Shalya Tantra

 

 2 Question papers 100 Marks each :  (90 Marks + 10 Marks Internal Assessment )

Practical  : 100 Marks Total (90+10 Internal Assessment)

Hospital duty : 8 months

 

 

First Paper

Total Marks:100 (90 Marks+ 10 Marks for Internal Assessment)

 

Part – A

  50 Marks ( 45 Marks + 5 Marks for Internal Assessment)

 

Concept of Dhanvantari, Sushruta etc. in Shalya tantra and Conducts of a Surgeon (Surgical Ethics), Sushruta samakalin Granthakara,  Sushruta Tikakara.

Types of diseases according to  Nija - Āgantuja bheda

Shashti Upakrama, Shata- kriyakal, Vrana shotha, Sankraman-visankraman

(infection & sterilization),Sterilization methods, Aushadha vidhi, O.T. Fumigation, O.T. Complex design & management.

Yantra, upayantra, shastra, anushastra. Their numbers, names, types, shape and  recent advances in instruments and equipments.

Dhāra (edge) of Shastra,  Pāyanā, Shastra- Kosha & their merits and demerits, Pichu, Plota, Kawalikā, Shodhan,Ropan dravya , Yogya-Vidhi & Vishikhanupravesh vidhi.

Specificity of Rakta in shalya tantra, Rakta dushti Vichār & their visrāvan vidhi & types. Concept or raktā stambhana ( heamostasis) and Raktādāna ( blood grouping & transfusion).

Use of shringa – jalauka- alābu in shalya tantra & knowledge of their  uses according to doshās. Kshāra & agnikarma vichāra.

 

Part – B

  50 Marks ( 45 Marks + 5 Marks for Internal Assessment)

 

Principles of eight types of Shalya karma, Sandhāna karma, body response to injury.

Sangyānāsha Jnān (Anaesthesia), their types, drugs used, methods, stages and complications.

Recent developments with use and complications of X- ray, sonography, CAT scan, MRI etc. in Shalya Tantra.

Role of shalya shāstra in medical jurisprudence and duty of Surgeon.

 

 

PAPER-   II

Total Marks:100 Marks ( 90 Marks+10 Marks for Internal Assessment)

 

PART- A

50 Marks ( 45 Marks + 5 Marks for Internal Assessment )

 

Improtance of Shalya Tantra in Ashtānga – Āyurveda. Vichāra(thoughts) of Dhanvantari & Sushruta in Shalya Tantra. 

Shalya vishayak achara – ( Surgical conducts)

Vrana shotha & vidradhis – Derivation, nidān, samprāpti, types, sthāna, symptoms and complications, Āam - Pachyamāna- Pakwāvasthā,. Sādhyāsadhyatā, Treatment of Vranashotha & Vidradhi, Seven Upakrama, Sixty  Upakramas & treatment according to stages.

Derivation of vrana, explanation, types of etiological factors and Nija – āgantuja classification. Shotha, Dushtavrana, Rohit vrana, Chirkāri (chronic) vrana.etc. sixteen types. Modern concept of Vrana like ulcer etc. and their treatment.

Vran- Vranshoth Examination -

Size, Shape, Colour, Discharge, Smell, Type of Pain etc. Complication & Prognosis & Management) dushtavran – vastu (wound Scar ), vran parigraha (wound adherent).

Complications, dosha sādhyā sadhyatā and process of wound healing. Types, symptoms and treatment of  Nādi Vrana (sinus wound).

Āagantuja vran (saddyo vran) 

Nidān, types, symptoms , Dushti, kotha (Gangrene) , avsāda (Shock), dandālasaka, (Tetanus), etc. toxic complications and possible treatment. Shuddhi of sadyovrana and Suturing etc. treatment modality.              

Pramāda-dagdha -  types , complications and treatment. Shit Dagdha (frost bite), Dhumopahata (smoke suffocation),etc. complication and treatment.pranashta shalya vijnan and treatment.

Definition of shalya(Definition of foreign body),  , specific types – treatment of avbhadha(Impacted),, anavbadha(Non impacted), pranashta shalya.(Hidden foreign bodies & their management).Shalya – nirharan – shudhi – sivanadi upakrana, upadrava. etc

Rakta strāva(Hemorrhage) – causes , pathophysiology, symptoms and treatment.                         

Causes and treatment of marmāghāta ( vital injury) Bandh vidhi (Bandaging) types of bandage. Raksha karma. Vranitopāsnama.

 Chikitsa vidhi-method of Agnikarma, Kshārkarma , Jalokāvacharanam, Raktamokshan and Sandhāna karma vidhi (plastic surgery).

Derivation , types and different treatment processes of Arbuda (tumour), Derivation, types, classification and different treatment processes of Granthi (Cyst).

Types of Sirā, Lasikā, Dhamani roga(Vascular & Lymphatic disorders). Classification as   Āghataj (Traumatic), Sahaj, Parinām janya classification , complication and treatment.

Mānsa Vikāra (Myopathy)

Mānsa shoth ( myositis), Mānsa dushti- Mānsārbud (tumour) Mānsa granthi,etc.  Māns Shosh (Atrophy),Māns Vridhi (Hypertrophy), Shlipada (filarial) –hetu, nidān, lakshan & chikitsa (their causes, diagnosis, symptoms and treatment).

Snāyu-vikāra (Diseases of Tendons & Ligaments)

Snāyushotha,Pratān shotha,Pratāna Granthi , Snāyu granthi.and arbuda -hetu, nidān, lakshan & chikitsa (their causes, diagnosis, symptoms and treatment).

Tvaga Vikāra (Skin disorders) 

Granthi, Arbuda, Twagārsh, Vrana granthi,Andhalaji, Bālmika, Prameha-pidakās –Koath,Visarpa, chippa, kunakh, pādadāri, Kadar, Mashak, Tilakālak, Snāyuk. -hetu, nidān, lakshan & chikitsa (their causes, diagnosis, symptoms and treatment).

Dhamani Vikāra (Arterial Disorders)

Āghātaj vikāra,Dhamani granthi – causes and symptoms of Dhamani samuha

vikāra. -hetu, nidān, lakshan & chikitsa (their causes, diagnosis, symptoms and treatment).

Shiro- Vikāra

Āghātaj  asthi bhagna (traumatic bone fracture) of skull and brain abscess , Arbuda -hetu, nidān, lakshan & chikitsa (their causes, diagnosis, symptoms and treatment).

Manya-vikara

Manyā stambha , Galaganda , Manyā-granthi , Arbuda, Gandamālā , Apachi , Pāshān-  gardabha –hetu, nidān, lakshan & chikitsa (their causes , diagnosis, symptoms and treatment).

 

 

PAPER – 2

 

PART – B

50 Marks ( 45 Marks + 5 Marks for Internal Assessment )

 

Asthi Bhagna (Fracture of bone)

 Hetu, nidān, lakshan& chikitsa (their causes, diagnosis, symptoms & treatment)  of the fracture of the – Akshakāsthi (Clavicle), Pragandāsthi (Humerus),  Anta-prakoshthāsthi (Ulna), Bahir prakoshthāsthi (Radius),  Ansa Phalak (Scapula), Hastyāngulyāsthi (Carpel, Metacarpel, Phalanges), kasherukāsthi (Vertebrae), Parshukāsthi (Ribs), Shira-kapalāshti (Cranial bones). Kanthāsthi (Hyoid), Trikāsthi (Sacrum), Shronyāsthi (Katyāsthi- Pelvic bone), Urvasthi (Femer), Janvasthi (Patella), Janghāsthi (Tibia), Anujanghāshti- (Fibula), Gulphāsthi ,Pādāngulyasthi bhagna (Malleolus, Tarsal, Metatarsal & toes bone)

 

Sandhi-moksha (Joint dislocation)

Hetu, nidān, lakshan & chikitsa (their causes, diagnosis, symptoms & treatment ) of  Sandhimoksha (dislocation of joints of)  Kasherukā  (Vertebra), Hanu (Mandible), Ansa (Scapula), Kurpar (Elbow), Manibandha (Wrist),Anguli(Fingers), Vankshana       (Hip), Janu (Knee), Gulpha (Ankle), Angusthadi (Great toes)    

            .

Sandhi vikriti (Joint disorders)

Hetu, nidan, lakshan& chikitsa (their causes, diagnosis, symptoms & treatment) of  Sandhigat vat (Osteo arthritis), Sandhigat shoth (Joint inflamation), Prishtha sandhi vikriti (Disorders of spinal cord), Sandhi kshaya shch (Joint tuberculosis)  

 

 Uro-bhāga-vikāra (Disorders of Thorax)

Hetu, nidān, lakshan& chikitsa (their Causes, diagnosis,  Symptoms and Treatment) of Stana-roga (Diseases of Breast or Mammary)-Stana Vriddhi (Hypertrophy/Gynaecomastia), Stana-vidradhi ( Breast Abscess),Stana-Granthi (Breast Lump), Stanārbuda (Breast Cancer), Phuphusāvaran shoath (Pleuracy), Uro-vidradhi (Thoracic- Abscess), Parshukāsthi-shoth (Ribs Inflammation), Phuphus-vidradhi (Lung Abscess), Phuphus-Granthi (Cyst), Phuphus Arbud   (Lung- Cancer), Uro antarbhāg shoth, Raj yakshma (Pulmonary Tuberculosis)   

 

Udara Vikāra -(Disorders of abdomen)

Hetu, nidān, lakshan& chikitsa (their causes, diagnosis,  symptoms & treatment) of Āghataj vikara (Traumatic diseases), Udara – Skhalan (Visceroptosis), Chhidrodar (Intestinal Perforation), Baddha gudodar ( Intestinal Obstruction), Jalodhara (Ascitis), Antar vidradhi(Internal Abscess), Udara Shoola (Abdominal pain), Gulma (Tumors)

 

 Ānna Nalikā Vikāra -(Diseases of Oesophagus)

 Hetu, nidan, lakshan& chikitsa (their causes, diagnosis, symptoms & treatment) of  Sahaj Vikruti (Congenital), Anna Nalika vrana (Ulcer), Sannirodha (Obstruction), Shoth (Inflammation), Rakta strava (Haemorrhage), Arbuda (Tumors)   

 

Āmāshayaj Vikāra -(Diseases of Stomach & Deudenum)

Hetu, nidān, lakshan& chikitsa (their causes, diagnosis, symptoms & treatments) of  Sahaj vikruti (Congenital disorders), Arbuda (Carcinoma), Vran (Ulcer), Aamāshay vistāra (Gastric distention), Parinām shula (Duodenal Ulcer), Gulm (Tumors)  

 

Kshudrāntra Vikāra - (Disorders of Small Intestine)

Hetu, nidan, lakshan& chikitsa (their Causes, diagnosis, Symptoms and Treatment) of Sahaj (Congenital), Shophaj (Inflamation), Abhighataj (Traumatic), Arbuda (Carcinoma)

 

Brihadāntra Vikāra -(Disorders of Large Intestine)

Hetu, nidān, lakshan & chikitsa (their Causes, diagnosis,  Symptoms and Treatment) of  Arbuda (Carcinoma), Pravāhika janya vikruti (Colitis)  ,Gulma (Tumour), Āshukari - Chirakāri Avarodha ( Acute & Chronic Obstruction), Brihadāntra Bheda (Intestinal Perforation), Kshay janya vikruti-(Intestinal Tuberculosis) 

 

Unduka Puccha shoth (Appendicitis) 

 Hetu, nidān, lakshan & chikitsa  ( Causes, diagnosis symptoms & treatment)

 

Guda vikāra - (Ano-Rectal disorders)

 Hetu, nidān, lakshan & chikitsa (their Causes, diagnosis, Symptoms & Treatment) of Granthi (Cyst), Arbuda (Carcinoma), Bhrunsh (Prolapse), Rakta strāva (Bleeding), Arsh (Piles),Parikartikā (Fissure), Pidaka (Furunculosis), Bhagandara (Fistula)  

 

 Sahaja guda vikruti-(Congenital Anal diseases)-

 Hetu, nidān, lakshan & chikitsa (their Causes, diagnosis, Symptoms & Treatment) of Guda Shalya  (Foreign body in Anus), Sannirudh guda ( Imperforated Anus etc.)

 

Yakrut vikāra - (Diseases of Liver)-

Hetu, nidān, lakshan & chikitsa (their Causes, Diagnosis, Symptoms & Treatment) of  Vidradhi (Abscess), Granthi (Cyst), Arbuda (Carcinoma), Yakruddalyudar (Hepatomegaly)

 

Pittāshay Vikāra - (Disorders of Gall blader)-

Hetu, nidān, lakshan & chikitsa (their Causes, Diagnosis,  Symptoms & Treatment of  Shoth (Inflamation), Ashmari (Gall Stone), Kāmlā (Jaundice), Arbuda (Carcinoma)  

 

Agnyāshaya Vikār-( Disorders of Pancreas)

Hetu, nidān, lakshan& chikitsa (their Causes, Diagnosis, Symptoms & Treatment) of  Shoth (Inflamation), Ashmari (Stones), Arbud (Carcinoma)

 

Pleehā Vikāra- (Disorders of Spleen)

Hetu, nidān, lakshan & chikitsa (their Causes, Diagnosis, Symptoms & Treatment) of  Pleehaa vikar (Spleen disorders), Pleehā vriddhi (Spleenomegaly)  

 

Vrikka Vikāra - (Disorders of Kidney)

Hetu, nidān, lakshan& chikitsa (their Causes,Diagnosis, Symptoms & Treatment) of Vrukka Sahaja vikruti (Congenital diseases), Bhrunsha (Dislocation / Ectopic), Granthi (Cyst), Arbuda (Carcinoma),Vrukka vidradhi (Renal Abscess), Kshayaja   vikāra (Tubercular infection), Vrukka Ashmari (Renal Calculus),Rakta strāva (Haemorrhage), Āghataja vikāra (Traumatic disorders of Kidney)

 

Gavini Vikāra- (Disorders of Ureter) 

Hetu, nidan, lakshan& chikitsa (their Causes, Diagnosis, Symptoms & Treatment) of Shoth (Inflamation), Ashmari (Stone), Rakta srāv (Haemorrhage), Granthi (Cyst),Arbuda (Carcinoma), Avarodhjanya vikara (Obstructive- disorders of Ureter)  

 

Vasti Vikāra/Mutravaha Strotas Vikāra - (Disorders of Urinary bladder/ Diseases of Urinary Tract) 

Hetu, nidān, lakshan& chikitsa (their Causes, diagnosis, Symptoms & Treatment) of Sahaj Vikruti (Congenital diseases), Mutra-ghrah (Anuria), Mutra-kruccha (Dysuria), Aaghataja vikāra (Traumatic disorders), Ashmari(Stones), Granthi (Cyst), Arbuda (Carcinoma), Mutrāshthhila, Mutra mārg sankoch (Urethral Stricture), Mutra-jathhar, Vatāshthhila (Benign Prostate Hypertrophy)  

Medhra Vikāra - (Penile Disorders)-

            Hetu, nidān, lakshan & chikitsa (their Causes, Diagnosis, Symptoms & Treatment) of Causes, Symptoms & Treatment of  Vrana (Ulcer),Nirudha-prakash (Phimosis), Parivartikā (Para Phimosis), Avapatika (Tear of Prepuce), Arbuda (Carcinoma), Aaghataj vikar (Traumatic disorders), Arsh (Polyps), Upadansh (Chancre), Puyameha  (Gonorrhoea), Phirang (Syphilis) 

 

Vrishan Phalkosh Vikāra - (Disorders  of Testes & Scrotum) –

Hetu, nidān, lakshan& chikitsa (their Causes, Diagnosis, Symptoms & Treatment) of Vridhi (Hypertrophy), Mutra vridhi (Hydrocele), Antra vridhi (Hernia), Shoth (Inflamation), Arbuda (Carcinoma), Granthi (Cyst), Anda Kosh-Vikāra, Phala-Kosh Vivartana

 

Antra - Chyuti & Antra Bhransh Vikāra(Intestinal Herniation) -  

Hetu, nidān, lakshan & chikitsa (their Causes, Diagnosis, Symptoms and Treatment) of Antra  Vridhi-Vankshanastha (Inguinal), Nābhija (Umbilical), Aoarvi(Femoral), Udara patala gata (Retero Peritoneal), Udar bhitti gata (Inscisonal), Bhramsh (Prolapse)

 

Shukra – vaha strotas vikāra - (Disorders of Epididymis &Vas deference) –

Hetu, nidān, lakshan& chikitsa (their Causes, Diagnosis, Symptoms and Treatment) of  Ashmari (Stone), Granthi (Cyst), Arbuda (Carcinoma), Shukra nadi chhedana  (Vasectomy)  

 

Chatush chatvarisht Kshudra roganam (44 Kshudra Rogas)-

Hetu, nidān, lakshan& chikitsa (their Causes, Diagnosis, Symptoms and Treatment) of 44 kshudra roga and Shalya roge Panchakarma Chikitsaya Vaishtyam (Scope, use of Panchakarma in Surgical disorders).

 

 

Practicals ( prayogiki – pratyaksha pariksha)

 

Bed side examination of patient.

Yantra shastra sammohan.

Naidānika  vishishta kārana parichaya.

Patient case record format filling like pre operative , operative and post operative measures.

Emergency management and useful materials.

Practical knowledge ( training) ——————————– 6 months

i)Hospital training ——————————— 4 months

ii)O T training————————— ———  1 month

iii)Observation of surgical procedures (patient history)—–  1 month

 

Practical Exam                                                                  100 Marks

 

1. Case study	50 Marks
Long case: 30 Marks Long case : 30 Marks
2. Viva	30 Marks
General viva 20 Marks Specific viva 10 Marks
3. Journal	10 Marks
4. Internal assessment	10 Marks
Total	100 Marks

 

 

Aalochya Granth :

 

1) Suoashruti	Vd. Ramnath Dwiivedi
2) Shalya tantra samucchaya	Vd. Ramdeo Sharma
3) Shalya samranvaya	Vd.Anantram Sharma
4) Shalya Pradipika	Mukundswamy Sharma
5) Charak, Sushrut, Vagbhatadi upyogi
6) Shalya Vijnan	Dr. Surendra Kumar Sharma
7) Clinical Shalya Vijnan	Dr.Akhilanand Sharma
Bhagna chikitsa	Dr. P.H.Deshpande
9) Short Practice of surgery	Bailey & Love
10) Clinical & Operative Surgery	S. Das
11) Operative Surgery	Farqurgsan
12) Outline of Fractures	Adams