Determination of Diagnostic Significance of Naadi (Pulse), Neikuri (Urine Examination) and Manikadainool (Wrist Circumetric Sign) in Pakkavatham (Hemiplegia) at Government Siddha Medical College and Hospital, Palayamkottai, Tirunelveli, Tamil Nadu - 62700

Background: The Stroke is a second leading cause of death in worldwide, its mortality rate is 5.5 million and above. This is not only the burden but also, up to 50 % of survivors being chronically disabled. Aim: To determine the diagnostic significance of Naadi, Neikuri and Manikadai nool in Pakkavatham. Study design: A Cross Sectional Descriptive Observational Single Centric Study Place and duration of study: This study work was carried out in 50 patients at Government Siddha Medical College and Hospital, Palayamkottai, Tirunelveli, Tamil Nadu from April 2019 to September 2019. Materials and methods: After getting the Ethical clearance from Institutional Ethical Committee 50 subjects (30 subjects in Out Patient Department (OPD) and 20 subjects in In Patient Department (IPD) were randomly selected, data were collected by interviewing with a structured questionnaire, pulse and wrist circumference were studied and the samples of urine were collected to the analysis. Results: The highest incidence of Pakkavatham was observed in 51-60 aged group of 19 male patients. The highest incidence of Pakkavatham was observed in 24 (48 %) Hypertensive male patients. Mostly Vathapitha prakruti was predominantly seen in 19 male patients (38 %) and 06 female patients (12 %). 22 male patients (44 %) and 07 female patients (14 %) had Vathapitha naadi, 05 male patients (10 %) had Vathakapa naadi. During the Neikuri examination majority, 27 male patients (54 %) and 07 female patients (14 %) had Vatha neikuri. Most of the patients MVV fell within the range of 9-9 1/2 fbs. According to the Naadi and Neikuri correlation Vatha is predominant and equalent in both examination. In MKV the significance value was seen in only 30 patients.