Maharashtra University of Health Sciences, Nashik

(Syllabus applicable from batch of students admitted in academic year 2010-2011 and onwards for B.A.M.S.Course)

2.5. ROGA VIGYAN EVUM VIKRITI VIGYAN Theory Two Papers 90 Marks Each Practical/Viva voic 90 Marks Internal Assessment- 30 Marks ---------------------------------Total- 300 Marks Lectures Prescribed - 180 Practicals Prescribed 90 Paper I 1. Dosha Dooshyadi Vigyanam 1. Definition and importance of Roganidana 2. Samanya nidana and samanya lakshana of dosha prakopa and dosha kshaya. 3. Vikriti vijnana of pancha vidha dosha bheda. 4. Dosha dhatu ashraya ashrayee bhava. 5. Dhatu Kshaya Vriddhi Lakshana and Pradoshaja Vikara 6. Upadhatu pradoshaja vikara. 7. Mala kshaya vriddhi lakshana and pradoshaja vikara. 8. Indriya pradoshaja vikara. 9. Hetu , bheda and lakshana of agni dushti. 10. Definitions and samanya lakshana of Ama 11. Sama and nirama dosha, dushya lakshanas. 12. Dosha paka and dhatu paka lakshana. 13. Concept, classification, diagnosis and general complications of Avarana 14. Dosha gati. 15. Detailed study of srotomoola and srotodushti samanya and vishishta hetu and lakshana and viddha lakshana of all Srotas. Differences between sroto dushti and kha vaigunya. 2. 1. 2. 3. 4. 5. 6. 7. 8. Vyadhi Vigyanam Definition, synonyms and classification of Vyadhi Criteria for nomenclature of Diseases in Ayurveda (Vyadhinamakarana). Bija, Bija bhaga and bija bhaga avayava dushti. Basic knowledge of Hereditary, Congenital, Acquired, Multifactorial, Traumatic and Environmental disorders. Introduction to ICD Classification of Diseases of WHO and DSM classification. Samanyaja and Nanatmaja vikara. Nidanarthakara vyadhi ,Hetu sankara, lingasankara, Vyadhisankara ,Sharirika, Manasika and Agantuja vyadhi Concept of Ashta mahagada and introduction to Ashta Nindita. Importance and knowledge of Rogamarga.

90- Marks

9. Definition and classification of Vyadhikshamatva. 10. Concept of Satmya , Asatmya and Viruddha ahara. 11. Ojas types of Ojo Dosa / vikriti- Ojas and Vyadhi kshamatva. 3. Basic Pathology 1. Introduction to pathology and its sub-divisions. Introduction to Cell Injury and Cellular adaptations 2. Definition and brief description of inflammation Healing/repair. 3. Definition and brief description of oedema shock haemorrhage. Thrombosis and embolism. Ischemia and Infarction 4. Immunity types different types of immune responses in the body Basic knowledge of auto immune diseases, Acquired immune deficiency disease and hypersensitivity 5. Nomenclature and classification of tumors - difference between benign and malignant tumors. 6. Introduction to Nutritional disorders disorders of macro and micro nutrients. 7. Introduction to infectious diseases 8. Introduction and classification of microorganisms such as virus-bacteriafungus. 4. Nidana Panchaka Vigyanam 1. Difference between roga and rogi pareeksha. 2. Importance of Nidana panchaka. 3. Hetu - definition, synonyms and classification. 4. Purva rupa definition, synonyms, Samanya and Vishistha Purva rupa. 5. Rupa - definition, synonyms, Samanya and Pratyatma lakshana. Difference between vyadhi and lakshana. 6. Samprapti definition, synonyms and types 7. Samprapti ghataka. 8. Shat kriyakala. 9. Relationship between nidana panchaka and shat kriyakala. 10. Upashaya definition, types and its importance in diagnosis. 11. Upadrava 12. Arishta vijnana definition, types and its importance. 13. Sadhyasadhyatwa types, their parameters and importance. 14. General diagnostic principles of Anukta vyadhi (Cha Viman IV) 5. Pareeksha Vigyanam 1. Importance and knowledge of Aptopadeshadi, dharshanadi Trividha, Chaturvidha, and Shadvidha Pariksha. 2. Importance and Knowledge of Ashtasthan Pariksha. 3. Importance and Knowledge of Karanadi Dashavidha Parikshya Bhava. 4. Importance and Knowledge of Dashavidha pariksha. 5. Importance and methods of history taking, clinical examination and knowledge of Ancillary investigations. 6. Basic Knowledge of tools for avayavika pariksha - ECG, USG, and Radio imaging. 7. Basic Knowledge of Laboratory investigations pertaining to Metabolic and Endocrine disorders.

90 Marks (Systematic study of Nidana Panchaka of following diseases (Including upadrava, arishta and sadhyasadhyata) 1. Diseases of Rasavaha Srotas Jwara (Jwarabheda- Ama, Pachyamana and Nirama jwara, Agantuka jwara, Punaravartaka jwara, Vishama jwara, Dhatugata jwara, Charakokta Sannipata jwara. General mechanism of Fever. Introduction to the Aetiopathogenesis of Malaria, Typhoid, Dengue fever, influenza and Chikungunya. Pandu, Amavata, Hridroga, Shotha Introduction to Anaemia & its Classification, Rheumatic fever, Rheumatoid Arthritis, Angina, Ischaemic Heart Disease, Hypertension, Myocardial Infarction 2. Diseases of Raktavaha Srotas Kamala - Raktapitta - Vatarakta - Shitapitta Maha kushta Visarpa Shwitra and Introduction to Kshudra kushta Introduction to Hepatomegaly, Spleenomegaly, Leukaemia, Thalessemia, Sickle cell anaemia. Introduction to Urticaria,Psoriasis, Eczema, Pemphigus 3. Diseases of Mamsavaha srotas Introduction to granthi, arbudha and arshas. 4. Diseases of Medovaha srotas Sthoulya - Karshya Prameha Introduction to Obesity and Diabetes Mellitus. 5. Diseases of Asthi - Majjavaha srotas Sandhigatavata, Introduction to Asthi-majjaparipaka, Asthigata vidradhi Introduction to Osteo- Arthritis, Osteomyelitis, Osteoporosis. Vatavyadhi Akshepaka - Apatanaka - Ardita - Pakshaghata Gridhrasi Viswachi, Apabahuka, - Manyasthambha Katigraha. Introduction to Parkinsons disease , Stroke, lumbago- sciatica syndrome, Bells palsy, Ankylosing Spondylitis 6. Diseases of Sukravaha srotas Introduction to Klaibya and Vandhyatva. Introduction to male and female infertility. 7. Diseases of Pranavaha srotas Kasa - Shwasa - Hikka Urahkshata Shosha Rajayakshma. Introduction to the aetiopathogenesis of Pneumonia, Pleural effusion, Bronchitis, Bronchiectasis, Bronchial Asthma. 8. Diseases of Annavaha- Pureeshavaha Srotas Agnimandya - Ajirna - Aruchi- Chhardi - Visuchika , Amlapitta- Shoola Parinama shoola Annadrava shoola- Grahani Gulma- Udara roga Atisara - Pravahika Introduction to Anaha, Adhmana, Atopa, Alasaka, Vilambika

Paper II

Introduction to Peptic ulcer, Irritable Bowel Syndrome, Diarrhea, Dysentry, Constipation, Inflammatory Bowel Syndrome.

9. Diseases of Udakavaha Srotas Introduction to Trishna, Daha. Introduction to water and electrolyte imbalance disorders 10. Diseases of Mutravaha srotas Mutrakrichhra Mutraghata. Introduction to Urinary Tract Infection, Urolithiasis, Nephropathies and Renal failure. 11. Diseases of Swedavaha srotas Introduction to Khalitya, Palitya and Cosmetology. 12. Diseases of Manovaha Srotas/ Sanjnavaha Srotas Introduction to Vishada, Udvega, Bhaya, Bhrama, Anidra, Mada, Murchha, Sanyasa, Apasmara, Unmada, Atatwabhinivesha Introduction to Depression, Anxiety neurosis, Phobia, Personality disorders. 13. Upasargajanya Vyadhis (Communicable diseases) Romantika Masurika Upadamsha Phiranga. Introduction to Leprosy , Tuberculosis and AIDS. 14. Krimi Vigyanam Definition, classification of Krimi and features of Krimiroga. Snayuka, Shleepada. Introduction of Filariasis and classification of common parasites.

PRACTICALS A. LABORATORY PRACTICALS A. B Fundamental Principles of Laboratory Test 1.Estimation of Haemoglobin 2.Determination of R.B.C count 3.Determination of W.B.C count 4. Determination of Differential leucocyte count 5. Estimation of ESR 6. Determination of platelets count 7. Determination of packed cell volume (pcv) 8. Erythrocyte indices MCV, MCH, MCHC. 9. Estimation of Beeding time 10.Estimation of clotting time 11. Estimation of prothrombin time 12. Determination of Blood group with Rh factor Urine Examination a) Ayurveda anusara mutra pareeksha b) Physical Examination- Volume, colour, Appearance, odour, Reaction (PH) & specific gravity. c) Chemical Examination of urine 1Determination of Glucose (sugar) 2Determination of proteins 3Determination of Phosphate 4Determination of ketone bodies 5Determination of Bile salt 6Derermination of Bile pigment d) microscopic Examination of Urine.

D)

Stool Examination a)Ayurveda anusara pureesha pareeksha b)Physical Examination sama,nirama pareeksha c)microscopic examination of ova & cysts etc d)occult Blood Test Sputum Examination a)Ayurveda Anusara Sthivana Pareeksha b)Sample collection and Demonstration of AFB c) 1.Physical 2. chemical microscopic examination Semen Examination a) Ayurveda Anusara Retas pareeksha b) semen examination 1) physical volume, viscosis, colour, odour Reaction. 2) microscopic c) Demonstration of semen, sperms. Only Demonstration 1)Introduction of rapid diagnostics of Haematology. 2) peripheral blood film examination in Anemia,leukamia, maleria,filaria.

E)

F)

G)

H)

Biochemical examination (only Demonstration) 1) Blood Glucose 2) Serum Bilirubin 3) Serum Urea 4) Lipid Profile 5) Serum Cretanine 6) Serum Uric acid Demonstration of different staining techniques in microbiology. Demonstration of sero immunological Investigation 1.R.A. test 2. widal test Demonstration of Aspiration techniques. Demonstration of HIV test. Maintanance of observation Diary and Laboratory record book. B. (CLINICAL PRACTICALS\METHODS) 1. Introduction and demonstration of clinical methods (General and Systemic Examinations). 2. Practical demonstration of examination of Roga based on Pancha nidan 3. Demonstration of instruments used for clinical examination 4. Practical records of clinical examination of at least 20 long cases in I.P.D. 5. Practical records of clinical examination of at least 20 short cases based on Ashta vidha pareeksha. 6. Demonstration of ECG, USG and Radio imaging techniques.

I) J)

K) L) M)

v THEORY EXAMINATION (To be conducted by University) There will be only one QestionPaper for 90 Marks for each paper as follows. The examiners are directed to set a question paper in such a way that it shall cover all points of syllabus. 1. SECTION -A.(M.C.Q.) - 15 MARKS IT CONTAINS 30 M.C.Q.s - CARRYING 1\2(half), MARK EACH. 2. SECTION-B. (S.A.Q.) - 30 MARKS IT CONTAINS 12 S.A.Q.s - EACH CARRYING 3 MARKS AND ANY 10 SAQs SHOULD BE SOLVED BY STUDENT. 3. SECTION-C. (L.A.Q.) - 45 MARKS IT CONTAINS 4 L.A.Q.s -EACH CARRYING 15 MARKS AND ANY 3 LAQs SHOULD BE SOLVED BY STUDENT.

v DISTRIBUTION OF MARKS FOR UNIV.PRACTICAL EXAMINATION 1. 2. 3. 4. 5. 6. Practical Record/Journal One Long case One Short caseInstruments/Spotting One Laboratory experiment Viva voce
Total

10 marks. 20 marks. 10 marks. 10 marks. 20 marks. 20 marks ---------------------------90 Marks

v TERM WISE DISTRIBUTION OF THEORY SYLLABUS

a. FIRST TERM-First Paper-Point No.-1.1. to 1.15.,4.1. to 4.7., 5.1. to 5.4. Second Paper- point No.- 1,7&9 b. SECOND TERM-First Paper-Point No.-2.1. to 2.11., 3.1. to 3.3., 4.8. to 4.14. Second Paper- point No.-2,3,4,8,10,11&12

c. THIRD TERM-

First Paper-Point No.-3.4. to 3.8., 5.5. to 5.7. Second Paper- point No.-5,6,13&14.

v TERM WISE DISTRIBUTION OF PRACTICAL SYLLABUS

First Term
BEDSIDE PRACTICALS (CLINICAL METHODS)

1. 2. 3. 4. 5.

Introduction and demonstration of clinical methods (General and Systemic Examinations). Practical demonstration of examination of Roga based on Pancha nidan Demonstration of instruments used for clinical examination Practical records of clinical examination of at least 5 long cases in I.P.D. Practical records of clinical examination of at least 5 short cases based on Ashta vidha pareeksha.

Fundamental Principles of Laboratory Tests 1 Introduction to laboratory, Sterilization, glass wares, solutions reagents and safety procedures. 2. Hematology Hb% estimation. Blood cells counting - WBC, RBC, platelets Peripheral blood smear, staining technique and- differential leucocyte count. ES R. 3. Urine Examination Ayurveda anusara mutra pareeksha. Physical Examination - Volume, Reaction (PH) & Specific Gravity Chemical Examination for - Proteins; Glucose,- Phosphate, Ketone, Bile salts, Bile pigment, occult blood test. Microscopic Examination.

Second Term
BEDSIDE PRACTICALS (CLINICAL METHODS)

1. Practical records of clinical examination of at least 10 long cases in I.P.D. 2. Practical records of clinical examination of at least 10 short cases based on Ashta vidha pareeksha.

1. Hematology Hematocrit /Packed cell volume (PCV) Erythrocyte indices - MCV, MCH, MCHC Introduction to rapid diagnostics of hematology Screening test for bleeding disorders - bleeding time (BT), Clotting time (CT), Prothrombin time (PT) Blood grouping - ABO system, Rh typing (Rhesus system) 2. Stool Examination Ayurveda anusara pureesha pareeksha Physical examination - Sama-Nirama Pareeksha Microscopic examination of ova & cyst etc. Occult Blood Test 3. Biochemical Examination - (Demonstration) Serum Glucose, Serum Bilirubin, Serum urea, Lipid profile, Serum Creatinine. 3. Demonstration of Sero-immunological Investigations: RA and Widal.

Third Term
BEDSIDE PRACTICALS (CLINICAL METHODS)

1. Demonstration of ECG, USG and Radio imaging techniques. 2. Practical records of clinical examination of at least 5 long cases in I.P.D. 3.Practical records of clinical examination of at least 5 short cases based on ashta vidha pareeksha. 1. Hematology Peripheral blood film examination in Anemia, Leukemia, Malaria, Filaria (Demonstration) 2. Sputum Examination Ayurveda anusara sthivana pareeksha. Physical, Chemical and Microscopic Examination of the sputum. Sample collection and Demonstration of AFB. 3. Semen examination Ayurvediya anusara Retas pareeksha. Semen examination & Demonstration of semen, sperms. 4. Demonstration of different staining techniques in microbiology. 5. Demonstration of Aspiration, techniques. 6. Laboratory record - maintenance of observation Diary and laboratory record book.

v Reference Books
Sr.No Name of the Book Madhav Nidan (Madhukosha commentary) Part 1 2 Pt. Yadunandan Upadhyay Kaviraj Gananath Sen Doshakaranatwa Mimamsa Nadi Darshan Nadi Vigyanam Nadi Vigyan Nadi Vigyan Rogi Pariksha vidhi Ayurvediya Rog Vargikaran Name of the Author

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26

Pt. Yadunandan Upadhyay Kaviraj Gananath Sen

Yadav Ji Trikram Ji Acharya

Ayurvediya Nidan Evam Chikitsa Ke Siddhanta Relevant portions of Charaka Samhita, Sushruta Samhita and Vagbhat Text Book of Pathology Text Book of Pathology Text Book of Pathology Text Book of Parasitology Clinical Pathology and Bacteriology Clinical methods in Ayurveda Parameswarappa's Ayurvediya Vikriti Vigyan and Roga Vikriti Vigyan Oxford Handbook of Clinical Examination and Practical Skills Advanced Clinical Evaluation System For Practical Assessment of Clinical Examination Skills Symptoms & Signs In Clinical Medicine Clinical Methods Bedside Clinics in Medicine Part- I & II Common Medical Symptoms Advances in Pathology & Lab Med-

Acharya P.V. Sharma Vd. Tara Shankar Mishra Vidyotini Hindi Tika Shri Satya Dev Vashisht Gangadhar Tika Acharya Priyavrata Sharma Vd. Ramanath Dwivedi & Vd. Gurdip Singh Prof. Ram Harsh Singh William Boyds. Harsh Mohan Dey and Dey Ramnik Sood S.P. Gupta K. R . S. Murthy Dr. P.S. Byadgi. Oxford Handbooks

27

Clinical laboratory medicine

Chamberlains Hutchison's Kundu Mehta Weimstean, Gralem, Anderson, Cortan, Wick, Zumwelt Edited by Kenneth D Mc. Chately

28 29 30 31 32 33 34 35 36

General Pathology

A Comprehensive Dictionary of Pathology Practical Pathology Clinical examination Pathology Practical book for undergraduates Medical laboratory technology Clinical Diagnosis and Management by Laboratory methods Clinical Hematology In Medical Practice Robbins Basic Pathology

37 38

API Text Book of medicine Clinical Pathology & Bacteriology

Walter & Israel Churchill Living stone Chris Newann Dr. K. Uma Chaturvedi Douglas/Macleod's Harsh Mohan R. Sood Todd, Sanford and Davidson Degruchy's Kumar, Abbas, Fausto at al - G.S. Sainani - K.N. Sachadev

39 Topics related to Roga Vigyan Evum Vikruti Vigyan from Charak Samhita, Sushrut Samhita, Ashtang Sangraha, Ashtang Hardaya, yogaratnakar,Bhavaprakasha and Madhavnidan. -Dr.Lavekar -Dr.Vidyadhar Shukla -Dr.Govind Prasad Upadhyay Prof.Shivcharan dhyani -Dr. govind Prasad Upadhyay -Prof.Vinaykumar

40 41 42 43 44 45

Doctor's Patients relationships Vikrutivigyan Rog - Rogi Pareeksha Padhdati Ayurvediy Nadi Pareeksha Vigyan Nidan panchak Rogvigyanam

Marathi versions 46 Vikruti Vigyan 47 Vikruti Vigyan

- Prof. Vd. Y.G. Joshi -Vd. Ranade Subhash

48 . 49 50 51

Rogi-Rog Pareeksha Dushtarth Madhavnidan I Dushtarth Madhavnidan 2 Sarth Madhavnidan -Vd.Sale S.R.

- Vd. P.G. Athavale - Vd. P.G. Athavale - Late Dr. G.K. Gadre

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