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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
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
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
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
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
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
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
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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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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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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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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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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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
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
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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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
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
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
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
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
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
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
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
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
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
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
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
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
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