Draft Syllabus
PG Syllabus


   SUBJECT : Panchkarma

20.PANCHKARMA

Theory- 100 marks
Practical and Viva-voce - 100 marks

                                  Part A                                              (50 Marks)

Applied aspects of Fundamentals of Panchkarma

  1. Chikitsa and its classifications; Antah-Parimarjana and Bahir-Parimarjana Chikitsa
  2. Principles of Chikitsa, Kriyakaal, Shadvidha and Dvividha Upakrama and place of pancha Karma and Shodhana therein.
  3. Applied aspects of Trividha, Shadvidha, Ashta Vidha and Dasha Vidha Priksha,
  4. Applied anatomy and physiology of cranial and peripheral nerves, Methods of physical examinations of central nervous system: sensory system, motor examination-Muscle power and tone, superficial and deep reflexes, difference of upper and lower motor neuron lesions, tremors, coordination
  5. Functions of various single and groups of muscles, applied anatomy and physiology of joint. Methods of examination of loco-motor system: differential diagnosis of Amavata (rheumatoid arthritis), Vatarakta (gout) and Sandhi Vata (osteoarthritis). Examination of lumbar and cervical disorders including Gridhrasi (sciatica) and Vishvachi
  6. Applied anatomy and physiology of respiratory system, functions of capillaries ans its permeability. Methods and practice of Examination of respiratory and cardiovascular system     
  7. Knowledge and Method of examination of various skin lesions
  8. Applied anatomy of stomach, small intestine and large intestine. Detailed examination of gastro-intestinal system

                        Part B                                              (50 Marks)

Panchkarma

  1. Definition of Karma, Trividha Karma for Shodhana
  2. Importance pf Panchkarma in health and disease
  3. Indications and contraindications for Shodhana, applied aspects of Koshtha
  4. Importance of Purva and Pashchata karma in Shodhana, Parihara Vishaya for panchakarma.
  5. Methods of Pathya and Samsarjana karma preparations. Various Aushadha Kalpana used for Panchakarma.
  6. Areas of research in Panchkarma                       
  7. Knowledge equipments and instruments used in Panchkarma and possible modifications therein.
  8. Knowledge about quality/standards of NABH (National Accreditation Board of Hospitals for Ayurved) guidelines and establishment and management of Eco-friendly Panchkarma theatre including management of Bio- waste.

Practical                                                                      100 Marks

  1. Duty in Panchakarma ward and theatre
  2. Performance of 5 Cases of each Snehana, Svedana, Vamana , virechana, Basti and Nasya with maintaining of detailed Record       
  3. Record of detailed examination of 25 patients treated with Panchakarma and effects observed thereon. 





20. PANCHKARMA

PAPER – I

[        
Purva Karma-Snehana and Svedana

 

  1. Panchkarma in Ashtanga Ayurved and Significance of Shodhana
  2. Ama and Shodhana, benefits of Shodhana, Samikshya Bhavas in Shodhana,
  3. Importance of Pachana prior to Snehana, methods, drugs, duration and dose for Pachana, samyak Lakshana of Pachana  

Snehana

  • Etymology and definition of Sneha and Snehana
  • General considerations about Snehana
  • Classifications of Sneha, Sneha-Yoni, detailed knowledge of four types main Sneha-Ghrita, Taila, Vasa and Majja with their characteristics, importance and utility, various aspects of Uttama Sneha
  • Properties of Snehana Dravya and their interpretation
  • Effects of Snehana
  • Sneha Kalpana, various types of Sneha Paka with their utility
  • Indications and contraindications of Snehana
  • Classification of Snehana: Bahya and Abhyantara Snehana
  • Bahya Snehana and Bahir-Parimarjana, utility and importance of Bahya Snehana
  • Classification of Bahya Snehana

Methods, indications, contraindications, specific utility of the followings Abhyanga, Mardana, unmardana, Padaghta, Samvahana, Udvartana/Utsadana, Udgharshana, Avagaha, Pariseka, Lepa, Pralepa, updeha, Gandusha, Kavala; Karana and Nasa Purna, Akshi Tarpana;  Murdhni Taila: Shiro-abhyanga, Shirodhara, Siro Pichu and Siro Basti, Shiro Lepa (Talapotichil), Talam and Takradhara, etc.

  • Knowledge of digestion and metabolism of fat
  • Karmukata of Abhyantara and Bahya Snehan
  • Knowledge of different western massage techniques
  • Abhyantra Snehana: Brimhnartha, Shamanartha and Shodhanartha, definition, method and utility of Brimhanartha and shamanrtha Snehana; difference between Shamanartha and Shodhanartha Snehana
  • Methods of Abhyantar Snehana
  • Shodhanartha Snehana: Acchapana and Vicharana, Utility and various methods of Sadyasnehana, Avapidaka Sneha
  • Matra of Sneha : Hrasiyasi, Hrasva, Madhyama and Uttma Matra with their indications, specific utilty of Ghrita, taila, Vasa and majja; Anupana of Sneha  
  • Need and method of Rukshana before performing Snehana in specific conditions and Samyak Rukshana Lakshana
  • Shodhannga Snehana Vidhi and methods of fixation of dose
  • Diet and Pathya during Snehana
  • Observation of sneha Jiryamana, Jirna and Ajirna Lkashana
  • Samyak, Asnigdha and Ati Yoga Lakshana of Snehana
  • Snehs vyapta and their management
  • Pariharya vishaya and Parihara Kala

Svedana

  • Etymology and definition of Svedana
  • General considerations about Svedana
  • Properties of Svedan and Svedopaga Dravya
  • Indications and contraindications of Svedana
  • Various Classifications of Sveda and Svedna
  • Detailed knowledge of four types of Sveda of Sushruta with their utility;
  • Hina, Mridu, Madhya and Mhana Sveda; Ekanga and Sarvanga sveda with their utility
  • Utility and method of each of 13 types of Sagni and 10 types of Niragni Sveda
  • Shodhannga and Samshamaniya Sveda
  • Methods to protect the vital organs (varjya anga) during Svedan Procedure
  • Detailed Knowledge about Utility of below mentioned Svedan procedures:- Patrapinda Sveda, Shashtika Shalipinda Sveda, Churna Pinda Sveda, Jambira Pinda Sveda, Dhanya Pinda Sveda, Kukkutanda Sveda, Anna lepa, Valuka Sveda, Ishtika Sveda, Nadi Sveda, Bashpa Sveda, Kshira bashpa Sveda, Avagaha Sveda, Parisheka Sveda, Pizichil, Dhanyamla Dhara, Kashaya Dhara, Kshira Dhara and Upanaha Sveda.
  • Avasthanusari Svedana in various disorders                                                
  • Samyak, Ayoga and Atiyoga Lakshana, Sveda Vyapat and their management
  • Diet and regimens during and after Svedana
  • Karmukata of Svedana
  • Current sudation modalities like Sauna bath, Steam Bath, Infrared, etc.
  • Svedana with Kati Basti, Janu Basti and Griva Basti
  • Study of Snehana and Svedana related portions in classics with commentaries

 



PAPER - II

Vamana and Virechana Karma

Vamana Karma

  • Etimology, definition and general considerations of vamana
  • Properties  of  Vamaka and Vamanopaga drugs
  • Knowledge and utility of important Vamaka drugs and their preparations (Vamana Yoga)
  • Avasthanusara Vamana and its utility.
  • Indications of Vamana
  • Contraindications of Vamana with reasons 
  • Pachana prior to Snehana
  • Detailed knowledge and method of preparation of patient with Snehana
  • Abhyanga and Svedana as Purvakarma of Vamana
  • Diet and management of gap day
  • Need of increasing of Kapha for proper Vamana, Kapha increasing diet
  • Management of Patients on the morning of Vamana
  • Administration of food articles prior to Vamana
  • Drug, time, Anupana, Sahapana, dose and method of administration of Vamana and Vamanopaga preparations
  • Method of Vamana Karma, waiting period for automatic Vamana Vega and manipulation in its absence 
  • Observations prior to beginning of Vamana such as sweat on forehead, horripilation, fullness of stomach and nausea
  • Observation and assistance of the patient during Vamana
  • Vega and Upavega of Vamaana and its counting, observations and preservation of vomitus matter and its weighing
  • Samyak, Ayoga and Atiyoga of Vamana 
  • Laingiki, Vaigiki, Manaki and Antiki Shuddhi,
  • Hina, Madhya and Pravara Shddhi and Samsajana Krama accordingly
  • Detail knowledge of methods of Samsarjana Krama and its importance
  • Kavala and Dhumapana after vamana
  • Management of Ayoga, Atiyog and Vyapat of Vamana with Ayurveda and modern drugs
  • Parihara Vishaya and Kala for Vamana 
  • Vamana Karmukata with Pharmaco-dynamics of Vamana

Virechana Karma

  1. Etymology, definition and general considerations of Virechana
  2. Importance of Vamana and Virechana as shodhana, Virechana better than Vamana
  3. Necessity of Vamana prior to Virechana
  4. Preparation of patients for Virechana after Vamana 
  5. Preparation of patients directly for Virechana 
  6. Properties of  main Virechaka and Virechanopaga drugs, Classifications of Virechana drugs with definition, example and utility of each type
  7. Indications of Vamana Karma
  8. Contraindications of Virechana with reasons
  9. Utility of Virechana for the specific conditions and stages of the disease
  10. Internal Snehana for Virechana with diet
  11.  Management of 3 gap day with diet and importance of low Kapha for proper Virechana
  12. Abhyanga and Svednana as Purvakarma of Virechana
  • Management of Patients on the morning of Virechana
  • Virechana should be performed in empty stomach
  • Drug, dose, time, Anupana, sahapana and method of administration of Virechana and Virechanopaga preparations
  • Method of performing of Virechana Karma 
  • Observations during Virechana, Vega and Upavega of Virechana and its counting, observations and preservation of fecess and its weighing
  • Samyak, Ayoga and Atiyoga of Virechana
  • Laingiki, Vaigiki, Manaki and Antiki Shuddhi of Virechana
  • Hina, Madhya and Pravara Shddhi and Samsajana Krama accordingly
  • Detail knowledge of methods of Samsarjana Krama and its importance, and Tarpana krama and its importance  
  • Management of Ayoga, Atiyog and Vyapat of Virechana with Ayurveda and modern drugs
  • Parihara Vishaya and Kala for Virechana   
  • Virechana a Karmukata with Pharmaco-dynamics of Virechana
  • Applied anatomy and physiology of Gastrointestinal system related with Vamana and Virechana
  1. Study of Vamana and Virechana related portions in classics with commentaries
  2. Recent advances of researches on the effect of Vamana and Virechana
  3. Scope of research for Vamana and Virechana

 



PAPER - III

Basti Karma and Nasya Karma

Basti Karma

  • Etymology, definition and general considerations of Basti
  • Importance of Basti in Kayachikitsa and other branches of Ayurveda
  • Classifications of Basti
  • Drugs useful in Basti
  • Indications of Basti, its role at the various stages of diseases
  • Contraindications of Basti with reaons
  • Description of Basti yantras, Basti netra and Basti putaka and their Doshas. Modified Basti Yantra, their merits and demerits
  • Dose schedules of Niruha and Anuvasana basti

Niruha basti
Etymology, synonyms and classifications and subclassifications of Niruha Basti and detailed knowledge of each type of Niruha Basti along with indications and contraindications and benefits
Contents of various types of Niruha Basti, their peoportions, methods of mixing basti Drabya,
Relation of Virechana, Shodhana, Anuvasana Basti with Niruha Basti
Purvakarma for Niruha Basti; Pathya before, during and after Niruha Basti; all the aspects of administration of various Niruha Basti
Observations during and after Niruha Basti
Basti Pratyagamana,
Samyakyoga, Ayoga and Atiyoga Lakshana and Various Vyapat of Niruha Basti and their management according to Ayurved and Modern Systems of Medicines
Management during and after Niruha Basti
Pariharya vishaya and pariharakala,
according to Ayurved and Modern Systems of Medicines

Anuvasana basti
Etymology, synonyms and classifications and subclassifications of Anuvasana Basti and detailed knowledge of each type of Anuvasana Basti along with indications and contraindications and benefits
Various types of Ghrita and Taila useful in Anuvasana Basti 
Relation of Virechana, Shodhana, Niruha Basti, Snehana with Anuvasana Basti
Purvakarma for Anuvasana Basti; Pathya before, during and after Anuvasana  Basti;all the aspects of administration of Anuvasana Basti
Observations during and after Anuvasana Basti
Anuvasana Basti Pratyagamana,
Samyakyoga, Ayoga and Atiyoga Lakshana and Various Vyapat of Anuvasana Basti and their management.
Management during and after Anuvasana Basti
Pariharya vishaya, Pathya and pariharakala for Anuvasana
Various combined basti schedules such as Karma, Kala, yoga Basti etc.
Detailed knowledge of Matra Basti
Detailed Knowledge of different basti formulations like Piccha Basti, Kshira Basti, Yapana Bastis, Madhutailika Basti, Erandamuladi Niruha Basti, Panchaprasrutika Basti, Kshara Basti, Vaitarana Basti, Krimighna Basti, Lekhana Basti,Vrishya Bsti,Manjishtadi Niruha Basti,Dashamula Basti, Ardhamatrika Basti,Sarva roghara Niruha Basti,Brimhana Basti, Vataghna Basti, Pittaghna Basti and Kaphaghna Basti etc, and their practical utility.

Uttara basti

  • Definition and Classification of Uttara Basti, its Netra and Putaka. Dose of Uttara Basti Sneha and Kashaya Basti. Different Uttara Basti Kalpanas in various diseases
  • Detailed knowledge of Purvakarma and Administration of uttara Basti

Karmukata of Basti. Applied anatomy and physiology of colon, Pharmaco-dynamics of Basti

  • Concept of ‘Gut Brain’ and its relevance to Basti Therapy.
  • Study of relevant portions of Basti in classics with commentaries.

Nasya Karma

  • Etymology, synonyms, importance and definition of Nasya
  • Nasya drugs according to various Samhita
  • Classifications and sub-classifications of Nasya with detailed knowledge of each type
  • Indications and contraindications of each type of Nasya
  • Drugs useful for Nasya with Dose and methods of preparations and their doses
  • Nasya Kala and Pathya before, during and after Nasya; Duration of different Nasyas
  • Purvakarma of each types of Nasya
  • Detailed knowledge of administration of each type of Nasya with management during and after Nasya.
  • Detailed study of different Nasya formulations
  • Samyakyoga, Ayoga and Atiyoga of each types of Nasya, its Vyapat and their management
  • Pashchata Karma; Role of Dhumapana, Kavala after Nasya,
  • Diet and Pathya before, during and after Nasya Karma
  • Pariharya vishaya, Parihara Kala,
  • Nasya Karmukata, Applied anatomy and physiology related to Nasa hi Sirso Dvaram, blood and nerve supply to nose, Shringataka marma, olfactory nerve and centers, aroma therapy
  •  Study of relevant portion in classics with commentaries



 

PAPER - IV

Raktamokshana and Clinical   Physical Medicine
         
A. Raktamokshana

  • Definition, importance, classifications and detailed knowledge of each type with their methods of performance
  • General principles, indications, contraindications of Raktamokshana
  • Detailed knowledge of Jalaukavacharana: Indications and contraindications of Jalaukavacharana, various tyoes of Jalauka with their beneficial and harmful effects.   
  • Purvakarma and methods of administration of Jalaukavacharana, observations and Pathya before, during and after Jalaukavacharana
  • Management during and after Jalaukavacharana
  • Symptoms of Samyak, Ayoga and Atiyoga and Vyapat of of Raktamokshana and their management with Ayurveda and Modern medicines.
  • Pariharya vishaya and Parihara kala
  • Karmukata of Raktamokshana by different methods

B. Clinical Physical Medicine

  • Definitions and terminology
  • Biomechanics of human movement; Physiology of exercise
  • Treatment modalities used in Physical Medicine- general properties and detailed clinical use of each
    • Heat – general physiological properties and mode of action as a treatment agent, Forms of heat therapy – superficial and deep heating. General knowledge of  Infrared, Paraffin Wax bath, convection heating devices,
    • Cold as a therapeutic agent
    • Prescription of physical modalities and their applications in medicine.
  • Clinical use of massage, manipulation, stretching
  • Principles of occupational therapy, training in activities of daily living for rehabilitation, self-help devices (walking aids, wheelchairs, tricycles & modified vehicles),  instrumental activities of daily living,
  • Physiotherapy exercises for Paralytical disorders, cervical spondylosis, frozen shoulder and slip disc.

Referance Books-


1

Charak Samhita with commentary of Ayurved Dipika by Chakrapanidatta and Jalpakalpa taruby Gangadhara

Agnivesha

2

Sushrutha Samhita with the Nibhandha Samgraha commentary of Dalhana and Nyayachandrika panjika of Gayadasa on nidansthana

Sushrutha

3

Ashtang Hridaya with Sarvanga sundara and Ayurved rasayana commentaries

Vaghbhata

4

Ayurvediya Panchkarma chikitsa

Dr Mukundilal Dwivedi

5

Panchkarma Vigyan

Dr Haridas Shreedhar Kasture

6

Illustrated Panchkarma

Dr.G Srinivasa Acharya

7

Ayurveda-Principles and Practice of Panchakarma

Dr. Mandip and Dr Gurdip Singh

 

 

 

 

 

 

8

The Panchkarma Treatment of Ayurved with Kerala Specialities

Dr. T.L. Devaraj

9

Panchkarma Therapy

Dr. R.H. Singh

10

Principles and practice of vasti

Dr. Vasudevan Nampoothiri and Dr. L. Mahadevan

11

Claiton’s Physiotherapy

 

12

Teddy’s Physiotherapy

 

13

Harrison’s Principles of Inernal Medicines

 

14

Guyton’s Physiology