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Course Name:

Roga Vigyan Evum Vikriti Vigyan


(Pathology and Microbilogy)

Course Code:
Marks:
Paper-I
Theory: Full Marks-100 (internal assesment-20 Marks & final exam-80 marks)
Pass marks-50 (10+40)
Part A: 80 marks and Part B: 20 Marks
Paper-II
Theory: Full Marks-100 (internal assesment-20 Marks & final exam-80 marks)
Pass marks-50 (10+40)
Part A: 50 marks and Part B: 50 marks

Practical/Viva voce
Full Marks -100
Pass marks- 60

Teaching Hours:
Theory class: 180 Hours
Practical class: 135 Hours

Course Description

Roga Vigyan Evum Vikriti Vigyan is a subject that gives emphasis on Ayurveda and contemporary
Diagnostics and Pathology. It is a key subject that trains the students to apply knowledge of
fundamental principles of Ayurveda to practice by understanding diseases, patient interaction,
drawing diagnosis, and prognosis. This is a strong base to frame an appropriate treatment protocol.

The curriculum is framed with a vision for developing the diagnostic knowledge and skills of a
student abiding by a patient-centric education. Activity-based training has been inculcated
throughout the curriculum to improve the dexterity of a student in handling real-life scenarios in the
journey of reaching a diagnosis. The anatomy and physiology learned in an apparently healthy
individual from the first professional year is continued in the second professional year with
knowledge regarding morbid reflections in the mind and body through this subject.

The sequence of knitting the points in theory and practical are carefully executed to maintain
rationality and continuity in learning from a clinical perspective. The basic principles of Vikriti vigyan
and their application in Roga nidan, Vyadhi vigyan and clinical diagnostics supported by
contemporary diagnostics are the core areas of the curriculum. The essential areas from
contemporary pathology and diagnostics are included with the objective to receive interdisciplinary
integrated teaching. Some of the topics are defined for horizontal & vertical integration for better
understanding.

Course learning Outcomes

 Identify the morbidities in accordance with principles of Ayurveda pathology (vikriti vigyan
siddhanta)
 Describe the basic, general, and systemic pathological process thereby applying it in
reaching a diagnosis
 Perform appropriate clinical examination (pareeksha) utilizing Ayurveda and contemporary
principles (samakalina siddhanta)
 Order and interpret various diagnostic laboratory investigations and imaging
 Diagnose and present the case with clinical reasoning (naidanika tarka)
 Follow and advise advancements in diagnosis (vyadhi vinischaya) and prognosis (sadhya
asadhyata) in clinical practice (naidanika adhyayana)
 Communicate effectively with the patient (rugna), relatives (bandhujan) and other
stakeholders (anya hita dhaaraka)
 Demonstrate ethics (sadvritta), compassion (karuna) and possess qualities of a clinician
(vaidya guna)
Paper I
Part A: 70 Hours
At the end of the course, students will be able to:

UNIT-1: Dosha Dushyadi Vigyan (14 Hrs.)


a. Define Roga Vigyan and explain its importance.
b.
1. Roga nidana – Pathophysiology and clinical diagnosis

2. Pareeksha
Roga and Rogi Pareeksha

3. Methods of Rogi pareeksha

4. Sapeksha nidana - Vyavacchedaka nidana


Sapeksha nidana - Vyavacchedaka nidana of Ukta/Anukta vyadhi: Methods of differential diagnosis

5. Upashaya/ Anupashaya

6. Dosha Vikriti
A. Nidana (Vyadhi janaka hetu) B. Agni bheda and Vikriti C. Dosha Vriddhi, Kshaya and Dushta
Karma, Ashyapakarsha, Avarana, Samsargaja, Sannipataja. D. Dosha swabhava -
Nityasamshleshita (Leena) dosha and Paricchedita dosha E. Paridhavamana dosha

7. Doshagati and Rogamarga

8. Srotodushti
Samanya sroto dusti nidana and lakshana

9. Concept of Ama
A. Samanya nidana, and Samanya lakshana B. Bheda (Anna rasa. Mala sanchaya (Dhatwagni mandya
janit). Dosha dushti)

10. Assessment of Ama


Sama and nirama dosha lakshana, Pureesha lakshana

11. Sthana samshraya – Poorvaroopa

12. Dushya dushti


A. Dhatu and mala vriddhi kshaya lakshana B. Specific Sroto dusti lakshana in relation to Dosha,
Upadhatu, Mala, Indriya, Avayava, and Mana dushti lakshana

13. Samprapti
A. Samprapti bheda B. Vyadhi janma and Vyadhi janya
14. Rupa
Pratyatma/ Samanya/ Vishishta Rupa

15. Vyadhinamakarana

16. Vyadhi
A. Definition, B. Classification – Dwividha/ Trividha/ Chaturvidha/ Saptavidha (Adibala/ Sahaja - Genetic, Janmabala/
Garbhaja - Congenital, Dosha bala/ Jataja - Acquired, Sanghatabala/ Peedaja - Traumatic, Daivabala/ Prabhavaja -
Iatrogenic, Kalabala/ Kalaja – Environmental and Geriatric, Swabhava balapravrutta), etc.

17. Ashtanindita (Endocrine disorders)

18. Janapadodhwamsa vikara (Pandemic disorders)

19. Nidanarthakara Vyadhi, Vyadhisankara

20. Vyadhikshamatva
A. Vikaravighata Bhava & Abhava, SatmyaB. Ojus - Bheda – Two types and Four types C. Dosha Paka D. ImmunityE.
Healing/repair

21. Rogi bala Pareeksha

22. Dhatu Paka


A. Dhatu pakaB. Ojodusti lakshana C. Asatmya - Immune pathologyD. Cell Injury and Cellular adaptations E.
Inflammation F. Haemodynamic disorders G. Neoplasia

23. Infection and Nutritional disorders

24. Upadrava

25. Arishta

26. Vyadhi bala pareeksha

27. Sadhyasadhyatva – Prognosis

28. Digital health and Artificial intelligence in the context of Roganidana


List of Topics Paper 2

1. Agnimandya – Ajeerna, Anaha, Adhmana, Atopa

2. Chhardi

3. Amlapitta

4. Shoola
Parinama Shoola, Annadrava Shoola
5. Atisara, and Pravahika

6. Grahani

7. Visuchika, Alasaka, Vilambika

8. Common GIT diseases


Ulcerative dyspepsia and Non-ulcerative dyspepsia, Irritable Bowel Syndrome, Inflammatory
Bowel Diseases
9. Mutrakrichhra

10. Mutraghata

11. Common Urinary diseases


Urinary Tract Infection, Prostatomegaly, Nephrotic syndrome, Nephritic syndrome, Acute Kidney
Injury and Chronic Kidney Disease

12. Hikka

13. Shwasa

14. Kasa
15. Rajayakshma & Shosha

16. Common lung disorders


Pneumonia, Chronic Obstructive Pulmonary Disease, Pleural effusion, Bronchiectasis

17. Jwara
Jwarabheda - Doshaja and Agantuja (Abhishanga jwara), Vishama Jwara, Punaravartaka Jwara,
Jwara avastha - Ama, Pachyamana and Nirama Jwara

18. Masurika – Romantika

19. Fever
A. General mechanism of Fever. B. Introduction to Eruptive fevers - Measles, Chicken pox,
Rubella, Hand foot mouth disease, Herpes zoster C. Parasitic fevers – Filariasis, Malaria, D.
Detailed description of Common infective fevers – Typhoid, Dengue, Influenza, Chikungunya,
E. Common regional disorders presenting with fever

20. Pandu

21. Raktapitta

22. Hematopoietic diseases


Anaemia, Nutritional anaemia, Thalassemia, Sickle cell Anaemia, Leukaemia, Thrombocytopenia

23. Hridroga

24. Shotha

25. Cardiovascular disorders


Coronary Artery Disease (Ischemic Heart Disease, and Myocardial Infarction) and Congestive
cardiac failure
26. Kamala

27. Udara Roga

28. Hepatobiliary diseases


Liver cirrhosis, Alcoholic and Non - Alcoholic Liver Disease, Hepatitis, Jaundice and Ascites

29. Kushtha - Maha Kushtha & Kshudra Kushtha


(According to Charaka)

30. Sheetapitta

31. Shwitra

32. Visarpa

33. Skin diseases


Allergic disorders - Eczema, Urticaria; Squamous lesions - Psoriasis, Lichen planus; Bullous lesion –
Pemphigus and Pemphigoid; Mycotic skin diseases; Leprosy; Vitiligo; Cellulitis

34. Galaganda

35. Thyroid disorders


Hypothyroidism and hyperthyroidism
36. Sthoulya – Karshya

37. Obesity

38. Prameha

39. Diabetes Mellitus and Pancreatitis

40. Vatavyadhi
Samanya nidana, Samanya purvarupa, Samanya lakshana
41. Snayugata vata
Snayugata vata, Akshepaka – Apatanaka; Ardita, Pakshaghata, Kampavata, Gridhrasi, Vishwachi,
Pangutwa
42. Common neurologic and spine disorders
Common neurologic diseases: Parkinson’s disease, Stroke, Bell’s Palsy, Motor Neuron Disease,
Transverse myelitis, Epilepsy (Organic). Common Spine disorders: Lumbago- Sciatica syndrome,
Brachial neuralgia, Cervical and Lumbar Spondylosis

43. Sandhigatavata and Asthi majja gata vata Sandhigatavata, Katigraha, Manyasthambha,
Vatakantaka, Avabahuka, Amsashosha

44. Diseases of bone, joints, and muscles


Diseases of bone and Joints - Osteoarthritis, Osteoporosis. Frozen Shoulder, Calcaneal spur/
Plantar fasciitis, Tennis elbow, Carpel tunnel syndrome; Muscular diseases - Muscular Dystrophy

45. Amavata

46. Vatarakta

47. Immunological & Metabolic disorders


Rheumatic fever, Rheumatoid arthritis, SLE, Ankylosing spondylitis, Gout

48. Klaibya & Vandhyatva

49. Sexual dysfunction and Infertility

50. Unmada & Apasmara

51. Vishada

52. Murchha, and Sanyasa

53. Common Psychiatric diseases


Depression, Anxiety neurosis and Epilepsy (Non-organic)
54. Phiranga and Upadamsha

55. Syphilis & Gonorrhoea

56. Krimiroga

57. Clinical presentation of common parasitic disorders


Hook worm, Round worm, Thread worm, Pin worm
58. Khalitya & Palitya

59. Shleepada

60. Tuberculosis
Evaluation Methods

1. Practical / Clinical Performance


2. Viva Voce, MCQs, MEQ (Modified Essay Questions/Structured Questions)
3. Open Book Test (Problem Based)
4. Summary Writing (Research Papers/ Samhitas)
5. Class Presentations; Work Book Maintenance
6. Problem Based Assignment
7. Objective Structured Clinical Examination (OSCE), Objective Structured Practical Examination (OPSE), Mini
Clinical Evaluation Exercise (Mini-CEX), Direct Observation of Procedures (DOP), Case Based Discussion (CBD)
8. Extra-curricular Activities, (Social Work, Public Awareness, Surveillance Activities, Sports or Other Activities
which may be decided by the department).
9. Small Project etc
References

Book Resources

1. Madhava Nidana Srikanta Murthy KR. Madhava Nidanam (Rogaviniscaya)


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