MAHARASHTRA UNIVERSITY OF HEALTH SCIENCES,

NASHIK
(From Academic Year 2010-11 & onwards)

Syllabus for MD (Ayurved) Final Examination

KAUMAR BHRITYA - (BAL ROG)

PAPER – I
Bija, Garbha evam Balavikas Vigyaniya
(Human Genetics, Embryology and Growth & Development)

A. Prakrita Bija-Bijabhaga-Bijabhagavayava evam Tadjanya Vikriti (Genetics and related

disorders)

1. Ayurvedic genetics: Shukra, Shonita, Shukra Shonita Doshas, Bija-Bijabhaga-

Bijabhagavayava Vikriti, Matrija and Pitraja Bhavas, Yajjah Purushiya and Atulyagotriya

2. Modern genetics

(i) Basic concepts

a. Cell, cell division, nucleus, DNA, chromosomes, classification, karyotype,
molecular and cytogenetic, structure of gene, and molecular Scrining.
b. Human Chromosomes - Structure, number and classification, methods of
chromosome preparation, banding patterns.
c. Single gene pattern inheritance: Autosomal & Sex chromosomal pattern of
inheritance, Intermediate pattern and multiple alleles, Mutations, Non Mendelian
inheritance, mitochondrial inheritance, Genomic imprinting, parental disomy.
d. Criteria for multifactorial inheritance.

(ii) Pathogenesis

a) Pathogenesis of chromosomal aberrations and their effects, recombinant DNA,

genetic inheritance, inborn errors of metabolism
b) Chromosomal abnormalistes: Autosomal & Sex chromosomal abnormalities,
syndromes
c) Multifactorial pattern of inheritance: Teratology, Cancer Genetics –
Haematological malignancies, Pharmacogenetics.
d) Chromosomal disorders
e) Chromosomal aberration (Klinefelter, Turner and Down’s syndrome
f) Sex determination
g) Genetic Counseling, Ethics and Genetics

B. Garbha-Vigyaniya (General Embryology)

1. Garbha (embryo), Garbhawastha (gestation period), sperm, ovum; spermatogenesis;

oogenesis; structure of ovum
2. Sperm in the male genital tract; sperm in the female genital tract, activation and
capacitation of sperm.
3. Garbha Masanumasika Vriddhi evam Vikasa (Ayurvedic and modern concepts of
Embryo and Fetal development)

i. First week of development

ii. Second week of development
iii. Third week of development
iv. Fourth to eighth week of development (Embryonic period)
 v. Development from third month till birth (Fetal period)
4. Apara (Placenta)
Apara Nirmana (Formation of placenta),Apara Karya (Functions of placenta); Apara
Vikara (Placaental abnormalities )
5. Nabhinadi (Umbilical Cord)
Formation and features of umbilical cord
6. Garbha Poshana (Fetal nutrition including fetal circulation)
7. Yamala Garbha( twins)
8. Garbha Vriddhikara Bhavas, Garbhopaghatkara Bhavas.
9. Effect of maternal medication, diet and illness over fetus.
10. Teratology: causative factors for teratogenecity, mode of actions of teratogenes,
critical periods
11. Perinatal Care and Perinatal complications
12. Jataharini (Related to pediatric)
13. Prenatal diagnosis for congenital abnormalities
14. Samanya Janmajata Vikara (Common congenital anomalies of different systems).

C. Sharirika Vriddhi, Mansika evam Samajika Vikasa (Physical Growth, mental and social
development of child)

1) Vriddhi Vikasa Karma evam Vikara

a. Mile stones in infancy and childhood in respect of gross, fine motor, cognitive,
language and personal–social development.
b. Adolescent: Growth & development, and associated problems
c. Anthropometry- measurement and interpretation
2) Childhood Samskara

PAPER-II
Navajata Shishu Vigyan evam Poshana (Neonatology and nutrition)

1. Navajata Shishu Paribhasha, Vargikarana (Important definitions and classification related to

neonates.)
2. Navajata Shishu Paricharya evam Prana-Pratyagamana (Care of the newborn including recent
methodology for the resuscitation)
3. Samanya Navajata Shishu Paricharya (General Neonatal Care –Labour room onwards)
4. Samaya purva evam Samaya pashchat Jata Shishu Paricharya (Management of preterm, post
term and IUGR newborn)
5. Prasava Kalina Abhighataja Vyadhi (Birth injuries): Upashirshaka (Caput , cephalohematoma),
Bhagna (Fractures), Mastishkantargata Raktasrava (ICH, IVH, Subdural hemorrhage)
6. Navjat Shishu Pariksha (Examination of newborn- Ayurveda and Modern methods)
7. Kumaragar: Navajata Shishu Kaksha Prabandhana (Nursery management), NICU, Nursery
plan, staff pattern, medical records, Visankramnikarana (sterlization), Knowledge of
equipments used in nursery.
8. Navajata Shishu Vyadhi (Early neonatal disorders): Hypothermia, Shvasavarodha (Asphyxia
Neonatorum), Ulvaka (Aspiration pneumonia), Rakta Vishamayata (Neonatal septicemia),
Kamala (Neonatal Jaundice), Akshepaka (Neonatal convulsion), Pandu (Anemia), Atisara
(Diarrhea), Asamyaka Nabhinal kartanjanya vyadhi.
9. Navjata Kshudra Vikara (Minor neonatal ailments): Chhardi (Vomiting), Vibandha
(constipation), Udara shul (Infantile colic), Puya Sphota (Pyoderma), Shishu Netrabhishyanda
(Ophthalmia neonatorum).
10. Sadyojatasya Atyayayika Chikitsa (Management of neonatal emergencies): Shock, Fluid
and electrolyte imbalance, Convulsion, Hemorrhagic diseases of Newborn etc.
11. Procedures: Shiro-Pichu, Abhyanga, Parisheka, Swedan–Hasta – Pata sweda, Pralepa,
Garbhodaka Vamana (Stomach wash), Ashchyotana Neonatal resuscitation techniques, Blood
sampling, Intravenous canulation, Umbilical vein catheterization, Bone marrow aspiration,
Phototherapy, Naso-Gastric tube insertion, Urethral catheterization, Exchange blood
transfusion, Thoracocentesis, Bone marrow infusion, Lumbar puncture

12. Nutrition:
 a. Navjat Shishu Ahara (Neonatal feeding):

i. Specific Feeding methodology as per Ayurveda and recent advances; Day to day
fluid, milk, caloric requirement for the newborn, feeding technique for the preterm
baby.
ii. Stanyotpatti and Prasruti (Lactation physiology), Matridugdha Samghatana
(Composition of breast milk), Stana Sampat (Characteristics of normal breast),
Stanya Sampata evam Mahatva (Properties & importance of pure milk), Stanya-
Piyusha (Colostrum); Stanya-Pana-Vidhi (Method for breast milk feeding),
Stanyakshaya / Stanyanasha (Inadequate production and absence of breast milk),
Stanya parikshana (Examination of breast milk), Stanyabhave Pathya Vyavastha
(Alternative feeding methods in absence of breast milk), Various feeding methods,
TPN( Total Parenteral Nutrition)
iii. Stanyadosha (Vitiation of Breast milk), Stanya Shodhana (Purification of breast milk),
Stanya Janana and Vardhanopakrama (Methods to enhance breast milk formation)
iv. Dhatri (Wet nurse): Dhatri Guna and Dosha (Characteristics of Wet nurse), Concept
of Breast Milk Banking.
v. Lehana (Elucturies)

b. Bala-Poshana (Child Nutrition):

i. Daily requirements of nutrients for infant and children

ii. Common food sources
iii. Satmya and Asatmya Ahara (Compatible and incompatible diet)
iv. Pathya evam Apathya Ahara (Congenial and non-congenial diet)
v. Stanyapanayana (Weaning)

PAPER-III
Balrog (Pediatric Disorders)

(i) Fundamentals of Ayurvedic treatment in pediatric disorders

(ii) Atura Balaka Pariksha (Examination of sick child)
(iii) Daiva Bala-Pravrita Rog (Idiopathic and Infectious disorders):
a) Krimi evam Aupsargika Rog (Infections and Infestations): Common bacterial, viral and
parasitic infections with special reference to vaccine-preventable diseases: Rohini
(Diphtheria), Whooping cough, Aptanaka (Tetanus including neonatal tetanus),
Romantika (Measles), Karnamula Shotha (Mumps), Rubella and Masurika (Chickenpox),
Antrika Jwar (Typhoid and Paratyphoid), Viral Hepatitis, Pravahika (Amoebiasis),
Giardiasis and intestinal helminthiasis; Vishama Jwar (Malaria) and Kala-azar, Dengu
fever, HIV (AIDS), Poliomyelitis, Mastishkavaran Shotha (Meningitis), Mastishka Shotha
(Encephalits)
b) Tvaka Vikara (Skin disorders): Ahiputana (Napkin Rashes), Shakuni (Impetigo), Sidhma,
Pama, Vicharchika, Charmadal (Infantile atopic dermatitis)
c) Pranvaha Srotasjanya Vyadhi (Respiratory disorders)- Kasa (Cough), Shvasa
(Respiratory distress Syndrome), Tamaka Shwasa (Childhood Asthma), Bronchiolitis,
Shvasanaka Jwara (Pneumonia- bacterial, viral etc) Rajyakshma (tuberculosis), Vaksha-
Puyata (Pyothorax),Vaksha Vata-Purnata (Pneumothorax)
d) Annavaha Srotasjanya Vyadhi (Gastrointestinal disorders): Jwar (Fever), Chhardi
(Vomiting) Ajirna (Indigestion), Kshiralsaka, Atisara (Diarrhea), Vibandha (Constipation,
Gudukutta (Napkin rashes), Jalodar (Ascites), Udarshula (Pain in abdomen)
e) Rakta evam Raktavaha Srotasjanya Vyadhi (Hematological and circulatory disorders):
Pandu (Anemia), Raktapitta (Bleeding disorders), Vishishta Hrida Rog (Specific cardiac
diseases- RHD etc), Raktagat–vata (Hypertension), Thalasemia, Leukemia, Hemorrhagic
disorders
f) Mamsavaha Srotasjanya Vyadhi: Myopathy
g) Mutravaha srotasjanya Vyadhi (Urinary System disorders): Vrikkashotha
(Glomerulonephritis and nephrotic syndrome), Mutrakriccha (Dysuria), Mutraghata
(Anuria),
h) Vatavaha Sansthanjanya Vyadhi (Nervous system disorders): Ardita (Facial paralysis),
Pakshavadha (Hemiplegia), Ekangaghata (Monoplegia), Adharanga Vayu (diplegia),
Apasmara (Epilepsy), Mastulunga-Kshaya, Mastishka-Shotha (Encephalitis),
Mastishkavrana-Shotha (Meningitis), Amavata (Juvenile Rheumatoid arthritis)
 i) Manovaha Srotasa Vyadhi: Breath holding, Shayya mutra (Bed wetting), Autism,
ADHD (Attention Deficit and hyperactive disorders), Learning Disability, Mental
retardation, Temper tantrum, Pica
j) Antahsravi evam Chayapachayajanya Rog (Endocrine and Metabolic disorders)
k) Kuposhanjanya Vyadhi (Nutritional disorders): Karshya-Phakka-Balshosha-Parigarbhika
(PEM and allied disorders), Vitamin-mineral and trace elements deficiency disorders,
Hypervitaminosis,
l) Anya Vyadhyi (Miscellaneous disorders): Gandamala, Apachi (Cervical lymphadenitis),
Galganda (Goiter), Kukunakadi Akshi Rog, Hodgkin & non-Hodgkin Lymphoma, Disability
and Rehabilitation, Abnormal growth patterns, Short stature
m) Samghata- Bala Pravrita Rog: Dog bite. Snake bite, Scorpion bite etc
n) Atyayika Balarog Prabandhana (Pediatric emergency management): Shock and
Anaphylaxis, Fluid and electrolyte management, Drowning, Foreign body aspiration,
Status epilepticus, Acute hemorrhage, Acute renal failure, Febrile convulsion, Status
asthmaticus, Burn, Acute Poisoning
o) Balagraha: Scientific study of Graha Rogs

PAPER-IV
Ancient Status and Advancements in the field of Kaumar Bhritya

1. Significant contributions of Kashyapa samhita and other texts /treatises of Ayurveda in the field
of Kaumarbhritya
2. Panchakarma: Principles of Panchakarma and their application in pediatric practice
3. Concept of Vyadhi-kshamatva evam Vardhanopaya (Concept of Immunity and recent immuno-
enhancing measures including pediatrics immunization )
4. National programs related to pediatrics
5. Update knowledge of clinical pediatrics
6. Application of Research methodology in the field of Pediatrics
Practical

(a) Seminars, presentations, teaching & training in IPD, OPD and department.
(b) Knowledge and practice of all the relevant equipments, procedures and disease
management including life threatening conditions of children.

Reference Books

1. Related matter of Sushruta Samhita, Charaka Samhita and Vagbhata

2. Kshyapa Samhita
3. Harita Samhita
4. Kumar Tantra Samucchaya – Ramanath Dwivedi
 Scheme of Practicals

Aims & Objectives of Course

1) to bring out and excellent Ayurvedic pediatrician who can treat all minor ailments and
contributing to established therapy with his intellect input either to reduce the rigorous or
expensive or supplementing wherever required.
2) To make an efficient academician with good communicative skills, thought provoking well
motivated, rational teaching skills.
3) To function as a productive member of a team engaged in research and health activities.
4) To harness the skills of innovative ways to diagnose in order to minimize the invasive
investigations preserving the core beauty of Ayurvedic specialty and creating his own space
among specialty branches of medicals fraternity.
5) In order to achieve this SMART goal ambitious yet realistic the schedule has been
designed for 2 years (which are put) after consulting with specialty colleagues, which are
open for suggestions.
1) At least 6 months compulsory neonatal intensive care unit (where the facility is not
available a permission can be had from civil or medical hospital). The student should
able to do the resuscitation and critical care of sick and low birth weight child.
2) 1 months field exposure which should include participating all national health
programmes, immunization Survey regarding prevalence of neuromuscular disorders,
Developmental disorders like mental Retardation, cerebral palsy etc.
3) Model case talking; in contrary to modern pediatrician the Ayurvedic pediatrician should
stand for excellent clinical diagnosis minimizing invasive investigations. the student
should produce at 5 model case papers which are representing the clinical acumen and
investigations are done only to confirm the findings.
(A detailed history taking of neurological disorders and regular development i.q, testing
scoring of symptoms are few such areas where he can prove his worth)

4) Literary potentiating; the subject of modern pediatrics though half century old it has
done tremendous progress creating superspecialities. If Ayurvedic wants to stand as an
individual viable subject is has to expand its literary contributions by meticulous
recording of departmental profile.
Every institution individual trying to do the best of things, hence post graduate course
should include at test 30 pages of departmental profile including

Experiences, innovative procedures, difficulties and practical recommendations to

be submitted. (2 years profile)

(Pediatric Panchakarma is one of potential subjects to share)

5) research activity and dissertation;
In addition to thesis and dissertation he should at least attend two seminars and
present one paper and possible not to miss any CME if held. The research problem
also not too complicated not too simples. The problem should be

a) epidemolically relevant
b) intellectually challengeable
c) protocol perfection able
d) knowledge of efficacy variable
e) uncalled manipulations
f) statistical satisfiable
g) the selected drug preferably inexpensive
h) culturally acceptable
i) Ultimately helpful for Ayurvedic concepts.
6) in addition to regular ‘OPDS’ the student should have Bed side clinics to under
graduates, journal references, knowing procedure counseling of parents, information
regarding specialized care centers, genetic problems prevention, ethics in pediatric
psychological counseling for adolescents are few areas an Ayurvedic pediatrician can
supplement.
7) a case record of 15 patients out of which 5 are investigative important, 5 are diagnostic
important and 5 are therapeutically important has to be get submitted by student.
The ideal case paper should include
1) Built and nutrition
Posture
Growth
Development
General appearance
Facies
2) Regional examination
Head
Frontanelle
Fore head
Scalp
Scalp hair, scalp veins Ears
Nasolabial folds
Eyes
Mouth
Chin
Teeth
Gums palate mucous membrane odema nails
Neck skin and appendages
3) Lymphatic system
4) anthropometric data
5) nutritional assessment
6) vital signs
Pulse respiration inspection palpation auscultation respiratory, rhytum respiratory distress
blood pressure
7) ent ear, nose, nasal cavity, throat and tonsils
8) Systemic examination to be carried system wise enclosed for ideal case paper
system relevant
These are only outlines and sketch it does not mean it covered all required things, or does not
convey that post graduate student knowledge is not tangible.

Practical scheme
1) 6 months minimum exposure to N.I.C.U. for handling of instruments
2) Panchakarma Pratyakshik
3) 1 Month field exposure Immunization, Health Programmes, Survey.
4) 10 patient – counseling.
5) 30 Pages literary presentation.
6) 10 cases of clinical centre.
7) 10 cases of model case paper.
8) 30 lecturer to undergraduate students.
9) 30 Bed side clinics to undergraduate students.
10) 2 seminars / CME should be attended.
11) 2 Paper presentation at Seminar / Conference.