Vikar Darshan Pariksha (examination of pathology by inspection) is one of the important clinical method mentioned by Acharya Sushruta while examining the patient. Inspection is an active process. It is done with the eyes and the intellect. As per Acharya Sushruta, Built, features, Power, Colour, Pathology etc. should be examined by external inspection [S.Su.10/5]. Another less explored but equally important aspect of inspection examination is the internal inspection of pathologies through endoscopic procedures. Review of literature shows that Acharya Sushruta had described various diagnostic and therapeutic endoscopic procedures like Kantha Weekshan (Oropharyngoscopy) for viewing and removing throat pathologies and foreign bodies [S.Su. 27/17-18], Nasa Weekshan (Rhinoscopy) for viewing and removing the nasal polyp and tumor [S.Su. 8/14], Arsha Weekshan (Proctoscopy) for viewing and removing pile mass'S.Chi. 6/4 & 11], Bhagandar Weekshan (Fistula in Ano Scope) for viewing the track and for application of the medication. Today is the era of minimally invasive procedures. With the help of endoscopic procedures not only diagnosis of the disease is done but also the various therapeutic procedures such as band ligation of oesophageal varices in patients of cirrhosis of liver etc are done. In conclusion, it is observed that the endoscopic procedures have been well documented in Ayurvedic science before they come into practice in modern medicine. Endoscopic procedures are important in diagnosis as well as in the treatment of the internal pathologies.
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