Kaumarbhritya

1 Question Paper: 100 Marks (90 marks +10 marks for Internal Assessment )

Practical : 100 Marks (90 marks +10 marks for Internal Assessment )

Lectures (1st paper) : 45

Lectures (2^nd paper) : 45

Practical  : 100 Marks

Hospital Training :1 month

Part A  

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

General introduction of Kaumarbhritya (Ayurvedic Peadiatrics). Its definition, importance, description & etymological interpretations.

Definition and Importance of terminologies in Kaumarbhritya.

Garbha-paribhasha( Definition of fetus), Utapati bhava,  Garbhaposhana ( Fetal Growth), Garbha- vikruti , Teretogens etc

Sadyojata (Care of child just after birth), Navajata (Neonate) & Jatamatra, care of new born at shasthi ratri (six nights) Kumāragāra. Cutting of umbilical cord . Complications of improper cutting of umbilical cord & its treatment. Ulvadi vishodhana (Cleaning of vernix caseosa). Samayajat (Care of full term) , Praka Samayajat (Preterm), Paschata Samyjat (Post term).  Navajat shishu parikshana (Examination of new born) , Ayu parikshana (Examination of Age), Rakshoghna karmas (Measures of protection).  Navjat shishu poshana (Feeding of new born) . Methods of Lehan, Swarna prashana.

Stanya parikshana (Examination of breast milk) , Stanya Jananopakrama (Process of breast milk formation), Stanya shodhana (Purification of breast milk), Stanyaabhave pathya vyavastha (Feeding in non availability of breast milk). Stanyadosha, Stanya nasha hetu & its treatment. Dhatri-pariksha (Examination of nurse) , Stanya sampada in dhatri, General method of Stanyapana.

Stanya praman, swaroop, shudhha Stanya lakshan, Stanya gundharma.

Vayobheda (Classification of age) & Ahara vishesa (Specific diet), According to Avastha (Age)

Balaka Paricharya (General Care of Children) :-

Feeding and general care of children according to there status of age - Kshirapa-Kshirannada-Annada.

Kumaragaar (Room of children), Kridabhumi (Play ground), Kridanakani (Toys).

Baalasya vrudhi-vikasa (Growth & development of child) .

Sanskaras-Jatkarma-Namkarana-Vahiniskaramana-Upvesana-Phalaprashana-Annaprashana-Karnavedhana, Padagaman etc.

Dantotpatti (Dentition) - DantaSampata (Characteristic of healthy tooth), Aprashastadanta (Defect of tooth), Dantodbhedprakriya (process of dentition), Dantodbhed janya vyapada (Diseases related to Dentition).

Danta Prakar, Danta sankhya.

Balroga pariksha vidhi (Examination of Childeren’s diseases),  Bhaishjya matra according to Vaya. (Drug dosage according to age).

Sattvotpattikrama (Child Psychology) - Development and general examination of Budhiindriya (Mental function) and karmendriya (Motor and sensory function) .

Balarasayana, Vyadhikshamatva, Methods of prevention of diseases, Tikakarana (Vaccination) immunization.

Kashyapokta Lehanadhyaya.

General knowledge of various National Programmes related to Child Health Care. Reproductive and Child Health (RCH) Programme . Community children health problems, Nutritional problems & their management.

Part B

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

Method of Shishu pranapratyagamna (Resuscitation of new born) , Shishu vedana parigyan (Diagnostics methods in pediatrics), General principles of treatment in children. And Specific treatment protocols in children – Snehana, Swedan and Panchakarma.

Birth injuries - Aaghatjanya upadrva (Birth injuries) - Shwāsāvrodha (Asphyxia) , Ulvaka (Aspiration pneumonia), Bhagna (Fractures) etc.

Sahaja vyadhi (Congenital disorders):

Hridajanya vikara (Cardiac disorders), Jalasirshaka (Hydrocephalus), Mastulunga kshaya (Anencephaly/Microcephaly), Osthabheda (Deformities of Lips), Taluvikruti (Deformities of palate), Karnapaali vikruti (Deformities of Ear lobules),Sannirudhaguda (Imperforated anus)etc.

Anuvanshika disorder (Hereditary disorders) :

Phiranga (Syphilis)- Tamkshwasa (Brochial Asthma), Prameha (Juvenile Diabetes Mellitus), Kustha (Skin disorders), Aarsha (Haemorrides), Yakrita dosha (Liver disorder)etc.

Bijadoshaj vyadhi (Janmabalapravita– Genetic disorders):  

Pangutwa, Mukatva, Vamantva, (A Group of Genetic disorders like Down Syndrome etc.) Jadatva ,  Mansika mandtwa (Mental retardation) etc.

Prasavottara vyādhis (Neonatal disorders) :          

Sadyojāt kamala (Neonatal Jaundice), Navjaat Netrābhishyanda (Neonatal conjuctivities), Nabhipaaka (Umbilical Sepsis) , Mastishka ghāta (Cerebral palsy) etc. Nābhipāta (fall of Umbilical cord).

Stanya Asatmyata janya vyadhis (Disorders due to milk allergy):    

Atisāra (Diarrhoea), Charmadala(Infantile atopic dermatitis), Kshirālasaka-Kukunaka (Conjuctivitis), Ahiputnā (Napkinrashes) etc.

Kuposanajanya vyādhis (Malnutrition disorders) :

Phakka, Baalshosha, Parigarbhika, (All are concerned with protein energy malnutrition), Mrutika bhakshanjanya pandu (Anaemia associated with pica), Karshya (Debility).

Agantuka vyadhi (Acquired diseases) :

Bālgraha, Romantika (Measles) Masurika (Chicken pox), Rohini (Diphtheria) Kukurkāsa (Whooping cough), Dhanurvāta (Tetanus), Yakritdālyudar (Hepatomegaly), Bālpakshāghat (Paralysis), Krimiroga (Worm infestation), Āntrika jwara (Typhoid), Mastisakavarnashotha (Meningitis), AIDS etc.

Baalgraha- paribhasha, swaroopa, Hetu, Naam, Sankhya, Bheda, Purvarupa, Rupa, Sadhyasadhytva, Chikitsa, Skandagraha, Skandaapsmar, Naigmesha, Shwagraha, Pitru  Graha, Putana, Shitputana, Andhaputana, Revati, Shushka Revati, Mukhamandika, Sahkuni Graha. Lakshana, Chikitsa.

Samanya Roga  :       

Rajayakshma (Tuberculosis), Jwara (Fever), Atisaar (Diarrhoea) Chhardi (Vomiting), Shwaasa (Dyspnoea), Kaasa (Cough), Malavarodha (Constipation), Mukhapāka (Stomatitis), Gudapāka (Proctitis), Ajirna (Indigestion), Pāndu (Anaemia), Kāmalā (Jaundice), Apachi (Lymphadenitis), Galaganda (Goitre), Gandamālā (Cervical lymphadenopathy), Shayyā mutra (Bed wetting), Gudabhransha (Rectal prolapse), Mahāpadhya (Erysipelas), Apasmāra (Epilepsy) ,Unamāda (Schizophrenia), Aakshepa (Convulsions), Vishmayatā (Toxemia), Paridagdha chhabi, Mutrāshmari (Renal calculus), Nirrudha prakasha (Phimosis), Krumidanta (Dental caries), Visarpa (Erysipelas), Tālupatta (Depressed Anterior fontanalle), Tālupāka,  Prānavaha srotasa Vyadhi, Utphulikā (Pneumonia), Swasan jwara (Pneumonitis), Tālukantaka (Tonsillitis), Pothaki (Opthalmia Neonatorum) etc.

Behaviour disorder of children , their management and counseling. Disorders due to use of Narcotic drugs (Drug abuse) . Causes and management of Dehydration due to Jwara (Fever), Atisāra (Diarrhoea), Vamana (Vomiting), Aakshepa (Convulsions), etc

Connective tissue disorders: Rheumatoid arthritis, Muscular disorders: PMD (Pseudohypertrophy Musculardystrophy) Infective disorders like: Rubella, Malaria Pediatric Emergencies: Dehydration, Blood loss/Transfusion, shock etc. Pediatric Instruments & Equipments:  Infantometer, Detactometer, Phototheraphy unit etc.

Practical

1. Clinical study of above mentioned disorders in healthy and diseased children.
2. Sadhyojāta shishu Paricharyā (Care of new born), prānapratyāgamana Paricharya (Resuscitation of new born).
3. Practical knowledge of National Reproductive and Child Health Care Programme.

Practical Mark division : 

Reference books :