Medicine Central Council (Post Graduate Ayurveda Education) Amendment Regulations, 2020.

Indian Medicine Central Council (Post Graduate Ayurveda Education) Amendment Regulations, 2020.

CENTRAL COUNCIL OF INDIAN MEDICINE

NOTIFICATION

New Delhi, the 19th November, 2020

2. In the Indian Medicine Central Council (Post Graduate Ayurveda Education) Regulations, 2016,in regulation 10, after sub-regulation(8), the following sub-regulation shall be inserted, namely:-

“(9) During the period of study, the PG scholar of Shalya and Shalakya shall be practically trained to acquaint with as well as to independently perform the following activities so that after completion of his PG degree, he is able to perform the following procedures independently:-

MS (AYURVED) SHALYA TANTRA – (GENERAL SURGERY)

Procedures

1. Lekhana / Chhedana of DushtaNijaVrana (Debridement/fasciotomy / Currettage)

2. Bhedana of Vidradhi Incision and Drainage of abscess Gudvidradhi, Stan vidradhi (Perianal abscess, breast abscess, Axillary abscess, cellulitis, etc.).

3. Sandhan Karma all types of skin Grafting (SSG, EEG, Cross Flaps) KarnaPaliSandhan (ear lobe repair), etc.

4. Chhedan Karma of Granthi, Arbuda, Excision of simple cyst (Sebaceous cyst, Dermoid cyst, mucosal cyst, retension cyst) etc. / benign tumours (lipoma, fibroma, schwanomaetc) of Non vital Organs.

5. Chhedan Karma of Sira-SnayuKotha. (Excision / amputation of gangrene).

6. Sadyo-vrana management (traumatic wound management):-

• (a) Sivan karma (all types of suturing, Haemostatic ligatures);
• (b) Sandhan Karma of sira-kandara-snayu (Ligation and repair of tendon and muscles).

7. PranashtaShalyaNirharan (Removal of metallic and non-metalic foreign bodies from non vital organs).

8. BhagnaChikitsa:-Aanchhan- Pidan – Sankshep – KushaBandhan (close reduction, immobilization, splints/cast).

9. Sandhimoksha (reduction of dislocation and subluxation).

10. Udarrognidanchikitsa, / dakodarVisravan (Laprotomy/ paracentesis).

11. Arsha – Ksharkarma, Chhedan (various methods of haemorrhoidectomy), rubber band Ligation, Sclerotherapy, IRC, Radio frequency / Laser ablation, etc.

12. ParikartikaSanniruddhaGuda (Fissure in ano – Anal Dilatation, SphincterotomyAnoplasty).

13. BhagandarChhedan, Ksharsutra (Fistulectomy, Fistulotomy).

14. NadivranaChhedan, Ksharsutra (Excision of pilonidal sinus).

15. Guda-bhransha- Sandhan Karma (various Rectopexies).

16. Ashmari- Nirharan (suprapubiccystostomy/cystolithotomy).

17. Mutragraha/ Mutrakrichha- MutramargVivardhan (Urethral Dilatation, meatomy).

18. NiruddhaPrakash (Phimosis), Parivartika (Paraphimosis) Circumcision.

19. VriddhiRogaChikitsa, Sandhan Karma. (Congenital/ Inguinal/ Umbilical / Epigastric/ Femoral/ Incisional Hernia :-Herniotomy, Herniorraphy, Hernioplasty).

20. Mutravriddhi-Vedhan (Hydrocele Eversion of Sac).

21. Intercostal Drain for thorasic trauma.

22. Ligation of Haemangioma, Vascular ligation, Ligation of varicocele, varicose veins/ stripping surgery.

23. Stan Granthi / ArbudaChhedan. Excision of benign lesions, cyst/ tumour of breast, Lump biopsy.

24. AshukariUdarshoolshastra karma-Udarpatan (Exploratory laparotomy).

25. Foreign body removal from stomach. Pyloromyotomy.

26. Use of Advanced Nadiyantra for strotodarshanarth-kriyasaukarya. (Video proctoscopy, Sigmoidoscopy)

27. Ileostomy, colostomy, Resection anastomosis in emergency.

28. Sigmoidoscopic biopsies, polypectomy.

29. UnddukpuchhaShoth (Appendisectomy).

30. Vedhan-Visravan of AbhyantarVidradhi (appendicular abscess etc.).

31. PittashmariNirharan-chhedan (Cholecystectomy).

32. Laryngeal Mask Airway, Intubation, Bag/Mask Ventillation.

33. SuprapubicCystostomy.

34. SuprapubicCystolithotomy.

35. Excision of Calcified Plaque Peyronie’s Disease.

36. Orchidopexy.

37. Orchidectomy.

38. Varicocele High Ligation.

39. Spermatocele, Chylocele, Pyocele, Hematocele Drainage.

 MS (AYURVED) SHALAKYA TANTRA

(DISEASES OF EYE, EAR, NOSE, THROAT, HEAD, ORO-DENTISTRY)

Procedures 

Netra – (Eye)

1. Vartmagataroga (Diseases of Eyelids):-

• (a) VatahatvartmaShastrkarma (surgery for ptosis i.e. sling surgery);
• (b) Vartmavikruti- Shastrkarma (Ectropion&Entropion – correction surgery);
• (c) Lagan – Bhedan&LekhanShastrkarma (Chalazion – Incision and drainage/ curettage);
• (d) AghatakVartmaArbud – Chhedan Karma (Benign Lid tumour – Excision Surgery).

2. ShuklagatRog:-

Arma  –  ChhedanShastrakarma  (pterygium-  excision  &  conjunctivallimbal  autograph/amniotic membrane graft).

3. KrushnagatRog:-

Ajakajat – Chhedan Karma (Iris Prolapse-excision surgery).

4. SarvagatRog:-

Adhimanth – BhedanShastrakarma (Glaucoma-trabeculectomy).

5. Nayanabhighat (Trauma to eye):- 

Bhroo, Vartma, Shuklamanadal, Krushnamandalabhighat – SandhanShastrakarma. (Injury to the eye brow, lid, conjunctiva, sclera and cornea- trauma repair surgery).

6. Tiryaknetra:-   

PrakrutnetrasthapanShastrkarma (Squint surgery- Esotropia, Exotropia, Horizontal muscle resection and recession).

7. Puyalas: – 

Bhedan/ Chhedanshastrkarma (Dacrocystitis- DCT/ DacrocystoRhinostomy [DCR]).

8. Linganash (Kaphaj) Shastrakarma- cataract surgery- cataract extraction with IOL implantation surgery:-

(a) Intracapsular cataract extraction (ICCE);

(b) Extra capsular cataract extraction (ECCE);

(c) Small incision cataract surgery (SICS);

(d) Phacoemulsification Types of IOL:-

• (I) PCIOL;
• (II) ACIOL;
• (III) Iris Fixated IOL.

9. Sthaniksangyharan (Local Anesthesia) in eye. (ophthalmology):-

(a) Peribulbar;

a) Retrobulbar;

b) Parabulbar;

c) Intra Cameral.

Nasa (Nose)

1. Nasajavanikavakrata – shastrakarma (deviated nasal septum surgery- septoplasty / SMR).

2. Nasarsh – ChhedanShastrakarma (Nasal polyp polyoectomy). Knowledge of FESS surgery – Functional endoscopic sinus surgery.

3. Aghatajnasavikruti – nasasandhan (deformed nose – rhinoplasty).

Karna (Ear)

• Karnapalisandhanshastrakarma (torn ear lobule- lobuloplasty).
• Ashukarimadhyakarnashoth  –  Bhedanshastrakarma  (acute  supurative  otitis  media/  glue  ear/ secretory or serous otitis media- Myringotomy).
• Knowledge  of  JirnaMadhyakarnaShothshastrakarma  (Chronic  Supurative  Otitis  Media-  safe:- tympanoplasty unsafe: – mastoidectomy).

Mukharoga

1. Galrog (throat diseases):- Pharynx:

(a) Ashukarigilayuvruddhi – BhedanShastra karma (peritonsillar abscess – quincy) – incision and drainage;

(b) Jirnagilayushoth – GilayuNirharanShastrakarma (Chronic Tonsillitis – Tonsillectomy).

2. Oshthagat – Oshthabhed – Sandhan Karma (hair lip repair).

DantaRog

1. Chaldanta – DantaNirharan (Loose Tooth Extraction).

2. Krumidanta – Lekhan&Puranshastrakarma (Carries Tooth/Teeth- Root Canal Treatment).‖.

SHAMSHAD BANO, Registrar-Cum-Secy.
[ADVT.-III/4/Exty./372/2020-21]

Note : The principal regulations were published in the Gazette of India, Extraordinary, Part-III, Section 4, vide notification No.  4-90/2016-P.G.  Regulation,  dated the 7th November 2016  and were last amended vide notification No. 4-90/2018-P.G. Regulation (Ayurved), dated 24th July, 2019, published in the Gazette of India, Extraordinary, Part-III, Section 4,dated the 29th July, 2019.

[If any discrepancy is found between Hindi and English version of ―Indian Medicine Central Council (Post Graduate Ayurveda Education) Amendment Regulations, 2020‖, the English version will be treated as final.]

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