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ORIGINAL ARTICLE
Year : 2018  |  Volume : 1  |  Issue : 1  |  Page : 41-47

An Exploratory Pilot Study on the Traditional Siddha Anthropometric Diagnostic and Screening Method Manikkadai Nool Measurement


1 Siddha Clinical Research Unit (CCRS, Ministry of AYUSH), A&U Tibbia College Campus, Karol Bagh, New Delhi -110005, India
2 Clinical Epidemiology Resource and Training Centre, Government Medical College, Thiruvananthapuram, India - 695011, India

Correspondence Address:
Subramanian Saravanan
Siddha Clinical Research Unit (CCRS, Ministry of AYUSH), A&U Tibbia College Campus, Karol Bagh, New Delhi -110005
India
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Source of Support: None, Conflict of Interest: None


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Background: The traditional Tamil Siddha medical text ‘Agasthiyar Sūdamanikkayaru Sūtram’ exclusively discusses Manikkadai Nūl (wrist-thread) measurement as a continuous variable ranging from 4 to 10 fb with an interval of 0.25 fb between each value i.e. 4, 4.25, 4.5, 4.75 etc. and enumerates the corresponding disease conditions associated with each value, as a desk reference for physicians. The current study was aimed to study the distribution pattern of Manikkadai Nūl (MN) measurement of students studying in an undergraduate college in Thiruvananthapuram district, Kerala and to analyse the data statistically. Manikkadai Nūl measurement is the circumference of forearm which is measured four finger breadth above the wrist. Methods: The study group included 166 females and 37 males aged 18-28 years. MN measurement of the participants was recorded. The mean and standard deviation were calculated. The distribution of the MN measurement was generated. Correlation between age and MN measurement was assessed by Pearson’s correlation coefficient. The sex difference with respect to MN measurement was assessed by t test. Results: The analysis shows positively skewed (theoretically symmetrical) distribution of MN measurement. The mean was 9.28, mode was 9, and the standard deviation was 0.83; MN measurement has no correlation with age and gender. As per the traditional Tamil Siddha text, only 8 out of the 203 participants are in their perfect health state. Conclusion: The distribution of the MN measurement was positively skewed (N=203) which could be considered as theoretically symmetrical distribution and if the number of study participants were increased, a perfect symmetrical distribution might be obtained. A thorough study on MN measurement and its correlation with body mass index, waist hip ratio, waist circumference and associated disease conditions will be helpful to develop a non-invasive diagnostic and screening tool for the lifestyle disorders referred in the classical Siddha text.


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