JOURNAL TRANSCRIPT
CURRICULUM Technical School Leaving Certificate In
Ayurveda (Post-SLC intake)
Council for Technical Education and Vocational Training
Curriculum Development Division Sanothimi, Bhaktapur
Second revision, 2013
Table of Contents 1. Introduction: ..................................................................................................................... 3 2. Aim: .............................................................................................................................. 3 3. Objectives: .................................................................................................................... 3 4. Programme Description: ............................................................................................... 4 5. Target Group: ............................................................................................................... 4 6. Target Location: ........................................................................................................... 4 7. Group Size: ................................................................................................................... 4 8. Entry Criteria: ............................................................................................................... 4 9. Medium of Instruction: ................................................................................................. 5 10. Course Duration:........................................................................................................... 5 11. Pattern of Attendance: .................................................................................................. 5 12. Teacher and Student Ratio:........................................................................................... 5 13. Instructor′s Qualification .............................................................................................. 5 14. Facilities: ...................................................................................................................... 5 15. List of Equipment/Devices: .......................................................................................... 6 16. Instructional Media and Materials: ............................................................................... 6 17. Teaching Learning Methodologies: .............................................................................. 6 18. Evaluation Details: ....................................................................................................... 7 19. Grading System: ........................................................................................................... 7 20. Certificate Requirements: ............................................................................................. 7 21. Career Path: .................................................................................................................. 8 22. Course Structure on TSLC in Ayurveda....................................................................... 9 23. Subjects ....................................................................................................................... 10 1. Ayurvedik Maulika Siddhanta and Shareera .............................................................. 11 2. Human Anatomy & Physiology ................................................................................. 13 3. Dravyaguna-Vigyana .................................................................................................. 16 4. Rasa-shastra & Bhaishajya-kalpana ........................................................................... 22 5. Swasthavritta .............................................................................................................. 27 6. Nidana Chikitsa .......................................................................................................... 30 7. Samudayika Chikitsa .................................................................................................. 32 8. Shalya-Shalakya ......................................................................................................... 35 9. Striroga-Prasuti and Balaroga-vigyana ....................................................................... 37 10. Health Management .................................................................................................... 39 11. On-the-job Training (OJT) ......................................................................................... 42 Suggested Reading Materials................................................................................................ 44
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1.
Introduction: This curriculum is designed to produce lower level human resources in the field of Ayurveda equipped with knowledge, skills and attitude necessary for this level of technicians so as to meet the demand of such technician in the country.
2.
Aim: The aim of the programme is designed to equip trainees with skills and principles/knowledge of Ayurveda to make the trainees competent in the application of these skills/principles/knowledge for the prevention and cure of human diseases/disorders as well as preservation/promotion of human health.
3.
Objectives: After completing this curricular program, the students will be able: 1. 2. 3. 4.
To be familiar with concept of Aayu, Ayurveda and its history and evolution. To be familiar with anatomy and physiology of human body. To assist & perform general examination of the human body. To be familiar with Dravyaguna-vigyana, its basic principles and identify common medicinal plants. 5. To be familiar with essential Ayurvedic as well as allopathic medicines available in health posts & sub-health posts. 6. To be familiar with Rasa-shastra, preparation and dispensing methods of common Ayurvedic formulations. 7. To be familiar with the basic concept of personal hygiene, promotion of human health and prevention of diseases. 8. To be familiar with diagnostic methods, general management of common diseases/ disorders and referral to appropriate centre. 9. To be familiar with the concept of health education and environmental health. 10. To be familiar with laboratory report of the patient. 11. To be familiar with the signs, symptoms and simple management of diseases related to Shalya and Shalakya-tantra. 12. To perform first aid procedures & assist senior practitioner in pre-surgical and postsurgical procedures. 13. To be familiar with reproductive health, gynecological disorders, antenatal and postnatal care, child health and common diseases of the children. 14. To assist in antenatal, postnatal care and other gynecological and obstetrical procedures. 15. To be familiar with health management system of Nepal. 16. To perform data collection, record keeping, making charts and filling the Ayu forms.
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4.
Programme Description: This program provides skills and related technical knowledge necessary to be a competent Auxiliary Ayurvedic Health Worker (AAHW). There will be both demonstrations by instructors and opportunity for the trainees to perform skills/tasks necessary for the technician. Trainees will learn skills using typical tools/equipment/material and supplies necessary for the program. Trainees successfully completing the program will be able to assist for prevention, diagnosis, and treatment of common diseases/health disorders through Ayurvedic approach. Trainees will be able to preserve and promote their health through the art of healthy living and advice the community for the same. Again this program provides the skills/knowledge necessary for the trainees to be self employed in the field of Ayurveda in the days to come. This program also includes On-The-Job-Training (OJT) in which the trainees are placed on the job under the supervision of the supervisors in the related hospital/health post/Institute. It aims at the trainees be familiar with and get experience of the world of real work and gain skills/knowledge that are new or not covered in the training institute.
5.
Target Group: The target group for this program will be all the interested individuals of the country with academic qualification of SLC pass.
6.
Target Location: The target location of this program will be all over Nepal.
7.
Group Size: The group size of this program will be not more than 40.
8.
Entry Criteria: Individuals who meet the following criteria will be allowed to enter into this program: •
Should have passed SLC
•
Should pass entrance examination administered by CTEVT
•
Final selection will be made on the basis of merit list.
•
Candidates should submit the following documents at the time of application o SLC pass certificate o Character certificate
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o Citizenship certificate (for the name, parents' name, age, date of birth and address verification purpose only) •
Special quota for different category of students will be as per the policy of CTEVT
•
Preference will be given to female, Dalit, Janajati, Conflict affected people and Disadvantaged Groups ( DAGs)
9.
Medium of Instruction: The medium of instruction will be in English and/or Nepali language.
10.
Course Duration: This course will be completed within 12 months/52 weeks/1560 hours. In addition, 3 months/480 hours on-the-job assignment should also be completed for issuing certificate of successful completion of the course.
11.
Pattern of Attendance: The students should have 80% attendance in theory classes and 90% in practical/ performance to be eligible for internal assessments and final examinations.
12.
Teacher and Student Ratio: Overall ratio of teacher and student must be 1:10 (at the institution level). Teacher and students ratio for theory class should be as per nature of classroom Teacher and student ratio for practical should be 1:10 75 % of the teachers must be full-time.
13.
Instructor′′s Qualification Bachelors′ Degree or equivalent in the related field Good communicative ability Experience in the related field.
14.
Facilities:: Well equipped sufficient class rooms Well equipped Ayurvedic hospital/zonal or district health centre available to use Well equipped lab/clinic Well equipped library
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15.
List of Equipment/Devices:: • • • • • • • • • •
16.
Stethoscope Sphygmomanometer (B.P. Set) Thermometer Minor surgical instruments Diagnostic sets Catheter Electric sterilizer Kidney tray Dressing drum Dressing trolley
• • • • • • • • • •
Drip stand Foreign body remover Breast pump Suture removing set Different types of Khalwa Yantra Bashpa Swedan Yantra Proctoscope Enema set Ryle′s tube Simple microscope etc.
Instructional Media and Materials: The following instructional media and materials are suggested for the effective instruction and demonstration. Printed Media Materials (Assignment sheets, Case studies, Handouts, Information sheets, Individual training packets, Procedure sheets, Performance Check lists, Textbooks etc.). Non-projected Media Materials (Display, Models, Photographs, Flip chart, Poster, Writing board etc.). Projected Media Materials (Opaque projections, Overhead transparencies, Slides etc.). Audio-Visual Materials (Audiotapes, Films, Slide-tape programs, Videodiscs, Videotapes etc.). Computer-Based Instructional Materials (Computer-based training, Interactive video etc.)
17.
Teaching Learning Methodologies: The methods of teaching for this curricular program will be a combination of several approaches. Such as Illustrated lecture, Group discussion, Demonstration, Simulation, Guided practice, Practical experiences, Fieldwork, Laboratory observation, Hospital visit, Report writing, Term paper presentation, Case analysis, Tutoring, Role-playing, Heuristic and other independent learning. Theory: Lecture, Discussion, Assignment, Group work. Practical: Demonstration, Observation and Self-practice. OJT
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18.
Evaluation Details:
1. Continuous evaluation of the students' performance is to be done by the related instructor/ trainer to ensure the proficiency over each competency under each area of a subject specified in the curriculum. 2. Related technical knowledge learnt by students will be evaluated through written tests. 3. Students must score a minimum of 40% marks in theory test & 60% in practical test in all subjects. 4. There will be at least three internal assessments and one final examination in each subject. Moreover, the mode of an assessment and an examination will include both theory and practical or as per the nature of instruction as mentioned in the course structure. 5. Students should pass internal assessments both in theory and practical tests in all subjects. 6. The ratio between the theory and practical tests will be 20:80 in case of a practical nature subject. 7. Out of 100%, 50% weightage is allotted for the internal assessments and the remaining 50% is allotted for the final examination 8. The on-the-job training has to be evaluated keeping 300 as full marks. The evaluation of the performance of the student is to be carried out by the three agencies; the concerned institute, hospital/medical centre where the student worked and the CTEVT unless otherwise directed by office of the Controller of examinations /Technical Division of the CTEVT. The student has to score 60% or above for successful completion of the course.
19.
Grading System: The grading system will be as follows:
20.
Grading
Overall marks
Distinction
80% or above
First division
75% or above
Second division
65% or above
Third division
Pass aggregate to below 65%
Certificate Requirements: The council for technical education and vocational training will award certificate in “Technical School Leaving Certificate in Ayurveda” to those students who successfully complete the requirements as prescribed by the curriculum.
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21.
Career Path: The graduate will be eligible for the position equivalent to Non-gazetted 2nd class/level 4 (technical) as Auxiliary Ayurvedic Health Worker or as prescribed by the Public Service Commission. The graduate is eligible to enlist with the Nepal Ayurveda Medical Council or for registration with Nepal Health Professional Council in the grade as mentioned in the concerned Council's Act. The graduate will also be eligible to study Certificate in Medical Science (Ayurveda and General Medicine).
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22. Course Structure on TSLC in Ayurveda Theory & Practical Hours S. N 1.
Subjects Ayurvedik Maulika
Nature
Hours/ Week
T
Full
Total Practical Hours -
Grand Hours (T+P) 78
Marks
2
Total Theory Hours 78
T+P
4
58
98
156
100
50
Siddhanta and Shareera 2.
Human Anatomy and Physiology
3.
Dravyaguna-vigyana
T+P
7
115
158
273
175
4.
Rasa-shastra and
T+P
6
90
144
234
150
Bhaishajya-kalpana 5.
Swasthavritta
T+P
4
50
106
156
100
6.
Nidana Chikitsa
T+P
4
50
106
156
100
7.
Samudayika Chikitsa
T+P
7
93
180
273
175
8.
Shalya-Shalakya
T+P
2
30
48
78
50
9.
Striroga-Prasuti &
T+P
2
30
48
78
50
T
2
78
-
78
50
1560
1000
Balaroga-vigyana 10.
Health Management
Total
40
672
888
On the Job Training Subject On -the -Job Training (OJT) Grand total T = Theory, P = Practical
Nature of Instruction Practical
Duration (Hrs.) 480
Full marks
2040
1300
300
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23. Subjects 1. Ayurvedik Maulika Siddhanta and Shareera 2. Human Anatomy and Physiology 3. Dravyaguna Vigyana 4. Rasa-shastra and Bhaishajya-kalpana 5. Swasthavritta 6. Nidana Chikitsa 7. Samudayika Chikitsa 8. Shalya-Shalakya 9. Striroga-Prasuti & Balaroga Vigyana 10. Health Management 11. On the Job Training
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1. Ayurvedik Maulika Siddhanta and Shareera Total Hours: 78 Theory: 78 Practical: 0 Course description This course is designed to provide students the knowledge about the basic principles of Ayurveda and description of Shareera in Ayurveda. It also includes the general knowledge and history of Ayurveda. Objectives After completion of the course the students will be able to: •
Understand the concept of Aayu, Ayurveda, Aatma, Prakriti and Purush.
•
Explain the concept of Shareera and Manasa Dosha.
•
Understand the meanings of Saptadhatu, Upadhatus, Panchamahabhutas, Mala, Agni.
•
Identify the concept of Shareera from Ayurvedic point of view.
•
Understand the history and development of Ayurveda.
SN 1
Tasks Study
Related technical knowledge on Definition and concept of Ayurveda, Aayu, Atma, Shareera,
Ayurveda 2
Hours 10
Indriya, Prakriti and Purusha and their importance.
Study on Vata, •
Definition of Vata, Pitta and Kapha on etymological basis.
Pitta and Kapha •
Nature, types, locations and functions.
•
Dosha
Features
(signs
and
symptoms)
of
increased
15
&
diminished/decreased states of Vata, Pitta & Kapha dosha. 3
Introduce
•
Definition of the Manasa Dosha.
Manasa Dosha.
•
Types of Manasa Doshas
•
Nature and types of Manasa Dosha; and their role in
5
causing diseases 4
5
State
•
List of Panchamahabhutas.
Panchamahabhut
•
Roll of Panchamabhutas in formation of Doshas and
as.
Dhatus.
Explain Dushyas •
Definition of Dushyas and understand the concept of
(Dhatu
Dushyas
Upadhatus)
& •
Concept of Dhatu & Upadhatus
•
Names of Dhatus and Upadhatus.
•
Functions of Saptadhatus and Upadhatus.
10
10
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6
7
Introduce Malas.
Describe
Increased or decreased states of Dhatus.
•
Role of Ojas for health and causing diseases.
•
Concept and types of Malas.
•
Meaning and role of Mala in health.
•
Symptoms of increased and decreased state of Malas.
•
Role of Malas in causing diseases.
the •
Agni.
8
•
Study Shareera.
Concept and types of Agnis.
•
Meaning of Agni.
•
Types of Agni and their role in health.
•
Role of Agni for causing diseases
•
Concept of Shareera from Ayurvedic view.
•
Definition of Shareera and Shaareera.
•
Meaning, place and functions of Tyacha, Kala, Snayu,
5
5
10
Sira, Dhamani, Peshi and Asthi. •
Definition and types of Purusha, Prana, Aashaya, Srota, Marma and Navadwara.
9
10
Understand
•
Concept of Prakriti.
Prakriti
•
Characters of Vataja, Pittaja and Kaphaja Prakriti.
•
Types of Panchabhautik Prakriti.
•
Importance of Prakriti in health and diseases.
Explain
the •
history
of •
Ayurveda
Historical development of Ayurveda.
4
4
Main classical Samhitas and their writers.
•
Concept of Astanga Ayurveda.
•
Importance of the study of History of Ayurveda.
Reference Books: • Ayurvedaka Itihas Evam Parichaya,Vidyadhar Shukla and Ravidatta Tripathi, Delhi, India. • Ayurvediya Maulik Siddhanta Tatha Sankshipta Shareera, Ramnath Bhattarai, T.U., Kathmandu. • Ayurvedaka Maulik Siddhantaharu, Dr. Thakur Raj Adhikari. • Prachya Ayurvigyanam, Dr. Damodar Sharma Chalise, Kathmandu.
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2. Human Anatomy & Physiology Total:
156 hours
Theory:
56 hours
Practical:
100 hours
Description: This course is designed to provide a basic knowledge of anatomy and physiology. It also includes the knowledge about structure and function of the human body and changes that take place normal processes & examination.
Objectives: At the end of course, the students will be able to: 1. Be familiar with anatomy and physiology of human body. 2. Identify and describe different parts/organs of human body S N
Task Statement
1
Observe, Identify & explain Anatomical terminologies
2
Identify human cells • and tissues • • • Identify the bones • and different organs of human skeletal system
3
4
Related Technical Knowledge • •
Introduction of Anatomy & Physiology Definition of anatomical terminologies: o Anatomical position o Middle line o Other terms: Superior, Inferior, Anterior, Posterior, Lateral, Superficial, Deep, External, Internal, Peripheral, Central Introduction and structure of cells Different types of cells & cell division Introduction and types of tissues Observation of normal cells and tissue
Basic concept, structure and functions of human skeletal system including: o Bones of skull o Bones of vertebral column o Bones of upper extremities, ribs and sternum, pelvic bones & bones of lower extremities. • Observation and sketch out of skeleton module and the bones of the different parts of body Identify the human Basic concepts, structure and functions of human muscular system muscular system including: • Voluntary muscles, Involuntary muscles
Time (Hrs) T P Total 2 4 6
3
5
8
5
10
15
3
5
8
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• • • • •
Cardiac muscle Deltoid muscle, Gluteal muscle Muscles of face Biceps, Triceps Accessory muscles for respiration
• •
Define different types of joints of human body. Observe and describe the functions of different types of joints of human body.
1
3
4
Basic introduction to structure and functions of circulatory system including: o Structure & function of heart o Cardiac cycle, heart beat and pulse o Blood vessels, Arterial system, System of veins o Blood & its composition o Blood groups and Blood pressure Observe the structure of heart
6
10
16
Introduction to the structure and functions of lymphatic system including: o Lymphatic vessels and lymph nodes o Circulation of lymph o The spleen o The thymus Define immunity and its types
2
1
3
Introduction to structure & functions of nervous system including: o Brain, spinal cord and neurons o Peripheral and central nervous system o Autonomous nervous system, Sympathetic & parasympathetic nervous system Observation of human nervous system – Brain, Spinal cord from module/ chart
6
10
16
Introduction to the excretory system and physiology of urine formation Define and describe the functions of kidney, ureters, urinary bladder & urethra. Observe and describe the structures of kidney, ureters, urinary bladder & urethra.
4
8
12
Introduction to the structure and functions of respiratory system including: o Nasal cavity, larynx, pharynx
6
11
17
5
Identify joints of human body
6
Identify different • organs of human circulatory system
• 7
Understand human lymphatic system
8
Understand human nervous system
•
• •
• 9
Identify the organs of human excretory system
• • •
10
Identify the human • respiratory system
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• 11
Identify the human digestive system
•
• 12
Identify the organs of human reproductive system
•
• 13
Identify the parts of human skin
•
• 14
Understand human endocrine system
• • •
15
Indentify the sense organs of human body
•
o Trachea, bronchi and lungs o Process of air exchanges Observe, sketch & explain about the organs of human respiratory system Introduction to the structure and functions of digestive system including: o Oral cavity, esophagus, stomach, small intestine, large intestine o Accessory organs: salivary gland, pancreas, liver o Physiology of digestion o Digestion, absorption and metabolism of carbohydrate, protein, fat, minerals & vitamins Observe, sketch & explain about the organs of human digestive system
5
13
18
Introduction to the structure and functions of reproductive system including: o Male and female reproductive organs o Menstruation cycle and fertilization Observe, sketch & explain about the organs of human reproductive system
4
6
10
Introduction to the structure and functions of human skin including: o Layers of skin o Sebaceous glands Observe and sketch human skin.
3
4
7
Introduction to the structure and functions of human endocrine system. Define and describe the structure and functions of pancreas, pituitary gland, thyroid gland & adrenal gland Observe, sketch & explain pancreas, pituitary gland, thyroid gland and adrenal gland
4
2
6
Observe, sketch, explain structure and function of the 4 sense organs of human body: o Eye o Ear o Nose o Tongue and o Skin Total: 58
6
10
98
156
Reference Books: • Human anatomy & Physiology, Dr. Tilak pathak TSLC in Ayurveda, 2013
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3. Dravyaguna-Vigyana Total: Theory: Practical:
273 hours 115 hours 158 hours
Description: This course is designed to provide a basic knowledge of Dravyaguna-Vigyana. They will gain knowledge about basic concepts and principles of Dravyaguna-vigyana with special focus on identification, properties, actions and uses of medicinal plants; and also about essential medicines/drugs used in primary health care level.
Objectives: At the end of course, the students will be able to: 1. Understand about Dravyaguna-vigyana, its basic principles, importance, scope and general principles of Bheshaja Prayoga (use of medicines) 2. Define and explain Dravya, Guna, Rasa, Veerya, Vipaka, Prabhava and Karma. 3. Identify and classify Dravyas, Bheshaja and Aahara (medicines and diets), common medicinal plants with their Nepali, Sanskrit & Latin names, useful parts, uses, dose and specific preparations 4. Understand about Varga (groups) of Ayurvedic medicines, common terminologies, 5. Identify the method of cultivation, collection, detoxification & storage of common medicinal plants. 6. Identify the concept of & general knowledge about Essential Ayurvedic medicines; identify common essential allopathic medicines available in health posts & sub-health posts. SN 1.
Task Statement Identify Shastra
Related Technical Knowledge
Dravyaguna • Definition of Dravyaguna and its Importance • Definition of Pancha-padartha
Time (Hrs) T
P
Total
4
0
4
3
4
7
4
4
8
2.
Identify Dravya & its • Definition and classification of Dravya types
3.
Identify Rasa & its types
4.
Identify Guna & enlist • Definition, importance and types of Guna • Enlist Gurvadi 20 Gunas with examples Gurvadi 20 Guna
3
6
9
5.
Identify Vipaka & its • Definition & importance of Vipaka • Types of Vipaka, difference between
2
4
6
• Definition of Rasa • Types of Rasa and Anurasa • Relation of Rasa with Dosha & Panchamahabhuta
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SN
Task Statement types
Related Technical Knowledge
Time (Hrs) T
P
Total
Avasthapaka & Nishthapaka
6.
Identify Veerya & its • Definition & importance of Veerya • Types of Veerya types
2
2
4
7.
Identify the concept of • Definition & concept of Prabhava • Importance of Prabhava with examples Prabhava
2
2
4
5
8
13
Identify general principles • Identify general principles of Bheshaja Prayoga of Bheshaja Prayoga (using Ayurvedic medicines) with special focus on dose, route and method of use or administration, time & duration. • Definition, importance and examples of Anupana and Pathya-Apathya. • Concept, general principles, importance & practice of counseling 10. Identify Ayurvedic Definition with examples of the following terminologies: terminologies Deepana, Pachana, Shamana, Anulomana, Sramsana, Bhedana, Rechana, Vamana, Samshodhana, Chhedana, Lekhana, Graahi, Stambhana, Rasayana, Vajeekarana, Vyavayi, Vikashi, Madakari, Abhishyandi, Yogavahi, Brimhana 11. Identify Gana or Varga Definition, identification and uses of: (groups) of Ayurvedic Triphala, Trikatu, Chaturushana, medicines Panchakola, Shadushana, Chaturbeeja, Panchtikta, Laghupanchamula, Brihatpanchamula, Dashamula, Ashtavarga, Panchavalkala, Panchatrina, Jeevaniya-gana, Ksharashtaka, Upavisha, Amlagana, Chatusneha
6
10
16
4
8
12
4
8
12
12. Identify the following Identify the following Dravya (medicinal plants) Medicinal Plants: with their Nepali, Sanskrit & Latin names, introduction, distribution, useful parts, Karma, uses, route & method of use or administration, dose
18
20
38
8.
Identify the concept & • Definition & importance of Karma • Concept of mutual relation of Dravya, Panchatypes of Karma padartha & Karma • Types of Karma with examlpes
9.
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SN
Task Statement
Related Technical Knowledge
Time (Hrs) T
P
Total
20
40
60
and at least one specific preparation: 1. Ashoka -czf]s_ 2. Ashwagol -cZjuf]n_ 3. Aragvadha -cf/Ujw_ 4. Udumbara -pb'Da/_ 5. Ushira -pzL/_ 6. Ela -Pnf_ 7. Katphala -s6\kmn_ 8. Kapikachchhu -slksR5'_ 9. Kampillaka -slDkNns_ 10. Karkatashringi -ss{6z[ËL_ 11. Kasha -sfz_ 12. Kusha -s'z_ 13. Kushtha -s'i7_ 14. Gokshura -uf]If'/_ 15. Chakramarda -rqmdb{_ 16. Changeri -rfË]/L_ 17. Japa -hkf_ 18. Jamboo -hDa"_ 19. Jatiphala -hftLkmn_ 20. Jeeraka -hL/s_ 21. Tanduliya -t08'nLo_ 22. Doorva -b"jf{_ 23. Dronapushpi -b|f]0fk'ikL_ 24. Parpataka -kk{6s_ 25. Pancha-aunle -d'~hfts, kfFrcf}+n]_ 26. Priyangu -lk|oË'_ 27. Prishniparni -k[lZgk0fL{_ 28. Balaa -anf_ 29. Bakuchi -afs'rL_ 30. Brihati -a[xtL_ 31. Madanaphala -dbgkmn_ 32. Mushali -d'znL_ 33. Mustaka -d':ts_ 34. Yarsagumba -of;f{u'Daf_ 35. Lavanga -njË_ 36. Vanshalochana -j+znf]rg_ 37. Shrikhanda ->Lv08_ 13. Identify the following Identify the following Dravya (medicinal plants) Medicinal Plants with with their Nepali, Sanskrit & Latin names, their properties & uses: introduction, distribution, Rasa, Guna, Veerya, TSLC in Ayurveda, 2013
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SN
Task Statement
Related Technical Knowledge
Time (Hrs) T
P
Total
Vipaka, Prabhava, Karma, uses, useful parts, preservation, havesting time, route & method of use or administration, dose and specific preparation (at least one preparation): 1. Aswagandha -cZjuGwf_ 2. Katuki -s6'sL_ 3. Kantakari -s06sf/L_ 4. Karanja -s/~h_ 5. Kiratatikta -ls/ftltQm_ 6. Kutaja -s'6h, OGb|oj_ 7. Kumari -s'df/L_ 8. Khadira -vlb/_ 9. Chitraka -lrqs_ 10. Jatamansi -h6fdf+;L_ 11. Tumburu -t'Da'?_ 12. Damanaka -bdgs, tLt]kftL_ 13. Daruharidra -bf?xl/b|f_ 14. Dhataki -wftsL_ 15. Nimba -lgDa_ 16. Nirgundi -lgu'{08L_ 17. Patha -kf7f_ 18. Parijata -kfl/hft_ 19. Pashanabheda -kfiff0fe]b_ 20. Pippali -lkKknL_ 21. Punarnava -k'gg{jf_ 22. Bilva -laNj_ 23. Beejaka -aLhs_ 24. Bhumyamalaki -e"DofdnsL_ 25. Bhringaraja -e[Ë/fh_ 26. Mandookaparni -d08"sk0fL{_ 27. Mahanimba -dxflgDa_ 28. Yavani -ojfgL_ 29. Yashtimadhu -oi6Ldw'_ 30. Rasona -/;f]g_ 31. Vacha -jrf_ 32. Varuna -j?0f_ 33. Vaasaka -jf;s_ 34. Vidanga -lj8Ë_ 35. Vibhitaka -ljeLts_ 36. Sarpagandha -;k{uGwf_ 37. Shatavari -ztfj/L_ TSLC in Ayurveda, 2013
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SN
Task Statement
14. Identify the method of detoxification of following Medicinal Plants with their properties & uses.
15. Identify the method of cultivation, collection & storage of following medicinal plants with their properties & uses:
Related Technical Knowledge 38. Sariva -;fl/jf_ 39. Haritaki -x/LtsL_ 40. Trivrit (Nishotha) -lqj[t\, lgzf]y_ Identify the method of detoxification of following Dravya (medicinal plants) with their Nepali, Sanskrit & Latin names, introduction, distribution, Rasa, Guna, Veerya, Vipaka, Prabhava, Karma, uses, useful parts, preservation, havesting time, route & method of use or administration, dose and specific preparation (at least one preparation): 1. Arka -cs{_ 2. Ahiphena -clxk]mg_ 3. Karaveera -s/jL/_ 4. Kuchala -s'rnf_ 5. Guggulu -u'Uu'n'_ 6. Gunja -u'~hf_ 7. Dhattura -wQ"/_ 8. Palasha -knfz_ 9. Bhanga -eËf_ 10. Bhallataka -eNnfts_ 11. Langali -nfËnL_ 12. Vatsanabha -jT;gfe_ 13. Sehunda -;]x'08, :g'xL_ Identify the method of cultivation, collection & storage of following medicinal plants with their Nepali, Sanskrit & Latin names, introduction, distribution, Rasa, Guna, Veerya, Vipaka, Prabhava, Karma, uses, useful parts, preservation, havesting time, route & method of use or administration, dose and specific preparation (at least one preparation) of the following Dravya (medicinal plants): 1. Amalaki -cfdnsL_ 2. Ardraka -cfb|{s_ 3. Eranda -P/08_ 4. Guduchi -u'8"rL_ 5. Tulasi -t'n;L_ 6. Dhanyaka -wfGos_ 7. Podinaka -kf]bLgs_ 8. Methika -d]lysf_ 9. Rasona -/;f]g_ 10. Haridra -xl/b|f_
Time (Hrs) T
P
Total
12
14
26
10
20
30
TSLC in Ayurveda, 2013
Page 20
SN
Task Statement
Related Technical Knowledge
16. Identify the concept of • Identify the concept of Essential Ayurvedic Essential Ayurvedic medicines. medicines & general • Acquire general knowledge regarding main knowledge about such ingredients, dosage forms, route & method of medicines. administration, doses, indications, contraindications of essential Ayurvedic medicines available in different levels of government institutions. 17. Identify common essential • General concept of essential allopathic drugs. allopathic medicines • Identify the list of essential allopathic medicines available in health posts & available in health posts & sub-health posts sub-health posts under under government of Nepal. government of Nepal. • Side effects & contra-indications of these drugs Total
Time (Hrs) T
P
Total
8
4
12
8
4
12
115
158
273
Reference Books: • Ayurvediya Vigyana, Dr. Kashiraj Sharma Subedi, SOLID, Lalitpur, Nepal • Dravyaguna Evam Rasashastra, Mr. Salauddin Miya, CTEVT, Nepal • Sthaniya Jadibutidwara Swasthya Raksha, Dr. Shyam Mani Adhikari, NSU, Nepal • Abhinava Dravyaguna-vigyana, Dr. Brahmadev Jha • Dravyaguna-vigyana (Part-I), Dr. Shyam Mani Adhikari, Sajha Prakashana, Lalitpur, Nepal.
TSLC in Ayurveda, 2013
Page 21
4. Rasa-shastra & Bhaishajya-kalpana Total:
234 hours
Theory: Practical:
90 hours 144 hours
Description: This course is designed to provide a basic knowledge of Rasa-shastra & Bhaishajya-kalpana. This course also provides knowledge about Parada & other common materials of metal, mineral and animal origin, common Yantra (equipment/instruments) which are used to prepare Ayurvedic medicines, Likewise, they will gain basic knowledge about preparation or processing and dispensing of common Ayurvedic medicines.
Objectives: At the end of course, the students will be able to: 1. Understand about the concept & importance of rasa-shastra, related terminologies & explain its scope. 2. Classify and describe common Dravyas of Rasa-shastra including Rasa, Uparasa (minerals), Dhatu (metals), Jangama-dravyas (animal and marine products), Ratna, Lavana and Kshara. 3. Identify and explain Yantra, Puta, Musha, furnaces etc. common equipments, instruments or tools used to prepare Ayurvedic medicines. 4. Prepare common Ayurvedic formulations. 5. Dispense and mix Ayurvedic medicines of common use. 6. Understand existing rules, regulations and provisions regarding Ayurvedic medicines
SN
Task Statement
Related Technical Knowledge
Time (Hrs) T
P
Total
1.
Identify the concept of Rasa-shastra
•
Definition concept & importance of rasashastra
4
0
4
2.
Identify the subject related following terminologies
•
Definition or concept of the following terminologies related to groups of materials: • Lavana-panchaka (uúK¢ö¾éa) • Lavana-trika (uúK¢§ýa) • Kshara-dwaya (Y¢¢šoSq) • Kshara-traya (Y¢¢šýq) • Kshara-panchaka (Y¢¢šö¾éa) • Ksharashtaka (Y¢¢š¢ÜÌa) • Mutrashtaka (p®ý¢ÜÌa) • Amla-varga (¡PuøcŠ) • Amala-panchaka (¡Puö¾éa)
4
4
8
TSLC in Ayurveda, 2013
Page 22
SN
Task Statement
3.
4.
5.
6.
7.
Related Technical Knowledge
• Pancha-tikta (ö¾é§lAl) • Pancha-mrittika (ö¾ép±§Lla¢) • Panchamrita (ö¾é¢p±l) • Pancha-gavya (ö¾écÚq) • Mitra-panchaka (§pýö¾éa) Identify the subject Definition or concept of the followings related following terminologies related to processing methods: terminologies • Bhavana (œ¢úô¢) • Dhalana (j¢uô) • Avapa (¡¢ú¢ö) • Nirvapa (§ôú¢Šö) • Shodhana (ù¢³òô) • Marana (p¢šK¢) • Apunarbhava (¡ö«ôœŠú) • Varitara (ú¢§šlš) • Kajjali (aGgu©) • Rasha-panka (švö¾a) • Rasha-pisti (šv§öÜÌ©) • Parpati (ööŠÌ©) Identify Yantra, • General introduction of Yantra Musha and Puta • General introduction and types of Musha • Different types of Putas and furnaces Identify Parada or • Synonyms, characteristics of pure and impure Rasa Rasa (Parada) • Shodhana (detoxification) of Parada & Hingulottha Parada • General introduction to Ashta-sanskara of Parada. • Classification of drugs used in Rasa-shastra. Identify the drugs used • Enumerate & identify Maharasa-varga in Rasa-shastra • Enumerate & identify Uparasa-varga • Enumerate & identify Sadharana-rasa-varga • Enumerate & identify Dhatu-varga & Upadhatu-varga • Enumerate & identify Ratna-varga • Synonyms, toxic effects, Shodhana, uses, dose and specific preparation of the following materials: o Gandhaka, o Hingula,
Time (Hrs) T
P
Total
3
6
9
3
4
7
4
6
10
2
4
6
6
16
22
TSLC in Ayurveda, 2013
Page 23
SN
Task Statement
8.
9.
Purify common materials used for preparation of Ayurvedic medicines
Related Technical Knowledge
•
Identify the drugs with • toxic effects
10. Prepare common Ayurvedic Rasaushadhi
• •
o Sphatik o Churna o Tankana o Yavakshara o Navasadara o Soraka, o Shilajatu, Synonyms, toxic effects, Shodhana, Marana, uses, dose and specific preparation of the following materials: o Abhraka o Makshika o Mandoora o Gairika o Godanti o Mukta o Pravala/Muga o Shankha o Shukti o Varatika o Mriga-shringa o Loha o Nava-ratna, Synonyms, toxic effects, Shodhana and specific preparation of the following materials: o Haritala o Manahshila o Shankhiya-visha o Vatsanabha o Kupilu (Kuchila) o Jayapala o Bhallataka Preparation of Kajjali and its importance Preparation, uses and dose of: o Rasha-manikya, o Swetaparpati, o Sudhamrita, o Tankana-bhasma, o Godanti-bhasma, o Sankha-bhasma, o Mrigashringa-bhasma, o Shukti-bhasma,
Time (Hrs) T
P
Total
7
14
21
4
8
12
11
24
35
TSLC in Ayurveda, 2013
Page 24
SN
Task Statement
Related Technical Knowledge Varatika-bhasma, Kshara-kalpana, Yavakshara Lavana-kalpana, Narikela-lavana, Vida-lavana, o Mandoora-bhasma, o Pravala (Muga)-bhasma. Definition and importance of Bhaishajyakalpana Importance of Sodhana and Satmyikarana (purification, detoxifying & making suitable) and Matra (quantity) for preparing medicine Introduction, preparation, dose and uses of the following Panchavidha Kashaya-kalpana: o Swarasa-kalpana: Durva-swarasa o Kalka-kalpana: Ardraka-kalka o Kwatha-kalpana: Dashamula-kwatha o Hima-kalpana: Dhanyaka-hima o Phanta-kalpana: Yasthimadhu-phanta Introduction, preparation, dose and uses of following Churna-kalpana: o Triphala o Sitopaladi o Avipattikara o Hingwashtaka o Panchasakara Introduction, preparation, dose and uses of following Vati-kalpana: o Yograja-guggulu (Vati) o Bhuvaneshwara-vati Introduction, preparation, dose and uses of following Avaleha-kalpana/Rasakriya: o Vasavaleha o Chyawanaprashavaleha Introduction, preparation, dose and uses of following Asava/Arishta: o Kumaryasava o Ashokarishta Introduction, preparation, dose and uses of following Sneha-kalpana (Ghrita/Taila): o Triphala Ghrita o Siktha Taila Introduction to Malaham-kalpana,
Time (Hrs) T
P
Total
4
0
4
5
10
15
5
10
15
2
4
6
2
4
6
2
4
6
2
4
6
1
2
3
o o o
11. Identify the concept of Bhaishajya-kalpana
• •
12. Prepare Panchavidha Kashaya-kalpana
•
13. Prepare Churnakalpana
•
14. Prepare Vati-kalpana
•
15. Prepare Avalehakalpana/ Rasakriya
•
16. Prepare Asava/Arishtakalpana
•
17. Prepare Sneha-kalpana • (Ghrita/Taila)
18. Prepare Malaham-
•
TSLC in Ayurveda, 2013
Page 25
SN
Task Statement
Related Technical Knowledge
kalpana 19. Introduce quality of raw materials, good manufacturing practice and prepared medicines
• • • • •
20. Introduce sterilization, preservation, storage and dispensing of Ayurvedic medicines
• • • • •
21. Introduce existing rules, regulations and provisions regarding preparation and marketing of Ayurvedic medicines
•
•
•
preparation and uses of Dadruvidravanamalaham Concept and importance of identifying quality of raw materials; General introduction to good manufacturing practice and its importance; Importance of research for quality assurance of Ayurvedic medicines; General introduction to quality of finished products; General knowledge of common methods of quality testing of raw materials. Concept, importance and types of sterilization Concept and importance of preservation of Ayurvedic medicines Concept and importance of storage of Ayurvedic medicines Concept and importance of dispensing and mixing of Ayurvedic medicines General methods of dispensing & mixing Ayurvedic medicines with examples Brief introduction to Ayurvedic council Act, Health professional Council Act, Drug Act and other relevant existing rules & regulations regarding preparation and marketing of Ayurvedic medicines. Brief introduction to government organizations related to management, administration, technical support and regulation of Ayurvedic and other drugs General knowledge about present status of raw materials, manufacturing, demand & supply, quality and availability of Ayurvedic medicines Total
Time (Hrs) T
P
Total
6
8
14
7
12
19
6
0
6
90
144
234
Reference Books: • Rasaushadhi Chikitsa Vigyana, Prof. Dr. Chandraraj Sapkota • Rasashastra, Dr. Maheshwar Mishra & Dr. Bhupanarayan Jha • Dravyaguna Evam Rasashastra, Mr. Salauddin Miya, CTEVT, Nepal • Ayurvediya Aushadhi Nirmana Vigyana, Prof. Dr. Chandraraj Sapkota TSLC in Ayurveda, 2013
Page 26
5. Swasthavritta Total: 156 hours Theory: 50 hours Practical: 106 hours Description: This course is designed to provide a basic knowledge of Swasthavritta (healthy conducts and lifestyle). It includes the knowledge about basic concept of personal hygiene, promotion of health and prevention of diseases through Ayurveda. Objectives: At the end of this course students will be able to: 1. Understand about the basic concept of personal hygiene, promotion of health and prevention of diseases through Ayurvedic concept 2. Improve healthy conducts and lifestyle 3. Understand about Yoga and its use in daily life. SN 1
2
3
4
Task statement
Related technical knowledge
Identify the concept of Swasthya and Swasthavritta Understand the measures of Swasthavritta
• •
Identify the concept of Satmya and Vega Understand about Panchakarma
• • • • •
•
• • •
Time (Hrs) T P Total 2 2 4
Definition and importance of Swasthavritta Define and describe about Swasthya (health) and Swastha (healthy person) 4 Define & describe the measures of Swasthavritta including the followings: o Dinacharya, Ratricharya o Vyayama, Abhyanga, Snana & other healthy conducts prescribed in Ayurveda o Ritucharya o Tri-Upastambha o Kayika, Manasika and Vachika Sadvritta o Samajika (social) Sadvritta o Vaiyaktik (personal) Sadvritta 2 Define and explain Satmya and Asatmya Define and describe Vega Enumerate Dharaniya & Adharaniya Vega 5 Define and describe Panchakarma Understand the concept and importance of Purvakarma, Pradhana-karma, Pashchat-karma Define and describe Snehana and Swedana Define and describe Vamana, Virechana, Basti, Shirovirechana/Nasya, Raktamokshana Define and describe Samsarjana-karma,
6
10
4
6
16
21
TSLC in Ayurveda, 2013
Page 27
Rasayana and Santarpana 5
Understand about Vyadhikshamatwa & Janapadodhwansa
6
Understand about water and its importance
7
Understand about latrine and its importance Understand about waste management
8
9
Identify family planning measures and devices
Define and describe Vyadhikshamatwa (immunity) and its types; Sahaja, Kalaja, Yuktikrita Vyadhikshamatwa, 1. Define and describe Janapadodhwamsa 2. Understand about the cause and prevention of Janapadoddhwamsa 3. Understand about communicable diseases including Vishamajwara (malaria), Antrajwara (typhoid), Visuchika(cholera), Masurika (measles), Rajayakshma (tuberculosis), Krimi (worms) and others. Understand about water and its importance & types with following aspects: o Source of water o Hardness of water o Water pollution and impurities of water o Purification in small scale and in large scale • Definition and importance of latrine/toilet • Types of latrine/toilet • Proper hand washing practice • Define and describe about waste and its types • Understand the importance of waste disposal and proper excreta disposal, management of domestic waste • Introduction to hazardous waste and hospital waste management. • Introduction to Shava-vinash and its types; Agnidaha, Bhumisthapana and Vidutiya daha 1.
• •
• 10
Introduction to nutrition
• • •
11
Introduction to
•
9
12
21
2
4
6
2
4
6
4
6
10
4 Definition and importance of family planning Introduction to family planning measures, devices and their types; merits and demerits of family planning devices; Condom, Pills, DepoProvera, IUCD, Norplant Natural and calendar method of family planning, emergency contraceptives 4 Definition and importance of nutrition Ayurvedic concept and types of Bhojana/Aahara; Ahara- matra and Ahara-kala, Ahara-vidhi-vishashayatana Essential elements of Aahara; protein, fat/lipid, minerals, water & electrolytes, Jivaniya-tatwa (vitamins); Satmya-bhojana and balanced diet 3 Definition, concept and importance of Yoga;
8
12
6
10
8
11
TSLC in Ayurveda, 2013
Page 28
Yoga
• •
12
Understand and identify Yogic practices
•
13
Understand and identify Shatkarma
• •
role of Yoga in health promotion Types of Yoga; Ashtanga Yoga, Raja-yoga and Hatha-yoga Introduction to Yama, Niyama, Asana, Pranayama, Pratyahara, Dharana, Dhyana and Samadhi 5 Introduction, observation and practice of Yogasana, Pranayama & other Yogic practices: o Padmasana o Sukhasana o Vajrasana o Halasana o Swastikasana o Gomukhasana o Dhanurasana o Pashchimottasana o Kukkutasana o Shavasana o Ardhamatsyendrasana o Sarvangasana o Yogamudra o Pranayama; Puraka, Kumbhaka, Rechaka o Surya Namaskara o Bhramari 4 Definition, concept and importance of Shatkarma Observation and practice of Naulikarma, Dhautikriya, Vastikarma, Netikarma, Kapalbhati and Tratak Total 50
20
25
10
14
106
156
Reference Books: • Swasthavritta Nidana Chikitsa, Dr. Thakurraj Adhikari & Dr. Basudev Kadel, CTEVT. • Yoga and Human Health, Prof. Dr. Dhanik Lal Bharkher • Arogya Vigyana, Khaptad Swami
TSLC in Ayurveda, 2013
Page 29
6. Nidana Chikitsa Total: 156 Hours Theory: 50 Hours Practical: 106 Hours Description: This course is designed to provide a basic knowledge of prevention, diagnosis methods & treatment of common diseases/health disorders through Ayurveda approach. It also includes the knowledge and skill to preserve & promote health through the art of healthy leaving & advise the community for the same. Objectives: At the end of this course, students will be able to: 1. Understand about the diagnosis method of common diseases/health disorders. 2. Understand about the general management of common diseases/ health disorders. 3. Understand about the preservation & promotion of human health. SN
Task Statement
1.
Identify the concept of Roganidana and Nidana-panchaka
2.
Understand and carry out Rogipariksha
3.
Taking clinical history
4.
Diagnose & manage common diseases
Related Technical Knowledge •
Definition and concept of Roga-nidana and Nidana-panchaka • Types & description of Nidana-panchaka or Pancha-nidana; Nidan; Purvaroopa, Roopa, Upashaya and Samprapti • Definition and concept of Rogi-pariksha • Types & description of Rogi-pariksha; Trividha Pariksha, Panchavidha Pariksha, Shadvidha Pariksha and Ashtavida Pariksha • Observe and carry out following methods of Rogi-pariksha: o Nadi (pulse), Mutra (urine), Mala (stool), Jihwa (tongue), Shabda (voice/throat), Sparsha (skin and by touch), Drishti/Netra (eye/vision/sight), Akriti (size/shape/gait) and Koshthanga-pariksha. • Definition, concept and importance of clinical history taking • Observe and carry out clinical history taking of various types of diseases (cases suffering from different diseases). Definition, causes, types, sign & symptoms and management/referral of following diseases: • Agnimandya, Ajirna, Aruchi • Atisaara, Pravahika, Grahani
T 4
Time (Hrs) P Total 2 6
8
12
20
2
8
10
10
22
32
TSLC in Ayurveda, 2013
Page 30
5.
Diagnose & manage common diseases
6.
Diagnose & manage common diseases
7.
Diagnose & manage common diseases
8.
Diagnose & manage common diseases
• Amlapitta, Gulma • Chhardi, Trishna • Vibandha • Kamala • Udararoga Definition, causes, types, sign & symptoms & management/referral of following diseases: • Jwara, Shotha • Prameha • Kasa, Shwasha, Hikka • Raktapitta, Rajayakshma Definition, causes, types, sign & symptoms & management/referral of following diseases: • Amavata, Vatarakta • Gridhrasi, Pakshaghata • Chhudrakustha, Kushtha • Sheetapitta, Visarpa • Krimiroga Definition, causes, types, sign & symptoms & management/referral of following diseases: • Arsha, Bhagandar • Asmari • Mutrakrichchhra • Mutraghata Definition, causes, types, sign & symptoms & simple management/referral of following diseases: • Apasmara • Hridroga/Hridayaroga • Murchha • Unmada Total:
8
16
24
9
22
31
5
14
19
4
10
14
50
106
156
Reference Books : • Ayurvediya Vigyana, Dr. Kashiraj Sharma Subedi, SOLID, Lalitpur, Nepal • Swasthavritta Nidana Chikitsa, Dr. Thakurraj Adhikari, CTEVT. • Roga Evam Rogi Pariksha, Prof. Dr. Dhanik Lal Bharkher • Kayachikitsa, Prof. Dr. Dhanik Lal Bharkher
TSLC in Ayurveda, 2013
Page 31
7. Samudayika Chikitsa Total: 273 hours Theory: 100 hours Practical: 173 hours Description: This course is designed to provide the basic concept of health and different types of diseases, pathology, first aid and management, identify the environmental issues and conduction of health education. Objectives: At the end of course, the students will be able to 1. Understand about the cause, symptoms and management of different diseases, 2. Understand different life threatening condition and apply first aid measure to save life and promote health and recovery of the patient, 3. Understand the concept of health education, 4. Explain about the environmental health, 5. Understand the laboratory report of the patient. SN Task Statement 1.
2.
3.
4.
5.
6.
Manage diseases
the
Related Technical Knowledge
viral Definition, cause, symptoms, prevention & management of following diseases: Measles, Mumps, Polio, Chicken pox, Influenza, Infective hepatitis & AIDS Manage the bacterial Definition, cause, symptoms, prevention & diseases management of following diseases: Gonorrhea, Syphilis, Leprosy, Dysentery, Whooping cough, Diphtheria, Tetanus & Typhoid fever Manage the protozoal Definition, cause, symptoms, prevention & diseases management of malaria, kala-azar, filaria, giardia & amoebiasis Manage the worm Introduction, cause, symptom, prevention and infestations management of round worm, hook worm, tape worm, thread worm & whip worm infestations Manage vitamin4.Introduction, symptom, prevention & management of deficiency diseases vitamin deficiency diseases; night blindness, beriberi, pellagra, scurvy, rickets & Vitamin "K" deficiency disease Explain the concept of • Introduction to essential & non essential nutrients nutrients and manage • Introduction, symptoms, prevention & mineral deficiency & management of anemia nutritional diseases • Introduction, symptom, prevention & management of marasmus and kwashiorkor
Time (Hrs) Th Pr Total 5 12 17
6
14
20
5
8
13
4
8
12
5
10
15
4
6
10
TSLC in Ayurveda, 2013
Page 32
7.
8. 9.
10.
11. 12.
13.
14.
15
16.
17.
Manage the common • Definition, causes, symptoms, prevention and diseases general management of stomatitis, ring worm, scabies & gastritis • Definition, cause, types, symptoms, signs, prevention & management of diarrhea and cholera. • Composition of oral rehydration salt & its methods of preparation Explain the concept of Definition & objectives of First Aid; role and first aid responsibilities of first aid provider. Carry out artificial • Concept of artificial respiration techniques; respiration and different methods & techniques of artificial dressing /bandage respiration • Type of dressing & bandage and their procedures Manage alcoholic • Stages & first aid management of alcoholism cases, poisoning cases, • Types, toxicity, and first aid management of snake bite & rabies poisoning cases • Process of first aid management of snake bite • Introduction, symptoms & prevention of rabies Enlist harmful effect of • Enlist harmful effects of insects & their insects prevention Manage haemorrhage • Definition, types, symptom & first aid and shock management of external haemorrhage • Definition, causes, types, symptoms & first aid management of shock Carryout first aid • Definition, types, symptoms & first aid management of burn, management of burn & estimation of burn heat stroke and • Definition, symptoms, prevention and drowning management of heat stroke • Definition, symptoms and first aid management of drowning Explain the concept of • Definition and concept of health & public health & public health • Explain primary health care & its components • Air and its composition • Water, sources, types & uses of water. Describe the concept of • Concept of ventilation, types of ventilation and ventilation, industrial their importance in public health health, sewage • Concept of industrial health, harmful effects of purification & industrial hazards and their prevention recycling method • Concept of sewage purification and recycling; methods of sewage purification and recycling, and their importance Enlist importance of • Introduction, concept & objectives of of health health education education • Principles, importance & methods of health education Carryout group • Concept & procedure of group discussion; its discussion and lecture advantages & disadvantages
8
16
24
2
4
6
2
4
6
4
6
10
1
4
5
2
2
4
3
4
7
6
8
14
7
12
19
3
6
9
3
8
11
TSLC in Ayurveda, 2013
Page 33
18.
Describe the concept of vital statistics Provide family planning services
19.
20.
Understand about microorganisms & the methods of sterilization
21.
Introduction to internal parasites
22.
Identify blood components
23.
Describe sample collection of stool Examine urine
23.
• Lecture, its presentation, advantages and disadvantages. • Audio visual aids and their uses Introduction to vital statistics, maternal mortality, infant mortality, crude rate & census Definition, Types (temporary and permanent), advantages & disadvantages of temporary and permanent family planning and Family planning counseling • Classify micro-organisms in relation to their structure- bacteria, parasites, virus and fungi • Enlist the factors influencing bacterial growth • Sterilization and different methods of sterilization (physical, chemical), • Process of sterilization • Describe modes of infection, pathogenicity, laboratory diagnosis & prevention of medically important internal parasites prevalent in Nepal • Describe blood/tissue parasites; plasmodium, leishmania, wuchereria, and their harmful effect on health • Describe process of formation & composition of blood; functions of blood components (RBC, WBC, Platelets & plasma); and structure, functions & estimation of hemoglobin • Describe normal values of total & differential count of WBC, haemoglobin & erythrocyte sedimentation rate (ESR) Importance and procedure of sample collection of stool • Definition, constituents, importance and procedure of urine sample collection • Explain about sugar & albumin
Total
3
8
11
3
10
13
4
10
14
4
6
10
6
8
14
1
2
3
2
4
6
93
180
273
Reference Books:
• dxfdf/L lj1fg tyf ;?jf /f]u, ef]u]Gb| s]=;L= •
A text book of health education, Prof. Hari Bhakta Pradhan
• • •
A textbook of first aid and Basic Medical Procedure, Dr. Tilak Pathak A Textbook of Clinical Pathology, Parajuli & Ghimire Clinical Medicine, Dr. Sanjiv Dhungel
• ;d'bfo :jf:Yo lzIffsf] ?k/]vf,f, 8f= b]jLaxfb'/ >]i7 / 8f= of]u]Gb| k|wfgfË, P8's]zgn klAnlz+u xfp;
TSLC in Ayurveda, 2013
Page 34
8. Shalya-Shalakya Total: 78 hours Theory: 30 hours Practical: 48 hours Description: This course is designed to provide the basic concept of Shalya and Shalakya-tantra. Objectives: At the end of course, the students will be able to: 1. Understand about the concept and use of Yantra, Shastra in Shalya and Shalakya-tantra. 2. Understand about the signs, symptoms and simple management of diseases related to Shalya and Shalakya-tantra. 3. Perform first aid procedures and assist senior practitioner in pre-surgical and postsurgical procedures. SN
Task Statement
1.
Understand tantra
2.
Identify Yantra and Shastra Perform sterilization
3.
Shalya- • •
4.
Manage Vranashotha and Vidradhi
5.
Identify Ashta-vidha Shastra-karma
6.
First aid management of fracture and dislocation Manage burn and scalds
7.
8.
Related Technical Knowledge
Identify Mutravarodha, Gudarsha,
Definition and concept of Shalya-tantra Concept of Tribidha-karma; Purva-karma, Pradhana-karma and Paschat-karma Definition, identification, functions & procedure of handling of Yantra and Shastra Concept, definition, types/methods and importance of sterilization • Definition, cause, types, sign and symptoms & general treatment/referral of: o Vrana-shotha and Vidradhi o Carrying out incision & drainage • Definition and application of Ashta-vidha Shastra-karma • Definition, types, cause & treatment/referral of Sadyovrana; methods of suturing & dressing Definition, cause, types, signs & symptoms, complications and simple management/referral of fracture and dislocation Definition, cause, type, sign and symptoms, general management/referral and complications of burns and scalds • Definition & identification of Mutravarodha (retention of urine); observe & manage catheterization
Time (Hrs) Th Pr Total 2 2
2
4
6
1
2
3
2
6
8
2
6
8
2
2
4
1
2
3
3
4
7
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Bhagandara and Parikartika
9. 10.
Understand Shalakya-tantra Identify Nasagataroga
11.
Identify and manage Mukha-roga
12.
Identify and manage Karna-roga
13.
Identify and manage Netra-roga
14.
Identify Shiro-roga
15.
Identify and manage Talu-roga & Kantharoga Identify Nasyakarma and Kriyakalpa related to Shalakya
16.
•
Definition, cause, types, signs & symptoms, complication and simple management/ referral of Gudarsha (haemorrhoids), Bhagandara (fistula) & Parikartika (fissurein-ano) Definition, concept and importance of Shalakyatantra • Definition, cause, signs & symptoms and simple management/referral of Pratishyaya, Dusta-pratishyaya, Nasa-shalya, Nasarbuda and Nasagata-raktapitta Definition, cause, signs & symptoms and simple treatment/referral of Dantashula, Dantaharsha, Krimidanta and Mukhapaka Definition, cause, signs & symptoms and simple treatment/referral of Karna-nada, Karna-srava, Karna-shula and Karna-shalya Definition, cause, signs & symptoms and simple treatment/referral of Abhishyanda, Linganasha, Pothaki, Kukanaka, Savrana-shukla (corneal ulcer) and Adhimantha (glaucoma) Definition, types, cause, signs & symptoms and general treatment/referral of Shiro-rogas Definition, types, cause, signs & symptoms and general treatment/referral of Talupaka, Galashotha, Tundikeri, Rohini and Galaganda Types, procedures and application of Nasya karma, Dhumpana, Dhupana, Kavala, Gandusha, Anjana, Akshitarpana, Ashchyotana, Bidalaka and Shirodhara Total:
2
-
2
2
2
4
2
4
6
2
4
6
2
4
6
1
2
3
2
2
4
2
4
6
30
48
78
Reference Books: • Shalakya Tantra, Dr Laxmi Kanta Mishra • Ayurvediya Shalya Vigyana, Dr Kashi Raj Sharma Subedi • Sachitra Shalakya Vigyana, Dr Rabindra Chaudhuri
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9. Striroga-Prasuti and Balaroga-vigyana Total: 78 hours Theory: 30 hours Practical: 48 hours Description: This course is designed to provide the basic concept of Striroga, Prasuti and Balaroga. Objectives: At the end of course, the students will be able to: 1. Understand about reproductive health of female, gynecological disorders, antenatal and postnatal care, child health and related diseases. 2. Perform Uttara-basti, Pichu, Dhupana, Dhavana 3. Assist senior practitioners in antenatal, postnatal care and other gynecological and obstetrical procedures. SN
Task Statement
1.
Identify female reproductive system
Related Technical Knowledge • •
2.
3.
Understand the concept of menstruation Identify common gynecological problems.
• • • • • •
4.
Exposure to gynecological OPD
• •
5.
Identify Garbhini
• •
Definition and general introduction of female reproductive system; General anatomy and physiology of female reproductive organs Definition, concept and management of menstruation Introduction of menarche and menopause Definition, cause, signs and symptoms and general treatment/referral of Anartava, Dushtartava and Kastartava, Definition, cause, signs and symptoms and general treatment/referral of Pradara; Swetapradara & Raktapradara Definition, cause, signs and symptoms and general treatment/referral of Yoni-vyapada; Yoni-bhramsa (uterine prolapse) Definition, cause, signs and symptoms and general treatment of Stanya-granthi Exposure to gynecological OPD for clinical knowledge of above mentioned diseases Observe, assist and perform Uttar-basti, Picu, Dhoopan and Dhavana Definition and stages of Garbhini (pregnant) Signs & symptoms of Garbhini in different
Time (Hrs) Th Pr Total 2 4 6
2
0
2
4
4
8
2
8
10
2
4
6
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6. 7.
Assist to manage labor Identify and assist to manage Garbhini-roga
• • •
8.
Identify & assist to manage retention of placenta 9. Identify and assist to manage Sutikaroga 10. Identify and perform Shishuparicharya.
• • • • • • • •
11. Understand Balaroga
• • •
months (antenatal care) Define and describe three stages of labor; simple management of normal labor Definition, cause, signs and symptoms and general treatment/referral of Anaemia, Jaundice and pregnancy hemorrhage General knowledge and treatment/referral of edema, albuminorrhoea, hypertension, preeclampsia and eclampsia in pregnant woman Definition, cause, signs and symptoms and simple management/referral of the retention of placenta Definition, cause, signs and symptoms and simple treatments/referral of common Sutikarogas Definition of Saddyojata, Jatamatra, Navajata; stages of childhood. General knowledge on Jatakarma, Shishuparicharya (child care) and Kumara Sanskara Breast feeding, artificial feeding, favorable and unfavorable foods for child, child room, playing place and utensils. Normal growth & development of child; factors affecting growth & development of child. Procedures of preserving health of child; nutritional disorders of child. Introduction to immunization, enlist the name of vaccine; sketch out the national EPI schedule & maintain cold chain. Definition and concept of Bala-roga Definition and importance of Stanya and Dhatri Definition, cause, signs & symptoms, & simple management/referral of following Bala-roga: o Nabhipaka and Gudapaka o Dantodbhedakalina-roga, Udarashula, Balatisara, Krimi, helminthes & parasitic infections o Pratisyaya, Bala-shwashanaka, Shwasanakajwara, Phakka, Kukunaka, Mukhapaka o Chhardi, Atisara and Bala-kamala Total
2
4
6
2
4
6
2
4
6
2
2
4
6
8
14
4
6
10
30
48 78
Reference Books: • Swasthavritta Nidana Chikitsa, Dr. Thakurraj Adhikari & Dr. Basudev Kadel, CTEVT. • Kaumara-bhrittya, Dr. Kashiraj Sharma Subedi, Sajha Prakashan, Lalitpur, Nepal TSLC in Ayurveda, 2013
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10.
Health Management
Total hours: 78 Theory: 78 hours Description: This course will provide knowledge and skill in health management field which can be applied to manage Ayurveda Ausadhalaya (dispensary), District Ayurveda Health Centre/Zonal Ayurveda Ausadhalaya, Regional Ayurveda Hospital and Central Ayurveda Hospital, Ayurveda Pharmacies and in the community. During training period, students will have opportunities of observation visits to observe existing health management systems as well as activities in real situation of different levels (Ayurveda Ausadhalaya, District Ayurveda Health Centre, Ayurveda Hospital, Ayurveda Pharmacies) of institutions. Objectives: At the end of this course the students will be able to: 1. Understand about health management system of Nepal 2. Perform data collection, make charts and fill up the forms and understand the HMIS 3. Gain basic knowledge about research and record keeping 4. Perform the good store keeping and drug distribution SN 1
Tasks Identify the health care systems in Nepal
2
Identify Health organizations of Nepal
Related technical knowledge 1. Introduction, concept and scope of health management in health care system of Nepal 2. Overview of different health care systems of Nepal • Allopathy • Ayurveda • Homoeopathy, Unani, Naturopathy and Yoga • Amchi, Acupuncture and other healing practices like Dhami, Jhankri, Lama, Jharphuke, Vaidya, Gurau etc. • Definition of organogram and organization; difference between organogram and organization • Structural types (horizontal & vertical) and functions of organization • Central , regional, zonal, district and peripheral level health organization in Nepal • Staffing pattern & functions of Zonal Ayurveda Ausadhalaya, District Ayurveda Health Centre and Ayurveda Ausadhalaya
Hours 4
6
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3
Concept of primary health care (PHC) and health services
4
Identify management in health organization Identify planning
5 6
7
Understand job description of health workers
Basic concept of human resource training (HRT)
8
Identify data collection, data analysis & prepare different types of statistical charts
9
Conduct meeting and identify
• Organogram of Department of Ayurveda Prepare and compare different organizational charts • Definition and principles of primary health care (PHC), elements of PHC • Primary health care programs in Nepal • Role of Ayurveda health services in PHC • Levels of health care services (primary, secondary and tertiary ) • Types of health services (promotional, preventive, curative and rehabilitative) • Integrated health services in Nepal • Role of Ayurveda in free health service program of Nepal • Definition and principles of health management • Functions of health management; Planning, Organizing, Directing, Controlling, Recording, Budgeting and Evaluating (POSDCRBE) • Definition and importance of planning • Steps of planning; process of health planning in Nepal Understand job description of Ayurveda health workers in Nepal: • Ayurvedic doctor/Chikitsaka/Consultant • Kaviraj/AHA, HA, Vaidya/AAHW/AHW • Staff nurse, ANM • VHW, FCHV • Meaning, objectives and importance of training • Types of training; pre-service training, in-service training, on the job training (OJT), orientation (basic training), refresher training, formal academic training, formal nonacademic training • Training need assessment (TNA) • Criteria for trainees selection • Need identification of human resource for a organization • Seniority and performance appraisal Prepare and conduct training • Definition and types of data • Tabulation of data • Data collection techniques; Interview, Questionnaire, Observation • Problem identification, need selection & prioritization • Definition and types of charts • Bar charts: Simple and multiple bar diagram, Pie chart Prepare different charts • Definition and importance of meeting • Steps of meeting and minuting
6
4
4 4
8
8
6
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communication
10
11 12
13
• • • • • • • • • • • • •
Definition and importance of communication Types and models of communication Process and methods of communication Factors affecting communication Conduct meeting Introduction of Definition and importance of supervision supervision Tools of supervision; manual, personal file, checklist Definition and types of checklist, preparation of checklist Preparation of supervision plan Reporting and feedback Understand Definition of problem, steps of problem solving problem solving Job satisfaction and grievances Identify the Definition and importance of record Recording and Types of record forms used in Ayurveda institutions and reporting health post • Introduction of Health Management Information System (HMIS) and filling of Aayu forms • Type of records; clinical, administrative Prepare a report, filling of reporting and recording forms Understand • Introduction and importance of research Research • Types of research; qualitative research, quantitative research • Elements of research, introduction and types of sampling; probability and non-probability sampling • Definition and importance of survey, Introduction and uses of census Compilation of qualitative and quantitative research on a topic as given by the subject teacher. Total = practical to be done by the students
4
2 12
10
78
Reference Books: • Health Services Management in Nepal, Dinesh Neupane and Vishnu Khanal
• :jf:Yo jf:Yo ;]jf Joj:yfkg, Joj:yfkg, lzj k|;fb ;fksf]6f •
Community Health Education, Ratna Kumar Giri
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11.
On-the-job Training (OJT)
In this course the trainees are to be placed in job under the supervision of the supervisors in the Ayurvedic hospital/ Ayurvedic health centre/Ayurvedic institute/Ayurvedic Pharmacy. It aims at the trainees familiar with and get experience of the world of work and gain skills that are new or not covered in the training institute. Its duration lasts for 3 months. Tasks 1. Carryout job related administrative skills
1.
2. Be professionally socialized
2.
3. Deal with actors of occupational system 4. Identify skills: • Not covered in the training institute • New and important 5. Perform skills: • Not covered in the training institute • New and important 6. Repeat skill for confidence 7. Seek help while performing the skills 8. Develop log book/daily diary
3.
9. Maintain log book/daily diary 10.Gain experience
4.
Related Technical Knowledge Identification and procedure of performing job related administrative skill in assigned Ayurvedic hospital/Ayurvedic health centre/Ayurvedic institute/Ayurvedic pharmacy Definition and procedure of being socialized with job environment Define actors and system, procedure of dealing with the actors Making list of the skills, importance of skill listing
5. Importance of carrying out those skills
6. Importance of repeating skills 7. Importance of seeking help and how to seek help 8. Process of developing log book/daily diary and its importance 9. How to maintain log book/daily diary and its importance 10.Importance of experience/attitude building. Motivation towards work, pride of job ∗∗∗
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Distribution of marks for OJT evaluation
Section
Evaluator/Paper
Internal 1
Total
Distribution of marks Final
Marks
Time
Related laboratory supervisor/teacher (continuous evaluation)
2
Paper I
50
Paper II
50
100
Related institute/school supervisor/ teacher (continuous evaluation)
3
Paper I
50
Paper II
50
100
CTEVT appointed examiner (at the end of the field practice) Paper I
50
3 hrs
Paper II
50
3 hrs
Total
200
100
100
300
Important note: Each student must pass in each of the section of the evaluation as presented above with a minimum of 60% marks.
∗∗∗
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Suggested Reading Materials • • • • • • • • • • •
• • • • • •
Ayurvedaka Itihas Evam parichaya,Vidyadhar Shukla & Ravidatta Tripathi, Delhi, India. Ayurvediya Maulik Siddhanta Tatha Sankshipta Shareera, Ramnath Bhattarai, T.U., Kathmandu. Ayurvediya Shalya Vigyana, Dr Kashi Raj Sharma Subedi Ayurvedaka Maulik Siddhantaharu, Dr. Thakur Raj Adhikari. A text book of health education, Prof. Hari Bhakta Pradhan A textbook of first aid and Basic Medical Procedure, Dr. Tilak Pathak A Textbook of Clinical Pathology, Keah B. Parajuli, Dr. Prakash Ghimire Clinical Medicine, Dr. Sanjiv Dhungel Community Health Education, Ratna Kumar Giri Human anatomy & Physiology, Dr. Tilak pathak Kaumara-bhrittya, Dr Kashi Raj Sharma Subedi Park’s Textbook of Preventive and Social Medicine, M/s Banarasidas Bhanot, Publisher 1167, Prem nagar, Jabalpur, 482001, India Prachya Ayurvijnam, Dr. Damodar Sharma Chalise, Kathmandu. Shalakya Tantra, Dr Laxmi Kanta Mishra Sachitra Shalakya Vigyana, Dr Rabindra Chaudhuri Health Services Management in Nepal , Dinesh Neupane and Vishnu Khanal Ayurveda (for class 9 & 10); Dr. Thakur Raj Adhikari, Dr. Kashiraj Sharma Subedi & Dr. Shyam Mani Adhikari, Pathyakram Vikas Kendra, Sanothimi, Bhaktapur.
• cfwf/e't zNo lrlsT;f lj1fg, 8f= g/]Gb|gfy of]uL, k|fljlws lzIff tyf Jofj;flos tflnd kl/ifb\, ;fgf]l7dL, eQmk'/ • cfwf/e"t dfgj zl// tyf /rgf lqmof lj1fg, 8f= ef]u]Gb| a:g]t, k|fljlws lzIff tyf Jofj;flos tflnd kl/ifb\, ;fgf]l7dL, eQmk'/ • ;d'bfo :jf:Yo lg?k0f, s'df/ yfkf, k|fljlws lzIff tyf Jofj;flos tflnd kl/ifb\, ;fgf]l7dL • dxfdf/L lj1fg tyf ;?jf /f]u, ef]u]Gb| s]=;L= k|fljlws lzIff tyf Jofj;flos tflnd kl/ifb\, ;fgf]l7dL, eQmk'/ • ;fd'bflos :jf:Yo ;+:s[lt / ;+rf/, lzj z/0f dxh{g, k|fljlws lzIff tyf Jofj;flos tflnd kl/ifb\, ;fgf]l7dL, eQmk'/ • :jf:Yo jf:Yo a[Q lgwfg lrlsT;f, 8f= 7fs'/ /fh clwsf/L, k|fljlws lzIff tyf Jofj;flos tflnd kl/ifb\, ;fgf]l7dL, eQmk'/ • ;d'bfo :jf:Yo lzIffsf] ?k/]vf,f, 8f= b]jLaxfb'/ >]i7 / 8f= of]u]Gb| k|wfgfË, P8's]zgn klAnlz+u xfp; • :jf:Yo ;]jf Joj:yfkg, lzj k|;fb ;fksf]6f ∗∗∗ TSLC in Ayurveda, 2013
Page 44
Curriculum Revision Team (1998): 1. Dr. Basu Deva Kadel (Department of Ayurveda) 2. Mr. Prashanta Pandit (Nepal Ayurveda Association) 3. Mr. Bishnu Koirala (CTEVT) 4. Mr. Jeeban Chandra Dahal (CTEVT) 5. Mr. Tara Raj Luitel (CTEVT) 6. Dr. Upendra Thakur (Ayurvedic Medical Institute, Janakpur) 7. Kabiraj Chandra Narayan Jha (Jaleshwar Technical Institute, Janakpur) 8. Dr. Deepak Subedi (Nikhel Ayurvedic Institute, Pokhara) 9. Mr. Tilak Pathak (National Technical Institute, Bharatpur) 10. Mr. Narayan Chalise (National Technical Institute, Bharatpur) 11. Mr. Santosh Kumar Thakur (Traditional Medical Institute) 12. Dr. Indra Bilash Acharya (Gandaki Technical Training Centre, Damauli) 13. Dr. Nand Kishor Jha (Shekhar Paramedical Institute, Gour)
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Experts Involved in Curriculum Revision CTEVT would like to extend its heartfelt thanks to the following experts who contributed in the process of revising the curriculum on TSLC in Ayurveda. Content Experts 1. Prof. Dr. Chandra Raj Sapkota, Ayurveda Campus, Kirtipur 2. Dr. Shyam Mani Adhikari, Ministry of Health & Population, Ramshah Path 3. Dr. Kashi Raj Sharma Subedi, Ayurveda Campus, Kritipur 4. Dr. Ram Chandra Adhikari, Department of Ayurveda, Teku 5. Dr. Shankar Paudel Ayurveda Hospital, Nardevi 6. Dr. Bamsha Deep Sharma Kharel, Department of Ayurveda, Teku 7. Dr. Janak Raj Adhikari, Ayurveda Hospital, Nardevi 8. Mr. Salauddin Miya, Hope International College 9. Dr. Kopila Adhikari, Gandaki Zonal Ayurveda Aushadhalaya, Lekhnath 10. Mr. Narayan Prasad Acharya, Kaviraj and BPH (PU) Content Expert Coordination 1. Dr. Shyam Mani Adhikari, Ministry of Health & Population, Ramshah Path Process Experts from Curriculum Development Division of CTEVT 1. Mr. Shiva Shankar Ghimire
Director
2. Mr. Jeevan Chandra Dahal
Deputy Director
3. Mr. M. K. Mainali
Senior Curriculum Officer
4. Mr. Binod Badal
Curriculum Officer
Word Processing 1. Mr. Shyam Chandra Paudel
Computer Operator
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