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shalya UG Syllabus
SHALYA TANTRA (UG) SYLLABUS
Theory Two Papers – 100 Marks
Each Practical - Viva voce – 100 Marks PAPER –I 100 Marks
Part – A 50 Marks
Definition of Shalya, Shalya Tantra and its importance.
Introduction to Shalya Tantra: Historical background and progress made. Target - Fluency in textual reading and
comprehension.· Preferable targets - Know recent developments
and controversies.·
Description of Yantra, Shastra, Anushastra: Definition, number, types, uses,
Dosha, Guna, Karma. Relevant modern instruments. Target - Basic understanding of the concepts
of Yantra and Shastra. Acquaintance·
with commonly used surgical instruments. Knowledge of textual
descriptions. Preferable targets -
Knowledge about currently used surgical instruments, their· specifications, procurement
sources etc. Nirjantukarana / Sterilization: Methods, types and its role in
surgical practice. Target - Basic
surgical discipline of maintaining asepsis.· Preferable targets- Knowledge of recently
developed chemicals, instruments for·
sterilization. Sangyaharan / Anaesthesia: Definition and Types. i. Local
anaesthesia – Drugs, Techniques, Indications, Contraindications, Complications
and their Management. ii. Regional and General anaesthesia- Drugs, Techniques,
Indications, Contraindications, Complications and their Management. Target-Basic knowledge of the drugs and
instruments of anaesthesia. To observe the·
process of induction, monitoring and recovery.
Preferable targets- Assisting and handling anaesthesia.· Trividha Karma – Purva
Karma, Pradhana Karma and Paschat Karma.
Target- Capability to identify conditions which can affect the outcome
of surgery in· pre,
intra and post- operative period.
Preferable targets- Experience of handling incidents.· Ashtavidha Shastra Karma
- Surgical procedures. Targets-
Appreciation and comprehension of concepts and indications of different· procedures. Preferable targets –Hands on experience of
surgical procedures.· 12 |
U G S y l l a b u s 4 t h y e a r
Yogya - Experimental
Surgery. Target –Appreciation and
comprehension of concepts of Yogya. Idea of patient’s· safety in experimental
training. Preferable targets- Hands on
training on mannequins.·
Marma: Nirukti, types, description and importance. Target –Clinical application of concepts of
marma.· Preferable targets- Study of relevance of
marma in the light of current anatomical·
and surgical knowledge. Kshara and Kshara Karma: i. Nirukti, Pradhanyata, Guna,
Dosha, Karma, Prakara, Yogya, Ayogya, Procedure, Upadrava and Chikitsa. ii.
Kshara nirmana vidhi, knowledge of Kshara Varti, Taila and Pichu. iii. Kshara
Sutra – Preparation, Indications, Contraindications and Method of application,
Complications and their Management.
Target – Capability to identify and practice the use of kshara, kshara
sutra in· common
clinical conditions. Preferable targets
– Broader knowledge of current trends and ongoing researches in· kshara application.
Agnikarma: Mahatva, Upakarana, Vidhi, Akruti bheda, Yogya, Ayogya and Upadrava
Chikitsa. Contemporary techniques and tools of Agnikarma. Target - Capability to appreciate the
clinical indications and comprehend Agnikarma·
procedure. Preferable targets - Hands on
experience of use of cautery in surgical practice.· Raktamokshana: Mahatva, Prakara
- Siravyadha, Pracchanna, Shringa, Alabu, Jaloukavacharana – Yogya, Ayogya,
Procedure, Upadrava and Chikitsa.
Target- Capability to appreciate and comprehend clinical indications of· Jaloukavacharana and
other Raktamokshana procedures.
Preferable targets - Uses of bloodletting in current therapy.· Bandha Vidhi – Prayojana,
Dravya, Indications, Contraindications, Prakara, Upadrava, Pichu, Plota,
Kavalika and Vikeshika. Target- Hands on
experience of techniques of bandaging.· Preferable targets - New generation of
bandaging and splintage tools.·
Pranasta Shalya and Nirharana Upaya.
Target – Importance of concepts of Sushruta in the management of Shalya
and· concerns of patient
safety. Identification and management of foreign bodies. Preferable targets - Current concepts and
diagnostic tools of dealing with foreign·
bodies. 13 | U G S y l l a b u s 4 t h y e a r
Fluid, Electrolyte, Acid Base Balance and Nutrition: i.
Introduction of physiology of fluids and electrolytes. ii. Dehydration and over
hydration. iii. Specific electrolyte loss, Acidosis, Alkalosis, Symptomatology
and Management. iv. Electrolyte changes in specific diseases like pyloric
stenosis, intestinal obstruction and anuria. v. Various replacement fluids in
surgery, mode of administration and complications. vi. Nutrition. Target – Capability to identify and manage
fluid and electrolyte imbalance. Ability to·
administer parenteral fluid. Preferable
targets - Advanced techniques of fluid and electrolyte assessment and· management. Rakta
Mahatwa, Raktasrava / Haemorrhage: Prakara and Lakshana. i. Raktastambhana –
Haemostasis. ii. Blood Transfusion –Blood groups, Compatibility, Indications,
Contraindications and Complications with Management. iii. Component
therapy. Target-Knowledge of achieving
haemostasis in haemorrhage.· Preferable targets - Detailed knowledge of
blood bank techniques.·
Antibiotics, analgesics, anti-inflammatory and emergency drugs in surgical
practice. Target – Working knowledge of
commonly used drugs.· Preferable targets - Advanced pharmacological
study of the above drugs.·
Diagnostic techniques – X-ray, Imaging techniques, Ultrasonography, CAT Scan,
MRI, Biopsy / Cytological study. Target-
Knowledge of proper indications for optimum investigational tools and their· interpretation. Preferable targets - Capability to work
independently in the field of diagnostic·
techniques.
Part - B 50 Marks Shat Kriyakala in surgical practice. Target- Clinical utility of the concepts.· Preferable targets - Applied aspects of
Kriyakalas in the light of current concepts of·
pathogenesis. Nirukti, Nidana, Samprapti, Prakara, Lakshana, Sadhya-asadhyata,
Upadrava and Chikitsa of the following disorders. i. Vranashotha - Inflammation
ii. Vidhradi - Abscess iii. Pidika - Boils iv. Nadi Vrana - Sinus / Fistulae v.
Vrana Granthi - Keloid / Hypertrophic scar 14 | U G S y l l a b u s 4 t h y e a
r vi.
Marmagata - Shock vii. Kotha – Gangrene and Principles of
Amputation. viii. Granthi - Cyst ix. Arbuda - Tumour Target-Clinical application of the concepts.· Preferable targets - Hands on experience of
management of different conditions.·
Vrana – Nirukti and Prakara i. Nija Vrana – Nidana, Samprapti, Vrana Vasthu,
Prakara, Lakshana, Vrana Pariksha – Sthana,Vrana Akruti, Srava, Gandha, Vedana.
Vrana Avastha- Dustavrana, Shuddha Vrana, Ruhyamana Vrana, Samyak Roodha Vrana,
Vrana Sadhya-asadhyatha and Vrana Upadrava. ii. Vrana Chikitsa – Pathya-apathya
and Shashti Upakrama,Vranitagara and Rakshakarma. iii. Agantuja Vrana : a.
Sadyo Vrana - Traumatic wounds – Nidana, Prakara, Lakshana, Upadrava and
Chikitsa. b. Management of bites and stings. iv. Dagdha Vrana – Burns and
scalds. v. Ulcer - Types and their management. vi. Wound healing stages and
their management. vii. Pramehapidaka - Diabetic carbuncle and wounds. Target - Clinical application of the
concepts.· Preferable targets - Hands on experience of
management of different conditions.·
Twak Vikara - Nidana, Samprapti, Lakshana and Chikitsa of Chippa – Paronychia,
Kadara – Corn and Kshudra rogas. Target
- Clinical application of the concepts.· Preferable targets - Hands on experience of
management of different conditions.·
Manya Vikara – Nidana, Samprapti, Lakshana and Chikitsa of Galaganda – Goitre,
Gandamala, Apachi –Lymphadenitis, Pashanagardhabha – diseases of parotid
gland. Target-Clinical application of
the concepts.· Preferable targets - Hands on experience of
management of different conditions.·
Sira Vikara - Venous disorders – Superficial and Deep venous thrombosis,
Haemangioma, Varicose veins - Diagnosis and their Management. Target - Clinical application of the
concepts.· Preferable targets· - Hands on experience of
management of different conditions. Dhamani Vikara - Arterial disorders –
Nidana, Samprapti, Lakshana and Chikitsa of Aneurysm, Buerger’s disease,
Atherosclerosis, Raynaud’s disease.
Target - Clinical application of the concepts.·
Preferable targets - Hands on experience of management of different
conditions.·
Snayu Vikara - Diseases of tendons and ligaments – Tennis elbow, Ganglion and
their Management. Target - Clinical
application of the concepts.·
15 | U G S y l l a b u s 4 t h y e a r
Preferable targets -
Hands on experience of management of different conditions.· Care of AIDS - HIV and
hepatitis infected patients. Target -
Knowledge of safety precautions.·
PAPER - II 100 Marks Part - A 50 Marks
Bhagna – Skeletal
injuries: Prakara including pathological fracture, Samanya Lakshana, Upadrava
and Chikitsa. Description of fracture of following bones with Clinical
features, Diagnosis, Complications and Management – scapula, clavicle, humerus,
radius, ulna, femur, patella, tibia and pelvis bones. Sandimoksha -
Dislocation: Dislocation of following joints with Clinical features, Diagnosis,
Complications and Management of shoulder, elbow and hip. Target - Clinical utility of the concepts.· Preferable targets - Hands on experience of
management of different conditions.·
Diseases of bone: Aetiopathogenesis, Classification, Clinical features,
Diagnosis, Complications and Management of Congenital anomalies, Osteomyelitis,
Cysts, Tumours and Tuberculosis. Target
- Clinical utility of the concepts.· Preferable targets - Hands on experience of
management of different conditions.·
Cranio-cerebral injuries: Mechanism, Pathology, Classification, Investigations,
Complications and primary management.
Target - Clinical utility of the concepts.· Preferable targets - Hands on experience of
management of different conditions.·
Diseases of Spine: Mechanism, Pathology, Classification, Investigations,
Complications and primary management of Tuberculosis, Ankylosing Spondylitis
and Disc prolapse. Target - Clinical
utility of the concepts.· Preferable targets - Hands on experience of
management of different conditions.·
Diseases of breast: Aetiopathogenesis, Classification, Clinical features,
Diagnosis, Complications and Management of Sthana Vidradhi - Breast abscess and
Sthana Arbuda - Breast tumours. Target -
Clinical utility of the concepts.· Preferable targets - Hands on experience of
management of different conditions.·
Diseases of chest: Aetiopathogenesis, Classification, Clinical features,
Diagnosis, Complications and Management of Chest injury, Pleural effusion,
Pleurisy and Tumours. Target - Clinical
utility of the concepts.· Preferable targets - Hands on experience of
management of different conditions.·
Diseases of esophagus: Aetiopathogenesis, Classification, Clinical features,
Diagnosis, Complications and Management of Congenital anomalies, Oesophagitis,
Varices, Ulcer and Tumours. 16 | U G S y l l a b u s 4 t h y e a r Target - Clinical utility of the concepts.· Preferable targets - Hands on experience of
management of different conditions.·
Gulma Roga - Nidana, Prakara, Lakshana, Upadrava and Chikitsa. Shoola vyadhi -
Nidana, Prakara, Lakshana, Upadrava and Chikitsa. Target - Clinical utility of the concepts.· Preferable targets - Hands on experience of
management of acute abdomen.·
Udara Roga: Aetiopathogenesis, Classification, Clinical features, Diagnosis,
Complications and Management of Jalodara - Ascites, Chidrodara – Perforation,
Peritonitis and Badhagudodara-Intestinal obstruction. Target - Clinical utility of the concepts.· Preferable targets - Hands on experience of
management of different conditions.·
Diseases of stomach and duodenum: Aetiopathogenesis, Classification, Clinical
features, Diagnosis, Complications and Management of Pyloric Stenosis, Peptic
Ulcer and Tumours. Target - Clinical
utility of the concepts.· Preferable targets - Hands on experience of
management of different conditions.·
Diseases of small intestine: Aetiopathogenesis, Classification, Clinical
features, Diagnosis, Complications and Management of Tuberculosis, Obstruction
and Perforation. Target - Clinical
utility of the concepts.· Preferable targets - Hands on experience of
management of different conditions.·
Diseases of large intestine - Aetiopathogenesis, Classification, Clinical
features, Diagnosis, Complications and Management of Tuberculosis, Obstruction,
Perforation, Tumours, Appendicitis, Crohn’s disease and Ulcerative
Colitis. Target - Clinical utility of
the concept.· Preferable targets - Hands on experience of
management of different conditions.·
Diseases of Rectum and Anal Canal – Aetiopathogenesis, Classification, Clinical
features, Diagnosis, Complications and Management of Congenital disorders,
Arshas - Haemorrhoids, Parikartika - Fissure-in-ano, Bhagandara -
Fistula-in-ano, Guda Vidradi - Anorectal abscesses, Gudabhramsa - Rectal
prolapse, Sanniruddaguda - Anal stricture, Incontinence, Rectal Polyp and
Tumours. Target - Clinical utility of
the concepts.· Preferable targets - Hands on experience of
management of different conditions.·
Abdominal injuries and their management.
Target - Clinical utility of the concepts.· Preferable targets - Hands on experience of
management of different conditions.·
17 | U G S y l l a b u s 4 t h y e a r
Part – B 50 Marks
Diseases of Liver: Aetiopathogenesis, Classification, Clinical features,
Diagnosis, Complications and Management of Yakrit Vidhradi - Abscess,
Neoplasia, Portal hypertension and Yakritdalyodar –Hepatomegaly. Target - Clinical utility of the concepts.· Preferable targets - Hands on experience of
management of different conditions.·
Diseases of Gallbladder: Aetiopathogenesis, Classification, Clinical features,
Diagnosis, Complications and Management of Cholecystitis, Cholelithiasis,
Obstructive jaundice and Tumours. Target
- Clinical utility of the concepts.· Preferable targets - Hands on experience of
management of different conditions.·
Diseases of Pancreas: Aetiopathogenesis, Classification, Clinical features,
Diagnosis, Complications and Management of Pancreatitis, Cysts of Pancreas and
Tumours. Target - Clinical utility of
the concepts.· Preferable targets - Hands on experience of
management of different conditions.·
Diseases of Spleen – Aetiopathogenesis, Classification, Clinical features,
Diagnosis, Complications and Management of Pleehodara – Splenomegaly and
Splenic rupture. Target - Clinical
utility of the concepts.· Preferable targets - Hands on experience of
management of different conditions.·
Diseases of Kidney and Ureters - Aetiopathogenesis, Classification, Clinical
features, Diagnosis, Complications and Management of Congenital anomalies,
Polycystic kidney, Injuries, Perinephric abscess, Calculus and Neoplasms. Target - Clinical utility of the concepts.· Preferable targets - Hands on experience of
management of different conditions.·
Diseases of Urinary bladder – Aetiopathogenesis, Classification, Clinical
features, Diagnosis, Complications and Management of Congenital anomalies,
Injuries, Ashmari - Vesical Calculus, Cystitis and Neoplasms. Target - Clinical utility of the concepts.· Preferable targets - Hands on experience of
management of different conditions.·
Mutraghata and Mutrakrichra - Aetiopathogenesis, Classification, Clinical
features, Diagnosis, Complications and Management. Retention of urine. Target - Clinical utility of the concepts.· Preferable targets - Hands on experience of
management of different conditions.·
Diseases of Prostate - Aetiopathogenesis, Classification, Clinical features,
Diagnosis, Complications and Management of Prostatitis, Prostatic abscess,
Benign Enlargement of Prostate and Carcinoma of Prostate. Target - Clinical utility of the concepts.· Preferable targets - Hands on experience of
management of different conditions.·
18 | U G S y l l a b u s 4 t h y e a r Diseases of Urethra – Aetiopathogenesis,
Classification, Clinical features, Diagnosis, Complications and Management of Urethritis,
Stricture and Rupture. Target - Clinical
utility of the concepts.· Preferable targets - Hands on experience of
management of different conditions.·
Diseases of Penis: Aetiopathogenesis, Classification, Clinical features,
Diagnosis, Complications and Management of Congenital anomalies,
Niruddhaprakasha -Phimosis, Parivartika -Paraphimosis, Avapatika - Prepuceal
ulcer, Arbuda- Tumours and Lingarsha - Penile Warts. Target - Clinical utility of the concepts.· Preferable targets - Hands on experience of
management of different conditions.·
Diseases of Scrotum and Testis: Aetiopathogenesis, Classification, Clinical
features, Diagnosis, Complications and Management of Epididymo-orchitis,
Epididymal cyst, Scrotal filariasis, Shukrashmari - Seminal calculus, Torsion
of testis, Ectopic testis, Undescended testis and Tumours. Vriddhi Roga:
Aetiopathogenesis, Classification, Clinical features, Diagnosis, Complications
and Management of Mutravriddhi – Hydrocele.
Target - Clinical utility of the concepts.·
Preferable targets - Hands on experience
of management of different conditions.·
Antra Vriddhi – Aetiopathogenesis, Classification, Clinical features,
Diagnosis, Complications and Management of Hernia - Inguinal, Femoral,
Epigastric, Umbilical, Incisional and rare forms of Hernia. Target - Clinical utility of the concepts.· Preferable targets - Hands on experience of
management of different conditions.·
PRACTICALS Content of Practicals: 1. Identification, uses, demonstration of
surgical instruments and methods of sterilization. 2. Training of case taking,
bed side clinicals and case presentation. 3. Demonstration and Practical
training in Anaesthesia. 4. Training to develop skills in following
Parasurgical and other procedures i. Kshara Karma ii. Agnikarma iii. Kshara
Sutra iv. Raktamokshana v. Application of bandages and splints vi.
Catheterization vii. Wound management procedures like Parisheka and Patradana
viii. Ryle’s tube aspiration ix. Injections -Intramuscular / Intravenous /
Subcutaneous / Intradermal x. Incision and drainage of abscess xi. Suturing of
open wounds 5. Observation of following procedures 19 | U G S y l l a b u s 4 t
h y e a r i. Circumcision ii. Hydrocele iii. Hernial repair iv. Vasectomy v.
Haemorrhoidectomy vi. Fistulectomy vii. Fissurectomy viii. Appendecectomy ix.
Cholecystectomy 6. Training of Surgical Emergencies and Management. Clinical
Training (Indoor and Outdoor) 09 Months
Shalya (Samanya) 03 Months (atleast one month· in OT) Shalya (Kshara and Anushastra Karma) 03
Months (atleast one·
month in OT) Asthi and Sandhi Chikitsa
(Orthopaedics and 02 Months·
Trauma) Anaesthesia 15 days· Radiology 15 days· Distribution of Marks 1) Daily
records - 10 Marks 2) Instruments - 20 Marks 3) Short case - 10 Marks 4) Long
case - 20 Marks 5) Viva – voce - 40 Marks Total - 100 Marks Reference Books 1.
Sushruta Samhita 2. Ashtanga Sangraha 3. Ashtanga Hridaya 4. Charaka Samhita 5.
The Surgical instruments of the Hindus - Girindranath Mukhopadhyaya 6. Shalya
Tantra Samuchchaya - Pandit Ramadesh Sharma 7. Shalya Vigyan (Part 1-2) - Dr.
Surendra Kumar Sharma 8. Shalya Samanvaya (Part 1-2) - Vd. Anantaram Sharma 9.
Shalya Pradeepika - Dr. Mukund Swaroop Verma
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