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PANCHAKRMA
 
Theory One Paper – 100 Marks
 Practical one – 50 Marks
Lectures - 100
Hospital Training – 3 Months 
Paper I                100 Marks
Part A                   50 Marks
 
 I. INTRODUCTION 
1) Introduction to Panchakarma, their importance and utility in the treatment. 
2) Relation of Panchakarma with Shodhana therapy (purification therapy). 
3) Threefold Karma 
i) Poorva karma (pre operative   procedure):- General knowledge, importance and utility of Poorva karma (Pachana, Deepana, Snehana, & Swedana) 
ii) Pradhana karma (Operative procedure) 
iii) Pashchat karma (Post operative procedure) 
4) Usefulness of Shodhana (purification therapy) according to the seasons. 
5) General precautions (pariharya vishaya) during Panchakarma.      
6) Relevance of Panchakarma in present era.  
7) Specifications of Panchakarma theatre and necessary equipments
 
II. SNEHANA 
1) Etymology and definition of Sneha and Snehana (Oleation therapy) 
2) Types of Sneha, Qualitative utility of Sarpi, Taila, Vasa and Majja 
3)  Different categories of Snehayonis (sources). 
4) Need of Rukshana before snehana and Samyak rukshana lakshanas. 
5) Types of Snehana – Bahya and Abhyantara (external and internal oleation therapy), Snehapaka.                                                 
6) Knowledge of Yamaka sneha, Trivrit sneha, Maha sneha, Panchaprasrutiki Sneha,  Achcha sneha, Pravicharana, sneha, Sadya sneha, Avapidaka Sneha, Shodhana,  Shamana and Brimhana Sneha, Hrasiyasi,Hrasva,Madhyama And Uttama Sneha  
7) Indications and contraindications for Snehana. 
8) Sneha Procedures: 
    Abhyantara Shodhananga Sneha Vidhi: 
Poorvakarma: Roga and rogi pareeksha, including relevant   diagnostic techniques, Koshta    pareeksha   and Agni nirnaya, preparation of the rogi & fixation of dose.
Pradhana karma: Adminitration of Sneha & Anupana, Observation-Jeeryamana/Jeerna/Ajeerna/Asnigdha Lakshanas, Samyak Yoga, Ayoga/Atiyoga Lakshanas, Vyapats & their managemen according to Ayurveda & Modern Systems of Medicines.
Pashchat karma: Pariharya vishaya & Planning of Shodhana. Shamana and Brimhana Snehana Vidhi, Chirakaleena Sneha Vyapats, and their management. 
9) Diet and regimens during Snehana 
10) Introduction to Bahirparimarjana Chikitsa. 
11) Detailed knowledge about procedure and utility of following Bahyasnehanas 
(External oleation therapy) – Abhyanga, Samvahana, Mardana, Unmardana, Utsadana, Padhaghata, Murdhni Taila, Pichu, Karna Poorana & Akshi Tarpana 
11) Snehana Kamukata. 
12) Digestion and Metabolism of Fat. 
 
III. SWEDANA 
1) Etymology and definition of Sweda and Swedana (Sudation). 
2) Swedana dravyas and their properties. 
3) Methods to protect the vital organs (varjya anga) during Swedana Procedure.Ten Types of Niragni Sweda, Different types of Sagni Sweda 
4) Knowledge of Shodhananga and Shamana Sweda. 
5) Indication and contra- indications of swedana. 
6) Detailed Knowledge about Utility of below mentioned Swedana procedures:- Patrapinda Sweda, Shashtika Shalipinda Sweda,Churna Pinda Sweda, Jambeera Pinda Sweda, Dhanya Pinda Sweda, Kukkutanda Sweda, Anna lepa, Valuka Sweda, Ishtika Sweda, Nadi Sweda, Bashpa Sweda, Ksheera bashpa sweda, Avagaha Sweda, arisheka Sweda(Pizichil, Dhanyamla Dhara, Kashaya Dhara,Ksheera Dhara) & Upanaha Sweda. 
7) Features of Samyak Yoga (Proper Sudation), Atiyoga (Excessive Sudation), Heenayoga (Inadequate Sudation) and Vyapat of Swedana and their Management.
 8) Diet and regimens during and after Swedana.
 9) Swedana karmukata (Mode of action of Swedana Chikitsa).
 10) Introduction to Bahirparimarjana Chikitsa: Study Lepa, Gandusha, kavala, ShiroLepa (Tala potichil), Talam, Udvartana, TakraDhara,kati,Janu, Basti, Greeva and  Urobasti (Tarpana)
 11) General Knowledge about current Sudation techniques (Sauna bath, Steam bath, Infrared therapy).                                                                                     
 
IV. VAMANA                                            
1) Etymology, definition and Inroduction of Vamanakarma
 2) Importance and utility of Vamana Karma
 3) Kosta nirnaya and Agni pareeksha in Vamana karma.
 4) Indications and Contraindications for Vamana.
 5) General properties of Vamaka Dravyas
 6) Preservation and Knowledge of Vamaka and Vamanopaga dravyas.
 7) Detailed study of Madana Phala, Kutaja, Yashti, Vacha and Nimba.
 
Poorva karma:  Snehana & Swedana Diet & regimen   prior   to Vamana    Karma Preparation of formulation for Vamana Karma Dose & Method of Administration.
 Poorva karma:  Snehana & Swedana Diet & regimen during vishrama kala prior to Virechana Karma
 Pradhana karma:  Administration of drugs and Observation, and Assistance of Vegas, Upavegas and Matra. Knowledge of Laingiki, Antiki and Maniki Shuddhi, Features of Samyak yoga (Proper Shuddhi), Atiyoga (Excessive Shuddhi), Ayoga (Inadequate Shuddhi)  and their  management.
 Pashchat karma:  Samsarjana(Peyadi,Tarpana and Rasa Samsarjana krama) Pariharya vishaya & Parihara Kala  Vyapats & their management according to Ayurveda & Modern Systems of Medicines
 8) Vamana Karmukata (Mode of action of Vamana).
 
V. VIRECHANA KARMA
 1) Etymology, definition, introduction, Importance, Utility & Classification of Virechana Karma.
 2) Knowledge of Anulomana, Sramsana, Bhedana, Rechana, karma with examples.
 3) General properties of Virechana Dravyas.
 4) Detailed study of following Virechana drugs Trivrut, Eranda, Aragvadha, Katuki and Jaipala
 5) Knowledge of Virechana kalpanas, their properties, dose, anupana and method of administration.
 6) Knowledge of Koshta Nirnaya and Agni vivechana.
 7) Indications & Contra-indications for Virechana
 8) Significance of Vamana before Virechana.
 9) Virechana Vidhi (Procedure for Virechana)
 Poorva karma:  Snehana & Swedana Diet & regimen prior to Virechan Karma.    
 Pradhana karma: Administration of drugs and Anupana, Observation, Assessment of Vegas, Upavegas and Matra. Knowledge of Laingiki, Antiki and Maniki Shuddhi, Features of Samyak yoga (Proper Shuddhi), Atiyoga (Excessive Shuddhi),Heenayoga (Inadequate Shuddhi)  and their  management. 
Pashchat karma : Samsarjana(Peyadi,Tarpana and Rasa Samsarjana krama) Pariharya vishaya & Parihara ala  Vyapats & their management according to Ayurveda & Modern Systems of Medicines.
10) Virechana Karmukata (Mode of action of Virechana).
 
VI. BASTI
1) Etymology, definition, introduction, utility, and importance of Basti Karma.
2) Types of Basti based on Karma, Sankhyas, Adhisthan & Matra.
3) Knowledge of different Basti yantras, their significance and utility.
4) Indications & Contra-indications for Anuvasana Basti and Asthapana Basti.
5) Knowledge of Anuvasanopayogi and Asthapanopayogi dravyas.
6) Adimistration of Basti:
Poorvakarma (Pre-operative procedure): Preparation of Basti dravyas Fixation of dose Preparation of Ptient.                                                              
Pradhana karma (Operative procedure): Basti Pranidhana vidhi (Administration of Asthapana, Anuvasana    and Matra Basti)   Observation    of    Basti      pratyagamana, Samyakyoga, Atiyoga, heenayoga lakshanas and their management.
Paschat karma (post operative procedure):  Pariharya vishaya, Parihara Kala Diet and regimen after Basti.
7) Detailed knowledge of Basti Vyapats and their management.
8) Study of following Vishishta Bastis:
Piccha Basti,Ksheera Basti,Yapana Basti, Madhutailika Basti, Erandamooladi Nirooha  Basti, Panchaprasrutika Basti, Kshara Basti, Vaitarana Basti, Krimighna Basti,Lekhana Basti,Sarvarogahara Nirooha Basti, Brimhana Basti, Vataghna Basti, Pittaghna Basti  and Kaphaghna Basti.
9) Knowledge of Uttara Basti, Importance of Uttara Basti, Uttara Basti  Yantra,  dravyas and their dosage in Uttara Basti.
10) Detailed knowledge of administration of Uttara Basti in to mutrashaya (Intra Vesical) and Garbhashaya (intra uterine).
 11) Basti karmukata (Mode of action of Basti).
  
VII. NASYA 
1) Etymology, definition, introduction & Significance of Nasya karma. 
2) Knowledge about dravyas (Medicines) used for Nasya karma, 
3) Classification of Nasya in detail 
4) Indications and contraindications of Nasya 
5) Knowledge of dosage of Dravyas (Medicines) and time of administration in different type of Nasya. 
6) Nasya Procedure 
Poorvakarma (Pre-operative procedure): Prepartation of Patient.
 Pradhana Karma (Operative procedure): Admnisitration of Nasya.
 Paschat Karma (post operative procedure): Parithara Kala, Diet and regimen after Nasya.
 7) Detailed Knowledge of features of Samyakyoga (Proper), Ayoga (Inadequate), Atiyoga (Excessive) of Nasya and their management.
 8) Pathya-Apathya during Nasya karma
 9) Administration of Navana, Marsha, Pratimarsha, Avapeedaka, Dhmapana and Dhooma Nasyas
 10) Nasya Karmukata (Mode of action of Nasya Therapy)
 
VIII. RAKTA MOKSHANA AND VYAYAMOPACHARA
1) Definition, Utility and Significance of Raktamokshana, Knowledge of different
    Techniques of Raktamokshana
2) Indications and contraindications for Raktamokshana
3) Rakta mokshana karmukata (Mode of Rakta mokshana)
4) Bsic Knowledge of Physiotherapy
5) Knowledge of emergency management in complications such as Water &                      Electrolyte imbalance, hypo- volamic shock, Haematemisis, Epistaxis, Bleeding per rectum, acute abdomen etc.
Practical Marks Division
 
Practical Record                                                           -10 Marks
Procedure                                                                    -15 Marks
Viva-voice                                                                    -25 Marks
Total                                                                           - 50 Marks
 
Referance books
1. Caraka Samhita with commentary of Ayurveda Dipika by Chakrapanidatta & Jalpakalpa taruby Gangadhara , Edn-1, vol-I-V,  Agnivesha
 2. Sushrutha Samhita with the Nibhandha Samgraha commentary of Dalhana & Nyayachandrika panjika of Gayadasa on nidanasthan Edn-VI Vol-I  Sushruta
3. Ashtanga Hrudaya with Sarvanga sundara & Ayurveda rasayana commentary  Edn-VIII  
Vol-I  Vaghbhata 
4  Ayurvediya Panchakarma chikitsa Edn-I  Vol-I  Dr Mukundilal Dwivedi
5  Panchakarma Vijnana  Edn-I  Vol-I   Dr Haridas Shreedhar Kasture
6   Illustrated Panchakarma  Edn-I  Vol-I  Dr.G Srinivasa Acharya 
7  Clinical Panchkarma (English)  Second Edition 2008  Dr. P.Yadaiah 
8  Prayogika panchkarma (Hindi)   Second Edition 2007  Dr. P. Yadaiah 
9  Vivida Vyadhiyome Panchkarma (Hindi) First Edition 2007  Dr. P. Yadaiah 
10  The Panchkarma Treatment of Ayurveda with Kerala Specialties  Revised Edition 2008 
Dr. T.L. Devaraj 
11  Panchkarma Therapy  Second Edition 2005  Dr. R.H. Singh 
12   Principles and practice of vasti  2006  Dr. Vasudevan Nampoothiri and Dr. L. Mahadevan
13  Clayton’s Physiotherapy  
14  Teddy’s Physiotherapy
15   Harrison’s Principle of Internal Medicine
16  Guyton’s Physiology
 

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