CENTRAL COUNCIL OF INDIAN MEDICINE
NEW DELHI

SYLLABUS OF AYURVEDACHARYA (BAMS) 4th Year

INDEX

4TH PROFESSIONAL

4.1 KAYACHIKITSA 02-04
4.2 PANCHKARMA 05-09
4.3 SHALYA TANTRA 10-18
4.4 SHALAKYA TANTRA 19-24
4.5 RESEARCH METHODOLOGY AND MEDICAL STATISTICS 25-26
Central Council Of Indian Medicine | 4th Year Syllabus
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    4.1 KAYACHIKITSA

    Theory Two Paper - 100 Marks Each
    Practical/Viva voce - 100 Marks
       
    Paper I 100 Marks
    Part - A 50 Marks

  1. Derivation of the terms ‘Kaya’, ‘Chikitsa’ and their definitions and synonyms. Definition of ‘Kayachikitsa, Definition of ‘Bheshaja’. Types and detailed description of Bheshaja and Chikitsa, Knowledge about Chikitsa Chatushpada, Rogi Roga Pariksha Siddhantha, Astasthana Pariksha.

  2. Importance of Kriya Kaala according to stages of Dosha and their management.

  3. Chikitsa sutra and Management of vriddhi (increased) and kshaya (decreased) of Dosha, Dhatu and Mala, Ojo Vyapat (Kshaya, Visramsa and Vyapat) and its management. Chikitsasutra and Management of Sama-Nirama states, Roga-Anutpattikara Chikitsa, Roga Prashamana Chikitsa (Doshapratyanika, Vyadhipratyanika, Ubhayapratynika), Doshopakrama, Chikitsa sutra and Management of Sthanantara Dosha (Ashayapakarsha, Anuloma/Pratiloma gati of Dosha, Vimarga gamana of Dosha), Knowledge of Lina Dosha & its management, Diagnosis, Chikitsa Sutra and Management of Avarana and of Dhatu Pradoshaja diseases, Importance of Dosha, Dushya , Bala, Kaala, Agni, Prakriti, Vaya, Sattva Satmya, Desha, Ahara and stage of diseases in treating them. Chikitsa Sutra and Management of ‘Samanyaja and Nanatmaja’ diseases.

  4. Detailed description of Dvividhopakrama (Santarpana and Apatarpana) and Shadavidhopakrama (Rookshana, Snehana, Swedana, Sthambhana, Langhana and Brimhana). Detailed description of Shodhana, Shamana and Nidana Parivarjana. Knowledge of Aushadha matra, Sevan kaala and Anupana, Definition and Knowledge of Pathya-Apathya with examples of diseases of various systems.

  5. Derivation of the term ‘Manas’, its sthana (place), Guna (qualities) and Karma (functions). Samanya Chikitsa Siddhanta of Manasa Roga.

  6. Principles & Management of Nutritional deficiency disorders.

  7. Management of Vardhakyajanita vikara, Indriyapradoshoja vikara, Alzhiemer’s Disease, Sleep disorders, General debility.

  8. General introduction and principles of Management of diseases produced by Genetic, Environmental and Iatrogenic factors. Disorders due to drug and Food allergy and their management and other allergic conditions.

Part -B 50 Marks

  1. Detailed description of Chikitsa Sutra and Management of Jwara and its types. Etiopathogenesis & relevant Ayurvedic and Modern management of following types of Fevers-Typhoid, Pneumonia, Pleurisy, Influenza, Mumps, Meningitis, Encephalitis, Tetanus, Yellow fever, Plague, Dengue Fever, Chikun Guniya, Leptospirosis,Viral Fever, Anthrax, Masurika (Small pox), Laghu Masurika (Chicken pox), Romantika (Measles).

  2. Chikitsa sutra and Management of the diseases of Rasavaha Srotas such as – Pandu, Amavata, Madatyaya, Hridroga, Hridshoola, Hypotension, Hypertension, Anaemia, Rheumatoid arthritis.

  3. Chikitsa sutra and Management of the diseases of Raktavaha Srotas such as - Raktapitta, Kamala, Kumbhakamala, Halimaka, Daha, Mada, Murcha, Sanyasa, Vatarakta, Plihadosha, Yakrut dosha, Haemolytic disorders, Hepatitis, Cirrhosis of Liver, Leukaemia, Kushta, Shvitra, Visarpa, Sheetapitta, Udarda, Kotha and Kshudra Roga.

  4. Knowledge of National Health Programmes and the relevant Ayurvedic Management of the following diseases enlisted by World Health Organisation- Malaria, Filaria, Kala Azar, Leprosy, Tuberculosis, AIDS.

  5. Introduction of general principles of maintenance of health and management of diseases of following systems of Medicine- Yoga, Naturopathy, Unani, Siddha, Physiotherapy and Rehabilitation.

  6. Diseases of different Endocrine Glands- such as Thyroid, Parathyroid, Pituitary, Pancreas and Adrenal glands and their management.

  7. General introduction, types and Management of diseases caused by Vyadhi Kshamatwa Hinata (Immuno deficiency disorders), Auto Immune Disorders.

  8. Description and Management of following Emergency Conditions- Acute Haemorrhage, Hypertensive Emergencies, Acute abdominal pain (Renal colic, Biliary colic, Gastritis, Pancreatitis, Peritonitis and Appendicitis), Acute Abdomen, Anuria/ Oliguria, Congestive Heart Failure, Myocardial Infarction/Angina, Shock, Syncope, Convulsions, Hyperpyrexia, Hyperglycaemia, Hypoglycaemia, Status Asthmaticus, Acute Respiratory distress Syndrome, Drowning and Electric shock.
Central Council Of Indian Medicine | 4th Year Syllabus
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    PAPER II 100 Marks
       
    Part A 50 Marks
       

  1. Chikitsa sutra and Management of the diseases of Pranavaha Srotas such as - Kasa, Shwasa, Hikka, Rajayakshma, Urakshata, Parshwashoola, Bronchitis, Bronchiectasis, Emphysema and COPDs

  2. Chikitsa sutra and Management of the diseases of Udakavaha Srotas such as- Shotha, Jalodara, Trishna, Water & Electrolyte Imbalance.

  3. Chikitsa sutra and Management of the diseases of Annavaha Srotas such as – Agnimandya, Aruchi, Ajirna, Anaha, Atopa, Adhmana, Alasaka, Vilambika, Visuchika, Chardi, Grahani, Amlapitta, Gulma, Shoola, Bhasmaka, Acid peptic disorders.

  4. Principles of treatment and management of Vata Vyadhi such as - Pakshavadha, Ekangavata, Sarvangavata, Ardita, Avbahuka, Kati Graha, Manyastambha, Gridhrasi, Vishwachi, Khalli, Khanja, Pangu, Padaharsha, Padadaha, Vatakantaka, Kroshtukashirsha, Udavarta, Kampavata, Dhatugata and Ashayagata Avarana Vata, other Vata Rogas, Parkinsonism.

  5. Nidana and Chikitsa of Urusthambha, Gullian Barrie syndrome, Muscular Dystrophy, Myasthenia Gravis, Motor Neuron Diseases and Neuralgia.

    Part B 50 Marks

  1. Chikitsa Sutra and Management of Mamsavaha Srotas and Medovaha Srotas such as- Gandamala, Galaganda, Mamsashosha, Arbuda, Apachi, Prameha, Sthaulya, Karshya, Diabetes Mellitus, Dyslipidaemia.

  2. Chikitsa Sutra and Management of ‘Asthi and Majjavaha Srotas such as Asthimajja Vidradhi, Asthisoushirya, Asthi kshaya, Sandhigata Vata, Osteo Arthritis, Osteomyelitis, Osteoporosis, Osteopenia.

  3. General knowledge of Ghrita, Taila, Vasa and Majja with their specific utility and actions ,Yamaka, Trivrit and Maha Sneha

  4. Chikitsa sutra and management of Shukravaha srotas such as Klaibya, shukralpata, shukradosha, kshina shukra, dhwajabhanga.

  5. Chikitsa Sutra and Management of diseases of Mutravaha Srotas such as -Mutrakricha, Mutraghata, Ashmari, Cystitis, Nephritis, Nephrotic Syndrome, BPH, Renal Failure.

  6. Chikitsa Sutra and Management of diseases of Purishavaha Srotas such as – Atisara, Pravahika, Arsha, Purishaj Krimi, IBS and Ulcerative Colitis.

  7. Chikitsa Sutra and Management of Sexually Transmited Diseases such as – Phiranga, Puyameha, Upadamsha, lymphogranuloma inguinale, Syphilis, Gonorrhoea.

  8. Introduction, Definition and Management of Kama, Krodha, Lobha, Moha, Mada, Matsarya, Shoka, Bhaya, Vishada, Dainya, Harsha and Pragyaparadha.

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9. Derivation, definition and synonyms of Rasayana, importance of Rasayana and its benefits. Indications of Rasayana therapy. Classification of Rasayana. Kutipraveshika and Vatatapika Rasayana. Indications of Vatatapika Rasayana. Knowledge of Kayakalpa, Achara Rasayana. Procedures of Kutipraveshika, Poorvakarma and specific schedules to be followed after Kutipravesha, benefits of Kutipraveshika Rasayana, duration of process, Rasayana yoga and directions for their use. Determination of dose of Rasayana according to age. Rules and regulation after Rasayana therapy, Importance of Immunomodulators and antioxidants in Rasayana therapy.

10. Vajikarana- Derivation, definition, synonyms, necessity, benefits, importance of fertility, Symptoms of Shûkra (Semen), Vajikaran Dravya and Aushadhi. Properties, doses, methods of administration, ingredients and methods of formation of Rasayana & Vajikarana formulation. Classification and importance of Vajikarana Dravya

Distribution of practical Marks 100  
(a) Paper I


(1) Daily case record/ 20 cases - 20 marks
(2) Patient examination
(a) 1Long case - 20 marks
(b) 1 short case- 10 marks
(3) Viva –voice
(a) Paper I- 25 marks
(b) Paper II- 25 marks

Reference books:

  1. Charak Samhita, Sushrut Samhita, Ashtanga Samgraha and Ashtanga Hridaya with their commentries. Madhav Nidana with Madhukosha Commentary.

  2. Ayurvediya Vyadhi Vigyana                       - Yadavji Trikamji

  3. Roga Pariksha Vidhi                                  - Priyavrat Sharma

  4. Panchakarma Vigyan                                 -Haridasa Sridhar Kasture

  5. Cikitsadarsha                                            -Pandit Rajesvardutta Shastri

  6. Kayachikitsa I-IV                                       -Ramaraksha Pathaka

  7. Ayurved Nidan Chikitsa Siddhanta               -Prof. R.H.Singh.

  8. 8. Kayachikitsa Vol. I-IV.                             -Prof. Ajay Kumar

  9. Davidson’s Principles and Practice of Medicine.

  10. API Text Book of Medicine.

  11. Harrison’s Text Bok of Medicine.

  12. Cecil Text Book of Medicine.

  13. Panchkarma Illustrated by Dr. G.Srinivasacharya.

  14. Other relevant publications on subjects concerned

Central Council Of Indian Medicine | 4th Year Syllabus
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    4.2. PANCHAKARMA

    Theory One Paper - 100 Marks
    Practical Viva-voce - 50 Marks
    Hours of teaching Theory - 100 Marks
    Clinical training :3 months

    I. Introduction

  1. Introduction to Panchakarma, Panchakarma and Shodhana, its importance for promotion of health, prevention and treatment of diseases.
  2. Trividha Karma- Purva, Pradhana and Pashchat Karma in relation to Shodhana and their importance.
  3. Indications of Shodhana, Shodhana according to Ritu
  4. General Principles of doshagati from Koshta to Shaka and vice versa
  5. General precautions (Pariharya Vishaya) for Panchakarma
  6. Specifications of Panchakarma theatre and necessary equipments
  7. Importance of Koshta and Agni Parikshan

    II. Snehana

  1. Etymology and Definition of Sneha and Snehana
  2. Snehayoni- Sthavara and Jangama: Properties of Sneha dravyas, Snehopag Dravyas
  3. General knowledge of Ghrita, Taila, Vasa and Majja with their specific utility and actions ,Yamaka, Trivrit and Maha Sneha
  4. Metabolism of fat
  5. Achcha and Pravicharana of Sneha
  6. Snehapaka and its importance in Panchakarma
  7. Types of Snehana: i) Bahya and ii) Abhyantara Snehana

    i) Bāhya Snehana :

    Methods, indications and contraindications of the following types of Bahyasnehana; Mardana, Unmardana, Pādāghāta, Samvāhana, Karna Purana & Akshi Tarpan, Lepa, Talam,

    Murdhni Taila: Siro-Abhyanga, Shiro Seka/dhārā, Siro Pichu and Siro-Basti

    ii) Ābhyantara Snehana

    Three Types of Ābhyantara Snehana: Shodhanārtha, Shamanārtha and Brimhanārtha Snehana, Indications and contraindications for Snehana

    Shodhanārtha Snehana

    (a) Importance and method of Deepan Pāchan and Rookshana in Shodhanārtha Snehana. Properties of Rookshana Dravya. Samyak Rookshana Lakshana

    (b) Consideration of Agni and Koshtha in Snehana

    (c) Indication of Different Matra, Various dose schedules for Shodhanārtha Snehana; Hraseeyasi, Hrasva, Madhyama and Uttama Mātrā, Ārohana Mātrā

    (d) Methods of Shodhanārtha Snehana,

    (e) Anupāna of Sneha

    (f) Jeerna and Jeeryaman Lakshana

    (g) Samyak Yoga, Ayoga and Atiyoga of Snehana, Sneha Vyāpat & their management according to Ayurveda & Modern Medicine

    (h) Diet and regimen during Snehana

    Sadyo Sneha: Method of administration, dose fixation and utility

    Shamanārtha Snehana, Method of administration, dose fixation and utility

    Bronhanarth Senhana: Method of administration, dose fixation and utility

    Avapeedak Sneha: Method of administration, dose fixation and utility

    8. Snehana Kārmukata (mode of action)

    9. Special Procedures

    Takradhara, Udvartanam, Putpāka, Aschotana, Anjana, Gandusha, Kavala, Dhoompāna, Udvartana, Utsādana, Udgharshana,Talapothichil

    III. Svedana

  1. Etymology and Definition of Sveda and Svedana
  2. Classifications of Sveda/Svedana
  3. General Sweda dravya, Properties of Sweda dravyas, Swedaopag dravyas
  4. Indications and contraindications of Svedana
  5. Ten Types of Niragni Svedana
  6. Knowledge of 13 types of Sagni Svedana and Chaturvidh Svedan
  7. Detailed Knowledge with their Utility of the following Svedana procedures: Sankara/Pinda Sveda-Ruksha and Snigdha Sveda Patrapinda Sveda, Jambir Pinda Sveda,Vāluka Sveda,Churna Pinda Sveda,Kukkutand Pinda Sveda, Shashtika Shalipinda Sveda, Nadi Sveda, Bashpa Sveda Ksheer dhooma ,Ksheer Seka, Kwath Seka, Avagaha Sveda,Dhanymla Dhara Parisheka Sveda, Pizichil, Upanaha Sveda, Annalepa
  8. Local Basti such as Kati Basti, Janu Basti, Greeva Basti and Urobasti
  9. General precautions during Sagni Svedana and Methods to protect vital during svedana
  10. Samyak Yoga, Ayoga and Atiyoga of Svedana
  11. Complications of Svedana and their Management according to Ayurveda & Modern Medicine
  12. Diet and management during and after Svedana
  13. Parihār Vishaya
  14. vedana Kārmukata (Mode of action)
  15. 1General Knowledge about current Sudation techniques like Sauna bath, Steam bath
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    IV. Vamana Karma

  1. Etymology, definition and importance of Vamana Karma

  2. Utility of Vamana Karma in health and disease

  3. Indications and Contraindications for Vamana

  4. Knowledge of Koshta and Agni

  5. General knowledge of Vamana and Vamanopaga drugs; properties, actions, preparations, preservation with special reference to Madanphala, Kutaj, Nimba, Yashti, Vacha

  6. Purva Karma of Vamana:Deepan-Pāchana, Abhyantara Snehana and diet

  7. Management of one gap day-Abhyanga & Svedana, diet, special Kapha increasing diet

  8. Preparation of the patient on Morning of Vamana day

  9. Vamaka Yoga, Anupana, fixation of dose and method of administration

  10. Administration of Vamanopaga Dravya such as milk, sugarcane juice, Yashtimadhu decoction

  11. Lakshana indicating Doshagati during the process

  12. Management during Vamana Karma & observations

  13. Symptoms of Samyak Yoga, Ayoga and Atiyoga of Vamana Karma

  14. Post Vamana management

  15. Types of Shuddhi-Hina, Madhya and Pravara

  16. Peyadi Samsarjana Krama and Tarpanadi Kram with their specific indications

  17. Complication of Vamana and their management with Ayurveda and modern drugs

  18. Pariharya Vishaya

  19. Vamana Karmukata (Mode of action).

    V. Virechana Karma

  1. Etymology, definition and importance of Virechana Karma

  2. Utility of Virechana Karma in health and disease

  3. Indications and Contraindications for Virechana

  4. Knowledge of Koshta and Agni

  5. Classification of Virechana Drugs, General properties of Virchana dravya

  6. General knowledge of single and compound Virechan drugs; properties, actions, preparations, preservation with special reference to Trivrutta, Aragvadha, Eranda, Katuki, Jaipa

  7. Purva Karma of Virechana: Deepan- Pachana, Abhyantara Snehana and diet

  8. Management of 3 gap days-Abhyanga, Svedana & diet

  9. Management on Morning of Virechana day

  10. Preparation of Virechana Kalpa, Anupana, dose and method of its administration

  11. Method of Virechana Karma and management during Virechana Karma & observations

  12. Symptoms of Samyak Yoga, Ayoga and Atiyoga of Virechana Karma

  13. Post Virechana management

  14. Types of Shuddhi-Hina, Madhya and Pravara and accordingly Samsarjana Krama

  15. Complications of Virechana and their management with Ayurveda and modern drugs

  16. Pariharya Vishaya

  17. Virechana Kārmukatā (Mode of action)

    VI. Basti Karma

  1. Etymology, definition and importance of Basti as Ardha-Chikitsa

  2. Utility of Basti Karma in health and disease

  3. Basti Yantra- Putaka & Netra, Detailed study of traditional Basti Yantra and their Doshas Knowledge of alternative Basti Yantra-enema can, enema syringe, modified plastic/rubber bag for Putaka, modified plastic netra.

  4. Classifications of Basti

  5. Karma, Kāla and Yoga Basti schedules along with their utility.

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6. Niruha Basti: Its etymology, synonyms, definition, classifications, sub-classifications & indications and contraindications.

  • a. Dose fixation of Niruha Basti according to age
  • b. Contents and Method of preparation of Niruha Basti dravya
  • c. Diet
  • d. Administration of Niruha Basti
  • e. Pratyāgamana Kāla, Post Niruha Basti management
  • f. Samyak Yoga, Ayoga and Atiyoga of Niruha.
  • g. Complication of Niruha Basti and its management according to Ayurved and Modern Medicines
  • h. Pariharya Vishaya and kala

7. Anuvasana Basti: Its etymology, synonyms, definition, classifications, sub-classifications & indications and contraindications.

  • a. Dose fixation of Niruha Basti according to age
  • b. Contents and Method of preparation of Niruha Basti dravya
  • c. Diet
  • d. Administration of Niruha Basti
  • e. Pratyāgamana Kāla, Post Niruha Basti management
  • f. Samyak Yoga, Ayoga and Atiyoga of Niruha.
  • g. Complication of Niruha Basti and its management according to Ayurved and Modern Medicines
  • h. Pariharya Vishaya and kala

8. Basti Kārmukatā (Mode of action).

9. Knowledge of following types of Basti: Madhutailika Basti, Erandmuladi Basti, Yāpana Basti, Pichchha Basti, Kshira Basti, Kshara Basti, Vaitarana Basti, Panchaprasutik Basti, Lekhan Basti,Krumighna Basti,Tiktashir Basti,Ardhamātrika Basti

10. Uttara Basti,: its definition, indications and contraindications, Detailed study of traditional Basti Yantra and their Doshas Knowledge of alternative Basti Yantra

  • a. Preparation of patient,
  • b. Preparation of Trolley for Uttarbasti,
  • c. drug preparation and Fixation of dose,
  • d. method of administration in male and females,
  • e. observations,
  • f. complications and their management

VII. Nasya


  1. Etymology, definition, Significance of Nasya Karma.

  2. Classifications and sub-classifications

  3. Knowledge of general Dravya used for Nasya Karma, Shirovirechan Gana, Shirovirechanopag dravyas

  4. Indications and contraindications of Nasya

  5. Time of administration of Nasya

  6. Dose fixation of different types of Nasya

  7. Diet and regimen before and after Nasya Karma

  8. Administration of Marsha, Pratimarsha, Avapeedaka, Dhoomapana and Dhuma Nasya

  9. Symptoms of Samyak-yoga of Nasya,

  10. Complication of Nasya and their management

  11. Parihār Vishaya

  12. Nasya Karmukata (mode of action)

  
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VIII. Raktamokshana

  1. Definition, importance and Types of Raktamokshana

  2. General Principles and rules of Raktamokshana

  3. Classification of Raktamokshan

  4. General Indication and Contra indication of Raktamokshan

  5. Jalaukavacharana: Knowledge of different types of Jalauka (Leech) , Indications and contraindications of Jalaukavacharana, various types of Jalauka. Method of Application, Samyak Lakshan, Complication of Jalaukavcharana and their management with Ayurveda and Modern medicines.

  6. Pracchāna: Indications and contraindications of Pracchana. Method of Application, Samyak Lakshan, Complication of Pracchana and their management with Ayurveda and Modern medicines

  7. Sirāvedha: Indications and contraindications of Siravedha. Method of Application, Samyak Lakshan, Complication of Siravedha and their management with Ayurveda and Modern medicines

  8. Knowledge of emergency management of complications such as water & electrolyte imbalance, shock, bleeding per rectal, hemetemsis, epistaxis

IX.Physiotherapy

  1. Definition, Utility and Importance of Physiotherapy

  2. Basic Knowledge of Static exercise, Infrared, Short wave diathermy, Electromagnetic therapy, Wax bath therapy, Ultrasonic therapy.

PRACTICALS / CLINICAL TRAINING –

    Total Duration of 3 Months posting OPD (for 1-Month): observation of OPD patients, selection of the patients, observation of OPD base Panchakarma procedures IPD (Panchkarma) and Panchakarma Unit – Observation of different procedures of Panchakarma, Assistance to the procedure under guidance of Panchakarma specialist Under clinical posting, each student has to study and write 15-long Cases and 10 short cases in prescribed format Long case Paper- minimum 1 Vaman , 1 Virechan, 1Niruha & Anuvasan Basti, 1Nasya, 1 Raktamokshan Short case paper –Minimum one each of Pinda sweda, Shirodhara,Abhyanga, Netra Tarpan, Bahya Basti, Nadi Sweda etc.

Distribution of Marks
1. Practical Record of 25 procedures 05 Marks
2. Long Procedure 10 Marks
3. Long Procedure Viva 05 Marks
4. Short Procedure 08 Marks
5. Viva on Short Procedure 02 Marks
6. General Viva-voce 20 Marks
Total 50 Marks

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Reference Books

  1. Charak Samhita with Commentary of Ayurveda Dipika by Chakrapanidatta & Jalpakalpataru by Gangadhara

  2. Sushrut Samhita with the Sushruta Nibhandha Samgraha Commentary of Dalhana & Nyayachandrika Panjika of Gayadasa on Nidana Sthana

  3. Ashtanga Hridaya with Sarvanga Sundara & Ayurveda Rasayana Commentaries

  4. Ashtanga Sangraha with Shashilekha Commentaries

  5. Ayurvediya Panchakarma Chikitsa

  6. Panchakarma Vigyan             Dr Mukundilal Dwivedi

  7. Panchakarma Vigyan             Dr Haridas Shreedhar Kasture

  8. Illustrated Panchakarma        Dr.G Srinivasa Acharya

  9. Clinical Panchkarma (English)             Dr. P.Yadaiah

  10. Prayogika Panchkarma (Hindi)            Dr. P. Yadaiah

  11. Vivida Vyadhiyome Panchkarma (Hindi)            Dr. P. Yadaiah

  12. The Panchkarma Treatment of Ayurveda with Kerala Specialtie         Dr. T.L. Devaraj

  13. Panchkarma Therapy                          Dr. R.H. Singh

  14. Ayurveda-Principles and Panchakarma Practice            Dr Mandip R. G. & Prof. Gurdip Singh

  15. Panchakarma Sangraha                                                Dr. Manoj Shamkuwar

  16. Essential of Panchakarma Therapy                Dr.Pulak Kanti Kaur

  17. Principles and Practice of Panchakarma            Vaidya Vasant Patil

  18. Harrison’s Principle of Internal Medicine

  19. Guyton’s Physiology

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4.3 SHALYA TANTRA
Theory Two Papers – 100 Marks Each
Practical - Viva voce – 100 Marks
PAPER –I                                                                                                                                                       100 Marks
Part – A                                                                                                                                                      100 Marks

Definition of Shalya, Shalya Tantra and its importance. Introduction to Shalya Tantra: Historical background and progress made.

  • Target - Fluency in textual reading and comprehension.

  • Preferable targets - Know recent developments and controversies.

Description of Yantra, Shastra, Anushastra: Definition, number, types, uses, Dosha, Guna, Karma. Relevant modern instruments.

  • Target - Basic understanding of the concepts of Yantra and Shastra. Acquaintance with commonly used surgical instruments. Knowledge of textual descriptions.

  • Preferable targets - Knowledge about currently used surgical instruments, their specifications, procurement sources etc.

Nirjantukarana / Sterilization: Methods, types and its role in surgical practice.

  • Target - Basic surgical discipline of maintaining asepsis.
  • Preferable targets- Knowledge of recently developed chemicals, instruments for sterilization.

Sangyaharan / Anaesthesia: Definition and Types.

i.  Local anaesthesia –Drugs, Techniques, Indications, Contraindications, Complications and their Management.


ii.  Regional and General anaesthesia- Drugs, Techniques, Indications, Contraindications, Complications and their Management.


  • Target-Basic knowledge of the drugs and instruments of anaesthesia. To observe the process of induction, monitoring and recovery.

  • Preferable targets- Assisting and handling anaesthesia.

Trividha Karma – Purva Karma, Pradhana Karma and Paschat Karma.

  • Target- Capability to identify conditions which can affect the outcome of surgery in pre, intra and post- operative period.

  • Preferable targets- Experience of handling incidents.

Ashtavidha Shastra Karma - Surgical procedures.

  • Targets- Appreciation and comprehension of concepts and indications of different procedures.

  • Preferable targets –Hands on experience of surgical procedures.


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Yogya - Experimental Surgery.

    • Target –Appreciation and comprehension of concepts of Yogya. Idea of patient’s safety in experimental training.

    • Preferable targets- Hands on training on mannequins.

    Marma: Nirukti, types, description and importance.

    • Target –Clinical application of concepts of marma.

    • Preferable targets- Study of relevance of marma in the light of current anatomical and surgical knowledge.

    Kshara and Kshara Karma:

    i. Nirukti, Pradhanyata, Guna, Dosha, Karma, Prakara, Yogya, Ayogya, Procedure, Upadrava and Chikitsa.

    ii. Kshara nirmana vidhi, knowledge of Kshara Varti, Taila and Pichu.


    iii. Kshara

    iv Sutra – Preparation, Indications, Contraindications and Method of application, Complications and their Management.

    • Target – Capability to identify and practice the use of kshara, kshara sutra in common clinical conditions.

    • Preferable targets – Broader knowledge of current trends and ongoing researches in kshara application.

    Agnikarma: Mahatva, Upakarana, Vidhi, Akruti bheda, Yogya, Ayogya and Upadrava Chikitsa.
    Contemporary techniques and tools of Agnikarma.


    • Target - Capability to appreciate the clinical indications and comprehend Agnikarma procedure.

    • Preferable targets - Hands on experience of use of cautery in surgical practice.

    Raktamokshana: Mahatva, Prakara - Siravyadha, Pracchanna, Shringa, Alabu, Jaloukavacharana – Yogya, Ayogya, Procedure, Upadrava and Chikitsa.

    • Target- Capability to appreciate and comprehend clinical indications of Jaloukavacharana and other Raktamokshana procedures.

    • Preferable targets - Uses of bloodletting in current therapy.

    Bandha Vidhi – Prayojana, Dravya, Indications, Contraindications, Prakara, Upadrava, Pichu, Plota, Kavalika and Vikeshika.

    • Target- Hands on experience of techniques of bandaging.

    • Preferable targets - New generation of bandaging and splintage tools.

    Pranasta Shalya and Nirharana Upaya.

    • Target – Importance of concepts of Sushruta in the management of Shalya and concerns of patient safety. Identification and management of foreign bodies.

    • Preferable targets - Current concepts and diagnostic tools of dealing with foreign bodies.
Central Council Of Indian Medicine | 4th Year Syllabus
11

 

Fluid, Electrolyte, Acid Base Balance and Nutrition:

i. Introduction of physiology of fluids and electrolytes.

ii. Dehydration and over hydration

iii. Specific electrolyte loss, Acidosis, Alkalosis, Symptomatology and Management.

iv. Electrolyte changes in specific diseases like pyloric stenosis, intestinal obstruction and anuria.

v. Various replacement fluids in surgery, mode of administration and complications.

vi. Nutrition.

  • Target – Capability to identify and manage fluid and electrolyte imbalance. Ability to administer parenteral fluid.

  • Preferable targets - Advanced techniques of fluid and electrolyte assessment and management.

Rakta Mahatwa, Raktasrava / Haemorrhage: Prakara and Lakshana.

i. Raktastambhana – Haemostasis.

ii. Blood Transfusion –Blood groups, Compatibility, Indications, Contraindications and Complications with Management.

iii. Component therapy.

  • arget-Knowledge of achieving haemostasis in haemorrhage.

  • Preferable targets - Detailed knowledge of blood bank techniques.

Antibiotics, analgesics, anti-inflammatory and emergency drugs in surgical practice.

  • Target – Working knowledge of commonly used drugs.

  • Preferable targets - Advanced pharmacological study of the above drugs.

Diagnostic techniques – X-ray, Imaging techniques, Ultrasonography, CAT Scan, MRI, Biopsy / Cytological study.

  • Target- Knowledge of proper indications for optimum investigational tools and their interpretation.

  • Preferable targets - Capability to work independently in the field of diagnostic techniques.

      Part - B

50 Marks

Shat Kriyakala in surgical practice.

  • Target- Clinical utility of the concepts.

  • Preferable targets - Applied aspects of Kriyakalas in the light of current concepts of pathogenesis.

  • Nirukti, Nidana, Samprapti, Prakara, Lakshana, Sadhya-asadhyata, Upadrava and Chikitsa of the following disorders.

    i. Vranashotha - Inflammation

    ii. Vidhradi - Abscess

    iii. Pidika - Boils

    iv. Nadi Vrana - Sinus / Fistulae

    v. Vrana Granthi - Keloid / Hypertrophic scar

    Central Council Of Indian Medicine | 4th Year Syllabus
    12

     



    vi. Marmagata - Shock

    vii. Kotha – Gangrene and Principles of Amputation.

    viii. Granthi - Cyst

    ix. Arbuda - Tumour

    x. Target-Clinical application of the concepts.

    xi. Preferable targets - Hands on experience of management of different conditions.

    Vrana – Nirukti and Prakara

    i. Nija Vrana – Nidana, Samprapti, Vrana Vasthu, Prakara, Lakshana, Vrana Pariksha – Sthana,Vrana Akruti, Srava, Gandha, Vedana. Vrana Avastha- Dustavrana, Shuddha Vrana, Ruhyamana Vrana, Samyak Roodha Vrana, Vrana Sadhya-asadhyatha and Vrana Upadrava.

    ii.Vrana Chikitsa – Pathya-apathya and Shashti Upakrama,Vranitagara and Rakshakarma.

    iii. Agantuja Vrana

    1. Sadyo Vrana - Traumatic wounds – Nidana, Prakara, Lakshana, Upadrava and Chikitsa.

    2. Management of bites and stings.
    iv. Dagdha Vrana – Burns and scalds.

    v. Ulcer - Types and their management.

    vi. Wound healing stages and their management.

    vii. Pramehapidaka - Diabetic carbuncle and wounds.

    • Target - Clinical application of the concepts.

    • Preferable targets - Hands on experience of management of different conditions.

    Twak Vikara - Nidana, Samprapti, Lakshana and Chikitsa of Chippa – Paronychia, Kadara – Corn and Kshudra rogas.

  • Target - Clinical application of the concepts.

  • referable targets - Hands on experience of management of different conditions.

  • Manya Vikara – Nidana, Samprapti, Lakshana and Chikitsa of Galaganda – Goitre, Gandamala, Apachi –Lymphadenitis, Pashanagardhabha – diseases of parotid gland.

  • Target-Clinical application of the concepts.

  • Preferable targets - Hands on experience of management of different conditions.

  • Sira Vikara - Venous disorders – Superficial and Deep venous thrombosis, Haemangioma, Varicose veins - Diagnosis and their Management.

  • Target - Clinical application of the concepts.

  • Preferable targets - Hands on experience of management of different conditions.

  • Dhamani Vikara - Arterial disorders – Nidana, Samprapti, Lakshana and Chikitsa of Aneurysm, Buerger’s disease, Atherosclerosis, Raynaud’s disease.

  • Target - Clinical application of the concepts.

  • Preferable targets - Hands on experience of management of different conditions.

  • Snayu Vikara -Snayu Vikara - Diseases of tendons and ligaments – Tennis elbow, Ganglion and their Management.

  • Target - Clinical application of the concepts.

  • Central Council Of Indian Medicine | 4th Year Syllabus
    13

     


  • Preferable targets - Hands on experience of management of different conditions.

  • Care of AIDS - HIV and hepatitis infected patients.

  • Target - Knowledge of safety precautions.

  • PAPER - II

    100 Marks

    Part - A

    50 Marks

    Bhagna – Skeletal injuries: Prakara including pathological fracture, Samanya Lakshana, Upadrava and Chikitsa.

    Description of fracture of following bones with Clinical features, Diagnosis, Complications and Management – scapula, clavicle, humerus, radius, ulna, femur, patella, tibia and pelvis bones. Sandimoksha - Dislocation: Dislocation of following joints with Clinical features, Diagnosis, Complications and Management of shoulder, elbow and hip.

  • Target - Clinical utility of the concepts.

  • Preferable targets - Hands on experience of management of different conditions.

  • Diseases of bone: Aetiopathogenesis, Classification, Clinical features, Diagnosis, Complications and Management of Congenital anomalies, Osteomyelitis, Cysts, Tumours and Tuberculosis.

  • Target - Clinical utility of the concepts.

  • Preferable targets - Hands on experience of management of different conditions.

  • Cranio-cerebral injuries: Mechanism, Pathology, Classification, Investigations, Complications and primary management.

  • Target - Clinical utility of the concepts.

  • Preferable targets - Hands on experience of management of different conditions.

  • Diseases of Spine: Mechanism, Pathology, Classification, Investigations, Complications and primary management of Tuberculosis, Ankylosing Spondylitis and Disc prolapse.

  • Target - Clinical utility of the concepts.

  • Preferable targets - Hands on experience of management of different conditions.

  • Diseases of breast: Aetiopathogenesis, Classification, Clinical features, Diagnosis, Complications and Management of Sthana Vidradhi - Breast abscess and Sthana Arbuda - Breast tumours.

  • Target - Clinical utility of the concepts.

  • Preferable targets - Hands on experience of management of different conditions.

  • Diseases of chest: Aetiopathogenesis, Classification, Clinical features, Diagnosis, Complications and Management of Chest injury, Pleural effusion, Pleurisy and Tumours.

  • Target - Clinical utility of the concepts.

  • Preferable targets - Hands on experience of management of different conditions.

  • Diseases of esophagus: Aetiopathogenesis, Classification, Clinical features, Diagnosis, Complications and Management of Congenital anomalies, Oesophagitis, Varices, Ulcer and Tumours.

    Central Council Of Indian Medicine | 4th Year Syllabus
    14

     

      • Target - Clinical utility of the concepts.

      • Preferable targets - Hands on experience of management of different conditions.

      • Gulma Roga - Nidana, Prakara, Lakshana, Upadrava and Chikitsa.

        Shoola vyadhi - Nidana, Prakara, Lakshana, Upadrava and Chikitsa.

      • Target - Clinical utility of the concepts.

      • Preferable targets - Hands on experience of management of acute abdomen.

      • Udara Roga: Aetiopathogenesis, Classification, Clinical features, Diagnosis, Complications and Management of Jalodara - Ascites, Chidrodara – Perforation, Peritonitis and Badhagudodara-Intestinal obstruction.

      • Target - Clinical utility of the concepts

      • Preferable targets - Hands on experience of management of different conditions

      • Diseases of stomach and duodenum: Aetiopathogenesis, Classification, Clinical features, Diagnosis, Complications and Management of Pyloric Stenosis, Peptic Ulcer and Tumours.

      • Target - Clinical utility of the concepts

      • Preferable targets - Hands on experience of management of different conditions.

      Diseases of small intestine: Aetiopathogenesis, Classification, Clinical features, Diagnosis, Complications and Management of Tuberculosis, Obstruction and Perforation.

      • Target - Clinical utility of the concepts.


      • Preferable targets - Hands on experience of management of different conditions.

      Diseases of large intestine - Aetiopathogenesis, Classification, Clinical features, Diagnosis, Complications and Management of Tuberculosis, Obstruction, Perforation, Tumours, Appendicitis, Crohn’s disease and Ulcerative Colitis.

      • Target - Clinical utility of the concept.


      • Preferable targets - Hands on experience of management of different conditions.

      Diseases of Rectum and Anal Canal – Aetiopathogenesis, Classification, Clinical features, Diagnosis, Complications and Management of Congenital disorders, Arshas - Haemorrhoids, Parikartika - Fissure-in-ano, Bhagandara - Fistula-in-ano, Guda Vidradi - Anorectal abscesses, Gudabhramsa - Rectal prolapse, Sanniruddaguda - Anal stricture, Incontinence, Rectal Polyp and Tumours.

      • Target - Clinical utility of the concepts.


      • Preferable targets - Hands on experience of management of different conditions.

      Abdominal injuries and their management.

      • Target - Clinical utility of the concepts.


      • Preferable targets - Hands on experience of management of different conditions.
    Central Council Of Indian Medicine | 4th Year Syllabus
    15

     






      Part – B

      50 Marks

      Diseases of Liver:Aetiopathogenesis, Classification, Clinical features, Diagnosis, Complications and Management of Yakrit Vidhradi - Abscess, Neoplasia, Portal hypertension and Yakritdalyodar –Hepatomegaly.

    • Target - Clinical utility of the concepts.

    • Preferable targets - Hands on experience of management of different conditions.

    • Diseases of Gallbladder:Aetiopathogenesis, Classification, Clinical features, Diagnosis, Complications and Management of Cholecystitis, Cholelithiasis, Obstructive jaundice and Tumours.

    • Target - Clinical utility of the concepts.

    • Preferable targets - Hands on experience of management of different conditions.

    • Diseases of Pancreas: Aetiopathogenesis, Classification, Clinical features, Diagnosis, Complications and Management of Pancreatitis, Cysts of Pancreas and Tumours.

    • Target - Clinical utility of the concepts.

    • Preferable targets - Hands on experience of management of different conditions.

    • Diseases of Spleen – Aetiopathogenesis, Classification, Clinical features, Diagnosis, Complications and Management of Pleehodara – Splenomegaly and Splenic rupture.

    • Target - Clinical utility of the concepts.

    • Preferable targets - Hands on experience of management of different conditions.

    • Diseases of Kidney and Ureters - Aetiopathogenesis, Classification, Clinical features, Diagnosis, Complications and Management of Congenital anomalies, Polycystic kidney, Injuries, Perinephric abscess, Calculus and Neoplasms.

    • Target - Clinical utility of the concepts.

    • Preferable targets - Hands on experience of management of different conditions.

    • Diseases of Urinary bladder – Aetiopathogenesis, Classification, Clinical features, Diagnosis, Complications and Management of Congenital anomalies, Injuries, Ashmari - Vesical Calculus, Cystitis and Neoplasms.

    • Target - Clinical utility of the concepts.

    • Preferable targets - Hands on experience of management of different conditions.

    • Mutraghata and Mutrakrichra - Aetiopathogenesis, Classification, Clinical features, Diagnosis, Complications and Management. Retention of urine.

    • Target - Clinical utility of the concepts.

    • Preferable targets - Hands on experience of management of different conditions.

    • Diseases of Prostate - Aetiopathogenesis, Classification, Clinical features, Diagnosis, Complications and Management of Prostatitis, Prostatic abscess, Benign Enlargement of Prostate and Carcinoma of Prostate.

    • Target - Clinical utility of the concepts.

    • Preferable targets - Hands on experience of management of different conditions.
    Central Council Of Indian Medicine | 4th Year Syllabus
    16


    Diseases of Urethra – Aetiopathogenesis, Classification, Clinical features, Diagnosis, Complications and Management of Urethritis, Stricture and Rupture.

  • Target - Clinical utility of the concepts.

  • Preferable targets - Hands on experience of management of different conditions.

  • Diseases of Penis: Aetiopathogenesis, Classification, Clinical features, Diagnosis, Complications and Management of Congenital anomalies, Niruddhaprakasha -Phimosis, Parivartika -Paraphimosis, Avapatika - Prepuceal ulcer, Arbuda- Tumours and Lingarsha - Penile Warts.

  • Target - Clinical utility of the concepts.

  • Preferable targets - Hands on experience of management of different conditions.

  • Diseases of Scrotum and Testis: Aetiopathogenesis, Classification, Clinical features, Diagnosis, Complications and Management of Epididymo-orchitis, Epididymal cyst, Scrotal filariasis, Shukrashmari - Seminal calculus, Torsion of testis, Ectopic testis, Undescended testis and Tumours.

    Vriddhi Roga: AAetiopathogenesis, Classification, Clinical features, Diagnosis, Complications and Management of Mutravriddhi – Hydrocele.

  • Target - Clinical utility of the concepts.

  • Preferable targets - Hands on experience of management of different conditions.

  • Antra Vriddhi – Aetiopathogenesis, Classification, Clinical features, Diagnosis, Complications and Management of Hernia - Inguinal, Femoral, Epigastric, Umbilical, Incisional and rare forms of Hernia.

  • Target - Clinical utility of the concepts.

  • Preferable targets - Hands on experience of management of different conditions.

  • PRACTICALS

    Content of Practicals:

    1. Identification, uses, demonstration of surgical instruments and methods of sterilization.

    2. Training of case taking, bed side clinicals and case presentation.

    3. Demonstration and Practical training in Anaesthesia.

    4. Training to develop skills in following Parasurgical and other procedures
    5. i. Kshara Karma

      ii. Agnikarma

      iii. Kshara Sutra

      iv. Raktamokshana

      v. Application of bandages and splints

      vi. Catheterization

      vii. Wound management procedures like Parisheka and Patradana

      viii Ryle’s tube aspiration

      ix. Injections -Intramuscular / Intravenous / Subcutaneous / Intradermal

      x. Incision and drainage of abscess

      xi. Suturing of open wounds

    6. Observation of following procedures

    7. i. Circumcision

      ii. Hydrocele

      iii. Hernial repair

      iv. Vasectomy

      v. Haemorrhoidectomy

      vi. Fistulectomy

      vii. Fissurectomy

      viii.Appendecectomy

      ix. Cholecystectomy


    Central Council Of Indian Medicine | 4th Year Syllabus
    17

     

    6. Training of Surgical Emergencies and Management.

    Clinical Training (Indoor and Outdoor) 09 Months
       
    • Shalya (Samanya)
    03 Months (atleast one month in OT)
    • Shalya (Kshara and Anushastra Karma)
    03 Months (atleast one month in OT)
    • Asthi and Sandhi Chikitsa (Orthopaedics and Trauma)
    02 Months
    • Anaesthesia
    15 days
    • Radiology
    15 days
       
       
    Distribution of Marks
    (1) Daily records - 10 Marks
    (2) Instruments - 20 Marks
    (3) Short case -10 Marks
    (4) Long case -20 Marks
    (5) Viva – voce -40 Marks
    Total - 100 Marks
      
      
    Reference Books
      
    1. Sushruta Samhita  
    2. Ashtanga Sangraha  
    3. Ashtanga Hridaya  
    4. Charaka Samhita  
    5. The Surgical instruments of the Hindus - Girindranath Mukhopadhyaya
    6. Shalya Tantra Samuchchaya - Pandit Ramadesh Sharma
    7. Shalya Vigyan (Part 1-2) - Dr. Surendra Kumar Sharma
    8. Shalya Samanvaya (Part 1-2) - Vd. Anantaram Sharma
    9. Shalya Pradeepika - Dr. Mukund Swaroop Verma
    10. Soushruti - Dr. Ram Nath Dwivedi
    11. Clinical Shalya Vigyan - Dr. Akhilanand Sharma
    12. Bhagna Chikitsa - Dr. Prabhakar Janardhan Deshpande
    13. Kshara sutra management in anorectal ailments - Dr. S.K. Sharma, Dr. K.R.Sharma and Dr. Kulwant Singh.
    14. Anorectal diseases in Ayurveda - Dr. Sijoria and Dr. Praveen Kumar Chowdary.
    15. Adhunika Shalya Chikitsa Siddanta - Dr. Katil Narshingham Udupa
    16. Agnikarma Technology Innovation - Dr. P.D. Gupta
    17. Shalya Tantra Ke Siddhant - Dr. K.K.Takral
    18. Recent advances in the management of Arshas / Haemorrhoids Dr. P. Hemantha Kumar
    19. Arsha Evum Bhagander Mein sutra Avacharan - Vd. Kanak Prasad Vyas
    20. Kshara Sutra- Dr. S.N.Pathak
    21. Surgical ethics of Ayurveda- Dr. D.N. Pande
    22. Bailey and Love’s Short Practice of Surgery- Norman.S. Williams, Charles.V. Mann and R.C.G. Russell
    23. Clinical methods in surgery - S. Das
    24. Textbook of Operative Surgery - S. Das
    25. Shalya Vigyan (Sachitra)- Anantram Sharma
    26. Anushastra Karma - Dr. D.N. Pande
    27. Concept of Vrana is Ayurveda- Dr. Lakshman Singh
    28. Significance for Poorva Karma in Surgical Patient- Dr. Lakshman Singh
    29. Sangyaharan Prakash - Dr. D.N. Pande 
    30. A concise Text Book of Surgery - S. Das
    31. A manual on Clinical Surgery - S. Das
    32. A System of Surgical Diagnosis - T.N. Patel
    33. A Practical Guide to Operative Surgery- S. Das
    34. Drugs and Equipment for Anaesthesia - Arun kumar
    35. Manual of Surgical Instruments- M.M. Kapur
    36. Ward Procedures - Patel Mansukh. B
    37. Recent trends in the management of Arshas /Haemorrhoids - Dr. P. Hemantha Kumar
    Primary Anaesthesia - Maurice King
    39. Synopsis of Anaesthesia- Lee
    40. Clinical Anatomy/ Surgical Anatomy - John E.Skandalakis
    41. Surgical Instruments of the Hindus - Girindharnath Mukopadyay
    42. Outline of Orthopedics - John Crawford Adams and David Hamblen. L
    43. Outline of Fracture - John Crawford Adams
    44. Recent trends in the management of Bhagandara / Fistula-in-ano - Dr. P. Hemantha Kumar
    45. Principles and Practice of Agnikarma - Dr. Anand Kumar and Dr. Kanchan Shekokar
    46. Manipal Manual of Surgery - Dr. Rajgopal Shenoy

    Central Council Of Indian Medicine | 4th Year Syllabus
    18

     

    4.4 SHALAKYA TANTRA

           

       

    Theory Two Papers – 100 Marks Each
        Practical/Viva voce – 100 Marks 

    NETRA ROGA VIGYAN

      
    PAPER-I
    Marks
    100






                                           

    I. Introduction

    • (a) Shalakyatantra nirukti, Parichayam, Ithihasam

    • (b) Netra rachana shariram (Mandala, Patala, Sandhi, Drushti Vichara) and Netra Kriya Sharira alongwith modern anatomy of Eye.

    • (c) Eye examination and knowledge of basic instruments/equipments required for examination of Eye.

    • (d) Netrarognanam – Samanya Hetu (Nija and agantuja), Purvarupa, Samprapti, Rupa and Chikitsa.

    • (e) Classification of Netraroga and its importance.

    II. Netra Samanya and Vishishta Chikitsa - Kriya Kalpa

    • (a) Netra and Chakshu swasthya hitkara Dinacharya,Ritucharya,Aahara evam Vihara.

    • (b) Kriya-kalpa-Seka, Aschyotana, Pindi, Vidalaka, Tarpana, Putapaka, Anjana and importance of Panchkarma in Netra Chikitsa.

    • (c) Basic fundamentals of Netra Shastra Chikitsa e.g. Purva – Pradhana - Paschat karma, Ama-Pachyaman-Pakva Vrana shotha, Vranitopasana, Pranashtashalya, & Vranbandhana. Methods and concepts of sterlization, asepsis and antisepsis as per ancient and modern point of view.

    • (d) Basic applied knowledge of Ashtavidha shastrakarma, agni, kshara, raktamokshana in Nerta rogas.

    • (e) Essential diagnostic and therapeutic modern pharmacological agents required in Netra Chikitsa.

    III. Sandhigata Roga(Diseases of junctional areas of eye)

    • (a) Number of sandhigata rogas, detailed etiology, pathology, clinical features and management of Pooyalasa and Srava Rogas

    • (b) Brief Study of krimi granthi, Parvani and Alaji Rogas.

    • (c) Study of Acute and Chronic Dacryocystitis, Epiphora, Blepharitis including their aetiology, pathology, signs & symptoms, differential diagnosis and medical & surgical management.

    IV. Vartmagata Roga(Diseases of Lids)

    • (a) Number of vartmagata rogas, and detailed knowledge of etiology, pathology, clinical features and management of Anjananamika, Utsangini, Lagana, Vatahata vartma, Pakshma kopa, Sikta vartma, Pothaki, Klinna vartma, Krichhronmeelana and  Kukunaka diseases of Vartma.

    • (b) Brief Knowledge of Vartmarbuda, Utklishta vartma, Nimesh, Pakshmashata, Vartmarsha

    • (c) Knowledge of Hordeolum, Ptosis, Trachoma, Trichiasis, Entropion, Ectropion including their Etiology, signs and symptoms differential diagnosis and medical & surgical management.

    V. Shuklagata Roga(Diseases of sclera and conjunctiva)

    • (a) Number of Shuklagata rogas, detailed knowledge of etiology, pathology, clinical features and management of Arma, Arjuna and Shuktika .

    • (b) Brief Knowledge of Sira pidika, Sira jala, Pishtaka, Balasgrathita.

    • (c) Study of Pterygium, Scleritis, Episcleritis, Sub-Conjunctival Hemorrhage including their Etiology, signs and symptoms, differential diagnosis and medical & surgical management.


    Central Council Of Indian Medicine | 3rd Year Syllabus
    19








    VI. Krishnagata Roga (Diseases of cornea and uvea)
    • (a) Number of krishnagata rogas, detailed knowledge of Etiology, Pathology, Clinical features, differential diagnosis, complications and Management of Savrana /kshata Shukla (Shukra), Avrana shukra (Shukla)

    • (b) Brief knowledge of Sira shukla, Akshipakatyaya and Ajakajata.

    • (c) Knowledge of Corneal ulcer, Corneal Opacity, Uveitis,Acute Iridocyclitis, Staphyloma,their aetiology, pathology, symptoms, differential diagnosis, complications and management.

    VII. Sarvagata Roga (Diseases effecting all parts of eye)
    • (a) Number of Sarvagata rogas, detailed knowledge of etiology, pathology, clinical features, complications, differential diagnosis and Management of Abhishyanda, Adhimantha, Hatadhimantha and Shushkakshipaka.

    • (b)Brief Knowledge of Amloshit, Vata paryaya, Anyato vata, Sashopha &     Ashophakshipaka- Pilla roga, Sirotpata and Siraharsha.

    • (c) Knowledge of Conjunctivitis, Glaucoma, Dry Eye Syndrome including their etiology, pathology, clinical features, differential diagnosis, complications and their management.
    VIII. Drishtigata Roga (vision disorders)

    • (a) Number of Drishtigata rogas detailed knowledge of - etiology, pathology, clinical features, differential diagnosis and management of Timira, Kacha and Linga nasha.

    • (b)Brief Knowledge of Abhighataja lingnasha, sanimittaja & Annimittaja Lingnasha Doshandhya/Kaphavidagdha drishti, Naktandhya, Ushna vidagdha drishti, Pittavidagdha drishti, Dhumadarshi, Hriswajadya, Gambhirika, Nakulandhya, Nayanabhighata.

    • (c) Knowledge of Refractive errors, Cataract including their etiology, pathology, clinical features, differential diagnosis, complications and their management.

    • (d) Study of Eale’s disease, Hypertensive & Diabetic Retinopathies, Age related Macular degeneration, Strabismus, Retinitis pigmentosa, Night blindness, Amblyopia, Central serous retinopathy, Optic Neuritis and Optic atrophy

    IX. Miscellaneous Diseases
    • (a)Xerophthalmia and other malnutritional eye disorders.

    • (b)Knowledge of ocular trauma and their management.

    • (c) Introduction to Eye bank, Eye donation, Corneal Transplantation.

    • (d) Preventive Ophthalmology and Community Ophthalmology.
    Central Council Of Indian Medicine | 3rd Year Syllabus
    20

     


    SHIRA - KARNA- NASA- MUKHA ROGAS

    PAPER-II
    100 Marks


    I Samanya Chikitsa
    • (a) Study of therapeutic procedures like Sveda, Kavala, Gandusa, Dhuma, Murdhni Taila, Nasya, Pratisarana, Karna Purana,karna prakshalana, nasa prakshalana Mukha Lepa.

    • (b) Ashtavidha shastrakarma and anushastrakarma used in the treatment of Shira, Karna,Nasa evam Mukha Rogas.

    II Shiro Roga

    • (a) Importance and Superiority of Shira.

    • (b) Number, general etiology, pathology and cardinal features of shiro rogas and kapalgata rogas along with their common line of management/treatment.

    • (c) Detailed study of Vataja, Pittaja, Kaphaja shirashoola, Suryavarta, Ardhavabhedaka, Khalitya, Palitya.

    • (d) Brief Knowledge of Raktaja shiraha shoola, Krimija shiraha shoola , Kshayaja shiraha shoola & Sannipataja shiraha shoola, Ananta vata, Indralupta, Darunaka.

    • (e) Detailed study of Headache, Migraine its differential diagnosis and treatment.

    III Karna Roga

    • (a) Detailed study of Rachana and Kriyasharir of Karna (Ear) & Shravanendriya as per Ayurvedic and modern view, Examination of Ear along with instruments/equipments required in Ear examination.

    • (b) Detailed study of etiology, pathology, classification, clinical features and management of diseases of Karna – karna shool, karna nada& shweda, Badhirya, karnastrava, karna pratinaha, pootikarna, karnagoothaka, karnavidradhi.

    • (c) Brief Knowledge of karna kandu, karnapaka, karnarsha, karnarbuda,krimikaran &karnapali rogas , Karna sandhana(Auroplasty), fundamentals, method and Vaikritpaham

    • (d) Detailed study of Otalgia, ASOM, CSOM, Deafness, wax including their etiology, pathology, clinical features, differential diagnosis, complications and medical & surgical management

    • (e)Brief Knowledge of Otomycosis, Otosclerosis, Tinnitus, Vertigo , Foreign body in ear and Noise pollution.

    IV Nasa Roga

    • (a) Detailed study of Rachana and Kriyasharir of Nasa (Nose and paranasal sinuses)& Ghranendriya as per Ayurvedic and modern view, Examination of Nose. along with instruments/equipments required in Nose examination.

    • (b)Detailed study of Pratishyaya, Dushta pratishyaya, Nasanaha, Kshavathu, Nasagata raktapitta & Nasarsha.

    • (c) Brief Knowledge of Putinasa, Bhranshathu, Peenasa, Apeenasa, Nasarbuda, Nasashotha, Dipta, Nasa Sandhana.

    • (d) Detailed study of Rhinitis & Sinusitis Epistaxis, Nasal Polyp, DNS, Foreign body including their Etiology, pathology, clinical features differential diagnosis and medical & surgical management.

    • (e) Brief Knowledge of Nasal trauma, Tumours of nose and Para nasal sinuses.
    Central Council Of Indian Medicine | 3rd Year Syllabus
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    V Mukha Roga (Diseases of Oral Cavity)

    • (a)Detailed study of Rachana and Kriyasharir of Mukha Rogaadhisthana– oshtha, dantamoola, danta, jivha, talu, gal, sarvasara (Oral cavity ) as per Ayurvedic and modern view along with their Basic examination including instruments/equipments required for the examination.

    • (b) Mukha and Danta Swasthya as per ancient and modern concepts including prevention of malignancy of oral cavity.

    • (c) Number and general aetiology, pathology, cardinal features of Mukha rogas along with their common line of management/treatment.

    Oshtha Roga (Diseases of Lips)

    • (a)Detailed study of Etiology, pathology, classification, clinical features and management of - Oshtha prakopa, khandoshtha

    • (b) Brief Knowledge of Gandalaji, Jalarbuda, Kshataja Oshthaprakopa

    • (c) Knowledge of cleft lip.

    Dant Mula Gata Roga (Diseases of Periodontia)

    • (a) Detailed study of Etiology, pathology, classification, clinical features and management of - Shitada, Dantaveshta, Upakush, Danta Nadi, Danta Vidradhi, Adhimansa

    • (b)Brief Knowledge of dantapupputaka, Saushira, Mahasaushira, Danta Vaidarbha , Paridara, Vardhana.

    • (c) Detailed study of Etiology, pathology, classification, clinical features and management of Gingivitis, Apical abscess, Periodontitis (Pyorrhoea).

    Danta Roga (Dental Diseases)

    • (a)Detailed study of Etiology, pathology, classification, clinical features and management of Daalan, Krimidanta, Dantaharsha, Danta sharkara, Hanumoksha

    • (b) Brief Knowledge of karala, Bhanjanak , Kapalika, Shyava Danta, Danta bheda,

    • (c)Danta chaal, Adhidanta, Danta Utpatana including Jalandhar bandha method and Danta Purna.

    • (d) Knowledge of Dental Caries, Dental Tartar & Tooth extraction.

    Jihwa Gata Roga (Diseases of Tongue)

    • (a) Detailed study of Etiology, pathology, classification, clinical features and management of - jivha kantaka (vataja, pittaja and kaphaja)

    • (b) Brief Knowledge of Upajihva, Adhijihva, Alasa.

    • (c) Knowledge of Glossitis,Tongue Tie, Ranula, Benign and Malignant Tumors of tongue.

    Talu Roga (Diseases of Palate)

    • (a) Detailed study of Etiology, pathology, classification, clinical features and management of - Gala shundika, Talushosha, Talupaka

    • (b) Brief Knowledge of Talupupputa, Adhrusha, Kacchapa, Talvarbuda, Mamsasanghata.

    • (c)Knowledge of Cleft palate, palatitis, uvulitis and tumours of the palate.

    Kantha and Gala gata Roga (Diseases of Pharynx & Larynx)

    • (a) Detailed study of Etiology, pathology, classification, clinical features and management of - Tundikeri, Kantha shaluka, Gilayu, Galaganda, Swrabhedha , Galavidradhi.

    • (b) Brief Knowledge of Rohini, Galashotha, Kantharbuda, Kanthavidradhi, Galarbuda Galaugham, Vrindam, Ekavrindam, Valaya, balasa , Shataghni, Swaraghna.

    • (c) Detailed study of Etiology, pathology, classification, clinical features and management of - Pharyngitis, Laryngitis, Tonsillitis & Adenoiditis

    • (d)Brief Knowledge of foreign body in the throat, Carcinoma of Larynx & Pharynx, Dysphagia Diphtheria & diseases of salivary glands.

    Sarvasara Mukha Roga (Generalised mucosal affections of the oral cavity)

    • (a) Detailed study of Etiology, pathology, classification, clinical features and management of Sarvasar mukhapaka

    • (b)Brief Knowledge of urdhvaguda, putivaktrata, mukharbuda

    • (c)Detailed Knowlege of Stomatitis.
    Central Council Of Indian Medicine | 3rd Year Syllabus
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    Sarvasara Mukha Roga (Generalised mucosal affections of the oral cavity)

    • (a) Detailed study of Etiology, pathology, classification, clinical features and management of Sarvasar mukhapaka

    • (b)Brief Knowledge of urdhvaguda, putivaktrata, mukharbuda

    • (c)Detailed Knowlege of Stomatitis.

    VI Miscellaneous Diseases

    National Programme for Prevention and Control of Deafness.

    PRACTICAL

    Content of Practical

    Identification, Uses, Demonstration of surgical/non-surgical equipment/ instruments, materials used in shalakya chikitsa. Method of sterilization. Training of case taking, bedside clinics and case presentation.

    Training in para- surgical procedures-

    1. Kshara karma
    2. Agnikarma
    3. Raktamokshana
    4. Training of ward procedures. Application of bandages, wound management
    5. Training of minor procedures (ashtavidha)
    6. Observation of surgical procedures in Shalakya



    Clinical Training 04 Months (OPD, IPD OT and kriya kalpa)
    Distribution of marks
    (1) Long Case 30 Marks
    (2) Short Case 20 Marks
    (3) Identification of instruments
    quipments,medicines,etc
    10Marks
    4) Viva – voce 30 Marks
    (5) Daily Record (Case record) 10 Marks
    Total 100 Marks
    Reference Books:-
    1. Shalakya Tantra Dr. Rama Nath Dwivedi
    2. Shalakya Vigyan Dr. Ravindra Chandra Choudhary
    Central Council Of Indian Medicine | 3rd Year Syllabus
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    .
    (3) Identification of instruments
    quipments,medicines,etc
    10Marks
    4) Viva – voce 30 Marks
    (5) Daily Record (Case record) 10 Marks
    Total 100 Marks
    Reference Books:-
    1. Shalakya Tantra Dr. Rama Nath Dwivedi
    2. Shalakya Vigyan Dr. Ravindra Chandra Choudhary
    3. Abhinava Netra Chikitsa Acharya Vishva Nath Dwivedi
    4. Netra Chikitsa Vigyan Dr. Ravindra Chandra Choudhary
    5. Netra Roga Chikitsa Dr. Munje
    6. Netra Roga Vigyan Dr. Hans Raj
    7. Parson’s Diseases of Eye
    8. Diseases of ENT Log and Turner
    9. Shalakya Tantra Shiv Nath Khanna
    10. Atext book of ophthalmology in Ayurveda Dr. P.K.Shantha kumara
    11. Shalakya Kriya Kalpa Vigyan
    Useful portions of Charak, Sushrut, Vagbhata
    Prof. K. S. Dhiman

     

     

     

     

     

     

     

     

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    Central Council Of Indian Medicine | 3rd Year Syllabus
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    4.5 Research methodology and Medical statistics


    Total Marks 50 (Part A-30 and Part B- 20)

    PART – A –Research Methodology                                                                                                                                                                 

    1. Brief historical background of research in Ayurved and contemporary medical science Evidences of researches in ayurvedic classics

    2. Etymology, definitions and synonyms (Anveshana, Gaveshana, Prayeshana, Anusandhan and Shodha) of the word Research

    3. Research in Ayurved - Scope, need, importance, utility

    4. Types of Research (familiarization of the terms)
    5. a) Pure and Applied

      b) Qualitative , Quantitative and Mixed Observational and interventional.

    6. Research process (Importance of each steps in brief)
    7. a. Selection of the topic

      b. Review of the literature

      c. Formulation of Hypothesis

      d Aims and Objectives

      e. Materials and methods

      f. Observations and results

      g. Methods of communication of Research

    8. Research tools – Role of the pramanas as research tools

    9. The concept and importance of ethics in research

    10. Concept of Evidenvce Based Medicine and Scientific Writing

    11. Importance of IT in data mining and important research data portalsconcerned with Ayurved and contemporary medical science (DHARA , PubMed, Ayush Research Portal, Bioinformatics Center, Research Management Informatic System etc.)

    Part – B Medical-Statistics

    1. Definition, scope and importance of the Medical statistics

    2. Common statistical terms and notations
    3. a. Population

      b. Sample

      c. Data

      d. Variable

      e. Normal distribution

    4. Collection and Presentation of data

    5. a. Tabular

      b. Graphical

      c. Diagrammatical

    6. Measures of location
    7. a. Average

      b. Percentile

      Measures of Central Tendency

      a. Arithmetic mean

      b. Median

    Central Council Of Indian Medicine | 4th Year Syllabus
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    c. Mode

  • Variability and its measurement
  • a. Range

    b. Standard deviation

    c. Standard error

  • Introduction to probability and test of significance

  • Parametric and non parametric tests

  • Introduction to commonly used statistical soft-wares.

  • Reference books for Research methodology :

    1. Dawson, Catherine, 2002, Practical Research Methods, New Delhi, UBS Publishers’ Distributors

    2. Kothari, C.R.,1985, Research Methodology-Methods and Techniques, New Delhi, Wiley Eastern Limited.

    3. Kumar, Ranjit, 2005, Research Methodology-A Step-by-Step Guide for Beginners, (2nd.ed), Singapore, Pearson Education

    4. Students guide to research methodology – Undergraduates. Alexandria Medical Students Association.

    5. Health research methodology. A guide for training in research methods. 2nd edition. Manila, World Health Organization Regional Office for the Western Pacific, 2001.

    Reference Books for statistics

    1. Health research methodology. A guide for training in research methods. 2nd edition.Manila, World Health Organization Regional Office for the Western Pacific, 2001.

    2. Statistical methods in medical research. P.Armitage (Ed) Oxoford Blackwell

    3. Statistical methods . Snedecor GW and Cochran, WG

    4. Altman, D. G.(1991). Practical statistics for medical research. London: ChapmanPrinciples of Medical Statistics by A. Bradford Hill

    5. Interpretation and Uses of Medical Statistics by Leslie E Daly, Geoffrey J Bourke, James
      MC Gilvray

    6. Research in Ayurveda-M S Baghel

    7. research methodlogy in ayurveda-V.J.Thakar,Gujarat Ayurved University

    8. Ayurveda anusandhan paddhati-P.V.Sharma

    9. Research methodology methods and statistical techniques- Santosh Gupta. Greenhouse SW.

    10. The growth and future of biostatistics: (A view from the 1980s). Statistics in Medicine 2003; 22:3323–3335

    11. Knapp GR Miller MC. Clinical epidemiology and Biostatistics, NMS series
        Antonisamy B, Christopher S Samuel PP. Biostatistics : Principles and practice

    12. Sundara Rao PSS & Richard J. An introduction to Biostatistics, PHI

    13. Senn S (1997)Statistical Issues in Drug Development. Chichester: John Wiley Sons.
    14. Methods in Bio-statistics for Medical Students- BK Mahajan

    15. Vaidyakeeya Sankhiki Shastra- Dr.S.S.Savrikar

     

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    Central Council Of Indian Medicine | 4th Year Syllabus
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