ArticleEvidence-based complementary and alternative medicine : eCAM2013
Interrater reliability of diagnostic methods in traditional Indian ayurvedic medicine.
Article in Evidence-based complementary and alternative medicine : eCAM, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed.
- Reliability of Ayurvedic Diagnosis for Knee Osteoarthritis Patients: A Nested Diagnostic Study Within a Randomized Controlled Trial.Journal of alternative and complementary medicine (New York, N.Y.) · 2019Trial
- Duagnosis: Locating Clinical Uncertainty in the Diagnostic Framework.Journal of evaluation in clinical practice · 2026Article
- The Brief Prakriti Inventory: Latent structure, reliability, and validity.Wellcome open research · 2025Article
- Prakriti (constitutional typology) in Ayurveda: a critical review of Prakriti assessment tools and their scientific validity.Frontiers in medicine · 2025Review
- Diagnostic Validity of Āyurvedic Pulse Assessment: Maharishi Nādi-Vigyān in Cardiovascular Health.Journal of Maharishi Vedic Research Institute · 2021Article
- Prakriti-based research: Good reporting practices.Journal of Ayurveda and integrative medicine · 2016Article
- The use of ayurvedic medicine in the context of health promotion--a mixed methods case study of an ayurvedic centre in Sweden.BMC complementary and alternative medicine · 2016Article
- Reduced health-related quality of life in body constitutions of yin-xu, and yang-xu, stasis in patients with type 2 diabetes: taichung diabetic body constitution study.Evidence-based complementary and alternative medicine : eCAM · 2014Article
- Reliability of self-reported constitutional questionnaires in Ayurveda diagnosis.Journal of Ayurveda and integrative medicineArticle
- Weighted mean: A possible method to express overall Dhatu Sarata.Journal of Ayurveda and integrative medicineArticle
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Authors and funding
5 authors.
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Abstract
This study assesses the interrater reliability of Ayurvedic pulse (nadi), tongue (jivha), and body constitution (prakriti) assessments. Fifteen registered Ayurvedic doctors with 3-15 years of experience independently examined twenty healthy subjects. Subjects completed self-assessment questionnaires and software analyses for prakriti assessment. Weighted kappa statistics for all 105 pairs of doctors were computed for the pulse, tongue, and prakriti data sets. According to the Landis-Koch scale, the pairwise kappas ranged from poor to slight, slight to fair, and fair to moderate for pulse, tongue, and prakriti assessments, respectively. The average pairwise kappa for pulse, tongue, and prakriti was 0.07, 0.17, and 0.28, respectively. For each data set and pair of doctors, the null hypothesis of random rating was rejected for just twelve pairs of doctors for prakriti, one pair of doctors for pulse examination, and no pairs of doctors for tongue assessment. Thus, the results demonstrate a low level of reliability for all types of assessment made by doctors. There was significant evidence against random rating by software and questionnaire use and by the diagnosis preferred by the majority of doctors. Prakriti assessment appears reliable when questionnaire and software assessment are used, while other diagnostic methods have room for improvement.
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