ndash Convener

Dr Rajeshree Unadkat Dr Neelam Dave

Dr Ronakgiri Gosai Dr Jignesh Virapariya

Reviewed by Dr Vijayant Bharadwaj

Edited by Prof Vd Hāridra Dave

41

Code Signs amp Symptoms Score Gradations Remarks

131 वाततक चजहवाकिक (स) सपटिता (Creaks) 0 No creaks on tongue

1 Single creak on the dorsum of tongue

2 Multiple Creaks on the dorsum of tongue

3 Multiple deep creaks on the dorsum of tongue (Bleeding)

परसपता (Numbness )

0 No Numbness

1 Numbness in 13 Part of tongue

2 Numbness in 23 Part of tongue

3 Numbness in more than 23 Part of tongue

शाकछिदनपरकाशा (Roughness)

0 Normal surface of tongue on touch

1 Mild rough surface on touch

2 Hard irregular surface on touch

3 Very rough surface which hurts the finger on touch

132 ऩततक चजहवाकिक (स) ऩीता 0 No yellowish discolouration

1 Yellowish discoloration in 13 part

2 Yellowish discoloration in 23 part

3 Yellowish discoloration in more than 23 part of tongue

ऩरयदहमत Burning in entire tongue)

0 No burning Or According to VAS

1 Occasional burning

2 Intermittent burning

3 Continuous burning does not relieve by any measures

दाह (Burning may be

in partially tongue)

0 No Burning Or According to VAS

1 Burning up to 13 part of tongue

2 Burning in 13 to 23 part of tongue

3 Burning in more than 23 part of tongue

42

Code Signs amp Symptoms Score Gradations Remarks

यकतभासाङकयचशिता (Covered with red buds )

0 No change in appearance

1 13 part of tongue covered with red fleshy buds

2 23 part of tongue covered with red fleshy buds

3 Whole tongue covered with red fleshy buds

ओष (Burning) 0 No Oshha Or According to VAS

1 Oshha up to 13 part of tongue

2 Oshha in 13 to 23 part of tongue

3 Oshha in more than 23 part of tongue

133 कपज चजहवाकिक (स) फहरा (Thick) 0 Normal Thickness of Tongue

1 Thickness increased - noticeable by patient

2 Thickness increased - noticeable by the examiner

3 Tongue protruding out because of increased Thickness

गवी (Heaviness) 0 No Heaviness

1 Feeling mild heaviness but no difficulty in Tongue movement

2 Difficulty in Tongue movement especially during intake of liquid

3 Difficulty in Tongue movement especially during intake of hard food

4 Difficulty in Tongue movement especially during Pronunciation

भासोदगभ शालभसरकणिकाब (thorn like papilla)

0 No change in appearance of tongue

1 13 part of tongue covered with red fleshy thorn like papilla

2 23 part of tongue covered with thorn like papilla

3 Whole tongue covered with thorn like papilla

43

Code Signs amp Symptoms Score Gradations Remarks

134 अरास (स) शवमथ

(Swelling at ventral surface of tongue)

0 Absent

1 Present

सतबमतत (Restricted tongue movement)

0 -Normal Movement of Tongue -Movement of tongue not affected

1 Tongue movement slightly restricted but does not affect the normal function

2 Tongue movement restricted that affects the normal function

3 Tongue movement arrested

परवदध

(Increase in size)

0 Size not increased

1 Size increased - noticeable by the patient

2 Size increased - noticeable by the examiner

3 Tongue protruding out because of increased size

ऩाक 0 No swelling or suppuration

1 Inflammation with pain and tenderness

2 Inflammation with different types of pain and tenderness along with induration

3 Pus formation and fluctuation positive

अधशोप 0 Absent

1 Present

उननत (elevation of

the tongue due to swelling below the tongue)

0 Normal position of tongue

1 Tongue slightly elevated due to swelling below the tongue

2 Tongue elevation causes discomfort to the patient

3 Tongue touches the palate

भतमसमगचनध

(Fishy smell)

0 Absent

1 Present

44

Code Signs amp Symptoms Score Gradations Remarks

भासशातन (Destruction of flesh of tongue )

0 No Destruction of tongue flesh

1 13 part of tongue flesh is destroyed

2 23 part of tongue flesh is destroyed

3 More than 23 part of tongue is destroyed

135 उऩचजचहवका (स) शवमथ (Swelling) 0 Absent

1 Present

चजहवाभननम

जात (elevation of

tongue because of swelling)

0 Normal position of tongue

1 Tongue slightly elevated due to swelling below the tongue

2 Tongue elevation causes discomfort to the patient

3 Tongue touches the palate

परसक (Salivation) 0 Normal secretion of saliva

1 Occasionally spitting

2 Off and on spitting

3 Continuous spitting which disturbs the work

कणड (Itching) 0 No itching Or According to VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate on work due to severe itching

0r

0 No itching

1 Occasional itching

2 Off and on itching

3 Continuous itching

ऩरयदाह (Burning in

whole tongue)

0 No burning Or According to VAS

1 Occasional burning

2 Intermittent burning

3 Contentious burning dose not relive by any measures

45

Code Signs amp Symptoms Score Gradations Remarks

136 अचधचजचहवका (अर)

अधोचजहवामा शोप

0 Normal position of tongue

(Swelling below the tongue)

1 Tongue slightly elevated due to swelling below the tongue

2 Tongue elevation causes discomfort to the patient

3 Tongue touches the palate

अङकय (Pappilary

growth)

0 Absent

1 Present

ओष (Burning) 0 No Oshh Or According to

VAS

1 Oshh up to 13 part of tongue

2 Oshh in 13 to 23 part of tongue

3 Oshh in more than 23 part of tongue

सतबवान

(Restriction of Movement)

0 Movement of tongue not affected

1 Tongue movement slightly restricted but does not affect the normal function

2 Tongue movement restricted that affect the normal function

3 Tongue movement arrested

खय(Rough) 0 Smooth on touch

1 Mild irregular surface

2 Rough surface

3 Sharp rough surface touch hurts on finger on touch

रक (Pain) 0 No pain Or According to

VAS

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

कणड (Itching) 0 No itching Or According to

VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate on work due to severe itching

0r

0 No itching

46

Code Signs amp Symptoms Score Gradations Remarks

1 Occasional itching

2 Off and on itching

3 Continuous itching

वाकम पवघातकत (Difficulty in speech)

0 No difficulty in speech

1 Unable to speak िति vargavyanjana

2 Difficulty in speaking क vargavyanjana

Swara donrsquot need involvement of tongue

3 Unable to speak

आहयपवघातकत

(Swallowing )

0 Able to eat regular diet

1 Able to eat soft diet

2 Able to eat only liquid diet

3 Unable to swallow anything

47

GRADATION OF TALUGAT ROG

Code - 14

Established by Group BHOJ Dr Krishna Makaia ndash Convener

Dr Rajeshree Unadkat Dr Neelam Dave

Dr Ronakgiri Gosai Dr Jignesh Virapariya

Reviewed by Dr Vijayant Bharadwaj

Edited by Prof Vd Hāridra Dave

48

Code Signs amp Symptoms Score Gradations Remarks

141 गरशचणडका (स)

परवदधो शोप (Swelling extending from palate) (Which is elongated)

0 Normal size of uvula

1 Swelling of uvula that causes discomfort to the patient

2 Swelling of uvula that causes foreign body sensation

3 Difficulty in breathing due to swelling

दीघ शोप

(Elongated Swelling)

0 Normal size of uvula

1 Elongated swelling of uvula that causes discomfort to the patient

2 Elongated swelling of uvula that causes foreign body sensation

3 Difficulty in breathing due to Elongated swelling

धभातफचसतपरकाश शोप =Inflated

swelling like Basti

0 Normal size of uvula

1 Inflated swelling like Basti of uvula that causes discomfort to the patient

2 Inflated swelling like Basti of uvula that causes foreign body sensation

3 Difficulty in breathing due to Inflated swelling like Basti

तषणा 0 Normal feeling of thirst

1 Increased feeling of thirst which is relived after drinking water

The quantity of water is not consider here but the frequency of water is considered

2 Frequent feeling of thirst which is Occasional relived after drinking water

3 Continuous feeling of thirst does not relive after drinking profuse amount of water

कास (Coughing) 0 No coughing

49

Code Signs amp Symptoms Score Gradations Remarks

1 Occasional coughing during eating and speaking

2 Off and on coughing

3 Continuous coughing

शवास 0 No difficulty in breathing

1 Difficulty in breathing occasionally

2 More difficulty in breathing while sleeping

3 Excessive difficulty in breathing

भतमसमफचसततनब शोप (अहर)

0 Normal uvula Used as an adjective

1 Inflated swelling like Matsya-Basti of uvula that causes discomfort to the patient

2 Inflated swelling like Matsya-Basti of uvula that causes foreign body sensation

3 Difficulty in breathing due to Inflated swelling like Matsya-Basti

पररफ (अहर) 0 Normal length of Uvula

(Elongated Swelling)

1 Size of Uvula increased up to lt2 mm

2 Size of Uvula increased more than 2 mm but less than 4 mm

3 Size of Uvula increased gt4 mm that cause discomfort to patient and cause difficulty in breathing

पऩचछिर(अहर) (Sliminess)

0 Absent

1 Present

नासमाऽऽहायभीयमन (अहर)

0 Food does not come out from nose

(Food comes out of nose)

1 Food comes out from nose

कणठोऩयोध(अहर) (Obstruction of throat )

0 -Able to eat regular diet -No difficulty in swallowing of any food

1 Able to swallow liquid or soft diet but not able to swallow hard diet

2 Able to swallow hard diet forcefully

50

Code Signs amp Symptoms Score Gradations Remarks

3 Not able to swallow hard diet with force

वभन(अहर) (Vomiting)

0 No Vaman

1 Feeling of nausea only

2 Only one veg of Vaman in a day

3 Two vegas of Vaman in a day

4 More than two vegas of Vaman in a day

132 तचणडकयी (स)

शोप (Tonsillar

Swelling)

0 Tonsils are located within the tonsillar fossa

1 Tonsils hypertrophy till the brim of the tonsillar fossa

2 Tonsils hypertrophy extends beyond the pillars but not touching each other

3 Tonsils hypertrophy extends beyond the pillars but not touching each other

तोद

(Pricking pain)

0 No pain

1 Occasional pain Or according to VAS

2 Off and on pain

3 Continuous pain

दाह (Burning) 0 No

1 Occasional burning

2 Intermittent burning

3 Contentious burning dose not relive by any measures

परऩाक 0 Absent

1 Present

पऩचछिर शोप(अहर)

Sliminess in swallowing

0 Feeling of Sliminess is Absent

1 Feeling of Sliminess is Present

भनदरक (अहर)

(Mild pain)

0 Absent Or According to

VAS

1 Present

133 अधरष (स)

शोप (Swelling) 0 No swelling

1 13 Swelling in part of the palate

51

Code Signs amp Symptoms Score Gradations Remarks

2 23 swelling in part of palate

3 Swelling in gt than 23 part of palate

सतबधता =Functions of soft palate like deglutition Phonation etc are affected = No mobility of soft palate

0 Normal function of soft palate

1 Soft palate movement reduced but functions are not affected

2 Any one of the functions of soft palate is affected

3 All functions of soft palate are affected

रोटहतवणता

(Redness)

0 No change in colour

1 Pinkish red coloured mucosa in palate

2 Red coloured mucosa in palate

3 Dark red coloured mucosa in palate

रजा (Pain) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

जजवय (Fever) 0 Normal temperature

1 Temperature between 984rsquoF to 100rsquoF

Temperature between 100rsquoF to 101rsquoF

2 Temperature between 101rsquoF to 102rsquoF

3 Temperature between 102rsquoF to 103rsquoF

52

Code Signs amp Symptoms Score Gradations Remarks

4 Temperature between 103rsquoF to 104rsquoF

5 Temperature more than 104rsquoF

134 कछिऩ (स)

कभवत उतमसनन शोप (Swelling

having shape like dorsum of tortoise)

0 No swelling

1 Swelling in 13rd part of the palate

2 Swelling in 23rd part of palate

3 Swelling in gt 23rd part of palate

चियवपदध(अहर)

(Slow growth)

0 Growth within a week

1 Growth within 1 week to 1 month

2 Growth within 1 month to 6 months

3 Growth within gt 6 months

रक (अहर) (Pain) 0 No pain Or According to VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesics

135 तारअफद (स) ऩदमाकाय तारभधम

शोपम (Swelling

like shape of lotus )

0 No swelling

1 Swelling in 13rd part of the palate

2 2 Swelling in 23rd part of palate

3 3 Swelling in gt 23rd part of palate

136 भाससङघात (स) नीरज (Painless) 0 Absent

1 Present

53

Code Signs amp Symptoms Score Gradations Remarks

शोप 0 No swelling

1 Swelling in 13rd part of the palate

2 Swelling in 23rd part of palate

3 Swelling in gt 23rd part of palate

137 तारऩपऩि (स) नीरक (Painless) 0 Absent

1 Present

कोरभातर

Swelling having size of Kola fruit

0 Absent

1 Present

138 तारशोष (स)

शोष (Dryness) 0 No dryness

1 Dryness decreased after drinking water

2 Patient needs water frequently

3 Dryness persist after dinking profuse water

दायण (Tearing of palate)

0 Absent

1 Present

शवास (Difficulty in

breathing)

0 No difficulty in breathing Here difficulty in breathing is due to obstruction

1 Difficulty in breathing occasionally

2 More difficulty in breathing while sleeping position

3 Excessive difficulty in breathing

जजवय(अहर) (Fever) 0 Normal temperature

1 Temperature between 984rsquoF to 100rsquoF

Temperature between 100rsquoF to 101rsquoF

2 Temperature between 101rsquoF to 102rsquoF

3 Temperature between 102rsquoF to 103rsquoF

4 Temperature between 103rsquoF to 104rsquoF

5 Temperature more than 104rsquoF

54

Code Signs amp Symptoms Score Gradations Remarks

139 तारऩाक (स) ऩाक (Suppuration) 0 No swelling or suppuration

1 Inflammation of palate with pain and tenderness

2 Inflammation of palate with different types of pain and tenderness with induration

3 Pus formation and fluctuation positive

1310 तारपऩटिका (अहर) तारभास पऩटिका

Follicles in palate flesh

0 No follicles

1 13 palate covered with follicles

2 23 palate covered with follicles

3 More than 23 palate covered with follicles

रज(अहर) (Pain) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

Occasional pain

खयता(अहर) (Roughness)

0 Smooth on touch

1 Mild irregular surface on touch

2 Rough surface

3 Sharp rough surface which hurts on finger on touch

घनसराव(अहर) (Thick discharge)

0 No discharge

1 Occasional discharge

2 Off and on thick discharge

3 Continuous thick discharge

1311 तारसहतत (अहर) तारभधम तनरक (अहर) =Painless fleshy growth in palate

Only तारभधम तनरक indicates the place and quality of growth both the symptoms can be

merged

55

Code Signs amp Symptoms Score Gradations Remarks

तनरक (Painless) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

भाससहत

(Fleshy growth in palate)

0 No fleshy growth

1 Fleshy growth in 13 part of the palate Swelling

2 Fleshy growth in 23 part of palate swelling

3 Fleshy growth in more than 23 part of palate

56

GRADATION OF SARVASAR ROG

Code - 15

Established by Group BHOJ Dr Krishna Makaia ndash Convener

Dr Rajeshree Unadkat Dr Neelam Dave

Dr Ronakgiri Gosai Dr Jignesh Virapariya

Reviewed by Dr Vijayant Bharadwaj

Edited by Prof Vd Hāridra Dave

57

Code Signs amp Symptoms Score Gradations Remarks

151 वातजसवसय (स) सपोि (Ulcers) 0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

तोद = Pricking pain 0 No pricking pain Or According to VAS

1 Occasional pricking pain

2 Off and on pricking pain

3 Continuous pricking pain

Or

0 No pricking pain

1 Sometimes mild pricking pain

2 Has to take analgesic while pricking pain

सिारयण(अहर) This symptom is for सवसय so this सवसय is the nature of सिारय

0 No movement of सवसय

1 Movement of सवसय is once in a week

2 Movement of सवसय is once in three to four days

3 Movement of सवसय is at every alternate day

4 Movement of सवसय is once in a day

अरण (अहर) Reddish discoloration

0 Colour of वरण is same with colour of surrounding area

1 Colour of वरण is Reddish

2 Colour of वरण is Dark Red

3 Colour of वरण is Reddish black

र (अहर) Dryness 0 वरण is Moist

-No dryness of वरण

1 वरण Needs lubrication once a day

2 वरण Needs frequent lubrication in

a day

3 No benefit with frequent

lubrication of वरण

तामरता (अहर) (Coppery

0 Colour of वरणौषठ is same with colour of surrounding area

58

Code Signs amp Symptoms Score Gradations Remarks

discoloration) This symptom is for

वरणौषठ

1 Colour of वरणौषठ is Tamra Varna

चऱतवचा (अहर) (Free mucous membrane) This symptom is for

वरणौषठ

0

Movement of वरणौषठ is on touch

only

1 Movement of वरणौषठ can be seen by naked eye means without touch

शीतासहा (अहर) (Intolerance to cold) This symptom is for

जजहवा

0 No Intolerance of cold to जजहवा

1 Intolerance of severe cold to जजहवा

2 Intolerance of moderate cold to जजहवा

3 Intolerance of Mild cold to जजहवा

गवी (Heaviness)

This symptom is for

जजहवा

0 No Heaviness

1 Mild heaviness with no difficulty

in movement of जजहवा

2 Moderate heaviness with

difficulty in Movement of जजहवा

3 Sever heaviness with bending down of

सफटटता (अहर) (Ulcer)

0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

कणटाकाधचता (अहर) = Thorn like

appearance

0 No change in appearance

59

Code Signs amp Symptoms Score Gradations Remarks

1 13 part of oral mucous membrane covered with red fleshy thorn like papillae

2 23 part of oral mucous membrane covered with red fleshy thorn like papillae

3 gt23 part of oral mucous membrane covered with red fleshy thorn like papillae

षववणोतत कचछरणमखम (अहर) (Difficulty in mouth opening)

0 Mouth opening more than 3 fingers without difficulty

1 2 to 3 fingers opening of mouth with or without difficulty

2 1 to 2 fingers opening of mouth with or without difficulty

3 Less than 1 finger opening of mouth with or without difficulty

152 पऩतमत(यकतज)सवसय (स) Signs and Symptoms of यकतज सवसय are same as of पऩतमत सवसय so no separate gradations are mentioned

यकतता (Redness) 0 Colour of सवसय- वरण is similar with

surrounding mucous membrane

1 Reddish Colour of सवसय- वरण

2 Bright red Colour of सवसय- वरण

3 Dark red Colour of सवसय- वरण

सदाह (Burning

Sensation)

0 No burning in सवसय- वरण Or According to

VAS

1 Occasional burning in सवसय- वरण

2 Intermittent burning in सवसय- वरण

3 Contentious burning in सवसय- वरण

which does not relive by any measures

तन (तनसब) (Shallow superficial ulcers)

0 No ulcer

1 Ulcer having depth of 05-1 mm

2 Ulcer having depth of 1 ndash 15 mm

3 Ulcer having depth of 15 -2 mm

60

Code Signs amp Symptoms Score Gradations Remarks

ओष (अहर) 0 No (ओष) burning in सवसय- वरण

1 Occasional (ओष) burning in

सवसय- वरण

2 Intermittent (ओष) burning in

सवसय- वरण

3 Contentious (ओष) burning in

सवसय- वरण which does not relive

by any measures

ततकतवकरता (अहर) (Bitter taste in mouth)

0 No alteration in taste

1 Occasionally bitter taste felt in mouth without having any bitter substance

2 Off and on bitter taste felt in mouth without having any bitter substance

3 Continuous bitter taste felt in mouth without having any bitter substance

ारोकषतत समावरणा (अहर)

0 No Ulcer

(Ulcers looking like chemical burns)

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

153 कपज सवसय (स) कणड (Itching) 0 No itching Or According to

VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Unable to work due to itching

0r

0 No itching

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate on work due to severe itching

रजा (Pain)

(अलऩ रजा) 0 No pain Or According to

VAS

1 Occasional pain

61

Code Signs amp Symptoms Score Gradations Remarks

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain This condition should be considered as अलऩ रजा

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

सवणण 0 Colour of वरण is same with colour of near by tissue

1 Colour of वरण is not same with colour of near by tissue

मररासयतवम (अहर) (Sweet taste in mouth)

0 No alteration in taste

1 Occasionally sweet taste felt without eating any sweet substance

2 Off and on Sweet taste Occasionally sweet taste felt without eating any sweet substance

3 Continuous sweet taste Occasionally sweet taste felt without eating any sweet substance

षपजचछिऱता (अहर) (Unctuousness)

0 Absent

1 Present

वरण 0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

154 कफाबभद (अहर) शयाव अबभदम

(शयावपाणडऽबभदम) 0 Colour of growthtumour is same

the colour of surrounding skin

1 Colour of growthtumour is शयाव

(Blackish)

62

Code Signs amp Symptoms Score Gradations Remarks

पाणड अबभदम (शयावपाणडऽबभदम)

0 Colour of growthtumour is same the colour of surrounding skin

1 Colour of growthtumour is पाणड

(Pale)

अबभदम 0 No GrowthTumour TNM Classification for tumours can be applied for growth

1 Growthtumour having sizelt 10 mm

2 Growthtumour having size 10 mm to 20 mm

3 Growthtumour having size gt 20 mm

घटिता तिनना मटदता च षववरभत (Size increases on rubbing cutting and squeezing)

0 Size of GrowthTumour is not increasing by rubbing cutting or squeezing

1 Size of GrowthTumour is increasing up to 10 mm by rubbing cutting or squeezing within a month

2 Size of GrowthTumour is increasing up to 20 mm by rubbing cutting or squeezing within a month

3 Size of GrowthTumour is increasing up to 30 mm by rubbing cutting or squeezing within a month

4 Size of GrowthTumour is increasing up to 40 mm by rubbing cutting or squeezing within a month

155 ऊरधवभगद (अहर) वकतरदौगनधम

(Halitosis)

0 No Halitosis

1 Halitosis is feel by Patient only

2 Halitosis is feel by Patient and examining Doctor only

3 Halitosis is feel by any person from the distance from 5 meters

63

Code Signs amp Symptoms Score Gradations Remarks

4 Halitosis is feel by any person from the distance from more than 5 meters

156 पततवकर (अहर) ऩतममासमता

(Halitosis)

0 No Halitosis

1 Halitosis is feel by Patient only

2 Halitosis is feel by Patient and examining Doctor only

3 Halitosis is feel by any person from the distance from 5 meters

4 Halitosis is feel by any person from the distance from more than 5 meters

157 सतनऩाततक सवसय (अहर) This disease occurs due to aggravation of all three doshas including Rakta Clinical presentation of this disease is found as mixed picture according prominent aggravation of dosha and signs and symptoms will be observed accordingly Gradations should be considered accordingly so it is not required to repeat here

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Page 34: THE GRADATIONS OF DISEASES OF SHALAKYA TANTRA - PART …theassociationofshalaki.com/downloads/GRADATIONS_OF_DISEASE… · 12.05.2019  · I am also very much thankful to Dr Sandhya

33

Code Signs amp Symptoms Score Gradations Remarks

2 Rujā (pain) is Present on that gum only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

2 Rujā (pain) is Present on that gum only where disease is occurred and patient can do hisher routine work without disturbance

िर (अहर) 0 No mobility

1 1 mm anterio-posterior

mobility

2 2 mm anterio-posterior

mobility

3 More than 2 mm antero-

posterior amp medial to lateral

mobility

124 भञजनक (स) =Photograph is necessary

(depending upon the severity gradation has been finalised)

वकतर वकरता 0 No deviation

1 Deviation is present

तीवररक 0 No Rujā (pain) Or according to

VAS

2 Rujā (pain) is Present on that gum only where disease is occurred and patient can do hisher routine work without disturbance

34

Code Signs amp Symptoms Score Gradations Remarks

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

This condition should be considered as तीवररक

दनतबङग 0 Tooth is not broken This should be

considered for

single tooth

1 13 part of tooth is broken

2 23 of tooth is broken

3 More than 23 of tooth is

broken

4 Total loss of tooth

125 दनतशकभ रा (स) =Calculus index was selected

शकयव चसथयीबत भर 0 No calculus present

1 Supragingival calculus

covering not more than third

of the exposed tooth surface

2 Supragingival calculus

covering more than 13 but

not more than 23 of the

exposed tooth surface or the

presence of individual flecks

of subgingival calculus

around the cervical portion of

the tooth or both

3 Supragingival calculus

covering more than 23 of the

exposed tooth surface or

continues heavy band 0f

subgingival calculus around

the cervical portion of the

tooth or both

35

Code Signs amp Symptoms Score Gradations Remarks

दनताना गणहयी 0 Absent All 10 Guna of

Danta Sampata

should be

considered required

suggestions for

each Guna

1 Present

ऩततगचनध (अहर) 0 No foul smell Taken grading of

halitosis

1 Patient feels foul smell

2 Doctor or person who comes near to patient feels foul smell

3 From distance anyone can feels foul smell who is in the room

4 Foul smell can be feel from outside of the room even

126 कपामऱका (स)

दनतवलकसम दरनभ = Bracketing of tooth enamel (दरचनत दनतवलकातन)

0 No दरनभ of tooth This should be

considered

separately for each

tooth

1 दरनभ is present of less than 13 of tooth

2 दरनभ is present of more than of 13 of tooth but less than 23 of tooth

3 दरनभ is present of more than of 23 of tooth but no total loss of tooth

4 Total loss of tooth after दरनभ

This condition should be considered as दशनाना पवनाश

दशनाना पवनाश = Total loss of tooth

0 No Any loss of tooth This should be

considered

separately for each

tooth

1 loss of tooth is present of less than 13 of tooth

2 loss of tooth is present of more than of 13 of tooth but less than 23 of tooth

36

Code Signs amp Symptoms Score Gradations Remarks

3 loss of tooth is present of more than of 23 of tooth but no total loss of tooth

4 Total loss of tooth This condition should be considered as दशनाना पवनाश

दनतशातनभ अणश = Thinning of tooth (शातमतममतममणशो दनतात कऩारातन) (अहर)

0 No शातनभ of tooth This should be

considered

separately for each

tooth

1 शातनभ is present in less than 13 of tooth

2 शातनभ is present in more than 13 of tooth but less than 23 of tooth

3 शातनभ is present in more than 23 of tooth but no total loss of tooth

4 Total loss of tooth due to शातनभ

127 शयावदनतक (स) In शमावदनत शमावता amp नीरता should be considered ascending stages

शमावता + नीरता 0 -No any discolouration of

tooth

-Normal colour of tooth

This should be

considered

separately for each

tooth

1 शमावता is Present

2 नीरता is Present

128 हनमो (स) According to Dalhan हनमो is not Dant Rog directly but it is near to

Dantchewing of hard food is one of the causes and there is pain in Dant so it is considered under Danta Rog

हनसचनधपवसहत 0 Absent

1 Can be reset by manual reduction

2 Can be reset by surgical

intervention

129 दनतभद (अहर) तोद =Pricking pain 0 No Pricking pain -Or According to

VAS

- This should be

considered

separately for each

tooth

37

Code Signs amp Symptoms Score Gradations Remarks

2 Pricking pain is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Pricking pain is referred up to Hanu and patient can do hisher routine work without disturbance

4 Pricking pain is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Pricking pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Pricking pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

बद Braking pain 0 No Braking pain -Or According to

VAS

- This should be

considered

separately for each

tooth

2 Braking pain is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Braking pain is referred up to Hanu and patient can do hisher routine work without disturbance

4 Braking pain is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Braking pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Braking pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

38

Code Signs amp Symptoms Score Gradations Remarks

रक Dull pain 0 No Rujā (pain) -Or According to

VAS

- This should be

considered

separately for each

tooth

2 Rujā (pain) is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

सपिन Burstingexpanding pain

0 No Bursting pain -Or According to

VAS

- This should be

considered

separately for each

tooth

2 Bursting pain is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Bursting pain is referred up to Hanu and patient can do hisher routine work without disturbance

4 Bursting pain is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

39

Code Signs amp Symptoms Score Gradations Remarks

5 Bursting pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Bursting pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

1210 दनतचाऱ (अहर) िरतमव = Mobility 0 No = mobility

1 1mm anterio-posterior

mobility

2 2 mm anterio-posterior

mobility

3 More than 2 mm anterio-

posterior amp medial to lateral

mobility

बणादचधकवमथ 0 No Vyatha ndash Pain during

eating

1 Pain during eating of hard

diet only

2 Pain during eating of soft diet

even

1211 कराऱ (स)

=Malocclusion

0 A Normal Molar relationship

exist but there is crowding

misalignment of the teeth

cross bite etc

1 A malocclusion where the

molar relationship shows the

buccal grove of mandibular

first molar distally positioned

when in occlusion with the

mesiobuccal cusp of the

maxillary first molar

2 A malocclusion where the

molar relationship shows the

buccal groove of the

mandibular first molar

mesiallypos

40

GRADATIONS OF JIHWA GAT ROG

Code - 13

Established by Group BHOJ Dr Krishna Makaia ndash Convener

Dr Rajeshree Unadkat Dr Neelam Dave

Dr Ronakgiri Gosai Dr Jignesh Virapariya

Reviewed by Dr Vijayant Bharadwaj

Edited by Prof Vd Hāridra Dave

41

Code Signs amp Symptoms Score Gradations Remarks

131 वाततक चजहवाकिक (स) सपटिता (Creaks) 0 No creaks on tongue

1 Single creak on the dorsum of tongue

2 Multiple Creaks on the dorsum of tongue

3 Multiple deep creaks on the dorsum of tongue (Bleeding)

परसपता (Numbness )

0 No Numbness

1 Numbness in 13 Part of tongue

2 Numbness in 23 Part of tongue

3 Numbness in more than 23 Part of tongue

शाकछिदनपरकाशा (Roughness)

0 Normal surface of tongue on touch

1 Mild rough surface on touch

2 Hard irregular surface on touch

3 Very rough surface which hurts the finger on touch

132 ऩततक चजहवाकिक (स) ऩीता 0 No yellowish discolouration

1 Yellowish discoloration in 13 part

2 Yellowish discoloration in 23 part

3 Yellowish discoloration in more than 23 part of tongue

ऩरयदहमत Burning in entire tongue)

0 No burning Or According to VAS

1 Occasional burning

2 Intermittent burning

3 Continuous burning does not relieve by any measures

दाह (Burning may be

in partially tongue)

0 No Burning Or According to VAS

1 Burning up to 13 part of tongue

2 Burning in 13 to 23 part of tongue

3 Burning in more than 23 part of tongue

42

Code Signs amp Symptoms Score Gradations Remarks

यकतभासाङकयचशिता (Covered with red buds )

0 No change in appearance

1 13 part of tongue covered with red fleshy buds

2 23 part of tongue covered with red fleshy buds

3 Whole tongue covered with red fleshy buds

ओष (Burning) 0 No Oshha Or According to VAS

1 Oshha up to 13 part of tongue

2 Oshha in 13 to 23 part of tongue

3 Oshha in more than 23 part of tongue

133 कपज चजहवाकिक (स) फहरा (Thick) 0 Normal Thickness of Tongue

1 Thickness increased - noticeable by patient

2 Thickness increased - noticeable by the examiner

3 Tongue protruding out because of increased Thickness

गवी (Heaviness) 0 No Heaviness

1 Feeling mild heaviness but no difficulty in Tongue movement

2 Difficulty in Tongue movement especially during intake of liquid

3 Difficulty in Tongue movement especially during intake of hard food

4 Difficulty in Tongue movement especially during Pronunciation

भासोदगभ शालभसरकणिकाब (thorn like papilla)

0 No change in appearance of tongue

1 13 part of tongue covered with red fleshy thorn like papilla

2 23 part of tongue covered with thorn like papilla

3 Whole tongue covered with thorn like papilla

43

Code Signs amp Symptoms Score Gradations Remarks

134 अरास (स) शवमथ

(Swelling at ventral surface of tongue)

0 Absent

1 Present

सतबमतत (Restricted tongue movement)

0 -Normal Movement of Tongue -Movement of tongue not affected

1 Tongue movement slightly restricted but does not affect the normal function

2 Tongue movement restricted that affects the normal function

3 Tongue movement arrested

परवदध

(Increase in size)

0 Size not increased

1 Size increased - noticeable by the patient

2 Size increased - noticeable by the examiner

3 Tongue protruding out because of increased size

ऩाक 0 No swelling or suppuration

1 Inflammation with pain and tenderness

2 Inflammation with different types of pain and tenderness along with induration

3 Pus formation and fluctuation positive

अधशोप 0 Absent

1 Present

उननत (elevation of

the tongue due to swelling below the tongue)

0 Normal position of tongue

1 Tongue slightly elevated due to swelling below the tongue

2 Tongue elevation causes discomfort to the patient

3 Tongue touches the palate

भतमसमगचनध

(Fishy smell)

0 Absent

1 Present

44

Code Signs amp Symptoms Score Gradations Remarks

भासशातन (Destruction of flesh of tongue )

0 No Destruction of tongue flesh

1 13 part of tongue flesh is destroyed

2 23 part of tongue flesh is destroyed

3 More than 23 part of tongue is destroyed

135 उऩचजचहवका (स) शवमथ (Swelling) 0 Absent

1 Present

चजहवाभननम

जात (elevation of

tongue because of swelling)

0 Normal position of tongue

1 Tongue slightly elevated due to swelling below the tongue

2 Tongue elevation causes discomfort to the patient

3 Tongue touches the palate

परसक (Salivation) 0 Normal secretion of saliva

1 Occasionally spitting

2 Off and on spitting

3 Continuous spitting which disturbs the work

कणड (Itching) 0 No itching Or According to VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate on work due to severe itching

0r

0 No itching

1 Occasional itching

2 Off and on itching

3 Continuous itching

ऩरयदाह (Burning in

whole tongue)

0 No burning Or According to VAS

1 Occasional burning

2 Intermittent burning

3 Contentious burning dose not relive by any measures

45

Code Signs amp Symptoms Score Gradations Remarks

136 अचधचजचहवका (अर)

अधोचजहवामा शोप

0 Normal position of tongue

(Swelling below the tongue)

1 Tongue slightly elevated due to swelling below the tongue

2 Tongue elevation causes discomfort to the patient

3 Tongue touches the palate

अङकय (Pappilary

growth)

0 Absent

1 Present

ओष (Burning) 0 No Oshh Or According to

VAS

1 Oshh up to 13 part of tongue

2 Oshh in 13 to 23 part of tongue

3 Oshh in more than 23 part of tongue

सतबवान

(Restriction of Movement)

0 Movement of tongue not affected

1 Tongue movement slightly restricted but does not affect the normal function

2 Tongue movement restricted that affect the normal function

3 Tongue movement arrested

खय(Rough) 0 Smooth on touch

1 Mild irregular surface

2 Rough surface

3 Sharp rough surface touch hurts on finger on touch

रक (Pain) 0 No pain Or According to

VAS

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

कणड (Itching) 0 No itching Or According to

VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate on work due to severe itching

0r

0 No itching

46

Code Signs amp Symptoms Score Gradations Remarks

1 Occasional itching

2 Off and on itching

3 Continuous itching

वाकम पवघातकत (Difficulty in speech)

0 No difficulty in speech

1 Unable to speak िति vargavyanjana

2 Difficulty in speaking क vargavyanjana

Swara donrsquot need involvement of tongue

3 Unable to speak

आहयपवघातकत

(Swallowing )

0 Able to eat regular diet

1 Able to eat soft diet

2 Able to eat only liquid diet

3 Unable to swallow anything

47

GRADATION OF TALUGAT ROG

Code - 14

Established by Group BHOJ Dr Krishna Makaia ndash Convener

Dr Rajeshree Unadkat Dr Neelam Dave

Dr Ronakgiri Gosai Dr Jignesh Virapariya

Reviewed by Dr Vijayant Bharadwaj

Edited by Prof Vd Hāridra Dave

48

Code Signs amp Symptoms Score Gradations Remarks

141 गरशचणडका (स)

परवदधो शोप (Swelling extending from palate) (Which is elongated)

0 Normal size of uvula

1 Swelling of uvula that causes discomfort to the patient

2 Swelling of uvula that causes foreign body sensation

3 Difficulty in breathing due to swelling

दीघ शोप

(Elongated Swelling)

0 Normal size of uvula

1 Elongated swelling of uvula that causes discomfort to the patient

2 Elongated swelling of uvula that causes foreign body sensation

3 Difficulty in breathing due to Elongated swelling

धभातफचसतपरकाश शोप =Inflated

swelling like Basti

0 Normal size of uvula

1 Inflated swelling like Basti of uvula that causes discomfort to the patient

2 Inflated swelling like Basti of uvula that causes foreign body sensation

3 Difficulty in breathing due to Inflated swelling like Basti

तषणा 0 Normal feeling of thirst

1 Increased feeling of thirst which is relived after drinking water

The quantity of water is not consider here but the frequency of water is considered

2 Frequent feeling of thirst which is Occasional relived after drinking water

3 Continuous feeling of thirst does not relive after drinking profuse amount of water

कास (Coughing) 0 No coughing

49

Code Signs amp Symptoms Score Gradations Remarks

1 Occasional coughing during eating and speaking

2 Off and on coughing

3 Continuous coughing

शवास 0 No difficulty in breathing

1 Difficulty in breathing occasionally

2 More difficulty in breathing while sleeping

3 Excessive difficulty in breathing

भतमसमफचसततनब शोप (अहर)

0 Normal uvula Used as an adjective

1 Inflated swelling like Matsya-Basti of uvula that causes discomfort to the patient

2 Inflated swelling like Matsya-Basti of uvula that causes foreign body sensation

3 Difficulty in breathing due to Inflated swelling like Matsya-Basti

पररफ (अहर) 0 Normal length of Uvula

(Elongated Swelling)

1 Size of Uvula increased up to lt2 mm

2 Size of Uvula increased more than 2 mm but less than 4 mm

3 Size of Uvula increased gt4 mm that cause discomfort to patient and cause difficulty in breathing

पऩचछिर(अहर) (Sliminess)

0 Absent

1 Present

नासमाऽऽहायभीयमन (अहर)

0 Food does not come out from nose

(Food comes out of nose)

1 Food comes out from nose

कणठोऩयोध(अहर) (Obstruction of throat )

0 -Able to eat regular diet -No difficulty in swallowing of any food

1 Able to swallow liquid or soft diet but not able to swallow hard diet

2 Able to swallow hard diet forcefully

50

Code Signs amp Symptoms Score Gradations Remarks

3 Not able to swallow hard diet with force

वभन(अहर) (Vomiting)

0 No Vaman

1 Feeling of nausea only

2 Only one veg of Vaman in a day

3 Two vegas of Vaman in a day

4 More than two vegas of Vaman in a day

132 तचणडकयी (स)

शोप (Tonsillar

Swelling)

0 Tonsils are located within the tonsillar fossa

1 Tonsils hypertrophy till the brim of the tonsillar fossa

2 Tonsils hypertrophy extends beyond the pillars but not touching each other

3 Tonsils hypertrophy extends beyond the pillars but not touching each other

तोद

(Pricking pain)

0 No pain

1 Occasional pain Or according to VAS

2 Off and on pain

3 Continuous pain

दाह (Burning) 0 No

1 Occasional burning

2 Intermittent burning

3 Contentious burning dose not relive by any measures

परऩाक 0 Absent

1 Present

पऩचछिर शोप(अहर)

Sliminess in swallowing

0 Feeling of Sliminess is Absent

1 Feeling of Sliminess is Present

भनदरक (अहर)

(Mild pain)

0 Absent Or According to

VAS

1 Present

133 अधरष (स)

शोप (Swelling) 0 No swelling

1 13 Swelling in part of the palate

51

Code Signs amp Symptoms Score Gradations Remarks

2 23 swelling in part of palate

3 Swelling in gt than 23 part of palate

सतबधता =Functions of soft palate like deglutition Phonation etc are affected = No mobility of soft palate

0 Normal function of soft palate

1 Soft palate movement reduced but functions are not affected

2 Any one of the functions of soft palate is affected

3 All functions of soft palate are affected

रोटहतवणता

(Redness)

0 No change in colour

1 Pinkish red coloured mucosa in palate

2 Red coloured mucosa in palate

3 Dark red coloured mucosa in palate

रजा (Pain) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

जजवय (Fever) 0 Normal temperature

1 Temperature between 984rsquoF to 100rsquoF

Temperature between 100rsquoF to 101rsquoF

2 Temperature between 101rsquoF to 102rsquoF

3 Temperature between 102rsquoF to 103rsquoF

52

Code Signs amp Symptoms Score Gradations Remarks

4 Temperature between 103rsquoF to 104rsquoF

5 Temperature more than 104rsquoF

134 कछिऩ (स)

कभवत उतमसनन शोप (Swelling

having shape like dorsum of tortoise)

0 No swelling

1 Swelling in 13rd part of the palate

2 Swelling in 23rd part of palate

3 Swelling in gt 23rd part of palate

चियवपदध(अहर)

(Slow growth)

0 Growth within a week

1 Growth within 1 week to 1 month

2 Growth within 1 month to 6 months

3 Growth within gt 6 months

रक (अहर) (Pain) 0 No pain Or According to VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesics

135 तारअफद (स) ऩदमाकाय तारभधम

शोपम (Swelling

like shape of lotus )

0 No swelling

1 Swelling in 13rd part of the palate

2 2 Swelling in 23rd part of palate

3 3 Swelling in gt 23rd part of palate

136 भाससङघात (स) नीरज (Painless) 0 Absent

1 Present

53

Code Signs amp Symptoms Score Gradations Remarks

शोप 0 No swelling

1 Swelling in 13rd part of the palate

2 Swelling in 23rd part of palate

3 Swelling in gt 23rd part of palate

137 तारऩपऩि (स) नीरक (Painless) 0 Absent

1 Present

कोरभातर

Swelling having size of Kola fruit

0 Absent

1 Present

138 तारशोष (स)

शोष (Dryness) 0 No dryness

1 Dryness decreased after drinking water

2 Patient needs water frequently

3 Dryness persist after dinking profuse water

दायण (Tearing of palate)

0 Absent

1 Present

शवास (Difficulty in

breathing)

0 No difficulty in breathing Here difficulty in breathing is due to obstruction

1 Difficulty in breathing occasionally

2 More difficulty in breathing while sleeping position

3 Excessive difficulty in breathing

जजवय(अहर) (Fever) 0 Normal temperature

1 Temperature between 984rsquoF to 100rsquoF

Temperature between 100rsquoF to 101rsquoF

2 Temperature between 101rsquoF to 102rsquoF

3 Temperature between 102rsquoF to 103rsquoF

4 Temperature between 103rsquoF to 104rsquoF

5 Temperature more than 104rsquoF

54

Code Signs amp Symptoms Score Gradations Remarks

139 तारऩाक (स) ऩाक (Suppuration) 0 No swelling or suppuration

1 Inflammation of palate with pain and tenderness

2 Inflammation of palate with different types of pain and tenderness with induration

3 Pus formation and fluctuation positive

1310 तारपऩटिका (अहर) तारभास पऩटिका

Follicles in palate flesh

0 No follicles

1 13 palate covered with follicles

2 23 palate covered with follicles

3 More than 23 palate covered with follicles

रज(अहर) (Pain) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

Occasional pain

खयता(अहर) (Roughness)

0 Smooth on touch

1 Mild irregular surface on touch

2 Rough surface

3 Sharp rough surface which hurts on finger on touch

घनसराव(अहर) (Thick discharge)

0 No discharge

1 Occasional discharge

2 Off and on thick discharge

3 Continuous thick discharge

1311 तारसहतत (अहर) तारभधम तनरक (अहर) =Painless fleshy growth in palate

Only तारभधम तनरक indicates the place and quality of growth both the symptoms can be

merged

55

Code Signs amp Symptoms Score Gradations Remarks

तनरक (Painless) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

भाससहत

(Fleshy growth in palate)

0 No fleshy growth

1 Fleshy growth in 13 part of the palate Swelling

2 Fleshy growth in 23 part of palate swelling

3 Fleshy growth in more than 23 part of palate

56

GRADATION OF SARVASAR ROG

Code - 15

Established by Group BHOJ Dr Krishna Makaia ndash Convener

Dr Rajeshree Unadkat Dr Neelam Dave

Dr Ronakgiri Gosai Dr Jignesh Virapariya

Reviewed by Dr Vijayant Bharadwaj

Edited by Prof Vd Hāridra Dave

57

Code Signs amp Symptoms Score Gradations Remarks

151 वातजसवसय (स) सपोि (Ulcers) 0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

तोद = Pricking pain 0 No pricking pain Or According to VAS

1 Occasional pricking pain

2 Off and on pricking pain

3 Continuous pricking pain

Or

0 No pricking pain

1 Sometimes mild pricking pain

2 Has to take analgesic while pricking pain

सिारयण(अहर) This symptom is for सवसय so this सवसय is the nature of सिारय

0 No movement of सवसय

1 Movement of सवसय is once in a week

2 Movement of सवसय is once in three to four days

3 Movement of सवसय is at every alternate day

4 Movement of सवसय is once in a day

अरण (अहर) Reddish discoloration

0 Colour of वरण is same with colour of surrounding area

1 Colour of वरण is Reddish

2 Colour of वरण is Dark Red

3 Colour of वरण is Reddish black

र (अहर) Dryness 0 वरण is Moist

-No dryness of वरण

1 वरण Needs lubrication once a day

2 वरण Needs frequent lubrication in

a day

3 No benefit with frequent

lubrication of वरण

तामरता (अहर) (Coppery

0 Colour of वरणौषठ is same with colour of surrounding area

58

Code Signs amp Symptoms Score Gradations Remarks

discoloration) This symptom is for

वरणौषठ

1 Colour of वरणौषठ is Tamra Varna

चऱतवचा (अहर) (Free mucous membrane) This symptom is for

वरणौषठ

0

Movement of वरणौषठ is on touch

only

1 Movement of वरणौषठ can be seen by naked eye means without touch

शीतासहा (अहर) (Intolerance to cold) This symptom is for

जजहवा

0 No Intolerance of cold to जजहवा

1 Intolerance of severe cold to जजहवा

2 Intolerance of moderate cold to जजहवा

3 Intolerance of Mild cold to जजहवा

गवी (Heaviness)

This symptom is for

जजहवा

0 No Heaviness

1 Mild heaviness with no difficulty

in movement of जजहवा

2 Moderate heaviness with

difficulty in Movement of जजहवा

3 Sever heaviness with bending down of

सफटटता (अहर) (Ulcer)

0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

कणटाकाधचता (अहर) = Thorn like

appearance

0 No change in appearance

59

Code Signs amp Symptoms Score Gradations Remarks

1 13 part of oral mucous membrane covered with red fleshy thorn like papillae

2 23 part of oral mucous membrane covered with red fleshy thorn like papillae

3 gt23 part of oral mucous membrane covered with red fleshy thorn like papillae

षववणोतत कचछरणमखम (अहर) (Difficulty in mouth opening)

0 Mouth opening more than 3 fingers without difficulty

1 2 to 3 fingers opening of mouth with or without difficulty

2 1 to 2 fingers opening of mouth with or without difficulty

3 Less than 1 finger opening of mouth with or without difficulty

152 पऩतमत(यकतज)सवसय (स) Signs and Symptoms of यकतज सवसय are same as of पऩतमत सवसय so no separate gradations are mentioned

यकतता (Redness) 0 Colour of सवसय- वरण is similar with

surrounding mucous membrane

1 Reddish Colour of सवसय- वरण

2 Bright red Colour of सवसय- वरण

3 Dark red Colour of सवसय- वरण

सदाह (Burning

Sensation)

0 No burning in सवसय- वरण Or According to

VAS

1 Occasional burning in सवसय- वरण

2 Intermittent burning in सवसय- वरण

3 Contentious burning in सवसय- वरण

which does not relive by any measures

तन (तनसब) (Shallow superficial ulcers)

0 No ulcer

1 Ulcer having depth of 05-1 mm

2 Ulcer having depth of 1 ndash 15 mm

3 Ulcer having depth of 15 -2 mm

60

Code Signs amp Symptoms Score Gradations Remarks

ओष (अहर) 0 No (ओष) burning in सवसय- वरण

1 Occasional (ओष) burning in

सवसय- वरण

2 Intermittent (ओष) burning in

सवसय- वरण

3 Contentious (ओष) burning in

सवसय- वरण which does not relive

by any measures

ततकतवकरता (अहर) (Bitter taste in mouth)

0 No alteration in taste

1 Occasionally bitter taste felt in mouth without having any bitter substance

2 Off and on bitter taste felt in mouth without having any bitter substance

3 Continuous bitter taste felt in mouth without having any bitter substance

ारोकषतत समावरणा (अहर)

0 No Ulcer

(Ulcers looking like chemical burns)

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

153 कपज सवसय (स) कणड (Itching) 0 No itching Or According to

VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Unable to work due to itching

0r

0 No itching

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate on work due to severe itching

रजा (Pain)

(अलऩ रजा) 0 No pain Or According to

VAS

1 Occasional pain

61

Code Signs amp Symptoms Score Gradations Remarks

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain This condition should be considered as अलऩ रजा

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

सवणण 0 Colour of वरण is same with colour of near by tissue

1 Colour of वरण is not same with colour of near by tissue

मररासयतवम (अहर) (Sweet taste in mouth)

0 No alteration in taste

1 Occasionally sweet taste felt without eating any sweet substance

2 Off and on Sweet taste Occasionally sweet taste felt without eating any sweet substance

3 Continuous sweet taste Occasionally sweet taste felt without eating any sweet substance

षपजचछिऱता (अहर) (Unctuousness)

0 Absent

1 Present

वरण 0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

154 कफाबभद (अहर) शयाव अबभदम

(शयावपाणडऽबभदम) 0 Colour of growthtumour is same

the colour of surrounding skin

1 Colour of growthtumour is शयाव

(Blackish)

62

Code Signs amp Symptoms Score Gradations Remarks

पाणड अबभदम (शयावपाणडऽबभदम)

0 Colour of growthtumour is same the colour of surrounding skin

1 Colour of growthtumour is पाणड

(Pale)

अबभदम 0 No GrowthTumour TNM Classification for tumours can be applied for growth

1 Growthtumour having sizelt 10 mm

2 Growthtumour having size 10 mm to 20 mm

3 Growthtumour having size gt 20 mm

घटिता तिनना मटदता च षववरभत (Size increases on rubbing cutting and squeezing)

0 Size of GrowthTumour is not increasing by rubbing cutting or squeezing

1 Size of GrowthTumour is increasing up to 10 mm by rubbing cutting or squeezing within a month

2 Size of GrowthTumour is increasing up to 20 mm by rubbing cutting or squeezing within a month

3 Size of GrowthTumour is increasing up to 30 mm by rubbing cutting or squeezing within a month

4 Size of GrowthTumour is increasing up to 40 mm by rubbing cutting or squeezing within a month

155 ऊरधवभगद (अहर) वकतरदौगनधम

(Halitosis)

0 No Halitosis

1 Halitosis is feel by Patient only

2 Halitosis is feel by Patient and examining Doctor only

3 Halitosis is feel by any person from the distance from 5 meters

63

Code Signs amp Symptoms Score Gradations Remarks

4 Halitosis is feel by any person from the distance from more than 5 meters

156 पततवकर (अहर) ऩतममासमता

(Halitosis)

0 No Halitosis

1 Halitosis is feel by Patient only

2 Halitosis is feel by Patient and examining Doctor only

3 Halitosis is feel by any person from the distance from 5 meters

4 Halitosis is feel by any person from the distance from more than 5 meters

157 सतनऩाततक सवसय (अहर) This disease occurs due to aggravation of all three doshas including Rakta Clinical presentation of this disease is found as mixed picture according prominent aggravation of dosha and signs and symptoms will be observed accordingly Gradations should be considered accordingly so it is not required to repeat here

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Page 35: THE GRADATIONS OF DISEASES OF SHALAKYA TANTRA - PART …theassociationofshalaki.com/downloads/GRADATIONS_OF_DISEASE… · 12.05.2019  · I am also very much thankful to Dr Sandhya

34

Code Signs amp Symptoms Score Gradations Remarks

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

This condition should be considered as तीवररक

दनतबङग 0 Tooth is not broken This should be

considered for

single tooth

1 13 part of tooth is broken

2 23 of tooth is broken

3 More than 23 of tooth is

broken

4 Total loss of tooth

125 दनतशकभ रा (स) =Calculus index was selected

शकयव चसथयीबत भर 0 No calculus present

1 Supragingival calculus

covering not more than third

of the exposed tooth surface

2 Supragingival calculus

covering more than 13 but

not more than 23 of the

exposed tooth surface or the

presence of individual flecks

of subgingival calculus

around the cervical portion of

the tooth or both

3 Supragingival calculus

covering more than 23 of the

exposed tooth surface or

continues heavy band 0f

subgingival calculus around

the cervical portion of the

tooth or both

35

Code Signs amp Symptoms Score Gradations Remarks

दनताना गणहयी 0 Absent All 10 Guna of

Danta Sampata

should be

considered required

suggestions for

each Guna

1 Present

ऩततगचनध (अहर) 0 No foul smell Taken grading of

halitosis

1 Patient feels foul smell

2 Doctor or person who comes near to patient feels foul smell

3 From distance anyone can feels foul smell who is in the room

4 Foul smell can be feel from outside of the room even

126 कपामऱका (स)

दनतवलकसम दरनभ = Bracketing of tooth enamel (दरचनत दनतवलकातन)

0 No दरनभ of tooth This should be

considered

separately for each

tooth

1 दरनभ is present of less than 13 of tooth

2 दरनभ is present of more than of 13 of tooth but less than 23 of tooth

3 दरनभ is present of more than of 23 of tooth but no total loss of tooth

4 Total loss of tooth after दरनभ

This condition should be considered as दशनाना पवनाश

दशनाना पवनाश = Total loss of tooth

0 No Any loss of tooth This should be

considered

separately for each

tooth

1 loss of tooth is present of less than 13 of tooth

2 loss of tooth is present of more than of 13 of tooth but less than 23 of tooth

36

Code Signs amp Symptoms Score Gradations Remarks

3 loss of tooth is present of more than of 23 of tooth but no total loss of tooth

4 Total loss of tooth This condition should be considered as दशनाना पवनाश

दनतशातनभ अणश = Thinning of tooth (शातमतममतममणशो दनतात कऩारातन) (अहर)

0 No शातनभ of tooth This should be

considered

separately for each

tooth

1 शातनभ is present in less than 13 of tooth

2 शातनभ is present in more than 13 of tooth but less than 23 of tooth

3 शातनभ is present in more than 23 of tooth but no total loss of tooth

4 Total loss of tooth due to शातनभ

127 शयावदनतक (स) In शमावदनत शमावता amp नीरता should be considered ascending stages

शमावता + नीरता 0 -No any discolouration of

tooth

-Normal colour of tooth

This should be

considered

separately for each

tooth

1 शमावता is Present

2 नीरता is Present

128 हनमो (स) According to Dalhan हनमो is not Dant Rog directly but it is near to

Dantchewing of hard food is one of the causes and there is pain in Dant so it is considered under Danta Rog

हनसचनधपवसहत 0 Absent

1 Can be reset by manual reduction

2 Can be reset by surgical

intervention

129 दनतभद (अहर) तोद =Pricking pain 0 No Pricking pain -Or According to

VAS

- This should be

considered

separately for each

tooth

37

Code Signs amp Symptoms Score Gradations Remarks

2 Pricking pain is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Pricking pain is referred up to Hanu and patient can do hisher routine work without disturbance

4 Pricking pain is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Pricking pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Pricking pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

बद Braking pain 0 No Braking pain -Or According to

VAS

- This should be

considered

separately for each

tooth

2 Braking pain is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Braking pain is referred up to Hanu and patient can do hisher routine work without disturbance

4 Braking pain is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Braking pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Braking pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

38

Code Signs amp Symptoms Score Gradations Remarks

रक Dull pain 0 No Rujā (pain) -Or According to

VAS

- This should be

considered

separately for each

tooth

2 Rujā (pain) is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

सपिन Burstingexpanding pain

0 No Bursting pain -Or According to

VAS

- This should be

considered

separately for each

tooth

2 Bursting pain is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Bursting pain is referred up to Hanu and patient can do hisher routine work without disturbance

4 Bursting pain is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

39

Code Signs amp Symptoms Score Gradations Remarks

5 Bursting pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Bursting pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

1210 दनतचाऱ (अहर) िरतमव = Mobility 0 No = mobility

1 1mm anterio-posterior

mobility

2 2 mm anterio-posterior

mobility

3 More than 2 mm anterio-

posterior amp medial to lateral

mobility

बणादचधकवमथ 0 No Vyatha ndash Pain during

eating

1 Pain during eating of hard

diet only

2 Pain during eating of soft diet

even

1211 कराऱ (स)

=Malocclusion

0 A Normal Molar relationship

exist but there is crowding

misalignment of the teeth

cross bite etc

1 A malocclusion where the

molar relationship shows the

buccal grove of mandibular

first molar distally positioned

when in occlusion with the

mesiobuccal cusp of the

maxillary first molar

2 A malocclusion where the

molar relationship shows the

buccal groove of the

mandibular first molar

mesiallypos

40

GRADATIONS OF JIHWA GAT ROG

Code - 13

Established by Group BHOJ Dr Krishna Makaia ndash Convener

Dr Rajeshree Unadkat Dr Neelam Dave

Dr Ronakgiri Gosai Dr Jignesh Virapariya

Reviewed by Dr Vijayant Bharadwaj

Edited by Prof Vd Hāridra Dave

41

Code Signs amp Symptoms Score Gradations Remarks

131 वाततक चजहवाकिक (स) सपटिता (Creaks) 0 No creaks on tongue

1 Single creak on the dorsum of tongue

2 Multiple Creaks on the dorsum of tongue

3 Multiple deep creaks on the dorsum of tongue (Bleeding)

परसपता (Numbness )

0 No Numbness

1 Numbness in 13 Part of tongue

2 Numbness in 23 Part of tongue

3 Numbness in more than 23 Part of tongue

शाकछिदनपरकाशा (Roughness)

0 Normal surface of tongue on touch

1 Mild rough surface on touch

2 Hard irregular surface on touch

3 Very rough surface which hurts the finger on touch

132 ऩततक चजहवाकिक (स) ऩीता 0 No yellowish discolouration

1 Yellowish discoloration in 13 part

2 Yellowish discoloration in 23 part

3 Yellowish discoloration in more than 23 part of tongue

ऩरयदहमत Burning in entire tongue)

0 No burning Or According to VAS

1 Occasional burning

2 Intermittent burning

3 Continuous burning does not relieve by any measures

दाह (Burning may be

in partially tongue)

0 No Burning Or According to VAS

1 Burning up to 13 part of tongue

2 Burning in 13 to 23 part of tongue

3 Burning in more than 23 part of tongue

42

Code Signs amp Symptoms Score Gradations Remarks

यकतभासाङकयचशिता (Covered with red buds )

0 No change in appearance

1 13 part of tongue covered with red fleshy buds

2 23 part of tongue covered with red fleshy buds

3 Whole tongue covered with red fleshy buds

ओष (Burning) 0 No Oshha Or According to VAS

1 Oshha up to 13 part of tongue

2 Oshha in 13 to 23 part of tongue

3 Oshha in more than 23 part of tongue

133 कपज चजहवाकिक (स) फहरा (Thick) 0 Normal Thickness of Tongue

1 Thickness increased - noticeable by patient

2 Thickness increased - noticeable by the examiner

3 Tongue protruding out because of increased Thickness

गवी (Heaviness) 0 No Heaviness

1 Feeling mild heaviness but no difficulty in Tongue movement

2 Difficulty in Tongue movement especially during intake of liquid

3 Difficulty in Tongue movement especially during intake of hard food

4 Difficulty in Tongue movement especially during Pronunciation

भासोदगभ शालभसरकणिकाब (thorn like papilla)

0 No change in appearance of tongue

1 13 part of tongue covered with red fleshy thorn like papilla

2 23 part of tongue covered with thorn like papilla

3 Whole tongue covered with thorn like papilla

43

Code Signs amp Symptoms Score Gradations Remarks

134 अरास (स) शवमथ

(Swelling at ventral surface of tongue)

0 Absent

1 Present

सतबमतत (Restricted tongue movement)

0 -Normal Movement of Tongue -Movement of tongue not affected

1 Tongue movement slightly restricted but does not affect the normal function

2 Tongue movement restricted that affects the normal function

3 Tongue movement arrested

परवदध

(Increase in size)

0 Size not increased

1 Size increased - noticeable by the patient

2 Size increased - noticeable by the examiner

3 Tongue protruding out because of increased size

ऩाक 0 No swelling or suppuration

1 Inflammation with pain and tenderness

2 Inflammation with different types of pain and tenderness along with induration

3 Pus formation and fluctuation positive

अधशोप 0 Absent

1 Present

उननत (elevation of

the tongue due to swelling below the tongue)

0 Normal position of tongue

1 Tongue slightly elevated due to swelling below the tongue

2 Tongue elevation causes discomfort to the patient

3 Tongue touches the palate

भतमसमगचनध

(Fishy smell)

0 Absent

1 Present

44

Code Signs amp Symptoms Score Gradations Remarks

भासशातन (Destruction of flesh of tongue )

0 No Destruction of tongue flesh

1 13 part of tongue flesh is destroyed

2 23 part of tongue flesh is destroyed

3 More than 23 part of tongue is destroyed

135 उऩचजचहवका (स) शवमथ (Swelling) 0 Absent

1 Present

चजहवाभननम

जात (elevation of

tongue because of swelling)

0 Normal position of tongue

1 Tongue slightly elevated due to swelling below the tongue

2 Tongue elevation causes discomfort to the patient

3 Tongue touches the palate

परसक (Salivation) 0 Normal secretion of saliva

1 Occasionally spitting

2 Off and on spitting

3 Continuous spitting which disturbs the work

कणड (Itching) 0 No itching Or According to VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate on work due to severe itching

0r

0 No itching

1 Occasional itching

2 Off and on itching

3 Continuous itching

ऩरयदाह (Burning in

whole tongue)

0 No burning Or According to VAS

1 Occasional burning

2 Intermittent burning

3 Contentious burning dose not relive by any measures

45

Code Signs amp Symptoms Score Gradations Remarks

136 अचधचजचहवका (अर)

अधोचजहवामा शोप

0 Normal position of tongue

(Swelling below the tongue)

1 Tongue slightly elevated due to swelling below the tongue

2 Tongue elevation causes discomfort to the patient

3 Tongue touches the palate

अङकय (Pappilary

growth)

0 Absent

1 Present

ओष (Burning) 0 No Oshh Or According to

VAS

1 Oshh up to 13 part of tongue

2 Oshh in 13 to 23 part of tongue

3 Oshh in more than 23 part of tongue

सतबवान

(Restriction of Movement)

0 Movement of tongue not affected

1 Tongue movement slightly restricted but does not affect the normal function

2 Tongue movement restricted that affect the normal function

3 Tongue movement arrested

खय(Rough) 0 Smooth on touch

1 Mild irregular surface

2 Rough surface

3 Sharp rough surface touch hurts on finger on touch

रक (Pain) 0 No pain Or According to

VAS

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

कणड (Itching) 0 No itching Or According to

VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate on work due to severe itching

0r

0 No itching

46

Code Signs amp Symptoms Score Gradations Remarks

1 Occasional itching

2 Off and on itching

3 Continuous itching

वाकम पवघातकत (Difficulty in speech)

0 No difficulty in speech

1 Unable to speak िति vargavyanjana

2 Difficulty in speaking क vargavyanjana

Swara donrsquot need involvement of tongue

3 Unable to speak

आहयपवघातकत

(Swallowing )

0 Able to eat regular diet

1 Able to eat soft diet

2 Able to eat only liquid diet

3 Unable to swallow anything

47

GRADATION OF TALUGAT ROG

Code - 14

Established by Group BHOJ Dr Krishna Makaia ndash Convener

Dr Rajeshree Unadkat Dr Neelam Dave

Dr Ronakgiri Gosai Dr Jignesh Virapariya

Reviewed by Dr Vijayant Bharadwaj

Edited by Prof Vd Hāridra Dave

48

Code Signs amp Symptoms Score Gradations Remarks

141 गरशचणडका (स)

परवदधो शोप (Swelling extending from palate) (Which is elongated)

0 Normal size of uvula

1 Swelling of uvula that causes discomfort to the patient

2 Swelling of uvula that causes foreign body sensation

3 Difficulty in breathing due to swelling

दीघ शोप

(Elongated Swelling)

0 Normal size of uvula

1 Elongated swelling of uvula that causes discomfort to the patient

2 Elongated swelling of uvula that causes foreign body sensation

3 Difficulty in breathing due to Elongated swelling

धभातफचसतपरकाश शोप =Inflated

swelling like Basti

0 Normal size of uvula

1 Inflated swelling like Basti of uvula that causes discomfort to the patient

2 Inflated swelling like Basti of uvula that causes foreign body sensation

3 Difficulty in breathing due to Inflated swelling like Basti

तषणा 0 Normal feeling of thirst

1 Increased feeling of thirst which is relived after drinking water

The quantity of water is not consider here but the frequency of water is considered

2 Frequent feeling of thirst which is Occasional relived after drinking water

3 Continuous feeling of thirst does not relive after drinking profuse amount of water

कास (Coughing) 0 No coughing

49

Code Signs amp Symptoms Score Gradations Remarks

1 Occasional coughing during eating and speaking

2 Off and on coughing

3 Continuous coughing

शवास 0 No difficulty in breathing

1 Difficulty in breathing occasionally

2 More difficulty in breathing while sleeping

3 Excessive difficulty in breathing

भतमसमफचसततनब शोप (अहर)

0 Normal uvula Used as an adjective

1 Inflated swelling like Matsya-Basti of uvula that causes discomfort to the patient

2 Inflated swelling like Matsya-Basti of uvula that causes foreign body sensation

3 Difficulty in breathing due to Inflated swelling like Matsya-Basti

पररफ (अहर) 0 Normal length of Uvula

(Elongated Swelling)

1 Size of Uvula increased up to lt2 mm

2 Size of Uvula increased more than 2 mm but less than 4 mm

3 Size of Uvula increased gt4 mm that cause discomfort to patient and cause difficulty in breathing

पऩचछिर(अहर) (Sliminess)

0 Absent

1 Present

नासमाऽऽहायभीयमन (अहर)

0 Food does not come out from nose

(Food comes out of nose)

1 Food comes out from nose

कणठोऩयोध(अहर) (Obstruction of throat )

0 -Able to eat regular diet -No difficulty in swallowing of any food

1 Able to swallow liquid or soft diet but not able to swallow hard diet

2 Able to swallow hard diet forcefully

50

Code Signs amp Symptoms Score Gradations Remarks

3 Not able to swallow hard diet with force

वभन(अहर) (Vomiting)

0 No Vaman

1 Feeling of nausea only

2 Only one veg of Vaman in a day

3 Two vegas of Vaman in a day

4 More than two vegas of Vaman in a day

132 तचणडकयी (स)

शोप (Tonsillar

Swelling)

0 Tonsils are located within the tonsillar fossa

1 Tonsils hypertrophy till the brim of the tonsillar fossa

2 Tonsils hypertrophy extends beyond the pillars but not touching each other

3 Tonsils hypertrophy extends beyond the pillars but not touching each other

तोद

(Pricking pain)

0 No pain

1 Occasional pain Or according to VAS

2 Off and on pain

3 Continuous pain

दाह (Burning) 0 No

1 Occasional burning

2 Intermittent burning

3 Contentious burning dose not relive by any measures

परऩाक 0 Absent

1 Present

पऩचछिर शोप(अहर)

Sliminess in swallowing

0 Feeling of Sliminess is Absent

1 Feeling of Sliminess is Present

भनदरक (अहर)

(Mild pain)

0 Absent Or According to

VAS

1 Present

133 अधरष (स)

शोप (Swelling) 0 No swelling

1 13 Swelling in part of the palate

51

Code Signs amp Symptoms Score Gradations Remarks

2 23 swelling in part of palate

3 Swelling in gt than 23 part of palate

सतबधता =Functions of soft palate like deglutition Phonation etc are affected = No mobility of soft palate

0 Normal function of soft palate

1 Soft palate movement reduced but functions are not affected

2 Any one of the functions of soft palate is affected

3 All functions of soft palate are affected

रोटहतवणता

(Redness)

0 No change in colour

1 Pinkish red coloured mucosa in palate

2 Red coloured mucosa in palate

3 Dark red coloured mucosa in palate

रजा (Pain) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

जजवय (Fever) 0 Normal temperature

1 Temperature between 984rsquoF to 100rsquoF

Temperature between 100rsquoF to 101rsquoF

2 Temperature between 101rsquoF to 102rsquoF

3 Temperature between 102rsquoF to 103rsquoF

52

Code Signs amp Symptoms Score Gradations Remarks

4 Temperature between 103rsquoF to 104rsquoF

5 Temperature more than 104rsquoF

134 कछिऩ (स)

कभवत उतमसनन शोप (Swelling

having shape like dorsum of tortoise)

0 No swelling

1 Swelling in 13rd part of the palate

2 Swelling in 23rd part of palate

3 Swelling in gt 23rd part of palate

चियवपदध(अहर)

(Slow growth)

0 Growth within a week

1 Growth within 1 week to 1 month

2 Growth within 1 month to 6 months

3 Growth within gt 6 months

रक (अहर) (Pain) 0 No pain Or According to VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesics

135 तारअफद (स) ऩदमाकाय तारभधम

शोपम (Swelling

like shape of lotus )

0 No swelling

1 Swelling in 13rd part of the palate

2 2 Swelling in 23rd part of palate

3 3 Swelling in gt 23rd part of palate

136 भाससङघात (स) नीरज (Painless) 0 Absent

1 Present

53

Code Signs amp Symptoms Score Gradations Remarks

शोप 0 No swelling

1 Swelling in 13rd part of the palate

2 Swelling in 23rd part of palate

3 Swelling in gt 23rd part of palate

137 तारऩपऩि (स) नीरक (Painless) 0 Absent

1 Present

कोरभातर

Swelling having size of Kola fruit

0 Absent

1 Present

138 तारशोष (स)

शोष (Dryness) 0 No dryness

1 Dryness decreased after drinking water

2 Patient needs water frequently

3 Dryness persist after dinking profuse water

दायण (Tearing of palate)

0 Absent

1 Present

शवास (Difficulty in

breathing)

0 No difficulty in breathing Here difficulty in breathing is due to obstruction

1 Difficulty in breathing occasionally

2 More difficulty in breathing while sleeping position

3 Excessive difficulty in breathing

जजवय(अहर) (Fever) 0 Normal temperature

1 Temperature between 984rsquoF to 100rsquoF

Temperature between 100rsquoF to 101rsquoF

2 Temperature between 101rsquoF to 102rsquoF

3 Temperature between 102rsquoF to 103rsquoF

4 Temperature between 103rsquoF to 104rsquoF

5 Temperature more than 104rsquoF

54

Code Signs amp Symptoms Score Gradations Remarks

139 तारऩाक (स) ऩाक (Suppuration) 0 No swelling or suppuration

1 Inflammation of palate with pain and tenderness

2 Inflammation of palate with different types of pain and tenderness with induration

3 Pus formation and fluctuation positive

1310 तारपऩटिका (अहर) तारभास पऩटिका

Follicles in palate flesh

0 No follicles

1 13 palate covered with follicles

2 23 palate covered with follicles

3 More than 23 palate covered with follicles

रज(अहर) (Pain) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

Occasional pain

खयता(अहर) (Roughness)

0 Smooth on touch

1 Mild irregular surface on touch

2 Rough surface

3 Sharp rough surface which hurts on finger on touch

घनसराव(अहर) (Thick discharge)

0 No discharge

1 Occasional discharge

2 Off and on thick discharge

3 Continuous thick discharge

1311 तारसहतत (अहर) तारभधम तनरक (अहर) =Painless fleshy growth in palate

Only तारभधम तनरक indicates the place and quality of growth both the symptoms can be

merged

55

Code Signs amp Symptoms Score Gradations Remarks

तनरक (Painless) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

भाससहत

(Fleshy growth in palate)

0 No fleshy growth

1 Fleshy growth in 13 part of the palate Swelling

2 Fleshy growth in 23 part of palate swelling

3 Fleshy growth in more than 23 part of palate

56

GRADATION OF SARVASAR ROG

Code - 15

Established by Group BHOJ Dr Krishna Makaia ndash Convener

Dr Rajeshree Unadkat Dr Neelam Dave

Dr Ronakgiri Gosai Dr Jignesh Virapariya

Reviewed by Dr Vijayant Bharadwaj

Edited by Prof Vd Hāridra Dave

57

Code Signs amp Symptoms Score Gradations Remarks

151 वातजसवसय (स) सपोि (Ulcers) 0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

तोद = Pricking pain 0 No pricking pain Or According to VAS

1 Occasional pricking pain

2 Off and on pricking pain

3 Continuous pricking pain

Or

0 No pricking pain

1 Sometimes mild pricking pain

2 Has to take analgesic while pricking pain

सिारयण(अहर) This symptom is for सवसय so this सवसय is the nature of सिारय

0 No movement of सवसय

1 Movement of सवसय is once in a week

2 Movement of सवसय is once in three to four days

3 Movement of सवसय is at every alternate day

4 Movement of सवसय is once in a day

अरण (अहर) Reddish discoloration

0 Colour of वरण is same with colour of surrounding area

1 Colour of वरण is Reddish

2 Colour of वरण is Dark Red

3 Colour of वरण is Reddish black

र (अहर) Dryness 0 वरण is Moist

-No dryness of वरण

1 वरण Needs lubrication once a day

2 वरण Needs frequent lubrication in

a day

3 No benefit with frequent

lubrication of वरण

तामरता (अहर) (Coppery

0 Colour of वरणौषठ is same with colour of surrounding area

58

Code Signs amp Symptoms Score Gradations Remarks

discoloration) This symptom is for

वरणौषठ

1 Colour of वरणौषठ is Tamra Varna

चऱतवचा (अहर) (Free mucous membrane) This symptom is for

वरणौषठ

0

Movement of वरणौषठ is on touch

only

1 Movement of वरणौषठ can be seen by naked eye means without touch

शीतासहा (अहर) (Intolerance to cold) This symptom is for

जजहवा

0 No Intolerance of cold to जजहवा

1 Intolerance of severe cold to जजहवा

2 Intolerance of moderate cold to जजहवा

3 Intolerance of Mild cold to जजहवा

गवी (Heaviness)

This symptom is for

जजहवा

0 No Heaviness

1 Mild heaviness with no difficulty

in movement of जजहवा

2 Moderate heaviness with

difficulty in Movement of जजहवा

3 Sever heaviness with bending down of

सफटटता (अहर) (Ulcer)

0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

कणटाकाधचता (अहर) = Thorn like

appearance

0 No change in appearance

59

Code Signs amp Symptoms Score Gradations Remarks

1 13 part of oral mucous membrane covered with red fleshy thorn like papillae

2 23 part of oral mucous membrane covered with red fleshy thorn like papillae

3 gt23 part of oral mucous membrane covered with red fleshy thorn like papillae

षववणोतत कचछरणमखम (अहर) (Difficulty in mouth opening)

0 Mouth opening more than 3 fingers without difficulty

1 2 to 3 fingers opening of mouth with or without difficulty

2 1 to 2 fingers opening of mouth with or without difficulty

3 Less than 1 finger opening of mouth with or without difficulty

152 पऩतमत(यकतज)सवसय (स) Signs and Symptoms of यकतज सवसय are same as of पऩतमत सवसय so no separate gradations are mentioned

यकतता (Redness) 0 Colour of सवसय- वरण is similar with

surrounding mucous membrane

1 Reddish Colour of सवसय- वरण

2 Bright red Colour of सवसय- वरण

3 Dark red Colour of सवसय- वरण

सदाह (Burning

Sensation)

0 No burning in सवसय- वरण Or According to

VAS

1 Occasional burning in सवसय- वरण

2 Intermittent burning in सवसय- वरण

3 Contentious burning in सवसय- वरण

which does not relive by any measures

तन (तनसब) (Shallow superficial ulcers)

0 No ulcer

1 Ulcer having depth of 05-1 mm

2 Ulcer having depth of 1 ndash 15 mm

3 Ulcer having depth of 15 -2 mm

60

Code Signs amp Symptoms Score Gradations Remarks

ओष (अहर) 0 No (ओष) burning in सवसय- वरण

1 Occasional (ओष) burning in

सवसय- वरण

2 Intermittent (ओष) burning in

सवसय- वरण

3 Contentious (ओष) burning in

सवसय- वरण which does not relive

by any measures

ततकतवकरता (अहर) (Bitter taste in mouth)

0 No alteration in taste

1 Occasionally bitter taste felt in mouth without having any bitter substance

2 Off and on bitter taste felt in mouth without having any bitter substance

3 Continuous bitter taste felt in mouth without having any bitter substance

ारोकषतत समावरणा (अहर)

0 No Ulcer

(Ulcers looking like chemical burns)

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

153 कपज सवसय (स) कणड (Itching) 0 No itching Or According to

VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Unable to work due to itching

0r

0 No itching

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate on work due to severe itching

रजा (Pain)

(अलऩ रजा) 0 No pain Or According to

VAS

1 Occasional pain

61

Code Signs amp Symptoms Score Gradations Remarks

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain This condition should be considered as अलऩ रजा

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

सवणण 0 Colour of वरण is same with colour of near by tissue

1 Colour of वरण is not same with colour of near by tissue

मररासयतवम (अहर) (Sweet taste in mouth)

0 No alteration in taste

1 Occasionally sweet taste felt without eating any sweet substance

2 Off and on Sweet taste Occasionally sweet taste felt without eating any sweet substance

3 Continuous sweet taste Occasionally sweet taste felt without eating any sweet substance

षपजचछिऱता (अहर) (Unctuousness)

0 Absent

1 Present

वरण 0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

154 कफाबभद (अहर) शयाव अबभदम

(शयावपाणडऽबभदम) 0 Colour of growthtumour is same

the colour of surrounding skin

1 Colour of growthtumour is शयाव

(Blackish)

62

Code Signs amp Symptoms Score Gradations Remarks

पाणड अबभदम (शयावपाणडऽबभदम)

0 Colour of growthtumour is same the colour of surrounding skin

1 Colour of growthtumour is पाणड

(Pale)

अबभदम 0 No GrowthTumour TNM Classification for tumours can be applied for growth

1 Growthtumour having sizelt 10 mm

2 Growthtumour having size 10 mm to 20 mm

3 Growthtumour having size gt 20 mm

घटिता तिनना मटदता च षववरभत (Size increases on rubbing cutting and squeezing)

0 Size of GrowthTumour is not increasing by rubbing cutting or squeezing

1 Size of GrowthTumour is increasing up to 10 mm by rubbing cutting or squeezing within a month

2 Size of GrowthTumour is increasing up to 20 mm by rubbing cutting or squeezing within a month

3 Size of GrowthTumour is increasing up to 30 mm by rubbing cutting or squeezing within a month

4 Size of GrowthTumour is increasing up to 40 mm by rubbing cutting or squeezing within a month

155 ऊरधवभगद (अहर) वकतरदौगनधम

(Halitosis)

0 No Halitosis

1 Halitosis is feel by Patient only

2 Halitosis is feel by Patient and examining Doctor only

3 Halitosis is feel by any person from the distance from 5 meters

63

Code Signs amp Symptoms Score Gradations Remarks

4 Halitosis is feel by any person from the distance from more than 5 meters

156 पततवकर (अहर) ऩतममासमता

(Halitosis)

0 No Halitosis

1 Halitosis is feel by Patient only

2 Halitosis is feel by Patient and examining Doctor only

3 Halitosis is feel by any person from the distance from 5 meters

4 Halitosis is feel by any person from the distance from more than 5 meters

157 सतनऩाततक सवसय (अहर) This disease occurs due to aggravation of all three doshas including Rakta Clinical presentation of this disease is found as mixed picture according prominent aggravation of dosha and signs and symptoms will be observed accordingly Gradations should be considered accordingly so it is not required to repeat here

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Page 36: THE GRADATIONS OF DISEASES OF SHALAKYA TANTRA - PART …theassociationofshalaki.com/downloads/GRADATIONS_OF_DISEASE… · 12.05.2019  · I am also very much thankful to Dr Sandhya

35

Code Signs amp Symptoms Score Gradations Remarks

दनताना गणहयी 0 Absent All 10 Guna of

Danta Sampata

should be

considered required

suggestions for

each Guna

1 Present

ऩततगचनध (अहर) 0 No foul smell Taken grading of

halitosis

1 Patient feels foul smell

2 Doctor or person who comes near to patient feels foul smell

3 From distance anyone can feels foul smell who is in the room

4 Foul smell can be feel from outside of the room even

126 कपामऱका (स)

दनतवलकसम दरनभ = Bracketing of tooth enamel (दरचनत दनतवलकातन)

0 No दरनभ of tooth This should be

considered

separately for each

tooth

1 दरनभ is present of less than 13 of tooth

2 दरनभ is present of more than of 13 of tooth but less than 23 of tooth

3 दरनभ is present of more than of 23 of tooth but no total loss of tooth

4 Total loss of tooth after दरनभ

This condition should be considered as दशनाना पवनाश

दशनाना पवनाश = Total loss of tooth

0 No Any loss of tooth This should be

considered

separately for each

tooth

1 loss of tooth is present of less than 13 of tooth

2 loss of tooth is present of more than of 13 of tooth but less than 23 of tooth

36

Code Signs amp Symptoms Score Gradations Remarks

3 loss of tooth is present of more than of 23 of tooth but no total loss of tooth

4 Total loss of tooth This condition should be considered as दशनाना पवनाश

दनतशातनभ अणश = Thinning of tooth (शातमतममतममणशो दनतात कऩारातन) (अहर)

0 No शातनभ of tooth This should be

considered

separately for each

tooth

1 शातनभ is present in less than 13 of tooth

2 शातनभ is present in more than 13 of tooth but less than 23 of tooth

3 शातनभ is present in more than 23 of tooth but no total loss of tooth

4 Total loss of tooth due to शातनभ

127 शयावदनतक (स) In शमावदनत शमावता amp नीरता should be considered ascending stages

शमावता + नीरता 0 -No any discolouration of

tooth

-Normal colour of tooth

This should be

considered

separately for each

tooth

1 शमावता is Present

2 नीरता is Present

128 हनमो (स) According to Dalhan हनमो is not Dant Rog directly but it is near to

Dantchewing of hard food is one of the causes and there is pain in Dant so it is considered under Danta Rog

हनसचनधपवसहत 0 Absent

1 Can be reset by manual reduction

2 Can be reset by surgical

intervention

129 दनतभद (अहर) तोद =Pricking pain 0 No Pricking pain -Or According to

VAS

- This should be

considered

separately for each

tooth

37

Code Signs amp Symptoms Score Gradations Remarks

2 Pricking pain is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Pricking pain is referred up to Hanu and patient can do hisher routine work without disturbance

4 Pricking pain is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Pricking pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Pricking pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

बद Braking pain 0 No Braking pain -Or According to

VAS

- This should be

considered

separately for each

tooth

2 Braking pain is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Braking pain is referred up to Hanu and patient can do hisher routine work without disturbance

4 Braking pain is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Braking pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Braking pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

38

Code Signs amp Symptoms Score Gradations Remarks

रक Dull pain 0 No Rujā (pain) -Or According to

VAS

- This should be

considered

separately for each

tooth

2 Rujā (pain) is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

सपिन Burstingexpanding pain

0 No Bursting pain -Or According to

VAS

- This should be

considered

separately for each

tooth

2 Bursting pain is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Bursting pain is referred up to Hanu and patient can do hisher routine work without disturbance

4 Bursting pain is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

39

Code Signs amp Symptoms Score Gradations Remarks

5 Bursting pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Bursting pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

1210 दनतचाऱ (अहर) िरतमव = Mobility 0 No = mobility

1 1mm anterio-posterior

mobility

2 2 mm anterio-posterior

mobility

3 More than 2 mm anterio-

posterior amp medial to lateral

mobility

बणादचधकवमथ 0 No Vyatha ndash Pain during

eating

1 Pain during eating of hard

diet only

2 Pain during eating of soft diet

even

1211 कराऱ (स)

=Malocclusion

0 A Normal Molar relationship

exist but there is crowding

misalignment of the teeth

cross bite etc

1 A malocclusion where the

molar relationship shows the

buccal grove of mandibular

first molar distally positioned

when in occlusion with the

mesiobuccal cusp of the

maxillary first molar

2 A malocclusion where the

molar relationship shows the

buccal groove of the

mandibular first molar

mesiallypos

40

GRADATIONS OF JIHWA GAT ROG

Code - 13

Established by Group BHOJ Dr Krishna Makaia ndash Convener

Dr Rajeshree Unadkat Dr Neelam Dave

Dr Ronakgiri Gosai Dr Jignesh Virapariya

Reviewed by Dr Vijayant Bharadwaj

Edited by Prof Vd Hāridra Dave

41

Code Signs amp Symptoms Score Gradations Remarks

131 वाततक चजहवाकिक (स) सपटिता (Creaks) 0 No creaks on tongue

1 Single creak on the dorsum of tongue

2 Multiple Creaks on the dorsum of tongue

3 Multiple deep creaks on the dorsum of tongue (Bleeding)

परसपता (Numbness )

0 No Numbness

1 Numbness in 13 Part of tongue

2 Numbness in 23 Part of tongue

3 Numbness in more than 23 Part of tongue

शाकछिदनपरकाशा (Roughness)

0 Normal surface of tongue on touch

1 Mild rough surface on touch

2 Hard irregular surface on touch

3 Very rough surface which hurts the finger on touch

132 ऩततक चजहवाकिक (स) ऩीता 0 No yellowish discolouration

1 Yellowish discoloration in 13 part

2 Yellowish discoloration in 23 part

3 Yellowish discoloration in more than 23 part of tongue

ऩरयदहमत Burning in entire tongue)

0 No burning Or According to VAS

1 Occasional burning

2 Intermittent burning

3 Continuous burning does not relieve by any measures

दाह (Burning may be

in partially tongue)

0 No Burning Or According to VAS

1 Burning up to 13 part of tongue

2 Burning in 13 to 23 part of tongue

3 Burning in more than 23 part of tongue

42

Code Signs amp Symptoms Score Gradations Remarks

यकतभासाङकयचशिता (Covered with red buds )

0 No change in appearance

1 13 part of tongue covered with red fleshy buds

2 23 part of tongue covered with red fleshy buds

3 Whole tongue covered with red fleshy buds

ओष (Burning) 0 No Oshha Or According to VAS

1 Oshha up to 13 part of tongue

2 Oshha in 13 to 23 part of tongue

3 Oshha in more than 23 part of tongue

133 कपज चजहवाकिक (स) फहरा (Thick) 0 Normal Thickness of Tongue

1 Thickness increased - noticeable by patient

2 Thickness increased - noticeable by the examiner

3 Tongue protruding out because of increased Thickness

गवी (Heaviness) 0 No Heaviness

1 Feeling mild heaviness but no difficulty in Tongue movement

2 Difficulty in Tongue movement especially during intake of liquid

3 Difficulty in Tongue movement especially during intake of hard food

4 Difficulty in Tongue movement especially during Pronunciation

भासोदगभ शालभसरकणिकाब (thorn like papilla)

0 No change in appearance of tongue

1 13 part of tongue covered with red fleshy thorn like papilla

2 23 part of tongue covered with thorn like papilla

3 Whole tongue covered with thorn like papilla

43

Code Signs amp Symptoms Score Gradations Remarks

134 अरास (स) शवमथ

(Swelling at ventral surface of tongue)

0 Absent

1 Present

सतबमतत (Restricted tongue movement)

0 -Normal Movement of Tongue -Movement of tongue not affected

1 Tongue movement slightly restricted but does not affect the normal function

2 Tongue movement restricted that affects the normal function

3 Tongue movement arrested

परवदध

(Increase in size)

0 Size not increased

1 Size increased - noticeable by the patient

2 Size increased - noticeable by the examiner

3 Tongue protruding out because of increased size

ऩाक 0 No swelling or suppuration

1 Inflammation with pain and tenderness

2 Inflammation with different types of pain and tenderness along with induration

3 Pus formation and fluctuation positive

अधशोप 0 Absent

1 Present

उननत (elevation of

the tongue due to swelling below the tongue)

0 Normal position of tongue

1 Tongue slightly elevated due to swelling below the tongue

2 Tongue elevation causes discomfort to the patient

3 Tongue touches the palate

भतमसमगचनध

(Fishy smell)

0 Absent

1 Present

44

Code Signs amp Symptoms Score Gradations Remarks

भासशातन (Destruction of flesh of tongue )

0 No Destruction of tongue flesh

1 13 part of tongue flesh is destroyed

2 23 part of tongue flesh is destroyed

3 More than 23 part of tongue is destroyed

135 उऩचजचहवका (स) शवमथ (Swelling) 0 Absent

1 Present

चजहवाभननम

जात (elevation of

tongue because of swelling)

0 Normal position of tongue

1 Tongue slightly elevated due to swelling below the tongue

2 Tongue elevation causes discomfort to the patient

3 Tongue touches the palate

परसक (Salivation) 0 Normal secretion of saliva

1 Occasionally spitting

2 Off and on spitting

3 Continuous spitting which disturbs the work

कणड (Itching) 0 No itching Or According to VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate on work due to severe itching

0r

0 No itching

1 Occasional itching

2 Off and on itching

3 Continuous itching

ऩरयदाह (Burning in

whole tongue)

0 No burning Or According to VAS

1 Occasional burning

2 Intermittent burning

3 Contentious burning dose not relive by any measures

45

Code Signs amp Symptoms Score Gradations Remarks

136 अचधचजचहवका (अर)

अधोचजहवामा शोप

0 Normal position of tongue

(Swelling below the tongue)

1 Tongue slightly elevated due to swelling below the tongue

2 Tongue elevation causes discomfort to the patient

3 Tongue touches the palate

अङकय (Pappilary

growth)

0 Absent

1 Present

ओष (Burning) 0 No Oshh Or According to

VAS

1 Oshh up to 13 part of tongue

2 Oshh in 13 to 23 part of tongue

3 Oshh in more than 23 part of tongue

सतबवान

(Restriction of Movement)

0 Movement of tongue not affected

1 Tongue movement slightly restricted but does not affect the normal function

2 Tongue movement restricted that affect the normal function

3 Tongue movement arrested

खय(Rough) 0 Smooth on touch

1 Mild irregular surface

2 Rough surface

3 Sharp rough surface touch hurts on finger on touch

रक (Pain) 0 No pain Or According to

VAS

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

कणड (Itching) 0 No itching Or According to

VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate on work due to severe itching

0r

0 No itching

46

Code Signs amp Symptoms Score Gradations Remarks

1 Occasional itching

2 Off and on itching

3 Continuous itching

वाकम पवघातकत (Difficulty in speech)

0 No difficulty in speech

1 Unable to speak िति vargavyanjana

2 Difficulty in speaking क vargavyanjana

Swara donrsquot need involvement of tongue

3 Unable to speak

आहयपवघातकत

(Swallowing )

0 Able to eat regular diet

1 Able to eat soft diet

2 Able to eat only liquid diet

3 Unable to swallow anything

47

GRADATION OF TALUGAT ROG

Code - 14

Established by Group BHOJ Dr Krishna Makaia ndash Convener

Dr Rajeshree Unadkat Dr Neelam Dave

Dr Ronakgiri Gosai Dr Jignesh Virapariya

Reviewed by Dr Vijayant Bharadwaj

Edited by Prof Vd Hāridra Dave

48

Code Signs amp Symptoms Score Gradations Remarks

141 गरशचणडका (स)

परवदधो शोप (Swelling extending from palate) (Which is elongated)

0 Normal size of uvula

1 Swelling of uvula that causes discomfort to the patient

2 Swelling of uvula that causes foreign body sensation

3 Difficulty in breathing due to swelling

दीघ शोप

(Elongated Swelling)

0 Normal size of uvula

1 Elongated swelling of uvula that causes discomfort to the patient

2 Elongated swelling of uvula that causes foreign body sensation

3 Difficulty in breathing due to Elongated swelling

धभातफचसतपरकाश शोप =Inflated

swelling like Basti

0 Normal size of uvula

1 Inflated swelling like Basti of uvula that causes discomfort to the patient

2 Inflated swelling like Basti of uvula that causes foreign body sensation

3 Difficulty in breathing due to Inflated swelling like Basti

तषणा 0 Normal feeling of thirst

1 Increased feeling of thirst which is relived after drinking water

The quantity of water is not consider here but the frequency of water is considered

2 Frequent feeling of thirst which is Occasional relived after drinking water

3 Continuous feeling of thirst does not relive after drinking profuse amount of water

कास (Coughing) 0 No coughing

49

Code Signs amp Symptoms Score Gradations Remarks

1 Occasional coughing during eating and speaking

2 Off and on coughing

3 Continuous coughing

शवास 0 No difficulty in breathing

1 Difficulty in breathing occasionally

2 More difficulty in breathing while sleeping

3 Excessive difficulty in breathing

भतमसमफचसततनब शोप (अहर)

0 Normal uvula Used as an adjective

1 Inflated swelling like Matsya-Basti of uvula that causes discomfort to the patient

2 Inflated swelling like Matsya-Basti of uvula that causes foreign body sensation

3 Difficulty in breathing due to Inflated swelling like Matsya-Basti

पररफ (अहर) 0 Normal length of Uvula

(Elongated Swelling)

1 Size of Uvula increased up to lt2 mm

2 Size of Uvula increased more than 2 mm but less than 4 mm

3 Size of Uvula increased gt4 mm that cause discomfort to patient and cause difficulty in breathing

पऩचछिर(अहर) (Sliminess)

0 Absent

1 Present

नासमाऽऽहायभीयमन (अहर)

0 Food does not come out from nose

(Food comes out of nose)

1 Food comes out from nose

कणठोऩयोध(अहर) (Obstruction of throat )

0 -Able to eat regular diet -No difficulty in swallowing of any food

1 Able to swallow liquid or soft diet but not able to swallow hard diet

2 Able to swallow hard diet forcefully

50

Code Signs amp Symptoms Score Gradations Remarks

3 Not able to swallow hard diet with force

वभन(अहर) (Vomiting)

0 No Vaman

1 Feeling of nausea only

2 Only one veg of Vaman in a day

3 Two vegas of Vaman in a day

4 More than two vegas of Vaman in a day

132 तचणडकयी (स)

शोप (Tonsillar

Swelling)

0 Tonsils are located within the tonsillar fossa

1 Tonsils hypertrophy till the brim of the tonsillar fossa

2 Tonsils hypertrophy extends beyond the pillars but not touching each other

3 Tonsils hypertrophy extends beyond the pillars but not touching each other

तोद

(Pricking pain)

0 No pain

1 Occasional pain Or according to VAS

2 Off and on pain

3 Continuous pain

दाह (Burning) 0 No

1 Occasional burning

2 Intermittent burning

3 Contentious burning dose not relive by any measures

परऩाक 0 Absent

1 Present

पऩचछिर शोप(अहर)

Sliminess in swallowing

0 Feeling of Sliminess is Absent

1 Feeling of Sliminess is Present

भनदरक (अहर)

(Mild pain)

0 Absent Or According to

VAS

1 Present

133 अधरष (स)

शोप (Swelling) 0 No swelling

1 13 Swelling in part of the palate

51

Code Signs amp Symptoms Score Gradations Remarks

2 23 swelling in part of palate

3 Swelling in gt than 23 part of palate

सतबधता =Functions of soft palate like deglutition Phonation etc are affected = No mobility of soft palate

0 Normal function of soft palate

1 Soft palate movement reduced but functions are not affected

2 Any one of the functions of soft palate is affected

3 All functions of soft palate are affected

रोटहतवणता

(Redness)

0 No change in colour

1 Pinkish red coloured mucosa in palate

2 Red coloured mucosa in palate

3 Dark red coloured mucosa in palate

रजा (Pain) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

जजवय (Fever) 0 Normal temperature

1 Temperature between 984rsquoF to 100rsquoF

Temperature between 100rsquoF to 101rsquoF

2 Temperature between 101rsquoF to 102rsquoF

3 Temperature between 102rsquoF to 103rsquoF

52

Code Signs amp Symptoms Score Gradations Remarks

4 Temperature between 103rsquoF to 104rsquoF

5 Temperature more than 104rsquoF

134 कछिऩ (स)

कभवत उतमसनन शोप (Swelling

having shape like dorsum of tortoise)

0 No swelling

1 Swelling in 13rd part of the palate

2 Swelling in 23rd part of palate

3 Swelling in gt 23rd part of palate

चियवपदध(अहर)

(Slow growth)

0 Growth within a week

1 Growth within 1 week to 1 month

2 Growth within 1 month to 6 months

3 Growth within gt 6 months

रक (अहर) (Pain) 0 No pain Or According to VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesics

135 तारअफद (स) ऩदमाकाय तारभधम

शोपम (Swelling

like shape of lotus )

0 No swelling

1 Swelling in 13rd part of the palate

2 2 Swelling in 23rd part of palate

3 3 Swelling in gt 23rd part of palate

136 भाससङघात (स) नीरज (Painless) 0 Absent

1 Present

53

Code Signs amp Symptoms Score Gradations Remarks

शोप 0 No swelling

1 Swelling in 13rd part of the palate

2 Swelling in 23rd part of palate

3 Swelling in gt 23rd part of palate

137 तारऩपऩि (स) नीरक (Painless) 0 Absent

1 Present

कोरभातर

Swelling having size of Kola fruit

0 Absent

1 Present

138 तारशोष (स)

शोष (Dryness) 0 No dryness

1 Dryness decreased after drinking water

2 Patient needs water frequently

3 Dryness persist after dinking profuse water

दायण (Tearing of palate)

0 Absent

1 Present

शवास (Difficulty in

breathing)

0 No difficulty in breathing Here difficulty in breathing is due to obstruction

1 Difficulty in breathing occasionally

2 More difficulty in breathing while sleeping position

3 Excessive difficulty in breathing

जजवय(अहर) (Fever) 0 Normal temperature

1 Temperature between 984rsquoF to 100rsquoF

Temperature between 100rsquoF to 101rsquoF

2 Temperature between 101rsquoF to 102rsquoF

3 Temperature between 102rsquoF to 103rsquoF

4 Temperature between 103rsquoF to 104rsquoF

5 Temperature more than 104rsquoF

54

Code Signs amp Symptoms Score Gradations Remarks

139 तारऩाक (स) ऩाक (Suppuration) 0 No swelling or suppuration

1 Inflammation of palate with pain and tenderness

2 Inflammation of palate with different types of pain and tenderness with induration

3 Pus formation and fluctuation positive

1310 तारपऩटिका (अहर) तारभास पऩटिका

Follicles in palate flesh

0 No follicles

1 13 palate covered with follicles

2 23 palate covered with follicles

3 More than 23 palate covered with follicles

रज(अहर) (Pain) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

Occasional pain

खयता(अहर) (Roughness)

0 Smooth on touch

1 Mild irregular surface on touch

2 Rough surface

3 Sharp rough surface which hurts on finger on touch

घनसराव(अहर) (Thick discharge)

0 No discharge

1 Occasional discharge

2 Off and on thick discharge

3 Continuous thick discharge

1311 तारसहतत (अहर) तारभधम तनरक (अहर) =Painless fleshy growth in palate

Only तारभधम तनरक indicates the place and quality of growth both the symptoms can be

merged

55

Code Signs amp Symptoms Score Gradations Remarks

तनरक (Painless) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

भाससहत

(Fleshy growth in palate)

0 No fleshy growth

1 Fleshy growth in 13 part of the palate Swelling

2 Fleshy growth in 23 part of palate swelling

3 Fleshy growth in more than 23 part of palate

56

GRADATION OF SARVASAR ROG

Code - 15

Established by Group BHOJ Dr Krishna Makaia ndash Convener

Dr Rajeshree Unadkat Dr Neelam Dave

Dr Ronakgiri Gosai Dr Jignesh Virapariya

Reviewed by Dr Vijayant Bharadwaj

Edited by Prof Vd Hāridra Dave

57

Code Signs amp Symptoms Score Gradations Remarks

151 वातजसवसय (स) सपोि (Ulcers) 0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

तोद = Pricking pain 0 No pricking pain Or According to VAS

1 Occasional pricking pain

2 Off and on pricking pain

3 Continuous pricking pain

Or

0 No pricking pain

1 Sometimes mild pricking pain

2 Has to take analgesic while pricking pain

सिारयण(अहर) This symptom is for सवसय so this सवसय is the nature of सिारय

0 No movement of सवसय

1 Movement of सवसय is once in a week

2 Movement of सवसय is once in three to four days

3 Movement of सवसय is at every alternate day

4 Movement of सवसय is once in a day

अरण (अहर) Reddish discoloration

0 Colour of वरण is same with colour of surrounding area

1 Colour of वरण is Reddish

2 Colour of वरण is Dark Red

3 Colour of वरण is Reddish black

र (अहर) Dryness 0 वरण is Moist

-No dryness of वरण

1 वरण Needs lubrication once a day

2 वरण Needs frequent lubrication in

a day

3 No benefit with frequent

lubrication of वरण

तामरता (अहर) (Coppery

0 Colour of वरणौषठ is same with colour of surrounding area

58

Code Signs amp Symptoms Score Gradations Remarks

discoloration) This symptom is for

वरणौषठ

1 Colour of वरणौषठ is Tamra Varna

चऱतवचा (अहर) (Free mucous membrane) This symptom is for

वरणौषठ

0

Movement of वरणौषठ is on touch

only

1 Movement of वरणौषठ can be seen by naked eye means without touch

शीतासहा (अहर) (Intolerance to cold) This symptom is for

जजहवा

0 No Intolerance of cold to जजहवा

1 Intolerance of severe cold to जजहवा

2 Intolerance of moderate cold to जजहवा

3 Intolerance of Mild cold to जजहवा

गवी (Heaviness)

This symptom is for

जजहवा

0 No Heaviness

1 Mild heaviness with no difficulty

in movement of जजहवा

2 Moderate heaviness with

difficulty in Movement of जजहवा

3 Sever heaviness with bending down of

सफटटता (अहर) (Ulcer)

0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

कणटाकाधचता (अहर) = Thorn like

appearance

0 No change in appearance

59

Code Signs amp Symptoms Score Gradations Remarks

1 13 part of oral mucous membrane covered with red fleshy thorn like papillae

2 23 part of oral mucous membrane covered with red fleshy thorn like papillae

3 gt23 part of oral mucous membrane covered with red fleshy thorn like papillae

षववणोतत कचछरणमखम (अहर) (Difficulty in mouth opening)

0 Mouth opening more than 3 fingers without difficulty

1 2 to 3 fingers opening of mouth with or without difficulty

2 1 to 2 fingers opening of mouth with or without difficulty

3 Less than 1 finger opening of mouth with or without difficulty

152 पऩतमत(यकतज)सवसय (स) Signs and Symptoms of यकतज सवसय are same as of पऩतमत सवसय so no separate gradations are mentioned

यकतता (Redness) 0 Colour of सवसय- वरण is similar with

surrounding mucous membrane

1 Reddish Colour of सवसय- वरण

2 Bright red Colour of सवसय- वरण

3 Dark red Colour of सवसय- वरण

सदाह (Burning

Sensation)

0 No burning in सवसय- वरण Or According to

VAS

1 Occasional burning in सवसय- वरण

2 Intermittent burning in सवसय- वरण

3 Contentious burning in सवसय- वरण

which does not relive by any measures

तन (तनसब) (Shallow superficial ulcers)

0 No ulcer

1 Ulcer having depth of 05-1 mm

2 Ulcer having depth of 1 ndash 15 mm

3 Ulcer having depth of 15 -2 mm

60

Code Signs amp Symptoms Score Gradations Remarks

ओष (अहर) 0 No (ओष) burning in सवसय- वरण

1 Occasional (ओष) burning in

सवसय- वरण

2 Intermittent (ओष) burning in

सवसय- वरण

3 Contentious (ओष) burning in

सवसय- वरण which does not relive

by any measures

ततकतवकरता (अहर) (Bitter taste in mouth)

0 No alteration in taste

1 Occasionally bitter taste felt in mouth without having any bitter substance

2 Off and on bitter taste felt in mouth without having any bitter substance

3 Continuous bitter taste felt in mouth without having any bitter substance

ारोकषतत समावरणा (अहर)

0 No Ulcer

(Ulcers looking like chemical burns)

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

153 कपज सवसय (स) कणड (Itching) 0 No itching Or According to

VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Unable to work due to itching

0r

0 No itching

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate on work due to severe itching

रजा (Pain)

(अलऩ रजा) 0 No pain Or According to

VAS

1 Occasional pain

61

Code Signs amp Symptoms Score Gradations Remarks

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain This condition should be considered as अलऩ रजा

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

सवणण 0 Colour of वरण is same with colour of near by tissue

1 Colour of वरण is not same with colour of near by tissue

मररासयतवम (अहर) (Sweet taste in mouth)

0 No alteration in taste

1 Occasionally sweet taste felt without eating any sweet substance

2 Off and on Sweet taste Occasionally sweet taste felt without eating any sweet substance

3 Continuous sweet taste Occasionally sweet taste felt without eating any sweet substance

षपजचछिऱता (अहर) (Unctuousness)

0 Absent

1 Present

वरण 0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

154 कफाबभद (अहर) शयाव अबभदम

(शयावपाणडऽबभदम) 0 Colour of growthtumour is same

the colour of surrounding skin

1 Colour of growthtumour is शयाव

(Blackish)

62

Code Signs amp Symptoms Score Gradations Remarks

पाणड अबभदम (शयावपाणडऽबभदम)

0 Colour of growthtumour is same the colour of surrounding skin

1 Colour of growthtumour is पाणड

(Pale)

अबभदम 0 No GrowthTumour TNM Classification for tumours can be applied for growth

1 Growthtumour having sizelt 10 mm

2 Growthtumour having size 10 mm to 20 mm

3 Growthtumour having size gt 20 mm

घटिता तिनना मटदता च षववरभत (Size increases on rubbing cutting and squeezing)

0 Size of GrowthTumour is not increasing by rubbing cutting or squeezing

1 Size of GrowthTumour is increasing up to 10 mm by rubbing cutting or squeezing within a month

2 Size of GrowthTumour is increasing up to 20 mm by rubbing cutting or squeezing within a month

3 Size of GrowthTumour is increasing up to 30 mm by rubbing cutting or squeezing within a month

4 Size of GrowthTumour is increasing up to 40 mm by rubbing cutting or squeezing within a month

155 ऊरधवभगद (अहर) वकतरदौगनधम

(Halitosis)

0 No Halitosis

1 Halitosis is feel by Patient only

2 Halitosis is feel by Patient and examining Doctor only

3 Halitosis is feel by any person from the distance from 5 meters

63

Code Signs amp Symptoms Score Gradations Remarks

4 Halitosis is feel by any person from the distance from more than 5 meters

156 पततवकर (अहर) ऩतममासमता

(Halitosis)

0 No Halitosis

1 Halitosis is feel by Patient only

2 Halitosis is feel by Patient and examining Doctor only

3 Halitosis is feel by any person from the distance from 5 meters

4 Halitosis is feel by any person from the distance from more than 5 meters

157 सतनऩाततक सवसय (अहर) This disease occurs due to aggravation of all three doshas including Rakta Clinical presentation of this disease is found as mixed picture according prominent aggravation of dosha and signs and symptoms will be observed accordingly Gradations should be considered accordingly so it is not required to repeat here

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Page 37: THE GRADATIONS OF DISEASES OF SHALAKYA TANTRA - PART …theassociationofshalaki.com/downloads/GRADATIONS_OF_DISEASE… · 12.05.2019  · I am also very much thankful to Dr Sandhya

36

Code Signs amp Symptoms Score Gradations Remarks

3 loss of tooth is present of more than of 23 of tooth but no total loss of tooth

4 Total loss of tooth This condition should be considered as दशनाना पवनाश

दनतशातनभ अणश = Thinning of tooth (शातमतममतममणशो दनतात कऩारातन) (अहर)

0 No शातनभ of tooth This should be

considered

separately for each

tooth

1 शातनभ is present in less than 13 of tooth

2 शातनभ is present in more than 13 of tooth but less than 23 of tooth

3 शातनभ is present in more than 23 of tooth but no total loss of tooth

4 Total loss of tooth due to शातनभ

127 शयावदनतक (स) In शमावदनत शमावता amp नीरता should be considered ascending stages

शमावता + नीरता 0 -No any discolouration of

tooth

-Normal colour of tooth

This should be

considered

separately for each

tooth

1 शमावता is Present

2 नीरता is Present

128 हनमो (स) According to Dalhan हनमो is not Dant Rog directly but it is near to

Dantchewing of hard food is one of the causes and there is pain in Dant so it is considered under Danta Rog

हनसचनधपवसहत 0 Absent

1 Can be reset by manual reduction

2 Can be reset by surgical

intervention

129 दनतभद (अहर) तोद =Pricking pain 0 No Pricking pain -Or According to

VAS

- This should be

considered

separately for each

tooth

37

Code Signs amp Symptoms Score Gradations Remarks

2 Pricking pain is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Pricking pain is referred up to Hanu and patient can do hisher routine work without disturbance

4 Pricking pain is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Pricking pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Pricking pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

बद Braking pain 0 No Braking pain -Or According to

VAS

- This should be

considered

separately for each

tooth

2 Braking pain is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Braking pain is referred up to Hanu and patient can do hisher routine work without disturbance

4 Braking pain is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Braking pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Braking pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

38

Code Signs amp Symptoms Score Gradations Remarks

रक Dull pain 0 No Rujā (pain) -Or According to

VAS

- This should be

considered

separately for each

tooth

2 Rujā (pain) is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

सपिन Burstingexpanding pain

0 No Bursting pain -Or According to

VAS

- This should be

considered

separately for each

tooth

2 Bursting pain is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Bursting pain is referred up to Hanu and patient can do hisher routine work without disturbance

4 Bursting pain is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

39

Code Signs amp Symptoms Score Gradations Remarks

5 Bursting pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Bursting pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

1210 दनतचाऱ (अहर) िरतमव = Mobility 0 No = mobility

1 1mm anterio-posterior

mobility

2 2 mm anterio-posterior

mobility

3 More than 2 mm anterio-

posterior amp medial to lateral

mobility

बणादचधकवमथ 0 No Vyatha ndash Pain during

eating

1 Pain during eating of hard

diet only

2 Pain during eating of soft diet

even

1211 कराऱ (स)

=Malocclusion

0 A Normal Molar relationship

exist but there is crowding

misalignment of the teeth

cross bite etc

1 A malocclusion where the

molar relationship shows the

buccal grove of mandibular

first molar distally positioned

when in occlusion with the

mesiobuccal cusp of the

maxillary first molar

2 A malocclusion where the

molar relationship shows the

buccal groove of the

mandibular first molar

mesiallypos

40

GRADATIONS OF JIHWA GAT ROG

Code - 13

Established by Group BHOJ Dr Krishna Makaia ndash Convener

Dr Rajeshree Unadkat Dr Neelam Dave

Dr Ronakgiri Gosai Dr Jignesh Virapariya

Reviewed by Dr Vijayant Bharadwaj

Edited by Prof Vd Hāridra Dave

41

Code Signs amp Symptoms Score Gradations Remarks

131 वाततक चजहवाकिक (स) सपटिता (Creaks) 0 No creaks on tongue

1 Single creak on the dorsum of tongue

2 Multiple Creaks on the dorsum of tongue

3 Multiple deep creaks on the dorsum of tongue (Bleeding)

परसपता (Numbness )

0 No Numbness

1 Numbness in 13 Part of tongue

2 Numbness in 23 Part of tongue

3 Numbness in more than 23 Part of tongue

शाकछिदनपरकाशा (Roughness)

0 Normal surface of tongue on touch

1 Mild rough surface on touch

2 Hard irregular surface on touch

3 Very rough surface which hurts the finger on touch

132 ऩततक चजहवाकिक (स) ऩीता 0 No yellowish discolouration

1 Yellowish discoloration in 13 part

2 Yellowish discoloration in 23 part

3 Yellowish discoloration in more than 23 part of tongue

ऩरयदहमत Burning in entire tongue)

0 No burning Or According to VAS

1 Occasional burning

2 Intermittent burning

3 Continuous burning does not relieve by any measures

दाह (Burning may be

in partially tongue)

0 No Burning Or According to VAS

1 Burning up to 13 part of tongue

2 Burning in 13 to 23 part of tongue

3 Burning in more than 23 part of tongue

42

Code Signs amp Symptoms Score Gradations Remarks

यकतभासाङकयचशिता (Covered with red buds )

0 No change in appearance

1 13 part of tongue covered with red fleshy buds

2 23 part of tongue covered with red fleshy buds

3 Whole tongue covered with red fleshy buds

ओष (Burning) 0 No Oshha Or According to VAS

1 Oshha up to 13 part of tongue

2 Oshha in 13 to 23 part of tongue

3 Oshha in more than 23 part of tongue

133 कपज चजहवाकिक (स) फहरा (Thick) 0 Normal Thickness of Tongue

1 Thickness increased - noticeable by patient

2 Thickness increased - noticeable by the examiner

3 Tongue protruding out because of increased Thickness

गवी (Heaviness) 0 No Heaviness

1 Feeling mild heaviness but no difficulty in Tongue movement

2 Difficulty in Tongue movement especially during intake of liquid

3 Difficulty in Tongue movement especially during intake of hard food

4 Difficulty in Tongue movement especially during Pronunciation

भासोदगभ शालभसरकणिकाब (thorn like papilla)

0 No change in appearance of tongue

1 13 part of tongue covered with red fleshy thorn like papilla

2 23 part of tongue covered with thorn like papilla

3 Whole tongue covered with thorn like papilla

43

Code Signs amp Symptoms Score Gradations Remarks

134 अरास (स) शवमथ

(Swelling at ventral surface of tongue)

0 Absent

1 Present

सतबमतत (Restricted tongue movement)

0 -Normal Movement of Tongue -Movement of tongue not affected

1 Tongue movement slightly restricted but does not affect the normal function

2 Tongue movement restricted that affects the normal function

3 Tongue movement arrested

परवदध

(Increase in size)

0 Size not increased

1 Size increased - noticeable by the patient

2 Size increased - noticeable by the examiner

3 Tongue protruding out because of increased size

ऩाक 0 No swelling or suppuration

1 Inflammation with pain and tenderness

2 Inflammation with different types of pain and tenderness along with induration

3 Pus formation and fluctuation positive

अधशोप 0 Absent

1 Present

उननत (elevation of

the tongue due to swelling below the tongue)

0 Normal position of tongue

1 Tongue slightly elevated due to swelling below the tongue

2 Tongue elevation causes discomfort to the patient

3 Tongue touches the palate

भतमसमगचनध

(Fishy smell)

0 Absent

1 Present

44

Code Signs amp Symptoms Score Gradations Remarks

भासशातन (Destruction of flesh of tongue )

0 No Destruction of tongue flesh

1 13 part of tongue flesh is destroyed

2 23 part of tongue flesh is destroyed

3 More than 23 part of tongue is destroyed

135 उऩचजचहवका (स) शवमथ (Swelling) 0 Absent

1 Present

चजहवाभननम

जात (elevation of

tongue because of swelling)

0 Normal position of tongue

1 Tongue slightly elevated due to swelling below the tongue

2 Tongue elevation causes discomfort to the patient

3 Tongue touches the palate

परसक (Salivation) 0 Normal secretion of saliva

1 Occasionally spitting

2 Off and on spitting

3 Continuous spitting which disturbs the work

कणड (Itching) 0 No itching Or According to VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate on work due to severe itching

0r

0 No itching

1 Occasional itching

2 Off and on itching

3 Continuous itching

ऩरयदाह (Burning in

whole tongue)

0 No burning Or According to VAS

1 Occasional burning

2 Intermittent burning

3 Contentious burning dose not relive by any measures

45

Code Signs amp Symptoms Score Gradations Remarks

136 अचधचजचहवका (अर)

अधोचजहवामा शोप

0 Normal position of tongue

(Swelling below the tongue)

1 Tongue slightly elevated due to swelling below the tongue

2 Tongue elevation causes discomfort to the patient

3 Tongue touches the palate

अङकय (Pappilary

growth)

0 Absent

1 Present

ओष (Burning) 0 No Oshh Or According to

VAS

1 Oshh up to 13 part of tongue

2 Oshh in 13 to 23 part of tongue

3 Oshh in more than 23 part of tongue

सतबवान

(Restriction of Movement)

0 Movement of tongue not affected

1 Tongue movement slightly restricted but does not affect the normal function

2 Tongue movement restricted that affect the normal function

3 Tongue movement arrested

खय(Rough) 0 Smooth on touch

1 Mild irregular surface

2 Rough surface

3 Sharp rough surface touch hurts on finger on touch

रक (Pain) 0 No pain Or According to

VAS

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

कणड (Itching) 0 No itching Or According to

VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate on work due to severe itching

0r

0 No itching

46

Code Signs amp Symptoms Score Gradations Remarks

1 Occasional itching

2 Off and on itching

3 Continuous itching

वाकम पवघातकत (Difficulty in speech)

0 No difficulty in speech

1 Unable to speak िति vargavyanjana

2 Difficulty in speaking क vargavyanjana

Swara donrsquot need involvement of tongue

3 Unable to speak

आहयपवघातकत

(Swallowing )

0 Able to eat regular diet

1 Able to eat soft diet

2 Able to eat only liquid diet

3 Unable to swallow anything

47

GRADATION OF TALUGAT ROG

Code - 14

Established by Group BHOJ Dr Krishna Makaia ndash Convener

Dr Rajeshree Unadkat Dr Neelam Dave

Dr Ronakgiri Gosai Dr Jignesh Virapariya

Reviewed by Dr Vijayant Bharadwaj

Edited by Prof Vd Hāridra Dave

48

Code Signs amp Symptoms Score Gradations Remarks

141 गरशचणडका (स)

परवदधो शोप (Swelling extending from palate) (Which is elongated)

0 Normal size of uvula

1 Swelling of uvula that causes discomfort to the patient

2 Swelling of uvula that causes foreign body sensation

3 Difficulty in breathing due to swelling

दीघ शोप

(Elongated Swelling)

0 Normal size of uvula

1 Elongated swelling of uvula that causes discomfort to the patient

2 Elongated swelling of uvula that causes foreign body sensation

3 Difficulty in breathing due to Elongated swelling

धभातफचसतपरकाश शोप =Inflated

swelling like Basti

0 Normal size of uvula

1 Inflated swelling like Basti of uvula that causes discomfort to the patient

2 Inflated swelling like Basti of uvula that causes foreign body sensation

3 Difficulty in breathing due to Inflated swelling like Basti

तषणा 0 Normal feeling of thirst

1 Increased feeling of thirst which is relived after drinking water

The quantity of water is not consider here but the frequency of water is considered

2 Frequent feeling of thirst which is Occasional relived after drinking water

3 Continuous feeling of thirst does not relive after drinking profuse amount of water

कास (Coughing) 0 No coughing

49

Code Signs amp Symptoms Score Gradations Remarks

1 Occasional coughing during eating and speaking

2 Off and on coughing

3 Continuous coughing

शवास 0 No difficulty in breathing

1 Difficulty in breathing occasionally

2 More difficulty in breathing while sleeping

3 Excessive difficulty in breathing

भतमसमफचसततनब शोप (अहर)

0 Normal uvula Used as an adjective

1 Inflated swelling like Matsya-Basti of uvula that causes discomfort to the patient

2 Inflated swelling like Matsya-Basti of uvula that causes foreign body sensation

3 Difficulty in breathing due to Inflated swelling like Matsya-Basti

पररफ (अहर) 0 Normal length of Uvula

(Elongated Swelling)

1 Size of Uvula increased up to lt2 mm

2 Size of Uvula increased more than 2 mm but less than 4 mm

3 Size of Uvula increased gt4 mm that cause discomfort to patient and cause difficulty in breathing

पऩचछिर(अहर) (Sliminess)

0 Absent

1 Present

नासमाऽऽहायभीयमन (अहर)

0 Food does not come out from nose

(Food comes out of nose)

1 Food comes out from nose

कणठोऩयोध(अहर) (Obstruction of throat )

0 -Able to eat regular diet -No difficulty in swallowing of any food

1 Able to swallow liquid or soft diet but not able to swallow hard diet

2 Able to swallow hard diet forcefully

50

Code Signs amp Symptoms Score Gradations Remarks

3 Not able to swallow hard diet with force

वभन(अहर) (Vomiting)

0 No Vaman

1 Feeling of nausea only

2 Only one veg of Vaman in a day

3 Two vegas of Vaman in a day

4 More than two vegas of Vaman in a day

132 तचणडकयी (स)

शोप (Tonsillar

Swelling)

0 Tonsils are located within the tonsillar fossa

1 Tonsils hypertrophy till the brim of the tonsillar fossa

2 Tonsils hypertrophy extends beyond the pillars but not touching each other

3 Tonsils hypertrophy extends beyond the pillars but not touching each other

तोद

(Pricking pain)

0 No pain

1 Occasional pain Or according to VAS

2 Off and on pain

3 Continuous pain

दाह (Burning) 0 No

1 Occasional burning

2 Intermittent burning

3 Contentious burning dose not relive by any measures

परऩाक 0 Absent

1 Present

पऩचछिर शोप(अहर)

Sliminess in swallowing

0 Feeling of Sliminess is Absent

1 Feeling of Sliminess is Present

भनदरक (अहर)

(Mild pain)

0 Absent Or According to

VAS

1 Present

133 अधरष (स)

शोप (Swelling) 0 No swelling

1 13 Swelling in part of the palate

51

Code Signs amp Symptoms Score Gradations Remarks

2 23 swelling in part of palate

3 Swelling in gt than 23 part of palate

सतबधता =Functions of soft palate like deglutition Phonation etc are affected = No mobility of soft palate

0 Normal function of soft palate

1 Soft palate movement reduced but functions are not affected

2 Any one of the functions of soft palate is affected

3 All functions of soft palate are affected

रोटहतवणता

(Redness)

0 No change in colour

1 Pinkish red coloured mucosa in palate

2 Red coloured mucosa in palate

3 Dark red coloured mucosa in palate

रजा (Pain) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

जजवय (Fever) 0 Normal temperature

1 Temperature between 984rsquoF to 100rsquoF

Temperature between 100rsquoF to 101rsquoF

2 Temperature between 101rsquoF to 102rsquoF

3 Temperature between 102rsquoF to 103rsquoF

52

Code Signs amp Symptoms Score Gradations Remarks

4 Temperature between 103rsquoF to 104rsquoF

5 Temperature more than 104rsquoF

134 कछिऩ (स)

कभवत उतमसनन शोप (Swelling

having shape like dorsum of tortoise)

0 No swelling

1 Swelling in 13rd part of the palate

2 Swelling in 23rd part of palate

3 Swelling in gt 23rd part of palate

चियवपदध(अहर)

(Slow growth)

0 Growth within a week

1 Growth within 1 week to 1 month

2 Growth within 1 month to 6 months

3 Growth within gt 6 months

रक (अहर) (Pain) 0 No pain Or According to VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesics

135 तारअफद (स) ऩदमाकाय तारभधम

शोपम (Swelling

like shape of lotus )

0 No swelling

1 Swelling in 13rd part of the palate

2 2 Swelling in 23rd part of palate

3 3 Swelling in gt 23rd part of palate

136 भाससङघात (स) नीरज (Painless) 0 Absent

1 Present

53

Code Signs amp Symptoms Score Gradations Remarks

शोप 0 No swelling

1 Swelling in 13rd part of the palate

2 Swelling in 23rd part of palate

3 Swelling in gt 23rd part of palate

137 तारऩपऩि (स) नीरक (Painless) 0 Absent

1 Present

कोरभातर

Swelling having size of Kola fruit

0 Absent

1 Present

138 तारशोष (स)

शोष (Dryness) 0 No dryness

1 Dryness decreased after drinking water

2 Patient needs water frequently

3 Dryness persist after dinking profuse water

दायण (Tearing of palate)

0 Absent

1 Present

शवास (Difficulty in

breathing)

0 No difficulty in breathing Here difficulty in breathing is due to obstruction

1 Difficulty in breathing occasionally

2 More difficulty in breathing while sleeping position

3 Excessive difficulty in breathing

जजवय(अहर) (Fever) 0 Normal temperature

1 Temperature between 984rsquoF to 100rsquoF

Temperature between 100rsquoF to 101rsquoF

2 Temperature between 101rsquoF to 102rsquoF

3 Temperature between 102rsquoF to 103rsquoF

4 Temperature between 103rsquoF to 104rsquoF

5 Temperature more than 104rsquoF

54

Code Signs amp Symptoms Score Gradations Remarks

139 तारऩाक (स) ऩाक (Suppuration) 0 No swelling or suppuration

1 Inflammation of palate with pain and tenderness

2 Inflammation of palate with different types of pain and tenderness with induration

3 Pus formation and fluctuation positive

1310 तारपऩटिका (अहर) तारभास पऩटिका

Follicles in palate flesh

0 No follicles

1 13 palate covered with follicles

2 23 palate covered with follicles

3 More than 23 palate covered with follicles

रज(अहर) (Pain) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

Occasional pain

खयता(अहर) (Roughness)

0 Smooth on touch

1 Mild irregular surface on touch

2 Rough surface

3 Sharp rough surface which hurts on finger on touch

घनसराव(अहर) (Thick discharge)

0 No discharge

1 Occasional discharge

2 Off and on thick discharge

3 Continuous thick discharge

1311 तारसहतत (अहर) तारभधम तनरक (अहर) =Painless fleshy growth in palate

Only तारभधम तनरक indicates the place and quality of growth both the symptoms can be

merged

55

Code Signs amp Symptoms Score Gradations Remarks

तनरक (Painless) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

भाससहत

(Fleshy growth in palate)

0 No fleshy growth

1 Fleshy growth in 13 part of the palate Swelling

2 Fleshy growth in 23 part of palate swelling

3 Fleshy growth in more than 23 part of palate

56

GRADATION OF SARVASAR ROG

Code - 15

Established by Group BHOJ Dr Krishna Makaia ndash Convener

Dr Rajeshree Unadkat Dr Neelam Dave

Dr Ronakgiri Gosai Dr Jignesh Virapariya

Reviewed by Dr Vijayant Bharadwaj

Edited by Prof Vd Hāridra Dave

57

Code Signs amp Symptoms Score Gradations Remarks

151 वातजसवसय (स) सपोि (Ulcers) 0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

तोद = Pricking pain 0 No pricking pain Or According to VAS

1 Occasional pricking pain

2 Off and on pricking pain

3 Continuous pricking pain

Or

0 No pricking pain

1 Sometimes mild pricking pain

2 Has to take analgesic while pricking pain

सिारयण(अहर) This symptom is for सवसय so this सवसय is the nature of सिारय

0 No movement of सवसय

1 Movement of सवसय is once in a week

2 Movement of सवसय is once in three to four days

3 Movement of सवसय is at every alternate day

4 Movement of सवसय is once in a day

अरण (अहर) Reddish discoloration

0 Colour of वरण is same with colour of surrounding area

1 Colour of वरण is Reddish

2 Colour of वरण is Dark Red

3 Colour of वरण is Reddish black

र (अहर) Dryness 0 वरण is Moist

-No dryness of वरण

1 वरण Needs lubrication once a day

2 वरण Needs frequent lubrication in

a day

3 No benefit with frequent

lubrication of वरण

तामरता (अहर) (Coppery

0 Colour of वरणौषठ is same with colour of surrounding area

58

Code Signs amp Symptoms Score Gradations Remarks

discoloration) This symptom is for

वरणौषठ

1 Colour of वरणौषठ is Tamra Varna

चऱतवचा (अहर) (Free mucous membrane) This symptom is for

वरणौषठ

0

Movement of वरणौषठ is on touch

only

1 Movement of वरणौषठ can be seen by naked eye means without touch

शीतासहा (अहर) (Intolerance to cold) This symptom is for

जजहवा

0 No Intolerance of cold to जजहवा

1 Intolerance of severe cold to जजहवा

2 Intolerance of moderate cold to जजहवा

3 Intolerance of Mild cold to जजहवा

गवी (Heaviness)

This symptom is for

जजहवा

0 No Heaviness

1 Mild heaviness with no difficulty

in movement of जजहवा

2 Moderate heaviness with

difficulty in Movement of जजहवा

3 Sever heaviness with bending down of

सफटटता (अहर) (Ulcer)

0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

कणटाकाधचता (अहर) = Thorn like

appearance

0 No change in appearance

59

Code Signs amp Symptoms Score Gradations Remarks

1 13 part of oral mucous membrane covered with red fleshy thorn like papillae

2 23 part of oral mucous membrane covered with red fleshy thorn like papillae

3 gt23 part of oral mucous membrane covered with red fleshy thorn like papillae

षववणोतत कचछरणमखम (अहर) (Difficulty in mouth opening)

0 Mouth opening more than 3 fingers without difficulty

1 2 to 3 fingers opening of mouth with or without difficulty

2 1 to 2 fingers opening of mouth with or without difficulty

3 Less than 1 finger opening of mouth with or without difficulty

152 पऩतमत(यकतज)सवसय (स) Signs and Symptoms of यकतज सवसय are same as of पऩतमत सवसय so no separate gradations are mentioned

यकतता (Redness) 0 Colour of सवसय- वरण is similar with

surrounding mucous membrane

1 Reddish Colour of सवसय- वरण

2 Bright red Colour of सवसय- वरण

3 Dark red Colour of सवसय- वरण

सदाह (Burning

Sensation)

0 No burning in सवसय- वरण Or According to

VAS

1 Occasional burning in सवसय- वरण

2 Intermittent burning in सवसय- वरण

3 Contentious burning in सवसय- वरण

which does not relive by any measures

तन (तनसब) (Shallow superficial ulcers)

0 No ulcer

1 Ulcer having depth of 05-1 mm

2 Ulcer having depth of 1 ndash 15 mm

3 Ulcer having depth of 15 -2 mm

60

Code Signs amp Symptoms Score Gradations Remarks

ओष (अहर) 0 No (ओष) burning in सवसय- वरण

1 Occasional (ओष) burning in

सवसय- वरण

2 Intermittent (ओष) burning in

सवसय- वरण

3 Contentious (ओष) burning in

सवसय- वरण which does not relive

by any measures

ततकतवकरता (अहर) (Bitter taste in mouth)

0 No alteration in taste

1 Occasionally bitter taste felt in mouth without having any bitter substance

2 Off and on bitter taste felt in mouth without having any bitter substance

3 Continuous bitter taste felt in mouth without having any bitter substance

ारोकषतत समावरणा (अहर)

0 No Ulcer

(Ulcers looking like chemical burns)

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

153 कपज सवसय (स) कणड (Itching) 0 No itching Or According to

VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Unable to work due to itching

0r

0 No itching

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate on work due to severe itching

रजा (Pain)

(अलऩ रजा) 0 No pain Or According to

VAS

1 Occasional pain

61

Code Signs amp Symptoms Score Gradations Remarks

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain This condition should be considered as अलऩ रजा

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

सवणण 0 Colour of वरण is same with colour of near by tissue

1 Colour of वरण is not same with colour of near by tissue

मररासयतवम (अहर) (Sweet taste in mouth)

0 No alteration in taste

1 Occasionally sweet taste felt without eating any sweet substance

2 Off and on Sweet taste Occasionally sweet taste felt without eating any sweet substance

3 Continuous sweet taste Occasionally sweet taste felt without eating any sweet substance

षपजचछिऱता (अहर) (Unctuousness)

0 Absent

1 Present

वरण 0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

154 कफाबभद (अहर) शयाव अबभदम

(शयावपाणडऽबभदम) 0 Colour of growthtumour is same

the colour of surrounding skin

1 Colour of growthtumour is शयाव

(Blackish)

62

Code Signs amp Symptoms Score Gradations Remarks

पाणड अबभदम (शयावपाणडऽबभदम)

0 Colour of growthtumour is same the colour of surrounding skin

1 Colour of growthtumour is पाणड

(Pale)

अबभदम 0 No GrowthTumour TNM Classification for tumours can be applied for growth

1 Growthtumour having sizelt 10 mm

2 Growthtumour having size 10 mm to 20 mm

3 Growthtumour having size gt 20 mm

घटिता तिनना मटदता च षववरभत (Size increases on rubbing cutting and squeezing)

0 Size of GrowthTumour is not increasing by rubbing cutting or squeezing

1 Size of GrowthTumour is increasing up to 10 mm by rubbing cutting or squeezing within a month

2 Size of GrowthTumour is increasing up to 20 mm by rubbing cutting or squeezing within a month

3 Size of GrowthTumour is increasing up to 30 mm by rubbing cutting or squeezing within a month

4 Size of GrowthTumour is increasing up to 40 mm by rubbing cutting or squeezing within a month

155 ऊरधवभगद (अहर) वकतरदौगनधम

(Halitosis)

0 No Halitosis

1 Halitosis is feel by Patient only

2 Halitosis is feel by Patient and examining Doctor only

3 Halitosis is feel by any person from the distance from 5 meters

63

Code Signs amp Symptoms Score Gradations Remarks

4 Halitosis is feel by any person from the distance from more than 5 meters

156 पततवकर (अहर) ऩतममासमता

(Halitosis)

0 No Halitosis

1 Halitosis is feel by Patient only

2 Halitosis is feel by Patient and examining Doctor only

3 Halitosis is feel by any person from the distance from 5 meters

4 Halitosis is feel by any person from the distance from more than 5 meters

157 सतनऩाततक सवसय (अहर) This disease occurs due to aggravation of all three doshas including Rakta Clinical presentation of this disease is found as mixed picture according prominent aggravation of dosha and signs and symptoms will be observed accordingly Gradations should be considered accordingly so it is not required to repeat here

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Page 38: THE GRADATIONS OF DISEASES OF SHALAKYA TANTRA - PART …theassociationofshalaki.com/downloads/GRADATIONS_OF_DISEASE… · 12.05.2019  · I am also very much thankful to Dr Sandhya

37

Code Signs amp Symptoms Score Gradations Remarks

2 Pricking pain is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Pricking pain is referred up to Hanu and patient can do hisher routine work without disturbance

4 Pricking pain is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Pricking pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Pricking pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

बद Braking pain 0 No Braking pain -Or According to

VAS

- This should be

considered

separately for each

tooth

2 Braking pain is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Braking pain is referred up to Hanu and patient can do hisher routine work without disturbance

4 Braking pain is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Braking pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Braking pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

38

Code Signs amp Symptoms Score Gradations Remarks

रक Dull pain 0 No Rujā (pain) -Or According to

VAS

- This should be

considered

separately for each

tooth

2 Rujā (pain) is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

सपिन Burstingexpanding pain

0 No Bursting pain -Or According to

VAS

- This should be

considered

separately for each

tooth

2 Bursting pain is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Bursting pain is referred up to Hanu and patient can do hisher routine work without disturbance

4 Bursting pain is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

39

Code Signs amp Symptoms Score Gradations Remarks

5 Bursting pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Bursting pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

1210 दनतचाऱ (अहर) िरतमव = Mobility 0 No = mobility

1 1mm anterio-posterior

mobility

2 2 mm anterio-posterior

mobility

3 More than 2 mm anterio-

posterior amp medial to lateral

mobility

बणादचधकवमथ 0 No Vyatha ndash Pain during

eating

1 Pain during eating of hard

diet only

2 Pain during eating of soft diet

even

1211 कराऱ (स)

=Malocclusion

0 A Normal Molar relationship

exist but there is crowding

misalignment of the teeth

cross bite etc

1 A malocclusion where the

molar relationship shows the

buccal grove of mandibular

first molar distally positioned

when in occlusion with the

mesiobuccal cusp of the

maxillary first molar

2 A malocclusion where the

molar relationship shows the

buccal groove of the

mandibular first molar

mesiallypos

40

GRADATIONS OF JIHWA GAT ROG

Code - 13

Established by Group BHOJ Dr Krishna Makaia ndash Convener

Dr Rajeshree Unadkat Dr Neelam Dave

Dr Ronakgiri Gosai Dr Jignesh Virapariya

Reviewed by Dr Vijayant Bharadwaj

Edited by Prof Vd Hāridra Dave

41

Code Signs amp Symptoms Score Gradations Remarks

131 वाततक चजहवाकिक (स) सपटिता (Creaks) 0 No creaks on tongue

1 Single creak on the dorsum of tongue

2 Multiple Creaks on the dorsum of tongue

3 Multiple deep creaks on the dorsum of tongue (Bleeding)

परसपता (Numbness )

0 No Numbness

1 Numbness in 13 Part of tongue

2 Numbness in 23 Part of tongue

3 Numbness in more than 23 Part of tongue

शाकछिदनपरकाशा (Roughness)

0 Normal surface of tongue on touch

1 Mild rough surface on touch

2 Hard irregular surface on touch

3 Very rough surface which hurts the finger on touch

132 ऩततक चजहवाकिक (स) ऩीता 0 No yellowish discolouration

1 Yellowish discoloration in 13 part

2 Yellowish discoloration in 23 part

3 Yellowish discoloration in more than 23 part of tongue

ऩरयदहमत Burning in entire tongue)

0 No burning Or According to VAS

1 Occasional burning

2 Intermittent burning

3 Continuous burning does not relieve by any measures

दाह (Burning may be

in partially tongue)

0 No Burning Or According to VAS

1 Burning up to 13 part of tongue

2 Burning in 13 to 23 part of tongue

3 Burning in more than 23 part of tongue

42

Code Signs amp Symptoms Score Gradations Remarks

यकतभासाङकयचशिता (Covered with red buds )

0 No change in appearance

1 13 part of tongue covered with red fleshy buds

2 23 part of tongue covered with red fleshy buds

3 Whole tongue covered with red fleshy buds

ओष (Burning) 0 No Oshha Or According to VAS

1 Oshha up to 13 part of tongue

2 Oshha in 13 to 23 part of tongue

3 Oshha in more than 23 part of tongue

133 कपज चजहवाकिक (स) फहरा (Thick) 0 Normal Thickness of Tongue

1 Thickness increased - noticeable by patient

2 Thickness increased - noticeable by the examiner

3 Tongue protruding out because of increased Thickness

गवी (Heaviness) 0 No Heaviness

1 Feeling mild heaviness but no difficulty in Tongue movement

2 Difficulty in Tongue movement especially during intake of liquid

3 Difficulty in Tongue movement especially during intake of hard food

4 Difficulty in Tongue movement especially during Pronunciation

भासोदगभ शालभसरकणिकाब (thorn like papilla)

0 No change in appearance of tongue

1 13 part of tongue covered with red fleshy thorn like papilla

2 23 part of tongue covered with thorn like papilla

3 Whole tongue covered with thorn like papilla

43

Code Signs amp Symptoms Score Gradations Remarks

134 अरास (स) शवमथ

(Swelling at ventral surface of tongue)

0 Absent

1 Present

सतबमतत (Restricted tongue movement)

0 -Normal Movement of Tongue -Movement of tongue not affected

1 Tongue movement slightly restricted but does not affect the normal function

2 Tongue movement restricted that affects the normal function

3 Tongue movement arrested

परवदध

(Increase in size)

0 Size not increased

1 Size increased - noticeable by the patient

2 Size increased - noticeable by the examiner

3 Tongue protruding out because of increased size

ऩाक 0 No swelling or suppuration

1 Inflammation with pain and tenderness

2 Inflammation with different types of pain and tenderness along with induration

3 Pus formation and fluctuation positive

अधशोप 0 Absent

1 Present

उननत (elevation of

the tongue due to swelling below the tongue)

0 Normal position of tongue

1 Tongue slightly elevated due to swelling below the tongue

2 Tongue elevation causes discomfort to the patient

3 Tongue touches the palate

भतमसमगचनध

(Fishy smell)

0 Absent

1 Present

44

Code Signs amp Symptoms Score Gradations Remarks

भासशातन (Destruction of flesh of tongue )

0 No Destruction of tongue flesh

1 13 part of tongue flesh is destroyed

2 23 part of tongue flesh is destroyed

3 More than 23 part of tongue is destroyed

135 उऩचजचहवका (स) शवमथ (Swelling) 0 Absent

1 Present

चजहवाभननम

जात (elevation of

tongue because of swelling)

0 Normal position of tongue

1 Tongue slightly elevated due to swelling below the tongue

2 Tongue elevation causes discomfort to the patient

3 Tongue touches the palate

परसक (Salivation) 0 Normal secretion of saliva

1 Occasionally spitting

2 Off and on spitting

3 Continuous spitting which disturbs the work

कणड (Itching) 0 No itching Or According to VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate on work due to severe itching

0r

0 No itching

1 Occasional itching

2 Off and on itching

3 Continuous itching

ऩरयदाह (Burning in

whole tongue)

0 No burning Or According to VAS

1 Occasional burning

2 Intermittent burning

3 Contentious burning dose not relive by any measures

45

Code Signs amp Symptoms Score Gradations Remarks

136 अचधचजचहवका (अर)

अधोचजहवामा शोप

0 Normal position of tongue

(Swelling below the tongue)

1 Tongue slightly elevated due to swelling below the tongue

2 Tongue elevation causes discomfort to the patient

3 Tongue touches the palate

अङकय (Pappilary

growth)

0 Absent

1 Present

ओष (Burning) 0 No Oshh Or According to

VAS

1 Oshh up to 13 part of tongue

2 Oshh in 13 to 23 part of tongue

3 Oshh in more than 23 part of tongue

सतबवान

(Restriction of Movement)

0 Movement of tongue not affected

1 Tongue movement slightly restricted but does not affect the normal function

2 Tongue movement restricted that affect the normal function

3 Tongue movement arrested

खय(Rough) 0 Smooth on touch

1 Mild irregular surface

2 Rough surface

3 Sharp rough surface touch hurts on finger on touch

रक (Pain) 0 No pain Or According to

VAS

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

कणड (Itching) 0 No itching Or According to

VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate on work due to severe itching

0r

0 No itching

46

Code Signs amp Symptoms Score Gradations Remarks

1 Occasional itching

2 Off and on itching

3 Continuous itching

वाकम पवघातकत (Difficulty in speech)

0 No difficulty in speech

1 Unable to speak िति vargavyanjana

2 Difficulty in speaking क vargavyanjana

Swara donrsquot need involvement of tongue

3 Unable to speak

आहयपवघातकत

(Swallowing )

0 Able to eat regular diet

1 Able to eat soft diet

2 Able to eat only liquid diet

3 Unable to swallow anything

47

GRADATION OF TALUGAT ROG

Code - 14

Established by Group BHOJ Dr Krishna Makaia ndash Convener

Dr Rajeshree Unadkat Dr Neelam Dave

Dr Ronakgiri Gosai Dr Jignesh Virapariya

Reviewed by Dr Vijayant Bharadwaj

Edited by Prof Vd Hāridra Dave

48

Code Signs amp Symptoms Score Gradations Remarks

141 गरशचणडका (स)

परवदधो शोप (Swelling extending from palate) (Which is elongated)

0 Normal size of uvula

1 Swelling of uvula that causes discomfort to the patient

2 Swelling of uvula that causes foreign body sensation

3 Difficulty in breathing due to swelling

दीघ शोप

(Elongated Swelling)

0 Normal size of uvula

1 Elongated swelling of uvula that causes discomfort to the patient

2 Elongated swelling of uvula that causes foreign body sensation

3 Difficulty in breathing due to Elongated swelling

धभातफचसतपरकाश शोप =Inflated

swelling like Basti

0 Normal size of uvula

1 Inflated swelling like Basti of uvula that causes discomfort to the patient

2 Inflated swelling like Basti of uvula that causes foreign body sensation

3 Difficulty in breathing due to Inflated swelling like Basti

तषणा 0 Normal feeling of thirst

1 Increased feeling of thirst which is relived after drinking water

The quantity of water is not consider here but the frequency of water is considered

2 Frequent feeling of thirst which is Occasional relived after drinking water

3 Continuous feeling of thirst does not relive after drinking profuse amount of water

कास (Coughing) 0 No coughing

49

Code Signs amp Symptoms Score Gradations Remarks

1 Occasional coughing during eating and speaking

2 Off and on coughing

3 Continuous coughing

शवास 0 No difficulty in breathing

1 Difficulty in breathing occasionally

2 More difficulty in breathing while sleeping

3 Excessive difficulty in breathing

भतमसमफचसततनब शोप (अहर)

0 Normal uvula Used as an adjective

1 Inflated swelling like Matsya-Basti of uvula that causes discomfort to the patient

2 Inflated swelling like Matsya-Basti of uvula that causes foreign body sensation

3 Difficulty in breathing due to Inflated swelling like Matsya-Basti

पररफ (अहर) 0 Normal length of Uvula

(Elongated Swelling)

1 Size of Uvula increased up to lt2 mm

2 Size of Uvula increased more than 2 mm but less than 4 mm

3 Size of Uvula increased gt4 mm that cause discomfort to patient and cause difficulty in breathing

पऩचछिर(अहर) (Sliminess)

0 Absent

1 Present

नासमाऽऽहायभीयमन (अहर)

0 Food does not come out from nose

(Food comes out of nose)

1 Food comes out from nose

कणठोऩयोध(अहर) (Obstruction of throat )

0 -Able to eat regular diet -No difficulty in swallowing of any food

1 Able to swallow liquid or soft diet but not able to swallow hard diet

2 Able to swallow hard diet forcefully

50

Code Signs amp Symptoms Score Gradations Remarks

3 Not able to swallow hard diet with force

वभन(अहर) (Vomiting)

0 No Vaman

1 Feeling of nausea only

2 Only one veg of Vaman in a day

3 Two vegas of Vaman in a day

4 More than two vegas of Vaman in a day

132 तचणडकयी (स)

शोप (Tonsillar

Swelling)

0 Tonsils are located within the tonsillar fossa

1 Tonsils hypertrophy till the brim of the tonsillar fossa

2 Tonsils hypertrophy extends beyond the pillars but not touching each other

3 Tonsils hypertrophy extends beyond the pillars but not touching each other

तोद

(Pricking pain)

0 No pain

1 Occasional pain Or according to VAS

2 Off and on pain

3 Continuous pain

दाह (Burning) 0 No

1 Occasional burning

2 Intermittent burning

3 Contentious burning dose not relive by any measures

परऩाक 0 Absent

1 Present

पऩचछिर शोप(अहर)

Sliminess in swallowing

0 Feeling of Sliminess is Absent

1 Feeling of Sliminess is Present

भनदरक (अहर)

(Mild pain)

0 Absent Or According to

VAS

1 Present

133 अधरष (स)

शोप (Swelling) 0 No swelling

1 13 Swelling in part of the palate

51

Code Signs amp Symptoms Score Gradations Remarks

2 23 swelling in part of palate

3 Swelling in gt than 23 part of palate

सतबधता =Functions of soft palate like deglutition Phonation etc are affected = No mobility of soft palate

0 Normal function of soft palate

1 Soft palate movement reduced but functions are not affected

2 Any one of the functions of soft palate is affected

3 All functions of soft palate are affected

रोटहतवणता

(Redness)

0 No change in colour

1 Pinkish red coloured mucosa in palate

2 Red coloured mucosa in palate

3 Dark red coloured mucosa in palate

रजा (Pain) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

जजवय (Fever) 0 Normal temperature

1 Temperature between 984rsquoF to 100rsquoF

Temperature between 100rsquoF to 101rsquoF

2 Temperature between 101rsquoF to 102rsquoF

3 Temperature between 102rsquoF to 103rsquoF

52

Code Signs amp Symptoms Score Gradations Remarks

4 Temperature between 103rsquoF to 104rsquoF

5 Temperature more than 104rsquoF

134 कछिऩ (स)

कभवत उतमसनन शोप (Swelling

having shape like dorsum of tortoise)

0 No swelling

1 Swelling in 13rd part of the palate

2 Swelling in 23rd part of palate

3 Swelling in gt 23rd part of palate

चियवपदध(अहर)

(Slow growth)

0 Growth within a week

1 Growth within 1 week to 1 month

2 Growth within 1 month to 6 months

3 Growth within gt 6 months

रक (अहर) (Pain) 0 No pain Or According to VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesics

135 तारअफद (स) ऩदमाकाय तारभधम

शोपम (Swelling

like shape of lotus )

0 No swelling

1 Swelling in 13rd part of the palate

2 2 Swelling in 23rd part of palate

3 3 Swelling in gt 23rd part of palate

136 भाससङघात (स) नीरज (Painless) 0 Absent

1 Present

53

Code Signs amp Symptoms Score Gradations Remarks

शोप 0 No swelling

1 Swelling in 13rd part of the palate

2 Swelling in 23rd part of palate

3 Swelling in gt 23rd part of palate

137 तारऩपऩि (स) नीरक (Painless) 0 Absent

1 Present

कोरभातर

Swelling having size of Kola fruit

0 Absent

1 Present

138 तारशोष (स)

शोष (Dryness) 0 No dryness

1 Dryness decreased after drinking water

2 Patient needs water frequently

3 Dryness persist after dinking profuse water

दायण (Tearing of palate)

0 Absent

1 Present

शवास (Difficulty in

breathing)

0 No difficulty in breathing Here difficulty in breathing is due to obstruction

1 Difficulty in breathing occasionally

2 More difficulty in breathing while sleeping position

3 Excessive difficulty in breathing

जजवय(अहर) (Fever) 0 Normal temperature

1 Temperature between 984rsquoF to 100rsquoF

Temperature between 100rsquoF to 101rsquoF

2 Temperature between 101rsquoF to 102rsquoF

3 Temperature between 102rsquoF to 103rsquoF

4 Temperature between 103rsquoF to 104rsquoF

5 Temperature more than 104rsquoF

54

Code Signs amp Symptoms Score Gradations Remarks

139 तारऩाक (स) ऩाक (Suppuration) 0 No swelling or suppuration

1 Inflammation of palate with pain and tenderness

2 Inflammation of palate with different types of pain and tenderness with induration

3 Pus formation and fluctuation positive

1310 तारपऩटिका (अहर) तारभास पऩटिका

Follicles in palate flesh

0 No follicles

1 13 palate covered with follicles

2 23 palate covered with follicles

3 More than 23 palate covered with follicles

रज(अहर) (Pain) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

Occasional pain

खयता(अहर) (Roughness)

0 Smooth on touch

1 Mild irregular surface on touch

2 Rough surface

3 Sharp rough surface which hurts on finger on touch

घनसराव(अहर) (Thick discharge)

0 No discharge

1 Occasional discharge

2 Off and on thick discharge

3 Continuous thick discharge

1311 तारसहतत (अहर) तारभधम तनरक (अहर) =Painless fleshy growth in palate

Only तारभधम तनरक indicates the place and quality of growth both the symptoms can be

merged

55

Code Signs amp Symptoms Score Gradations Remarks

तनरक (Painless) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

भाससहत

(Fleshy growth in palate)

0 No fleshy growth

1 Fleshy growth in 13 part of the palate Swelling

2 Fleshy growth in 23 part of palate swelling

3 Fleshy growth in more than 23 part of palate

56

GRADATION OF SARVASAR ROG

Code - 15

Established by Group BHOJ Dr Krishna Makaia ndash Convener

Dr Rajeshree Unadkat Dr Neelam Dave

Dr Ronakgiri Gosai Dr Jignesh Virapariya

Reviewed by Dr Vijayant Bharadwaj

Edited by Prof Vd Hāridra Dave

57

Code Signs amp Symptoms Score Gradations Remarks

151 वातजसवसय (स) सपोि (Ulcers) 0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

तोद = Pricking pain 0 No pricking pain Or According to VAS

1 Occasional pricking pain

2 Off and on pricking pain

3 Continuous pricking pain

Or

0 No pricking pain

1 Sometimes mild pricking pain

2 Has to take analgesic while pricking pain

सिारयण(अहर) This symptom is for सवसय so this सवसय is the nature of सिारय

0 No movement of सवसय

1 Movement of सवसय is once in a week

2 Movement of सवसय is once in three to four days

3 Movement of सवसय is at every alternate day

4 Movement of सवसय is once in a day

अरण (अहर) Reddish discoloration

0 Colour of वरण is same with colour of surrounding area

1 Colour of वरण is Reddish

2 Colour of वरण is Dark Red

3 Colour of वरण is Reddish black

र (अहर) Dryness 0 वरण is Moist

-No dryness of वरण

1 वरण Needs lubrication once a day

2 वरण Needs frequent lubrication in

a day

3 No benefit with frequent

lubrication of वरण

तामरता (अहर) (Coppery

0 Colour of वरणौषठ is same with colour of surrounding area

58

Code Signs amp Symptoms Score Gradations Remarks

discoloration) This symptom is for

वरणौषठ

1 Colour of वरणौषठ is Tamra Varna

चऱतवचा (अहर) (Free mucous membrane) This symptom is for

वरणौषठ

0

Movement of वरणौषठ is on touch

only

1 Movement of वरणौषठ can be seen by naked eye means without touch

शीतासहा (अहर) (Intolerance to cold) This symptom is for

जजहवा

0 No Intolerance of cold to जजहवा

1 Intolerance of severe cold to जजहवा

2 Intolerance of moderate cold to जजहवा

3 Intolerance of Mild cold to जजहवा

गवी (Heaviness)

This symptom is for

जजहवा

0 No Heaviness

1 Mild heaviness with no difficulty

in movement of जजहवा

2 Moderate heaviness with

difficulty in Movement of जजहवा

3 Sever heaviness with bending down of

सफटटता (अहर) (Ulcer)

0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

कणटाकाधचता (अहर) = Thorn like

appearance

0 No change in appearance

59

Code Signs amp Symptoms Score Gradations Remarks

1 13 part of oral mucous membrane covered with red fleshy thorn like papillae

2 23 part of oral mucous membrane covered with red fleshy thorn like papillae

3 gt23 part of oral mucous membrane covered with red fleshy thorn like papillae

षववणोतत कचछरणमखम (अहर) (Difficulty in mouth opening)

0 Mouth opening more than 3 fingers without difficulty

1 2 to 3 fingers opening of mouth with or without difficulty

2 1 to 2 fingers opening of mouth with or without difficulty

3 Less than 1 finger opening of mouth with or without difficulty

152 पऩतमत(यकतज)सवसय (स) Signs and Symptoms of यकतज सवसय are same as of पऩतमत सवसय so no separate gradations are mentioned

यकतता (Redness) 0 Colour of सवसय- वरण is similar with

surrounding mucous membrane

1 Reddish Colour of सवसय- वरण

2 Bright red Colour of सवसय- वरण

3 Dark red Colour of सवसय- वरण

सदाह (Burning

Sensation)

0 No burning in सवसय- वरण Or According to

VAS

1 Occasional burning in सवसय- वरण

2 Intermittent burning in सवसय- वरण

3 Contentious burning in सवसय- वरण

which does not relive by any measures

तन (तनसब) (Shallow superficial ulcers)

0 No ulcer

1 Ulcer having depth of 05-1 mm

2 Ulcer having depth of 1 ndash 15 mm

3 Ulcer having depth of 15 -2 mm

60

Code Signs amp Symptoms Score Gradations Remarks

ओष (अहर) 0 No (ओष) burning in सवसय- वरण

1 Occasional (ओष) burning in

सवसय- वरण

2 Intermittent (ओष) burning in

सवसय- वरण

3 Contentious (ओष) burning in

सवसय- वरण which does not relive

by any measures

ततकतवकरता (अहर) (Bitter taste in mouth)

0 No alteration in taste

1 Occasionally bitter taste felt in mouth without having any bitter substance

2 Off and on bitter taste felt in mouth without having any bitter substance

3 Continuous bitter taste felt in mouth without having any bitter substance

ारोकषतत समावरणा (अहर)

0 No Ulcer

(Ulcers looking like chemical burns)

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

153 कपज सवसय (स) कणड (Itching) 0 No itching Or According to

VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Unable to work due to itching

0r

0 No itching

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate on work due to severe itching

रजा (Pain)

(अलऩ रजा) 0 No pain Or According to

VAS

1 Occasional pain

61

Code Signs amp Symptoms Score Gradations Remarks

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain This condition should be considered as अलऩ रजा

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

सवणण 0 Colour of वरण is same with colour of near by tissue

1 Colour of वरण is not same with colour of near by tissue

मररासयतवम (अहर) (Sweet taste in mouth)

0 No alteration in taste

1 Occasionally sweet taste felt without eating any sweet substance

2 Off and on Sweet taste Occasionally sweet taste felt without eating any sweet substance

3 Continuous sweet taste Occasionally sweet taste felt without eating any sweet substance

षपजचछिऱता (अहर) (Unctuousness)

0 Absent

1 Present

वरण 0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

154 कफाबभद (अहर) शयाव अबभदम

(शयावपाणडऽबभदम) 0 Colour of growthtumour is same

the colour of surrounding skin

1 Colour of growthtumour is शयाव

(Blackish)

62

Code Signs amp Symptoms Score Gradations Remarks

पाणड अबभदम (शयावपाणडऽबभदम)

0 Colour of growthtumour is same the colour of surrounding skin

1 Colour of growthtumour is पाणड

(Pale)

अबभदम 0 No GrowthTumour TNM Classification for tumours can be applied for growth

1 Growthtumour having sizelt 10 mm

2 Growthtumour having size 10 mm to 20 mm

3 Growthtumour having size gt 20 mm

घटिता तिनना मटदता च षववरभत (Size increases on rubbing cutting and squeezing)

0 Size of GrowthTumour is not increasing by rubbing cutting or squeezing

1 Size of GrowthTumour is increasing up to 10 mm by rubbing cutting or squeezing within a month

2 Size of GrowthTumour is increasing up to 20 mm by rubbing cutting or squeezing within a month

3 Size of GrowthTumour is increasing up to 30 mm by rubbing cutting or squeezing within a month

4 Size of GrowthTumour is increasing up to 40 mm by rubbing cutting or squeezing within a month

155 ऊरधवभगद (अहर) वकतरदौगनधम

(Halitosis)

0 No Halitosis

1 Halitosis is feel by Patient only

2 Halitosis is feel by Patient and examining Doctor only

3 Halitosis is feel by any person from the distance from 5 meters

63

Code Signs amp Symptoms Score Gradations Remarks

4 Halitosis is feel by any person from the distance from more than 5 meters

156 पततवकर (अहर) ऩतममासमता

(Halitosis)

0 No Halitosis

1 Halitosis is feel by Patient only

2 Halitosis is feel by Patient and examining Doctor only

3 Halitosis is feel by any person from the distance from 5 meters

4 Halitosis is feel by any person from the distance from more than 5 meters

157 सतनऩाततक सवसय (अहर) This disease occurs due to aggravation of all three doshas including Rakta Clinical presentation of this disease is found as mixed picture according prominent aggravation of dosha and signs and symptoms will be observed accordingly Gradations should be considered accordingly so it is not required to repeat here

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Page 39: THE GRADATIONS OF DISEASES OF SHALAKYA TANTRA - PART …theassociationofshalaki.com/downloads/GRADATIONS_OF_DISEASE… · 12.05.2019  · I am also very much thankful to Dr Sandhya

38

Code Signs amp Symptoms Score Gradations Remarks

रक Dull pain 0 No Rujā (pain) -Or According to

VAS

- This should be

considered

separately for each

tooth

2 Rujā (pain) is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Rujā (pain) is referred up to Hanu and patient can do hisher routine work without disturbance

4 Rujā (pain) is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

5 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Rujā (pain) is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

सपिन Burstingexpanding pain

0 No Bursting pain -Or According to

VAS

- This should be

considered

separately for each

tooth

2 Bursting pain is Present on that tooth only where disease is occurred and patient can do hisher routine work without disturbance

3 Bursting pain is referred up to Hanu and patient can do hisher routine work without disturbance

4 Bursting pain is referred up to Hanu and Karna and patient can do hisher routine work without disturbance

39

Code Signs amp Symptoms Score Gradations Remarks

5 Bursting pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Bursting pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

1210 दनतचाऱ (अहर) िरतमव = Mobility 0 No = mobility

1 1mm anterio-posterior

mobility

2 2 mm anterio-posterior

mobility

3 More than 2 mm anterio-

posterior amp medial to lateral

mobility

बणादचधकवमथ 0 No Vyatha ndash Pain during

eating

1 Pain during eating of hard

diet only

2 Pain during eating of soft diet

even

1211 कराऱ (स)

=Malocclusion

0 A Normal Molar relationship

exist but there is crowding

misalignment of the teeth

cross bite etc

1 A malocclusion where the

molar relationship shows the

buccal grove of mandibular

first molar distally positioned

when in occlusion with the

mesiobuccal cusp of the

maxillary first molar

2 A malocclusion where the

molar relationship shows the

buccal groove of the

mandibular first molar

mesiallypos

40

GRADATIONS OF JIHWA GAT ROG

Code - 13

Established by Group BHOJ Dr Krishna Makaia ndash Convener

Dr Rajeshree Unadkat Dr Neelam Dave

Dr Ronakgiri Gosai Dr Jignesh Virapariya

Reviewed by Dr Vijayant Bharadwaj

Edited by Prof Vd Hāridra Dave

41

Code Signs amp Symptoms Score Gradations Remarks

131 वाततक चजहवाकिक (स) सपटिता (Creaks) 0 No creaks on tongue

1 Single creak on the dorsum of tongue

2 Multiple Creaks on the dorsum of tongue

3 Multiple deep creaks on the dorsum of tongue (Bleeding)

परसपता (Numbness )

0 No Numbness

1 Numbness in 13 Part of tongue

2 Numbness in 23 Part of tongue

3 Numbness in more than 23 Part of tongue

शाकछिदनपरकाशा (Roughness)

0 Normal surface of tongue on touch

1 Mild rough surface on touch

2 Hard irregular surface on touch

3 Very rough surface which hurts the finger on touch

132 ऩततक चजहवाकिक (स) ऩीता 0 No yellowish discolouration

1 Yellowish discoloration in 13 part

2 Yellowish discoloration in 23 part

3 Yellowish discoloration in more than 23 part of tongue

ऩरयदहमत Burning in entire tongue)

0 No burning Or According to VAS

1 Occasional burning

2 Intermittent burning

3 Continuous burning does not relieve by any measures

दाह (Burning may be

in partially tongue)

0 No Burning Or According to VAS

1 Burning up to 13 part of tongue

2 Burning in 13 to 23 part of tongue

3 Burning in more than 23 part of tongue

42

Code Signs amp Symptoms Score Gradations Remarks

यकतभासाङकयचशिता (Covered with red buds )

0 No change in appearance

1 13 part of tongue covered with red fleshy buds

2 23 part of tongue covered with red fleshy buds

3 Whole tongue covered with red fleshy buds

ओष (Burning) 0 No Oshha Or According to VAS

1 Oshha up to 13 part of tongue

2 Oshha in 13 to 23 part of tongue

3 Oshha in more than 23 part of tongue

133 कपज चजहवाकिक (स) फहरा (Thick) 0 Normal Thickness of Tongue

1 Thickness increased - noticeable by patient

2 Thickness increased - noticeable by the examiner

3 Tongue protruding out because of increased Thickness

गवी (Heaviness) 0 No Heaviness

1 Feeling mild heaviness but no difficulty in Tongue movement

2 Difficulty in Tongue movement especially during intake of liquid

3 Difficulty in Tongue movement especially during intake of hard food

4 Difficulty in Tongue movement especially during Pronunciation

भासोदगभ शालभसरकणिकाब (thorn like papilla)

0 No change in appearance of tongue

1 13 part of tongue covered with red fleshy thorn like papilla

2 23 part of tongue covered with thorn like papilla

3 Whole tongue covered with thorn like papilla

43

Code Signs amp Symptoms Score Gradations Remarks

134 अरास (स) शवमथ

(Swelling at ventral surface of tongue)

0 Absent

1 Present

सतबमतत (Restricted tongue movement)

0 -Normal Movement of Tongue -Movement of tongue not affected

1 Tongue movement slightly restricted but does not affect the normal function

2 Tongue movement restricted that affects the normal function

3 Tongue movement arrested

परवदध

(Increase in size)

0 Size not increased

1 Size increased - noticeable by the patient

2 Size increased - noticeable by the examiner

3 Tongue protruding out because of increased size

ऩाक 0 No swelling or suppuration

1 Inflammation with pain and tenderness

2 Inflammation with different types of pain and tenderness along with induration

3 Pus formation and fluctuation positive

अधशोप 0 Absent

1 Present

उननत (elevation of

the tongue due to swelling below the tongue)

0 Normal position of tongue

1 Tongue slightly elevated due to swelling below the tongue

2 Tongue elevation causes discomfort to the patient

3 Tongue touches the palate

भतमसमगचनध

(Fishy smell)

0 Absent

1 Present

44

Code Signs amp Symptoms Score Gradations Remarks

भासशातन (Destruction of flesh of tongue )

0 No Destruction of tongue flesh

1 13 part of tongue flesh is destroyed

2 23 part of tongue flesh is destroyed

3 More than 23 part of tongue is destroyed

135 उऩचजचहवका (स) शवमथ (Swelling) 0 Absent

1 Present

चजहवाभननम

जात (elevation of

tongue because of swelling)

0 Normal position of tongue

1 Tongue slightly elevated due to swelling below the tongue

2 Tongue elevation causes discomfort to the patient

3 Tongue touches the palate

परसक (Salivation) 0 Normal secretion of saliva

1 Occasionally spitting

2 Off and on spitting

3 Continuous spitting which disturbs the work

कणड (Itching) 0 No itching Or According to VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate on work due to severe itching

0r

0 No itching

1 Occasional itching

2 Off and on itching

3 Continuous itching

ऩरयदाह (Burning in

whole tongue)

0 No burning Or According to VAS

1 Occasional burning

2 Intermittent burning

3 Contentious burning dose not relive by any measures

45

Code Signs amp Symptoms Score Gradations Remarks

136 अचधचजचहवका (अर)

अधोचजहवामा शोप

0 Normal position of tongue

(Swelling below the tongue)

1 Tongue slightly elevated due to swelling below the tongue

2 Tongue elevation causes discomfort to the patient

3 Tongue touches the palate

अङकय (Pappilary

growth)

0 Absent

1 Present

ओष (Burning) 0 No Oshh Or According to

VAS

1 Oshh up to 13 part of tongue

2 Oshh in 13 to 23 part of tongue

3 Oshh in more than 23 part of tongue

सतबवान

(Restriction of Movement)

0 Movement of tongue not affected

1 Tongue movement slightly restricted but does not affect the normal function

2 Tongue movement restricted that affect the normal function

3 Tongue movement arrested

खय(Rough) 0 Smooth on touch

1 Mild irregular surface

2 Rough surface

3 Sharp rough surface touch hurts on finger on touch

रक (Pain) 0 No pain Or According to

VAS

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

कणड (Itching) 0 No itching Or According to

VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate on work due to severe itching

0r

0 No itching

46

Code Signs amp Symptoms Score Gradations Remarks

1 Occasional itching

2 Off and on itching

3 Continuous itching

वाकम पवघातकत (Difficulty in speech)

0 No difficulty in speech

1 Unable to speak िति vargavyanjana

2 Difficulty in speaking क vargavyanjana

Swara donrsquot need involvement of tongue

3 Unable to speak

आहयपवघातकत

(Swallowing )

0 Able to eat regular diet

1 Able to eat soft diet

2 Able to eat only liquid diet

3 Unable to swallow anything

47

GRADATION OF TALUGAT ROG

Code - 14

Established by Group BHOJ Dr Krishna Makaia ndash Convener

Dr Rajeshree Unadkat Dr Neelam Dave

Dr Ronakgiri Gosai Dr Jignesh Virapariya

Reviewed by Dr Vijayant Bharadwaj

Edited by Prof Vd Hāridra Dave

48

Code Signs amp Symptoms Score Gradations Remarks

141 गरशचणडका (स)

परवदधो शोप (Swelling extending from palate) (Which is elongated)

0 Normal size of uvula

1 Swelling of uvula that causes discomfort to the patient

2 Swelling of uvula that causes foreign body sensation

3 Difficulty in breathing due to swelling

दीघ शोप

(Elongated Swelling)

0 Normal size of uvula

1 Elongated swelling of uvula that causes discomfort to the patient

2 Elongated swelling of uvula that causes foreign body sensation

3 Difficulty in breathing due to Elongated swelling

धभातफचसतपरकाश शोप =Inflated

swelling like Basti

0 Normal size of uvula

1 Inflated swelling like Basti of uvula that causes discomfort to the patient

2 Inflated swelling like Basti of uvula that causes foreign body sensation

3 Difficulty in breathing due to Inflated swelling like Basti

तषणा 0 Normal feeling of thirst

1 Increased feeling of thirst which is relived after drinking water

The quantity of water is not consider here but the frequency of water is considered

2 Frequent feeling of thirst which is Occasional relived after drinking water

3 Continuous feeling of thirst does not relive after drinking profuse amount of water

कास (Coughing) 0 No coughing

49

Code Signs amp Symptoms Score Gradations Remarks

1 Occasional coughing during eating and speaking

2 Off and on coughing

3 Continuous coughing

शवास 0 No difficulty in breathing

1 Difficulty in breathing occasionally

2 More difficulty in breathing while sleeping

3 Excessive difficulty in breathing

भतमसमफचसततनब शोप (अहर)

0 Normal uvula Used as an adjective

1 Inflated swelling like Matsya-Basti of uvula that causes discomfort to the patient

2 Inflated swelling like Matsya-Basti of uvula that causes foreign body sensation

3 Difficulty in breathing due to Inflated swelling like Matsya-Basti

पररफ (अहर) 0 Normal length of Uvula

(Elongated Swelling)

1 Size of Uvula increased up to lt2 mm

2 Size of Uvula increased more than 2 mm but less than 4 mm

3 Size of Uvula increased gt4 mm that cause discomfort to patient and cause difficulty in breathing

पऩचछिर(अहर) (Sliminess)

0 Absent

1 Present

नासमाऽऽहायभीयमन (अहर)

0 Food does not come out from nose

(Food comes out of nose)

1 Food comes out from nose

कणठोऩयोध(अहर) (Obstruction of throat )

0 -Able to eat regular diet -No difficulty in swallowing of any food

1 Able to swallow liquid or soft diet but not able to swallow hard diet

2 Able to swallow hard diet forcefully

50

Code Signs amp Symptoms Score Gradations Remarks

3 Not able to swallow hard diet with force

वभन(अहर) (Vomiting)

0 No Vaman

1 Feeling of nausea only

2 Only one veg of Vaman in a day

3 Two vegas of Vaman in a day

4 More than two vegas of Vaman in a day

132 तचणडकयी (स)

शोप (Tonsillar

Swelling)

0 Tonsils are located within the tonsillar fossa

1 Tonsils hypertrophy till the brim of the tonsillar fossa

2 Tonsils hypertrophy extends beyond the pillars but not touching each other

3 Tonsils hypertrophy extends beyond the pillars but not touching each other

तोद

(Pricking pain)

0 No pain

1 Occasional pain Or according to VAS

2 Off and on pain

3 Continuous pain

दाह (Burning) 0 No

1 Occasional burning

2 Intermittent burning

3 Contentious burning dose not relive by any measures

परऩाक 0 Absent

1 Present

पऩचछिर शोप(अहर)

Sliminess in swallowing

0 Feeling of Sliminess is Absent

1 Feeling of Sliminess is Present

भनदरक (अहर)

(Mild pain)

0 Absent Or According to

VAS

1 Present

133 अधरष (स)

शोप (Swelling) 0 No swelling

1 13 Swelling in part of the palate

51

Code Signs amp Symptoms Score Gradations Remarks

2 23 swelling in part of palate

3 Swelling in gt than 23 part of palate

सतबधता =Functions of soft palate like deglutition Phonation etc are affected = No mobility of soft palate

0 Normal function of soft palate

1 Soft palate movement reduced but functions are not affected

2 Any one of the functions of soft palate is affected

3 All functions of soft palate are affected

रोटहतवणता

(Redness)

0 No change in colour

1 Pinkish red coloured mucosa in palate

2 Red coloured mucosa in palate

3 Dark red coloured mucosa in palate

रजा (Pain) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

जजवय (Fever) 0 Normal temperature

1 Temperature between 984rsquoF to 100rsquoF

Temperature between 100rsquoF to 101rsquoF

2 Temperature between 101rsquoF to 102rsquoF

3 Temperature between 102rsquoF to 103rsquoF

52

Code Signs amp Symptoms Score Gradations Remarks

4 Temperature between 103rsquoF to 104rsquoF

5 Temperature more than 104rsquoF

134 कछिऩ (स)

कभवत उतमसनन शोप (Swelling

having shape like dorsum of tortoise)

0 No swelling

1 Swelling in 13rd part of the palate

2 Swelling in 23rd part of palate

3 Swelling in gt 23rd part of palate

चियवपदध(अहर)

(Slow growth)

0 Growth within a week

1 Growth within 1 week to 1 month

2 Growth within 1 month to 6 months

3 Growth within gt 6 months

रक (अहर) (Pain) 0 No pain Or According to VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesics

135 तारअफद (स) ऩदमाकाय तारभधम

शोपम (Swelling

like shape of lotus )

0 No swelling

1 Swelling in 13rd part of the palate

2 2 Swelling in 23rd part of palate

3 3 Swelling in gt 23rd part of palate

136 भाससङघात (स) नीरज (Painless) 0 Absent

1 Present

53

Code Signs amp Symptoms Score Gradations Remarks

शोप 0 No swelling

1 Swelling in 13rd part of the palate

2 Swelling in 23rd part of palate

3 Swelling in gt 23rd part of palate

137 तारऩपऩि (स) नीरक (Painless) 0 Absent

1 Present

कोरभातर

Swelling having size of Kola fruit

0 Absent

1 Present

138 तारशोष (स)

शोष (Dryness) 0 No dryness

1 Dryness decreased after drinking water

2 Patient needs water frequently

3 Dryness persist after dinking profuse water

दायण (Tearing of palate)

0 Absent

1 Present

शवास (Difficulty in

breathing)

0 No difficulty in breathing Here difficulty in breathing is due to obstruction

1 Difficulty in breathing occasionally

2 More difficulty in breathing while sleeping position

3 Excessive difficulty in breathing

जजवय(अहर) (Fever) 0 Normal temperature

1 Temperature between 984rsquoF to 100rsquoF

Temperature between 100rsquoF to 101rsquoF

2 Temperature between 101rsquoF to 102rsquoF

3 Temperature between 102rsquoF to 103rsquoF

4 Temperature between 103rsquoF to 104rsquoF

5 Temperature more than 104rsquoF

54

Code Signs amp Symptoms Score Gradations Remarks

139 तारऩाक (स) ऩाक (Suppuration) 0 No swelling or suppuration

1 Inflammation of palate with pain and tenderness

2 Inflammation of palate with different types of pain and tenderness with induration

3 Pus formation and fluctuation positive

1310 तारपऩटिका (अहर) तारभास पऩटिका

Follicles in palate flesh

0 No follicles

1 13 palate covered with follicles

2 23 palate covered with follicles

3 More than 23 palate covered with follicles

रज(अहर) (Pain) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

Occasional pain

खयता(अहर) (Roughness)

0 Smooth on touch

1 Mild irregular surface on touch

2 Rough surface

3 Sharp rough surface which hurts on finger on touch

घनसराव(अहर) (Thick discharge)

0 No discharge

1 Occasional discharge

2 Off and on thick discharge

3 Continuous thick discharge

1311 तारसहतत (अहर) तारभधम तनरक (अहर) =Painless fleshy growth in palate

Only तारभधम तनरक indicates the place and quality of growth both the symptoms can be

merged

55

Code Signs amp Symptoms Score Gradations Remarks

तनरक (Painless) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

भाससहत

(Fleshy growth in palate)

0 No fleshy growth

1 Fleshy growth in 13 part of the palate Swelling

2 Fleshy growth in 23 part of palate swelling

3 Fleshy growth in more than 23 part of palate

56

GRADATION OF SARVASAR ROG

Code - 15

Established by Group BHOJ Dr Krishna Makaia ndash Convener

Dr Rajeshree Unadkat Dr Neelam Dave

Dr Ronakgiri Gosai Dr Jignesh Virapariya

Reviewed by Dr Vijayant Bharadwaj

Edited by Prof Vd Hāridra Dave

57

Code Signs amp Symptoms Score Gradations Remarks

151 वातजसवसय (स) सपोि (Ulcers) 0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

तोद = Pricking pain 0 No pricking pain Or According to VAS

1 Occasional pricking pain

2 Off and on pricking pain

3 Continuous pricking pain

Or

0 No pricking pain

1 Sometimes mild pricking pain

2 Has to take analgesic while pricking pain

सिारयण(अहर) This symptom is for सवसय so this सवसय is the nature of सिारय

0 No movement of सवसय

1 Movement of सवसय is once in a week

2 Movement of सवसय is once in three to four days

3 Movement of सवसय is at every alternate day

4 Movement of सवसय is once in a day

अरण (अहर) Reddish discoloration

0 Colour of वरण is same with colour of surrounding area

1 Colour of वरण is Reddish

2 Colour of वरण is Dark Red

3 Colour of वरण is Reddish black

र (अहर) Dryness 0 वरण is Moist

-No dryness of वरण

1 वरण Needs lubrication once a day

2 वरण Needs frequent lubrication in

a day

3 No benefit with frequent

lubrication of वरण

तामरता (अहर) (Coppery

0 Colour of वरणौषठ is same with colour of surrounding area

58

Code Signs amp Symptoms Score Gradations Remarks

discoloration) This symptom is for

वरणौषठ

1 Colour of वरणौषठ is Tamra Varna

चऱतवचा (अहर) (Free mucous membrane) This symptom is for

वरणौषठ

0

Movement of वरणौषठ is on touch

only

1 Movement of वरणौषठ can be seen by naked eye means without touch

शीतासहा (अहर) (Intolerance to cold) This symptom is for

जजहवा

0 No Intolerance of cold to जजहवा

1 Intolerance of severe cold to जजहवा

2 Intolerance of moderate cold to जजहवा

3 Intolerance of Mild cold to जजहवा

गवी (Heaviness)

This symptom is for

जजहवा

0 No Heaviness

1 Mild heaviness with no difficulty

in movement of जजहवा

2 Moderate heaviness with

difficulty in Movement of जजहवा

3 Sever heaviness with bending down of

सफटटता (अहर) (Ulcer)

0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

कणटाकाधचता (अहर) = Thorn like

appearance

0 No change in appearance

59

Code Signs amp Symptoms Score Gradations Remarks

1 13 part of oral mucous membrane covered with red fleshy thorn like papillae

2 23 part of oral mucous membrane covered with red fleshy thorn like papillae

3 gt23 part of oral mucous membrane covered with red fleshy thorn like papillae

षववणोतत कचछरणमखम (अहर) (Difficulty in mouth opening)

0 Mouth opening more than 3 fingers without difficulty

1 2 to 3 fingers opening of mouth with or without difficulty

2 1 to 2 fingers opening of mouth with or without difficulty

3 Less than 1 finger opening of mouth with or without difficulty

152 पऩतमत(यकतज)सवसय (स) Signs and Symptoms of यकतज सवसय are same as of पऩतमत सवसय so no separate gradations are mentioned

यकतता (Redness) 0 Colour of सवसय- वरण is similar with

surrounding mucous membrane

1 Reddish Colour of सवसय- वरण

2 Bright red Colour of सवसय- वरण

3 Dark red Colour of सवसय- वरण

सदाह (Burning

Sensation)

0 No burning in सवसय- वरण Or According to

VAS

1 Occasional burning in सवसय- वरण

2 Intermittent burning in सवसय- वरण

3 Contentious burning in सवसय- वरण

which does not relive by any measures

तन (तनसब) (Shallow superficial ulcers)

0 No ulcer

1 Ulcer having depth of 05-1 mm

2 Ulcer having depth of 1 ndash 15 mm

3 Ulcer having depth of 15 -2 mm

60

Code Signs amp Symptoms Score Gradations Remarks

ओष (अहर) 0 No (ओष) burning in सवसय- वरण

1 Occasional (ओष) burning in

सवसय- वरण

2 Intermittent (ओष) burning in

सवसय- वरण

3 Contentious (ओष) burning in

सवसय- वरण which does not relive

by any measures

ततकतवकरता (अहर) (Bitter taste in mouth)

0 No alteration in taste

1 Occasionally bitter taste felt in mouth without having any bitter substance

2 Off and on bitter taste felt in mouth without having any bitter substance

3 Continuous bitter taste felt in mouth without having any bitter substance

ारोकषतत समावरणा (अहर)

0 No Ulcer

(Ulcers looking like chemical burns)

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

153 कपज सवसय (स) कणड (Itching) 0 No itching Or According to

VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Unable to work due to itching

0r

0 No itching

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate on work due to severe itching

रजा (Pain)

(अलऩ रजा) 0 No pain Or According to

VAS

1 Occasional pain

61

Code Signs amp Symptoms Score Gradations Remarks

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain This condition should be considered as अलऩ रजा

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

सवणण 0 Colour of वरण is same with colour of near by tissue

1 Colour of वरण is not same with colour of near by tissue

मररासयतवम (अहर) (Sweet taste in mouth)

0 No alteration in taste

1 Occasionally sweet taste felt without eating any sweet substance

2 Off and on Sweet taste Occasionally sweet taste felt without eating any sweet substance

3 Continuous sweet taste Occasionally sweet taste felt without eating any sweet substance

षपजचछिऱता (अहर) (Unctuousness)

0 Absent

1 Present

वरण 0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

154 कफाबभद (अहर) शयाव अबभदम

(शयावपाणडऽबभदम) 0 Colour of growthtumour is same

the colour of surrounding skin

1 Colour of growthtumour is शयाव

(Blackish)

62

Code Signs amp Symptoms Score Gradations Remarks

पाणड अबभदम (शयावपाणडऽबभदम)

0 Colour of growthtumour is same the colour of surrounding skin

1 Colour of growthtumour is पाणड

(Pale)

अबभदम 0 No GrowthTumour TNM Classification for tumours can be applied for growth

1 Growthtumour having sizelt 10 mm

2 Growthtumour having size 10 mm to 20 mm

3 Growthtumour having size gt 20 mm

घटिता तिनना मटदता च षववरभत (Size increases on rubbing cutting and squeezing)

0 Size of GrowthTumour is not increasing by rubbing cutting or squeezing

1 Size of GrowthTumour is increasing up to 10 mm by rubbing cutting or squeezing within a month

2 Size of GrowthTumour is increasing up to 20 mm by rubbing cutting or squeezing within a month

3 Size of GrowthTumour is increasing up to 30 mm by rubbing cutting or squeezing within a month

4 Size of GrowthTumour is increasing up to 40 mm by rubbing cutting or squeezing within a month

155 ऊरधवभगद (अहर) वकतरदौगनधम

(Halitosis)

0 No Halitosis

1 Halitosis is feel by Patient only

2 Halitosis is feel by Patient and examining Doctor only

3 Halitosis is feel by any person from the distance from 5 meters

63

Code Signs amp Symptoms Score Gradations Remarks

4 Halitosis is feel by any person from the distance from more than 5 meters

156 पततवकर (अहर) ऩतममासमता

(Halitosis)

0 No Halitosis

1 Halitosis is feel by Patient only

2 Halitosis is feel by Patient and examining Doctor only

3 Halitosis is feel by any person from the distance from 5 meters

4 Halitosis is feel by any person from the distance from more than 5 meters

157 सतनऩाततक सवसय (अहर) This disease occurs due to aggravation of all three doshas including Rakta Clinical presentation of this disease is found as mixed picture according prominent aggravation of dosha and signs and symptoms will be observed accordingly Gradations should be considered accordingly so it is not required to repeat here

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Page 40: THE GRADATIONS OF DISEASES OF SHALAKYA TANTRA - PART …theassociationofshalaki.com/downloads/GRADATIONS_OF_DISEASE… · 12.05.2019  · I am also very much thankful to Dr Sandhya

39

Code Signs amp Symptoms Score Gradations Remarks

5 Bursting pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work

6 Bursting pain is referred up to Hanu and Karna and patient canrsquot do hisher routine work including eating

1210 दनतचाऱ (अहर) िरतमव = Mobility 0 No = mobility

1 1mm anterio-posterior

mobility

2 2 mm anterio-posterior

mobility

3 More than 2 mm anterio-

posterior amp medial to lateral

mobility

बणादचधकवमथ 0 No Vyatha ndash Pain during

eating

1 Pain during eating of hard

diet only

2 Pain during eating of soft diet

even

1211 कराऱ (स)

=Malocclusion

0 A Normal Molar relationship

exist but there is crowding

misalignment of the teeth

cross bite etc

1 A malocclusion where the

molar relationship shows the

buccal grove of mandibular

first molar distally positioned

when in occlusion with the

mesiobuccal cusp of the

maxillary first molar

2 A malocclusion where the

molar relationship shows the

buccal groove of the

mandibular first molar

mesiallypos

40

GRADATIONS OF JIHWA GAT ROG

Code - 13

Established by Group BHOJ Dr Krishna Makaia ndash Convener

Dr Rajeshree Unadkat Dr Neelam Dave

Dr Ronakgiri Gosai Dr Jignesh Virapariya

Reviewed by Dr Vijayant Bharadwaj

Edited by Prof Vd Hāridra Dave

41

Code Signs amp Symptoms Score Gradations Remarks

131 वाततक चजहवाकिक (स) सपटिता (Creaks) 0 No creaks on tongue

1 Single creak on the dorsum of tongue

2 Multiple Creaks on the dorsum of tongue

3 Multiple deep creaks on the dorsum of tongue (Bleeding)

परसपता (Numbness )

0 No Numbness

1 Numbness in 13 Part of tongue

2 Numbness in 23 Part of tongue

3 Numbness in more than 23 Part of tongue

शाकछिदनपरकाशा (Roughness)

0 Normal surface of tongue on touch

1 Mild rough surface on touch

2 Hard irregular surface on touch

3 Very rough surface which hurts the finger on touch

132 ऩततक चजहवाकिक (स) ऩीता 0 No yellowish discolouration

1 Yellowish discoloration in 13 part

2 Yellowish discoloration in 23 part

3 Yellowish discoloration in more than 23 part of tongue

ऩरयदहमत Burning in entire tongue)

0 No burning Or According to VAS

1 Occasional burning

2 Intermittent burning

3 Continuous burning does not relieve by any measures

दाह (Burning may be

in partially tongue)

0 No Burning Or According to VAS

1 Burning up to 13 part of tongue

2 Burning in 13 to 23 part of tongue

3 Burning in more than 23 part of tongue

42

Code Signs amp Symptoms Score Gradations Remarks

यकतभासाङकयचशिता (Covered with red buds )

0 No change in appearance

1 13 part of tongue covered with red fleshy buds

2 23 part of tongue covered with red fleshy buds

3 Whole tongue covered with red fleshy buds

ओष (Burning) 0 No Oshha Or According to VAS

1 Oshha up to 13 part of tongue

2 Oshha in 13 to 23 part of tongue

3 Oshha in more than 23 part of tongue

133 कपज चजहवाकिक (स) फहरा (Thick) 0 Normal Thickness of Tongue

1 Thickness increased - noticeable by patient

2 Thickness increased - noticeable by the examiner

3 Tongue protruding out because of increased Thickness

गवी (Heaviness) 0 No Heaviness

1 Feeling mild heaviness but no difficulty in Tongue movement

2 Difficulty in Tongue movement especially during intake of liquid

3 Difficulty in Tongue movement especially during intake of hard food

4 Difficulty in Tongue movement especially during Pronunciation

भासोदगभ शालभसरकणिकाब (thorn like papilla)

0 No change in appearance of tongue

1 13 part of tongue covered with red fleshy thorn like papilla

2 23 part of tongue covered with thorn like papilla

3 Whole tongue covered with thorn like papilla

43

Code Signs amp Symptoms Score Gradations Remarks

134 अरास (स) शवमथ

(Swelling at ventral surface of tongue)

0 Absent

1 Present

सतबमतत (Restricted tongue movement)

0 -Normal Movement of Tongue -Movement of tongue not affected

1 Tongue movement slightly restricted but does not affect the normal function

2 Tongue movement restricted that affects the normal function

3 Tongue movement arrested

परवदध

(Increase in size)

0 Size not increased

1 Size increased - noticeable by the patient

2 Size increased - noticeable by the examiner

3 Tongue protruding out because of increased size

ऩाक 0 No swelling or suppuration

1 Inflammation with pain and tenderness

2 Inflammation with different types of pain and tenderness along with induration

3 Pus formation and fluctuation positive

अधशोप 0 Absent

1 Present

उननत (elevation of

the tongue due to swelling below the tongue)

0 Normal position of tongue

1 Tongue slightly elevated due to swelling below the tongue

2 Tongue elevation causes discomfort to the patient

3 Tongue touches the palate

भतमसमगचनध

(Fishy smell)

0 Absent

1 Present

44

Code Signs amp Symptoms Score Gradations Remarks

भासशातन (Destruction of flesh of tongue )

0 No Destruction of tongue flesh

1 13 part of tongue flesh is destroyed

2 23 part of tongue flesh is destroyed

3 More than 23 part of tongue is destroyed

135 उऩचजचहवका (स) शवमथ (Swelling) 0 Absent

1 Present

चजहवाभननम

जात (elevation of

tongue because of swelling)

0 Normal position of tongue

1 Tongue slightly elevated due to swelling below the tongue

2 Tongue elevation causes discomfort to the patient

3 Tongue touches the palate

परसक (Salivation) 0 Normal secretion of saliva

1 Occasionally spitting

2 Off and on spitting

3 Continuous spitting which disturbs the work

कणड (Itching) 0 No itching Or According to VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate on work due to severe itching

0r

0 No itching

1 Occasional itching

2 Off and on itching

3 Continuous itching

ऩरयदाह (Burning in

whole tongue)

0 No burning Or According to VAS

1 Occasional burning

2 Intermittent burning

3 Contentious burning dose not relive by any measures

45

Code Signs amp Symptoms Score Gradations Remarks

136 अचधचजचहवका (अर)

अधोचजहवामा शोप

0 Normal position of tongue

(Swelling below the tongue)

1 Tongue slightly elevated due to swelling below the tongue

2 Tongue elevation causes discomfort to the patient

3 Tongue touches the palate

अङकय (Pappilary

growth)

0 Absent

1 Present

ओष (Burning) 0 No Oshh Or According to

VAS

1 Oshh up to 13 part of tongue

2 Oshh in 13 to 23 part of tongue

3 Oshh in more than 23 part of tongue

सतबवान

(Restriction of Movement)

0 Movement of tongue not affected

1 Tongue movement slightly restricted but does not affect the normal function

2 Tongue movement restricted that affect the normal function

3 Tongue movement arrested

खय(Rough) 0 Smooth on touch

1 Mild irregular surface

2 Rough surface

3 Sharp rough surface touch hurts on finger on touch

रक (Pain) 0 No pain Or According to

VAS

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

कणड (Itching) 0 No itching Or According to

VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate on work due to severe itching

0r

0 No itching

46

Code Signs amp Symptoms Score Gradations Remarks

1 Occasional itching

2 Off and on itching

3 Continuous itching

वाकम पवघातकत (Difficulty in speech)

0 No difficulty in speech

1 Unable to speak िति vargavyanjana

2 Difficulty in speaking क vargavyanjana

Swara donrsquot need involvement of tongue

3 Unable to speak

आहयपवघातकत

(Swallowing )

0 Able to eat regular diet

1 Able to eat soft diet

2 Able to eat only liquid diet

3 Unable to swallow anything

47

GRADATION OF TALUGAT ROG

Code - 14

Established by Group BHOJ Dr Krishna Makaia ndash Convener

Dr Rajeshree Unadkat Dr Neelam Dave

Dr Ronakgiri Gosai Dr Jignesh Virapariya

Reviewed by Dr Vijayant Bharadwaj

Edited by Prof Vd Hāridra Dave

48

Code Signs amp Symptoms Score Gradations Remarks

141 गरशचणडका (स)

परवदधो शोप (Swelling extending from palate) (Which is elongated)

0 Normal size of uvula

1 Swelling of uvula that causes discomfort to the patient

2 Swelling of uvula that causes foreign body sensation

3 Difficulty in breathing due to swelling

दीघ शोप

(Elongated Swelling)

0 Normal size of uvula

1 Elongated swelling of uvula that causes discomfort to the patient

2 Elongated swelling of uvula that causes foreign body sensation

3 Difficulty in breathing due to Elongated swelling

धभातफचसतपरकाश शोप =Inflated

swelling like Basti

0 Normal size of uvula

1 Inflated swelling like Basti of uvula that causes discomfort to the patient

2 Inflated swelling like Basti of uvula that causes foreign body sensation

3 Difficulty in breathing due to Inflated swelling like Basti

तषणा 0 Normal feeling of thirst

1 Increased feeling of thirst which is relived after drinking water

The quantity of water is not consider here but the frequency of water is considered

2 Frequent feeling of thirst which is Occasional relived after drinking water

3 Continuous feeling of thirst does not relive after drinking profuse amount of water

कास (Coughing) 0 No coughing

49

Code Signs amp Symptoms Score Gradations Remarks

1 Occasional coughing during eating and speaking

2 Off and on coughing

3 Continuous coughing

शवास 0 No difficulty in breathing

1 Difficulty in breathing occasionally

2 More difficulty in breathing while sleeping

3 Excessive difficulty in breathing

भतमसमफचसततनब शोप (अहर)

0 Normal uvula Used as an adjective

1 Inflated swelling like Matsya-Basti of uvula that causes discomfort to the patient

2 Inflated swelling like Matsya-Basti of uvula that causes foreign body sensation

3 Difficulty in breathing due to Inflated swelling like Matsya-Basti

पररफ (अहर) 0 Normal length of Uvula

(Elongated Swelling)

1 Size of Uvula increased up to lt2 mm

2 Size of Uvula increased more than 2 mm but less than 4 mm

3 Size of Uvula increased gt4 mm that cause discomfort to patient and cause difficulty in breathing

पऩचछिर(अहर) (Sliminess)

0 Absent

1 Present

नासमाऽऽहायभीयमन (अहर)

0 Food does not come out from nose

(Food comes out of nose)

1 Food comes out from nose

कणठोऩयोध(अहर) (Obstruction of throat )

0 -Able to eat regular diet -No difficulty in swallowing of any food

1 Able to swallow liquid or soft diet but not able to swallow hard diet

2 Able to swallow hard diet forcefully

50

Code Signs amp Symptoms Score Gradations Remarks

3 Not able to swallow hard diet with force

वभन(अहर) (Vomiting)

0 No Vaman

1 Feeling of nausea only

2 Only one veg of Vaman in a day

3 Two vegas of Vaman in a day

4 More than two vegas of Vaman in a day

132 तचणडकयी (स)

शोप (Tonsillar

Swelling)

0 Tonsils are located within the tonsillar fossa

1 Tonsils hypertrophy till the brim of the tonsillar fossa

2 Tonsils hypertrophy extends beyond the pillars but not touching each other

3 Tonsils hypertrophy extends beyond the pillars but not touching each other

तोद

(Pricking pain)

0 No pain

1 Occasional pain Or according to VAS

2 Off and on pain

3 Continuous pain

दाह (Burning) 0 No

1 Occasional burning

2 Intermittent burning

3 Contentious burning dose not relive by any measures

परऩाक 0 Absent

1 Present

पऩचछिर शोप(अहर)

Sliminess in swallowing

0 Feeling of Sliminess is Absent

1 Feeling of Sliminess is Present

भनदरक (अहर)

(Mild pain)

0 Absent Or According to

VAS

1 Present

133 अधरष (स)

शोप (Swelling) 0 No swelling

1 13 Swelling in part of the palate

51

Code Signs amp Symptoms Score Gradations Remarks

2 23 swelling in part of palate

3 Swelling in gt than 23 part of palate

सतबधता =Functions of soft palate like deglutition Phonation etc are affected = No mobility of soft palate

0 Normal function of soft palate

1 Soft palate movement reduced but functions are not affected

2 Any one of the functions of soft palate is affected

3 All functions of soft palate are affected

रोटहतवणता

(Redness)

0 No change in colour

1 Pinkish red coloured mucosa in palate

2 Red coloured mucosa in palate

3 Dark red coloured mucosa in palate

रजा (Pain) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

जजवय (Fever) 0 Normal temperature

1 Temperature between 984rsquoF to 100rsquoF

Temperature between 100rsquoF to 101rsquoF

2 Temperature between 101rsquoF to 102rsquoF

3 Temperature between 102rsquoF to 103rsquoF

52

Code Signs amp Symptoms Score Gradations Remarks

4 Temperature between 103rsquoF to 104rsquoF

5 Temperature more than 104rsquoF

134 कछिऩ (स)

कभवत उतमसनन शोप (Swelling

having shape like dorsum of tortoise)

0 No swelling

1 Swelling in 13rd part of the palate

2 Swelling in 23rd part of palate

3 Swelling in gt 23rd part of palate

चियवपदध(अहर)

(Slow growth)

0 Growth within a week

1 Growth within 1 week to 1 month

2 Growth within 1 month to 6 months

3 Growth within gt 6 months

रक (अहर) (Pain) 0 No pain Or According to VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesics

135 तारअफद (स) ऩदमाकाय तारभधम

शोपम (Swelling

like shape of lotus )

0 No swelling

1 Swelling in 13rd part of the palate

2 2 Swelling in 23rd part of palate

3 3 Swelling in gt 23rd part of palate

136 भाससङघात (स) नीरज (Painless) 0 Absent

1 Present

53

Code Signs amp Symptoms Score Gradations Remarks

शोप 0 No swelling

1 Swelling in 13rd part of the palate

2 Swelling in 23rd part of palate

3 Swelling in gt 23rd part of palate

137 तारऩपऩि (स) नीरक (Painless) 0 Absent

1 Present

कोरभातर

Swelling having size of Kola fruit

0 Absent

1 Present

138 तारशोष (स)

शोष (Dryness) 0 No dryness

1 Dryness decreased after drinking water

2 Patient needs water frequently

3 Dryness persist after dinking profuse water

दायण (Tearing of palate)

0 Absent

1 Present

शवास (Difficulty in

breathing)

0 No difficulty in breathing Here difficulty in breathing is due to obstruction

1 Difficulty in breathing occasionally

2 More difficulty in breathing while sleeping position

3 Excessive difficulty in breathing

जजवय(अहर) (Fever) 0 Normal temperature

1 Temperature between 984rsquoF to 100rsquoF

Temperature between 100rsquoF to 101rsquoF

2 Temperature between 101rsquoF to 102rsquoF

3 Temperature between 102rsquoF to 103rsquoF

4 Temperature between 103rsquoF to 104rsquoF

5 Temperature more than 104rsquoF

54

Code Signs amp Symptoms Score Gradations Remarks

139 तारऩाक (स) ऩाक (Suppuration) 0 No swelling or suppuration

1 Inflammation of palate with pain and tenderness

2 Inflammation of palate with different types of pain and tenderness with induration

3 Pus formation and fluctuation positive

1310 तारपऩटिका (अहर) तारभास पऩटिका

Follicles in palate flesh

0 No follicles

1 13 palate covered with follicles

2 23 palate covered with follicles

3 More than 23 palate covered with follicles

रज(अहर) (Pain) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

Occasional pain

खयता(अहर) (Roughness)

0 Smooth on touch

1 Mild irregular surface on touch

2 Rough surface

3 Sharp rough surface which hurts on finger on touch

घनसराव(अहर) (Thick discharge)

0 No discharge

1 Occasional discharge

2 Off and on thick discharge

3 Continuous thick discharge

1311 तारसहतत (अहर) तारभधम तनरक (अहर) =Painless fleshy growth in palate

Only तारभधम तनरक indicates the place and quality of growth both the symptoms can be

merged

55

Code Signs amp Symptoms Score Gradations Remarks

तनरक (Painless) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

भाससहत

(Fleshy growth in palate)

0 No fleshy growth

1 Fleshy growth in 13 part of the palate Swelling

2 Fleshy growth in 23 part of palate swelling

3 Fleshy growth in more than 23 part of palate

56

GRADATION OF SARVASAR ROG

Code - 15

Established by Group BHOJ Dr Krishna Makaia ndash Convener

Dr Rajeshree Unadkat Dr Neelam Dave

Dr Ronakgiri Gosai Dr Jignesh Virapariya

Reviewed by Dr Vijayant Bharadwaj

Edited by Prof Vd Hāridra Dave

57

Code Signs amp Symptoms Score Gradations Remarks

151 वातजसवसय (स) सपोि (Ulcers) 0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

तोद = Pricking pain 0 No pricking pain Or According to VAS

1 Occasional pricking pain

2 Off and on pricking pain

3 Continuous pricking pain

Or

0 No pricking pain

1 Sometimes mild pricking pain

2 Has to take analgesic while pricking pain

सिारयण(अहर) This symptom is for सवसय so this सवसय is the nature of सिारय

0 No movement of सवसय

1 Movement of सवसय is once in a week

2 Movement of सवसय is once in three to four days

3 Movement of सवसय is at every alternate day

4 Movement of सवसय is once in a day

अरण (अहर) Reddish discoloration

0 Colour of वरण is same with colour of surrounding area

1 Colour of वरण is Reddish

2 Colour of वरण is Dark Red

3 Colour of वरण is Reddish black

र (अहर) Dryness 0 वरण is Moist

-No dryness of वरण

1 वरण Needs lubrication once a day

2 वरण Needs frequent lubrication in

a day

3 No benefit with frequent

lubrication of वरण

तामरता (अहर) (Coppery

0 Colour of वरणौषठ is same with colour of surrounding area

58

Code Signs amp Symptoms Score Gradations Remarks

discoloration) This symptom is for

वरणौषठ

1 Colour of वरणौषठ is Tamra Varna

चऱतवचा (अहर) (Free mucous membrane) This symptom is for

वरणौषठ

0

Movement of वरणौषठ is on touch

only

1 Movement of वरणौषठ can be seen by naked eye means without touch

शीतासहा (अहर) (Intolerance to cold) This symptom is for

जजहवा

0 No Intolerance of cold to जजहवा

1 Intolerance of severe cold to जजहवा

2 Intolerance of moderate cold to जजहवा

3 Intolerance of Mild cold to जजहवा

गवी (Heaviness)

This symptom is for

जजहवा

0 No Heaviness

1 Mild heaviness with no difficulty

in movement of जजहवा

2 Moderate heaviness with

difficulty in Movement of जजहवा

3 Sever heaviness with bending down of

सफटटता (अहर) (Ulcer)

0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

कणटाकाधचता (अहर) = Thorn like

appearance

0 No change in appearance

59

Code Signs amp Symptoms Score Gradations Remarks

1 13 part of oral mucous membrane covered with red fleshy thorn like papillae

2 23 part of oral mucous membrane covered with red fleshy thorn like papillae

3 gt23 part of oral mucous membrane covered with red fleshy thorn like papillae

षववणोतत कचछरणमखम (अहर) (Difficulty in mouth opening)

0 Mouth opening more than 3 fingers without difficulty

1 2 to 3 fingers opening of mouth with or without difficulty

2 1 to 2 fingers opening of mouth with or without difficulty

3 Less than 1 finger opening of mouth with or without difficulty

152 पऩतमत(यकतज)सवसय (स) Signs and Symptoms of यकतज सवसय are same as of पऩतमत सवसय so no separate gradations are mentioned

यकतता (Redness) 0 Colour of सवसय- वरण is similar with

surrounding mucous membrane

1 Reddish Colour of सवसय- वरण

2 Bright red Colour of सवसय- वरण

3 Dark red Colour of सवसय- वरण

सदाह (Burning

Sensation)

0 No burning in सवसय- वरण Or According to

VAS

1 Occasional burning in सवसय- वरण

2 Intermittent burning in सवसय- वरण

3 Contentious burning in सवसय- वरण

which does not relive by any measures

तन (तनसब) (Shallow superficial ulcers)

0 No ulcer

1 Ulcer having depth of 05-1 mm

2 Ulcer having depth of 1 ndash 15 mm

3 Ulcer having depth of 15 -2 mm

60

Code Signs amp Symptoms Score Gradations Remarks

ओष (अहर) 0 No (ओष) burning in सवसय- वरण

1 Occasional (ओष) burning in

सवसय- वरण

2 Intermittent (ओष) burning in

सवसय- वरण

3 Contentious (ओष) burning in

सवसय- वरण which does not relive

by any measures

ततकतवकरता (अहर) (Bitter taste in mouth)

0 No alteration in taste

1 Occasionally bitter taste felt in mouth without having any bitter substance

2 Off and on bitter taste felt in mouth without having any bitter substance

3 Continuous bitter taste felt in mouth without having any bitter substance

ारोकषतत समावरणा (अहर)

0 No Ulcer

(Ulcers looking like chemical burns)

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

153 कपज सवसय (स) कणड (Itching) 0 No itching Or According to

VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Unable to work due to itching

0r

0 No itching

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate on work due to severe itching

रजा (Pain)

(अलऩ रजा) 0 No pain Or According to

VAS

1 Occasional pain

61

Code Signs amp Symptoms Score Gradations Remarks

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain This condition should be considered as अलऩ रजा

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

सवणण 0 Colour of वरण is same with colour of near by tissue

1 Colour of वरण is not same with colour of near by tissue

मररासयतवम (अहर) (Sweet taste in mouth)

0 No alteration in taste

1 Occasionally sweet taste felt without eating any sweet substance

2 Off and on Sweet taste Occasionally sweet taste felt without eating any sweet substance

3 Continuous sweet taste Occasionally sweet taste felt without eating any sweet substance

षपजचछिऱता (अहर) (Unctuousness)

0 Absent

1 Present

वरण 0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

154 कफाबभद (अहर) शयाव अबभदम

(शयावपाणडऽबभदम) 0 Colour of growthtumour is same

the colour of surrounding skin

1 Colour of growthtumour is शयाव

(Blackish)

62

Code Signs amp Symptoms Score Gradations Remarks

पाणड अबभदम (शयावपाणडऽबभदम)

0 Colour of growthtumour is same the colour of surrounding skin

1 Colour of growthtumour is पाणड

(Pale)

अबभदम 0 No GrowthTumour TNM Classification for tumours can be applied for growth

1 Growthtumour having sizelt 10 mm

2 Growthtumour having size 10 mm to 20 mm

3 Growthtumour having size gt 20 mm

घटिता तिनना मटदता च षववरभत (Size increases on rubbing cutting and squeezing)

0 Size of GrowthTumour is not increasing by rubbing cutting or squeezing

1 Size of GrowthTumour is increasing up to 10 mm by rubbing cutting or squeezing within a month

2 Size of GrowthTumour is increasing up to 20 mm by rubbing cutting or squeezing within a month

3 Size of GrowthTumour is increasing up to 30 mm by rubbing cutting or squeezing within a month

4 Size of GrowthTumour is increasing up to 40 mm by rubbing cutting or squeezing within a month

155 ऊरधवभगद (अहर) वकतरदौगनधम

(Halitosis)

0 No Halitosis

1 Halitosis is feel by Patient only

2 Halitosis is feel by Patient and examining Doctor only

3 Halitosis is feel by any person from the distance from 5 meters

63

Code Signs amp Symptoms Score Gradations Remarks

4 Halitosis is feel by any person from the distance from more than 5 meters

156 पततवकर (अहर) ऩतममासमता

(Halitosis)

0 No Halitosis

1 Halitosis is feel by Patient only

2 Halitosis is feel by Patient and examining Doctor only

3 Halitosis is feel by any person from the distance from 5 meters

4 Halitosis is feel by any person from the distance from more than 5 meters

157 सतनऩाततक सवसय (अहर) This disease occurs due to aggravation of all three doshas including Rakta Clinical presentation of this disease is found as mixed picture according prominent aggravation of dosha and signs and symptoms will be observed accordingly Gradations should be considered accordingly so it is not required to repeat here

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Page 41: THE GRADATIONS OF DISEASES OF SHALAKYA TANTRA - PART …theassociationofshalaki.com/downloads/GRADATIONS_OF_DISEASE… · 12.05.2019  · I am also very much thankful to Dr Sandhya

40

GRADATIONS OF JIHWA GAT ROG

Code - 13

Established by Group BHOJ Dr Krishna Makaia ndash Convener

Dr Rajeshree Unadkat Dr Neelam Dave

Dr Ronakgiri Gosai Dr Jignesh Virapariya

Reviewed by Dr Vijayant Bharadwaj

Edited by Prof Vd Hāridra Dave

41

Code Signs amp Symptoms Score Gradations Remarks

131 वाततक चजहवाकिक (स) सपटिता (Creaks) 0 No creaks on tongue

1 Single creak on the dorsum of tongue

2 Multiple Creaks on the dorsum of tongue

3 Multiple deep creaks on the dorsum of tongue (Bleeding)

परसपता (Numbness )

0 No Numbness

1 Numbness in 13 Part of tongue

2 Numbness in 23 Part of tongue

3 Numbness in more than 23 Part of tongue

शाकछिदनपरकाशा (Roughness)

0 Normal surface of tongue on touch

1 Mild rough surface on touch

2 Hard irregular surface on touch

3 Very rough surface which hurts the finger on touch

132 ऩततक चजहवाकिक (स) ऩीता 0 No yellowish discolouration

1 Yellowish discoloration in 13 part

2 Yellowish discoloration in 23 part

3 Yellowish discoloration in more than 23 part of tongue

ऩरयदहमत Burning in entire tongue)

0 No burning Or According to VAS

1 Occasional burning

2 Intermittent burning

3 Continuous burning does not relieve by any measures

दाह (Burning may be

in partially tongue)

0 No Burning Or According to VAS

1 Burning up to 13 part of tongue

2 Burning in 13 to 23 part of tongue

3 Burning in more than 23 part of tongue

42

Code Signs amp Symptoms Score Gradations Remarks

यकतभासाङकयचशिता (Covered with red buds )

0 No change in appearance

1 13 part of tongue covered with red fleshy buds

2 23 part of tongue covered with red fleshy buds

3 Whole tongue covered with red fleshy buds

ओष (Burning) 0 No Oshha Or According to VAS

1 Oshha up to 13 part of tongue

2 Oshha in 13 to 23 part of tongue

3 Oshha in more than 23 part of tongue

133 कपज चजहवाकिक (स) फहरा (Thick) 0 Normal Thickness of Tongue

1 Thickness increased - noticeable by patient

2 Thickness increased - noticeable by the examiner

3 Tongue protruding out because of increased Thickness

गवी (Heaviness) 0 No Heaviness

1 Feeling mild heaviness but no difficulty in Tongue movement

2 Difficulty in Tongue movement especially during intake of liquid

3 Difficulty in Tongue movement especially during intake of hard food

4 Difficulty in Tongue movement especially during Pronunciation

भासोदगभ शालभसरकणिकाब (thorn like papilla)

0 No change in appearance of tongue

1 13 part of tongue covered with red fleshy thorn like papilla

2 23 part of tongue covered with thorn like papilla

3 Whole tongue covered with thorn like papilla

43

Code Signs amp Symptoms Score Gradations Remarks

134 अरास (स) शवमथ

(Swelling at ventral surface of tongue)

0 Absent

1 Present

सतबमतत (Restricted tongue movement)

0 -Normal Movement of Tongue -Movement of tongue not affected

1 Tongue movement slightly restricted but does not affect the normal function

2 Tongue movement restricted that affects the normal function

3 Tongue movement arrested

परवदध

(Increase in size)

0 Size not increased

1 Size increased - noticeable by the patient

2 Size increased - noticeable by the examiner

3 Tongue protruding out because of increased size

ऩाक 0 No swelling or suppuration

1 Inflammation with pain and tenderness

2 Inflammation with different types of pain and tenderness along with induration

3 Pus formation and fluctuation positive

अधशोप 0 Absent

1 Present

उननत (elevation of

the tongue due to swelling below the tongue)

0 Normal position of tongue

1 Tongue slightly elevated due to swelling below the tongue

2 Tongue elevation causes discomfort to the patient

3 Tongue touches the palate

भतमसमगचनध

(Fishy smell)

0 Absent

1 Present

44

Code Signs amp Symptoms Score Gradations Remarks

भासशातन (Destruction of flesh of tongue )

0 No Destruction of tongue flesh

1 13 part of tongue flesh is destroyed

2 23 part of tongue flesh is destroyed

3 More than 23 part of tongue is destroyed

135 उऩचजचहवका (स) शवमथ (Swelling) 0 Absent

1 Present

चजहवाभननम

जात (elevation of

tongue because of swelling)

0 Normal position of tongue

1 Tongue slightly elevated due to swelling below the tongue

2 Tongue elevation causes discomfort to the patient

3 Tongue touches the palate

परसक (Salivation) 0 Normal secretion of saliva

1 Occasionally spitting

2 Off and on spitting

3 Continuous spitting which disturbs the work

कणड (Itching) 0 No itching Or According to VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate on work due to severe itching

0r

0 No itching

1 Occasional itching

2 Off and on itching

3 Continuous itching

ऩरयदाह (Burning in

whole tongue)

0 No burning Or According to VAS

1 Occasional burning

2 Intermittent burning

3 Contentious burning dose not relive by any measures

45

Code Signs amp Symptoms Score Gradations Remarks

136 अचधचजचहवका (अर)

अधोचजहवामा शोप

0 Normal position of tongue

(Swelling below the tongue)

1 Tongue slightly elevated due to swelling below the tongue

2 Tongue elevation causes discomfort to the patient

3 Tongue touches the palate

अङकय (Pappilary

growth)

0 Absent

1 Present

ओष (Burning) 0 No Oshh Or According to

VAS

1 Oshh up to 13 part of tongue

2 Oshh in 13 to 23 part of tongue

3 Oshh in more than 23 part of tongue

सतबवान

(Restriction of Movement)

0 Movement of tongue not affected

1 Tongue movement slightly restricted but does not affect the normal function

2 Tongue movement restricted that affect the normal function

3 Tongue movement arrested

खय(Rough) 0 Smooth on touch

1 Mild irregular surface

2 Rough surface

3 Sharp rough surface touch hurts on finger on touch

रक (Pain) 0 No pain Or According to

VAS

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

कणड (Itching) 0 No itching Or According to

VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate on work due to severe itching

0r

0 No itching

46

Code Signs amp Symptoms Score Gradations Remarks

1 Occasional itching

2 Off and on itching

3 Continuous itching

वाकम पवघातकत (Difficulty in speech)

0 No difficulty in speech

1 Unable to speak िति vargavyanjana

2 Difficulty in speaking क vargavyanjana

Swara donrsquot need involvement of tongue

3 Unable to speak

आहयपवघातकत

(Swallowing )

0 Able to eat regular diet

1 Able to eat soft diet

2 Able to eat only liquid diet

3 Unable to swallow anything

47

GRADATION OF TALUGAT ROG

Code - 14

Established by Group BHOJ Dr Krishna Makaia ndash Convener

Dr Rajeshree Unadkat Dr Neelam Dave

Dr Ronakgiri Gosai Dr Jignesh Virapariya

Reviewed by Dr Vijayant Bharadwaj

Edited by Prof Vd Hāridra Dave

48

Code Signs amp Symptoms Score Gradations Remarks

141 गरशचणडका (स)

परवदधो शोप (Swelling extending from palate) (Which is elongated)

0 Normal size of uvula

1 Swelling of uvula that causes discomfort to the patient

2 Swelling of uvula that causes foreign body sensation

3 Difficulty in breathing due to swelling

दीघ शोप

(Elongated Swelling)

0 Normal size of uvula

1 Elongated swelling of uvula that causes discomfort to the patient

2 Elongated swelling of uvula that causes foreign body sensation

3 Difficulty in breathing due to Elongated swelling

धभातफचसतपरकाश शोप =Inflated

swelling like Basti

0 Normal size of uvula

1 Inflated swelling like Basti of uvula that causes discomfort to the patient

2 Inflated swelling like Basti of uvula that causes foreign body sensation

3 Difficulty in breathing due to Inflated swelling like Basti

तषणा 0 Normal feeling of thirst

1 Increased feeling of thirst which is relived after drinking water

The quantity of water is not consider here but the frequency of water is considered

2 Frequent feeling of thirst which is Occasional relived after drinking water

3 Continuous feeling of thirst does not relive after drinking profuse amount of water

कास (Coughing) 0 No coughing

49

Code Signs amp Symptoms Score Gradations Remarks

1 Occasional coughing during eating and speaking

2 Off and on coughing

3 Continuous coughing

शवास 0 No difficulty in breathing

1 Difficulty in breathing occasionally

2 More difficulty in breathing while sleeping

3 Excessive difficulty in breathing

भतमसमफचसततनब शोप (अहर)

0 Normal uvula Used as an adjective

1 Inflated swelling like Matsya-Basti of uvula that causes discomfort to the patient

2 Inflated swelling like Matsya-Basti of uvula that causes foreign body sensation

3 Difficulty in breathing due to Inflated swelling like Matsya-Basti

पररफ (अहर) 0 Normal length of Uvula

(Elongated Swelling)

1 Size of Uvula increased up to lt2 mm

2 Size of Uvula increased more than 2 mm but less than 4 mm

3 Size of Uvula increased gt4 mm that cause discomfort to patient and cause difficulty in breathing

पऩचछिर(अहर) (Sliminess)

0 Absent

1 Present

नासमाऽऽहायभीयमन (अहर)

0 Food does not come out from nose

(Food comes out of nose)

1 Food comes out from nose

कणठोऩयोध(अहर) (Obstruction of throat )

0 -Able to eat regular diet -No difficulty in swallowing of any food

1 Able to swallow liquid or soft diet but not able to swallow hard diet

2 Able to swallow hard diet forcefully

50

Code Signs amp Symptoms Score Gradations Remarks

3 Not able to swallow hard diet with force

वभन(अहर) (Vomiting)

0 No Vaman

1 Feeling of nausea only

2 Only one veg of Vaman in a day

3 Two vegas of Vaman in a day

4 More than two vegas of Vaman in a day

132 तचणडकयी (स)

शोप (Tonsillar

Swelling)

0 Tonsils are located within the tonsillar fossa

1 Tonsils hypertrophy till the brim of the tonsillar fossa

2 Tonsils hypertrophy extends beyond the pillars but not touching each other

3 Tonsils hypertrophy extends beyond the pillars but not touching each other

तोद

(Pricking pain)

0 No pain

1 Occasional pain Or according to VAS

2 Off and on pain

3 Continuous pain

दाह (Burning) 0 No

1 Occasional burning

2 Intermittent burning

3 Contentious burning dose not relive by any measures

परऩाक 0 Absent

1 Present

पऩचछिर शोप(अहर)

Sliminess in swallowing

0 Feeling of Sliminess is Absent

1 Feeling of Sliminess is Present

भनदरक (अहर)

(Mild pain)

0 Absent Or According to

VAS

1 Present

133 अधरष (स)

शोप (Swelling) 0 No swelling

1 13 Swelling in part of the palate

51

Code Signs amp Symptoms Score Gradations Remarks

2 23 swelling in part of palate

3 Swelling in gt than 23 part of palate

सतबधता =Functions of soft palate like deglutition Phonation etc are affected = No mobility of soft palate

0 Normal function of soft palate

1 Soft palate movement reduced but functions are not affected

2 Any one of the functions of soft palate is affected

3 All functions of soft palate are affected

रोटहतवणता

(Redness)

0 No change in colour

1 Pinkish red coloured mucosa in palate

2 Red coloured mucosa in palate

3 Dark red coloured mucosa in palate

रजा (Pain) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

जजवय (Fever) 0 Normal temperature

1 Temperature between 984rsquoF to 100rsquoF

Temperature between 100rsquoF to 101rsquoF

2 Temperature between 101rsquoF to 102rsquoF

3 Temperature between 102rsquoF to 103rsquoF

52

Code Signs amp Symptoms Score Gradations Remarks

4 Temperature between 103rsquoF to 104rsquoF

5 Temperature more than 104rsquoF

134 कछिऩ (स)

कभवत उतमसनन शोप (Swelling

having shape like dorsum of tortoise)

0 No swelling

1 Swelling in 13rd part of the palate

2 Swelling in 23rd part of palate

3 Swelling in gt 23rd part of palate

चियवपदध(अहर)

(Slow growth)

0 Growth within a week

1 Growth within 1 week to 1 month

2 Growth within 1 month to 6 months

3 Growth within gt 6 months

रक (अहर) (Pain) 0 No pain Or According to VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesics

135 तारअफद (स) ऩदमाकाय तारभधम

शोपम (Swelling

like shape of lotus )

0 No swelling

1 Swelling in 13rd part of the palate

2 2 Swelling in 23rd part of palate

3 3 Swelling in gt 23rd part of palate

136 भाससङघात (स) नीरज (Painless) 0 Absent

1 Present

53

Code Signs amp Symptoms Score Gradations Remarks

शोप 0 No swelling

1 Swelling in 13rd part of the palate

2 Swelling in 23rd part of palate

3 Swelling in gt 23rd part of palate

137 तारऩपऩि (स) नीरक (Painless) 0 Absent

1 Present

कोरभातर

Swelling having size of Kola fruit

0 Absent

1 Present

138 तारशोष (स)

शोष (Dryness) 0 No dryness

1 Dryness decreased after drinking water

2 Patient needs water frequently

3 Dryness persist after dinking profuse water

दायण (Tearing of palate)

0 Absent

1 Present

शवास (Difficulty in

breathing)

0 No difficulty in breathing Here difficulty in breathing is due to obstruction

1 Difficulty in breathing occasionally

2 More difficulty in breathing while sleeping position

3 Excessive difficulty in breathing

जजवय(अहर) (Fever) 0 Normal temperature

1 Temperature between 984rsquoF to 100rsquoF

Temperature between 100rsquoF to 101rsquoF

2 Temperature between 101rsquoF to 102rsquoF

3 Temperature between 102rsquoF to 103rsquoF

4 Temperature between 103rsquoF to 104rsquoF

5 Temperature more than 104rsquoF

54

Code Signs amp Symptoms Score Gradations Remarks

139 तारऩाक (स) ऩाक (Suppuration) 0 No swelling or suppuration

1 Inflammation of palate with pain and tenderness

2 Inflammation of palate with different types of pain and tenderness with induration

3 Pus formation and fluctuation positive

1310 तारपऩटिका (अहर) तारभास पऩटिका

Follicles in palate flesh

0 No follicles

1 13 palate covered with follicles

2 23 palate covered with follicles

3 More than 23 palate covered with follicles

रज(अहर) (Pain) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

Occasional pain

खयता(अहर) (Roughness)

0 Smooth on touch

1 Mild irregular surface on touch

2 Rough surface

3 Sharp rough surface which hurts on finger on touch

घनसराव(अहर) (Thick discharge)

0 No discharge

1 Occasional discharge

2 Off and on thick discharge

3 Continuous thick discharge

1311 तारसहतत (अहर) तारभधम तनरक (अहर) =Painless fleshy growth in palate

Only तारभधम तनरक indicates the place and quality of growth both the symptoms can be

merged

55

Code Signs amp Symptoms Score Gradations Remarks

तनरक (Painless) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

भाससहत

(Fleshy growth in palate)

0 No fleshy growth

1 Fleshy growth in 13 part of the palate Swelling

2 Fleshy growth in 23 part of palate swelling

3 Fleshy growth in more than 23 part of palate

56

GRADATION OF SARVASAR ROG

Code - 15

Established by Group BHOJ Dr Krishna Makaia ndash Convener

Dr Rajeshree Unadkat Dr Neelam Dave

Dr Ronakgiri Gosai Dr Jignesh Virapariya

Reviewed by Dr Vijayant Bharadwaj

Edited by Prof Vd Hāridra Dave

57

Code Signs amp Symptoms Score Gradations Remarks

151 वातजसवसय (स) सपोि (Ulcers) 0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

तोद = Pricking pain 0 No pricking pain Or According to VAS

1 Occasional pricking pain

2 Off and on pricking pain

3 Continuous pricking pain

Or

0 No pricking pain

1 Sometimes mild pricking pain

2 Has to take analgesic while pricking pain

सिारयण(अहर) This symptom is for सवसय so this सवसय is the nature of सिारय

0 No movement of सवसय

1 Movement of सवसय is once in a week

2 Movement of सवसय is once in three to four days

3 Movement of सवसय is at every alternate day

4 Movement of सवसय is once in a day

अरण (अहर) Reddish discoloration

0 Colour of वरण is same with colour of surrounding area

1 Colour of वरण is Reddish

2 Colour of वरण is Dark Red

3 Colour of वरण is Reddish black

र (अहर) Dryness 0 वरण is Moist

-No dryness of वरण

1 वरण Needs lubrication once a day

2 वरण Needs frequent lubrication in

a day

3 No benefit with frequent

lubrication of वरण

तामरता (अहर) (Coppery

0 Colour of वरणौषठ is same with colour of surrounding area

58

Code Signs amp Symptoms Score Gradations Remarks

discoloration) This symptom is for

वरणौषठ

1 Colour of वरणौषठ is Tamra Varna

चऱतवचा (अहर) (Free mucous membrane) This symptom is for

वरणौषठ

0

Movement of वरणौषठ is on touch

only

1 Movement of वरणौषठ can be seen by naked eye means without touch

शीतासहा (अहर) (Intolerance to cold) This symptom is for

जजहवा

0 No Intolerance of cold to जजहवा

1 Intolerance of severe cold to जजहवा

2 Intolerance of moderate cold to जजहवा

3 Intolerance of Mild cold to जजहवा

गवी (Heaviness)

This symptom is for

जजहवा

0 No Heaviness

1 Mild heaviness with no difficulty

in movement of जजहवा

2 Moderate heaviness with

difficulty in Movement of जजहवा

3 Sever heaviness with bending down of

सफटटता (अहर) (Ulcer)

0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

कणटाकाधचता (अहर) = Thorn like

appearance

0 No change in appearance

59

Code Signs amp Symptoms Score Gradations Remarks

1 13 part of oral mucous membrane covered with red fleshy thorn like papillae

2 23 part of oral mucous membrane covered with red fleshy thorn like papillae

3 gt23 part of oral mucous membrane covered with red fleshy thorn like papillae

षववणोतत कचछरणमखम (अहर) (Difficulty in mouth opening)

0 Mouth opening more than 3 fingers without difficulty

1 2 to 3 fingers opening of mouth with or without difficulty

2 1 to 2 fingers opening of mouth with or without difficulty

3 Less than 1 finger opening of mouth with or without difficulty

152 पऩतमत(यकतज)सवसय (स) Signs and Symptoms of यकतज सवसय are same as of पऩतमत सवसय so no separate gradations are mentioned

यकतता (Redness) 0 Colour of सवसय- वरण is similar with

surrounding mucous membrane

1 Reddish Colour of सवसय- वरण

2 Bright red Colour of सवसय- वरण

3 Dark red Colour of सवसय- वरण

सदाह (Burning

Sensation)

0 No burning in सवसय- वरण Or According to

VAS

1 Occasional burning in सवसय- वरण

2 Intermittent burning in सवसय- वरण

3 Contentious burning in सवसय- वरण

which does not relive by any measures

तन (तनसब) (Shallow superficial ulcers)

0 No ulcer

1 Ulcer having depth of 05-1 mm

2 Ulcer having depth of 1 ndash 15 mm

3 Ulcer having depth of 15 -2 mm

60

Code Signs amp Symptoms Score Gradations Remarks

ओष (अहर) 0 No (ओष) burning in सवसय- वरण

1 Occasional (ओष) burning in

सवसय- वरण

2 Intermittent (ओष) burning in

सवसय- वरण

3 Contentious (ओष) burning in

सवसय- वरण which does not relive

by any measures

ततकतवकरता (अहर) (Bitter taste in mouth)

0 No alteration in taste

1 Occasionally bitter taste felt in mouth without having any bitter substance

2 Off and on bitter taste felt in mouth without having any bitter substance

3 Continuous bitter taste felt in mouth without having any bitter substance

ारोकषतत समावरणा (अहर)

0 No Ulcer

(Ulcers looking like chemical burns)

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

153 कपज सवसय (स) कणड (Itching) 0 No itching Or According to

VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Unable to work due to itching

0r

0 No itching

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate on work due to severe itching

रजा (Pain)

(अलऩ रजा) 0 No pain Or According to

VAS

1 Occasional pain

61

Code Signs amp Symptoms Score Gradations Remarks

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain This condition should be considered as अलऩ रजा

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

सवणण 0 Colour of वरण is same with colour of near by tissue

1 Colour of वरण is not same with colour of near by tissue

मररासयतवम (अहर) (Sweet taste in mouth)

0 No alteration in taste

1 Occasionally sweet taste felt without eating any sweet substance

2 Off and on Sweet taste Occasionally sweet taste felt without eating any sweet substance

3 Continuous sweet taste Occasionally sweet taste felt without eating any sweet substance

षपजचछिऱता (अहर) (Unctuousness)

0 Absent

1 Present

वरण 0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

154 कफाबभद (अहर) शयाव अबभदम

(शयावपाणडऽबभदम) 0 Colour of growthtumour is same

the colour of surrounding skin

1 Colour of growthtumour is शयाव

(Blackish)

62

Code Signs amp Symptoms Score Gradations Remarks

पाणड अबभदम (शयावपाणडऽबभदम)

0 Colour of growthtumour is same the colour of surrounding skin

1 Colour of growthtumour is पाणड

(Pale)

अबभदम 0 No GrowthTumour TNM Classification for tumours can be applied for growth

1 Growthtumour having sizelt 10 mm

2 Growthtumour having size 10 mm to 20 mm

3 Growthtumour having size gt 20 mm

घटिता तिनना मटदता च षववरभत (Size increases on rubbing cutting and squeezing)

0 Size of GrowthTumour is not increasing by rubbing cutting or squeezing

1 Size of GrowthTumour is increasing up to 10 mm by rubbing cutting or squeezing within a month

2 Size of GrowthTumour is increasing up to 20 mm by rubbing cutting or squeezing within a month

3 Size of GrowthTumour is increasing up to 30 mm by rubbing cutting or squeezing within a month

4 Size of GrowthTumour is increasing up to 40 mm by rubbing cutting or squeezing within a month

155 ऊरधवभगद (अहर) वकतरदौगनधम

(Halitosis)

0 No Halitosis

1 Halitosis is feel by Patient only

2 Halitosis is feel by Patient and examining Doctor only

3 Halitosis is feel by any person from the distance from 5 meters

63

Code Signs amp Symptoms Score Gradations Remarks

4 Halitosis is feel by any person from the distance from more than 5 meters

156 पततवकर (अहर) ऩतममासमता

(Halitosis)

0 No Halitosis

1 Halitosis is feel by Patient only

2 Halitosis is feel by Patient and examining Doctor only

3 Halitosis is feel by any person from the distance from 5 meters

4 Halitosis is feel by any person from the distance from more than 5 meters

157 सतनऩाततक सवसय (अहर) This disease occurs due to aggravation of all three doshas including Rakta Clinical presentation of this disease is found as mixed picture according prominent aggravation of dosha and signs and symptoms will be observed accordingly Gradations should be considered accordingly so it is not required to repeat here

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Page 42: THE GRADATIONS OF DISEASES OF SHALAKYA TANTRA - PART …theassociationofshalaki.com/downloads/GRADATIONS_OF_DISEASE… · 12.05.2019  · I am also very much thankful to Dr Sandhya

41

Code Signs amp Symptoms Score Gradations Remarks

131 वाततक चजहवाकिक (स) सपटिता (Creaks) 0 No creaks on tongue

1 Single creak on the dorsum of tongue

2 Multiple Creaks on the dorsum of tongue

3 Multiple deep creaks on the dorsum of tongue (Bleeding)

परसपता (Numbness )

0 No Numbness

1 Numbness in 13 Part of tongue

2 Numbness in 23 Part of tongue

3 Numbness in more than 23 Part of tongue

शाकछिदनपरकाशा (Roughness)

0 Normal surface of tongue on touch

1 Mild rough surface on touch

2 Hard irregular surface on touch

3 Very rough surface which hurts the finger on touch

132 ऩततक चजहवाकिक (स) ऩीता 0 No yellowish discolouration

1 Yellowish discoloration in 13 part

2 Yellowish discoloration in 23 part

3 Yellowish discoloration in more than 23 part of tongue

ऩरयदहमत Burning in entire tongue)

0 No burning Or According to VAS

1 Occasional burning

2 Intermittent burning

3 Continuous burning does not relieve by any measures

दाह (Burning may be

in partially tongue)

0 No Burning Or According to VAS

1 Burning up to 13 part of tongue

2 Burning in 13 to 23 part of tongue

3 Burning in more than 23 part of tongue

42

Code Signs amp Symptoms Score Gradations Remarks

यकतभासाङकयचशिता (Covered with red buds )

0 No change in appearance

1 13 part of tongue covered with red fleshy buds

2 23 part of tongue covered with red fleshy buds

3 Whole tongue covered with red fleshy buds

ओष (Burning) 0 No Oshha Or According to VAS

1 Oshha up to 13 part of tongue

2 Oshha in 13 to 23 part of tongue

3 Oshha in more than 23 part of tongue

133 कपज चजहवाकिक (स) फहरा (Thick) 0 Normal Thickness of Tongue

1 Thickness increased - noticeable by patient

2 Thickness increased - noticeable by the examiner

3 Tongue protruding out because of increased Thickness

गवी (Heaviness) 0 No Heaviness

1 Feeling mild heaviness but no difficulty in Tongue movement

2 Difficulty in Tongue movement especially during intake of liquid

3 Difficulty in Tongue movement especially during intake of hard food

4 Difficulty in Tongue movement especially during Pronunciation

भासोदगभ शालभसरकणिकाब (thorn like papilla)

0 No change in appearance of tongue

1 13 part of tongue covered with red fleshy thorn like papilla

2 23 part of tongue covered with thorn like papilla

3 Whole tongue covered with thorn like papilla

43

Code Signs amp Symptoms Score Gradations Remarks

134 अरास (स) शवमथ

(Swelling at ventral surface of tongue)

0 Absent

1 Present

सतबमतत (Restricted tongue movement)

0 -Normal Movement of Tongue -Movement of tongue not affected

1 Tongue movement slightly restricted but does not affect the normal function

2 Tongue movement restricted that affects the normal function

3 Tongue movement arrested

परवदध

(Increase in size)

0 Size not increased

1 Size increased - noticeable by the patient

2 Size increased - noticeable by the examiner

3 Tongue protruding out because of increased size

ऩाक 0 No swelling or suppuration

1 Inflammation with pain and tenderness

2 Inflammation with different types of pain and tenderness along with induration

3 Pus formation and fluctuation positive

अधशोप 0 Absent

1 Present

उननत (elevation of

the tongue due to swelling below the tongue)

0 Normal position of tongue

1 Tongue slightly elevated due to swelling below the tongue

2 Tongue elevation causes discomfort to the patient

3 Tongue touches the palate

भतमसमगचनध

(Fishy smell)

0 Absent

1 Present

44

Code Signs amp Symptoms Score Gradations Remarks

भासशातन (Destruction of flesh of tongue )

0 No Destruction of tongue flesh

1 13 part of tongue flesh is destroyed

2 23 part of tongue flesh is destroyed

3 More than 23 part of tongue is destroyed

135 उऩचजचहवका (स) शवमथ (Swelling) 0 Absent

1 Present

चजहवाभननम

जात (elevation of

tongue because of swelling)

0 Normal position of tongue

1 Tongue slightly elevated due to swelling below the tongue

2 Tongue elevation causes discomfort to the patient

3 Tongue touches the palate

परसक (Salivation) 0 Normal secretion of saliva

1 Occasionally spitting

2 Off and on spitting

3 Continuous spitting which disturbs the work

कणड (Itching) 0 No itching Or According to VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate on work due to severe itching

0r

0 No itching

1 Occasional itching

2 Off and on itching

3 Continuous itching

ऩरयदाह (Burning in

whole tongue)

0 No burning Or According to VAS

1 Occasional burning

2 Intermittent burning

3 Contentious burning dose not relive by any measures

45

Code Signs amp Symptoms Score Gradations Remarks

136 अचधचजचहवका (अर)

अधोचजहवामा शोप

0 Normal position of tongue

(Swelling below the tongue)

1 Tongue slightly elevated due to swelling below the tongue

2 Tongue elevation causes discomfort to the patient

3 Tongue touches the palate

अङकय (Pappilary

growth)

0 Absent

1 Present

ओष (Burning) 0 No Oshh Or According to

VAS

1 Oshh up to 13 part of tongue

2 Oshh in 13 to 23 part of tongue

3 Oshh in more than 23 part of tongue

सतबवान

(Restriction of Movement)

0 Movement of tongue not affected

1 Tongue movement slightly restricted but does not affect the normal function

2 Tongue movement restricted that affect the normal function

3 Tongue movement arrested

खय(Rough) 0 Smooth on touch

1 Mild irregular surface

2 Rough surface

3 Sharp rough surface touch hurts on finger on touch

रक (Pain) 0 No pain Or According to

VAS

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

कणड (Itching) 0 No itching Or According to

VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate on work due to severe itching

0r

0 No itching

46

Code Signs amp Symptoms Score Gradations Remarks

1 Occasional itching

2 Off and on itching

3 Continuous itching

वाकम पवघातकत (Difficulty in speech)

0 No difficulty in speech

1 Unable to speak िति vargavyanjana

2 Difficulty in speaking क vargavyanjana

Swara donrsquot need involvement of tongue

3 Unable to speak

आहयपवघातकत

(Swallowing )

0 Able to eat regular diet

1 Able to eat soft diet

2 Able to eat only liquid diet

3 Unable to swallow anything

47

GRADATION OF TALUGAT ROG

Code - 14

Established by Group BHOJ Dr Krishna Makaia ndash Convener

Dr Rajeshree Unadkat Dr Neelam Dave

Dr Ronakgiri Gosai Dr Jignesh Virapariya

Reviewed by Dr Vijayant Bharadwaj

Edited by Prof Vd Hāridra Dave

48

Code Signs amp Symptoms Score Gradations Remarks

141 गरशचणडका (स)

परवदधो शोप (Swelling extending from palate) (Which is elongated)

0 Normal size of uvula

1 Swelling of uvula that causes discomfort to the patient

2 Swelling of uvula that causes foreign body sensation

3 Difficulty in breathing due to swelling

दीघ शोप

(Elongated Swelling)

0 Normal size of uvula

1 Elongated swelling of uvula that causes discomfort to the patient

2 Elongated swelling of uvula that causes foreign body sensation

3 Difficulty in breathing due to Elongated swelling

धभातफचसतपरकाश शोप =Inflated

swelling like Basti

0 Normal size of uvula

1 Inflated swelling like Basti of uvula that causes discomfort to the patient

2 Inflated swelling like Basti of uvula that causes foreign body sensation

3 Difficulty in breathing due to Inflated swelling like Basti

तषणा 0 Normal feeling of thirst

1 Increased feeling of thirst which is relived after drinking water

The quantity of water is not consider here but the frequency of water is considered

2 Frequent feeling of thirst which is Occasional relived after drinking water

3 Continuous feeling of thirst does not relive after drinking profuse amount of water

कास (Coughing) 0 No coughing

49

Code Signs amp Symptoms Score Gradations Remarks

1 Occasional coughing during eating and speaking

2 Off and on coughing

3 Continuous coughing

शवास 0 No difficulty in breathing

1 Difficulty in breathing occasionally

2 More difficulty in breathing while sleeping

3 Excessive difficulty in breathing

भतमसमफचसततनब शोप (अहर)

0 Normal uvula Used as an adjective

1 Inflated swelling like Matsya-Basti of uvula that causes discomfort to the patient

2 Inflated swelling like Matsya-Basti of uvula that causes foreign body sensation

3 Difficulty in breathing due to Inflated swelling like Matsya-Basti

पररफ (अहर) 0 Normal length of Uvula

(Elongated Swelling)

1 Size of Uvula increased up to lt2 mm

2 Size of Uvula increased more than 2 mm but less than 4 mm

3 Size of Uvula increased gt4 mm that cause discomfort to patient and cause difficulty in breathing

पऩचछिर(अहर) (Sliminess)

0 Absent

1 Present

नासमाऽऽहायभीयमन (अहर)

0 Food does not come out from nose

(Food comes out of nose)

1 Food comes out from nose

कणठोऩयोध(अहर) (Obstruction of throat )

0 -Able to eat regular diet -No difficulty in swallowing of any food

1 Able to swallow liquid or soft diet but not able to swallow hard diet

2 Able to swallow hard diet forcefully

50

Code Signs amp Symptoms Score Gradations Remarks

3 Not able to swallow hard diet with force

वभन(अहर) (Vomiting)

0 No Vaman

1 Feeling of nausea only

2 Only one veg of Vaman in a day

3 Two vegas of Vaman in a day

4 More than two vegas of Vaman in a day

132 तचणडकयी (स)

शोप (Tonsillar

Swelling)

0 Tonsils are located within the tonsillar fossa

1 Tonsils hypertrophy till the brim of the tonsillar fossa

2 Tonsils hypertrophy extends beyond the pillars but not touching each other

3 Tonsils hypertrophy extends beyond the pillars but not touching each other

तोद

(Pricking pain)

0 No pain

1 Occasional pain Or according to VAS

2 Off and on pain

3 Continuous pain

दाह (Burning) 0 No

1 Occasional burning

2 Intermittent burning

3 Contentious burning dose not relive by any measures

परऩाक 0 Absent

1 Present

पऩचछिर शोप(अहर)

Sliminess in swallowing

0 Feeling of Sliminess is Absent

1 Feeling of Sliminess is Present

भनदरक (अहर)

(Mild pain)

0 Absent Or According to

VAS

1 Present

133 अधरष (स)

शोप (Swelling) 0 No swelling

1 13 Swelling in part of the palate

51

Code Signs amp Symptoms Score Gradations Remarks

2 23 swelling in part of palate

3 Swelling in gt than 23 part of palate

सतबधता =Functions of soft palate like deglutition Phonation etc are affected = No mobility of soft palate

0 Normal function of soft palate

1 Soft palate movement reduced but functions are not affected

2 Any one of the functions of soft palate is affected

3 All functions of soft palate are affected

रोटहतवणता

(Redness)

0 No change in colour

1 Pinkish red coloured mucosa in palate

2 Red coloured mucosa in palate

3 Dark red coloured mucosa in palate

रजा (Pain) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

जजवय (Fever) 0 Normal temperature

1 Temperature between 984rsquoF to 100rsquoF

Temperature between 100rsquoF to 101rsquoF

2 Temperature between 101rsquoF to 102rsquoF

3 Temperature between 102rsquoF to 103rsquoF

52

Code Signs amp Symptoms Score Gradations Remarks

4 Temperature between 103rsquoF to 104rsquoF

5 Temperature more than 104rsquoF

134 कछिऩ (स)

कभवत उतमसनन शोप (Swelling

having shape like dorsum of tortoise)

0 No swelling

1 Swelling in 13rd part of the palate

2 Swelling in 23rd part of palate

3 Swelling in gt 23rd part of palate

चियवपदध(अहर)

(Slow growth)

0 Growth within a week

1 Growth within 1 week to 1 month

2 Growth within 1 month to 6 months

3 Growth within gt 6 months

रक (अहर) (Pain) 0 No pain Or According to VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesics

135 तारअफद (स) ऩदमाकाय तारभधम

शोपम (Swelling

like shape of lotus )

0 No swelling

1 Swelling in 13rd part of the palate

2 2 Swelling in 23rd part of palate

3 3 Swelling in gt 23rd part of palate

136 भाससङघात (स) नीरज (Painless) 0 Absent

1 Present

53

Code Signs amp Symptoms Score Gradations Remarks

शोप 0 No swelling

1 Swelling in 13rd part of the palate

2 Swelling in 23rd part of palate

3 Swelling in gt 23rd part of palate

137 तारऩपऩि (स) नीरक (Painless) 0 Absent

1 Present

कोरभातर

Swelling having size of Kola fruit

0 Absent

1 Present

138 तारशोष (स)

शोष (Dryness) 0 No dryness

1 Dryness decreased after drinking water

2 Patient needs water frequently

3 Dryness persist after dinking profuse water

दायण (Tearing of palate)

0 Absent

1 Present

शवास (Difficulty in

breathing)

0 No difficulty in breathing Here difficulty in breathing is due to obstruction

1 Difficulty in breathing occasionally

2 More difficulty in breathing while sleeping position

3 Excessive difficulty in breathing

जजवय(अहर) (Fever) 0 Normal temperature

1 Temperature between 984rsquoF to 100rsquoF

Temperature between 100rsquoF to 101rsquoF

2 Temperature between 101rsquoF to 102rsquoF

3 Temperature between 102rsquoF to 103rsquoF

4 Temperature between 103rsquoF to 104rsquoF

5 Temperature more than 104rsquoF

54

Code Signs amp Symptoms Score Gradations Remarks

139 तारऩाक (स) ऩाक (Suppuration) 0 No swelling or suppuration

1 Inflammation of palate with pain and tenderness

2 Inflammation of palate with different types of pain and tenderness with induration

3 Pus formation and fluctuation positive

1310 तारपऩटिका (अहर) तारभास पऩटिका

Follicles in palate flesh

0 No follicles

1 13 palate covered with follicles

2 23 palate covered with follicles

3 More than 23 palate covered with follicles

रज(अहर) (Pain) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

Occasional pain

खयता(अहर) (Roughness)

0 Smooth on touch

1 Mild irregular surface on touch

2 Rough surface

3 Sharp rough surface which hurts on finger on touch

घनसराव(अहर) (Thick discharge)

0 No discharge

1 Occasional discharge

2 Off and on thick discharge

3 Continuous thick discharge

1311 तारसहतत (अहर) तारभधम तनरक (अहर) =Painless fleshy growth in palate

Only तारभधम तनरक indicates the place and quality of growth both the symptoms can be

merged

55

Code Signs amp Symptoms Score Gradations Remarks

तनरक (Painless) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

भाससहत

(Fleshy growth in palate)

0 No fleshy growth

1 Fleshy growth in 13 part of the palate Swelling

2 Fleshy growth in 23 part of palate swelling

3 Fleshy growth in more than 23 part of palate

56

GRADATION OF SARVASAR ROG

Code - 15

Established by Group BHOJ Dr Krishna Makaia ndash Convener

Dr Rajeshree Unadkat Dr Neelam Dave

Dr Ronakgiri Gosai Dr Jignesh Virapariya

Reviewed by Dr Vijayant Bharadwaj

Edited by Prof Vd Hāridra Dave

57

Code Signs amp Symptoms Score Gradations Remarks

151 वातजसवसय (स) सपोि (Ulcers) 0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

तोद = Pricking pain 0 No pricking pain Or According to VAS

1 Occasional pricking pain

2 Off and on pricking pain

3 Continuous pricking pain

Or

0 No pricking pain

1 Sometimes mild pricking pain

2 Has to take analgesic while pricking pain

सिारयण(अहर) This symptom is for सवसय so this सवसय is the nature of सिारय

0 No movement of सवसय

1 Movement of सवसय is once in a week

2 Movement of सवसय is once in three to four days

3 Movement of सवसय is at every alternate day

4 Movement of सवसय is once in a day

अरण (अहर) Reddish discoloration

0 Colour of वरण is same with colour of surrounding area

1 Colour of वरण is Reddish

2 Colour of वरण is Dark Red

3 Colour of वरण is Reddish black

र (अहर) Dryness 0 वरण is Moist

-No dryness of वरण

1 वरण Needs lubrication once a day

2 वरण Needs frequent lubrication in

a day

3 No benefit with frequent

lubrication of वरण

तामरता (अहर) (Coppery

0 Colour of वरणौषठ is same with colour of surrounding area

58

Code Signs amp Symptoms Score Gradations Remarks

discoloration) This symptom is for

वरणौषठ

1 Colour of वरणौषठ is Tamra Varna

चऱतवचा (अहर) (Free mucous membrane) This symptom is for

वरणौषठ

0

Movement of वरणौषठ is on touch

only

1 Movement of वरणौषठ can be seen by naked eye means without touch

शीतासहा (अहर) (Intolerance to cold) This symptom is for

जजहवा

0 No Intolerance of cold to जजहवा

1 Intolerance of severe cold to जजहवा

2 Intolerance of moderate cold to जजहवा

3 Intolerance of Mild cold to जजहवा

गवी (Heaviness)

This symptom is for

जजहवा

0 No Heaviness

1 Mild heaviness with no difficulty

in movement of जजहवा

2 Moderate heaviness with

difficulty in Movement of जजहवा

3 Sever heaviness with bending down of

सफटटता (अहर) (Ulcer)

0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

कणटाकाधचता (अहर) = Thorn like

appearance

0 No change in appearance

59

Code Signs amp Symptoms Score Gradations Remarks

1 13 part of oral mucous membrane covered with red fleshy thorn like papillae

2 23 part of oral mucous membrane covered with red fleshy thorn like papillae

3 gt23 part of oral mucous membrane covered with red fleshy thorn like papillae

षववणोतत कचछरणमखम (अहर) (Difficulty in mouth opening)

0 Mouth opening more than 3 fingers without difficulty

1 2 to 3 fingers opening of mouth with or without difficulty

2 1 to 2 fingers opening of mouth with or without difficulty

3 Less than 1 finger opening of mouth with or without difficulty

152 पऩतमत(यकतज)सवसय (स) Signs and Symptoms of यकतज सवसय are same as of पऩतमत सवसय so no separate gradations are mentioned

यकतता (Redness) 0 Colour of सवसय- वरण is similar with

surrounding mucous membrane

1 Reddish Colour of सवसय- वरण

2 Bright red Colour of सवसय- वरण

3 Dark red Colour of सवसय- वरण

सदाह (Burning

Sensation)

0 No burning in सवसय- वरण Or According to

VAS

1 Occasional burning in सवसय- वरण

2 Intermittent burning in सवसय- वरण

3 Contentious burning in सवसय- वरण

which does not relive by any measures

तन (तनसब) (Shallow superficial ulcers)

0 No ulcer

1 Ulcer having depth of 05-1 mm

2 Ulcer having depth of 1 ndash 15 mm

3 Ulcer having depth of 15 -2 mm

60

Code Signs amp Symptoms Score Gradations Remarks

ओष (अहर) 0 No (ओष) burning in सवसय- वरण

1 Occasional (ओष) burning in

सवसय- वरण

2 Intermittent (ओष) burning in

सवसय- वरण

3 Contentious (ओष) burning in

सवसय- वरण which does not relive

by any measures

ततकतवकरता (अहर) (Bitter taste in mouth)

0 No alteration in taste

1 Occasionally bitter taste felt in mouth without having any bitter substance

2 Off and on bitter taste felt in mouth without having any bitter substance

3 Continuous bitter taste felt in mouth without having any bitter substance

ारोकषतत समावरणा (अहर)

0 No Ulcer

(Ulcers looking like chemical burns)

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

153 कपज सवसय (स) कणड (Itching) 0 No itching Or According to

VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Unable to work due to itching

0r

0 No itching

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate on work due to severe itching

रजा (Pain)

(अलऩ रजा) 0 No pain Or According to

VAS

1 Occasional pain

61

Code Signs amp Symptoms Score Gradations Remarks

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain This condition should be considered as अलऩ रजा

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

सवणण 0 Colour of वरण is same with colour of near by tissue

1 Colour of वरण is not same with colour of near by tissue

मररासयतवम (अहर) (Sweet taste in mouth)

0 No alteration in taste

1 Occasionally sweet taste felt without eating any sweet substance

2 Off and on Sweet taste Occasionally sweet taste felt without eating any sweet substance

3 Continuous sweet taste Occasionally sweet taste felt without eating any sweet substance

षपजचछिऱता (अहर) (Unctuousness)

0 Absent

1 Present

वरण 0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

154 कफाबभद (अहर) शयाव अबभदम

(शयावपाणडऽबभदम) 0 Colour of growthtumour is same

the colour of surrounding skin

1 Colour of growthtumour is शयाव

(Blackish)

62

Code Signs amp Symptoms Score Gradations Remarks

पाणड अबभदम (शयावपाणडऽबभदम)

0 Colour of growthtumour is same the colour of surrounding skin

1 Colour of growthtumour is पाणड

(Pale)

अबभदम 0 No GrowthTumour TNM Classification for tumours can be applied for growth

1 Growthtumour having sizelt 10 mm

2 Growthtumour having size 10 mm to 20 mm

3 Growthtumour having size gt 20 mm

घटिता तिनना मटदता च षववरभत (Size increases on rubbing cutting and squeezing)

0 Size of GrowthTumour is not increasing by rubbing cutting or squeezing

1 Size of GrowthTumour is increasing up to 10 mm by rubbing cutting or squeezing within a month

2 Size of GrowthTumour is increasing up to 20 mm by rubbing cutting or squeezing within a month

3 Size of GrowthTumour is increasing up to 30 mm by rubbing cutting or squeezing within a month

4 Size of GrowthTumour is increasing up to 40 mm by rubbing cutting or squeezing within a month

155 ऊरधवभगद (अहर) वकतरदौगनधम

(Halitosis)

0 No Halitosis

1 Halitosis is feel by Patient only

2 Halitosis is feel by Patient and examining Doctor only

3 Halitosis is feel by any person from the distance from 5 meters

63

Code Signs amp Symptoms Score Gradations Remarks

4 Halitosis is feel by any person from the distance from more than 5 meters

156 पततवकर (अहर) ऩतममासमता

(Halitosis)

0 No Halitosis

1 Halitosis is feel by Patient only

2 Halitosis is feel by Patient and examining Doctor only

3 Halitosis is feel by any person from the distance from 5 meters

4 Halitosis is feel by any person from the distance from more than 5 meters

157 सतनऩाततक सवसय (अहर) This disease occurs due to aggravation of all three doshas including Rakta Clinical presentation of this disease is found as mixed picture according prominent aggravation of dosha and signs and symptoms will be observed accordingly Gradations should be considered accordingly so it is not required to repeat here

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Page 43: THE GRADATIONS OF DISEASES OF SHALAKYA TANTRA - PART …theassociationofshalaki.com/downloads/GRADATIONS_OF_DISEASE… · 12.05.2019  · I am also very much thankful to Dr Sandhya

42

Code Signs amp Symptoms Score Gradations Remarks

यकतभासाङकयचशिता (Covered with red buds )

0 No change in appearance

1 13 part of tongue covered with red fleshy buds

2 23 part of tongue covered with red fleshy buds

3 Whole tongue covered with red fleshy buds

ओष (Burning) 0 No Oshha Or According to VAS

1 Oshha up to 13 part of tongue

2 Oshha in 13 to 23 part of tongue

3 Oshha in more than 23 part of tongue

133 कपज चजहवाकिक (स) फहरा (Thick) 0 Normal Thickness of Tongue

1 Thickness increased - noticeable by patient

2 Thickness increased - noticeable by the examiner

3 Tongue protruding out because of increased Thickness

गवी (Heaviness) 0 No Heaviness

1 Feeling mild heaviness but no difficulty in Tongue movement

2 Difficulty in Tongue movement especially during intake of liquid

3 Difficulty in Tongue movement especially during intake of hard food

4 Difficulty in Tongue movement especially during Pronunciation

भासोदगभ शालभसरकणिकाब (thorn like papilla)

0 No change in appearance of tongue

1 13 part of tongue covered with red fleshy thorn like papilla

2 23 part of tongue covered with thorn like papilla

3 Whole tongue covered with thorn like papilla

43

Code Signs amp Symptoms Score Gradations Remarks

134 अरास (स) शवमथ

(Swelling at ventral surface of tongue)

0 Absent

1 Present

सतबमतत (Restricted tongue movement)

0 -Normal Movement of Tongue -Movement of tongue not affected

1 Tongue movement slightly restricted but does not affect the normal function

2 Tongue movement restricted that affects the normal function

3 Tongue movement arrested

परवदध

(Increase in size)

0 Size not increased

1 Size increased - noticeable by the patient

2 Size increased - noticeable by the examiner

3 Tongue protruding out because of increased size

ऩाक 0 No swelling or suppuration

1 Inflammation with pain and tenderness

2 Inflammation with different types of pain and tenderness along with induration

3 Pus formation and fluctuation positive

अधशोप 0 Absent

1 Present

उननत (elevation of

the tongue due to swelling below the tongue)

0 Normal position of tongue

1 Tongue slightly elevated due to swelling below the tongue

2 Tongue elevation causes discomfort to the patient

3 Tongue touches the palate

भतमसमगचनध

(Fishy smell)

0 Absent

1 Present

44

Code Signs amp Symptoms Score Gradations Remarks

भासशातन (Destruction of flesh of tongue )

0 No Destruction of tongue flesh

1 13 part of tongue flesh is destroyed

2 23 part of tongue flesh is destroyed

3 More than 23 part of tongue is destroyed

135 उऩचजचहवका (स) शवमथ (Swelling) 0 Absent

1 Present

चजहवाभननम

जात (elevation of

tongue because of swelling)

0 Normal position of tongue

1 Tongue slightly elevated due to swelling below the tongue

2 Tongue elevation causes discomfort to the patient

3 Tongue touches the palate

परसक (Salivation) 0 Normal secretion of saliva

1 Occasionally spitting

2 Off and on spitting

3 Continuous spitting which disturbs the work

कणड (Itching) 0 No itching Or According to VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate on work due to severe itching

0r

0 No itching

1 Occasional itching

2 Off and on itching

3 Continuous itching

ऩरयदाह (Burning in

whole tongue)

0 No burning Or According to VAS

1 Occasional burning

2 Intermittent burning

3 Contentious burning dose not relive by any measures

45

Code Signs amp Symptoms Score Gradations Remarks

136 अचधचजचहवका (अर)

अधोचजहवामा शोप

0 Normal position of tongue

(Swelling below the tongue)

1 Tongue slightly elevated due to swelling below the tongue

2 Tongue elevation causes discomfort to the patient

3 Tongue touches the palate

अङकय (Pappilary

growth)

0 Absent

1 Present

ओष (Burning) 0 No Oshh Or According to

VAS

1 Oshh up to 13 part of tongue

2 Oshh in 13 to 23 part of tongue

3 Oshh in more than 23 part of tongue

सतबवान

(Restriction of Movement)

0 Movement of tongue not affected

1 Tongue movement slightly restricted but does not affect the normal function

2 Tongue movement restricted that affect the normal function

3 Tongue movement arrested

खय(Rough) 0 Smooth on touch

1 Mild irregular surface

2 Rough surface

3 Sharp rough surface touch hurts on finger on touch

रक (Pain) 0 No pain Or According to

VAS

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

कणड (Itching) 0 No itching Or According to

VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate on work due to severe itching

0r

0 No itching

46

Code Signs amp Symptoms Score Gradations Remarks

1 Occasional itching

2 Off and on itching

3 Continuous itching

वाकम पवघातकत (Difficulty in speech)

0 No difficulty in speech

1 Unable to speak िति vargavyanjana

2 Difficulty in speaking क vargavyanjana

Swara donrsquot need involvement of tongue

3 Unable to speak

आहयपवघातकत

(Swallowing )

0 Able to eat regular diet

1 Able to eat soft diet

2 Able to eat only liquid diet

3 Unable to swallow anything

47

GRADATION OF TALUGAT ROG

Code - 14

Established by Group BHOJ Dr Krishna Makaia ndash Convener

Dr Rajeshree Unadkat Dr Neelam Dave

Dr Ronakgiri Gosai Dr Jignesh Virapariya

Reviewed by Dr Vijayant Bharadwaj

Edited by Prof Vd Hāridra Dave

48

Code Signs amp Symptoms Score Gradations Remarks

141 गरशचणडका (स)

परवदधो शोप (Swelling extending from palate) (Which is elongated)

0 Normal size of uvula

1 Swelling of uvula that causes discomfort to the patient

2 Swelling of uvula that causes foreign body sensation

3 Difficulty in breathing due to swelling

दीघ शोप

(Elongated Swelling)

0 Normal size of uvula

1 Elongated swelling of uvula that causes discomfort to the patient

2 Elongated swelling of uvula that causes foreign body sensation

3 Difficulty in breathing due to Elongated swelling

धभातफचसतपरकाश शोप =Inflated

swelling like Basti

0 Normal size of uvula

1 Inflated swelling like Basti of uvula that causes discomfort to the patient

2 Inflated swelling like Basti of uvula that causes foreign body sensation

3 Difficulty in breathing due to Inflated swelling like Basti

तषणा 0 Normal feeling of thirst

1 Increased feeling of thirst which is relived after drinking water

The quantity of water is not consider here but the frequency of water is considered

2 Frequent feeling of thirst which is Occasional relived after drinking water

3 Continuous feeling of thirst does not relive after drinking profuse amount of water

कास (Coughing) 0 No coughing

49

Code Signs amp Symptoms Score Gradations Remarks

1 Occasional coughing during eating and speaking

2 Off and on coughing

3 Continuous coughing

शवास 0 No difficulty in breathing

1 Difficulty in breathing occasionally

2 More difficulty in breathing while sleeping

3 Excessive difficulty in breathing

भतमसमफचसततनब शोप (अहर)

0 Normal uvula Used as an adjective

1 Inflated swelling like Matsya-Basti of uvula that causes discomfort to the patient

2 Inflated swelling like Matsya-Basti of uvula that causes foreign body sensation

3 Difficulty in breathing due to Inflated swelling like Matsya-Basti

पररफ (अहर) 0 Normal length of Uvula

(Elongated Swelling)

1 Size of Uvula increased up to lt2 mm

2 Size of Uvula increased more than 2 mm but less than 4 mm

3 Size of Uvula increased gt4 mm that cause discomfort to patient and cause difficulty in breathing

पऩचछिर(अहर) (Sliminess)

0 Absent

1 Present

नासमाऽऽहायभीयमन (अहर)

0 Food does not come out from nose

(Food comes out of nose)

1 Food comes out from nose

कणठोऩयोध(अहर) (Obstruction of throat )

0 -Able to eat regular diet -No difficulty in swallowing of any food

1 Able to swallow liquid or soft diet but not able to swallow hard diet

2 Able to swallow hard diet forcefully

50

Code Signs amp Symptoms Score Gradations Remarks

3 Not able to swallow hard diet with force

वभन(अहर) (Vomiting)

0 No Vaman

1 Feeling of nausea only

2 Only one veg of Vaman in a day

3 Two vegas of Vaman in a day

4 More than two vegas of Vaman in a day

132 तचणडकयी (स)

शोप (Tonsillar

Swelling)

0 Tonsils are located within the tonsillar fossa

1 Tonsils hypertrophy till the brim of the tonsillar fossa

2 Tonsils hypertrophy extends beyond the pillars but not touching each other

3 Tonsils hypertrophy extends beyond the pillars but not touching each other

तोद

(Pricking pain)

0 No pain

1 Occasional pain Or according to VAS

2 Off and on pain

3 Continuous pain

दाह (Burning) 0 No

1 Occasional burning

2 Intermittent burning

3 Contentious burning dose not relive by any measures

परऩाक 0 Absent

1 Present

पऩचछिर शोप(अहर)

Sliminess in swallowing

0 Feeling of Sliminess is Absent

1 Feeling of Sliminess is Present

भनदरक (अहर)

(Mild pain)

0 Absent Or According to

VAS

1 Present

133 अधरष (स)

शोप (Swelling) 0 No swelling

1 13 Swelling in part of the palate

51

Code Signs amp Symptoms Score Gradations Remarks

2 23 swelling in part of palate

3 Swelling in gt than 23 part of palate

सतबधता =Functions of soft palate like deglutition Phonation etc are affected = No mobility of soft palate

0 Normal function of soft palate

1 Soft palate movement reduced but functions are not affected

2 Any one of the functions of soft palate is affected

3 All functions of soft palate are affected

रोटहतवणता

(Redness)

0 No change in colour

1 Pinkish red coloured mucosa in palate

2 Red coloured mucosa in palate

3 Dark red coloured mucosa in palate

रजा (Pain) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

जजवय (Fever) 0 Normal temperature

1 Temperature between 984rsquoF to 100rsquoF

Temperature between 100rsquoF to 101rsquoF

2 Temperature between 101rsquoF to 102rsquoF

3 Temperature between 102rsquoF to 103rsquoF

52

Code Signs amp Symptoms Score Gradations Remarks

4 Temperature between 103rsquoF to 104rsquoF

5 Temperature more than 104rsquoF

134 कछिऩ (स)

कभवत उतमसनन शोप (Swelling

having shape like dorsum of tortoise)

0 No swelling

1 Swelling in 13rd part of the palate

2 Swelling in 23rd part of palate

3 Swelling in gt 23rd part of palate

चियवपदध(अहर)

(Slow growth)

0 Growth within a week

1 Growth within 1 week to 1 month

2 Growth within 1 month to 6 months

3 Growth within gt 6 months

रक (अहर) (Pain) 0 No pain Or According to VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesics

135 तारअफद (स) ऩदमाकाय तारभधम

शोपम (Swelling

like shape of lotus )

0 No swelling

1 Swelling in 13rd part of the palate

2 2 Swelling in 23rd part of palate

3 3 Swelling in gt 23rd part of palate

136 भाससङघात (स) नीरज (Painless) 0 Absent

1 Present

53

Code Signs amp Symptoms Score Gradations Remarks

शोप 0 No swelling

1 Swelling in 13rd part of the palate

2 Swelling in 23rd part of palate

3 Swelling in gt 23rd part of palate

137 तारऩपऩि (स) नीरक (Painless) 0 Absent

1 Present

कोरभातर

Swelling having size of Kola fruit

0 Absent

1 Present

138 तारशोष (स)

शोष (Dryness) 0 No dryness

1 Dryness decreased after drinking water

2 Patient needs water frequently

3 Dryness persist after dinking profuse water

दायण (Tearing of palate)

0 Absent

1 Present

शवास (Difficulty in

breathing)

0 No difficulty in breathing Here difficulty in breathing is due to obstruction

1 Difficulty in breathing occasionally

2 More difficulty in breathing while sleeping position

3 Excessive difficulty in breathing

जजवय(अहर) (Fever) 0 Normal temperature

1 Temperature between 984rsquoF to 100rsquoF

Temperature between 100rsquoF to 101rsquoF

2 Temperature between 101rsquoF to 102rsquoF

3 Temperature between 102rsquoF to 103rsquoF

4 Temperature between 103rsquoF to 104rsquoF

5 Temperature more than 104rsquoF

54

Code Signs amp Symptoms Score Gradations Remarks

139 तारऩाक (स) ऩाक (Suppuration) 0 No swelling or suppuration

1 Inflammation of palate with pain and tenderness

2 Inflammation of palate with different types of pain and tenderness with induration

3 Pus formation and fluctuation positive

1310 तारपऩटिका (अहर) तारभास पऩटिका

Follicles in palate flesh

0 No follicles

1 13 palate covered with follicles

2 23 palate covered with follicles

3 More than 23 palate covered with follicles

रज(अहर) (Pain) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

Occasional pain

खयता(अहर) (Roughness)

0 Smooth on touch

1 Mild irregular surface on touch

2 Rough surface

3 Sharp rough surface which hurts on finger on touch

घनसराव(अहर) (Thick discharge)

0 No discharge

1 Occasional discharge

2 Off and on thick discharge

3 Continuous thick discharge

1311 तारसहतत (अहर) तारभधम तनरक (अहर) =Painless fleshy growth in palate

Only तारभधम तनरक indicates the place and quality of growth both the symptoms can be

merged

55

Code Signs amp Symptoms Score Gradations Remarks

तनरक (Painless) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

भाससहत

(Fleshy growth in palate)

0 No fleshy growth

1 Fleshy growth in 13 part of the palate Swelling

2 Fleshy growth in 23 part of palate swelling

3 Fleshy growth in more than 23 part of palate

56

GRADATION OF SARVASAR ROG

Code - 15

Established by Group BHOJ Dr Krishna Makaia ndash Convener

Dr Rajeshree Unadkat Dr Neelam Dave

Dr Ronakgiri Gosai Dr Jignesh Virapariya

Reviewed by Dr Vijayant Bharadwaj

Edited by Prof Vd Hāridra Dave

57

Code Signs amp Symptoms Score Gradations Remarks

151 वातजसवसय (स) सपोि (Ulcers) 0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

तोद = Pricking pain 0 No pricking pain Or According to VAS

1 Occasional pricking pain

2 Off and on pricking pain

3 Continuous pricking pain

Or

0 No pricking pain

1 Sometimes mild pricking pain

2 Has to take analgesic while pricking pain

सिारयण(अहर) This symptom is for सवसय so this सवसय is the nature of सिारय

0 No movement of सवसय

1 Movement of सवसय is once in a week

2 Movement of सवसय is once in three to four days

3 Movement of सवसय is at every alternate day

4 Movement of सवसय is once in a day

अरण (अहर) Reddish discoloration

0 Colour of वरण is same with colour of surrounding area

1 Colour of वरण is Reddish

2 Colour of वरण is Dark Red

3 Colour of वरण is Reddish black

र (अहर) Dryness 0 वरण is Moist

-No dryness of वरण

1 वरण Needs lubrication once a day

2 वरण Needs frequent lubrication in

a day

3 No benefit with frequent

lubrication of वरण

तामरता (अहर) (Coppery

0 Colour of वरणौषठ is same with colour of surrounding area

58

Code Signs amp Symptoms Score Gradations Remarks

discoloration) This symptom is for

वरणौषठ

1 Colour of वरणौषठ is Tamra Varna

चऱतवचा (अहर) (Free mucous membrane) This symptom is for

वरणौषठ

0

Movement of वरणौषठ is on touch

only

1 Movement of वरणौषठ can be seen by naked eye means without touch

शीतासहा (अहर) (Intolerance to cold) This symptom is for

जजहवा

0 No Intolerance of cold to जजहवा

1 Intolerance of severe cold to जजहवा

2 Intolerance of moderate cold to जजहवा

3 Intolerance of Mild cold to जजहवा

गवी (Heaviness)

This symptom is for

जजहवा

0 No Heaviness

1 Mild heaviness with no difficulty

in movement of जजहवा

2 Moderate heaviness with

difficulty in Movement of जजहवा

3 Sever heaviness with bending down of

सफटटता (अहर) (Ulcer)

0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

कणटाकाधचता (अहर) = Thorn like

appearance

0 No change in appearance

59

Code Signs amp Symptoms Score Gradations Remarks

1 13 part of oral mucous membrane covered with red fleshy thorn like papillae

2 23 part of oral mucous membrane covered with red fleshy thorn like papillae

3 gt23 part of oral mucous membrane covered with red fleshy thorn like papillae

षववणोतत कचछरणमखम (अहर) (Difficulty in mouth opening)

0 Mouth opening more than 3 fingers without difficulty

1 2 to 3 fingers opening of mouth with or without difficulty

2 1 to 2 fingers opening of mouth with or without difficulty

3 Less than 1 finger opening of mouth with or without difficulty

152 पऩतमत(यकतज)सवसय (स) Signs and Symptoms of यकतज सवसय are same as of पऩतमत सवसय so no separate gradations are mentioned

यकतता (Redness) 0 Colour of सवसय- वरण is similar with

surrounding mucous membrane

1 Reddish Colour of सवसय- वरण

2 Bright red Colour of सवसय- वरण

3 Dark red Colour of सवसय- वरण

सदाह (Burning

Sensation)

0 No burning in सवसय- वरण Or According to

VAS

1 Occasional burning in सवसय- वरण

2 Intermittent burning in सवसय- वरण

3 Contentious burning in सवसय- वरण

which does not relive by any measures

तन (तनसब) (Shallow superficial ulcers)

0 No ulcer

1 Ulcer having depth of 05-1 mm

2 Ulcer having depth of 1 ndash 15 mm

3 Ulcer having depth of 15 -2 mm

60

Code Signs amp Symptoms Score Gradations Remarks

ओष (अहर) 0 No (ओष) burning in सवसय- वरण

1 Occasional (ओष) burning in

सवसय- वरण

2 Intermittent (ओष) burning in

सवसय- वरण

3 Contentious (ओष) burning in

सवसय- वरण which does not relive

by any measures

ततकतवकरता (अहर) (Bitter taste in mouth)

0 No alteration in taste

1 Occasionally bitter taste felt in mouth without having any bitter substance

2 Off and on bitter taste felt in mouth without having any bitter substance

3 Continuous bitter taste felt in mouth without having any bitter substance

ारोकषतत समावरणा (अहर)

0 No Ulcer

(Ulcers looking like chemical burns)

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

153 कपज सवसय (स) कणड (Itching) 0 No itching Or According to

VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Unable to work due to itching

0r

0 No itching

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate on work due to severe itching

रजा (Pain)

(अलऩ रजा) 0 No pain Or According to

VAS

1 Occasional pain

61

Code Signs amp Symptoms Score Gradations Remarks

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain This condition should be considered as अलऩ रजा

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

सवणण 0 Colour of वरण is same with colour of near by tissue

1 Colour of वरण is not same with colour of near by tissue

मररासयतवम (अहर) (Sweet taste in mouth)

0 No alteration in taste

1 Occasionally sweet taste felt without eating any sweet substance

2 Off and on Sweet taste Occasionally sweet taste felt without eating any sweet substance

3 Continuous sweet taste Occasionally sweet taste felt without eating any sweet substance

षपजचछिऱता (अहर) (Unctuousness)

0 Absent

1 Present

वरण 0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

154 कफाबभद (अहर) शयाव अबभदम

(शयावपाणडऽबभदम) 0 Colour of growthtumour is same

the colour of surrounding skin

1 Colour of growthtumour is शयाव

(Blackish)

62

Code Signs amp Symptoms Score Gradations Remarks

पाणड अबभदम (शयावपाणडऽबभदम)

0 Colour of growthtumour is same the colour of surrounding skin

1 Colour of growthtumour is पाणड

(Pale)

अबभदम 0 No GrowthTumour TNM Classification for tumours can be applied for growth

1 Growthtumour having sizelt 10 mm

2 Growthtumour having size 10 mm to 20 mm

3 Growthtumour having size gt 20 mm

घटिता तिनना मटदता च षववरभत (Size increases on rubbing cutting and squeezing)

0 Size of GrowthTumour is not increasing by rubbing cutting or squeezing

1 Size of GrowthTumour is increasing up to 10 mm by rubbing cutting or squeezing within a month

2 Size of GrowthTumour is increasing up to 20 mm by rubbing cutting or squeezing within a month

3 Size of GrowthTumour is increasing up to 30 mm by rubbing cutting or squeezing within a month

4 Size of GrowthTumour is increasing up to 40 mm by rubbing cutting or squeezing within a month

155 ऊरधवभगद (अहर) वकतरदौगनधम

(Halitosis)

0 No Halitosis

1 Halitosis is feel by Patient only

2 Halitosis is feel by Patient and examining Doctor only

3 Halitosis is feel by any person from the distance from 5 meters

63

Code Signs amp Symptoms Score Gradations Remarks

4 Halitosis is feel by any person from the distance from more than 5 meters

156 पततवकर (अहर) ऩतममासमता

(Halitosis)

0 No Halitosis

1 Halitosis is feel by Patient only

2 Halitosis is feel by Patient and examining Doctor only

3 Halitosis is feel by any person from the distance from 5 meters

4 Halitosis is feel by any person from the distance from more than 5 meters

157 सतनऩाततक सवसय (अहर) This disease occurs due to aggravation of all three doshas including Rakta Clinical presentation of this disease is found as mixed picture according prominent aggravation of dosha and signs and symptoms will be observed accordingly Gradations should be considered accordingly so it is not required to repeat here

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Page 44: THE GRADATIONS OF DISEASES OF SHALAKYA TANTRA - PART …theassociationofshalaki.com/downloads/GRADATIONS_OF_DISEASE… · 12.05.2019  · I am also very much thankful to Dr Sandhya

43

Code Signs amp Symptoms Score Gradations Remarks

134 अरास (स) शवमथ

(Swelling at ventral surface of tongue)

0 Absent

1 Present

सतबमतत (Restricted tongue movement)

0 -Normal Movement of Tongue -Movement of tongue not affected

1 Tongue movement slightly restricted but does not affect the normal function

2 Tongue movement restricted that affects the normal function

3 Tongue movement arrested

परवदध

(Increase in size)

0 Size not increased

1 Size increased - noticeable by the patient

2 Size increased - noticeable by the examiner

3 Tongue protruding out because of increased size

ऩाक 0 No swelling or suppuration

1 Inflammation with pain and tenderness

2 Inflammation with different types of pain and tenderness along with induration

3 Pus formation and fluctuation positive

अधशोप 0 Absent

1 Present

उननत (elevation of

the tongue due to swelling below the tongue)

0 Normal position of tongue

1 Tongue slightly elevated due to swelling below the tongue

2 Tongue elevation causes discomfort to the patient

3 Tongue touches the palate

भतमसमगचनध

(Fishy smell)

0 Absent

1 Present

44

Code Signs amp Symptoms Score Gradations Remarks

भासशातन (Destruction of flesh of tongue )

0 No Destruction of tongue flesh

1 13 part of tongue flesh is destroyed

2 23 part of tongue flesh is destroyed

3 More than 23 part of tongue is destroyed

135 उऩचजचहवका (स) शवमथ (Swelling) 0 Absent

1 Present

चजहवाभननम

जात (elevation of

tongue because of swelling)

0 Normal position of tongue

1 Tongue slightly elevated due to swelling below the tongue

2 Tongue elevation causes discomfort to the patient

3 Tongue touches the palate

परसक (Salivation) 0 Normal secretion of saliva

1 Occasionally spitting

2 Off and on spitting

3 Continuous spitting which disturbs the work

कणड (Itching) 0 No itching Or According to VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate on work due to severe itching

0r

0 No itching

1 Occasional itching

2 Off and on itching

3 Continuous itching

ऩरयदाह (Burning in

whole tongue)

0 No burning Or According to VAS

1 Occasional burning

2 Intermittent burning

3 Contentious burning dose not relive by any measures

45

Code Signs amp Symptoms Score Gradations Remarks

136 अचधचजचहवका (अर)

अधोचजहवामा शोप

0 Normal position of tongue

(Swelling below the tongue)

1 Tongue slightly elevated due to swelling below the tongue

2 Tongue elevation causes discomfort to the patient

3 Tongue touches the palate

अङकय (Pappilary

growth)

0 Absent

1 Present

ओष (Burning) 0 No Oshh Or According to

VAS

1 Oshh up to 13 part of tongue

2 Oshh in 13 to 23 part of tongue

3 Oshh in more than 23 part of tongue

सतबवान

(Restriction of Movement)

0 Movement of tongue not affected

1 Tongue movement slightly restricted but does not affect the normal function

2 Tongue movement restricted that affect the normal function

3 Tongue movement arrested

खय(Rough) 0 Smooth on touch

1 Mild irregular surface

2 Rough surface

3 Sharp rough surface touch hurts on finger on touch

रक (Pain) 0 No pain Or According to

VAS

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

कणड (Itching) 0 No itching Or According to

VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate on work due to severe itching

0r

0 No itching

46

Code Signs amp Symptoms Score Gradations Remarks

1 Occasional itching

2 Off and on itching

3 Continuous itching

वाकम पवघातकत (Difficulty in speech)

0 No difficulty in speech

1 Unable to speak िति vargavyanjana

2 Difficulty in speaking क vargavyanjana

Swara donrsquot need involvement of tongue

3 Unable to speak

आहयपवघातकत

(Swallowing )

0 Able to eat regular diet

1 Able to eat soft diet

2 Able to eat only liquid diet

3 Unable to swallow anything

47

GRADATION OF TALUGAT ROG

Code - 14

Established by Group BHOJ Dr Krishna Makaia ndash Convener

Dr Rajeshree Unadkat Dr Neelam Dave

Dr Ronakgiri Gosai Dr Jignesh Virapariya

Reviewed by Dr Vijayant Bharadwaj

Edited by Prof Vd Hāridra Dave

48

Code Signs amp Symptoms Score Gradations Remarks

141 गरशचणडका (स)

परवदधो शोप (Swelling extending from palate) (Which is elongated)

0 Normal size of uvula

1 Swelling of uvula that causes discomfort to the patient

2 Swelling of uvula that causes foreign body sensation

3 Difficulty in breathing due to swelling

दीघ शोप

(Elongated Swelling)

0 Normal size of uvula

1 Elongated swelling of uvula that causes discomfort to the patient

2 Elongated swelling of uvula that causes foreign body sensation

3 Difficulty in breathing due to Elongated swelling

धभातफचसतपरकाश शोप =Inflated

swelling like Basti

0 Normal size of uvula

1 Inflated swelling like Basti of uvula that causes discomfort to the patient

2 Inflated swelling like Basti of uvula that causes foreign body sensation

3 Difficulty in breathing due to Inflated swelling like Basti

तषणा 0 Normal feeling of thirst

1 Increased feeling of thirst which is relived after drinking water

The quantity of water is not consider here but the frequency of water is considered

2 Frequent feeling of thirst which is Occasional relived after drinking water

3 Continuous feeling of thirst does not relive after drinking profuse amount of water

कास (Coughing) 0 No coughing

49

Code Signs amp Symptoms Score Gradations Remarks

1 Occasional coughing during eating and speaking

2 Off and on coughing

3 Continuous coughing

शवास 0 No difficulty in breathing

1 Difficulty in breathing occasionally

2 More difficulty in breathing while sleeping

3 Excessive difficulty in breathing

भतमसमफचसततनब शोप (अहर)

0 Normal uvula Used as an adjective

1 Inflated swelling like Matsya-Basti of uvula that causes discomfort to the patient

2 Inflated swelling like Matsya-Basti of uvula that causes foreign body sensation

3 Difficulty in breathing due to Inflated swelling like Matsya-Basti

पररफ (अहर) 0 Normal length of Uvula

(Elongated Swelling)

1 Size of Uvula increased up to lt2 mm

2 Size of Uvula increased more than 2 mm but less than 4 mm

3 Size of Uvula increased gt4 mm that cause discomfort to patient and cause difficulty in breathing

पऩचछिर(अहर) (Sliminess)

0 Absent

1 Present

नासमाऽऽहायभीयमन (अहर)

0 Food does not come out from nose

(Food comes out of nose)

1 Food comes out from nose

कणठोऩयोध(अहर) (Obstruction of throat )

0 -Able to eat regular diet -No difficulty in swallowing of any food

1 Able to swallow liquid or soft diet but not able to swallow hard diet

2 Able to swallow hard diet forcefully

50

Code Signs amp Symptoms Score Gradations Remarks

3 Not able to swallow hard diet with force

वभन(अहर) (Vomiting)

0 No Vaman

1 Feeling of nausea only

2 Only one veg of Vaman in a day

3 Two vegas of Vaman in a day

4 More than two vegas of Vaman in a day

132 तचणडकयी (स)

शोप (Tonsillar

Swelling)

0 Tonsils are located within the tonsillar fossa

1 Tonsils hypertrophy till the brim of the tonsillar fossa

2 Tonsils hypertrophy extends beyond the pillars but not touching each other

3 Tonsils hypertrophy extends beyond the pillars but not touching each other

तोद

(Pricking pain)

0 No pain

1 Occasional pain Or according to VAS

2 Off and on pain

3 Continuous pain

दाह (Burning) 0 No

1 Occasional burning

2 Intermittent burning

3 Contentious burning dose not relive by any measures

परऩाक 0 Absent

1 Present

पऩचछिर शोप(अहर)

Sliminess in swallowing

0 Feeling of Sliminess is Absent

1 Feeling of Sliminess is Present

भनदरक (अहर)

(Mild pain)

0 Absent Or According to

VAS

1 Present

133 अधरष (स)

शोप (Swelling) 0 No swelling

1 13 Swelling in part of the palate

51

Code Signs amp Symptoms Score Gradations Remarks

2 23 swelling in part of palate

3 Swelling in gt than 23 part of palate

सतबधता =Functions of soft palate like deglutition Phonation etc are affected = No mobility of soft palate

0 Normal function of soft palate

1 Soft palate movement reduced but functions are not affected

2 Any one of the functions of soft palate is affected

3 All functions of soft palate are affected

रोटहतवणता

(Redness)

0 No change in colour

1 Pinkish red coloured mucosa in palate

2 Red coloured mucosa in palate

3 Dark red coloured mucosa in palate

रजा (Pain) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

जजवय (Fever) 0 Normal temperature

1 Temperature between 984rsquoF to 100rsquoF

Temperature between 100rsquoF to 101rsquoF

2 Temperature between 101rsquoF to 102rsquoF

3 Temperature between 102rsquoF to 103rsquoF

52

Code Signs amp Symptoms Score Gradations Remarks

4 Temperature between 103rsquoF to 104rsquoF

5 Temperature more than 104rsquoF

134 कछिऩ (स)

कभवत उतमसनन शोप (Swelling

having shape like dorsum of tortoise)

0 No swelling

1 Swelling in 13rd part of the palate

2 Swelling in 23rd part of palate

3 Swelling in gt 23rd part of palate

चियवपदध(अहर)

(Slow growth)

0 Growth within a week

1 Growth within 1 week to 1 month

2 Growth within 1 month to 6 months

3 Growth within gt 6 months

रक (अहर) (Pain) 0 No pain Or According to VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesics

135 तारअफद (स) ऩदमाकाय तारभधम

शोपम (Swelling

like shape of lotus )

0 No swelling

1 Swelling in 13rd part of the palate

2 2 Swelling in 23rd part of palate

3 3 Swelling in gt 23rd part of palate

136 भाससङघात (स) नीरज (Painless) 0 Absent

1 Present

53

Code Signs amp Symptoms Score Gradations Remarks

शोप 0 No swelling

1 Swelling in 13rd part of the palate

2 Swelling in 23rd part of palate

3 Swelling in gt 23rd part of palate

137 तारऩपऩि (स) नीरक (Painless) 0 Absent

1 Present

कोरभातर

Swelling having size of Kola fruit

0 Absent

1 Present

138 तारशोष (स)

शोष (Dryness) 0 No dryness

1 Dryness decreased after drinking water

2 Patient needs water frequently

3 Dryness persist after dinking profuse water

दायण (Tearing of palate)

0 Absent

1 Present

शवास (Difficulty in

breathing)

0 No difficulty in breathing Here difficulty in breathing is due to obstruction

1 Difficulty in breathing occasionally

2 More difficulty in breathing while sleeping position

3 Excessive difficulty in breathing

जजवय(अहर) (Fever) 0 Normal temperature

1 Temperature between 984rsquoF to 100rsquoF

Temperature between 100rsquoF to 101rsquoF

2 Temperature between 101rsquoF to 102rsquoF

3 Temperature between 102rsquoF to 103rsquoF

4 Temperature between 103rsquoF to 104rsquoF

5 Temperature more than 104rsquoF

54

Code Signs amp Symptoms Score Gradations Remarks

139 तारऩाक (स) ऩाक (Suppuration) 0 No swelling or suppuration

1 Inflammation of palate with pain and tenderness

2 Inflammation of palate with different types of pain and tenderness with induration

3 Pus formation and fluctuation positive

1310 तारपऩटिका (अहर) तारभास पऩटिका

Follicles in palate flesh

0 No follicles

1 13 palate covered with follicles

2 23 palate covered with follicles

3 More than 23 palate covered with follicles

रज(अहर) (Pain) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

Occasional pain

खयता(अहर) (Roughness)

0 Smooth on touch

1 Mild irregular surface on touch

2 Rough surface

3 Sharp rough surface which hurts on finger on touch

घनसराव(अहर) (Thick discharge)

0 No discharge

1 Occasional discharge

2 Off and on thick discharge

3 Continuous thick discharge

1311 तारसहतत (अहर) तारभधम तनरक (अहर) =Painless fleshy growth in palate

Only तारभधम तनरक indicates the place and quality of growth both the symptoms can be

merged

55

Code Signs amp Symptoms Score Gradations Remarks

तनरक (Painless) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

भाससहत

(Fleshy growth in palate)

0 No fleshy growth

1 Fleshy growth in 13 part of the palate Swelling

2 Fleshy growth in 23 part of palate swelling

3 Fleshy growth in more than 23 part of palate

56

GRADATION OF SARVASAR ROG

Code - 15

Established by Group BHOJ Dr Krishna Makaia ndash Convener

Dr Rajeshree Unadkat Dr Neelam Dave

Dr Ronakgiri Gosai Dr Jignesh Virapariya

Reviewed by Dr Vijayant Bharadwaj

Edited by Prof Vd Hāridra Dave

57

Code Signs amp Symptoms Score Gradations Remarks

151 वातजसवसय (स) सपोि (Ulcers) 0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

तोद = Pricking pain 0 No pricking pain Or According to VAS

1 Occasional pricking pain

2 Off and on pricking pain

3 Continuous pricking pain

Or

0 No pricking pain

1 Sometimes mild pricking pain

2 Has to take analgesic while pricking pain

सिारयण(अहर) This symptom is for सवसय so this सवसय is the nature of सिारय

0 No movement of सवसय

1 Movement of सवसय is once in a week

2 Movement of सवसय is once in three to four days

3 Movement of सवसय is at every alternate day

4 Movement of सवसय is once in a day

अरण (अहर) Reddish discoloration

0 Colour of वरण is same with colour of surrounding area

1 Colour of वरण is Reddish

2 Colour of वरण is Dark Red

3 Colour of वरण is Reddish black

र (अहर) Dryness 0 वरण is Moist

-No dryness of वरण

1 वरण Needs lubrication once a day

2 वरण Needs frequent lubrication in

a day

3 No benefit with frequent

lubrication of वरण

तामरता (अहर) (Coppery

0 Colour of वरणौषठ is same with colour of surrounding area

58

Code Signs amp Symptoms Score Gradations Remarks

discoloration) This symptom is for

वरणौषठ

1 Colour of वरणौषठ is Tamra Varna

चऱतवचा (अहर) (Free mucous membrane) This symptom is for

वरणौषठ

0

Movement of वरणौषठ is on touch

only

1 Movement of वरणौषठ can be seen by naked eye means without touch

शीतासहा (अहर) (Intolerance to cold) This symptom is for

जजहवा

0 No Intolerance of cold to जजहवा

1 Intolerance of severe cold to जजहवा

2 Intolerance of moderate cold to जजहवा

3 Intolerance of Mild cold to जजहवा

गवी (Heaviness)

This symptom is for

जजहवा

0 No Heaviness

1 Mild heaviness with no difficulty

in movement of जजहवा

2 Moderate heaviness with

difficulty in Movement of जजहवा

3 Sever heaviness with bending down of

सफटटता (अहर) (Ulcer)

0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

कणटाकाधचता (अहर) = Thorn like

appearance

0 No change in appearance

59

Code Signs amp Symptoms Score Gradations Remarks

1 13 part of oral mucous membrane covered with red fleshy thorn like papillae

2 23 part of oral mucous membrane covered with red fleshy thorn like papillae

3 gt23 part of oral mucous membrane covered with red fleshy thorn like papillae

षववणोतत कचछरणमखम (अहर) (Difficulty in mouth opening)

0 Mouth opening more than 3 fingers without difficulty

1 2 to 3 fingers opening of mouth with or without difficulty

2 1 to 2 fingers opening of mouth with or without difficulty

3 Less than 1 finger opening of mouth with or without difficulty

152 पऩतमत(यकतज)सवसय (स) Signs and Symptoms of यकतज सवसय are same as of पऩतमत सवसय so no separate gradations are mentioned

यकतता (Redness) 0 Colour of सवसय- वरण is similar with

surrounding mucous membrane

1 Reddish Colour of सवसय- वरण

2 Bright red Colour of सवसय- वरण

3 Dark red Colour of सवसय- वरण

सदाह (Burning

Sensation)

0 No burning in सवसय- वरण Or According to

VAS

1 Occasional burning in सवसय- वरण

2 Intermittent burning in सवसय- वरण

3 Contentious burning in सवसय- वरण

which does not relive by any measures

तन (तनसब) (Shallow superficial ulcers)

0 No ulcer

1 Ulcer having depth of 05-1 mm

2 Ulcer having depth of 1 ndash 15 mm

3 Ulcer having depth of 15 -2 mm

60

Code Signs amp Symptoms Score Gradations Remarks

ओष (अहर) 0 No (ओष) burning in सवसय- वरण

1 Occasional (ओष) burning in

सवसय- वरण

2 Intermittent (ओष) burning in

सवसय- वरण

3 Contentious (ओष) burning in

सवसय- वरण which does not relive

by any measures

ततकतवकरता (अहर) (Bitter taste in mouth)

0 No alteration in taste

1 Occasionally bitter taste felt in mouth without having any bitter substance

2 Off and on bitter taste felt in mouth without having any bitter substance

3 Continuous bitter taste felt in mouth without having any bitter substance

ारोकषतत समावरणा (अहर)

0 No Ulcer

(Ulcers looking like chemical burns)

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

153 कपज सवसय (स) कणड (Itching) 0 No itching Or According to

VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Unable to work due to itching

0r

0 No itching

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate on work due to severe itching

रजा (Pain)

(अलऩ रजा) 0 No pain Or According to

VAS

1 Occasional pain

61

Code Signs amp Symptoms Score Gradations Remarks

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain This condition should be considered as अलऩ रजा

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

सवणण 0 Colour of वरण is same with colour of near by tissue

1 Colour of वरण is not same with colour of near by tissue

मररासयतवम (अहर) (Sweet taste in mouth)

0 No alteration in taste

1 Occasionally sweet taste felt without eating any sweet substance

2 Off and on Sweet taste Occasionally sweet taste felt without eating any sweet substance

3 Continuous sweet taste Occasionally sweet taste felt without eating any sweet substance

षपजचछिऱता (अहर) (Unctuousness)

0 Absent

1 Present

वरण 0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

154 कफाबभद (अहर) शयाव अबभदम

(शयावपाणडऽबभदम) 0 Colour of growthtumour is same

the colour of surrounding skin

1 Colour of growthtumour is शयाव

(Blackish)

62

Code Signs amp Symptoms Score Gradations Remarks

पाणड अबभदम (शयावपाणडऽबभदम)

0 Colour of growthtumour is same the colour of surrounding skin

1 Colour of growthtumour is पाणड

(Pale)

अबभदम 0 No GrowthTumour TNM Classification for tumours can be applied for growth

1 Growthtumour having sizelt 10 mm

2 Growthtumour having size 10 mm to 20 mm

3 Growthtumour having size gt 20 mm

घटिता तिनना मटदता च षववरभत (Size increases on rubbing cutting and squeezing)

0 Size of GrowthTumour is not increasing by rubbing cutting or squeezing

1 Size of GrowthTumour is increasing up to 10 mm by rubbing cutting or squeezing within a month

2 Size of GrowthTumour is increasing up to 20 mm by rubbing cutting or squeezing within a month

3 Size of GrowthTumour is increasing up to 30 mm by rubbing cutting or squeezing within a month

4 Size of GrowthTumour is increasing up to 40 mm by rubbing cutting or squeezing within a month

155 ऊरधवभगद (अहर) वकतरदौगनधम

(Halitosis)

0 No Halitosis

1 Halitosis is feel by Patient only

2 Halitosis is feel by Patient and examining Doctor only

3 Halitosis is feel by any person from the distance from 5 meters

63

Code Signs amp Symptoms Score Gradations Remarks

4 Halitosis is feel by any person from the distance from more than 5 meters

156 पततवकर (अहर) ऩतममासमता

(Halitosis)

0 No Halitosis

1 Halitosis is feel by Patient only

2 Halitosis is feel by Patient and examining Doctor only

3 Halitosis is feel by any person from the distance from 5 meters

4 Halitosis is feel by any person from the distance from more than 5 meters

157 सतनऩाततक सवसय (अहर) This disease occurs due to aggravation of all three doshas including Rakta Clinical presentation of this disease is found as mixed picture according prominent aggravation of dosha and signs and symptoms will be observed accordingly Gradations should be considered accordingly so it is not required to repeat here

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Page 45: THE GRADATIONS OF DISEASES OF SHALAKYA TANTRA - PART …theassociationofshalaki.com/downloads/GRADATIONS_OF_DISEASE… · 12.05.2019  · I am also very much thankful to Dr Sandhya

44

Code Signs amp Symptoms Score Gradations Remarks

भासशातन (Destruction of flesh of tongue )

0 No Destruction of tongue flesh

1 13 part of tongue flesh is destroyed

2 23 part of tongue flesh is destroyed

3 More than 23 part of tongue is destroyed

135 उऩचजचहवका (स) शवमथ (Swelling) 0 Absent

1 Present

चजहवाभननम

जात (elevation of

tongue because of swelling)

0 Normal position of tongue

1 Tongue slightly elevated due to swelling below the tongue

2 Tongue elevation causes discomfort to the patient

3 Tongue touches the palate

परसक (Salivation) 0 Normal secretion of saliva

1 Occasionally spitting

2 Off and on spitting

3 Continuous spitting which disturbs the work

कणड (Itching) 0 No itching Or According to VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate on work due to severe itching

0r

0 No itching

1 Occasional itching

2 Off and on itching

3 Continuous itching

ऩरयदाह (Burning in

whole tongue)

0 No burning Or According to VAS

1 Occasional burning

2 Intermittent burning

3 Contentious burning dose not relive by any measures

45

Code Signs amp Symptoms Score Gradations Remarks

136 अचधचजचहवका (अर)

अधोचजहवामा शोप

0 Normal position of tongue

(Swelling below the tongue)

1 Tongue slightly elevated due to swelling below the tongue

2 Tongue elevation causes discomfort to the patient

3 Tongue touches the palate

अङकय (Pappilary

growth)

0 Absent

1 Present

ओष (Burning) 0 No Oshh Or According to

VAS

1 Oshh up to 13 part of tongue

2 Oshh in 13 to 23 part of tongue

3 Oshh in more than 23 part of tongue

सतबवान

(Restriction of Movement)

0 Movement of tongue not affected

1 Tongue movement slightly restricted but does not affect the normal function

2 Tongue movement restricted that affect the normal function

3 Tongue movement arrested

खय(Rough) 0 Smooth on touch

1 Mild irregular surface

2 Rough surface

3 Sharp rough surface touch hurts on finger on touch

रक (Pain) 0 No pain Or According to

VAS

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

कणड (Itching) 0 No itching Or According to

VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate on work due to severe itching

0r

0 No itching

46

Code Signs amp Symptoms Score Gradations Remarks

1 Occasional itching

2 Off and on itching

3 Continuous itching

वाकम पवघातकत (Difficulty in speech)

0 No difficulty in speech

1 Unable to speak िति vargavyanjana

2 Difficulty in speaking क vargavyanjana

Swara donrsquot need involvement of tongue

3 Unable to speak

आहयपवघातकत

(Swallowing )

0 Able to eat regular diet

1 Able to eat soft diet

2 Able to eat only liquid diet

3 Unable to swallow anything

47

GRADATION OF TALUGAT ROG

Code - 14

Established by Group BHOJ Dr Krishna Makaia ndash Convener

Dr Rajeshree Unadkat Dr Neelam Dave

Dr Ronakgiri Gosai Dr Jignesh Virapariya

Reviewed by Dr Vijayant Bharadwaj

Edited by Prof Vd Hāridra Dave

48

Code Signs amp Symptoms Score Gradations Remarks

141 गरशचणडका (स)

परवदधो शोप (Swelling extending from palate) (Which is elongated)

0 Normal size of uvula

1 Swelling of uvula that causes discomfort to the patient

2 Swelling of uvula that causes foreign body sensation

3 Difficulty in breathing due to swelling

दीघ शोप

(Elongated Swelling)

0 Normal size of uvula

1 Elongated swelling of uvula that causes discomfort to the patient

2 Elongated swelling of uvula that causes foreign body sensation

3 Difficulty in breathing due to Elongated swelling

धभातफचसतपरकाश शोप =Inflated

swelling like Basti

0 Normal size of uvula

1 Inflated swelling like Basti of uvula that causes discomfort to the patient

2 Inflated swelling like Basti of uvula that causes foreign body sensation

3 Difficulty in breathing due to Inflated swelling like Basti

तषणा 0 Normal feeling of thirst

1 Increased feeling of thirst which is relived after drinking water

The quantity of water is not consider here but the frequency of water is considered

2 Frequent feeling of thirst which is Occasional relived after drinking water

3 Continuous feeling of thirst does not relive after drinking profuse amount of water

कास (Coughing) 0 No coughing

49

Code Signs amp Symptoms Score Gradations Remarks

1 Occasional coughing during eating and speaking

2 Off and on coughing

3 Continuous coughing

शवास 0 No difficulty in breathing

1 Difficulty in breathing occasionally

2 More difficulty in breathing while sleeping

3 Excessive difficulty in breathing

भतमसमफचसततनब शोप (अहर)

0 Normal uvula Used as an adjective

1 Inflated swelling like Matsya-Basti of uvula that causes discomfort to the patient

2 Inflated swelling like Matsya-Basti of uvula that causes foreign body sensation

3 Difficulty in breathing due to Inflated swelling like Matsya-Basti

पररफ (अहर) 0 Normal length of Uvula

(Elongated Swelling)

1 Size of Uvula increased up to lt2 mm

2 Size of Uvula increased more than 2 mm but less than 4 mm

3 Size of Uvula increased gt4 mm that cause discomfort to patient and cause difficulty in breathing

पऩचछिर(अहर) (Sliminess)

0 Absent

1 Present

नासमाऽऽहायभीयमन (अहर)

0 Food does not come out from nose

(Food comes out of nose)

1 Food comes out from nose

कणठोऩयोध(अहर) (Obstruction of throat )

0 -Able to eat regular diet -No difficulty in swallowing of any food

1 Able to swallow liquid or soft diet but not able to swallow hard diet

2 Able to swallow hard diet forcefully

50

Code Signs amp Symptoms Score Gradations Remarks

3 Not able to swallow hard diet with force

वभन(अहर) (Vomiting)

0 No Vaman

1 Feeling of nausea only

2 Only one veg of Vaman in a day

3 Two vegas of Vaman in a day

4 More than two vegas of Vaman in a day

132 तचणडकयी (स)

शोप (Tonsillar

Swelling)

0 Tonsils are located within the tonsillar fossa

1 Tonsils hypertrophy till the brim of the tonsillar fossa

2 Tonsils hypertrophy extends beyond the pillars but not touching each other

3 Tonsils hypertrophy extends beyond the pillars but not touching each other

तोद

(Pricking pain)

0 No pain

1 Occasional pain Or according to VAS

2 Off and on pain

3 Continuous pain

दाह (Burning) 0 No

1 Occasional burning

2 Intermittent burning

3 Contentious burning dose not relive by any measures

परऩाक 0 Absent

1 Present

पऩचछिर शोप(अहर)

Sliminess in swallowing

0 Feeling of Sliminess is Absent

1 Feeling of Sliminess is Present

भनदरक (अहर)

(Mild pain)

0 Absent Or According to

VAS

1 Present

133 अधरष (स)

शोप (Swelling) 0 No swelling

1 13 Swelling in part of the palate

51

Code Signs amp Symptoms Score Gradations Remarks

2 23 swelling in part of palate

3 Swelling in gt than 23 part of palate

सतबधता =Functions of soft palate like deglutition Phonation etc are affected = No mobility of soft palate

0 Normal function of soft palate

1 Soft palate movement reduced but functions are not affected

2 Any one of the functions of soft palate is affected

3 All functions of soft palate are affected

रोटहतवणता

(Redness)

0 No change in colour

1 Pinkish red coloured mucosa in palate

2 Red coloured mucosa in palate

3 Dark red coloured mucosa in palate

रजा (Pain) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

जजवय (Fever) 0 Normal temperature

1 Temperature between 984rsquoF to 100rsquoF

Temperature between 100rsquoF to 101rsquoF

2 Temperature between 101rsquoF to 102rsquoF

3 Temperature between 102rsquoF to 103rsquoF

52

Code Signs amp Symptoms Score Gradations Remarks

4 Temperature between 103rsquoF to 104rsquoF

5 Temperature more than 104rsquoF

134 कछिऩ (स)

कभवत उतमसनन शोप (Swelling

having shape like dorsum of tortoise)

0 No swelling

1 Swelling in 13rd part of the palate

2 Swelling in 23rd part of palate

3 Swelling in gt 23rd part of palate

चियवपदध(अहर)

(Slow growth)

0 Growth within a week

1 Growth within 1 week to 1 month

2 Growth within 1 month to 6 months

3 Growth within gt 6 months

रक (अहर) (Pain) 0 No pain Or According to VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesics

135 तारअफद (स) ऩदमाकाय तारभधम

शोपम (Swelling

like shape of lotus )

0 No swelling

1 Swelling in 13rd part of the palate

2 2 Swelling in 23rd part of palate

3 3 Swelling in gt 23rd part of palate

136 भाससङघात (स) नीरज (Painless) 0 Absent

1 Present

53

Code Signs amp Symptoms Score Gradations Remarks

शोप 0 No swelling

1 Swelling in 13rd part of the palate

2 Swelling in 23rd part of palate

3 Swelling in gt 23rd part of palate

137 तारऩपऩि (स) नीरक (Painless) 0 Absent

1 Present

कोरभातर

Swelling having size of Kola fruit

0 Absent

1 Present

138 तारशोष (स)

शोष (Dryness) 0 No dryness

1 Dryness decreased after drinking water

2 Patient needs water frequently

3 Dryness persist after dinking profuse water

दायण (Tearing of palate)

0 Absent

1 Present

शवास (Difficulty in

breathing)

0 No difficulty in breathing Here difficulty in breathing is due to obstruction

1 Difficulty in breathing occasionally

2 More difficulty in breathing while sleeping position

3 Excessive difficulty in breathing

जजवय(अहर) (Fever) 0 Normal temperature

1 Temperature between 984rsquoF to 100rsquoF

Temperature between 100rsquoF to 101rsquoF

2 Temperature between 101rsquoF to 102rsquoF

3 Temperature between 102rsquoF to 103rsquoF

4 Temperature between 103rsquoF to 104rsquoF

5 Temperature more than 104rsquoF

54

Code Signs amp Symptoms Score Gradations Remarks

139 तारऩाक (स) ऩाक (Suppuration) 0 No swelling or suppuration

1 Inflammation of palate with pain and tenderness

2 Inflammation of palate with different types of pain and tenderness with induration

3 Pus formation and fluctuation positive

1310 तारपऩटिका (अहर) तारभास पऩटिका

Follicles in palate flesh

0 No follicles

1 13 palate covered with follicles

2 23 palate covered with follicles

3 More than 23 palate covered with follicles

रज(अहर) (Pain) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

Occasional pain

खयता(अहर) (Roughness)

0 Smooth on touch

1 Mild irregular surface on touch

2 Rough surface

3 Sharp rough surface which hurts on finger on touch

घनसराव(अहर) (Thick discharge)

0 No discharge

1 Occasional discharge

2 Off and on thick discharge

3 Continuous thick discharge

1311 तारसहतत (अहर) तारभधम तनरक (अहर) =Painless fleshy growth in palate

Only तारभधम तनरक indicates the place and quality of growth both the symptoms can be

merged

55

Code Signs amp Symptoms Score Gradations Remarks

तनरक (Painless) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

भाससहत

(Fleshy growth in palate)

0 No fleshy growth

1 Fleshy growth in 13 part of the palate Swelling

2 Fleshy growth in 23 part of palate swelling

3 Fleshy growth in more than 23 part of palate

56

GRADATION OF SARVASAR ROG

Code - 15

Established by Group BHOJ Dr Krishna Makaia ndash Convener

Dr Rajeshree Unadkat Dr Neelam Dave

Dr Ronakgiri Gosai Dr Jignesh Virapariya

Reviewed by Dr Vijayant Bharadwaj

Edited by Prof Vd Hāridra Dave

57

Code Signs amp Symptoms Score Gradations Remarks

151 वातजसवसय (स) सपोि (Ulcers) 0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

तोद = Pricking pain 0 No pricking pain Or According to VAS

1 Occasional pricking pain

2 Off and on pricking pain

3 Continuous pricking pain

Or

0 No pricking pain

1 Sometimes mild pricking pain

2 Has to take analgesic while pricking pain

सिारयण(अहर) This symptom is for सवसय so this सवसय is the nature of सिारय

0 No movement of सवसय

1 Movement of सवसय is once in a week

2 Movement of सवसय is once in three to four days

3 Movement of सवसय is at every alternate day

4 Movement of सवसय is once in a day

अरण (अहर) Reddish discoloration

0 Colour of वरण is same with colour of surrounding area

1 Colour of वरण is Reddish

2 Colour of वरण is Dark Red

3 Colour of वरण is Reddish black

र (अहर) Dryness 0 वरण is Moist

-No dryness of वरण

1 वरण Needs lubrication once a day

2 वरण Needs frequent lubrication in

a day

3 No benefit with frequent

lubrication of वरण

तामरता (अहर) (Coppery

0 Colour of वरणौषठ is same with colour of surrounding area

58

Code Signs amp Symptoms Score Gradations Remarks

discoloration) This symptom is for

वरणौषठ

1 Colour of वरणौषठ is Tamra Varna

चऱतवचा (अहर) (Free mucous membrane) This symptom is for

वरणौषठ

0

Movement of वरणौषठ is on touch

only

1 Movement of वरणौषठ can be seen by naked eye means without touch

शीतासहा (अहर) (Intolerance to cold) This symptom is for

जजहवा

0 No Intolerance of cold to जजहवा

1 Intolerance of severe cold to जजहवा

2 Intolerance of moderate cold to जजहवा

3 Intolerance of Mild cold to जजहवा

गवी (Heaviness)

This symptom is for

जजहवा

0 No Heaviness

1 Mild heaviness with no difficulty

in movement of जजहवा

2 Moderate heaviness with

difficulty in Movement of जजहवा

3 Sever heaviness with bending down of

सफटटता (अहर) (Ulcer)

0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

कणटाकाधचता (अहर) = Thorn like

appearance

0 No change in appearance

59

Code Signs amp Symptoms Score Gradations Remarks

1 13 part of oral mucous membrane covered with red fleshy thorn like papillae

2 23 part of oral mucous membrane covered with red fleshy thorn like papillae

3 gt23 part of oral mucous membrane covered with red fleshy thorn like papillae

षववणोतत कचछरणमखम (अहर) (Difficulty in mouth opening)

0 Mouth opening more than 3 fingers without difficulty

1 2 to 3 fingers opening of mouth with or without difficulty

2 1 to 2 fingers opening of mouth with or without difficulty

3 Less than 1 finger opening of mouth with or without difficulty

152 पऩतमत(यकतज)सवसय (स) Signs and Symptoms of यकतज सवसय are same as of पऩतमत सवसय so no separate gradations are mentioned

यकतता (Redness) 0 Colour of सवसय- वरण is similar with

surrounding mucous membrane

1 Reddish Colour of सवसय- वरण

2 Bright red Colour of सवसय- वरण

3 Dark red Colour of सवसय- वरण

सदाह (Burning

Sensation)

0 No burning in सवसय- वरण Or According to

VAS

1 Occasional burning in सवसय- वरण

2 Intermittent burning in सवसय- वरण

3 Contentious burning in सवसय- वरण

which does not relive by any measures

तन (तनसब) (Shallow superficial ulcers)

0 No ulcer

1 Ulcer having depth of 05-1 mm

2 Ulcer having depth of 1 ndash 15 mm

3 Ulcer having depth of 15 -2 mm

60

Code Signs amp Symptoms Score Gradations Remarks

ओष (अहर) 0 No (ओष) burning in सवसय- वरण

1 Occasional (ओष) burning in

सवसय- वरण

2 Intermittent (ओष) burning in

सवसय- वरण

3 Contentious (ओष) burning in

सवसय- वरण which does not relive

by any measures

ततकतवकरता (अहर) (Bitter taste in mouth)

0 No alteration in taste

1 Occasionally bitter taste felt in mouth without having any bitter substance

2 Off and on bitter taste felt in mouth without having any bitter substance

3 Continuous bitter taste felt in mouth without having any bitter substance

ारोकषतत समावरणा (अहर)

0 No Ulcer

(Ulcers looking like chemical burns)

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

153 कपज सवसय (स) कणड (Itching) 0 No itching Or According to

VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Unable to work due to itching

0r

0 No itching

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate on work due to severe itching

रजा (Pain)

(अलऩ रजा) 0 No pain Or According to

VAS

1 Occasional pain

61

Code Signs amp Symptoms Score Gradations Remarks

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain This condition should be considered as अलऩ रजा

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

सवणण 0 Colour of वरण is same with colour of near by tissue

1 Colour of वरण is not same with colour of near by tissue

मररासयतवम (अहर) (Sweet taste in mouth)

0 No alteration in taste

1 Occasionally sweet taste felt without eating any sweet substance

2 Off and on Sweet taste Occasionally sweet taste felt without eating any sweet substance

3 Continuous sweet taste Occasionally sweet taste felt without eating any sweet substance

षपजचछिऱता (अहर) (Unctuousness)

0 Absent

1 Present

वरण 0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

154 कफाबभद (अहर) शयाव अबभदम

(शयावपाणडऽबभदम) 0 Colour of growthtumour is same

the colour of surrounding skin

1 Colour of growthtumour is शयाव

(Blackish)

62

Code Signs amp Symptoms Score Gradations Remarks

पाणड अबभदम (शयावपाणडऽबभदम)

0 Colour of growthtumour is same the colour of surrounding skin

1 Colour of growthtumour is पाणड

(Pale)

अबभदम 0 No GrowthTumour TNM Classification for tumours can be applied for growth

1 Growthtumour having sizelt 10 mm

2 Growthtumour having size 10 mm to 20 mm

3 Growthtumour having size gt 20 mm

घटिता तिनना मटदता च षववरभत (Size increases on rubbing cutting and squeezing)

0 Size of GrowthTumour is not increasing by rubbing cutting or squeezing

1 Size of GrowthTumour is increasing up to 10 mm by rubbing cutting or squeezing within a month

2 Size of GrowthTumour is increasing up to 20 mm by rubbing cutting or squeezing within a month

3 Size of GrowthTumour is increasing up to 30 mm by rubbing cutting or squeezing within a month

4 Size of GrowthTumour is increasing up to 40 mm by rubbing cutting or squeezing within a month

155 ऊरधवभगद (अहर) वकतरदौगनधम

(Halitosis)

0 No Halitosis

1 Halitosis is feel by Patient only

2 Halitosis is feel by Patient and examining Doctor only

3 Halitosis is feel by any person from the distance from 5 meters

63

Code Signs amp Symptoms Score Gradations Remarks

4 Halitosis is feel by any person from the distance from more than 5 meters

156 पततवकर (अहर) ऩतममासमता

(Halitosis)

0 No Halitosis

1 Halitosis is feel by Patient only

2 Halitosis is feel by Patient and examining Doctor only

3 Halitosis is feel by any person from the distance from 5 meters

4 Halitosis is feel by any person from the distance from more than 5 meters

157 सतनऩाततक सवसय (अहर) This disease occurs due to aggravation of all three doshas including Rakta Clinical presentation of this disease is found as mixed picture according prominent aggravation of dosha and signs and symptoms will be observed accordingly Gradations should be considered accordingly so it is not required to repeat here

helliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip

Page 46: THE GRADATIONS OF DISEASES OF SHALAKYA TANTRA - PART …theassociationofshalaki.com/downloads/GRADATIONS_OF_DISEASE… · 12.05.2019  · I am also very much thankful to Dr Sandhya

45

Code Signs amp Symptoms Score Gradations Remarks

136 अचधचजचहवका (अर)

अधोचजहवामा शोप

0 Normal position of tongue

(Swelling below the tongue)

1 Tongue slightly elevated due to swelling below the tongue

2 Tongue elevation causes discomfort to the patient

3 Tongue touches the palate

अङकय (Pappilary

growth)

0 Absent

1 Present

ओष (Burning) 0 No Oshh Or According to

VAS

1 Oshh up to 13 part of tongue

2 Oshh in 13 to 23 part of tongue

3 Oshh in more than 23 part of tongue

सतबवान

(Restriction of Movement)

0 Movement of tongue not affected

1 Tongue movement slightly restricted but does not affect the normal function

2 Tongue movement restricted that affect the normal function

3 Tongue movement arrested

खय(Rough) 0 Smooth on touch

1 Mild irregular surface

2 Rough surface

3 Sharp rough surface touch hurts on finger on touch

रक (Pain) 0 No pain Or According to

VAS

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

कणड (Itching) 0 No itching Or According to

VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate on work due to severe itching

0r

0 No itching

46

Code Signs amp Symptoms Score Gradations Remarks

1 Occasional itching

2 Off and on itching

3 Continuous itching

वाकम पवघातकत (Difficulty in speech)

0 No difficulty in speech

1 Unable to speak िति vargavyanjana

2 Difficulty in speaking क vargavyanjana

Swara donrsquot need involvement of tongue

3 Unable to speak

आहयपवघातकत

(Swallowing )

0 Able to eat regular diet

1 Able to eat soft diet

2 Able to eat only liquid diet

3 Unable to swallow anything

47

GRADATION OF TALUGAT ROG

Code - 14

Established by Group BHOJ Dr Krishna Makaia ndash Convener

Dr Rajeshree Unadkat Dr Neelam Dave

Dr Ronakgiri Gosai Dr Jignesh Virapariya

Reviewed by Dr Vijayant Bharadwaj

Edited by Prof Vd Hāridra Dave

48

Code Signs amp Symptoms Score Gradations Remarks

141 गरशचणडका (स)

परवदधो शोप (Swelling extending from palate) (Which is elongated)

0 Normal size of uvula

1 Swelling of uvula that causes discomfort to the patient

2 Swelling of uvula that causes foreign body sensation

3 Difficulty in breathing due to swelling

दीघ शोप

(Elongated Swelling)

0 Normal size of uvula

1 Elongated swelling of uvula that causes discomfort to the patient

2 Elongated swelling of uvula that causes foreign body sensation

3 Difficulty in breathing due to Elongated swelling

धभातफचसतपरकाश शोप =Inflated

swelling like Basti

0 Normal size of uvula

1 Inflated swelling like Basti of uvula that causes discomfort to the patient

2 Inflated swelling like Basti of uvula that causes foreign body sensation

3 Difficulty in breathing due to Inflated swelling like Basti

तषणा 0 Normal feeling of thirst

1 Increased feeling of thirst which is relived after drinking water

The quantity of water is not consider here but the frequency of water is considered

2 Frequent feeling of thirst which is Occasional relived after drinking water

3 Continuous feeling of thirst does not relive after drinking profuse amount of water

कास (Coughing) 0 No coughing

49

Code Signs amp Symptoms Score Gradations Remarks

1 Occasional coughing during eating and speaking

2 Off and on coughing

3 Continuous coughing

शवास 0 No difficulty in breathing

1 Difficulty in breathing occasionally

2 More difficulty in breathing while sleeping

3 Excessive difficulty in breathing

भतमसमफचसततनब शोप (अहर)

0 Normal uvula Used as an adjective

1 Inflated swelling like Matsya-Basti of uvula that causes discomfort to the patient

2 Inflated swelling like Matsya-Basti of uvula that causes foreign body sensation

3 Difficulty in breathing due to Inflated swelling like Matsya-Basti

पररफ (अहर) 0 Normal length of Uvula

(Elongated Swelling)

1 Size of Uvula increased up to lt2 mm

2 Size of Uvula increased more than 2 mm but less than 4 mm

3 Size of Uvula increased gt4 mm that cause discomfort to patient and cause difficulty in breathing

पऩचछिर(अहर) (Sliminess)

0 Absent

1 Present

नासमाऽऽहायभीयमन (अहर)

0 Food does not come out from nose

(Food comes out of nose)

1 Food comes out from nose

कणठोऩयोध(अहर) (Obstruction of throat )

0 -Able to eat regular diet -No difficulty in swallowing of any food

1 Able to swallow liquid or soft diet but not able to swallow hard diet

2 Able to swallow hard diet forcefully

50

Code Signs amp Symptoms Score Gradations Remarks

3 Not able to swallow hard diet with force

वभन(अहर) (Vomiting)

0 No Vaman

1 Feeling of nausea only

2 Only one veg of Vaman in a day

3 Two vegas of Vaman in a day

4 More than two vegas of Vaman in a day

132 तचणडकयी (स)

शोप (Tonsillar

Swelling)

0 Tonsils are located within the tonsillar fossa

1 Tonsils hypertrophy till the brim of the tonsillar fossa

2 Tonsils hypertrophy extends beyond the pillars but not touching each other

3 Tonsils hypertrophy extends beyond the pillars but not touching each other

तोद

(Pricking pain)

0 No pain

1 Occasional pain Or according to VAS

2 Off and on pain

3 Continuous pain

दाह (Burning) 0 No

1 Occasional burning

2 Intermittent burning

3 Contentious burning dose not relive by any measures

परऩाक 0 Absent

1 Present

पऩचछिर शोप(अहर)

Sliminess in swallowing

0 Feeling of Sliminess is Absent

1 Feeling of Sliminess is Present

भनदरक (अहर)

(Mild pain)

0 Absent Or According to

VAS

1 Present

133 अधरष (स)

शोप (Swelling) 0 No swelling

1 13 Swelling in part of the palate

51

Code Signs amp Symptoms Score Gradations Remarks

2 23 swelling in part of palate

3 Swelling in gt than 23 part of palate

सतबधता =Functions of soft palate like deglutition Phonation etc are affected = No mobility of soft palate

0 Normal function of soft palate

1 Soft palate movement reduced but functions are not affected

2 Any one of the functions of soft palate is affected

3 All functions of soft palate are affected

रोटहतवणता

(Redness)

0 No change in colour

1 Pinkish red coloured mucosa in palate

2 Red coloured mucosa in palate

3 Dark red coloured mucosa in palate

रजा (Pain) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

जजवय (Fever) 0 Normal temperature

1 Temperature between 984rsquoF to 100rsquoF

Temperature between 100rsquoF to 101rsquoF

2 Temperature between 101rsquoF to 102rsquoF

3 Temperature between 102rsquoF to 103rsquoF

52

Code Signs amp Symptoms Score Gradations Remarks

4 Temperature between 103rsquoF to 104rsquoF

5 Temperature more than 104rsquoF

134 कछिऩ (स)

कभवत उतमसनन शोप (Swelling

having shape like dorsum of tortoise)

0 No swelling

1 Swelling in 13rd part of the palate

2 Swelling in 23rd part of palate

3 Swelling in gt 23rd part of palate

चियवपदध(अहर)

(Slow growth)

0 Growth within a week

1 Growth within 1 week to 1 month

2 Growth within 1 month to 6 months

3 Growth within gt 6 months

रक (अहर) (Pain) 0 No pain Or According to VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesics

135 तारअफद (स) ऩदमाकाय तारभधम

शोपम (Swelling

like shape of lotus )

0 No swelling

1 Swelling in 13rd part of the palate

2 2 Swelling in 23rd part of palate

3 3 Swelling in gt 23rd part of palate

136 भाससङघात (स) नीरज (Painless) 0 Absent

1 Present

53

Code Signs amp Symptoms Score Gradations Remarks

शोप 0 No swelling

1 Swelling in 13rd part of the palate

2 Swelling in 23rd part of palate

3 Swelling in gt 23rd part of palate

137 तारऩपऩि (स) नीरक (Painless) 0 Absent

1 Present

कोरभातर

Swelling having size of Kola fruit

0 Absent

1 Present

138 तारशोष (स)

शोष (Dryness) 0 No dryness

1 Dryness decreased after drinking water

2 Patient needs water frequently

3 Dryness persist after dinking profuse water

दायण (Tearing of palate)

0 Absent

1 Present

शवास (Difficulty in

breathing)

0 No difficulty in breathing Here difficulty in breathing is due to obstruction

1 Difficulty in breathing occasionally

2 More difficulty in breathing while sleeping position

3 Excessive difficulty in breathing

जजवय(अहर) (Fever) 0 Normal temperature

1 Temperature between 984rsquoF to 100rsquoF

Temperature between 100rsquoF to 101rsquoF

2 Temperature between 101rsquoF to 102rsquoF

3 Temperature between 102rsquoF to 103rsquoF

4 Temperature between 103rsquoF to 104rsquoF

5 Temperature more than 104rsquoF

54

Code Signs amp Symptoms Score Gradations Remarks

139 तारऩाक (स) ऩाक (Suppuration) 0 No swelling or suppuration

1 Inflammation of palate with pain and tenderness

2 Inflammation of palate with different types of pain and tenderness with induration

3 Pus formation and fluctuation positive

1310 तारपऩटिका (अहर) तारभास पऩटिका

Follicles in palate flesh

0 No follicles

1 13 palate covered with follicles

2 23 palate covered with follicles

3 More than 23 palate covered with follicles

रज(अहर) (Pain) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

Occasional pain

खयता(अहर) (Roughness)

0 Smooth on touch

1 Mild irregular surface on touch

2 Rough surface

3 Sharp rough surface which hurts on finger on touch

घनसराव(अहर) (Thick discharge)

0 No discharge

1 Occasional discharge

2 Off and on thick discharge

3 Continuous thick discharge

1311 तारसहतत (अहर) तारभधम तनरक (अहर) =Painless fleshy growth in palate

Only तारभधम तनरक indicates the place and quality of growth both the symptoms can be

merged

55

Code Signs amp Symptoms Score Gradations Remarks

तनरक (Painless) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

भाससहत

(Fleshy growth in palate)

0 No fleshy growth

1 Fleshy growth in 13 part of the palate Swelling

2 Fleshy growth in 23 part of palate swelling

3 Fleshy growth in more than 23 part of palate

56

GRADATION OF SARVASAR ROG

Code - 15

Established by Group BHOJ Dr Krishna Makaia ndash Convener

Dr Rajeshree Unadkat Dr Neelam Dave

Dr Ronakgiri Gosai Dr Jignesh Virapariya

Reviewed by Dr Vijayant Bharadwaj

Edited by Prof Vd Hāridra Dave

57

Code Signs amp Symptoms Score Gradations Remarks

151 वातजसवसय (स) सपोि (Ulcers) 0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

तोद = Pricking pain 0 No pricking pain Or According to VAS

1 Occasional pricking pain

2 Off and on pricking pain

3 Continuous pricking pain

Or

0 No pricking pain

1 Sometimes mild pricking pain

2 Has to take analgesic while pricking pain

सिारयण(अहर) This symptom is for सवसय so this सवसय is the nature of सिारय

0 No movement of सवसय

1 Movement of सवसय is once in a week

2 Movement of सवसय is once in three to four days

3 Movement of सवसय is at every alternate day

4 Movement of सवसय is once in a day

अरण (अहर) Reddish discoloration

0 Colour of वरण is same with colour of surrounding area

1 Colour of वरण is Reddish

2 Colour of वरण is Dark Red

3 Colour of वरण is Reddish black

र (अहर) Dryness 0 वरण is Moist

-No dryness of वरण

1 वरण Needs lubrication once a day

2 वरण Needs frequent lubrication in

a day

3 No benefit with frequent

lubrication of वरण

तामरता (अहर) (Coppery

0 Colour of वरणौषठ is same with colour of surrounding area

58

Code Signs amp Symptoms Score Gradations Remarks

discoloration) This symptom is for

वरणौषठ

1 Colour of वरणौषठ is Tamra Varna

चऱतवचा (अहर) (Free mucous membrane) This symptom is for

वरणौषठ

0

Movement of वरणौषठ is on touch

only

1 Movement of वरणौषठ can be seen by naked eye means without touch

शीतासहा (अहर) (Intolerance to cold) This symptom is for

जजहवा

0 No Intolerance of cold to जजहवा

1 Intolerance of severe cold to जजहवा

2 Intolerance of moderate cold to जजहवा

3 Intolerance of Mild cold to जजहवा

गवी (Heaviness)

This symptom is for

जजहवा

0 No Heaviness

1 Mild heaviness with no difficulty

in movement of जजहवा

2 Moderate heaviness with

difficulty in Movement of जजहवा

3 Sever heaviness with bending down of

सफटटता (अहर) (Ulcer)

0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

कणटाकाधचता (अहर) = Thorn like

appearance

0 No change in appearance

59

Code Signs amp Symptoms Score Gradations Remarks

1 13 part of oral mucous membrane covered with red fleshy thorn like papillae

2 23 part of oral mucous membrane covered with red fleshy thorn like papillae

3 gt23 part of oral mucous membrane covered with red fleshy thorn like papillae

षववणोतत कचछरणमखम (अहर) (Difficulty in mouth opening)

0 Mouth opening more than 3 fingers without difficulty

1 2 to 3 fingers opening of mouth with or without difficulty

2 1 to 2 fingers opening of mouth with or without difficulty

3 Less than 1 finger opening of mouth with or without difficulty

152 पऩतमत(यकतज)सवसय (स) Signs and Symptoms of यकतज सवसय are same as of पऩतमत सवसय so no separate gradations are mentioned

यकतता (Redness) 0 Colour of सवसय- वरण is similar with

surrounding mucous membrane

1 Reddish Colour of सवसय- वरण

2 Bright red Colour of सवसय- वरण

3 Dark red Colour of सवसय- वरण

सदाह (Burning

Sensation)

0 No burning in सवसय- वरण Or According to

VAS

1 Occasional burning in सवसय- वरण

2 Intermittent burning in सवसय- वरण

3 Contentious burning in सवसय- वरण

which does not relive by any measures

तन (तनसब) (Shallow superficial ulcers)

0 No ulcer

1 Ulcer having depth of 05-1 mm

2 Ulcer having depth of 1 ndash 15 mm

3 Ulcer having depth of 15 -2 mm

60

Code Signs amp Symptoms Score Gradations Remarks

ओष (अहर) 0 No (ओष) burning in सवसय- वरण

1 Occasional (ओष) burning in

सवसय- वरण

2 Intermittent (ओष) burning in

सवसय- वरण

3 Contentious (ओष) burning in

सवसय- वरण which does not relive

by any measures

ततकतवकरता (अहर) (Bitter taste in mouth)

0 No alteration in taste

1 Occasionally bitter taste felt in mouth without having any bitter substance

2 Off and on bitter taste felt in mouth without having any bitter substance

3 Continuous bitter taste felt in mouth without having any bitter substance

ारोकषतत समावरणा (अहर)

0 No Ulcer

(Ulcers looking like chemical burns)

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

153 कपज सवसय (स) कणड (Itching) 0 No itching Or According to

VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Unable to work due to itching

0r

0 No itching

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate on work due to severe itching

रजा (Pain)

(अलऩ रजा) 0 No pain Or According to

VAS

1 Occasional pain

61

Code Signs amp Symptoms Score Gradations Remarks

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain This condition should be considered as अलऩ रजा

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

सवणण 0 Colour of वरण is same with colour of near by tissue

1 Colour of वरण is not same with colour of near by tissue

मररासयतवम (अहर) (Sweet taste in mouth)

0 No alteration in taste

1 Occasionally sweet taste felt without eating any sweet substance

2 Off and on Sweet taste Occasionally sweet taste felt without eating any sweet substance

3 Continuous sweet taste Occasionally sweet taste felt without eating any sweet substance

षपजचछिऱता (अहर) (Unctuousness)

0 Absent

1 Present

वरण 0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

154 कफाबभद (अहर) शयाव अबभदम

(शयावपाणडऽबभदम) 0 Colour of growthtumour is same

the colour of surrounding skin

1 Colour of growthtumour is शयाव

(Blackish)

62

Code Signs amp Symptoms Score Gradations Remarks

पाणड अबभदम (शयावपाणडऽबभदम)

0 Colour of growthtumour is same the colour of surrounding skin

1 Colour of growthtumour is पाणड

(Pale)

अबभदम 0 No GrowthTumour TNM Classification for tumours can be applied for growth

1 Growthtumour having sizelt 10 mm

2 Growthtumour having size 10 mm to 20 mm

3 Growthtumour having size gt 20 mm

घटिता तिनना मटदता च षववरभत (Size increases on rubbing cutting and squeezing)

0 Size of GrowthTumour is not increasing by rubbing cutting or squeezing

1 Size of GrowthTumour is increasing up to 10 mm by rubbing cutting or squeezing within a month

2 Size of GrowthTumour is increasing up to 20 mm by rubbing cutting or squeezing within a month

3 Size of GrowthTumour is increasing up to 30 mm by rubbing cutting or squeezing within a month

4 Size of GrowthTumour is increasing up to 40 mm by rubbing cutting or squeezing within a month

155 ऊरधवभगद (अहर) वकतरदौगनधम

(Halitosis)

0 No Halitosis

1 Halitosis is feel by Patient only

2 Halitosis is feel by Patient and examining Doctor only

3 Halitosis is feel by any person from the distance from 5 meters

63

Code Signs amp Symptoms Score Gradations Remarks

4 Halitosis is feel by any person from the distance from more than 5 meters

156 पततवकर (अहर) ऩतममासमता

(Halitosis)

0 No Halitosis

1 Halitosis is feel by Patient only

2 Halitosis is feel by Patient and examining Doctor only

3 Halitosis is feel by any person from the distance from 5 meters

4 Halitosis is feel by any person from the distance from more than 5 meters

157 सतनऩाततक सवसय (अहर) This disease occurs due to aggravation of all three doshas including Rakta Clinical presentation of this disease is found as mixed picture according prominent aggravation of dosha and signs and symptoms will be observed accordingly Gradations should be considered accordingly so it is not required to repeat here

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Page 47: THE GRADATIONS OF DISEASES OF SHALAKYA TANTRA - PART …theassociationofshalaki.com/downloads/GRADATIONS_OF_DISEASE… · 12.05.2019  · I am also very much thankful to Dr Sandhya

46

Code Signs amp Symptoms Score Gradations Remarks

1 Occasional itching

2 Off and on itching

3 Continuous itching

वाकम पवघातकत (Difficulty in speech)

0 No difficulty in speech

1 Unable to speak िति vargavyanjana

2 Difficulty in speaking क vargavyanjana

Swara donrsquot need involvement of tongue

3 Unable to speak

आहयपवघातकत

(Swallowing )

0 Able to eat regular diet

1 Able to eat soft diet

2 Able to eat only liquid diet

3 Unable to swallow anything

47

GRADATION OF TALUGAT ROG

Code - 14

Established by Group BHOJ Dr Krishna Makaia ndash Convener

Dr Rajeshree Unadkat Dr Neelam Dave

Dr Ronakgiri Gosai Dr Jignesh Virapariya

Reviewed by Dr Vijayant Bharadwaj

Edited by Prof Vd Hāridra Dave

48

Code Signs amp Symptoms Score Gradations Remarks

141 गरशचणडका (स)

परवदधो शोप (Swelling extending from palate) (Which is elongated)

0 Normal size of uvula

1 Swelling of uvula that causes discomfort to the patient

2 Swelling of uvula that causes foreign body sensation

3 Difficulty in breathing due to swelling

दीघ शोप

(Elongated Swelling)

0 Normal size of uvula

1 Elongated swelling of uvula that causes discomfort to the patient

2 Elongated swelling of uvula that causes foreign body sensation

3 Difficulty in breathing due to Elongated swelling

धभातफचसतपरकाश शोप =Inflated

swelling like Basti

0 Normal size of uvula

1 Inflated swelling like Basti of uvula that causes discomfort to the patient

2 Inflated swelling like Basti of uvula that causes foreign body sensation

3 Difficulty in breathing due to Inflated swelling like Basti

तषणा 0 Normal feeling of thirst

1 Increased feeling of thirst which is relived after drinking water

The quantity of water is not consider here but the frequency of water is considered

2 Frequent feeling of thirst which is Occasional relived after drinking water

3 Continuous feeling of thirst does not relive after drinking profuse amount of water

कास (Coughing) 0 No coughing

49

Code Signs amp Symptoms Score Gradations Remarks

1 Occasional coughing during eating and speaking

2 Off and on coughing

3 Continuous coughing

शवास 0 No difficulty in breathing

1 Difficulty in breathing occasionally

2 More difficulty in breathing while sleeping

3 Excessive difficulty in breathing

भतमसमफचसततनब शोप (अहर)

0 Normal uvula Used as an adjective

1 Inflated swelling like Matsya-Basti of uvula that causes discomfort to the patient

2 Inflated swelling like Matsya-Basti of uvula that causes foreign body sensation

3 Difficulty in breathing due to Inflated swelling like Matsya-Basti

पररफ (अहर) 0 Normal length of Uvula

(Elongated Swelling)

1 Size of Uvula increased up to lt2 mm

2 Size of Uvula increased more than 2 mm but less than 4 mm

3 Size of Uvula increased gt4 mm that cause discomfort to patient and cause difficulty in breathing

पऩचछिर(अहर) (Sliminess)

0 Absent

1 Present

नासमाऽऽहायभीयमन (अहर)

0 Food does not come out from nose

(Food comes out of nose)

1 Food comes out from nose

कणठोऩयोध(अहर) (Obstruction of throat )

0 -Able to eat regular diet -No difficulty in swallowing of any food

1 Able to swallow liquid or soft diet but not able to swallow hard diet

2 Able to swallow hard diet forcefully

50

Code Signs amp Symptoms Score Gradations Remarks

3 Not able to swallow hard diet with force

वभन(अहर) (Vomiting)

0 No Vaman

1 Feeling of nausea only

2 Only one veg of Vaman in a day

3 Two vegas of Vaman in a day

4 More than two vegas of Vaman in a day

132 तचणडकयी (स)

शोप (Tonsillar

Swelling)

0 Tonsils are located within the tonsillar fossa

1 Tonsils hypertrophy till the brim of the tonsillar fossa

2 Tonsils hypertrophy extends beyond the pillars but not touching each other

3 Tonsils hypertrophy extends beyond the pillars but not touching each other

तोद

(Pricking pain)

0 No pain

1 Occasional pain Or according to VAS

2 Off and on pain

3 Continuous pain

दाह (Burning) 0 No

1 Occasional burning

2 Intermittent burning

3 Contentious burning dose not relive by any measures

परऩाक 0 Absent

1 Present

पऩचछिर शोप(अहर)

Sliminess in swallowing

0 Feeling of Sliminess is Absent

1 Feeling of Sliminess is Present

भनदरक (अहर)

(Mild pain)

0 Absent Or According to

VAS

1 Present

133 अधरष (स)

शोप (Swelling) 0 No swelling

1 13 Swelling in part of the palate

51

Code Signs amp Symptoms Score Gradations Remarks

2 23 swelling in part of palate

3 Swelling in gt than 23 part of palate

सतबधता =Functions of soft palate like deglutition Phonation etc are affected = No mobility of soft palate

0 Normal function of soft palate

1 Soft palate movement reduced but functions are not affected

2 Any one of the functions of soft palate is affected

3 All functions of soft palate are affected

रोटहतवणता

(Redness)

0 No change in colour

1 Pinkish red coloured mucosa in palate

2 Red coloured mucosa in palate

3 Dark red coloured mucosa in palate

रजा (Pain) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

जजवय (Fever) 0 Normal temperature

1 Temperature between 984rsquoF to 100rsquoF

Temperature between 100rsquoF to 101rsquoF

2 Temperature between 101rsquoF to 102rsquoF

3 Temperature between 102rsquoF to 103rsquoF

52

Code Signs amp Symptoms Score Gradations Remarks

4 Temperature between 103rsquoF to 104rsquoF

5 Temperature more than 104rsquoF

134 कछिऩ (स)

कभवत उतमसनन शोप (Swelling

having shape like dorsum of tortoise)

0 No swelling

1 Swelling in 13rd part of the palate

2 Swelling in 23rd part of palate

3 Swelling in gt 23rd part of palate

चियवपदध(अहर)

(Slow growth)

0 Growth within a week

1 Growth within 1 week to 1 month

2 Growth within 1 month to 6 months

3 Growth within gt 6 months

रक (अहर) (Pain) 0 No pain Or According to VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesics

135 तारअफद (स) ऩदमाकाय तारभधम

शोपम (Swelling

like shape of lotus )

0 No swelling

1 Swelling in 13rd part of the palate

2 2 Swelling in 23rd part of palate

3 3 Swelling in gt 23rd part of palate

136 भाससङघात (स) नीरज (Painless) 0 Absent

1 Present

53

Code Signs amp Symptoms Score Gradations Remarks

शोप 0 No swelling

1 Swelling in 13rd part of the palate

2 Swelling in 23rd part of palate

3 Swelling in gt 23rd part of palate

137 तारऩपऩि (स) नीरक (Painless) 0 Absent

1 Present

कोरभातर

Swelling having size of Kola fruit

0 Absent

1 Present

138 तारशोष (स)

शोष (Dryness) 0 No dryness

1 Dryness decreased after drinking water

2 Patient needs water frequently

3 Dryness persist after dinking profuse water

दायण (Tearing of palate)

0 Absent

1 Present

शवास (Difficulty in

breathing)

0 No difficulty in breathing Here difficulty in breathing is due to obstruction

1 Difficulty in breathing occasionally

2 More difficulty in breathing while sleeping position

3 Excessive difficulty in breathing

जजवय(अहर) (Fever) 0 Normal temperature

1 Temperature between 984rsquoF to 100rsquoF

Temperature between 100rsquoF to 101rsquoF

2 Temperature between 101rsquoF to 102rsquoF

3 Temperature between 102rsquoF to 103rsquoF

4 Temperature between 103rsquoF to 104rsquoF

5 Temperature more than 104rsquoF

54

Code Signs amp Symptoms Score Gradations Remarks

139 तारऩाक (स) ऩाक (Suppuration) 0 No swelling or suppuration

1 Inflammation of palate with pain and tenderness

2 Inflammation of palate with different types of pain and tenderness with induration

3 Pus formation and fluctuation positive

1310 तारपऩटिका (अहर) तारभास पऩटिका

Follicles in palate flesh

0 No follicles

1 13 palate covered with follicles

2 23 palate covered with follicles

3 More than 23 palate covered with follicles

रज(अहर) (Pain) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

Occasional pain

खयता(अहर) (Roughness)

0 Smooth on touch

1 Mild irregular surface on touch

2 Rough surface

3 Sharp rough surface which hurts on finger on touch

घनसराव(अहर) (Thick discharge)

0 No discharge

1 Occasional discharge

2 Off and on thick discharge

3 Continuous thick discharge

1311 तारसहतत (अहर) तारभधम तनरक (अहर) =Painless fleshy growth in palate

Only तारभधम तनरक indicates the place and quality of growth both the symptoms can be

merged

55

Code Signs amp Symptoms Score Gradations Remarks

तनरक (Painless) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

भाससहत

(Fleshy growth in palate)

0 No fleshy growth

1 Fleshy growth in 13 part of the palate Swelling

2 Fleshy growth in 23 part of palate swelling

3 Fleshy growth in more than 23 part of palate

56

GRADATION OF SARVASAR ROG

Code - 15

Established by Group BHOJ Dr Krishna Makaia ndash Convener

Dr Rajeshree Unadkat Dr Neelam Dave

Dr Ronakgiri Gosai Dr Jignesh Virapariya

Reviewed by Dr Vijayant Bharadwaj

Edited by Prof Vd Hāridra Dave

57

Code Signs amp Symptoms Score Gradations Remarks

151 वातजसवसय (स) सपोि (Ulcers) 0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

तोद = Pricking pain 0 No pricking pain Or According to VAS

1 Occasional pricking pain

2 Off and on pricking pain

3 Continuous pricking pain

Or

0 No pricking pain

1 Sometimes mild pricking pain

2 Has to take analgesic while pricking pain

सिारयण(अहर) This symptom is for सवसय so this सवसय is the nature of सिारय

0 No movement of सवसय

1 Movement of सवसय is once in a week

2 Movement of सवसय is once in three to four days

3 Movement of सवसय is at every alternate day

4 Movement of सवसय is once in a day

अरण (अहर) Reddish discoloration

0 Colour of वरण is same with colour of surrounding area

1 Colour of वरण is Reddish

2 Colour of वरण is Dark Red

3 Colour of वरण is Reddish black

र (अहर) Dryness 0 वरण is Moist

-No dryness of वरण

1 वरण Needs lubrication once a day

2 वरण Needs frequent lubrication in

a day

3 No benefit with frequent

lubrication of वरण

तामरता (अहर) (Coppery

0 Colour of वरणौषठ is same with colour of surrounding area

58

Code Signs amp Symptoms Score Gradations Remarks

discoloration) This symptom is for

वरणौषठ

1 Colour of वरणौषठ is Tamra Varna

चऱतवचा (अहर) (Free mucous membrane) This symptom is for

वरणौषठ

0

Movement of वरणौषठ is on touch

only

1 Movement of वरणौषठ can be seen by naked eye means without touch

शीतासहा (अहर) (Intolerance to cold) This symptom is for

जजहवा

0 No Intolerance of cold to जजहवा

1 Intolerance of severe cold to जजहवा

2 Intolerance of moderate cold to जजहवा

3 Intolerance of Mild cold to जजहवा

गवी (Heaviness)

This symptom is for

जजहवा

0 No Heaviness

1 Mild heaviness with no difficulty

in movement of जजहवा

2 Moderate heaviness with

difficulty in Movement of जजहवा

3 Sever heaviness with bending down of

सफटटता (अहर) (Ulcer)

0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

कणटाकाधचता (अहर) = Thorn like

appearance

0 No change in appearance

59

Code Signs amp Symptoms Score Gradations Remarks

1 13 part of oral mucous membrane covered with red fleshy thorn like papillae

2 23 part of oral mucous membrane covered with red fleshy thorn like papillae

3 gt23 part of oral mucous membrane covered with red fleshy thorn like papillae

षववणोतत कचछरणमखम (अहर) (Difficulty in mouth opening)

0 Mouth opening more than 3 fingers without difficulty

1 2 to 3 fingers opening of mouth with or without difficulty

2 1 to 2 fingers opening of mouth with or without difficulty

3 Less than 1 finger opening of mouth with or without difficulty

152 पऩतमत(यकतज)सवसय (स) Signs and Symptoms of यकतज सवसय are same as of पऩतमत सवसय so no separate gradations are mentioned

यकतता (Redness) 0 Colour of सवसय- वरण is similar with

surrounding mucous membrane

1 Reddish Colour of सवसय- वरण

2 Bright red Colour of सवसय- वरण

3 Dark red Colour of सवसय- वरण

सदाह (Burning

Sensation)

0 No burning in सवसय- वरण Or According to

VAS

1 Occasional burning in सवसय- वरण

2 Intermittent burning in सवसय- वरण

3 Contentious burning in सवसय- वरण

which does not relive by any measures

तन (तनसब) (Shallow superficial ulcers)

0 No ulcer

1 Ulcer having depth of 05-1 mm

2 Ulcer having depth of 1 ndash 15 mm

3 Ulcer having depth of 15 -2 mm

60

Code Signs amp Symptoms Score Gradations Remarks

ओष (अहर) 0 No (ओष) burning in सवसय- वरण

1 Occasional (ओष) burning in

सवसय- वरण

2 Intermittent (ओष) burning in

सवसय- वरण

3 Contentious (ओष) burning in

सवसय- वरण which does not relive

by any measures

ततकतवकरता (अहर) (Bitter taste in mouth)

0 No alteration in taste

1 Occasionally bitter taste felt in mouth without having any bitter substance

2 Off and on bitter taste felt in mouth without having any bitter substance

3 Continuous bitter taste felt in mouth without having any bitter substance

ारोकषतत समावरणा (अहर)

0 No Ulcer

(Ulcers looking like chemical burns)

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

153 कपज सवसय (स) कणड (Itching) 0 No itching Or According to

VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Unable to work due to itching

0r

0 No itching

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate on work due to severe itching

रजा (Pain)

(अलऩ रजा) 0 No pain Or According to

VAS

1 Occasional pain

61

Code Signs amp Symptoms Score Gradations Remarks

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain This condition should be considered as अलऩ रजा

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

सवणण 0 Colour of वरण is same with colour of near by tissue

1 Colour of वरण is not same with colour of near by tissue

मररासयतवम (अहर) (Sweet taste in mouth)

0 No alteration in taste

1 Occasionally sweet taste felt without eating any sweet substance

2 Off and on Sweet taste Occasionally sweet taste felt without eating any sweet substance

3 Continuous sweet taste Occasionally sweet taste felt without eating any sweet substance

षपजचछिऱता (अहर) (Unctuousness)

0 Absent

1 Present

वरण 0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

154 कफाबभद (अहर) शयाव अबभदम

(शयावपाणडऽबभदम) 0 Colour of growthtumour is same

the colour of surrounding skin

1 Colour of growthtumour is शयाव

(Blackish)

62

Code Signs amp Symptoms Score Gradations Remarks

पाणड अबभदम (शयावपाणडऽबभदम)

0 Colour of growthtumour is same the colour of surrounding skin

1 Colour of growthtumour is पाणड

(Pale)

अबभदम 0 No GrowthTumour TNM Classification for tumours can be applied for growth

1 Growthtumour having sizelt 10 mm

2 Growthtumour having size 10 mm to 20 mm

3 Growthtumour having size gt 20 mm

घटिता तिनना मटदता च षववरभत (Size increases on rubbing cutting and squeezing)

0 Size of GrowthTumour is not increasing by rubbing cutting or squeezing

1 Size of GrowthTumour is increasing up to 10 mm by rubbing cutting or squeezing within a month

2 Size of GrowthTumour is increasing up to 20 mm by rubbing cutting or squeezing within a month

3 Size of GrowthTumour is increasing up to 30 mm by rubbing cutting or squeezing within a month

4 Size of GrowthTumour is increasing up to 40 mm by rubbing cutting or squeezing within a month

155 ऊरधवभगद (अहर) वकतरदौगनधम

(Halitosis)

0 No Halitosis

1 Halitosis is feel by Patient only

2 Halitosis is feel by Patient and examining Doctor only

3 Halitosis is feel by any person from the distance from 5 meters

63

Code Signs amp Symptoms Score Gradations Remarks

4 Halitosis is feel by any person from the distance from more than 5 meters

156 पततवकर (अहर) ऩतममासमता

(Halitosis)

0 No Halitosis

1 Halitosis is feel by Patient only

2 Halitosis is feel by Patient and examining Doctor only

3 Halitosis is feel by any person from the distance from 5 meters

4 Halitosis is feel by any person from the distance from more than 5 meters

157 सतनऩाततक सवसय (अहर) This disease occurs due to aggravation of all three doshas including Rakta Clinical presentation of this disease is found as mixed picture according prominent aggravation of dosha and signs and symptoms will be observed accordingly Gradations should be considered accordingly so it is not required to repeat here

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Page 48: THE GRADATIONS OF DISEASES OF SHALAKYA TANTRA - PART …theassociationofshalaki.com/downloads/GRADATIONS_OF_DISEASE… · 12.05.2019  · I am also very much thankful to Dr Sandhya

47

GRADATION OF TALUGAT ROG

Code - 14

Established by Group BHOJ Dr Krishna Makaia ndash Convener

Dr Rajeshree Unadkat Dr Neelam Dave

Dr Ronakgiri Gosai Dr Jignesh Virapariya

Reviewed by Dr Vijayant Bharadwaj

Edited by Prof Vd Hāridra Dave

48

Code Signs amp Symptoms Score Gradations Remarks

141 गरशचणडका (स)

परवदधो शोप (Swelling extending from palate) (Which is elongated)

0 Normal size of uvula

1 Swelling of uvula that causes discomfort to the patient

2 Swelling of uvula that causes foreign body sensation

3 Difficulty in breathing due to swelling

दीघ शोप

(Elongated Swelling)

0 Normal size of uvula

1 Elongated swelling of uvula that causes discomfort to the patient

2 Elongated swelling of uvula that causes foreign body sensation

3 Difficulty in breathing due to Elongated swelling

धभातफचसतपरकाश शोप =Inflated

swelling like Basti

0 Normal size of uvula

1 Inflated swelling like Basti of uvula that causes discomfort to the patient

2 Inflated swelling like Basti of uvula that causes foreign body sensation

3 Difficulty in breathing due to Inflated swelling like Basti

तषणा 0 Normal feeling of thirst

1 Increased feeling of thirst which is relived after drinking water

The quantity of water is not consider here but the frequency of water is considered

2 Frequent feeling of thirst which is Occasional relived after drinking water

3 Continuous feeling of thirst does not relive after drinking profuse amount of water

कास (Coughing) 0 No coughing

49

Code Signs amp Symptoms Score Gradations Remarks

1 Occasional coughing during eating and speaking

2 Off and on coughing

3 Continuous coughing

शवास 0 No difficulty in breathing

1 Difficulty in breathing occasionally

2 More difficulty in breathing while sleeping

3 Excessive difficulty in breathing

भतमसमफचसततनब शोप (अहर)

0 Normal uvula Used as an adjective

1 Inflated swelling like Matsya-Basti of uvula that causes discomfort to the patient

2 Inflated swelling like Matsya-Basti of uvula that causes foreign body sensation

3 Difficulty in breathing due to Inflated swelling like Matsya-Basti

पररफ (अहर) 0 Normal length of Uvula

(Elongated Swelling)

1 Size of Uvula increased up to lt2 mm

2 Size of Uvula increased more than 2 mm but less than 4 mm

3 Size of Uvula increased gt4 mm that cause discomfort to patient and cause difficulty in breathing

पऩचछिर(अहर) (Sliminess)

0 Absent

1 Present

नासमाऽऽहायभीयमन (अहर)

0 Food does not come out from nose

(Food comes out of nose)

1 Food comes out from nose

कणठोऩयोध(अहर) (Obstruction of throat )

0 -Able to eat regular diet -No difficulty in swallowing of any food

1 Able to swallow liquid or soft diet but not able to swallow hard diet

2 Able to swallow hard diet forcefully

50

Code Signs amp Symptoms Score Gradations Remarks

3 Not able to swallow hard diet with force

वभन(अहर) (Vomiting)

0 No Vaman

1 Feeling of nausea only

2 Only one veg of Vaman in a day

3 Two vegas of Vaman in a day

4 More than two vegas of Vaman in a day

132 तचणडकयी (स)

शोप (Tonsillar

Swelling)

0 Tonsils are located within the tonsillar fossa

1 Tonsils hypertrophy till the brim of the tonsillar fossa

2 Tonsils hypertrophy extends beyond the pillars but not touching each other

3 Tonsils hypertrophy extends beyond the pillars but not touching each other

तोद

(Pricking pain)

0 No pain

1 Occasional pain Or according to VAS

2 Off and on pain

3 Continuous pain

दाह (Burning) 0 No

1 Occasional burning

2 Intermittent burning

3 Contentious burning dose not relive by any measures

परऩाक 0 Absent

1 Present

पऩचछिर शोप(अहर)

Sliminess in swallowing

0 Feeling of Sliminess is Absent

1 Feeling of Sliminess is Present

भनदरक (अहर)

(Mild pain)

0 Absent Or According to

VAS

1 Present

133 अधरष (स)

शोप (Swelling) 0 No swelling

1 13 Swelling in part of the palate

51

Code Signs amp Symptoms Score Gradations Remarks

2 23 swelling in part of palate

3 Swelling in gt than 23 part of palate

सतबधता =Functions of soft palate like deglutition Phonation etc are affected = No mobility of soft palate

0 Normal function of soft palate

1 Soft palate movement reduced but functions are not affected

2 Any one of the functions of soft palate is affected

3 All functions of soft palate are affected

रोटहतवणता

(Redness)

0 No change in colour

1 Pinkish red coloured mucosa in palate

2 Red coloured mucosa in palate

3 Dark red coloured mucosa in palate

रजा (Pain) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

जजवय (Fever) 0 Normal temperature

1 Temperature between 984rsquoF to 100rsquoF

Temperature between 100rsquoF to 101rsquoF

2 Temperature between 101rsquoF to 102rsquoF

3 Temperature between 102rsquoF to 103rsquoF

52

Code Signs amp Symptoms Score Gradations Remarks

4 Temperature between 103rsquoF to 104rsquoF

5 Temperature more than 104rsquoF

134 कछिऩ (स)

कभवत उतमसनन शोप (Swelling

having shape like dorsum of tortoise)

0 No swelling

1 Swelling in 13rd part of the palate

2 Swelling in 23rd part of palate

3 Swelling in gt 23rd part of palate

चियवपदध(अहर)

(Slow growth)

0 Growth within a week

1 Growth within 1 week to 1 month

2 Growth within 1 month to 6 months

3 Growth within gt 6 months

रक (अहर) (Pain) 0 No pain Or According to VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesics

135 तारअफद (स) ऩदमाकाय तारभधम

शोपम (Swelling

like shape of lotus )

0 No swelling

1 Swelling in 13rd part of the palate

2 2 Swelling in 23rd part of palate

3 3 Swelling in gt 23rd part of palate

136 भाससङघात (स) नीरज (Painless) 0 Absent

1 Present

53

Code Signs amp Symptoms Score Gradations Remarks

शोप 0 No swelling

1 Swelling in 13rd part of the palate

2 Swelling in 23rd part of palate

3 Swelling in gt 23rd part of palate

137 तारऩपऩि (स) नीरक (Painless) 0 Absent

1 Present

कोरभातर

Swelling having size of Kola fruit

0 Absent

1 Present

138 तारशोष (स)

शोष (Dryness) 0 No dryness

1 Dryness decreased after drinking water

2 Patient needs water frequently

3 Dryness persist after dinking profuse water

दायण (Tearing of palate)

0 Absent

1 Present

शवास (Difficulty in

breathing)

0 No difficulty in breathing Here difficulty in breathing is due to obstruction

1 Difficulty in breathing occasionally

2 More difficulty in breathing while sleeping position

3 Excessive difficulty in breathing

जजवय(अहर) (Fever) 0 Normal temperature

1 Temperature between 984rsquoF to 100rsquoF

Temperature between 100rsquoF to 101rsquoF

2 Temperature between 101rsquoF to 102rsquoF

3 Temperature between 102rsquoF to 103rsquoF

4 Temperature between 103rsquoF to 104rsquoF

5 Temperature more than 104rsquoF

54

Code Signs amp Symptoms Score Gradations Remarks

139 तारऩाक (स) ऩाक (Suppuration) 0 No swelling or suppuration

1 Inflammation of palate with pain and tenderness

2 Inflammation of palate with different types of pain and tenderness with induration

3 Pus formation and fluctuation positive

1310 तारपऩटिका (अहर) तारभास पऩटिका

Follicles in palate flesh

0 No follicles

1 13 palate covered with follicles

2 23 palate covered with follicles

3 More than 23 palate covered with follicles

रज(अहर) (Pain) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

Occasional pain

खयता(अहर) (Roughness)

0 Smooth on touch

1 Mild irregular surface on touch

2 Rough surface

3 Sharp rough surface which hurts on finger on touch

घनसराव(अहर) (Thick discharge)

0 No discharge

1 Occasional discharge

2 Off and on thick discharge

3 Continuous thick discharge

1311 तारसहतत (अहर) तारभधम तनरक (अहर) =Painless fleshy growth in palate

Only तारभधम तनरक indicates the place and quality of growth both the symptoms can be

merged

55

Code Signs amp Symptoms Score Gradations Remarks

तनरक (Painless) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

भाससहत

(Fleshy growth in palate)

0 No fleshy growth

1 Fleshy growth in 13 part of the palate Swelling

2 Fleshy growth in 23 part of palate swelling

3 Fleshy growth in more than 23 part of palate

56

GRADATION OF SARVASAR ROG

Code - 15

Established by Group BHOJ Dr Krishna Makaia ndash Convener

Dr Rajeshree Unadkat Dr Neelam Dave

Dr Ronakgiri Gosai Dr Jignesh Virapariya

Reviewed by Dr Vijayant Bharadwaj

Edited by Prof Vd Hāridra Dave

57

Code Signs amp Symptoms Score Gradations Remarks

151 वातजसवसय (स) सपोि (Ulcers) 0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

तोद = Pricking pain 0 No pricking pain Or According to VAS

1 Occasional pricking pain

2 Off and on pricking pain

3 Continuous pricking pain

Or

0 No pricking pain

1 Sometimes mild pricking pain

2 Has to take analgesic while pricking pain

सिारयण(अहर) This symptom is for सवसय so this सवसय is the nature of सिारय

0 No movement of सवसय

1 Movement of सवसय is once in a week

2 Movement of सवसय is once in three to four days

3 Movement of सवसय is at every alternate day

4 Movement of सवसय is once in a day

अरण (अहर) Reddish discoloration

0 Colour of वरण is same with colour of surrounding area

1 Colour of वरण is Reddish

2 Colour of वरण is Dark Red

3 Colour of वरण is Reddish black

र (अहर) Dryness 0 वरण is Moist

-No dryness of वरण

1 वरण Needs lubrication once a day

2 वरण Needs frequent lubrication in

a day

3 No benefit with frequent

lubrication of वरण

तामरता (अहर) (Coppery

0 Colour of वरणौषठ is same with colour of surrounding area

58

Code Signs amp Symptoms Score Gradations Remarks

discoloration) This symptom is for

वरणौषठ

1 Colour of वरणौषठ is Tamra Varna

चऱतवचा (अहर) (Free mucous membrane) This symptom is for

वरणौषठ

0

Movement of वरणौषठ is on touch

only

1 Movement of वरणौषठ can be seen by naked eye means without touch

शीतासहा (अहर) (Intolerance to cold) This symptom is for

जजहवा

0 No Intolerance of cold to जजहवा

1 Intolerance of severe cold to जजहवा

2 Intolerance of moderate cold to जजहवा

3 Intolerance of Mild cold to जजहवा

गवी (Heaviness)

This symptom is for

जजहवा

0 No Heaviness

1 Mild heaviness with no difficulty

in movement of जजहवा

2 Moderate heaviness with

difficulty in Movement of जजहवा

3 Sever heaviness with bending down of

सफटटता (अहर) (Ulcer)

0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

कणटाकाधचता (अहर) = Thorn like

appearance

0 No change in appearance

59

Code Signs amp Symptoms Score Gradations Remarks

1 13 part of oral mucous membrane covered with red fleshy thorn like papillae

2 23 part of oral mucous membrane covered with red fleshy thorn like papillae

3 gt23 part of oral mucous membrane covered with red fleshy thorn like papillae

षववणोतत कचछरणमखम (अहर) (Difficulty in mouth opening)

0 Mouth opening more than 3 fingers without difficulty

1 2 to 3 fingers opening of mouth with or without difficulty

2 1 to 2 fingers opening of mouth with or without difficulty

3 Less than 1 finger opening of mouth with or without difficulty

152 पऩतमत(यकतज)सवसय (स) Signs and Symptoms of यकतज सवसय are same as of पऩतमत सवसय so no separate gradations are mentioned

यकतता (Redness) 0 Colour of सवसय- वरण is similar with

surrounding mucous membrane

1 Reddish Colour of सवसय- वरण

2 Bright red Colour of सवसय- वरण

3 Dark red Colour of सवसय- वरण

सदाह (Burning

Sensation)

0 No burning in सवसय- वरण Or According to

VAS

1 Occasional burning in सवसय- वरण

2 Intermittent burning in सवसय- वरण

3 Contentious burning in सवसय- वरण

which does not relive by any measures

तन (तनसब) (Shallow superficial ulcers)

0 No ulcer

1 Ulcer having depth of 05-1 mm

2 Ulcer having depth of 1 ndash 15 mm

3 Ulcer having depth of 15 -2 mm

60

Code Signs amp Symptoms Score Gradations Remarks

ओष (अहर) 0 No (ओष) burning in सवसय- वरण

1 Occasional (ओष) burning in

सवसय- वरण

2 Intermittent (ओष) burning in

सवसय- वरण

3 Contentious (ओष) burning in

सवसय- वरण which does not relive

by any measures

ततकतवकरता (अहर) (Bitter taste in mouth)

0 No alteration in taste

1 Occasionally bitter taste felt in mouth without having any bitter substance

2 Off and on bitter taste felt in mouth without having any bitter substance

3 Continuous bitter taste felt in mouth without having any bitter substance

ारोकषतत समावरणा (अहर)

0 No Ulcer

(Ulcers looking like chemical burns)

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

153 कपज सवसय (स) कणड (Itching) 0 No itching Or According to

VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Unable to work due to itching

0r

0 No itching

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate on work due to severe itching

रजा (Pain)

(अलऩ रजा) 0 No pain Or According to

VAS

1 Occasional pain

61

Code Signs amp Symptoms Score Gradations Remarks

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain This condition should be considered as अलऩ रजा

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

सवणण 0 Colour of वरण is same with colour of near by tissue

1 Colour of वरण is not same with colour of near by tissue

मररासयतवम (अहर) (Sweet taste in mouth)

0 No alteration in taste

1 Occasionally sweet taste felt without eating any sweet substance

2 Off and on Sweet taste Occasionally sweet taste felt without eating any sweet substance

3 Continuous sweet taste Occasionally sweet taste felt without eating any sweet substance

षपजचछिऱता (अहर) (Unctuousness)

0 Absent

1 Present

वरण 0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

154 कफाबभद (अहर) शयाव अबभदम

(शयावपाणडऽबभदम) 0 Colour of growthtumour is same

the colour of surrounding skin

1 Colour of growthtumour is शयाव

(Blackish)

62

Code Signs amp Symptoms Score Gradations Remarks

पाणड अबभदम (शयावपाणडऽबभदम)

0 Colour of growthtumour is same the colour of surrounding skin

1 Colour of growthtumour is पाणड

(Pale)

अबभदम 0 No GrowthTumour TNM Classification for tumours can be applied for growth

1 Growthtumour having sizelt 10 mm

2 Growthtumour having size 10 mm to 20 mm

3 Growthtumour having size gt 20 mm

घटिता तिनना मटदता च षववरभत (Size increases on rubbing cutting and squeezing)

0 Size of GrowthTumour is not increasing by rubbing cutting or squeezing

1 Size of GrowthTumour is increasing up to 10 mm by rubbing cutting or squeezing within a month

2 Size of GrowthTumour is increasing up to 20 mm by rubbing cutting or squeezing within a month

3 Size of GrowthTumour is increasing up to 30 mm by rubbing cutting or squeezing within a month

4 Size of GrowthTumour is increasing up to 40 mm by rubbing cutting or squeezing within a month

155 ऊरधवभगद (अहर) वकतरदौगनधम

(Halitosis)

0 No Halitosis

1 Halitosis is feel by Patient only

2 Halitosis is feel by Patient and examining Doctor only

3 Halitosis is feel by any person from the distance from 5 meters

63

Code Signs amp Symptoms Score Gradations Remarks

4 Halitosis is feel by any person from the distance from more than 5 meters

156 पततवकर (अहर) ऩतममासमता

(Halitosis)

0 No Halitosis

1 Halitosis is feel by Patient only

2 Halitosis is feel by Patient and examining Doctor only

3 Halitosis is feel by any person from the distance from 5 meters

4 Halitosis is feel by any person from the distance from more than 5 meters

157 सतनऩाततक सवसय (अहर) This disease occurs due to aggravation of all three doshas including Rakta Clinical presentation of this disease is found as mixed picture according prominent aggravation of dosha and signs and symptoms will be observed accordingly Gradations should be considered accordingly so it is not required to repeat here

helliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip

Page 49: THE GRADATIONS OF DISEASES OF SHALAKYA TANTRA - PART …theassociationofshalaki.com/downloads/GRADATIONS_OF_DISEASE… · 12.05.2019  · I am also very much thankful to Dr Sandhya

48

Code Signs amp Symptoms Score Gradations Remarks

141 गरशचणडका (स)

परवदधो शोप (Swelling extending from palate) (Which is elongated)

0 Normal size of uvula

1 Swelling of uvula that causes discomfort to the patient

2 Swelling of uvula that causes foreign body sensation

3 Difficulty in breathing due to swelling

दीघ शोप

(Elongated Swelling)

0 Normal size of uvula

1 Elongated swelling of uvula that causes discomfort to the patient

2 Elongated swelling of uvula that causes foreign body sensation

3 Difficulty in breathing due to Elongated swelling

धभातफचसतपरकाश शोप =Inflated

swelling like Basti

0 Normal size of uvula

1 Inflated swelling like Basti of uvula that causes discomfort to the patient

2 Inflated swelling like Basti of uvula that causes foreign body sensation

3 Difficulty in breathing due to Inflated swelling like Basti

तषणा 0 Normal feeling of thirst

1 Increased feeling of thirst which is relived after drinking water

The quantity of water is not consider here but the frequency of water is considered

2 Frequent feeling of thirst which is Occasional relived after drinking water

3 Continuous feeling of thirst does not relive after drinking profuse amount of water

कास (Coughing) 0 No coughing

49

Code Signs amp Symptoms Score Gradations Remarks

1 Occasional coughing during eating and speaking

2 Off and on coughing

3 Continuous coughing

शवास 0 No difficulty in breathing

1 Difficulty in breathing occasionally

2 More difficulty in breathing while sleeping

3 Excessive difficulty in breathing

भतमसमफचसततनब शोप (अहर)

0 Normal uvula Used as an adjective

1 Inflated swelling like Matsya-Basti of uvula that causes discomfort to the patient

2 Inflated swelling like Matsya-Basti of uvula that causes foreign body sensation

3 Difficulty in breathing due to Inflated swelling like Matsya-Basti

पररफ (अहर) 0 Normal length of Uvula

(Elongated Swelling)

1 Size of Uvula increased up to lt2 mm

2 Size of Uvula increased more than 2 mm but less than 4 mm

3 Size of Uvula increased gt4 mm that cause discomfort to patient and cause difficulty in breathing

पऩचछिर(अहर) (Sliminess)

0 Absent

1 Present

नासमाऽऽहायभीयमन (अहर)

0 Food does not come out from nose

(Food comes out of nose)

1 Food comes out from nose

कणठोऩयोध(अहर) (Obstruction of throat )

0 -Able to eat regular diet -No difficulty in swallowing of any food

1 Able to swallow liquid or soft diet but not able to swallow hard diet

2 Able to swallow hard diet forcefully

50

Code Signs amp Symptoms Score Gradations Remarks

3 Not able to swallow hard diet with force

वभन(अहर) (Vomiting)

0 No Vaman

1 Feeling of nausea only

2 Only one veg of Vaman in a day

3 Two vegas of Vaman in a day

4 More than two vegas of Vaman in a day

132 तचणडकयी (स)

शोप (Tonsillar

Swelling)

0 Tonsils are located within the tonsillar fossa

1 Tonsils hypertrophy till the brim of the tonsillar fossa

2 Tonsils hypertrophy extends beyond the pillars but not touching each other

3 Tonsils hypertrophy extends beyond the pillars but not touching each other

तोद

(Pricking pain)

0 No pain

1 Occasional pain Or according to VAS

2 Off and on pain

3 Continuous pain

दाह (Burning) 0 No

1 Occasional burning

2 Intermittent burning

3 Contentious burning dose not relive by any measures

परऩाक 0 Absent

1 Present

पऩचछिर शोप(अहर)

Sliminess in swallowing

0 Feeling of Sliminess is Absent

1 Feeling of Sliminess is Present

भनदरक (अहर)

(Mild pain)

0 Absent Or According to

VAS

1 Present

133 अधरष (स)

शोप (Swelling) 0 No swelling

1 13 Swelling in part of the palate

51

Code Signs amp Symptoms Score Gradations Remarks

2 23 swelling in part of palate

3 Swelling in gt than 23 part of palate

सतबधता =Functions of soft palate like deglutition Phonation etc are affected = No mobility of soft palate

0 Normal function of soft palate

1 Soft palate movement reduced but functions are not affected

2 Any one of the functions of soft palate is affected

3 All functions of soft palate are affected

रोटहतवणता

(Redness)

0 No change in colour

1 Pinkish red coloured mucosa in palate

2 Red coloured mucosa in palate

3 Dark red coloured mucosa in palate

रजा (Pain) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

जजवय (Fever) 0 Normal temperature

1 Temperature between 984rsquoF to 100rsquoF

Temperature between 100rsquoF to 101rsquoF

2 Temperature between 101rsquoF to 102rsquoF

3 Temperature between 102rsquoF to 103rsquoF

52

Code Signs amp Symptoms Score Gradations Remarks

4 Temperature between 103rsquoF to 104rsquoF

5 Temperature more than 104rsquoF

134 कछिऩ (स)

कभवत उतमसनन शोप (Swelling

having shape like dorsum of tortoise)

0 No swelling

1 Swelling in 13rd part of the palate

2 Swelling in 23rd part of palate

3 Swelling in gt 23rd part of palate

चियवपदध(अहर)

(Slow growth)

0 Growth within a week

1 Growth within 1 week to 1 month

2 Growth within 1 month to 6 months

3 Growth within gt 6 months

रक (अहर) (Pain) 0 No pain Or According to VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesics

135 तारअफद (स) ऩदमाकाय तारभधम

शोपम (Swelling

like shape of lotus )

0 No swelling

1 Swelling in 13rd part of the palate

2 2 Swelling in 23rd part of palate

3 3 Swelling in gt 23rd part of palate

136 भाससङघात (स) नीरज (Painless) 0 Absent

1 Present

53

Code Signs amp Symptoms Score Gradations Remarks

शोप 0 No swelling

1 Swelling in 13rd part of the palate

2 Swelling in 23rd part of palate

3 Swelling in gt 23rd part of palate

137 तारऩपऩि (स) नीरक (Painless) 0 Absent

1 Present

कोरभातर

Swelling having size of Kola fruit

0 Absent

1 Present

138 तारशोष (स)

शोष (Dryness) 0 No dryness

1 Dryness decreased after drinking water

2 Patient needs water frequently

3 Dryness persist after dinking profuse water

दायण (Tearing of palate)

0 Absent

1 Present

शवास (Difficulty in

breathing)

0 No difficulty in breathing Here difficulty in breathing is due to obstruction

1 Difficulty in breathing occasionally

2 More difficulty in breathing while sleeping position

3 Excessive difficulty in breathing

जजवय(अहर) (Fever) 0 Normal temperature

1 Temperature between 984rsquoF to 100rsquoF

Temperature between 100rsquoF to 101rsquoF

2 Temperature between 101rsquoF to 102rsquoF

3 Temperature between 102rsquoF to 103rsquoF

4 Temperature between 103rsquoF to 104rsquoF

5 Temperature more than 104rsquoF

54

Code Signs amp Symptoms Score Gradations Remarks

139 तारऩाक (स) ऩाक (Suppuration) 0 No swelling or suppuration

1 Inflammation of palate with pain and tenderness

2 Inflammation of palate with different types of pain and tenderness with induration

3 Pus formation and fluctuation positive

1310 तारपऩटिका (अहर) तारभास पऩटिका

Follicles in palate flesh

0 No follicles

1 13 palate covered with follicles

2 23 palate covered with follicles

3 More than 23 palate covered with follicles

रज(अहर) (Pain) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

Occasional pain

खयता(अहर) (Roughness)

0 Smooth on touch

1 Mild irregular surface on touch

2 Rough surface

3 Sharp rough surface which hurts on finger on touch

घनसराव(अहर) (Thick discharge)

0 No discharge

1 Occasional discharge

2 Off and on thick discharge

3 Continuous thick discharge

1311 तारसहतत (अहर) तारभधम तनरक (अहर) =Painless fleshy growth in palate

Only तारभधम तनरक indicates the place and quality of growth both the symptoms can be

merged

55

Code Signs amp Symptoms Score Gradations Remarks

तनरक (Painless) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

भाससहत

(Fleshy growth in palate)

0 No fleshy growth

1 Fleshy growth in 13 part of the palate Swelling

2 Fleshy growth in 23 part of palate swelling

3 Fleshy growth in more than 23 part of palate

56

GRADATION OF SARVASAR ROG

Code - 15

Established by Group BHOJ Dr Krishna Makaia ndash Convener

Dr Rajeshree Unadkat Dr Neelam Dave

Dr Ronakgiri Gosai Dr Jignesh Virapariya

Reviewed by Dr Vijayant Bharadwaj

Edited by Prof Vd Hāridra Dave

57

Code Signs amp Symptoms Score Gradations Remarks

151 वातजसवसय (स) सपोि (Ulcers) 0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

तोद = Pricking pain 0 No pricking pain Or According to VAS

1 Occasional pricking pain

2 Off and on pricking pain

3 Continuous pricking pain

Or

0 No pricking pain

1 Sometimes mild pricking pain

2 Has to take analgesic while pricking pain

सिारयण(अहर) This symptom is for सवसय so this सवसय is the nature of सिारय

0 No movement of सवसय

1 Movement of सवसय is once in a week

2 Movement of सवसय is once in three to four days

3 Movement of सवसय is at every alternate day

4 Movement of सवसय is once in a day

अरण (अहर) Reddish discoloration

0 Colour of वरण is same with colour of surrounding area

1 Colour of वरण is Reddish

2 Colour of वरण is Dark Red

3 Colour of वरण is Reddish black

र (अहर) Dryness 0 वरण is Moist

-No dryness of वरण

1 वरण Needs lubrication once a day

2 वरण Needs frequent lubrication in

a day

3 No benefit with frequent

lubrication of वरण

तामरता (अहर) (Coppery

0 Colour of वरणौषठ is same with colour of surrounding area

58

Code Signs amp Symptoms Score Gradations Remarks

discoloration) This symptom is for

वरणौषठ

1 Colour of वरणौषठ is Tamra Varna

चऱतवचा (अहर) (Free mucous membrane) This symptom is for

वरणौषठ

0

Movement of वरणौषठ is on touch

only

1 Movement of वरणौषठ can be seen by naked eye means without touch

शीतासहा (अहर) (Intolerance to cold) This symptom is for

जजहवा

0 No Intolerance of cold to जजहवा

1 Intolerance of severe cold to जजहवा

2 Intolerance of moderate cold to जजहवा

3 Intolerance of Mild cold to जजहवा

गवी (Heaviness)

This symptom is for

जजहवा

0 No Heaviness

1 Mild heaviness with no difficulty

in movement of जजहवा

2 Moderate heaviness with

difficulty in Movement of जजहवा

3 Sever heaviness with bending down of

सफटटता (अहर) (Ulcer)

0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

कणटाकाधचता (अहर) = Thorn like

appearance

0 No change in appearance

59

Code Signs amp Symptoms Score Gradations Remarks

1 13 part of oral mucous membrane covered with red fleshy thorn like papillae

2 23 part of oral mucous membrane covered with red fleshy thorn like papillae

3 gt23 part of oral mucous membrane covered with red fleshy thorn like papillae

षववणोतत कचछरणमखम (अहर) (Difficulty in mouth opening)

0 Mouth opening more than 3 fingers without difficulty

1 2 to 3 fingers opening of mouth with or without difficulty

2 1 to 2 fingers opening of mouth with or without difficulty

3 Less than 1 finger opening of mouth with or without difficulty

152 पऩतमत(यकतज)सवसय (स) Signs and Symptoms of यकतज सवसय are same as of पऩतमत सवसय so no separate gradations are mentioned

यकतता (Redness) 0 Colour of सवसय- वरण is similar with

surrounding mucous membrane

1 Reddish Colour of सवसय- वरण

2 Bright red Colour of सवसय- वरण

3 Dark red Colour of सवसय- वरण

सदाह (Burning

Sensation)

0 No burning in सवसय- वरण Or According to

VAS

1 Occasional burning in सवसय- वरण

2 Intermittent burning in सवसय- वरण

3 Contentious burning in सवसय- वरण

which does not relive by any measures

तन (तनसब) (Shallow superficial ulcers)

0 No ulcer

1 Ulcer having depth of 05-1 mm

2 Ulcer having depth of 1 ndash 15 mm

3 Ulcer having depth of 15 -2 mm

60

Code Signs amp Symptoms Score Gradations Remarks

ओष (अहर) 0 No (ओष) burning in सवसय- वरण

1 Occasional (ओष) burning in

सवसय- वरण

2 Intermittent (ओष) burning in

सवसय- वरण

3 Contentious (ओष) burning in

सवसय- वरण which does not relive

by any measures

ततकतवकरता (अहर) (Bitter taste in mouth)

0 No alteration in taste

1 Occasionally bitter taste felt in mouth without having any bitter substance

2 Off and on bitter taste felt in mouth without having any bitter substance

3 Continuous bitter taste felt in mouth without having any bitter substance

ारोकषतत समावरणा (अहर)

0 No Ulcer

(Ulcers looking like chemical burns)

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

153 कपज सवसय (स) कणड (Itching) 0 No itching Or According to

VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Unable to work due to itching

0r

0 No itching

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate on work due to severe itching

रजा (Pain)

(अलऩ रजा) 0 No pain Or According to

VAS

1 Occasional pain

61

Code Signs amp Symptoms Score Gradations Remarks

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain This condition should be considered as अलऩ रजा

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

सवणण 0 Colour of वरण is same with colour of near by tissue

1 Colour of वरण is not same with colour of near by tissue

मररासयतवम (अहर) (Sweet taste in mouth)

0 No alteration in taste

1 Occasionally sweet taste felt without eating any sweet substance

2 Off and on Sweet taste Occasionally sweet taste felt without eating any sweet substance

3 Continuous sweet taste Occasionally sweet taste felt without eating any sweet substance

षपजचछिऱता (अहर) (Unctuousness)

0 Absent

1 Present

वरण 0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

154 कफाबभद (अहर) शयाव अबभदम

(शयावपाणडऽबभदम) 0 Colour of growthtumour is same

the colour of surrounding skin

1 Colour of growthtumour is शयाव

(Blackish)

62

Code Signs amp Symptoms Score Gradations Remarks

पाणड अबभदम (शयावपाणडऽबभदम)

0 Colour of growthtumour is same the colour of surrounding skin

1 Colour of growthtumour is पाणड

(Pale)

अबभदम 0 No GrowthTumour TNM Classification for tumours can be applied for growth

1 Growthtumour having sizelt 10 mm

2 Growthtumour having size 10 mm to 20 mm

3 Growthtumour having size gt 20 mm

घटिता तिनना मटदता च षववरभत (Size increases on rubbing cutting and squeezing)

0 Size of GrowthTumour is not increasing by rubbing cutting or squeezing

1 Size of GrowthTumour is increasing up to 10 mm by rubbing cutting or squeezing within a month

2 Size of GrowthTumour is increasing up to 20 mm by rubbing cutting or squeezing within a month

3 Size of GrowthTumour is increasing up to 30 mm by rubbing cutting or squeezing within a month

4 Size of GrowthTumour is increasing up to 40 mm by rubbing cutting or squeezing within a month

155 ऊरधवभगद (अहर) वकतरदौगनधम

(Halitosis)

0 No Halitosis

1 Halitosis is feel by Patient only

2 Halitosis is feel by Patient and examining Doctor only

3 Halitosis is feel by any person from the distance from 5 meters

63

Code Signs amp Symptoms Score Gradations Remarks

4 Halitosis is feel by any person from the distance from more than 5 meters

156 पततवकर (अहर) ऩतममासमता

(Halitosis)

0 No Halitosis

1 Halitosis is feel by Patient only

2 Halitosis is feel by Patient and examining Doctor only

3 Halitosis is feel by any person from the distance from 5 meters

4 Halitosis is feel by any person from the distance from more than 5 meters

157 सतनऩाततक सवसय (अहर) This disease occurs due to aggravation of all three doshas including Rakta Clinical presentation of this disease is found as mixed picture according prominent aggravation of dosha and signs and symptoms will be observed accordingly Gradations should be considered accordingly so it is not required to repeat here

helliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip

Page 50: THE GRADATIONS OF DISEASES OF SHALAKYA TANTRA - PART …theassociationofshalaki.com/downloads/GRADATIONS_OF_DISEASE… · 12.05.2019  · I am also very much thankful to Dr Sandhya

49

Code Signs amp Symptoms Score Gradations Remarks

1 Occasional coughing during eating and speaking

2 Off and on coughing

3 Continuous coughing

शवास 0 No difficulty in breathing

1 Difficulty in breathing occasionally

2 More difficulty in breathing while sleeping

3 Excessive difficulty in breathing

भतमसमफचसततनब शोप (अहर)

0 Normal uvula Used as an adjective

1 Inflated swelling like Matsya-Basti of uvula that causes discomfort to the patient

2 Inflated swelling like Matsya-Basti of uvula that causes foreign body sensation

3 Difficulty in breathing due to Inflated swelling like Matsya-Basti

पररफ (अहर) 0 Normal length of Uvula

(Elongated Swelling)

1 Size of Uvula increased up to lt2 mm

2 Size of Uvula increased more than 2 mm but less than 4 mm

3 Size of Uvula increased gt4 mm that cause discomfort to patient and cause difficulty in breathing

पऩचछिर(अहर) (Sliminess)

0 Absent

1 Present

नासमाऽऽहायभीयमन (अहर)

0 Food does not come out from nose

(Food comes out of nose)

1 Food comes out from nose

कणठोऩयोध(अहर) (Obstruction of throat )

0 -Able to eat regular diet -No difficulty in swallowing of any food

1 Able to swallow liquid or soft diet but not able to swallow hard diet

2 Able to swallow hard diet forcefully

50

Code Signs amp Symptoms Score Gradations Remarks

3 Not able to swallow hard diet with force

वभन(अहर) (Vomiting)

0 No Vaman

1 Feeling of nausea only

2 Only one veg of Vaman in a day

3 Two vegas of Vaman in a day

4 More than two vegas of Vaman in a day

132 तचणडकयी (स)

शोप (Tonsillar

Swelling)

0 Tonsils are located within the tonsillar fossa

1 Tonsils hypertrophy till the brim of the tonsillar fossa

2 Tonsils hypertrophy extends beyond the pillars but not touching each other

3 Tonsils hypertrophy extends beyond the pillars but not touching each other

तोद

(Pricking pain)

0 No pain

1 Occasional pain Or according to VAS

2 Off and on pain

3 Continuous pain

दाह (Burning) 0 No

1 Occasional burning

2 Intermittent burning

3 Contentious burning dose not relive by any measures

परऩाक 0 Absent

1 Present

पऩचछिर शोप(अहर)

Sliminess in swallowing

0 Feeling of Sliminess is Absent

1 Feeling of Sliminess is Present

भनदरक (अहर)

(Mild pain)

0 Absent Or According to

VAS

1 Present

133 अधरष (स)

शोप (Swelling) 0 No swelling

1 13 Swelling in part of the palate

51

Code Signs amp Symptoms Score Gradations Remarks

2 23 swelling in part of palate

3 Swelling in gt than 23 part of palate

सतबधता =Functions of soft palate like deglutition Phonation etc are affected = No mobility of soft palate

0 Normal function of soft palate

1 Soft palate movement reduced but functions are not affected

2 Any one of the functions of soft palate is affected

3 All functions of soft palate are affected

रोटहतवणता

(Redness)

0 No change in colour

1 Pinkish red coloured mucosa in palate

2 Red coloured mucosa in palate

3 Dark red coloured mucosa in palate

रजा (Pain) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

जजवय (Fever) 0 Normal temperature

1 Temperature between 984rsquoF to 100rsquoF

Temperature between 100rsquoF to 101rsquoF

2 Temperature between 101rsquoF to 102rsquoF

3 Temperature between 102rsquoF to 103rsquoF

52

Code Signs amp Symptoms Score Gradations Remarks

4 Temperature between 103rsquoF to 104rsquoF

5 Temperature more than 104rsquoF

134 कछिऩ (स)

कभवत उतमसनन शोप (Swelling

having shape like dorsum of tortoise)

0 No swelling

1 Swelling in 13rd part of the palate

2 Swelling in 23rd part of palate

3 Swelling in gt 23rd part of palate

चियवपदध(अहर)

(Slow growth)

0 Growth within a week

1 Growth within 1 week to 1 month

2 Growth within 1 month to 6 months

3 Growth within gt 6 months

रक (अहर) (Pain) 0 No pain Or According to VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesics

135 तारअफद (स) ऩदमाकाय तारभधम

शोपम (Swelling

like shape of lotus )

0 No swelling

1 Swelling in 13rd part of the palate

2 2 Swelling in 23rd part of palate

3 3 Swelling in gt 23rd part of palate

136 भाससङघात (स) नीरज (Painless) 0 Absent

1 Present

53

Code Signs amp Symptoms Score Gradations Remarks

शोप 0 No swelling

1 Swelling in 13rd part of the palate

2 Swelling in 23rd part of palate

3 Swelling in gt 23rd part of palate

137 तारऩपऩि (स) नीरक (Painless) 0 Absent

1 Present

कोरभातर

Swelling having size of Kola fruit

0 Absent

1 Present

138 तारशोष (स)

शोष (Dryness) 0 No dryness

1 Dryness decreased after drinking water

2 Patient needs water frequently

3 Dryness persist after dinking profuse water

दायण (Tearing of palate)

0 Absent

1 Present

शवास (Difficulty in

breathing)

0 No difficulty in breathing Here difficulty in breathing is due to obstruction

1 Difficulty in breathing occasionally

2 More difficulty in breathing while sleeping position

3 Excessive difficulty in breathing

जजवय(अहर) (Fever) 0 Normal temperature

1 Temperature between 984rsquoF to 100rsquoF

Temperature between 100rsquoF to 101rsquoF

2 Temperature between 101rsquoF to 102rsquoF

3 Temperature between 102rsquoF to 103rsquoF

4 Temperature between 103rsquoF to 104rsquoF

5 Temperature more than 104rsquoF

54

Code Signs amp Symptoms Score Gradations Remarks

139 तारऩाक (स) ऩाक (Suppuration) 0 No swelling or suppuration

1 Inflammation of palate with pain and tenderness

2 Inflammation of palate with different types of pain and tenderness with induration

3 Pus formation and fluctuation positive

1310 तारपऩटिका (अहर) तारभास पऩटिका

Follicles in palate flesh

0 No follicles

1 13 palate covered with follicles

2 23 palate covered with follicles

3 More than 23 palate covered with follicles

रज(अहर) (Pain) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

Occasional pain

खयता(अहर) (Roughness)

0 Smooth on touch

1 Mild irregular surface on touch

2 Rough surface

3 Sharp rough surface which hurts on finger on touch

घनसराव(अहर) (Thick discharge)

0 No discharge

1 Occasional discharge

2 Off and on thick discharge

3 Continuous thick discharge

1311 तारसहतत (अहर) तारभधम तनरक (अहर) =Painless fleshy growth in palate

Only तारभधम तनरक indicates the place and quality of growth both the symptoms can be

merged

55

Code Signs amp Symptoms Score Gradations Remarks

तनरक (Painless) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

भाससहत

(Fleshy growth in palate)

0 No fleshy growth

1 Fleshy growth in 13 part of the palate Swelling

2 Fleshy growth in 23 part of palate swelling

3 Fleshy growth in more than 23 part of palate

56

GRADATION OF SARVASAR ROG

Code - 15

Established by Group BHOJ Dr Krishna Makaia ndash Convener

Dr Rajeshree Unadkat Dr Neelam Dave

Dr Ronakgiri Gosai Dr Jignesh Virapariya

Reviewed by Dr Vijayant Bharadwaj

Edited by Prof Vd Hāridra Dave

57

Code Signs amp Symptoms Score Gradations Remarks

151 वातजसवसय (स) सपोि (Ulcers) 0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

तोद = Pricking pain 0 No pricking pain Or According to VAS

1 Occasional pricking pain

2 Off and on pricking pain

3 Continuous pricking pain

Or

0 No pricking pain

1 Sometimes mild pricking pain

2 Has to take analgesic while pricking pain

सिारयण(अहर) This symptom is for सवसय so this सवसय is the nature of सिारय

0 No movement of सवसय

1 Movement of सवसय is once in a week

2 Movement of सवसय is once in three to four days

3 Movement of सवसय is at every alternate day

4 Movement of सवसय is once in a day

अरण (अहर) Reddish discoloration

0 Colour of वरण is same with colour of surrounding area

1 Colour of वरण is Reddish

2 Colour of वरण is Dark Red

3 Colour of वरण is Reddish black

र (अहर) Dryness 0 वरण is Moist

-No dryness of वरण

1 वरण Needs lubrication once a day

2 वरण Needs frequent lubrication in

a day

3 No benefit with frequent

lubrication of वरण

तामरता (अहर) (Coppery

0 Colour of वरणौषठ is same with colour of surrounding area

58

Code Signs amp Symptoms Score Gradations Remarks

discoloration) This symptom is for

वरणौषठ

1 Colour of वरणौषठ is Tamra Varna

चऱतवचा (अहर) (Free mucous membrane) This symptom is for

वरणौषठ

0

Movement of वरणौषठ is on touch

only

1 Movement of वरणौषठ can be seen by naked eye means without touch

शीतासहा (अहर) (Intolerance to cold) This symptom is for

जजहवा

0 No Intolerance of cold to जजहवा

1 Intolerance of severe cold to जजहवा

2 Intolerance of moderate cold to जजहवा

3 Intolerance of Mild cold to जजहवा

गवी (Heaviness)

This symptom is for

जजहवा

0 No Heaviness

1 Mild heaviness with no difficulty

in movement of जजहवा

2 Moderate heaviness with

difficulty in Movement of जजहवा

3 Sever heaviness with bending down of

सफटटता (अहर) (Ulcer)

0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

कणटाकाधचता (अहर) = Thorn like

appearance

0 No change in appearance

59

Code Signs amp Symptoms Score Gradations Remarks

1 13 part of oral mucous membrane covered with red fleshy thorn like papillae

2 23 part of oral mucous membrane covered with red fleshy thorn like papillae

3 gt23 part of oral mucous membrane covered with red fleshy thorn like papillae

षववणोतत कचछरणमखम (अहर) (Difficulty in mouth opening)

0 Mouth opening more than 3 fingers without difficulty

1 2 to 3 fingers opening of mouth with or without difficulty

2 1 to 2 fingers opening of mouth with or without difficulty

3 Less than 1 finger opening of mouth with or without difficulty

152 पऩतमत(यकतज)सवसय (स) Signs and Symptoms of यकतज सवसय are same as of पऩतमत सवसय so no separate gradations are mentioned

यकतता (Redness) 0 Colour of सवसय- वरण is similar with

surrounding mucous membrane

1 Reddish Colour of सवसय- वरण

2 Bright red Colour of सवसय- वरण

3 Dark red Colour of सवसय- वरण

सदाह (Burning

Sensation)

0 No burning in सवसय- वरण Or According to

VAS

1 Occasional burning in सवसय- वरण

2 Intermittent burning in सवसय- वरण

3 Contentious burning in सवसय- वरण

which does not relive by any measures

तन (तनसब) (Shallow superficial ulcers)

0 No ulcer

1 Ulcer having depth of 05-1 mm

2 Ulcer having depth of 1 ndash 15 mm

3 Ulcer having depth of 15 -2 mm

60

Code Signs amp Symptoms Score Gradations Remarks

ओष (अहर) 0 No (ओष) burning in सवसय- वरण

1 Occasional (ओष) burning in

सवसय- वरण

2 Intermittent (ओष) burning in

सवसय- वरण

3 Contentious (ओष) burning in

सवसय- वरण which does not relive

by any measures

ततकतवकरता (अहर) (Bitter taste in mouth)

0 No alteration in taste

1 Occasionally bitter taste felt in mouth without having any bitter substance

2 Off and on bitter taste felt in mouth without having any bitter substance

3 Continuous bitter taste felt in mouth without having any bitter substance

ारोकषतत समावरणा (अहर)

0 No Ulcer

(Ulcers looking like chemical burns)

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

153 कपज सवसय (स) कणड (Itching) 0 No itching Or According to

VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Unable to work due to itching

0r

0 No itching

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate on work due to severe itching

रजा (Pain)

(अलऩ रजा) 0 No pain Or According to

VAS

1 Occasional pain

61

Code Signs amp Symptoms Score Gradations Remarks

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain This condition should be considered as अलऩ रजा

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

सवणण 0 Colour of वरण is same with colour of near by tissue

1 Colour of वरण is not same with colour of near by tissue

मररासयतवम (अहर) (Sweet taste in mouth)

0 No alteration in taste

1 Occasionally sweet taste felt without eating any sweet substance

2 Off and on Sweet taste Occasionally sweet taste felt without eating any sweet substance

3 Continuous sweet taste Occasionally sweet taste felt without eating any sweet substance

षपजचछिऱता (अहर) (Unctuousness)

0 Absent

1 Present

वरण 0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

154 कफाबभद (अहर) शयाव अबभदम

(शयावपाणडऽबभदम) 0 Colour of growthtumour is same

the colour of surrounding skin

1 Colour of growthtumour is शयाव

(Blackish)

62

Code Signs amp Symptoms Score Gradations Remarks

पाणड अबभदम (शयावपाणडऽबभदम)

0 Colour of growthtumour is same the colour of surrounding skin

1 Colour of growthtumour is पाणड

(Pale)

अबभदम 0 No GrowthTumour TNM Classification for tumours can be applied for growth

1 Growthtumour having sizelt 10 mm

2 Growthtumour having size 10 mm to 20 mm

3 Growthtumour having size gt 20 mm

घटिता तिनना मटदता च षववरभत (Size increases on rubbing cutting and squeezing)

0 Size of GrowthTumour is not increasing by rubbing cutting or squeezing

1 Size of GrowthTumour is increasing up to 10 mm by rubbing cutting or squeezing within a month

2 Size of GrowthTumour is increasing up to 20 mm by rubbing cutting or squeezing within a month

3 Size of GrowthTumour is increasing up to 30 mm by rubbing cutting or squeezing within a month

4 Size of GrowthTumour is increasing up to 40 mm by rubbing cutting or squeezing within a month

155 ऊरधवभगद (अहर) वकतरदौगनधम

(Halitosis)

0 No Halitosis

1 Halitosis is feel by Patient only

2 Halitosis is feel by Patient and examining Doctor only

3 Halitosis is feel by any person from the distance from 5 meters

63

Code Signs amp Symptoms Score Gradations Remarks

4 Halitosis is feel by any person from the distance from more than 5 meters

156 पततवकर (अहर) ऩतममासमता

(Halitosis)

0 No Halitosis

1 Halitosis is feel by Patient only

2 Halitosis is feel by Patient and examining Doctor only

3 Halitosis is feel by any person from the distance from 5 meters

4 Halitosis is feel by any person from the distance from more than 5 meters

157 सतनऩाततक सवसय (अहर) This disease occurs due to aggravation of all three doshas including Rakta Clinical presentation of this disease is found as mixed picture according prominent aggravation of dosha and signs and symptoms will be observed accordingly Gradations should be considered accordingly so it is not required to repeat here

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Page 51: THE GRADATIONS OF DISEASES OF SHALAKYA TANTRA - PART …theassociationofshalaki.com/downloads/GRADATIONS_OF_DISEASE… · 12.05.2019  · I am also very much thankful to Dr Sandhya

50

Code Signs amp Symptoms Score Gradations Remarks

3 Not able to swallow hard diet with force

वभन(अहर) (Vomiting)

0 No Vaman

1 Feeling of nausea only

2 Only one veg of Vaman in a day

3 Two vegas of Vaman in a day

4 More than two vegas of Vaman in a day

132 तचणडकयी (स)

शोप (Tonsillar

Swelling)

0 Tonsils are located within the tonsillar fossa

1 Tonsils hypertrophy till the brim of the tonsillar fossa

2 Tonsils hypertrophy extends beyond the pillars but not touching each other

3 Tonsils hypertrophy extends beyond the pillars but not touching each other

तोद

(Pricking pain)

0 No pain

1 Occasional pain Or according to VAS

2 Off and on pain

3 Continuous pain

दाह (Burning) 0 No

1 Occasional burning

2 Intermittent burning

3 Contentious burning dose not relive by any measures

परऩाक 0 Absent

1 Present

पऩचछिर शोप(अहर)

Sliminess in swallowing

0 Feeling of Sliminess is Absent

1 Feeling of Sliminess is Present

भनदरक (अहर)

(Mild pain)

0 Absent Or According to

VAS

1 Present

133 अधरष (स)

शोप (Swelling) 0 No swelling

1 13 Swelling in part of the palate

51

Code Signs amp Symptoms Score Gradations Remarks

2 23 swelling in part of palate

3 Swelling in gt than 23 part of palate

सतबधता =Functions of soft palate like deglutition Phonation etc are affected = No mobility of soft palate

0 Normal function of soft palate

1 Soft palate movement reduced but functions are not affected

2 Any one of the functions of soft palate is affected

3 All functions of soft palate are affected

रोटहतवणता

(Redness)

0 No change in colour

1 Pinkish red coloured mucosa in palate

2 Red coloured mucosa in palate

3 Dark red coloured mucosa in palate

रजा (Pain) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

जजवय (Fever) 0 Normal temperature

1 Temperature between 984rsquoF to 100rsquoF

Temperature between 100rsquoF to 101rsquoF

2 Temperature between 101rsquoF to 102rsquoF

3 Temperature between 102rsquoF to 103rsquoF

52

Code Signs amp Symptoms Score Gradations Remarks

4 Temperature between 103rsquoF to 104rsquoF

5 Temperature more than 104rsquoF

134 कछिऩ (स)

कभवत उतमसनन शोप (Swelling

having shape like dorsum of tortoise)

0 No swelling

1 Swelling in 13rd part of the palate

2 Swelling in 23rd part of palate

3 Swelling in gt 23rd part of palate

चियवपदध(अहर)

(Slow growth)

0 Growth within a week

1 Growth within 1 week to 1 month

2 Growth within 1 month to 6 months

3 Growth within gt 6 months

रक (अहर) (Pain) 0 No pain Or According to VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesics

135 तारअफद (स) ऩदमाकाय तारभधम

शोपम (Swelling

like shape of lotus )

0 No swelling

1 Swelling in 13rd part of the palate

2 2 Swelling in 23rd part of palate

3 3 Swelling in gt 23rd part of palate

136 भाससङघात (स) नीरज (Painless) 0 Absent

1 Present

53

Code Signs amp Symptoms Score Gradations Remarks

शोप 0 No swelling

1 Swelling in 13rd part of the palate

2 Swelling in 23rd part of palate

3 Swelling in gt 23rd part of palate

137 तारऩपऩि (स) नीरक (Painless) 0 Absent

1 Present

कोरभातर

Swelling having size of Kola fruit

0 Absent

1 Present

138 तारशोष (स)

शोष (Dryness) 0 No dryness

1 Dryness decreased after drinking water

2 Patient needs water frequently

3 Dryness persist after dinking profuse water

दायण (Tearing of palate)

0 Absent

1 Present

शवास (Difficulty in

breathing)

0 No difficulty in breathing Here difficulty in breathing is due to obstruction

1 Difficulty in breathing occasionally

2 More difficulty in breathing while sleeping position

3 Excessive difficulty in breathing

जजवय(अहर) (Fever) 0 Normal temperature

1 Temperature between 984rsquoF to 100rsquoF

Temperature between 100rsquoF to 101rsquoF

2 Temperature between 101rsquoF to 102rsquoF

3 Temperature between 102rsquoF to 103rsquoF

4 Temperature between 103rsquoF to 104rsquoF

5 Temperature more than 104rsquoF

54

Code Signs amp Symptoms Score Gradations Remarks

139 तारऩाक (स) ऩाक (Suppuration) 0 No swelling or suppuration

1 Inflammation of palate with pain and tenderness

2 Inflammation of palate with different types of pain and tenderness with induration

3 Pus formation and fluctuation positive

1310 तारपऩटिका (अहर) तारभास पऩटिका

Follicles in palate flesh

0 No follicles

1 13 palate covered with follicles

2 23 palate covered with follicles

3 More than 23 palate covered with follicles

रज(अहर) (Pain) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

Occasional pain

खयता(अहर) (Roughness)

0 Smooth on touch

1 Mild irregular surface on touch

2 Rough surface

3 Sharp rough surface which hurts on finger on touch

घनसराव(अहर) (Thick discharge)

0 No discharge

1 Occasional discharge

2 Off and on thick discharge

3 Continuous thick discharge

1311 तारसहतत (अहर) तारभधम तनरक (अहर) =Painless fleshy growth in palate

Only तारभधम तनरक indicates the place and quality of growth both the symptoms can be

merged

55

Code Signs amp Symptoms Score Gradations Remarks

तनरक (Painless) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

भाससहत

(Fleshy growth in palate)

0 No fleshy growth

1 Fleshy growth in 13 part of the palate Swelling

2 Fleshy growth in 23 part of palate swelling

3 Fleshy growth in more than 23 part of palate

56

GRADATION OF SARVASAR ROG

Code - 15

Established by Group BHOJ Dr Krishna Makaia ndash Convener

Dr Rajeshree Unadkat Dr Neelam Dave

Dr Ronakgiri Gosai Dr Jignesh Virapariya

Reviewed by Dr Vijayant Bharadwaj

Edited by Prof Vd Hāridra Dave

57

Code Signs amp Symptoms Score Gradations Remarks

151 वातजसवसय (स) सपोि (Ulcers) 0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

तोद = Pricking pain 0 No pricking pain Or According to VAS

1 Occasional pricking pain

2 Off and on pricking pain

3 Continuous pricking pain

Or

0 No pricking pain

1 Sometimes mild pricking pain

2 Has to take analgesic while pricking pain

सिारयण(अहर) This symptom is for सवसय so this सवसय is the nature of सिारय

0 No movement of सवसय

1 Movement of सवसय is once in a week

2 Movement of सवसय is once in three to four days

3 Movement of सवसय is at every alternate day

4 Movement of सवसय is once in a day

अरण (अहर) Reddish discoloration

0 Colour of वरण is same with colour of surrounding area

1 Colour of वरण is Reddish

2 Colour of वरण is Dark Red

3 Colour of वरण is Reddish black

र (अहर) Dryness 0 वरण is Moist

-No dryness of वरण

1 वरण Needs lubrication once a day

2 वरण Needs frequent lubrication in

a day

3 No benefit with frequent

lubrication of वरण

तामरता (अहर) (Coppery

0 Colour of वरणौषठ is same with colour of surrounding area

58

Code Signs amp Symptoms Score Gradations Remarks

discoloration) This symptom is for

वरणौषठ

1 Colour of वरणौषठ is Tamra Varna

चऱतवचा (अहर) (Free mucous membrane) This symptom is for

वरणौषठ

0

Movement of वरणौषठ is on touch

only

1 Movement of वरणौषठ can be seen by naked eye means without touch

शीतासहा (अहर) (Intolerance to cold) This symptom is for

जजहवा

0 No Intolerance of cold to जजहवा

1 Intolerance of severe cold to जजहवा

2 Intolerance of moderate cold to जजहवा

3 Intolerance of Mild cold to जजहवा

गवी (Heaviness)

This symptom is for

जजहवा

0 No Heaviness

1 Mild heaviness with no difficulty

in movement of जजहवा

2 Moderate heaviness with

difficulty in Movement of जजहवा

3 Sever heaviness with bending down of

सफटटता (अहर) (Ulcer)

0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

कणटाकाधचता (अहर) = Thorn like

appearance

0 No change in appearance

59

Code Signs amp Symptoms Score Gradations Remarks

1 13 part of oral mucous membrane covered with red fleshy thorn like papillae

2 23 part of oral mucous membrane covered with red fleshy thorn like papillae

3 gt23 part of oral mucous membrane covered with red fleshy thorn like papillae

षववणोतत कचछरणमखम (अहर) (Difficulty in mouth opening)

0 Mouth opening more than 3 fingers without difficulty

1 2 to 3 fingers opening of mouth with or without difficulty

2 1 to 2 fingers opening of mouth with or without difficulty

3 Less than 1 finger opening of mouth with or without difficulty

152 पऩतमत(यकतज)सवसय (स) Signs and Symptoms of यकतज सवसय are same as of पऩतमत सवसय so no separate gradations are mentioned

यकतता (Redness) 0 Colour of सवसय- वरण is similar with

surrounding mucous membrane

1 Reddish Colour of सवसय- वरण

2 Bright red Colour of सवसय- वरण

3 Dark red Colour of सवसय- वरण

सदाह (Burning

Sensation)

0 No burning in सवसय- वरण Or According to

VAS

1 Occasional burning in सवसय- वरण

2 Intermittent burning in सवसय- वरण

3 Contentious burning in सवसय- वरण

which does not relive by any measures

तन (तनसब) (Shallow superficial ulcers)

0 No ulcer

1 Ulcer having depth of 05-1 mm

2 Ulcer having depth of 1 ndash 15 mm

3 Ulcer having depth of 15 -2 mm

60

Code Signs amp Symptoms Score Gradations Remarks

ओष (अहर) 0 No (ओष) burning in सवसय- वरण

1 Occasional (ओष) burning in

सवसय- वरण

2 Intermittent (ओष) burning in

सवसय- वरण

3 Contentious (ओष) burning in

सवसय- वरण which does not relive

by any measures

ततकतवकरता (अहर) (Bitter taste in mouth)

0 No alteration in taste

1 Occasionally bitter taste felt in mouth without having any bitter substance

2 Off and on bitter taste felt in mouth without having any bitter substance

3 Continuous bitter taste felt in mouth without having any bitter substance

ारोकषतत समावरणा (अहर)

0 No Ulcer

(Ulcers looking like chemical burns)

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

153 कपज सवसय (स) कणड (Itching) 0 No itching Or According to

VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Unable to work due to itching

0r

0 No itching

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate on work due to severe itching

रजा (Pain)

(अलऩ रजा) 0 No pain Or According to

VAS

1 Occasional pain

61

Code Signs amp Symptoms Score Gradations Remarks

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain This condition should be considered as अलऩ रजा

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

सवणण 0 Colour of वरण is same with colour of near by tissue

1 Colour of वरण is not same with colour of near by tissue

मररासयतवम (अहर) (Sweet taste in mouth)

0 No alteration in taste

1 Occasionally sweet taste felt without eating any sweet substance

2 Off and on Sweet taste Occasionally sweet taste felt without eating any sweet substance

3 Continuous sweet taste Occasionally sweet taste felt without eating any sweet substance

षपजचछिऱता (अहर) (Unctuousness)

0 Absent

1 Present

वरण 0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

154 कफाबभद (अहर) शयाव अबभदम

(शयावपाणडऽबभदम) 0 Colour of growthtumour is same

the colour of surrounding skin

1 Colour of growthtumour is शयाव

(Blackish)

62

Code Signs amp Symptoms Score Gradations Remarks

पाणड अबभदम (शयावपाणडऽबभदम)

0 Colour of growthtumour is same the colour of surrounding skin

1 Colour of growthtumour is पाणड

(Pale)

अबभदम 0 No GrowthTumour TNM Classification for tumours can be applied for growth

1 Growthtumour having sizelt 10 mm

2 Growthtumour having size 10 mm to 20 mm

3 Growthtumour having size gt 20 mm

घटिता तिनना मटदता च षववरभत (Size increases on rubbing cutting and squeezing)

0 Size of GrowthTumour is not increasing by rubbing cutting or squeezing

1 Size of GrowthTumour is increasing up to 10 mm by rubbing cutting or squeezing within a month

2 Size of GrowthTumour is increasing up to 20 mm by rubbing cutting or squeezing within a month

3 Size of GrowthTumour is increasing up to 30 mm by rubbing cutting or squeezing within a month

4 Size of GrowthTumour is increasing up to 40 mm by rubbing cutting or squeezing within a month

155 ऊरधवभगद (अहर) वकतरदौगनधम

(Halitosis)

0 No Halitosis

1 Halitosis is feel by Patient only

2 Halitosis is feel by Patient and examining Doctor only

3 Halitosis is feel by any person from the distance from 5 meters

63

Code Signs amp Symptoms Score Gradations Remarks

4 Halitosis is feel by any person from the distance from more than 5 meters

156 पततवकर (अहर) ऩतममासमता

(Halitosis)

0 No Halitosis

1 Halitosis is feel by Patient only

2 Halitosis is feel by Patient and examining Doctor only

3 Halitosis is feel by any person from the distance from 5 meters

4 Halitosis is feel by any person from the distance from more than 5 meters

157 सतनऩाततक सवसय (अहर) This disease occurs due to aggravation of all three doshas including Rakta Clinical presentation of this disease is found as mixed picture according prominent aggravation of dosha and signs and symptoms will be observed accordingly Gradations should be considered accordingly so it is not required to repeat here

helliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip

Page 52: THE GRADATIONS OF DISEASES OF SHALAKYA TANTRA - PART …theassociationofshalaki.com/downloads/GRADATIONS_OF_DISEASE… · 12.05.2019  · I am also very much thankful to Dr Sandhya

51

Code Signs amp Symptoms Score Gradations Remarks

2 23 swelling in part of palate

3 Swelling in gt than 23 part of palate

सतबधता =Functions of soft palate like deglutition Phonation etc are affected = No mobility of soft palate

0 Normal function of soft palate

1 Soft palate movement reduced but functions are not affected

2 Any one of the functions of soft palate is affected

3 All functions of soft palate are affected

रोटहतवणता

(Redness)

0 No change in colour

1 Pinkish red coloured mucosa in palate

2 Red coloured mucosa in palate

3 Dark red coloured mucosa in palate

रजा (Pain) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

जजवय (Fever) 0 Normal temperature

1 Temperature between 984rsquoF to 100rsquoF

Temperature between 100rsquoF to 101rsquoF

2 Temperature between 101rsquoF to 102rsquoF

3 Temperature between 102rsquoF to 103rsquoF

52

Code Signs amp Symptoms Score Gradations Remarks

4 Temperature between 103rsquoF to 104rsquoF

5 Temperature more than 104rsquoF

134 कछिऩ (स)

कभवत उतमसनन शोप (Swelling

having shape like dorsum of tortoise)

0 No swelling

1 Swelling in 13rd part of the palate

2 Swelling in 23rd part of palate

3 Swelling in gt 23rd part of palate

चियवपदध(अहर)

(Slow growth)

0 Growth within a week

1 Growth within 1 week to 1 month

2 Growth within 1 month to 6 months

3 Growth within gt 6 months

रक (अहर) (Pain) 0 No pain Or According to VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesics

135 तारअफद (स) ऩदमाकाय तारभधम

शोपम (Swelling

like shape of lotus )

0 No swelling

1 Swelling in 13rd part of the palate

2 2 Swelling in 23rd part of palate

3 3 Swelling in gt 23rd part of palate

136 भाससङघात (स) नीरज (Painless) 0 Absent

1 Present

53

Code Signs amp Symptoms Score Gradations Remarks

शोप 0 No swelling

1 Swelling in 13rd part of the palate

2 Swelling in 23rd part of palate

3 Swelling in gt 23rd part of palate

137 तारऩपऩि (स) नीरक (Painless) 0 Absent

1 Present

कोरभातर

Swelling having size of Kola fruit

0 Absent

1 Present

138 तारशोष (स)

शोष (Dryness) 0 No dryness

1 Dryness decreased after drinking water

2 Patient needs water frequently

3 Dryness persist after dinking profuse water

दायण (Tearing of palate)

0 Absent

1 Present

शवास (Difficulty in

breathing)

0 No difficulty in breathing Here difficulty in breathing is due to obstruction

1 Difficulty in breathing occasionally

2 More difficulty in breathing while sleeping position

3 Excessive difficulty in breathing

जजवय(अहर) (Fever) 0 Normal temperature

1 Temperature between 984rsquoF to 100rsquoF

Temperature between 100rsquoF to 101rsquoF

2 Temperature between 101rsquoF to 102rsquoF

3 Temperature between 102rsquoF to 103rsquoF

4 Temperature between 103rsquoF to 104rsquoF

5 Temperature more than 104rsquoF

54

Code Signs amp Symptoms Score Gradations Remarks

139 तारऩाक (स) ऩाक (Suppuration) 0 No swelling or suppuration

1 Inflammation of palate with pain and tenderness

2 Inflammation of palate with different types of pain and tenderness with induration

3 Pus formation and fluctuation positive

1310 तारपऩटिका (अहर) तारभास पऩटिका

Follicles in palate flesh

0 No follicles

1 13 palate covered with follicles

2 23 palate covered with follicles

3 More than 23 palate covered with follicles

रज(अहर) (Pain) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

Occasional pain

खयता(अहर) (Roughness)

0 Smooth on touch

1 Mild irregular surface on touch

2 Rough surface

3 Sharp rough surface which hurts on finger on touch

घनसराव(अहर) (Thick discharge)

0 No discharge

1 Occasional discharge

2 Off and on thick discharge

3 Continuous thick discharge

1311 तारसहतत (अहर) तारभधम तनरक (अहर) =Painless fleshy growth in palate

Only तारभधम तनरक indicates the place and quality of growth both the symptoms can be

merged

55

Code Signs amp Symptoms Score Gradations Remarks

तनरक (Painless) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

भाससहत

(Fleshy growth in palate)

0 No fleshy growth

1 Fleshy growth in 13 part of the palate Swelling

2 Fleshy growth in 23 part of palate swelling

3 Fleshy growth in more than 23 part of palate

56

GRADATION OF SARVASAR ROG

Code - 15

Established by Group BHOJ Dr Krishna Makaia ndash Convener

Dr Rajeshree Unadkat Dr Neelam Dave

Dr Ronakgiri Gosai Dr Jignesh Virapariya

Reviewed by Dr Vijayant Bharadwaj

Edited by Prof Vd Hāridra Dave

57

Code Signs amp Symptoms Score Gradations Remarks

151 वातजसवसय (स) सपोि (Ulcers) 0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

तोद = Pricking pain 0 No pricking pain Or According to VAS

1 Occasional pricking pain

2 Off and on pricking pain

3 Continuous pricking pain

Or

0 No pricking pain

1 Sometimes mild pricking pain

2 Has to take analgesic while pricking pain

सिारयण(अहर) This symptom is for सवसय so this सवसय is the nature of सिारय

0 No movement of सवसय

1 Movement of सवसय is once in a week

2 Movement of सवसय is once in three to four days

3 Movement of सवसय is at every alternate day

4 Movement of सवसय is once in a day

अरण (अहर) Reddish discoloration

0 Colour of वरण is same with colour of surrounding area

1 Colour of वरण is Reddish

2 Colour of वरण is Dark Red

3 Colour of वरण is Reddish black

र (अहर) Dryness 0 वरण is Moist

-No dryness of वरण

1 वरण Needs lubrication once a day

2 वरण Needs frequent lubrication in

a day

3 No benefit with frequent

lubrication of वरण

तामरता (अहर) (Coppery

0 Colour of वरणौषठ is same with colour of surrounding area

58

Code Signs amp Symptoms Score Gradations Remarks

discoloration) This symptom is for

वरणौषठ

1 Colour of वरणौषठ is Tamra Varna

चऱतवचा (अहर) (Free mucous membrane) This symptom is for

वरणौषठ

0

Movement of वरणौषठ is on touch

only

1 Movement of वरणौषठ can be seen by naked eye means without touch

शीतासहा (अहर) (Intolerance to cold) This symptom is for

जजहवा

0 No Intolerance of cold to जजहवा

1 Intolerance of severe cold to जजहवा

2 Intolerance of moderate cold to जजहवा

3 Intolerance of Mild cold to जजहवा

गवी (Heaviness)

This symptom is for

जजहवा

0 No Heaviness

1 Mild heaviness with no difficulty

in movement of जजहवा

2 Moderate heaviness with

difficulty in Movement of जजहवा

3 Sever heaviness with bending down of

सफटटता (अहर) (Ulcer)

0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

कणटाकाधचता (अहर) = Thorn like

appearance

0 No change in appearance

59

Code Signs amp Symptoms Score Gradations Remarks

1 13 part of oral mucous membrane covered with red fleshy thorn like papillae

2 23 part of oral mucous membrane covered with red fleshy thorn like papillae

3 gt23 part of oral mucous membrane covered with red fleshy thorn like papillae

षववणोतत कचछरणमखम (अहर) (Difficulty in mouth opening)

0 Mouth opening more than 3 fingers without difficulty

1 2 to 3 fingers opening of mouth with or without difficulty

2 1 to 2 fingers opening of mouth with or without difficulty

3 Less than 1 finger opening of mouth with or without difficulty

152 पऩतमत(यकतज)सवसय (स) Signs and Symptoms of यकतज सवसय are same as of पऩतमत सवसय so no separate gradations are mentioned

यकतता (Redness) 0 Colour of सवसय- वरण is similar with

surrounding mucous membrane

1 Reddish Colour of सवसय- वरण

2 Bright red Colour of सवसय- वरण

3 Dark red Colour of सवसय- वरण

सदाह (Burning

Sensation)

0 No burning in सवसय- वरण Or According to

VAS

1 Occasional burning in सवसय- वरण

2 Intermittent burning in सवसय- वरण

3 Contentious burning in सवसय- वरण

which does not relive by any measures

तन (तनसब) (Shallow superficial ulcers)

0 No ulcer

1 Ulcer having depth of 05-1 mm

2 Ulcer having depth of 1 ndash 15 mm

3 Ulcer having depth of 15 -2 mm

60

Code Signs amp Symptoms Score Gradations Remarks

ओष (अहर) 0 No (ओष) burning in सवसय- वरण

1 Occasional (ओष) burning in

सवसय- वरण

2 Intermittent (ओष) burning in

सवसय- वरण

3 Contentious (ओष) burning in

सवसय- वरण which does not relive

by any measures

ततकतवकरता (अहर) (Bitter taste in mouth)

0 No alteration in taste

1 Occasionally bitter taste felt in mouth without having any bitter substance

2 Off and on bitter taste felt in mouth without having any bitter substance

3 Continuous bitter taste felt in mouth without having any bitter substance

ारोकषतत समावरणा (अहर)

0 No Ulcer

(Ulcers looking like chemical burns)

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

153 कपज सवसय (स) कणड (Itching) 0 No itching Or According to

VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Unable to work due to itching

0r

0 No itching

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate on work due to severe itching

रजा (Pain)

(अलऩ रजा) 0 No pain Or According to

VAS

1 Occasional pain

61

Code Signs amp Symptoms Score Gradations Remarks

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain This condition should be considered as अलऩ रजा

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

सवणण 0 Colour of वरण is same with colour of near by tissue

1 Colour of वरण is not same with colour of near by tissue

मररासयतवम (अहर) (Sweet taste in mouth)

0 No alteration in taste

1 Occasionally sweet taste felt without eating any sweet substance

2 Off and on Sweet taste Occasionally sweet taste felt without eating any sweet substance

3 Continuous sweet taste Occasionally sweet taste felt without eating any sweet substance

षपजचछिऱता (अहर) (Unctuousness)

0 Absent

1 Present

वरण 0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

154 कफाबभद (अहर) शयाव अबभदम

(शयावपाणडऽबभदम) 0 Colour of growthtumour is same

the colour of surrounding skin

1 Colour of growthtumour is शयाव

(Blackish)

62

Code Signs amp Symptoms Score Gradations Remarks

पाणड अबभदम (शयावपाणडऽबभदम)

0 Colour of growthtumour is same the colour of surrounding skin

1 Colour of growthtumour is पाणड

(Pale)

अबभदम 0 No GrowthTumour TNM Classification for tumours can be applied for growth

1 Growthtumour having sizelt 10 mm

2 Growthtumour having size 10 mm to 20 mm

3 Growthtumour having size gt 20 mm

घटिता तिनना मटदता च षववरभत (Size increases on rubbing cutting and squeezing)

0 Size of GrowthTumour is not increasing by rubbing cutting or squeezing

1 Size of GrowthTumour is increasing up to 10 mm by rubbing cutting or squeezing within a month

2 Size of GrowthTumour is increasing up to 20 mm by rubbing cutting or squeezing within a month

3 Size of GrowthTumour is increasing up to 30 mm by rubbing cutting or squeezing within a month

4 Size of GrowthTumour is increasing up to 40 mm by rubbing cutting or squeezing within a month

155 ऊरधवभगद (अहर) वकतरदौगनधम

(Halitosis)

0 No Halitosis

1 Halitosis is feel by Patient only

2 Halitosis is feel by Patient and examining Doctor only

3 Halitosis is feel by any person from the distance from 5 meters

63

Code Signs amp Symptoms Score Gradations Remarks

4 Halitosis is feel by any person from the distance from more than 5 meters

156 पततवकर (अहर) ऩतममासमता

(Halitosis)

0 No Halitosis

1 Halitosis is feel by Patient only

2 Halitosis is feel by Patient and examining Doctor only

3 Halitosis is feel by any person from the distance from 5 meters

4 Halitosis is feel by any person from the distance from more than 5 meters

157 सतनऩाततक सवसय (अहर) This disease occurs due to aggravation of all three doshas including Rakta Clinical presentation of this disease is found as mixed picture according prominent aggravation of dosha and signs and symptoms will be observed accordingly Gradations should be considered accordingly so it is not required to repeat here

helliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip

Page 53: THE GRADATIONS OF DISEASES OF SHALAKYA TANTRA - PART …theassociationofshalaki.com/downloads/GRADATIONS_OF_DISEASE… · 12.05.2019  · I am also very much thankful to Dr Sandhya

52

Code Signs amp Symptoms Score Gradations Remarks

4 Temperature between 103rsquoF to 104rsquoF

5 Temperature more than 104rsquoF

134 कछिऩ (स)

कभवत उतमसनन शोप (Swelling

having shape like dorsum of tortoise)

0 No swelling

1 Swelling in 13rd part of the palate

2 Swelling in 23rd part of palate

3 Swelling in gt 23rd part of palate

चियवपदध(अहर)

(Slow growth)

0 Growth within a week

1 Growth within 1 week to 1 month

2 Growth within 1 month to 6 months

3 Growth within gt 6 months

रक (अहर) (Pain) 0 No pain Or According to VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesics

135 तारअफद (स) ऩदमाकाय तारभधम

शोपम (Swelling

like shape of lotus )

0 No swelling

1 Swelling in 13rd part of the palate

2 2 Swelling in 23rd part of palate

3 3 Swelling in gt 23rd part of palate

136 भाससङघात (स) नीरज (Painless) 0 Absent

1 Present

53

Code Signs amp Symptoms Score Gradations Remarks

शोप 0 No swelling

1 Swelling in 13rd part of the palate

2 Swelling in 23rd part of palate

3 Swelling in gt 23rd part of palate

137 तारऩपऩि (स) नीरक (Painless) 0 Absent

1 Present

कोरभातर

Swelling having size of Kola fruit

0 Absent

1 Present

138 तारशोष (स)

शोष (Dryness) 0 No dryness

1 Dryness decreased after drinking water

2 Patient needs water frequently

3 Dryness persist after dinking profuse water

दायण (Tearing of palate)

0 Absent

1 Present

शवास (Difficulty in

breathing)

0 No difficulty in breathing Here difficulty in breathing is due to obstruction

1 Difficulty in breathing occasionally

2 More difficulty in breathing while sleeping position

3 Excessive difficulty in breathing

जजवय(अहर) (Fever) 0 Normal temperature

1 Temperature between 984rsquoF to 100rsquoF

Temperature between 100rsquoF to 101rsquoF

2 Temperature between 101rsquoF to 102rsquoF

3 Temperature between 102rsquoF to 103rsquoF

4 Temperature between 103rsquoF to 104rsquoF

5 Temperature more than 104rsquoF

54

Code Signs amp Symptoms Score Gradations Remarks

139 तारऩाक (स) ऩाक (Suppuration) 0 No swelling or suppuration

1 Inflammation of palate with pain and tenderness

2 Inflammation of palate with different types of pain and tenderness with induration

3 Pus formation and fluctuation positive

1310 तारपऩटिका (अहर) तारभास पऩटिका

Follicles in palate flesh

0 No follicles

1 13 palate covered with follicles

2 23 palate covered with follicles

3 More than 23 palate covered with follicles

रज(अहर) (Pain) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

Occasional pain

खयता(अहर) (Roughness)

0 Smooth on touch

1 Mild irregular surface on touch

2 Rough surface

3 Sharp rough surface which hurts on finger on touch

घनसराव(अहर) (Thick discharge)

0 No discharge

1 Occasional discharge

2 Off and on thick discharge

3 Continuous thick discharge

1311 तारसहतत (अहर) तारभधम तनरक (अहर) =Painless fleshy growth in palate

Only तारभधम तनरक indicates the place and quality of growth both the symptoms can be

merged

55

Code Signs amp Symptoms Score Gradations Remarks

तनरक (Painless) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

भाससहत

(Fleshy growth in palate)

0 No fleshy growth

1 Fleshy growth in 13 part of the palate Swelling

2 Fleshy growth in 23 part of palate swelling

3 Fleshy growth in more than 23 part of palate

56

GRADATION OF SARVASAR ROG

Code - 15

Established by Group BHOJ Dr Krishna Makaia ndash Convener

Dr Rajeshree Unadkat Dr Neelam Dave

Dr Ronakgiri Gosai Dr Jignesh Virapariya

Reviewed by Dr Vijayant Bharadwaj

Edited by Prof Vd Hāridra Dave

57

Code Signs amp Symptoms Score Gradations Remarks

151 वातजसवसय (स) सपोि (Ulcers) 0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

तोद = Pricking pain 0 No pricking pain Or According to VAS

1 Occasional pricking pain

2 Off and on pricking pain

3 Continuous pricking pain

Or

0 No pricking pain

1 Sometimes mild pricking pain

2 Has to take analgesic while pricking pain

सिारयण(अहर) This symptom is for सवसय so this सवसय is the nature of सिारय

0 No movement of सवसय

1 Movement of सवसय is once in a week

2 Movement of सवसय is once in three to four days

3 Movement of सवसय is at every alternate day

4 Movement of सवसय is once in a day

अरण (अहर) Reddish discoloration

0 Colour of वरण is same with colour of surrounding area

1 Colour of वरण is Reddish

2 Colour of वरण is Dark Red

3 Colour of वरण is Reddish black

र (अहर) Dryness 0 वरण is Moist

-No dryness of वरण

1 वरण Needs lubrication once a day

2 वरण Needs frequent lubrication in

a day

3 No benefit with frequent

lubrication of वरण

तामरता (अहर) (Coppery

0 Colour of वरणौषठ is same with colour of surrounding area

58

Code Signs amp Symptoms Score Gradations Remarks

discoloration) This symptom is for

वरणौषठ

1 Colour of वरणौषठ is Tamra Varna

चऱतवचा (अहर) (Free mucous membrane) This symptom is for

वरणौषठ

0

Movement of वरणौषठ is on touch

only

1 Movement of वरणौषठ can be seen by naked eye means without touch

शीतासहा (अहर) (Intolerance to cold) This symptom is for

जजहवा

0 No Intolerance of cold to जजहवा

1 Intolerance of severe cold to जजहवा

2 Intolerance of moderate cold to जजहवा

3 Intolerance of Mild cold to जजहवा

गवी (Heaviness)

This symptom is for

जजहवा

0 No Heaviness

1 Mild heaviness with no difficulty

in movement of जजहवा

2 Moderate heaviness with

difficulty in Movement of जजहवा

3 Sever heaviness with bending down of

सफटटता (अहर) (Ulcer)

0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

कणटाकाधचता (अहर) = Thorn like

appearance

0 No change in appearance

59

Code Signs amp Symptoms Score Gradations Remarks

1 13 part of oral mucous membrane covered with red fleshy thorn like papillae

2 23 part of oral mucous membrane covered with red fleshy thorn like papillae

3 gt23 part of oral mucous membrane covered with red fleshy thorn like papillae

षववणोतत कचछरणमखम (अहर) (Difficulty in mouth opening)

0 Mouth opening more than 3 fingers without difficulty

1 2 to 3 fingers opening of mouth with or without difficulty

2 1 to 2 fingers opening of mouth with or without difficulty

3 Less than 1 finger opening of mouth with or without difficulty

152 पऩतमत(यकतज)सवसय (स) Signs and Symptoms of यकतज सवसय are same as of पऩतमत सवसय so no separate gradations are mentioned

यकतता (Redness) 0 Colour of सवसय- वरण is similar with

surrounding mucous membrane

1 Reddish Colour of सवसय- वरण

2 Bright red Colour of सवसय- वरण

3 Dark red Colour of सवसय- वरण

सदाह (Burning

Sensation)

0 No burning in सवसय- वरण Or According to

VAS

1 Occasional burning in सवसय- वरण

2 Intermittent burning in सवसय- वरण

3 Contentious burning in सवसय- वरण

which does not relive by any measures

तन (तनसब) (Shallow superficial ulcers)

0 No ulcer

1 Ulcer having depth of 05-1 mm

2 Ulcer having depth of 1 ndash 15 mm

3 Ulcer having depth of 15 -2 mm

60

Code Signs amp Symptoms Score Gradations Remarks

ओष (अहर) 0 No (ओष) burning in सवसय- वरण

1 Occasional (ओष) burning in

सवसय- वरण

2 Intermittent (ओष) burning in

सवसय- वरण

3 Contentious (ओष) burning in

सवसय- वरण which does not relive

by any measures

ततकतवकरता (अहर) (Bitter taste in mouth)

0 No alteration in taste

1 Occasionally bitter taste felt in mouth without having any bitter substance

2 Off and on bitter taste felt in mouth without having any bitter substance

3 Continuous bitter taste felt in mouth without having any bitter substance

ारोकषतत समावरणा (अहर)

0 No Ulcer

(Ulcers looking like chemical burns)

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

153 कपज सवसय (स) कणड (Itching) 0 No itching Or According to

VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Unable to work due to itching

0r

0 No itching

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate on work due to severe itching

रजा (Pain)

(अलऩ रजा) 0 No pain Or According to

VAS

1 Occasional pain

61

Code Signs amp Symptoms Score Gradations Remarks

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain This condition should be considered as अलऩ रजा

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

सवणण 0 Colour of वरण is same with colour of near by tissue

1 Colour of वरण is not same with colour of near by tissue

मररासयतवम (अहर) (Sweet taste in mouth)

0 No alteration in taste

1 Occasionally sweet taste felt without eating any sweet substance

2 Off and on Sweet taste Occasionally sweet taste felt without eating any sweet substance

3 Continuous sweet taste Occasionally sweet taste felt without eating any sweet substance

षपजचछिऱता (अहर) (Unctuousness)

0 Absent

1 Present

वरण 0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

154 कफाबभद (अहर) शयाव अबभदम

(शयावपाणडऽबभदम) 0 Colour of growthtumour is same

the colour of surrounding skin

1 Colour of growthtumour is शयाव

(Blackish)

62

Code Signs amp Symptoms Score Gradations Remarks

पाणड अबभदम (शयावपाणडऽबभदम)

0 Colour of growthtumour is same the colour of surrounding skin

1 Colour of growthtumour is पाणड

(Pale)

अबभदम 0 No GrowthTumour TNM Classification for tumours can be applied for growth

1 Growthtumour having sizelt 10 mm

2 Growthtumour having size 10 mm to 20 mm

3 Growthtumour having size gt 20 mm

घटिता तिनना मटदता च षववरभत (Size increases on rubbing cutting and squeezing)

0 Size of GrowthTumour is not increasing by rubbing cutting or squeezing

1 Size of GrowthTumour is increasing up to 10 mm by rubbing cutting or squeezing within a month

2 Size of GrowthTumour is increasing up to 20 mm by rubbing cutting or squeezing within a month

3 Size of GrowthTumour is increasing up to 30 mm by rubbing cutting or squeezing within a month

4 Size of GrowthTumour is increasing up to 40 mm by rubbing cutting or squeezing within a month

155 ऊरधवभगद (अहर) वकतरदौगनधम

(Halitosis)

0 No Halitosis

1 Halitosis is feel by Patient only

2 Halitosis is feel by Patient and examining Doctor only

3 Halitosis is feel by any person from the distance from 5 meters

63

Code Signs amp Symptoms Score Gradations Remarks

4 Halitosis is feel by any person from the distance from more than 5 meters

156 पततवकर (अहर) ऩतममासमता

(Halitosis)

0 No Halitosis

1 Halitosis is feel by Patient only

2 Halitosis is feel by Patient and examining Doctor only

3 Halitosis is feel by any person from the distance from 5 meters

4 Halitosis is feel by any person from the distance from more than 5 meters

157 सतनऩाततक सवसय (अहर) This disease occurs due to aggravation of all three doshas including Rakta Clinical presentation of this disease is found as mixed picture according prominent aggravation of dosha and signs and symptoms will be observed accordingly Gradations should be considered accordingly so it is not required to repeat here

helliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip

Page 54: THE GRADATIONS OF DISEASES OF SHALAKYA TANTRA - PART …theassociationofshalaki.com/downloads/GRADATIONS_OF_DISEASE… · 12.05.2019  · I am also very much thankful to Dr Sandhya

53

Code Signs amp Symptoms Score Gradations Remarks

शोप 0 No swelling

1 Swelling in 13rd part of the palate

2 Swelling in 23rd part of palate

3 Swelling in gt 23rd part of palate

137 तारऩपऩि (स) नीरक (Painless) 0 Absent

1 Present

कोरभातर

Swelling having size of Kola fruit

0 Absent

1 Present

138 तारशोष (स)

शोष (Dryness) 0 No dryness

1 Dryness decreased after drinking water

2 Patient needs water frequently

3 Dryness persist after dinking profuse water

दायण (Tearing of palate)

0 Absent

1 Present

शवास (Difficulty in

breathing)

0 No difficulty in breathing Here difficulty in breathing is due to obstruction

1 Difficulty in breathing occasionally

2 More difficulty in breathing while sleeping position

3 Excessive difficulty in breathing

जजवय(अहर) (Fever) 0 Normal temperature

1 Temperature between 984rsquoF to 100rsquoF

Temperature between 100rsquoF to 101rsquoF

2 Temperature between 101rsquoF to 102rsquoF

3 Temperature between 102rsquoF to 103rsquoF

4 Temperature between 103rsquoF to 104rsquoF

5 Temperature more than 104rsquoF

54

Code Signs amp Symptoms Score Gradations Remarks

139 तारऩाक (स) ऩाक (Suppuration) 0 No swelling or suppuration

1 Inflammation of palate with pain and tenderness

2 Inflammation of palate with different types of pain and tenderness with induration

3 Pus formation and fluctuation positive

1310 तारपऩटिका (अहर) तारभास पऩटिका

Follicles in palate flesh

0 No follicles

1 13 palate covered with follicles

2 23 palate covered with follicles

3 More than 23 palate covered with follicles

रज(अहर) (Pain) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

Occasional pain

खयता(अहर) (Roughness)

0 Smooth on touch

1 Mild irregular surface on touch

2 Rough surface

3 Sharp rough surface which hurts on finger on touch

घनसराव(अहर) (Thick discharge)

0 No discharge

1 Occasional discharge

2 Off and on thick discharge

3 Continuous thick discharge

1311 तारसहतत (अहर) तारभधम तनरक (अहर) =Painless fleshy growth in palate

Only तारभधम तनरक indicates the place and quality of growth both the symptoms can be

merged

55

Code Signs amp Symptoms Score Gradations Remarks

तनरक (Painless) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

भाससहत

(Fleshy growth in palate)

0 No fleshy growth

1 Fleshy growth in 13 part of the palate Swelling

2 Fleshy growth in 23 part of palate swelling

3 Fleshy growth in more than 23 part of palate

56

GRADATION OF SARVASAR ROG

Code - 15

Established by Group BHOJ Dr Krishna Makaia ndash Convener

Dr Rajeshree Unadkat Dr Neelam Dave

Dr Ronakgiri Gosai Dr Jignesh Virapariya

Reviewed by Dr Vijayant Bharadwaj

Edited by Prof Vd Hāridra Dave

57

Code Signs amp Symptoms Score Gradations Remarks

151 वातजसवसय (स) सपोि (Ulcers) 0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

तोद = Pricking pain 0 No pricking pain Or According to VAS

1 Occasional pricking pain

2 Off and on pricking pain

3 Continuous pricking pain

Or

0 No pricking pain

1 Sometimes mild pricking pain

2 Has to take analgesic while pricking pain

सिारयण(अहर) This symptom is for सवसय so this सवसय is the nature of सिारय

0 No movement of सवसय

1 Movement of सवसय is once in a week

2 Movement of सवसय is once in three to four days

3 Movement of सवसय is at every alternate day

4 Movement of सवसय is once in a day

अरण (अहर) Reddish discoloration

0 Colour of वरण is same with colour of surrounding area

1 Colour of वरण is Reddish

2 Colour of वरण is Dark Red

3 Colour of वरण is Reddish black

र (अहर) Dryness 0 वरण is Moist

-No dryness of वरण

1 वरण Needs lubrication once a day

2 वरण Needs frequent lubrication in

a day

3 No benefit with frequent

lubrication of वरण

तामरता (अहर) (Coppery

0 Colour of वरणौषठ is same with colour of surrounding area

58

Code Signs amp Symptoms Score Gradations Remarks

discoloration) This symptom is for

वरणौषठ

1 Colour of वरणौषठ is Tamra Varna

चऱतवचा (अहर) (Free mucous membrane) This symptom is for

वरणौषठ

0

Movement of वरणौषठ is on touch

only

1 Movement of वरणौषठ can be seen by naked eye means without touch

शीतासहा (अहर) (Intolerance to cold) This symptom is for

जजहवा

0 No Intolerance of cold to जजहवा

1 Intolerance of severe cold to जजहवा

2 Intolerance of moderate cold to जजहवा

3 Intolerance of Mild cold to जजहवा

गवी (Heaviness)

This symptom is for

जजहवा

0 No Heaviness

1 Mild heaviness with no difficulty

in movement of जजहवा

2 Moderate heaviness with

difficulty in Movement of जजहवा

3 Sever heaviness with bending down of

सफटटता (अहर) (Ulcer)

0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

कणटाकाधचता (अहर) = Thorn like

appearance

0 No change in appearance

59

Code Signs amp Symptoms Score Gradations Remarks

1 13 part of oral mucous membrane covered with red fleshy thorn like papillae

2 23 part of oral mucous membrane covered with red fleshy thorn like papillae

3 gt23 part of oral mucous membrane covered with red fleshy thorn like papillae

षववणोतत कचछरणमखम (अहर) (Difficulty in mouth opening)

0 Mouth opening more than 3 fingers without difficulty

1 2 to 3 fingers opening of mouth with or without difficulty

2 1 to 2 fingers opening of mouth with or without difficulty

3 Less than 1 finger opening of mouth with or without difficulty

152 पऩतमत(यकतज)सवसय (स) Signs and Symptoms of यकतज सवसय are same as of पऩतमत सवसय so no separate gradations are mentioned

यकतता (Redness) 0 Colour of सवसय- वरण is similar with

surrounding mucous membrane

1 Reddish Colour of सवसय- वरण

2 Bright red Colour of सवसय- वरण

3 Dark red Colour of सवसय- वरण

सदाह (Burning

Sensation)

0 No burning in सवसय- वरण Or According to

VAS

1 Occasional burning in सवसय- वरण

2 Intermittent burning in सवसय- वरण

3 Contentious burning in सवसय- वरण

which does not relive by any measures

तन (तनसब) (Shallow superficial ulcers)

0 No ulcer

1 Ulcer having depth of 05-1 mm

2 Ulcer having depth of 1 ndash 15 mm

3 Ulcer having depth of 15 -2 mm

60

Code Signs amp Symptoms Score Gradations Remarks

ओष (अहर) 0 No (ओष) burning in सवसय- वरण

1 Occasional (ओष) burning in

सवसय- वरण

2 Intermittent (ओष) burning in

सवसय- वरण

3 Contentious (ओष) burning in

सवसय- वरण which does not relive

by any measures

ततकतवकरता (अहर) (Bitter taste in mouth)

0 No alteration in taste

1 Occasionally bitter taste felt in mouth without having any bitter substance

2 Off and on bitter taste felt in mouth without having any bitter substance

3 Continuous bitter taste felt in mouth without having any bitter substance

ारोकषतत समावरणा (अहर)

0 No Ulcer

(Ulcers looking like chemical burns)

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

153 कपज सवसय (स) कणड (Itching) 0 No itching Or According to

VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Unable to work due to itching

0r

0 No itching

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate on work due to severe itching

रजा (Pain)

(अलऩ रजा) 0 No pain Or According to

VAS

1 Occasional pain

61

Code Signs amp Symptoms Score Gradations Remarks

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain This condition should be considered as अलऩ रजा

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

सवणण 0 Colour of वरण is same with colour of near by tissue

1 Colour of वरण is not same with colour of near by tissue

मररासयतवम (अहर) (Sweet taste in mouth)

0 No alteration in taste

1 Occasionally sweet taste felt without eating any sweet substance

2 Off and on Sweet taste Occasionally sweet taste felt without eating any sweet substance

3 Continuous sweet taste Occasionally sweet taste felt without eating any sweet substance

षपजचछिऱता (अहर) (Unctuousness)

0 Absent

1 Present

वरण 0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

154 कफाबभद (अहर) शयाव अबभदम

(शयावपाणडऽबभदम) 0 Colour of growthtumour is same

the colour of surrounding skin

1 Colour of growthtumour is शयाव

(Blackish)

62

Code Signs amp Symptoms Score Gradations Remarks

पाणड अबभदम (शयावपाणडऽबभदम)

0 Colour of growthtumour is same the colour of surrounding skin

1 Colour of growthtumour is पाणड

(Pale)

अबभदम 0 No GrowthTumour TNM Classification for tumours can be applied for growth

1 Growthtumour having sizelt 10 mm

2 Growthtumour having size 10 mm to 20 mm

3 Growthtumour having size gt 20 mm

घटिता तिनना मटदता च षववरभत (Size increases on rubbing cutting and squeezing)

0 Size of GrowthTumour is not increasing by rubbing cutting or squeezing

1 Size of GrowthTumour is increasing up to 10 mm by rubbing cutting or squeezing within a month

2 Size of GrowthTumour is increasing up to 20 mm by rubbing cutting or squeezing within a month

3 Size of GrowthTumour is increasing up to 30 mm by rubbing cutting or squeezing within a month

4 Size of GrowthTumour is increasing up to 40 mm by rubbing cutting or squeezing within a month

155 ऊरधवभगद (अहर) वकतरदौगनधम

(Halitosis)

0 No Halitosis

1 Halitosis is feel by Patient only

2 Halitosis is feel by Patient and examining Doctor only

3 Halitosis is feel by any person from the distance from 5 meters

63

Code Signs amp Symptoms Score Gradations Remarks

4 Halitosis is feel by any person from the distance from more than 5 meters

156 पततवकर (अहर) ऩतममासमता

(Halitosis)

0 No Halitosis

1 Halitosis is feel by Patient only

2 Halitosis is feel by Patient and examining Doctor only

3 Halitosis is feel by any person from the distance from 5 meters

4 Halitosis is feel by any person from the distance from more than 5 meters

157 सतनऩाततक सवसय (अहर) This disease occurs due to aggravation of all three doshas including Rakta Clinical presentation of this disease is found as mixed picture according prominent aggravation of dosha and signs and symptoms will be observed accordingly Gradations should be considered accordingly so it is not required to repeat here

helliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip

Page 55: THE GRADATIONS OF DISEASES OF SHALAKYA TANTRA - PART …theassociationofshalaki.com/downloads/GRADATIONS_OF_DISEASE… · 12.05.2019  · I am also very much thankful to Dr Sandhya

54

Code Signs amp Symptoms Score Gradations Remarks

139 तारऩाक (स) ऩाक (Suppuration) 0 No swelling or suppuration

1 Inflammation of palate with pain and tenderness

2 Inflammation of palate with different types of pain and tenderness with induration

3 Pus formation and fluctuation positive

1310 तारपऩटिका (अहर) तारभास पऩटिका

Follicles in palate flesh

0 No follicles

1 13 palate covered with follicles

2 23 palate covered with follicles

3 More than 23 palate covered with follicles

रज(अहर) (Pain) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

Occasional pain

खयता(अहर) (Roughness)

0 Smooth on touch

1 Mild irregular surface on touch

2 Rough surface

3 Sharp rough surface which hurts on finger on touch

घनसराव(अहर) (Thick discharge)

0 No discharge

1 Occasional discharge

2 Off and on thick discharge

3 Continuous thick discharge

1311 तारसहतत (अहर) तारभधम तनरक (अहर) =Painless fleshy growth in palate

Only तारभधम तनरक indicates the place and quality of growth both the symptoms can be

merged

55

Code Signs amp Symptoms Score Gradations Remarks

तनरक (Painless) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

भाससहत

(Fleshy growth in palate)

0 No fleshy growth

1 Fleshy growth in 13 part of the palate Swelling

2 Fleshy growth in 23 part of palate swelling

3 Fleshy growth in more than 23 part of palate

56

GRADATION OF SARVASAR ROG

Code - 15

Established by Group BHOJ Dr Krishna Makaia ndash Convener

Dr Rajeshree Unadkat Dr Neelam Dave

Dr Ronakgiri Gosai Dr Jignesh Virapariya

Reviewed by Dr Vijayant Bharadwaj

Edited by Prof Vd Hāridra Dave

57

Code Signs amp Symptoms Score Gradations Remarks

151 वातजसवसय (स) सपोि (Ulcers) 0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

तोद = Pricking pain 0 No pricking pain Or According to VAS

1 Occasional pricking pain

2 Off and on pricking pain

3 Continuous pricking pain

Or

0 No pricking pain

1 Sometimes mild pricking pain

2 Has to take analgesic while pricking pain

सिारयण(अहर) This symptom is for सवसय so this सवसय is the nature of सिारय

0 No movement of सवसय

1 Movement of सवसय is once in a week

2 Movement of सवसय is once in three to four days

3 Movement of सवसय is at every alternate day

4 Movement of सवसय is once in a day

अरण (अहर) Reddish discoloration

0 Colour of वरण is same with colour of surrounding area

1 Colour of वरण is Reddish

2 Colour of वरण is Dark Red

3 Colour of वरण is Reddish black

र (अहर) Dryness 0 वरण is Moist

-No dryness of वरण

1 वरण Needs lubrication once a day

2 वरण Needs frequent lubrication in

a day

3 No benefit with frequent

lubrication of वरण

तामरता (अहर) (Coppery

0 Colour of वरणौषठ is same with colour of surrounding area

58

Code Signs amp Symptoms Score Gradations Remarks

discoloration) This symptom is for

वरणौषठ

1 Colour of वरणौषठ is Tamra Varna

चऱतवचा (अहर) (Free mucous membrane) This symptom is for

वरणौषठ

0

Movement of वरणौषठ is on touch

only

1 Movement of वरणौषठ can be seen by naked eye means without touch

शीतासहा (अहर) (Intolerance to cold) This symptom is for

जजहवा

0 No Intolerance of cold to जजहवा

1 Intolerance of severe cold to जजहवा

2 Intolerance of moderate cold to जजहवा

3 Intolerance of Mild cold to जजहवा

गवी (Heaviness)

This symptom is for

जजहवा

0 No Heaviness

1 Mild heaviness with no difficulty

in movement of जजहवा

2 Moderate heaviness with

difficulty in Movement of जजहवा

3 Sever heaviness with bending down of

सफटटता (अहर) (Ulcer)

0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

कणटाकाधचता (अहर) = Thorn like

appearance

0 No change in appearance

59

Code Signs amp Symptoms Score Gradations Remarks

1 13 part of oral mucous membrane covered with red fleshy thorn like papillae

2 23 part of oral mucous membrane covered with red fleshy thorn like papillae

3 gt23 part of oral mucous membrane covered with red fleshy thorn like papillae

षववणोतत कचछरणमखम (अहर) (Difficulty in mouth opening)

0 Mouth opening more than 3 fingers without difficulty

1 2 to 3 fingers opening of mouth with or without difficulty

2 1 to 2 fingers opening of mouth with or without difficulty

3 Less than 1 finger opening of mouth with or without difficulty

152 पऩतमत(यकतज)सवसय (स) Signs and Symptoms of यकतज सवसय are same as of पऩतमत सवसय so no separate gradations are mentioned

यकतता (Redness) 0 Colour of सवसय- वरण is similar with

surrounding mucous membrane

1 Reddish Colour of सवसय- वरण

2 Bright red Colour of सवसय- वरण

3 Dark red Colour of सवसय- वरण

सदाह (Burning

Sensation)

0 No burning in सवसय- वरण Or According to

VAS

1 Occasional burning in सवसय- वरण

2 Intermittent burning in सवसय- वरण

3 Contentious burning in सवसय- वरण

which does not relive by any measures

तन (तनसब) (Shallow superficial ulcers)

0 No ulcer

1 Ulcer having depth of 05-1 mm

2 Ulcer having depth of 1 ndash 15 mm

3 Ulcer having depth of 15 -2 mm

60

Code Signs amp Symptoms Score Gradations Remarks

ओष (अहर) 0 No (ओष) burning in सवसय- वरण

1 Occasional (ओष) burning in

सवसय- वरण

2 Intermittent (ओष) burning in

सवसय- वरण

3 Contentious (ओष) burning in

सवसय- वरण which does not relive

by any measures

ततकतवकरता (अहर) (Bitter taste in mouth)

0 No alteration in taste

1 Occasionally bitter taste felt in mouth without having any bitter substance

2 Off and on bitter taste felt in mouth without having any bitter substance

3 Continuous bitter taste felt in mouth without having any bitter substance

ारोकषतत समावरणा (अहर)

0 No Ulcer

(Ulcers looking like chemical burns)

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

153 कपज सवसय (स) कणड (Itching) 0 No itching Or According to

VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Unable to work due to itching

0r

0 No itching

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate on work due to severe itching

रजा (Pain)

(अलऩ रजा) 0 No pain Or According to

VAS

1 Occasional pain

61

Code Signs amp Symptoms Score Gradations Remarks

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain This condition should be considered as अलऩ रजा

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

सवणण 0 Colour of वरण is same with colour of near by tissue

1 Colour of वरण is not same with colour of near by tissue

मररासयतवम (अहर) (Sweet taste in mouth)

0 No alteration in taste

1 Occasionally sweet taste felt without eating any sweet substance

2 Off and on Sweet taste Occasionally sweet taste felt without eating any sweet substance

3 Continuous sweet taste Occasionally sweet taste felt without eating any sweet substance

षपजचछिऱता (अहर) (Unctuousness)

0 Absent

1 Present

वरण 0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

154 कफाबभद (अहर) शयाव अबभदम

(शयावपाणडऽबभदम) 0 Colour of growthtumour is same

the colour of surrounding skin

1 Colour of growthtumour is शयाव

(Blackish)

62

Code Signs amp Symptoms Score Gradations Remarks

पाणड अबभदम (शयावपाणडऽबभदम)

0 Colour of growthtumour is same the colour of surrounding skin

1 Colour of growthtumour is पाणड

(Pale)

अबभदम 0 No GrowthTumour TNM Classification for tumours can be applied for growth

1 Growthtumour having sizelt 10 mm

2 Growthtumour having size 10 mm to 20 mm

3 Growthtumour having size gt 20 mm

घटिता तिनना मटदता च षववरभत (Size increases on rubbing cutting and squeezing)

0 Size of GrowthTumour is not increasing by rubbing cutting or squeezing

1 Size of GrowthTumour is increasing up to 10 mm by rubbing cutting or squeezing within a month

2 Size of GrowthTumour is increasing up to 20 mm by rubbing cutting or squeezing within a month

3 Size of GrowthTumour is increasing up to 30 mm by rubbing cutting or squeezing within a month

4 Size of GrowthTumour is increasing up to 40 mm by rubbing cutting or squeezing within a month

155 ऊरधवभगद (अहर) वकतरदौगनधम

(Halitosis)

0 No Halitosis

1 Halitosis is feel by Patient only

2 Halitosis is feel by Patient and examining Doctor only

3 Halitosis is feel by any person from the distance from 5 meters

63

Code Signs amp Symptoms Score Gradations Remarks

4 Halitosis is feel by any person from the distance from more than 5 meters

156 पततवकर (अहर) ऩतममासमता

(Halitosis)

0 No Halitosis

1 Halitosis is feel by Patient only

2 Halitosis is feel by Patient and examining Doctor only

3 Halitosis is feel by any person from the distance from 5 meters

4 Halitosis is feel by any person from the distance from more than 5 meters

157 सतनऩाततक सवसय (अहर) This disease occurs due to aggravation of all three doshas including Rakta Clinical presentation of this disease is found as mixed picture according prominent aggravation of dosha and signs and symptoms will be observed accordingly Gradations should be considered accordingly so it is not required to repeat here

helliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip

Page 56: THE GRADATIONS OF DISEASES OF SHALAKYA TANTRA - PART …theassociationofshalaki.com/downloads/GRADATIONS_OF_DISEASE… · 12.05.2019  · I am also very much thankful to Dr Sandhya

55

Code Signs amp Symptoms Score Gradations Remarks

तनरक (Painless) 0 No pain Or According to

VAS

1 Occasional pain

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

भाससहत

(Fleshy growth in palate)

0 No fleshy growth

1 Fleshy growth in 13 part of the palate Swelling

2 Fleshy growth in 23 part of palate swelling

3 Fleshy growth in more than 23 part of palate

56

GRADATION OF SARVASAR ROG

Code - 15

Established by Group BHOJ Dr Krishna Makaia ndash Convener

Dr Rajeshree Unadkat Dr Neelam Dave

Dr Ronakgiri Gosai Dr Jignesh Virapariya

Reviewed by Dr Vijayant Bharadwaj

Edited by Prof Vd Hāridra Dave

57

Code Signs amp Symptoms Score Gradations Remarks

151 वातजसवसय (स) सपोि (Ulcers) 0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

तोद = Pricking pain 0 No pricking pain Or According to VAS

1 Occasional pricking pain

2 Off and on pricking pain

3 Continuous pricking pain

Or

0 No pricking pain

1 Sometimes mild pricking pain

2 Has to take analgesic while pricking pain

सिारयण(अहर) This symptom is for सवसय so this सवसय is the nature of सिारय

0 No movement of सवसय

1 Movement of सवसय is once in a week

2 Movement of सवसय is once in three to four days

3 Movement of सवसय is at every alternate day

4 Movement of सवसय is once in a day

अरण (अहर) Reddish discoloration

0 Colour of वरण is same with colour of surrounding area

1 Colour of वरण is Reddish

2 Colour of वरण is Dark Red

3 Colour of वरण is Reddish black

र (अहर) Dryness 0 वरण is Moist

-No dryness of वरण

1 वरण Needs lubrication once a day

2 वरण Needs frequent lubrication in

a day

3 No benefit with frequent

lubrication of वरण

तामरता (अहर) (Coppery

0 Colour of वरणौषठ is same with colour of surrounding area

58

Code Signs amp Symptoms Score Gradations Remarks

discoloration) This symptom is for

वरणौषठ

1 Colour of वरणौषठ is Tamra Varna

चऱतवचा (अहर) (Free mucous membrane) This symptom is for

वरणौषठ

0

Movement of वरणौषठ is on touch

only

1 Movement of वरणौषठ can be seen by naked eye means without touch

शीतासहा (अहर) (Intolerance to cold) This symptom is for

जजहवा

0 No Intolerance of cold to जजहवा

1 Intolerance of severe cold to जजहवा

2 Intolerance of moderate cold to जजहवा

3 Intolerance of Mild cold to जजहवा

गवी (Heaviness)

This symptom is for

जजहवा

0 No Heaviness

1 Mild heaviness with no difficulty

in movement of जजहवा

2 Moderate heaviness with

difficulty in Movement of जजहवा

3 Sever heaviness with bending down of

सफटटता (अहर) (Ulcer)

0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

कणटाकाधचता (अहर) = Thorn like

appearance

0 No change in appearance

59

Code Signs amp Symptoms Score Gradations Remarks

1 13 part of oral mucous membrane covered with red fleshy thorn like papillae

2 23 part of oral mucous membrane covered with red fleshy thorn like papillae

3 gt23 part of oral mucous membrane covered with red fleshy thorn like papillae

षववणोतत कचछरणमखम (अहर) (Difficulty in mouth opening)

0 Mouth opening more than 3 fingers without difficulty

1 2 to 3 fingers opening of mouth with or without difficulty

2 1 to 2 fingers opening of mouth with or without difficulty

3 Less than 1 finger opening of mouth with or without difficulty

152 पऩतमत(यकतज)सवसय (स) Signs and Symptoms of यकतज सवसय are same as of पऩतमत सवसय so no separate gradations are mentioned

यकतता (Redness) 0 Colour of सवसय- वरण is similar with

surrounding mucous membrane

1 Reddish Colour of सवसय- वरण

2 Bright red Colour of सवसय- वरण

3 Dark red Colour of सवसय- वरण

सदाह (Burning

Sensation)

0 No burning in सवसय- वरण Or According to

VAS

1 Occasional burning in सवसय- वरण

2 Intermittent burning in सवसय- वरण

3 Contentious burning in सवसय- वरण

which does not relive by any measures

तन (तनसब) (Shallow superficial ulcers)

0 No ulcer

1 Ulcer having depth of 05-1 mm

2 Ulcer having depth of 1 ndash 15 mm

3 Ulcer having depth of 15 -2 mm

60

Code Signs amp Symptoms Score Gradations Remarks

ओष (अहर) 0 No (ओष) burning in सवसय- वरण

1 Occasional (ओष) burning in

सवसय- वरण

2 Intermittent (ओष) burning in

सवसय- वरण

3 Contentious (ओष) burning in

सवसय- वरण which does not relive

by any measures

ततकतवकरता (अहर) (Bitter taste in mouth)

0 No alteration in taste

1 Occasionally bitter taste felt in mouth without having any bitter substance

2 Off and on bitter taste felt in mouth without having any bitter substance

3 Continuous bitter taste felt in mouth without having any bitter substance

ारोकषतत समावरणा (अहर)

0 No Ulcer

(Ulcers looking like chemical burns)

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

153 कपज सवसय (स) कणड (Itching) 0 No itching Or According to

VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Unable to work due to itching

0r

0 No itching

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate on work due to severe itching

रजा (Pain)

(अलऩ रजा) 0 No pain Or According to

VAS

1 Occasional pain

61

Code Signs amp Symptoms Score Gradations Remarks

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain This condition should be considered as अलऩ रजा

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

सवणण 0 Colour of वरण is same with colour of near by tissue

1 Colour of वरण is not same with colour of near by tissue

मररासयतवम (अहर) (Sweet taste in mouth)

0 No alteration in taste

1 Occasionally sweet taste felt without eating any sweet substance

2 Off and on Sweet taste Occasionally sweet taste felt without eating any sweet substance

3 Continuous sweet taste Occasionally sweet taste felt without eating any sweet substance

षपजचछिऱता (अहर) (Unctuousness)

0 Absent

1 Present

वरण 0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

154 कफाबभद (अहर) शयाव अबभदम

(शयावपाणडऽबभदम) 0 Colour of growthtumour is same

the colour of surrounding skin

1 Colour of growthtumour is शयाव

(Blackish)

62

Code Signs amp Symptoms Score Gradations Remarks

पाणड अबभदम (शयावपाणडऽबभदम)

0 Colour of growthtumour is same the colour of surrounding skin

1 Colour of growthtumour is पाणड

(Pale)

अबभदम 0 No GrowthTumour TNM Classification for tumours can be applied for growth

1 Growthtumour having sizelt 10 mm

2 Growthtumour having size 10 mm to 20 mm

3 Growthtumour having size gt 20 mm

घटिता तिनना मटदता च षववरभत (Size increases on rubbing cutting and squeezing)

0 Size of GrowthTumour is not increasing by rubbing cutting or squeezing

1 Size of GrowthTumour is increasing up to 10 mm by rubbing cutting or squeezing within a month

2 Size of GrowthTumour is increasing up to 20 mm by rubbing cutting or squeezing within a month

3 Size of GrowthTumour is increasing up to 30 mm by rubbing cutting or squeezing within a month

4 Size of GrowthTumour is increasing up to 40 mm by rubbing cutting or squeezing within a month

155 ऊरधवभगद (अहर) वकतरदौगनधम

(Halitosis)

0 No Halitosis

1 Halitosis is feel by Patient only

2 Halitosis is feel by Patient and examining Doctor only

3 Halitosis is feel by any person from the distance from 5 meters

63

Code Signs amp Symptoms Score Gradations Remarks

4 Halitosis is feel by any person from the distance from more than 5 meters

156 पततवकर (अहर) ऩतममासमता

(Halitosis)

0 No Halitosis

1 Halitosis is feel by Patient only

2 Halitosis is feel by Patient and examining Doctor only

3 Halitosis is feel by any person from the distance from 5 meters

4 Halitosis is feel by any person from the distance from more than 5 meters

157 सतनऩाततक सवसय (अहर) This disease occurs due to aggravation of all three doshas including Rakta Clinical presentation of this disease is found as mixed picture according prominent aggravation of dosha and signs and symptoms will be observed accordingly Gradations should be considered accordingly so it is not required to repeat here

helliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip

Page 57: THE GRADATIONS OF DISEASES OF SHALAKYA TANTRA - PART …theassociationofshalaki.com/downloads/GRADATIONS_OF_DISEASE… · 12.05.2019  · I am also very much thankful to Dr Sandhya

56

GRADATION OF SARVASAR ROG

Code - 15

Established by Group BHOJ Dr Krishna Makaia ndash Convener

Dr Rajeshree Unadkat Dr Neelam Dave

Dr Ronakgiri Gosai Dr Jignesh Virapariya

Reviewed by Dr Vijayant Bharadwaj

Edited by Prof Vd Hāridra Dave

57

Code Signs amp Symptoms Score Gradations Remarks

151 वातजसवसय (स) सपोि (Ulcers) 0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

तोद = Pricking pain 0 No pricking pain Or According to VAS

1 Occasional pricking pain

2 Off and on pricking pain

3 Continuous pricking pain

Or

0 No pricking pain

1 Sometimes mild pricking pain

2 Has to take analgesic while pricking pain

सिारयण(अहर) This symptom is for सवसय so this सवसय is the nature of सिारय

0 No movement of सवसय

1 Movement of सवसय is once in a week

2 Movement of सवसय is once in three to four days

3 Movement of सवसय is at every alternate day

4 Movement of सवसय is once in a day

अरण (अहर) Reddish discoloration

0 Colour of वरण is same with colour of surrounding area

1 Colour of वरण is Reddish

2 Colour of वरण is Dark Red

3 Colour of वरण is Reddish black

र (अहर) Dryness 0 वरण is Moist

-No dryness of वरण

1 वरण Needs lubrication once a day

2 वरण Needs frequent lubrication in

a day

3 No benefit with frequent

lubrication of वरण

तामरता (अहर) (Coppery

0 Colour of वरणौषठ is same with colour of surrounding area

58

Code Signs amp Symptoms Score Gradations Remarks

discoloration) This symptom is for

वरणौषठ

1 Colour of वरणौषठ is Tamra Varna

चऱतवचा (अहर) (Free mucous membrane) This symptom is for

वरणौषठ

0

Movement of वरणौषठ is on touch

only

1 Movement of वरणौषठ can be seen by naked eye means without touch

शीतासहा (अहर) (Intolerance to cold) This symptom is for

जजहवा

0 No Intolerance of cold to जजहवा

1 Intolerance of severe cold to जजहवा

2 Intolerance of moderate cold to जजहवा

3 Intolerance of Mild cold to जजहवा

गवी (Heaviness)

This symptom is for

जजहवा

0 No Heaviness

1 Mild heaviness with no difficulty

in movement of जजहवा

2 Moderate heaviness with

difficulty in Movement of जजहवा

3 Sever heaviness with bending down of

सफटटता (अहर) (Ulcer)

0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

कणटाकाधचता (अहर) = Thorn like

appearance

0 No change in appearance

59

Code Signs amp Symptoms Score Gradations Remarks

1 13 part of oral mucous membrane covered with red fleshy thorn like papillae

2 23 part of oral mucous membrane covered with red fleshy thorn like papillae

3 gt23 part of oral mucous membrane covered with red fleshy thorn like papillae

षववणोतत कचछरणमखम (अहर) (Difficulty in mouth opening)

0 Mouth opening more than 3 fingers without difficulty

1 2 to 3 fingers opening of mouth with or without difficulty

2 1 to 2 fingers opening of mouth with or without difficulty

3 Less than 1 finger opening of mouth with or without difficulty

152 पऩतमत(यकतज)सवसय (स) Signs and Symptoms of यकतज सवसय are same as of पऩतमत सवसय so no separate gradations are mentioned

यकतता (Redness) 0 Colour of सवसय- वरण is similar with

surrounding mucous membrane

1 Reddish Colour of सवसय- वरण

2 Bright red Colour of सवसय- वरण

3 Dark red Colour of सवसय- वरण

सदाह (Burning

Sensation)

0 No burning in सवसय- वरण Or According to

VAS

1 Occasional burning in सवसय- वरण

2 Intermittent burning in सवसय- वरण

3 Contentious burning in सवसय- वरण

which does not relive by any measures

तन (तनसब) (Shallow superficial ulcers)

0 No ulcer

1 Ulcer having depth of 05-1 mm

2 Ulcer having depth of 1 ndash 15 mm

3 Ulcer having depth of 15 -2 mm

60

Code Signs amp Symptoms Score Gradations Remarks

ओष (अहर) 0 No (ओष) burning in सवसय- वरण

1 Occasional (ओष) burning in

सवसय- वरण

2 Intermittent (ओष) burning in

सवसय- वरण

3 Contentious (ओष) burning in

सवसय- वरण which does not relive

by any measures

ततकतवकरता (अहर) (Bitter taste in mouth)

0 No alteration in taste

1 Occasionally bitter taste felt in mouth without having any bitter substance

2 Off and on bitter taste felt in mouth without having any bitter substance

3 Continuous bitter taste felt in mouth without having any bitter substance

ारोकषतत समावरणा (अहर)

0 No Ulcer

(Ulcers looking like chemical burns)

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

153 कपज सवसय (स) कणड (Itching) 0 No itching Or According to

VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Unable to work due to itching

0r

0 No itching

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate on work due to severe itching

रजा (Pain)

(अलऩ रजा) 0 No pain Or According to

VAS

1 Occasional pain

61

Code Signs amp Symptoms Score Gradations Remarks

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain This condition should be considered as अलऩ रजा

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

सवणण 0 Colour of वरण is same with colour of near by tissue

1 Colour of वरण is not same with colour of near by tissue

मररासयतवम (अहर) (Sweet taste in mouth)

0 No alteration in taste

1 Occasionally sweet taste felt without eating any sweet substance

2 Off and on Sweet taste Occasionally sweet taste felt without eating any sweet substance

3 Continuous sweet taste Occasionally sweet taste felt without eating any sweet substance

षपजचछिऱता (अहर) (Unctuousness)

0 Absent

1 Present

वरण 0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

154 कफाबभद (अहर) शयाव अबभदम

(शयावपाणडऽबभदम) 0 Colour of growthtumour is same

the colour of surrounding skin

1 Colour of growthtumour is शयाव

(Blackish)

62

Code Signs amp Symptoms Score Gradations Remarks

पाणड अबभदम (शयावपाणडऽबभदम)

0 Colour of growthtumour is same the colour of surrounding skin

1 Colour of growthtumour is पाणड

(Pale)

अबभदम 0 No GrowthTumour TNM Classification for tumours can be applied for growth

1 Growthtumour having sizelt 10 mm

2 Growthtumour having size 10 mm to 20 mm

3 Growthtumour having size gt 20 mm

घटिता तिनना मटदता च षववरभत (Size increases on rubbing cutting and squeezing)

0 Size of GrowthTumour is not increasing by rubbing cutting or squeezing

1 Size of GrowthTumour is increasing up to 10 mm by rubbing cutting or squeezing within a month

2 Size of GrowthTumour is increasing up to 20 mm by rubbing cutting or squeezing within a month

3 Size of GrowthTumour is increasing up to 30 mm by rubbing cutting or squeezing within a month

4 Size of GrowthTumour is increasing up to 40 mm by rubbing cutting or squeezing within a month

155 ऊरधवभगद (अहर) वकतरदौगनधम

(Halitosis)

0 No Halitosis

1 Halitosis is feel by Patient only

2 Halitosis is feel by Patient and examining Doctor only

3 Halitosis is feel by any person from the distance from 5 meters

63

Code Signs amp Symptoms Score Gradations Remarks

4 Halitosis is feel by any person from the distance from more than 5 meters

156 पततवकर (अहर) ऩतममासमता

(Halitosis)

0 No Halitosis

1 Halitosis is feel by Patient only

2 Halitosis is feel by Patient and examining Doctor only

3 Halitosis is feel by any person from the distance from 5 meters

4 Halitosis is feel by any person from the distance from more than 5 meters

157 सतनऩाततक सवसय (अहर) This disease occurs due to aggravation of all three doshas including Rakta Clinical presentation of this disease is found as mixed picture according prominent aggravation of dosha and signs and symptoms will be observed accordingly Gradations should be considered accordingly so it is not required to repeat here

helliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip

Page 58: THE GRADATIONS OF DISEASES OF SHALAKYA TANTRA - PART …theassociationofshalaki.com/downloads/GRADATIONS_OF_DISEASE… · 12.05.2019  · I am also very much thankful to Dr Sandhya

57

Code Signs amp Symptoms Score Gradations Remarks

151 वातजसवसय (स) सपोि (Ulcers) 0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

तोद = Pricking pain 0 No pricking pain Or According to VAS

1 Occasional pricking pain

2 Off and on pricking pain

3 Continuous pricking pain

Or

0 No pricking pain

1 Sometimes mild pricking pain

2 Has to take analgesic while pricking pain

सिारयण(अहर) This symptom is for सवसय so this सवसय is the nature of सिारय

0 No movement of सवसय

1 Movement of सवसय is once in a week

2 Movement of सवसय is once in three to four days

3 Movement of सवसय is at every alternate day

4 Movement of सवसय is once in a day

अरण (अहर) Reddish discoloration

0 Colour of वरण is same with colour of surrounding area

1 Colour of वरण is Reddish

2 Colour of वरण is Dark Red

3 Colour of वरण is Reddish black

र (अहर) Dryness 0 वरण is Moist

-No dryness of वरण

1 वरण Needs lubrication once a day

2 वरण Needs frequent lubrication in

a day

3 No benefit with frequent

lubrication of वरण

तामरता (अहर) (Coppery

0 Colour of वरणौषठ is same with colour of surrounding area

58

Code Signs amp Symptoms Score Gradations Remarks

discoloration) This symptom is for

वरणौषठ

1 Colour of वरणौषठ is Tamra Varna

चऱतवचा (अहर) (Free mucous membrane) This symptom is for

वरणौषठ

0

Movement of वरणौषठ is on touch

only

1 Movement of वरणौषठ can be seen by naked eye means without touch

शीतासहा (अहर) (Intolerance to cold) This symptom is for

जजहवा

0 No Intolerance of cold to जजहवा

1 Intolerance of severe cold to जजहवा

2 Intolerance of moderate cold to जजहवा

3 Intolerance of Mild cold to जजहवा

गवी (Heaviness)

This symptom is for

जजहवा

0 No Heaviness

1 Mild heaviness with no difficulty

in movement of जजहवा

2 Moderate heaviness with

difficulty in Movement of जजहवा

3 Sever heaviness with bending down of

सफटटता (अहर) (Ulcer)

0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

कणटाकाधचता (अहर) = Thorn like

appearance

0 No change in appearance

59

Code Signs amp Symptoms Score Gradations Remarks

1 13 part of oral mucous membrane covered with red fleshy thorn like papillae

2 23 part of oral mucous membrane covered with red fleshy thorn like papillae

3 gt23 part of oral mucous membrane covered with red fleshy thorn like papillae

षववणोतत कचछरणमखम (अहर) (Difficulty in mouth opening)

0 Mouth opening more than 3 fingers without difficulty

1 2 to 3 fingers opening of mouth with or without difficulty

2 1 to 2 fingers opening of mouth with or without difficulty

3 Less than 1 finger opening of mouth with or without difficulty

152 पऩतमत(यकतज)सवसय (स) Signs and Symptoms of यकतज सवसय are same as of पऩतमत सवसय so no separate gradations are mentioned

यकतता (Redness) 0 Colour of सवसय- वरण is similar with

surrounding mucous membrane

1 Reddish Colour of सवसय- वरण

2 Bright red Colour of सवसय- वरण

3 Dark red Colour of सवसय- वरण

सदाह (Burning

Sensation)

0 No burning in सवसय- वरण Or According to

VAS

1 Occasional burning in सवसय- वरण

2 Intermittent burning in सवसय- वरण

3 Contentious burning in सवसय- वरण

which does not relive by any measures

तन (तनसब) (Shallow superficial ulcers)

0 No ulcer

1 Ulcer having depth of 05-1 mm

2 Ulcer having depth of 1 ndash 15 mm

3 Ulcer having depth of 15 -2 mm

60

Code Signs amp Symptoms Score Gradations Remarks

ओष (अहर) 0 No (ओष) burning in सवसय- वरण

1 Occasional (ओष) burning in

सवसय- वरण

2 Intermittent (ओष) burning in

सवसय- वरण

3 Contentious (ओष) burning in

सवसय- वरण which does not relive

by any measures

ततकतवकरता (अहर) (Bitter taste in mouth)

0 No alteration in taste

1 Occasionally bitter taste felt in mouth without having any bitter substance

2 Off and on bitter taste felt in mouth without having any bitter substance

3 Continuous bitter taste felt in mouth without having any bitter substance

ारोकषतत समावरणा (अहर)

0 No Ulcer

(Ulcers looking like chemical burns)

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

153 कपज सवसय (स) कणड (Itching) 0 No itching Or According to

VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Unable to work due to itching

0r

0 No itching

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate on work due to severe itching

रजा (Pain)

(अलऩ रजा) 0 No pain Or According to

VAS

1 Occasional pain

61

Code Signs amp Symptoms Score Gradations Remarks

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain This condition should be considered as अलऩ रजा

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

सवणण 0 Colour of वरण is same with colour of near by tissue

1 Colour of वरण is not same with colour of near by tissue

मररासयतवम (अहर) (Sweet taste in mouth)

0 No alteration in taste

1 Occasionally sweet taste felt without eating any sweet substance

2 Off and on Sweet taste Occasionally sweet taste felt without eating any sweet substance

3 Continuous sweet taste Occasionally sweet taste felt without eating any sweet substance

षपजचछिऱता (अहर) (Unctuousness)

0 Absent

1 Present

वरण 0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

154 कफाबभद (अहर) शयाव अबभदम

(शयावपाणडऽबभदम) 0 Colour of growthtumour is same

the colour of surrounding skin

1 Colour of growthtumour is शयाव

(Blackish)

62

Code Signs amp Symptoms Score Gradations Remarks

पाणड अबभदम (शयावपाणडऽबभदम)

0 Colour of growthtumour is same the colour of surrounding skin

1 Colour of growthtumour is पाणड

(Pale)

अबभदम 0 No GrowthTumour TNM Classification for tumours can be applied for growth

1 Growthtumour having sizelt 10 mm

2 Growthtumour having size 10 mm to 20 mm

3 Growthtumour having size gt 20 mm

घटिता तिनना मटदता च षववरभत (Size increases on rubbing cutting and squeezing)

0 Size of GrowthTumour is not increasing by rubbing cutting or squeezing

1 Size of GrowthTumour is increasing up to 10 mm by rubbing cutting or squeezing within a month

2 Size of GrowthTumour is increasing up to 20 mm by rubbing cutting or squeezing within a month

3 Size of GrowthTumour is increasing up to 30 mm by rubbing cutting or squeezing within a month

4 Size of GrowthTumour is increasing up to 40 mm by rubbing cutting or squeezing within a month

155 ऊरधवभगद (अहर) वकतरदौगनधम

(Halitosis)

0 No Halitosis

1 Halitosis is feel by Patient only

2 Halitosis is feel by Patient and examining Doctor only

3 Halitosis is feel by any person from the distance from 5 meters

63

Code Signs amp Symptoms Score Gradations Remarks

4 Halitosis is feel by any person from the distance from more than 5 meters

156 पततवकर (अहर) ऩतममासमता

(Halitosis)

0 No Halitosis

1 Halitosis is feel by Patient only

2 Halitosis is feel by Patient and examining Doctor only

3 Halitosis is feel by any person from the distance from 5 meters

4 Halitosis is feel by any person from the distance from more than 5 meters

157 सतनऩाततक सवसय (अहर) This disease occurs due to aggravation of all three doshas including Rakta Clinical presentation of this disease is found as mixed picture according prominent aggravation of dosha and signs and symptoms will be observed accordingly Gradations should be considered accordingly so it is not required to repeat here

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58

Code Signs amp Symptoms Score Gradations Remarks

discoloration) This symptom is for

वरणौषठ

1 Colour of वरणौषठ is Tamra Varna

चऱतवचा (अहर) (Free mucous membrane) This symptom is for

वरणौषठ

0

Movement of वरणौषठ is on touch

only

1 Movement of वरणौषठ can be seen by naked eye means without touch

शीतासहा (अहर) (Intolerance to cold) This symptom is for

जजहवा

0 No Intolerance of cold to जजहवा

1 Intolerance of severe cold to जजहवा

2 Intolerance of moderate cold to जजहवा

3 Intolerance of Mild cold to जजहवा

गवी (Heaviness)

This symptom is for

जजहवा

0 No Heaviness

1 Mild heaviness with no difficulty

in movement of जजहवा

2 Moderate heaviness with

difficulty in Movement of जजहवा

3 Sever heaviness with bending down of

सफटटता (अहर) (Ulcer)

0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

कणटाकाधचता (अहर) = Thorn like

appearance

0 No change in appearance

59

Code Signs amp Symptoms Score Gradations Remarks

1 13 part of oral mucous membrane covered with red fleshy thorn like papillae

2 23 part of oral mucous membrane covered with red fleshy thorn like papillae

3 gt23 part of oral mucous membrane covered with red fleshy thorn like papillae

षववणोतत कचछरणमखम (अहर) (Difficulty in mouth opening)

0 Mouth opening more than 3 fingers without difficulty

1 2 to 3 fingers opening of mouth with or without difficulty

2 1 to 2 fingers opening of mouth with or without difficulty

3 Less than 1 finger opening of mouth with or without difficulty

152 पऩतमत(यकतज)सवसय (स) Signs and Symptoms of यकतज सवसय are same as of पऩतमत सवसय so no separate gradations are mentioned

यकतता (Redness) 0 Colour of सवसय- वरण is similar with

surrounding mucous membrane

1 Reddish Colour of सवसय- वरण

2 Bright red Colour of सवसय- वरण

3 Dark red Colour of सवसय- वरण

सदाह (Burning

Sensation)

0 No burning in सवसय- वरण Or According to

VAS

1 Occasional burning in सवसय- वरण

2 Intermittent burning in सवसय- वरण

3 Contentious burning in सवसय- वरण

which does not relive by any measures

तन (तनसब) (Shallow superficial ulcers)

0 No ulcer

1 Ulcer having depth of 05-1 mm

2 Ulcer having depth of 1 ndash 15 mm

3 Ulcer having depth of 15 -2 mm

60

Code Signs amp Symptoms Score Gradations Remarks

ओष (अहर) 0 No (ओष) burning in सवसय- वरण

1 Occasional (ओष) burning in

सवसय- वरण

2 Intermittent (ओष) burning in

सवसय- वरण

3 Contentious (ओष) burning in

सवसय- वरण which does not relive

by any measures

ततकतवकरता (अहर) (Bitter taste in mouth)

0 No alteration in taste

1 Occasionally bitter taste felt in mouth without having any bitter substance

2 Off and on bitter taste felt in mouth without having any bitter substance

3 Continuous bitter taste felt in mouth without having any bitter substance

ारोकषतत समावरणा (अहर)

0 No Ulcer

(Ulcers looking like chemical burns)

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

153 कपज सवसय (स) कणड (Itching) 0 No itching Or According to

VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Unable to work due to itching

0r

0 No itching

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate on work due to severe itching

रजा (Pain)

(अलऩ रजा) 0 No pain Or According to

VAS

1 Occasional pain

61

Code Signs amp Symptoms Score Gradations Remarks

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain This condition should be considered as अलऩ रजा

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

सवणण 0 Colour of वरण is same with colour of near by tissue

1 Colour of वरण is not same with colour of near by tissue

मररासयतवम (अहर) (Sweet taste in mouth)

0 No alteration in taste

1 Occasionally sweet taste felt without eating any sweet substance

2 Off and on Sweet taste Occasionally sweet taste felt without eating any sweet substance

3 Continuous sweet taste Occasionally sweet taste felt without eating any sweet substance

षपजचछिऱता (अहर) (Unctuousness)

0 Absent

1 Present

वरण 0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

154 कफाबभद (अहर) शयाव अबभदम

(शयावपाणडऽबभदम) 0 Colour of growthtumour is same

the colour of surrounding skin

1 Colour of growthtumour is शयाव

(Blackish)

62

Code Signs amp Symptoms Score Gradations Remarks

पाणड अबभदम (शयावपाणडऽबभदम)

0 Colour of growthtumour is same the colour of surrounding skin

1 Colour of growthtumour is पाणड

(Pale)

अबभदम 0 No GrowthTumour TNM Classification for tumours can be applied for growth

1 Growthtumour having sizelt 10 mm

2 Growthtumour having size 10 mm to 20 mm

3 Growthtumour having size gt 20 mm

घटिता तिनना मटदता च षववरभत (Size increases on rubbing cutting and squeezing)

0 Size of GrowthTumour is not increasing by rubbing cutting or squeezing

1 Size of GrowthTumour is increasing up to 10 mm by rubbing cutting or squeezing within a month

2 Size of GrowthTumour is increasing up to 20 mm by rubbing cutting or squeezing within a month

3 Size of GrowthTumour is increasing up to 30 mm by rubbing cutting or squeezing within a month

4 Size of GrowthTumour is increasing up to 40 mm by rubbing cutting or squeezing within a month

155 ऊरधवभगद (अहर) वकतरदौगनधम

(Halitosis)

0 No Halitosis

1 Halitosis is feel by Patient only

2 Halitosis is feel by Patient and examining Doctor only

3 Halitosis is feel by any person from the distance from 5 meters

63

Code Signs amp Symptoms Score Gradations Remarks

4 Halitosis is feel by any person from the distance from more than 5 meters

156 पततवकर (अहर) ऩतममासमता

(Halitosis)

0 No Halitosis

1 Halitosis is feel by Patient only

2 Halitosis is feel by Patient and examining Doctor only

3 Halitosis is feel by any person from the distance from 5 meters

4 Halitosis is feel by any person from the distance from more than 5 meters

157 सतनऩाततक सवसय (अहर) This disease occurs due to aggravation of all three doshas including Rakta Clinical presentation of this disease is found as mixed picture according prominent aggravation of dosha and signs and symptoms will be observed accordingly Gradations should be considered accordingly so it is not required to repeat here

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59

Code Signs amp Symptoms Score Gradations Remarks

1 13 part of oral mucous membrane covered with red fleshy thorn like papillae

2 23 part of oral mucous membrane covered with red fleshy thorn like papillae

3 gt23 part of oral mucous membrane covered with red fleshy thorn like papillae

षववणोतत कचछरणमखम (अहर) (Difficulty in mouth opening)

0 Mouth opening more than 3 fingers without difficulty

1 2 to 3 fingers opening of mouth with or without difficulty

2 1 to 2 fingers opening of mouth with or without difficulty

3 Less than 1 finger opening of mouth with or without difficulty

152 पऩतमत(यकतज)सवसय (स) Signs and Symptoms of यकतज सवसय are same as of पऩतमत सवसय so no separate gradations are mentioned

यकतता (Redness) 0 Colour of सवसय- वरण is similar with

surrounding mucous membrane

1 Reddish Colour of सवसय- वरण

2 Bright red Colour of सवसय- वरण

3 Dark red Colour of सवसय- वरण

सदाह (Burning

Sensation)

0 No burning in सवसय- वरण Or According to

VAS

1 Occasional burning in सवसय- वरण

2 Intermittent burning in सवसय- वरण

3 Contentious burning in सवसय- वरण

which does not relive by any measures

तन (तनसब) (Shallow superficial ulcers)

0 No ulcer

1 Ulcer having depth of 05-1 mm

2 Ulcer having depth of 1 ndash 15 mm

3 Ulcer having depth of 15 -2 mm

60

Code Signs amp Symptoms Score Gradations Remarks

ओष (अहर) 0 No (ओष) burning in सवसय- वरण

1 Occasional (ओष) burning in

सवसय- वरण

2 Intermittent (ओष) burning in

सवसय- वरण

3 Contentious (ओष) burning in

सवसय- वरण which does not relive

by any measures

ततकतवकरता (अहर) (Bitter taste in mouth)

0 No alteration in taste

1 Occasionally bitter taste felt in mouth without having any bitter substance

2 Off and on bitter taste felt in mouth without having any bitter substance

3 Continuous bitter taste felt in mouth without having any bitter substance

ारोकषतत समावरणा (अहर)

0 No Ulcer

(Ulcers looking like chemical burns)

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

153 कपज सवसय (स) कणड (Itching) 0 No itching Or According to

VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Unable to work due to itching

0r

0 No itching

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate on work due to severe itching

रजा (Pain)

(अलऩ रजा) 0 No pain Or According to

VAS

1 Occasional pain

61

Code Signs amp Symptoms Score Gradations Remarks

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain This condition should be considered as अलऩ रजा

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

सवणण 0 Colour of वरण is same with colour of near by tissue

1 Colour of वरण is not same with colour of near by tissue

मररासयतवम (अहर) (Sweet taste in mouth)

0 No alteration in taste

1 Occasionally sweet taste felt without eating any sweet substance

2 Off and on Sweet taste Occasionally sweet taste felt without eating any sweet substance

3 Continuous sweet taste Occasionally sweet taste felt without eating any sweet substance

षपजचछिऱता (अहर) (Unctuousness)

0 Absent

1 Present

वरण 0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

154 कफाबभद (अहर) शयाव अबभदम

(शयावपाणडऽबभदम) 0 Colour of growthtumour is same

the colour of surrounding skin

1 Colour of growthtumour is शयाव

(Blackish)

62

Code Signs amp Symptoms Score Gradations Remarks

पाणड अबभदम (शयावपाणडऽबभदम)

0 Colour of growthtumour is same the colour of surrounding skin

1 Colour of growthtumour is पाणड

(Pale)

अबभदम 0 No GrowthTumour TNM Classification for tumours can be applied for growth

1 Growthtumour having sizelt 10 mm

2 Growthtumour having size 10 mm to 20 mm

3 Growthtumour having size gt 20 mm

घटिता तिनना मटदता च षववरभत (Size increases on rubbing cutting and squeezing)

0 Size of GrowthTumour is not increasing by rubbing cutting or squeezing

1 Size of GrowthTumour is increasing up to 10 mm by rubbing cutting or squeezing within a month

2 Size of GrowthTumour is increasing up to 20 mm by rubbing cutting or squeezing within a month

3 Size of GrowthTumour is increasing up to 30 mm by rubbing cutting or squeezing within a month

4 Size of GrowthTumour is increasing up to 40 mm by rubbing cutting or squeezing within a month

155 ऊरधवभगद (अहर) वकतरदौगनधम

(Halitosis)

0 No Halitosis

1 Halitosis is feel by Patient only

2 Halitosis is feel by Patient and examining Doctor only

3 Halitosis is feel by any person from the distance from 5 meters

63

Code Signs amp Symptoms Score Gradations Remarks

4 Halitosis is feel by any person from the distance from more than 5 meters

156 पततवकर (अहर) ऩतममासमता

(Halitosis)

0 No Halitosis

1 Halitosis is feel by Patient only

2 Halitosis is feel by Patient and examining Doctor only

3 Halitosis is feel by any person from the distance from 5 meters

4 Halitosis is feel by any person from the distance from more than 5 meters

157 सतनऩाततक सवसय (अहर) This disease occurs due to aggravation of all three doshas including Rakta Clinical presentation of this disease is found as mixed picture according prominent aggravation of dosha and signs and symptoms will be observed accordingly Gradations should be considered accordingly so it is not required to repeat here

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60

Code Signs amp Symptoms Score Gradations Remarks

ओष (अहर) 0 No (ओष) burning in सवसय- वरण

1 Occasional (ओष) burning in

सवसय- वरण

2 Intermittent (ओष) burning in

सवसय- वरण

3 Contentious (ओष) burning in

सवसय- वरण which does not relive

by any measures

ततकतवकरता (अहर) (Bitter taste in mouth)

0 No alteration in taste

1 Occasionally bitter taste felt in mouth without having any bitter substance

2 Off and on bitter taste felt in mouth without having any bitter substance

3 Continuous bitter taste felt in mouth without having any bitter substance

ारोकषतत समावरणा (अहर)

0 No Ulcer

(Ulcers looking like chemical burns)

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

153 कपज सवसय (स) कणड (Itching) 0 No itching Or According to

VAS

1 Itching but not disturbing work

2 Itching disturbing work

3 Unable to work due to itching

0r

0 No itching

1 Itching but not disturbing work

2 Itching disturbing work

3 Cannot concentrate on work due to severe itching

रजा (Pain)

(अलऩ रजा) 0 No pain Or According to

VAS

1 Occasional pain

61

Code Signs amp Symptoms Score Gradations Remarks

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain This condition should be considered as अलऩ रजा

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

सवणण 0 Colour of वरण is same with colour of near by tissue

1 Colour of वरण is not same with colour of near by tissue

मररासयतवम (अहर) (Sweet taste in mouth)

0 No alteration in taste

1 Occasionally sweet taste felt without eating any sweet substance

2 Off and on Sweet taste Occasionally sweet taste felt without eating any sweet substance

3 Continuous sweet taste Occasionally sweet taste felt without eating any sweet substance

षपजचछिऱता (अहर) (Unctuousness)

0 Absent

1 Present

वरण 0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

154 कफाबभद (अहर) शयाव अबभदम

(शयावपाणडऽबभदम) 0 Colour of growthtumour is same

the colour of surrounding skin

1 Colour of growthtumour is शयाव

(Blackish)

62

Code Signs amp Symptoms Score Gradations Remarks

पाणड अबभदम (शयावपाणडऽबभदम)

0 Colour of growthtumour is same the colour of surrounding skin

1 Colour of growthtumour is पाणड

(Pale)

अबभदम 0 No GrowthTumour TNM Classification for tumours can be applied for growth

1 Growthtumour having sizelt 10 mm

2 Growthtumour having size 10 mm to 20 mm

3 Growthtumour having size gt 20 mm

घटिता तिनना मटदता च षववरभत (Size increases on rubbing cutting and squeezing)

0 Size of GrowthTumour is not increasing by rubbing cutting or squeezing

1 Size of GrowthTumour is increasing up to 10 mm by rubbing cutting or squeezing within a month

2 Size of GrowthTumour is increasing up to 20 mm by rubbing cutting or squeezing within a month

3 Size of GrowthTumour is increasing up to 30 mm by rubbing cutting or squeezing within a month

4 Size of GrowthTumour is increasing up to 40 mm by rubbing cutting or squeezing within a month

155 ऊरधवभगद (अहर) वकतरदौगनधम

(Halitosis)

0 No Halitosis

1 Halitosis is feel by Patient only

2 Halitosis is feel by Patient and examining Doctor only

3 Halitosis is feel by any person from the distance from 5 meters

63

Code Signs amp Symptoms Score Gradations Remarks

4 Halitosis is feel by any person from the distance from more than 5 meters

156 पततवकर (अहर) ऩतममासमता

(Halitosis)

0 No Halitosis

1 Halitosis is feel by Patient only

2 Halitosis is feel by Patient and examining Doctor only

3 Halitosis is feel by any person from the distance from 5 meters

4 Halitosis is feel by any person from the distance from more than 5 meters

157 सतनऩाततक सवसय (अहर) This disease occurs due to aggravation of all three doshas including Rakta Clinical presentation of this disease is found as mixed picture according prominent aggravation of dosha and signs and symptoms will be observed accordingly Gradations should be considered accordingly so it is not required to repeat here

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Page 62: THE GRADATIONS OF DISEASES OF SHALAKYA TANTRA - PART …theassociationofshalaki.com/downloads/GRADATIONS_OF_DISEASE… · 12.05.2019  · I am also very much thankful to Dr Sandhya

61

Code Signs amp Symptoms Score Gradations Remarks

2 Off and on pain

3 Continuous pain

Or

0 No pain

1 Sometimes mild pain This condition should be considered as अलऩ रजा

2 Has to take analgesic while pain

3 Pain does not relive with analgesic

सवणण 0 Colour of वरण is same with colour of near by tissue

1 Colour of वरण is not same with colour of near by tissue

मररासयतवम (अहर) (Sweet taste in mouth)

0 No alteration in taste

1 Occasionally sweet taste felt without eating any sweet substance

2 Off and on Sweet taste Occasionally sweet taste felt without eating any sweet substance

3 Continuous sweet taste Occasionally sweet taste felt without eating any sweet substance

षपजचछिऱता (अहर) (Unctuousness)

0 Absent

1 Present

वरण 0 No Ulcer

1 Size of Ulcer lt 5 mm

2 Size of Ulcer 5-10 mm

3 Size of Ulcer gt 10 mm

154 कफाबभद (अहर) शयाव अबभदम

(शयावपाणडऽबभदम) 0 Colour of growthtumour is same

the colour of surrounding skin

1 Colour of growthtumour is शयाव

(Blackish)

62

Code Signs amp Symptoms Score Gradations Remarks

पाणड अबभदम (शयावपाणडऽबभदम)

0 Colour of growthtumour is same the colour of surrounding skin

1 Colour of growthtumour is पाणड

(Pale)

अबभदम 0 No GrowthTumour TNM Classification for tumours can be applied for growth

1 Growthtumour having sizelt 10 mm

2 Growthtumour having size 10 mm to 20 mm

3 Growthtumour having size gt 20 mm

घटिता तिनना मटदता च षववरभत (Size increases on rubbing cutting and squeezing)

0 Size of GrowthTumour is not increasing by rubbing cutting or squeezing

1 Size of GrowthTumour is increasing up to 10 mm by rubbing cutting or squeezing within a month

2 Size of GrowthTumour is increasing up to 20 mm by rubbing cutting or squeezing within a month

3 Size of GrowthTumour is increasing up to 30 mm by rubbing cutting or squeezing within a month

4 Size of GrowthTumour is increasing up to 40 mm by rubbing cutting or squeezing within a month

155 ऊरधवभगद (अहर) वकतरदौगनधम

(Halitosis)

0 No Halitosis

1 Halitosis is feel by Patient only

2 Halitosis is feel by Patient and examining Doctor only

3 Halitosis is feel by any person from the distance from 5 meters

63

Code Signs amp Symptoms Score Gradations Remarks

4 Halitosis is feel by any person from the distance from more than 5 meters

156 पततवकर (अहर) ऩतममासमता

(Halitosis)

0 No Halitosis

1 Halitosis is feel by Patient only

2 Halitosis is feel by Patient and examining Doctor only

3 Halitosis is feel by any person from the distance from 5 meters

4 Halitosis is feel by any person from the distance from more than 5 meters

157 सतनऩाततक सवसय (अहर) This disease occurs due to aggravation of all three doshas including Rakta Clinical presentation of this disease is found as mixed picture according prominent aggravation of dosha and signs and symptoms will be observed accordingly Gradations should be considered accordingly so it is not required to repeat here

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Page 63: THE GRADATIONS OF DISEASES OF SHALAKYA TANTRA - PART …theassociationofshalaki.com/downloads/GRADATIONS_OF_DISEASE… · 12.05.2019  · I am also very much thankful to Dr Sandhya

62

Code Signs amp Symptoms Score Gradations Remarks

पाणड अबभदम (शयावपाणडऽबभदम)

0 Colour of growthtumour is same the colour of surrounding skin

1 Colour of growthtumour is पाणड

(Pale)

अबभदम 0 No GrowthTumour TNM Classification for tumours can be applied for growth

1 Growthtumour having sizelt 10 mm

2 Growthtumour having size 10 mm to 20 mm

3 Growthtumour having size gt 20 mm

घटिता तिनना मटदता च षववरभत (Size increases on rubbing cutting and squeezing)

0 Size of GrowthTumour is not increasing by rubbing cutting or squeezing

1 Size of GrowthTumour is increasing up to 10 mm by rubbing cutting or squeezing within a month

2 Size of GrowthTumour is increasing up to 20 mm by rubbing cutting or squeezing within a month

3 Size of GrowthTumour is increasing up to 30 mm by rubbing cutting or squeezing within a month

4 Size of GrowthTumour is increasing up to 40 mm by rubbing cutting or squeezing within a month

155 ऊरधवभगद (अहर) वकतरदौगनधम

(Halitosis)

0 No Halitosis

1 Halitosis is feel by Patient only

2 Halitosis is feel by Patient and examining Doctor only

3 Halitosis is feel by any person from the distance from 5 meters

63

Code Signs amp Symptoms Score Gradations Remarks

4 Halitosis is feel by any person from the distance from more than 5 meters

156 पततवकर (अहर) ऩतममासमता

(Halitosis)

0 No Halitosis

1 Halitosis is feel by Patient only

2 Halitosis is feel by Patient and examining Doctor only

3 Halitosis is feel by any person from the distance from 5 meters

4 Halitosis is feel by any person from the distance from more than 5 meters

157 सतनऩाततक सवसय (अहर) This disease occurs due to aggravation of all three doshas including Rakta Clinical presentation of this disease is found as mixed picture according prominent aggravation of dosha and signs and symptoms will be observed accordingly Gradations should be considered accordingly so it is not required to repeat here

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Page 64: THE GRADATIONS OF DISEASES OF SHALAKYA TANTRA - PART …theassociationofshalaki.com/downloads/GRADATIONS_OF_DISEASE… · 12.05.2019  · I am also very much thankful to Dr Sandhya

63

Code Signs amp Symptoms Score Gradations Remarks

4 Halitosis is feel by any person from the distance from more than 5 meters

156 पततवकर (अहर) ऩतममासमता

(Halitosis)

0 No Halitosis

1 Halitosis is feel by Patient only

2 Halitosis is feel by Patient and examining Doctor only

3 Halitosis is feel by any person from the distance from 5 meters

4 Halitosis is feel by any person from the distance from more than 5 meters

157 सतनऩाततक सवसय (अहर) This disease occurs due to aggravation of all three doshas including Rakta Clinical presentation of this disease is found as mixed picture according prominent aggravation of dosha and signs and symptoms will be observed accordingly Gradations should be considered accordingly so it is not required to repeat here

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