(Name of the College)

(Approved by –National Commission for Indian System of Medicines, New Delhi &

Maharashtra university of health science Nashik

DEPARTMENT OF SWASTHAVRITTA EVAM YOGA

Batch-

Certificate

This is to certify that, Mr. / Ms. , Enrollment Number-

has satisfactorily completed the course of activities in (Subject Name)

prescribed by the (Name of University) as a part of the Second Professional

B.A.M.S. Course.

Examination Seat No.:

Date of Examination-

Sign. Of Internal Examiner-

Sign. Of External Examiner-

Sign. of Teacher Sign. of H.O.D.

1
 Cover page

COLLEGE LOGO UNIVERSITY LOGO

MAHARASHTRA UNIVERSITY OF HEALTH SCIENCE NASHIK

NAME OF THE COLLEGE

DEPARTMENT OF SWASTHAVRITTA EVAM YOGA

RECORD BOOK I

Name of the student –

College name-

College roll no-

University roll no--

2
 INDEX

SR TOPIC NAME PAGE NO TEACHER

NO REMARK

1 DINNACHARYA

2 AHARA

3 YOGA

4 INTERNATIONAL DAY OF YOGA PROTOCOL

Note : Student can write practical record and activity book in the language that they select for university
theory exam.

3
 DINCHARYA
[Link]
Collect and Compare different Dantadhawana Churnas/ Tooth pastes available in the
market and choose/ advise the appropriate one based on the need.

Dravya (Tooth Composition Availability Picture

powder/paste/ local
preparation

Most appropriate Dravya for Dantdhavan –

4
 [Link] NIRLEKHANA
Collect and Compare different Jiwha Nirlekhana Yantra (Tongue cleaners) available in the
local area/ market and choose/advise the appropriate one for swastha

Name of the tongue Type of material used Picture

cleaner

Appropriate one for Swastha –

5
 3. KAVALA AND GANDUSHA

Collect different dravya/kashaya/mouthwashes available in the market for kavala and

gandusha; demonstrate the procedure of kavala and gandusha with appropriate liquids
/Dravyas for swastha

Name of the product mouth Composition Picture

wash/gargle available in
themarket

a. Demonstration of Kavala
Material required:
Description of different dravyas used for kavala with its
Procedure of Kavala (Paste the own action as per classics
picture)

6
 b-Demonstration of Gandusha

Materials required:

Description of different dravyas used for

Procedure of Gandusha gandusha with its action as per
(Paste the own picture)

7
 [Link]

Collect different types of Anjana (Collyriums) available in the market, Demonstrate Anjana
procedure as per local traditions and advise different types of Anjana for swastha.

Types of Anjana available in Medicinal purpose /Cosmetic Benefits

market purpose

Demonstration of Anjana (SOP-Standard Operating Procedure)

Materials required

Procedure (Paste Swastha Hitkara Anjana in Occupations/ conditions

with own picture): daily regime – indicated for Anjana

8
 5-NASYA
Demonstrate Pratimarsha Nasya with Anutaila and prescribe the appropriate taila for
Pratimarsha Nasya for swastha.

Materials required

Procedure of Mention Dravyas Benefits of Occupations/ conditions

Pratimarsha nasya ( used for Pratimarsha Nasya- indicated for
Paste own picture) pratimarsha nasya Pratimarsha nasya-

9
 [Link]
Demonstrate Prayogika Dhoomapana and advise prayogika dhoomapana dravya for
swastha.

Materials required for Prayigika dhumapana-

Procedure of Prayogika
dhumapana( Paste own Benefits Suggest materials used for
picture) Prayogika dhumapana

10
 7-ABHYANGA
Demonstrate the procedure of Abhyanga techniques self - padabhyanga , shiroabhyangaand
Karnapurana .
Materials required:

Benefits of
Procedure of Occupations/
Sarvang
Abhyanaga conditions where
Abhyanga,
abhyanga is
Shiro
essential-
Abhyanga,
Padabhyanga
and
Karnapurana

11
 8-UDWARTANA
Demonstrate the procedure of Udwartana techniques and
prescribe suitable dravya forUdwartana for Swastha

Materials required

Procedure of Udvartana Different types of Benefits

dravyas used in
Udwartana/Utsadana

12
 9-DINNACHARYA MODULE

Prescribe appropriate dinacharya module regarding ahara and vihara as per age and
occupation /activity for minimum 2 persons

A) case sheet

Name: Age: Sex:

Occupation: Daily travelling
hours
Mode of travelling:
Time of sleep:
Time of awakening -
Total hours of night sleep:
Quality of Sleep: Sound/ disturbed/ late sleep
Day sleeping: Yes/No
Prakriti –
Kshudha – Yes /No
Consumption of food – Due to hunger / As per time
Asatmya of specific food –
Food Timings –
Meals - Breakfast - Lunch - Evening food Dinner -
-
Timings
Foods often
consumed -

13
 Consumption of –
Present Absent
Abhishyandi (daily curd
/ fermented etc.)
Paryushit (stale food)
Adhyashan
Vishamashan
Samashan
Anashan
Viruddhashan

Any other specification regarding food habits –

Prescription/ Advice:
1. Ahara-

2. Vihara:
i) Dinacharya measures:

ii) Nidra:

Occupation/lifestyle advice

Signature of teacher

14
B) CASE SHEET

Name: Age: Sex:

Occupation: Daily travelling
hours
Mode of travelling:
Time of sleep:
Time of awakening -
Total hours of night sleep:
Quality of Sleep: Sound/ disturbed/ late sleep
Day sleeping: Yes/No
Prakriti –
Kshudha – Yes /No
Consumption of food – Due to hunger / As per time
Asatmya of specific food –

Food Timings –
Meals - Breakfast - Lunch - Evening food Dinner -
-
Timings
Foods often
consumed -

15
Consumption of –
Present Absent
Abhishyandi (daily curd
/ fermented etc.)
Paryushit (stale food)
Adhyashan
Vishamashan
Samashan
Anashan
Viruddhashan

Any other specification regarding food habits –

Prescription/ Advice:
3. Ahara-

4. Vihara:
i) Dinacharya measures:

ii) Nidra:

Occupation/lifestyle advice

Signature of teacher

16
 10- Healthy life style
Advise /counsel people regarding healthy lifestyle based on the Ayurvedic principles (onestudent
should counsel at least five persons and should be documented).

i)Case Sheet

Date:

Name: Age: Gender: M/F Occupation:

Address:
Chief Complaints (If Any)

History of present illness

History of Previous Illness:

Family/ heredity illness -

General Examination:
Wt. - kg. Ht. cm. BMI-

Samhanan- Hina/ Madhya/ uttam Sara: --

Agni: Manda/ tikshna/ vishama Koshtha: Mrudu/ Madhya/ Krura ú

Ashtavidha Parikshana

Nadi: B.P.-

Mutra pravritti- - Mala pravritti:

Jivha: Sama/ Niram Shabda-
Sparsha: Ushna/ shita -
Druk: Akruti: Sthula/Krusha/ Madhyam
Menstruation: Regular/Irregular, after every _ days,
Prakruti Assessment: Vata/Pitta/Kapha/vata-pitta/ pitta vata/ vata-kapha/kapha-vata/ pitta
kapha/kapha-
17
Information Regarding Dinacharya:
Time of sleep – Time of awakening -
Total hours of night sleep-
Quality of Sleep: Sound/ disturbed/ late sleep/ if disturbed cannot sleep again
Day sleeping: Yes/No

Vyayama -Exercise: Yes/No Type: and hours /Minutes Daily -

Yogasana: Yes/No, Pranayam: Yes/No
Type of Asanas Practicing: hours daily
Food: Vegetarian/ Non-Vegetarian
Tea/ Cofee /Milk: Yes/No, Time of consumption:
Kshudha: Yes/No /Sometimes Yes
Trishna (Thirst): Yes/No/ very less / excess
Food Timings –
Meals - Breakfast - Lunch - Evening Dinner -
snacks -
Timings
Foods often
consumed -
Consumption of –
Yes No
Abhishyandi (daily curd
/ fermented etc.)
Paryushit (stale food)
Adhyashan
Vishamashan
Samashan
Anashan
Viruddhashan

18
 Any other specification regarding food habits –
Water Intake: After getting up from sleep/ During meals/ after meals/ at bed
time
Total consumption in a day: litres a day
Fasting: Yes/No, times a month, Food Items
–

Addictions: Tobacco smoking/Tobacco chewing/ alcohol/ any other/

Screen Time: hours daily, Screen- TV/
mobile/ tab/laptop Vihara- Type of occupation: Intellectual/
Physical work

Natural Urges (Vega): Suppression: Yes/No, if Yes which vegas are suppressed:
symptoms, if any after suppression of the vega:

Mental Status (Mana swasthya): Stress- Yes/No, if Yes- family/ work/ any other
stress

Dharaniya vega udirana:

Yes/No, if Yes- kama/krodha/ moha/ lobha/ dvesha/ Any medication taking currently:

Yes/No, if Yes, name of the medicines

19
Advice:
Ahara (Diet):
Pathya/ Apathya (Mention food items, do’s and don’ts) -

Vihara: Vyayama/ Yoga (Specify-) –

Regarding Nidra:
Dinacharya Measure:
Anjana/Nasya/ Dhumapana/ Kavala/gandusha/ Abhyanga/ Vyayama/
Udvartana/ any other

For Mental Health:

Pranayam/ Stress counselling/ any therapy to be done:Yes/No, If Yes-
name of therapy: Shirodhara, Shiropichu, any other

Ritu Shodhana:
Yes/no, If Yes- Vamana/Virechana/ Basti/ Raktamokshana/Shirovirechana
Shamana:
Pacahana/ Dipana/ Vyayama/ Atap sevana/ Anila sevana/ Upawasa (Kshudha
rodha)/ Trishna rodha

Rasayana – Medhya/ Suvarna prashana/ vatatapika

Seasonal Advice:

Name of the Student Signature of the student

Signature of the Faulty

20
ii) CASE SHEET

Date:

Name: Age: Gender: M/F Occupation:

Address:
Chief Complaints (If Any)

History of present illness

History of Previous Illness:

Family/ heredity illness -

General Examination:
Wt. - kg. Ht. cm. BMI-

Samhanan- Hina/ Madhya/ uttam Sara: --

Agni: Manda/ tikshna/ vishama Koshtha: Mrudu/ Madhya/ Krura ú

Ashtavidha Parikshana

Nadi: B.P.-

Mutra pravritti- - Mala pravritti:

Jivha: Sama/ Niram Shabda-
Sparsha: Ushna/ shita -
Druk: Akruti: Sthula/Krusha/ Madhyam
Menstruation: Regular/Irregular, after every _ days,
Prakruti Assessment: Vata/Pitta/Kapha/vata-pitta/ pitta vata/ vata-kapha/kapha-vata/ pitta
kapha/kapha-

21
Information Regarding Dinacharya:
Time of sleep – Time of awakening -
Total hours of night sleep-
Quality of Sleep: Sound/ disturbed/ late sleep/ if disturbed cannot sleep again
Day sleeping: Yes/No

Vyayama -Exercise: Yes/No Type: and hours /Minutes Daily -

Yogasana: Yes/No, Pranayam: Yes/No
Type of Asanas Practicing: hours daily
Food: Vegetarian/ Non-Vegetarian
Tea/ Cofee /Milk: Yes/No, Time of consumption:
Kshudha: Yes/No /Sometimes Yes
Trishna (Thirst): Yes/No/ very less / excess
Food Timings –
Meals - Breakfast - Lunch - Evening Dinner -
snacks -
Timings
Foods often
consumed -
Consumption of –
Yes No
Abhishyandi (daily curd
/ fermented etc.)
Paryushit (stale food)
Adhyashan
Vishamashan
Samashan
Anashan
Viruddhashan

22
 Any other specification regarding food habits –
Water Intake: After getting up from sleep/ During meals/ after meals/ at bed
time
Total consumption in a day: litres a day
Fasting: Yes/No, times a month, Food Items
–

Addictions: Tobacco smoking/Tobacco chewing/ alcohol/ any other/

Screen Time: hours daily, Screen- TV/
mobile/ tab/laptop Vihara- Type of occupation: Intellectual/
Physical work

Natural Urges (Vega): Suppression: Yes/No, if Yes which vegas are suppressed:
symptoms, if any after suppression of the vega:

Mental Status (Mana swasthya): Stress- Yes/No, if Yes- family/ work/ any other
stress

Dharaniya vega udirana:

Yes/No, if Yes- kama/krodha/ moha/ lobha/ dvesha/ Any medication taking currently:

Yes/No, if Yes, name of the medicines

23
Advice:
Ahara (Diet):
Pathya/ Apathya (Mention food items, do’s and don’ts) -

Vihara: Vyayama/ Yoga (Specify-) –

Regarding Nidra:
Dinacharya Measure:
Anjana/Nasya/ Dhumapana/ Kavala/gandusha/ Abhyanga/ Vyayama/
Udvartana/ any other

For Mental Health:

Pranayam/ Stress counselling/ any therapy to be done:Yes/No, If Yes-
name of therapy: Shirodhara, Shiropichu, any other

Ritu Shodhana:
Yes/no, If Yes- Vamana/Virechana/ Basti/ Raktamokshana/Shirovirechana
Shamana:
Pacahana/ Dipana/ Vyayama/ Atap sevana/ Anila sevana/ Upawasa (Kshudha
rodha)/ Trishna rodha

Rasayana – Medhya/ Suvarna prashana/ vatatapika

Seasonal Advice:

Name of the Student Signature of the student

Signature of the Faulty

24
iii) CASE SHEET

Date:

Name: Age: Gender: M/F Occupation:

Address:
Chief Complaints (If Any)

History of present illness

History of Previous Illness:

Family/ heredity illness -

General Examination:
Wt. - kg. Ht. cm. BMI-

Samhanan- Hina/ Madhya/ uttam Sara: --

Agni: Manda/ tikshna/ vishama Koshtha: Mrudu/ Madhya/ Krura ú

Ashtavidha Parikshana

Nadi: B.P.-

Mutra pravritti- - Mala pravritti:

Jivha: Sama/ Niram Shabda-
Sparsha: Ushna/ shita -
Druk: Akruti: Sthula/Krusha/ Madhyam
Menstruation: Regular/Irregular, after every _ days,
Prakruti Assessment: Vata/Pitta/Kapha/vata-pitta/ pitta vata/ vata-kapha/kapha-vata/ pitta
kapha/kapha-

25
Information Regarding Dinacharya:
Time of sleep – Time of awakening -
Total hours of night sleep-
Quality of Sleep: Sound/ disturbed/ late sleep/ if disturbed cannot sleep again
Day sleeping: Yes/No

Vyayama -Exercise: Yes/No Type: and hours /Minutes Daily -

Yogasana: Yes/No, Pranayam: Yes/No
Type of Asanas Practicing: hours daily
Food: Vegetarian/ Non-Vegetarian
Tea/ Cofee /Milk: Yes/No, Time of consumption:
Kshudha: Yes/No /Sometimes Yes
Trishna (Thirst): Yes/No/ very less / excess
Food Timings –
Meals - Breakfast - Lunch - Evening Dinner -
snacks -
Timings
Foods often
consumed -
Consumption of –
Yes No
Abhishyandi (daily curd
/ fermented etc.)
Paryushit (stale food)
Adhyashan
Vishamashan
Samashan
Anashan
Viruddhashan

26
 Any other specification regarding food habits –
Water Intake: After getting up from sleep/ During meals/ after meals/ at bed
time
Total consumption in a day: litres a day
Fasting: Yes/No, times a month, Food Items
–

Addictions: Tobacco smoking/Tobacco chewing/ alcohol/ any other/

Screen Time: hours daily, Screen- TV/
mobile/ tab/laptop Vihara- Type of occupation: Intellectual/
Physical work

Natural Urges (Vega): Suppression: Yes/No, if Yes which vegas are suppressed:
symptoms, if any after suppression of the vega:

Mental Status (Mana swasthya): Stress- Yes/No, if Yes- family/ work/ any other
stress

Dharaniya vega udirana:

Yes/No, if Yes- kama/krodha/ moha/ lobha/ dvesha/ Any medication taking currently:

Yes/No, if Yes, name of the medicines

27
Advice:
Ahara (Diet):
Pathya/ Apathya (Mention food items, do’s and don’ts) -

Vihara: Vyayama/ Yoga (Specify-) –

Regarding Nidra:
Dinacharya Measure:
Anjana/Nasya/ Dhumapana/ Kavala/gandusha/ Abhyanga/ Vyayama/
Udvartana/ any other

For Mental Health:

Pranayam/ Stress counselling/ any therapy to be done:Yes/No, If Yes-
name of therapy: Shirodhara, Shiropichu, any other

Ritu Shodhana:
Yes/no, If Yes- Vamana/Virechana/ Basti/ Raktamokshana/Shirovirechana
Shamana:
Pacahana/ Dipana/ Vyayama/ Atap sevana/ Anila sevana/ Upawasa (Kshudha
rodha)/ Trishna rodha

Rasayana – Medhya/ Suvarna prashana/ vatatapika

Seasonal Advice:

Name of the Student Signature of the student

Signature of the Faulty

28
iv) CASE SHEET

Date:

Name: Age: Gender: M/F Occupation:

Address:
Chief Complaints (If Any)

History of present illness

History of Previous Illness:

Family/ heredity illness -

General Examination:
Wt. - kg. Ht. cm. BMI-

Samhanan- Hina/ Madhya/ uttam Sara: --

Agni: Manda/ tikshna/ vishama Koshtha: Mrudu/ Madhya/ Krura ú

Ashtavidha Parikshana

Nadi: B.P.-

Mutra pravritti- - Mala pravritti:

Jivha: Sama/ Niram Shabda-
Sparsha: Ushna/ shita -
Druk: Akruti: Sthula/Krusha/ Madhyam
Menstruation: Regular/Irregular, after every _ days,
Prakruti Assessment: Vata/Pitta/Kapha/vata-pitta/ pitta vata/ vata-kapha/kapha-vata/ pitta
kapha/kapha-

29
Information Regarding Dinacharya:
Time of sleep – Time of awakening -
Total hours of night sleep-
Quality of Sleep: Sound/ disturbed/ late sleep/ if disturbed cannot sleep again
Day sleeping: Yes/No

Vyayama -Exercise: Yes/No Type: and hours /Minutes Daily -

Yogasana: Yes/No, Pranayam: Yes/No
Type of Asanas Practicing: hours daily
Food: Vegetarian/ Non-Vegetarian
Tea/ Cofee /Milk: Yes/No, Time of consumption:
Kshudha: Yes/No /Sometimes Yes
Trishna (Thirst): Yes/No/ very less / excess
Food Timings –
Meals - Breakfast - Lunch - Evening Dinner -
snacks -
Timings
Foods often
consumed -
Consumption of –
Yes No
Abhishyandi (daily curd
/ fermented etc.)
Paryushit (stale food)
Adhyashan
Vishamashan
Samashan
Anashan
Viruddhashan

30
 Any other specification regarding food habits –
Water Intake: After getting up from sleep/ During meals/ after meals/ at bed
time
Total consumption in a day: litres a day
Fasting: Yes/No, times a month, Food Items
–

Addictions: Tobacco smoking/Tobacco chewing/ alcohol/ any other/

Screen Time: hours daily, Screen- TV/
mobile/ tab/laptop Vihara- Type of occupation: Intellectual/
Physical work

Natural Urges (Vega): Suppression: Yes/No, if Yes which vegas are suppressed:
symptoms, if any after suppression of the vega:

Mental Status (Mana swasthya): Stress- Yes/No, if Yes- family/ work/ any other
stress

Dharaniya vega udirana:

Yes/No, if Yes- kama/krodha/ moha/ lobha/ dvesha/ Any medication taking currently:

Yes/No, if Yes, name of the medicines

31
Advice:
Ahara (Diet):
Pathya/ Apathya (Mention food items, do’s and don’ts) -

Vihara: Vyayama/ Yoga (Specify-) –

Regarding Nidra:
Dinacharya Measure:
Anjana/Nasya/ Dhumapana/ Kavala/gandusha/ Abhyanga/ Vyayama/
Udvartana/ any other

For Mental Health:

Pranayam/ Stress counselling/ any therapy to be done:Yes/No, If Yes-
name of therapy: Shirodhara, Shiropichu, any other

Ritu Shodhana:
Yes/no, If Yes- Vamana/Virechana/ Basti/ Raktamokshana/Shirovirechana
Shamana:
Pacahana/ Dipana/ Vyayama/ Atap sevana/ Anila sevana/ Upawasa (Kshudha
rodha)/ Trishna rodha

Rasayana – Medhya/ Suvarna prashana/ vatatapika

Seasonal Advice:

Name of the Student Signature of the student

Signature of the Faulty

32
v) CASE SHEET

Date:

Name: Age: Gender: M/F Occupation:

Address:
Chief Complaints (If Any)

History of present illness

History of Previous Illness:

Family/ heredity illness -

General Examination:
Wt. - kg. Ht. cm. BMI-

Samhanan- Hina/ Madhya/ uttam Sara: --

Agni: Manda/ tikshna/ vishama Koshtha: Mrudu/ Madhya/ Krura ú

Ashtavidha Parikshana

Nadi: B.P.-

Mutra pravritti- - Mala pravritti:

Jivha: Sama/ Niram Shabda-
Sparsha: Ushna/ shita -
Druk: Akruti: Sthula/Krusha/ Madhyam
Menstruation: Regular/Irregular, after every _ days,
Prakruti Assessment: Vata/Pitta/Kapha/vata-pitta/ pitta vata/ vata-kapha/kapha-vata/ pitta
kapha/kapha-

33
Information Regarding Dinacharya:
Time of sleep – Time of
awakening -Total hours of night sleep-
Quality of Sleep: Sound/ disturbed/ late sleep/ if disturbed cannot sleep
againDay sleeping: Yes/No

Vyayama -Exercise: Yes/No Type: and hours /Minutes Daily -

Yogasana: Yes/No, Pranayam: Yes/No
Type of Asanas Practicing:
hours daily
Food: Vegetarian/ Non-Vegetarian
Tea/ Cofee /Milk: Yes/No, Time of consumption:
Kshudha: Yes/No /Sometimes Yes
Trishna (Thirst): Yes/No/ very less /
excess Food Timings –
Meals - Breakfast - Lunch - Evening Dinner -
snacks -
Timings
Foods often
consumed -
Consumption of –
Yes No
Abhishyandi (daily curd
/ fermented etc.)
Paryushit (stale food)
Adhyashan
Vishamashan
Samashan
Anashan
Viruddhashan

34
 Any other specification regarding food habits –
Water Intake: After getting up from sleep/ During meals/ after meals/ at
bedtime
Total consumption in a day: litres a
day Fasting: Yes/No, times a month, Food
Items –

Addictions: Tobacco smoking/Tobacco chewing/ alcohol/ any

other/Screen Time: hours daily, Screen- TV/
mobile/ tab/laptop Vihara- Type of occupation: Intellectual/
Physical work

Natural Urges (Vega): Suppression: Yes/No, if Yes which vegas are suppressed:
symptoms, if any after suppression of the vega:

Mental Status (Mana swasthya): Stress- Yes/No, if Yes- family/ work/ any
otherstress

Dharaniya vega udirana:

Yes/No, if Yes- kama/krodha/ moha/ lobha/ dvesha/ Any medication taking currently:

Yes/No, if Yes, name of the medicines

35
Advice:
Ahara (Diet):
Pathya/ Apathya (Mention food items, do’s and don’ts) -

Vihara: Vyayama/ Yoga (Specify-) –

Regarding Nidra:
Dinacharya Measure:
Anjana/Nasya/ Dhumapana/ Kavala/gandusha/ Abhyanga/ Vyayama/
Udvartana/ any other

For Mental Health:

Pranayam/ Stress counselling/ any therapy to be done:Yes/No, If
Yes- name of therapy: Shirodhara, Shiropichu, any other

Ritu Shodhana:
Yes/no, If Yes- Vamana/Virechana/ Basti/ Raktamokshana/Shirovirechana
Shamana:
Pacahana/ Dipana/ Vyayama/ Atap sevana/ Anila sevana/ Upawasa
(Kshudha rodha)/ Trishna rodha

Rasayana – Medhya/ Suvarna prashana/

vatatapika
Seasonal Advice:

Name of the Student Signature of the

student

Signature of the Faulty

36
 AHARA

1 Collection, compilation and documentation of region wise different varieties

of AharaVarga (Millets, cereals, pulses, vegetables, varieties of milk/oil/honey/
available in the market). (Minimum of 20 food stuffs can be written)

A)

SL NO PARTICULARS DETAILS

1 Name of the Ahara Dravya

(food stuff)

2 Classification as
per Ayurveda and
contemporary
science

3 Brief description about the

food stuff

4 Ayurveda Guna Karma

analysis

37
5 Nutritional analysis

6 Currently practiced
preparations

7 Other observations (
usage, quantity of
consumption etc

11 Photograph of the food Attach a snap or mention Google drive link.

stuff

Signature of teacher

38
B)

SL NO PARTICULARS DETAILS

1 Name of the Ahara Dravya

(food stuff)

2 Classification as
per Ayurveda and
contemporary
science

3 Brief description about the

food stuff

4 Ayurveda Guna Karma

analysis

5 Nutritional analysis

39
6 Currently practiced
preparations

7 Other observations (
usage, quantity of
consumption etc

11 Photograph of the food Attach a snap or mention Google drive link.

stuff

Signature of teacher

40
C)

SL NO PARTICULARS DETAILS

1 Name of the Ahara Dravya

(food stuff)

2 Classification as
per Ayurveda and
contemporary
science

3 Brief description about the

food stuff

4 Ayurveda Guna Karma

analysis

5 Nutritional analysis

41
6 Currently practiced
preparations

7 Other observations (
usage, quantity of
consumption etc

11 Photograph of the food Attach a snap or mention Google drive link.

stuff

Signature of teacher

42
D)

SL NO PARTICULARS DETAILS

1 Name of the Ahara Dravya

(food stuff)

2 Classification as
per Ayurveda and
contemporary
science

3 Brief description about the

food stuff

4 Ayurveda Guna Karma

analysis

43
5 Nutritional analysis

6 Currently practiced
preparations

7 Other observations (
usage, quantity of
consumption etc

11 Photograph of the food Attach a snap or mention Google drive link.

stuff

Signature of teacher

44
E)

SL NO PARTICULARS DETAILS

1 Name of the Ahara Dravya

(food stuff)

2 Classification as
per Ayurveda and
contemporary
science

3 Brief description about the

food stuff

4 Ayurveda Guna Karma

analysis

45
5 Nutritional analysis

6 Currently practiced
preparations

7 Other observations (
usage, quantity of
consumption etc

11 Photograph of the food Attach a snap or mention Google drive link.

stuff

46
 Signature of teacher

F)

SL NO PARTICULARS DETAILS

1 Name of the Ahara Dravya

(food stuff)

2 Classification as
per Ayurveda and
contemporary
science

3 Brief description about the

food stuff

4 Ayurveda Guna Karma

analysis

47
5 Nutritional analysis

6 Currently practiced
preparations

7 Other observations (
usage, quantity of
consumption etc

11 Photograph of the food Attach a snap or mention Google drive link.

stuff

48
 Signature of teacher

G)

SL NO PARTICULARS DETAILS

1 Name of the Ahara Dravya

(food stuff)

2 Classification as
per Ayurveda and
contemporary
science

3 Brief description about the

food stuff

4 Ayurveda Guna Karma

analysis

49
5 Nutritional analysis

6 Currently practiced
preparations

7 Other observations (
usage, quantity of
consumption etc

11 Photograph of the food Attach a snap or mention Google drive link.

stuff

50
 Signature of teacher

H)

SL NO PARTICULARS DETAILS

1 Name of the Ahara Dravya

(food stuff)

2 Classification as
per Ayurveda and
contemporary
science

3 Brief description about the

food stuff

4 Ayurveda Guna Karma

analysis

51
5 Nutritional analysis

6 Currently practiced
preparations

7 Other observations (
usage, quantity of
consumption etc

11 Photograph of the food Attach a snap or mention Google drive link.

stuff

52
 Signature of teacher

I)

SL NO PARTICULARS DETAILS

1 Name of the Ahara Dravya

(food stuff)

2 Classification as
per Ayurveda and
contemporary
science

3 Brief description about the

food stuff

4 Ayurveda Guna Karma

analysis

53
5 Nutritional analysis

6 Currently practiced
preparations

7 Other observations (
usage, quantity of
consumption etc

11 Photograph of the food Attach a snap or mention Google drive link.

stuff

54
 Signature of teacher

J)

SL NO PARTICULARS DETAILS

1 Name of the Ahara Dravya

(food stuff)

2 Classification as
per Ayurveda and
contemporary
science

3 Brief description about the

food stuff

4 Ayurveda Guna Karma

analysis

55
5 Nutritional analysis

6 Currently practiced
preparations

7 Other observations (
usage, quantity of
consumption etc

11 Photograph of the food Attach a snap or mention Google drive link.

stuff

56
 Signature of teacher

K)

SL NO PARTICULARS DETAILS

1 Name of the Ahara Dravya

(food stuff)

2 Classification as
per Ayurveda and
contemporary
science

3 Brief description about the

food stuff

57
4 Ayurveda Guna Karma
analysis

5 Nutritional analysis

6 Currently practiced
preparations

7 Other observations (
usage, quantity of
consumption etc

11 Photograph of the food Attach a snap or mention Google drive link.

stuff

58
 Signature of teacher

L)

SL NO PARTICULARS DETAILS

1 Name of the Ahara Dravya

(food stuff)

2 Classification as
per Ayurveda and
contemporary
science

3 Brief description about the

food stuff

59
4 Ayurveda Guna Karma
analysis

5 Nutritional analysis

6 Currently practiced
preparations

7 Other observations (
usage, quantity of
consumption etc

11 Photograph of the food Attach a snap or mention Google drive link.

stuff

60
 Signature of teacher

M)

SL NO PARTICULARS DETAILS

1 Name of the Ahara Dravya

(food stuff)

2 Classification as
per Ayurveda and
contemporary
science

3 Brief description about the

food stuff

61
4 Ayurveda Guna Karma
analysis

5 Nutritional analysis

6 Currently practiced
preparations

7 Other observations (
usage, quantity of
consumption etc

11 Photograph of the food Attach a snap or mention Google drive link.

stuff

62
 Signature of teacher

N)

SL NO PARTICULARS DETAILS

1 Name of the Ahara Dravya

(food stuff)

2 Classification as
per Ayurveda and
contemporary
science

3 Brief description about the

food stuff

63
4 Ayurveda Guna Karma
analysis

5 Nutritional analysis

6 Currently practiced
preparations

7 Other observations (
usage, quantity of
consumption etc

11 Photograph of the food Attach a snap or mention Google drive link.

stuff

64
 Signature of teacher

O)

SL NO PARTICULARS DETAILS

1 Name of the Ahara Dravya

(food stuff)

2 Classification as
per Ayurveda and
contemporary
science

3 Brief description about the

food stuff

65
4 Ayurveda Guna Karma
analysis

5 Nutritional analysis

6 Currently practiced
preparations

7 Other observations (
usage, quantity of
consumption etc

11 Photograph of the food Attach a snap or mention Google drive link.

stuff

66
 Signature of teacher

P)

SL NO PARTICULARS DETAILS

1 Name of the Ahara Dravya

(food stuff)

2 Classification as
per Ayurveda and
contemporary
science

3 Brief description about the

food stuff

67
4 Ayurveda Guna Karma
analysis

5 Nutritional analysis

6 Currently practiced
preparations

7 Other observations (
usage, quantity of
consumption etc

11 Photograph of the food Attach a snap or mention Google drive link.

stuff

68
 Signature of teacher

Q)

SL NO PARTICULARS DETAILS

1 Name of the Ahara Dravya

(food stuff)

Classification as
per Ayurveda and
contemporary
science

3 Brief description about the

food stuff

69
4 Ayurveda Guna Karma
analysis

5 Nutritional analysis

6 Currently practiced
preparations

7 Other observations (
usage, quantity of
consumption etc

11 Photograph of the food Attach a snap or mention Google drive link.

stuff

70
 Signature of teacher

R)

SL NO PARTICULARS DETAILS

1 Name of the Ahara Dravya

(food stuff)

2 Classification as
per Ayurveda and
contemporary
science

3 Brief description about the

food stuff

71
4 Ayurveda Guna Karma
analysis

5 Nutritional analysis

6 Currently practiced
preparations

7 Other observations (
usage, quantity of
consumption etc

11 Photograph of the food Attach a snap or mention Google drive link.

stuff

72
 Signature of teacher

S)

SL NO PARTICULARS DETAILS

1 Name of the Ahara Dravya

(food stuff)

2 Classification as
per Ayurveda and
contemporary
science

3 Brief description about the

food stuff

73
4 Ayurveda Guna Karma
analysis

5 Nutritional analysis

6 Currently practiced
preparations

7 Other observations (
usage, quantity of
consumption etc

11 Photograph of the food Attach a snap or mention Google drive link.

stuff

74
 Signature of teacher

T)

SL NO PARTICULARS DETAILS

1 Name of the Ahara Dravya

(food stuff)

2 Classification as
per Ayurveda and
contemporary
science

3 Brief description about the

food stuff

75
4 Ayurveda Guna Karma
analysis

5 Nutritional analysis

6 Currently practiced
preparations

7 Other observations (
usage, quantity of
consumption etc

11 Photograph of the food Attach a snap or mention Google drive link.

stuff

76
 Signature of teacher

2-PREPARATION OF RECIPE
Preparation of the recipes as per SOPs and demonstrating their therapeutic indication andnutritive values. a.
Manda b. Peya c. Vilepi [Link] [Link] f. Krishara [Link] [Link] (Minimum of 10 preparations
1)

SL NO PARTICULARS DETAILS

1 Name of the recipe

2 Brief description about the food stuff

3 Ingredients required

4 SOP of preparation

5 Ayurveda Guna Karma analysis

6 Nutritional analysis

77
7 Therapeutic indications and dosage

8 Other observations ( usage, quantity of

consumption etc)

9 Photograph of the food stuff Attach a snap or mention Google drive link
of preparation video.

Signature of teacher

78
2)
SL NO PARTICULARS DETAILS

1 Name of the recipe

79
2 Brief description about the food stuff

3 Ingredients required

4 SOP of preparation

5 Ayurveda Guna Karma analysis

6 Nutritional analysis

7 Therapeutic indications and dosage

8 Other observations ( usage, quantity of

consumption etc)

9 Photograph of the food stuff Attach a snap or mention Google drive link
of preparation video.

Signature of teacher

80
3)

81
SL NO PARTICULARS DETAILS

1 Name of the recipe

2 Brief description about the food stuff

3 Ingredients required

4 SOP of preparation

5 Ayurveda Guna Karma analysis

6 Nutritional analysis

7 Therapeutic indications and dosage

8 Other observations ( usage, quantity of

consumption etc)

9 Photograph of the food stuff Attach a snap or mention Google drive link
of preparation video.

Signature of teacher

82
4)

83
SL NO PARTICULARS DETAILS

1 Name of the recipe

2 Brief description about the food stuff

3 Ingredients required

4 SOP of preparation

5 Ayurveda Guna Karma analysis

6 Nutritional analysis

7 Therapeutic indications and dosage

8 Other observations ( usage, quantity of

consumption etc)

9 Photograph of the food stuff Attach a snap or mention Google drive link
of preparation video.

Signature of teacher

84
5)

85
SL NO PARTICULARS DETAILS

1 Name of the recipe

2 Brief description about the food stuff

3 Ingredients required

4 SOP of preparation

5 Ayurveda Guna Karma analysis

6 Nutritional analysis

7 Therapeutic indications and dosage

8 Other observations ( usage, quantity of

consumption etc)

9 Photograph of the food stuff Attach a snap or mention Google drive link
of preparation video.

Signature of teacher

86
6)

87
SL NO PARTICULARS DETAILS

1 Name of the recipe

2 Brief description about the food stuff

3 Ingredients required

4 SOP of preparation

5 Ayurveda Guna Karma analysis

6 Nutritional analysis

7 Therapeutic indications and dosage

8 Other observations ( usage, quantity of

consumption etc)

9 Photograph of the food stuff Attach a snap or mention Google drive link
of preparation video.

Signature of teacher

88
7)

89
SL NO PARTICULARS DETAILS

1 Name of the recipe

2 Brief description about the food stuff

3 Ingredients required

4 SOP of preparation

5 Ayurveda Guna Karma analysis

6 Nutritional analysis

7 Therapeutic indications and dosage

8 Other observations ( usage, quantity of

consumption etc)

9 Photograph of the food stuff Attach a snap or mention Google drive link
of preparation video.

Signature of teacher

90
8)

91
SL NO PARTICULARS DETAILS

1 Name of the recipe

2 Brief description about the food stuff

3 Ingredients required

4 SOP of preparation

5 Ayurveda Guna Karma analysis

6 Nutritional analysis

7 Therapeutic indications and dosage

8 Other observations ( usage, quantity of

consumption etc)

9 Photograph of the food stuff Attach a snap or mention Google drive link
of preparation video.

Signature of teacher

92
93
9)

SL NO PARTICULARS DETAILS

1 Name of the recipe

2 Brief description about the food stuff

3 Ingredients required

4 SOP of preparation

5 Ayurveda Guna Karma analysis

6 Nutritional analysis

7 Therapeutic indications and dosage

8 Other observations ( usage, quantity of

consumption etc)

9 Photograph of the food stuff Attach a snap or mention Google drive link
of preparation video.

Signature of teacher

94
95
10)

SL NO PARTICULARS DETAILS

1 Name of the recipe

2 Brief description about the food stuff

3 Ingredients required

4 SOP of preparation

5 Ayurveda Guna Karma analysis

6 Nutritional analysis

7 Therapeutic indications and dosage

8 Other observations ( usage, quantity of

consumption etc)

9 Photograph of the food stuff Attach a snap or mention Google drive link
of preparation video.

Signature of teacher

96
3)DIET COUNSELLING(10 case paper)
97
 1. CASE PAPER

Name of the patient: OPD/IPD No:

Age/Sex:

ReferI ing consultant:

Diagnosis:

Date:

Occupation

Anthropometric measurements:

Ht: Weight:
BMI: IBW

Prakriti: VP / PK / KV

Diet History:
Particulars

Type of Diet Vegetarian Ova –vegetarian Mixed Others

Habituated Food Daily Weekly Fortnightly Monthly

items

Ex: Pickle/
papad/chats/outside
foods/ beverages
etc.

Timing of Regular Irregular Occasionally

Consumption Irregular

Practice of viruddha Regular practice Occasional

ahara practice

Nutritional High Calorie Diet Low Protein Diet High protein diet Bland diet
Evaluation

Nature of Food Vataja ahara Pittaja ahara Kaphaja ahara Combined

consumed

Therapeutic Diet advices:

98
 Particulars

Nature of
DietAdvised

Specific Cereals Rice/ Boiled rice/Jowar/Wheat/ / Others -

Specific millets Ragi/ Navane/ Saame/ Sajje/ harka/ Koral/ oodalu/ Baragu

Specific Pulses Green Gram/ Toor dal/ Black gram/lentils Horsegram/ Soyabean/others

Specific oil Olive/ Sunflower/ Safflower/ mustard / sesame/ groundnut

Specific All leafy vegetablesIn

Vegetable,
specific:
Rootsand tubers

Specific fruits All fruits

Milk and its Skimmed milk/ Buttermilk/ Curds/ Cheese/ Butter/ ghee/paneer
bi-products

Non-veg Egg/ Fish/ Chicken/ Red meat/ prawn/ pork/ beef

Dietetic advice
Particulars Modification Advises

1 Diet pattern – vegetarian

/nonveg/vegan/ovovegetarian

2 Timings of food intake - Morning

drink/Breakfast/midday
snacking/lunch/high tea/dinner

3 Food quantity and quality analysis

4 Nutritional analysis of food in all serving

time

Formulated diet plan

99
 Timing +/_ Food items with serving size Therapeutic peya advised
15 min
Morning drink 6am

Breakfast 8.30am

Lunch 1.30pm

Evening high 5pm

tea time

Dinner 8pm

Signature of teacher
2. CASE PAPER
100
 Name of the patient: OPD/IPD No:
Age/Sex:

ReferI ing consultant:

Diagnosis:

Date:

Occupation

Anthropometric measurements:

Ht: Weight:
BMI: IBW

Prakriti: VP / PK / KV

Diet History:
Particulars

Type of Diet Vegetarian Ova –vegetarian Mixed Others

Habituated Food Daily Weekly Fortnightly Monthly

items
Ex: Pickle/
papad/chats/outside
foods/ beverages
etc.

Timing of Regular Irregular Occasionally

Consumption Irregular

Practice of viruddha Regular practice Occasional

ahara practice

Nutritional High Calorie Diet Low Protein Diet High protein diet Bland diet
Evaluation

Nature of Food Vataja ahara Pittaja ahara Kaphaja ahara Combined

consumed

Therapeutic Diet advices:

101
 Particulars

Nature of
DietAdvised

Specific Cereals Rice/ Boiled rice/Jowar/Wheat/ / Others -

Specific millets Ragi/ Navane/ Saame/ Sajje/ harka/ Koral/ oodalu/ Baragu

Specific Pulses Green Gram/ Toor dal/ Black gram/lentils Horsegram/ Soyabean/others

Specific oil Olive/ Sunflower/ Safflower/ mustard / sesame/ groundnut

Specific All leafy vegetablesIn

Vegetable,
specific:
Rootsand tubers

Specific fruits All fruits

Milk and its Skimmed milk/ Buttermilk/ Curds/ Cheese/ Butter/ ghee/paneer
bi-products

Non-veg Egg/ Fish/ Chicken/ Red meat/ prawn/ pork/ beef

Dietetic advice
Particulars Modification Advises

1 Diet pattern – vegetarian

/nonveg/vegan/ovovegetarian

2 Timings of food intake - Morning

drink/Breakfast/midday
snacking/lunch/high tea/dinner

3 Food quantity and quality analysis

4 Nutritional analysis of food in all serving

time

Formulated diet plan

102
 Timing Food items with serving size Therapeutic peya advised
+/_ 15
min
Morning 6am
drink

Breakfast 8.30am

Lunch 1.30pm

Evening 5pm
high tea
time

Dinner 8pm

Signature of teacher
3. CASE PAPER

103
 Name of the patient: OPD/IPD No:
Age/Sex:

ReferI ing consultant:

Diagnosis:

Date:

Occupation

Anthropometric measurements:

Ht: Weight:
BMI: IBW

Prakriti: VP / PK / KV

Diet History:
Particulars

Type of Diet Vegetarian Ova –vegetarian Mixed Others

Habituated Food Daily Weekly Fortnightly Monthly

items
Ex: Pickle/
papad/chats/outside
foods/ beverages
etc.

Timing of Regular Irregular Occasionally

Consumption Irregular

Practice of viruddha Regular practice Occasional

ahara practice

Nutritional High Calorie Diet Low Protein Diet High protein diet Bland diet
Evaluation

Nature of Food Vataja ahara Pittaja ahara Kaphaja ahara Combined

consumed

Therapeutic Diet advices:

104
 Particulars

Nature of
DietAdvised

Specific Cereals Rice/ Boiled rice/Jowar/Wheat/ / Others -

Specific millets Ragi/ Navane/ Saame/ Sajje/ harka/ Koral/ oodalu/ Baragu

Specific Pulses Green Gram/ Toor dal/ Black gram/lentils Horsegram/ Soyabean/others

Specific oil Olive/ Sunflower/ Safflower/ mustard / sesame/ groundnut

Specific All leafy vegetablesIn

Vegetable,
specific:
Rootsand tubers

Specific fruits All fruits

Milk and its Skimmed milk/ Buttermilk/ Curds/ Cheese/ Butter/ ghee/paneer
bi-products

Non-veg Egg/ Fish/ Chicken/ Red meat/ prawn/ pork/ beef

Dietetic advice
Particulars Modification Advises

1 Diet pattern – vegetarian

/nonveg/vegan/ovovegetarian

2 Timings of food intake - Morning

drink/Breakfast/midday
snacking/lunch/high tea/dinner

3 Food quantity and quality analysis

4 Nutritional analysis of food in all serving

time

Formulated diet plan

105
 Timing Food items with serving size Therapeutic peya advised
+/_ 15 min
Morning 6am
drink

Breakfast 8.30am

Lunch 1.30pm

Evening high 5pm

tea time

Dinner 8pm

Signature of teacher

106
 4. CASE PAPER

Name of the patient: OPD/IPD No:

Age/Sex:

ReferI ing consultant:

Diagnosis:

Date:

Occupation

Anthropometric measurements:

Ht: Weight:
BMI: IBW

Prakriti: VP / PK / KV

Diet History:
Particulars

Type of Diet Vegetarian Ova –vegetarian Mixed Others

Habituated Food Daily Weekly Fortnightly Monthly

items

Ex: Pickle/
papad/chats/outside
foods/ beverages
etc.

Timing of Regular Irregular Occasionally

Consumption Irregular

Practice of viruddha Regular practice Occasional

ahara practice

Nutritional High Calorie Diet Low Protein Diet High protein diet Bland diet
Evaluation

Nature of Food Vataja ahara Pittaja ahara Kaphaja ahara Combined

consumed

Therapeutic Diet advices:

107
 Particulars

Nature of
DietAdvised

Specific Cereals Rice/ Boiled rice/Jowar/Wheat/ / Others -

Specific millets Ragi/ Navane/ Saame/ Sajje/ harka/ Koral/ oodalu/ Baragu

Specific Pulses Green Gram/ Toor dal/ Black gram/lentils Horsegram/ Soyabean/others

Specific oil Olive/ Sunflower/ Safflower/ mustard / sesame/ groundnut

Specific All leafy vegetablesIn

Vegetable,
specific:
Rootsand tubers

Specific fruits All fruits

Milk and its Skimmed milk/ Buttermilk/ Curds/ Cheese/ Butter/ ghee/paneer
bi-products

Non-veg Egg/ Fish/ Chicken/ Red meat/ prawn/ pork/ beef

Dietetic advice
Particulars Modification Advises

1 Diet pattern – vegetarian

/nonveg/vegan/ovovegetarian

2 Timings of food intake - Morning

drink/Breakfast/midday
snacking/lunch/high tea/dinner

3 Food quantity and quality analysis

4 Nutritional analysis of food in all serving

time

Formulated diet plan

108
 Timing Food items with serving size Therapeutic peya advised
+/_ 15 min
Morning drink 6am

Breakfast 8.30am

Lunch 1.30pm

Evening high 5pm

tea time

Dinner 8pm

Signature of teacher
5. CASE PAPER
109
 Name of the patient: OPD/IPD No:
Age/Sex:

ReferI ing consultant:

Diagnosis:

Date:

Occupation

Anthropometric measurements:

Ht: Weight:
BMI: IBW

Prakriti: VP / PK / KV

Diet History:
Particulars

Type of Diet Vegetarian Ova –vegetarian Mixed Others

Habituated Food Daily Weekly Fortnightly Monthly

items
Ex: Pickle/
papad/chats/outside
foods/ beverages
etc.

Timing of Regular Irregular Occasionally

Consumption Irregular

Practice of viruddha Regular practice Occasional

ahara practice

Nutritional High Calorie Diet Low Protein Diet High protein diet Bland diet
Evaluation

Nature of Food Vataja ahara Pittaja ahara Kaphaja ahara Combined

consumed

Therapeutic Diet advices:

110
 Particulars

Nature of
DietAdvised

Specific Cereals Rice/ Boiled rice/Jowar/Wheat/ / Others -

Specific millets Ragi/ Navane/ Saame/ Sajje/ harka/ Koral/ oodalu/ Baragu

Specific Pulses Green Gram/ Toor dal/ Black gram/lentils Horsegram/ Soyabean/others

Specific oil Olive/ Sunflower/ Safflower/ mustard / sesame/ groundnut

Specific All leafy vegetablesIn

Vegetable,
specific:
Rootsand tubers

Specific fruits All fruits

Milk and its Skimmed milk/ Buttermilk/ Curds/ Cheese/ Butter/ ghee/paneer
bi-products

Non-veg Egg/ Fish/ Chicken/ Red meat/ prawn/ pork/ beef

Dietetic advice
Particulars Modification Advises

1 Diet pattern – vegetarian

/nonveg/vegan/ovovegetarian

2 Timings of food intake - Morning

drink/Breakfast/midday
snacking/lunch/high tea/dinner

3 Food quantity and quality analysis

4 Nutritional analysis of food in all serving

time

Formulated diet plan

111
 Timing Food items with serving size Therapeutic peya advised
+/_ 15
min
Morning 6am
drink

Breakfast 8.30am

Lunch 1.30pm

Evening 5pm
high tea
time

Dinner 8pm

Signature of teacher
6. CASE PAPER

112
 Name of the patient: OPD/IPD No:
Age/Sex:

ReferI ing consultant:

Diagnosis:

Date:

Occupation

Anthropometric measurements:

Ht: Weight:
BMI: IBW

Prakriti: VP / PK / KV

Diet History:
Particulars

Type of Diet Vegetarian Ova –vegetarian Mixed Others

Habituated Food Daily Weekly Fortnightly Monthly

items
Ex: Pickle/
papad/chats/outside
foods/ beverages
etc.

Timing of Regular Irregular Occasionally

Consumption Irregular

Practice of viruddha Regular practice Occasional

ahara practice

Nutritional High Calorie Diet Low Protein Diet High protein diet Bland diet
Evaluation

Nature of Food Vataja ahara Pittaja ahara Kaphaja ahara Combined

consumed

Therapeutic Diet advices:

113
 Particulars

Nature of
DietAdvised

Specific Cereals Rice/ Boiled rice/Jowar/Wheat/ / Others -

Specific millets Ragi/ Navane/ Saame/ Sajje/ harka/ Koral/ oodalu/ Baragu

Specific Pulses Green Gram/ Toor dal/ Black gram/lentils Horsegram/ Soyabean/others

Specific oil Olive/ Sunflower/ Safflower/ mustard / sesame/ groundnut

Specific All leafy vegetablesIn

Vegetable,
specific:
Rootsand tubers

Specific fruits All fruits

Milk and its Skimmed milk/ Buttermilk/ Curds/ Cheese/ Butter/ ghee/paneer
bi-products

Non-veg Egg/ Fish/ Chicken/ Red meat/ prawn/ pork/ beef

Dietetic advice
Particulars Modification Advises

1 Diet pattern – vegetarian

/nonveg/vegan/ovovegetarian

2 Timings of food intake - Morning

drink/Breakfast/midday
snacking/lunch/high tea/dinner

3 Food quantity and quality analysis

4 Nutritional analysis of food in all serving

time

Formulated diet plan

114
 Timing Food items with serving size Therapeutic peya advised
+/_ 15
min
Morning 6am
drink

Breakfast 8.30am

Lunch 1.30pm

Evening high 5pm

tea time

Dinner 8pm

Signature of teacher
7. CASE PAPER

115
 Name of the patient: OPD/IPD No:
Age/Sex:

ReferI ing consultant:

Diagnosis:

Date:

Occupation

Anthropometric measurements:

Ht: Weight:
BMI: IBW

Prakriti: VP / PK / KV

Diet History:
Particulars

Type of Diet Vegetarian Ova –vegetarian Mixed Others

Habituated Food Daily Weekly Fortnightly Monthly

items
Ex: Pickle/
papad/chats/outside
foods/ beverages
etc.

Timing of Regular Irregular Occasionally

Consumption Irregular

Practice of viruddha Regular practice Occasional

ahara practice

Nutritional High Calorie Diet Low Protein Diet High protein diet Bland diet
Evaluation

Nature of Food Vataja ahara Pittaja ahara Kaphaja ahara Combined

consumed

Therapeutic Diet advices:

116
 Particulars

Nature of
DietAdvised

Specific Cereals Rice/ Boiled rice/Jowar/Wheat/ / Others -

Specific millets Ragi/ Navane/ Saame/ Sajje/ harka/ Koral/ oodalu/ Baragu

Specific Pulses Green Gram/ Toor dal/ Black gram/lentils Horsegram/ Soyabean/others

Specific oil Olive/ Sunflower/ Safflower/ mustard / sesame/ groundnut

Specific All leafy vegetablesIn

Vegetable,
specific:
Rootsand tubers

Specific fruits All fruits

Milk and its Skimmed milk/ Buttermilk/ Curds/ Cheese/ Butter/ ghee/paneer
bi-products

Non-veg Egg/ Fish/ Chicken/ Red meat/ prawn/ pork/ beef

Dietetic advice
Particulars Modification Advises

1 Diet pattern – vegetarian

/nonveg/vegan/ovovegetarian

2 Timings of food intake - Morning

drink/Breakfast/midday
snacking/lunch/high tea/dinner

3 Food quantity and quality analysis

4 Nutritional analysis of food in all serving

time

Formulated diet plan

117
 Timing Food items with serving size Therapeutic peya advised
+/_ 15
min
Morning drink 6am

Breakfast 8.30am

Lunch 1.30pm

Evening high 5pm

tea time

Dinner 8pm

Signature of teacher
8. CASE PAPER

118
 Name of the patient: OPD/IPD No:
Age/Sex:

ReferI ing consultant:

Diagnosis:

Date:

Occupation

Anthropometric measurements:

Ht: Weight:
BMI: IBW

Prakriti: VP / PK / KV

Diet History:
Particulars

Type of Diet Vegetarian Ova –vegetarian Mixed Others

Habituated Food Daily Weekly Fortnightly Monthly

items
Ex: Pickle/
papad/chats/outside
foods/ beverages
etc.

Timing of Regular Irregular Occasionally

Consumption Irregular

Practice of viruddha Regular practice Occasional

ahara practice

Nutritional High Calorie Diet Low Protein Diet High protein diet Bland diet
Evaluation

Nature of Food Vataja ahara Pittaja ahara Kaphaja ahara Combined

consumed

Therapeutic Diet advices:

119
 Particulars

Nature of
DietAdvised

Specific Cereals Rice/ Boiled rice/Jowar/Wheat/ / Others -

Specific millets Ragi/ Navane/ Saame/ Sajje/ harka/ Koral/ oodalu/ Baragu

Specific Pulses Green Gram/ Toor dal/ Black gram/lentils Horsegram/ Soyabean/others

Specific oil Olive/ Sunflower/ Safflower/ mustard / sesame/ groundnut

Specific All leafy vegetablesIn

Vegetable,
specific:
Rootsand tubers

Specific fruits All fruits

Milk and its Skimmed milk/ Buttermilk/ Curds/ Cheese/ Butter/ ghee/paneer
bi-products

Non-veg Egg/ Fish/ Chicken/ Red meat/ prawn/ pork/ beef

Dietetic advice
Particulars Modification Advises

1 Diet pattern – vegetarian

/nonveg/vegan/ovovegetarian

2 Timings of food intake - Morning

drink/Breakfast/midday
snacking/lunch/high tea/dinner

3 Food quantity and quality analysis

4 Nutritional analysis of food in all serving

time

Formulated diet plan

120
 Timing Food items with serving size Therapeutic peya advised
+/_ 15
min
Morning drink 6am

Breakfast 8.30am

Lunch 1.30pm

Evening high 5pm

tea time

Dinner 8pm

Signature of teacher
9. CASE PAPER

121
 Name of the patient: OPD/IPD No:
Age/Sex:

ReferI ing consultant:

Diagnosis:

Date:

Occupation

Anthropometric measurements:

Ht: Weight:
BMI: IBW

Prakriti: VP / PK / KV

Diet History:
Particulars

Type of Diet Vegetarian Ova –vegetarian Mixed Others

Habituated Food Daily Weekly Fortnightly Monthly

items
Ex: Pickle/
papad/chats/outside
foods/ beverages
etc.

Timing of Regular Irregular Occasionally

Consumption Irregular

Practice of viruddha Regular practice Occasional

ahara practice

Nutritional High Calorie Diet Low Protein Diet High protein diet Bland diet
Evaluation

Nature of Food Vataja ahara Pittaja ahara Kaphaja ahara Combined

consumed

Therapeutic Diet advices:

122
 Particulars

Nature of
DietAdvised

Specific Cereals Rice/ Boiled rice/Jowar/Wheat/ / Others -

Specific millets Ragi/ Navane/ Saame/ Sajje/ harka/ Koral/ oodalu/ Baragu

Specific Pulses Green Gram/ Toor dal/ Black gram/lentils Horsegram/ Soyabean/others

Specific oil Olive/ Sunflower/ Safflower/ mustard / sesame/ groundnut

Specific All leafy vegetablesIn

Vegetable,
specific:
Rootsand tubers

Specific fruits All fruits

Milk and its Skimmed milk/ Buttermilk/ Curds/ Cheese/ Butter/ ghee/paneer
bi-products

Non-veg Egg/ Fish/ Chicken/ Red meat/ prawn/ pork/ beef

Dietetic advice
Particulars Modification Advises

1 Diet pattern – vegetarian

/nonveg/vegan/Ovo vegetarian

2 Timings of food intake - Morning

drink/Breakfast/midday
snacking/lunch/high tea/dinner

3 Food quantity and quality analysis

4 Nutritional analysis of food in all serving

time

Formulated diet plan

123
 Timing Food items with serving size Therapeutic peya advised
+/_ 15 min
Morning drink 6am

Breakfast 8.30am

Lunch 1.30pm

Evening high 5pm

tea time

Dinner 8pm

Signature of teacher
10. CASE PAPER

124
 Name of the patient: OPD/IPD No:
Age/Sex:

Referring consultant:

Diagnosis:

Date:

Occupation

Anthropometric measurements:

Ht: Weight:
BMI: IBW

Prakriti: VP / PK / KV

Diet History:
Particulars

Type of Diet Vegetarian Ova –vegetarian Mixed Others

Habituated Food Daily Weekly Fortnightly Monthly

items
Ex: Pickle/
papad/chats/outside
foods/ beverages
etc.

Timing of Regular Irregular Occasionally

Consumption Irregular

Practice of viruddha Regular practice Occasional

ahara practice

Nutritional High Calorie Diet Low Protein Diet High protein diet Bland diet
Evaluation

Nature of Food Vataja ahara Pittaja ahara Kaphaja ahara Combined

consumed

Therapeutic Diet advices:

125
 Particulars

Nature of
DietAdvised

Specific Cereals Rice/ Boiled rice/Jowar/Wheat/ / Others -

Specific millets Ragi/ Navane/ Saame/ Sajje/ harka/ Koral/ oodalu/ Baragu

Specific Pulses Green Gram/ Toor dal/ Black gram/lentils Horsegram/ Soyabean/others

Specific oil Olive/ Sunflower/ Safflower/ mustard / sesame/ groundnut

Specific All leafy vegetablesIn

Vegetable,
specific:
Rootsand tubers

Specific fruits All fruits

Milk and its Skimmed milk/ Buttermilk/ Curds/ Cheese/ Butter/ ghee/paneer
bi-products

Non-veg Egg/ Fish/ Chicken/ Red meat/ prawn/ pork/ beef

Dietetic advice
Particulars Modification Advises

1 Diet pattern – vegetarian

/nonveg/vegan/Ovo vegetarian

2 Timings of food intake - Morning

drink/Breakfast/midday
snacking/lunch/high tea/dinner

3 Food quantity and quality analysis

4 Nutritional analysis of food in all serving

time

Formulated diet plan

126
 Timing Food items with serving size Therapeutic peya advised
+/_ 15
min
Morning drink 6am

Breakfast 8.30am

Lunch 1.30pm

Evening high tea 5pm

time

Dinner 8pm

Signature of teacher

127
4. Lifestyle management’ counselling and Therapeutic Diet sheet (10 patients)

A)CASE PAPER

Name of the patient:

Age/Sex:

OPD/IPD No:
Referring consultant:

Diet pattern:

Date:

Occupation:

Chief complaints for which patient got admitted:

General examination findings:

Height:
Weight:
BMI status:
BP:
HR:

Other systemic examination finding

Whether K/C/O DM, HTN, allergic to any drugs? On regular medication? If Yes, Details

Diagnosis:

Treatment details in brief:

On-going procedure:

128
1 Life style Observations

Observations Specific
observations if any

1 Physical health

2 Psychological health

3 Family Health

4 Occupational health

5 Financial health

6 Social health

129
2 Daily routine observations:
Particulars Observations

1 Waking up time

2 Oral hygienic practices

3 Physical exercises/Yoga
practices/brisk
walking/jogging/swimming/meditati
on/others
4 Working pattern-
official/sedentary/laborious/stressful

5 Evening routine

6 Habits

7 Sleeping time

8 Duration of sleep and nature of sleep

130
 3 Dietary Observations

Particulars

1 Diet pattern – vegetarian

/nonveg/vegan/Ovo vegetarian

2 Timings of food intake - Morning

drink/Breakfast/mid day
snacking/lunch/high tea/dinner

3 Food quantity and quality analysis

4 Nutritional analysis of food in all serving

times

131
Advices:
1. Life style modifications:

Modifications advised

1 Physical health

2 Psychological health

3 Family Health

4 Occupational health 1. Fix working hours

2. Schedule the work

3. Mark priority to the assigned work and work accordingly

4. Cooperation and coordination with workmates

5. Patience while completing the tasks

5 Financial health

6 Social health

132
2 Daily routine practices advise:

Particulars Modification advises

1 Waking up time

2 Oral hygienic practices

3 Physical exercises/Yoga practices/brisk

walking/jogging/swimming/meditation/oth
ers

4 Working pattern-
official/sedentary/laborious/stressful

5 Evening routine

6 Habits

7 Sleeping time

8 Duration of sleep and nature of sleep

133
3 Dietetic advice

Particulars Modification Advises

1 Diet pattern – vegetarian

/nonveg/vegan/ovovegetarian

2 Timings of food intake - Morning

drink/Breakfast/midday
snacking/lunch/high tea/dinner

3 Food quantity and quality analysis

4 Nutritional analysis of food in all serving

times

Formulated diet plan

Timing +/_ Food items with serving size Other additional
15 min information

Morning 6am
drink

Breakfast 8.30am

Lunch 1.30pm

Evening 5pm
high tea
time
Dinner 8pm

Signature of teacher

134
B)CASE PAPER

Name of the patient:

Age/Sex:

OPD/IPD No:
Referring consultant:

Diet pattern:

Date:

Occupation:

Chief complaints for which patient got admitted:

General examination findings:

Height:
Weight:
BMI status:
BP:
HR:

Other systemic examination finding

Whether K/C/O DM, HTN, allergic to any drugs? On regular medication? If Yes, Details

Diagnosis:

Treatment details in brief:

On-going procedure:

135
3 Life style Observations

Observations Specific
observations if any

1 Physical health

2 Psychological health

3 Family Health

4 Occupational health

5 Financial health

6 Social health

136
2 Daily routine observations:
Particulars Observations

1 Waking up time

2 Oral hygienic practices

3 Physical exercises/Yoga
practices/brisk
walking/jogging/swimming/meditati
on/others
4 Working pattern-
official/sedentary/laborious/stressful

5 Evening routine

6 Habits

7 Sleeping time

8 Duration of sleep and nature of sleep

137
 4 Dietary Observations

Particulars

1 Diet pattern – vegetarian

/nonveg/vegan/ovovegetarian

2 Timings of food intake - Morning

drink/Breakfast/mid day
snacking/lunch/high tea/dinner

3 Food quantity and quality analysis

4 Nutritional analysis of food in all serving

times

138
Advices:
2. Life style modifications:

Modifications advised

1 Physical health

2 Psychological health

3 Family Health

4 Occupational health 6. Fix working hours

7. Schedule the work

8. Mark priority to the assigned work and work accordingly

9. Cooperation and coordination with workmates

10. Patience while completing the tasks

5 Financial health

6 Social health

139
4 Daily routine practices advise:

Particulars Modification advises

1 Waking up time

2 Oral hygienic practices

3 Physical exercises/Yoga practices/brisk

walking/jogging/swimming/meditation/oth
ers

4 Working pattern-
official/sedentary/laborious/stressful

5 Evening routine

6 Habits

7 Sleeping time

8 Duration of sleep and nature of sleep

140
3 Dietetic advice

Particulars Modification Advises

1 Diet pattern – vegetarian

/nonveg/vegan/ovovegetarian

2 Timings of food intake - Morning

drink/Breakfast/midday
snacking/lunch/high tea/dinner

3 Food quantity and quality analysis

4 Nutritional analysis of food in all serving

times

Formulated diet plan

Timing +/_ Food items with serving size Other additional
15 min information

Morning 6am
drink

Breakfast 8.30am

Lunch 1.30pm

Evening 5pm
high tea
time
Dinner 8pm

Signature of teacher

141
C)CASE PAPER

Name of the patient:

Age/Sex:

OPD/IPD No:
Referring consultant:

Diet pattern:

Date:

Occupation:

Chief complaints for which patient got admitted:

General examination findings:

Height:
Weight:
BMI status:
BP:
HR:

Other systemic examination finding

Whether K/C/O DM, HTN, allergic to any drugs? On regular medication? If Yes, Details

Diagnosis:

Treatment details in brief:

On-going procedure:

142
5 Life style Observations

Observations Specific
observations if any

1 Physical health

2 Psychological health

3 Family Health

4 Occupational health

5 Financial health

6 Social health

143
2 Daily routine observations:
Particulars Observations

1 Waking up time

2 Oral hygienic practices

3 Physical exercises/Yoga
practices/brisk
walking/jogging/swimming/meditati
on/others
4 Working pattern-
official/sedentary/laborious/stressful

5 Evening routine

6 Habits

7 Sleeping time

8 Duration of sleep and nature of sleep

144
 5 Dietary Observations

Particulars

1 Diet pattern – vegetarian

/nonveg/vegan/ovovegetarian

2 Timings of food intake - Morning

drink/Breakfast/mid day
snacking/lunch/high tea/dinner

3 Food quantity and quality analysis

4 Nutritional analysis of food in all serving

times

145
Advices:
3. Life style modifications:

Modifications advised

1 Physical health

2 Psychological health

3 Family Health

4 Occupational health 11. Fix working hours

12. Schedule the work

13. Mark priority to the assigned work and work accordingly

14. Cooperation and coordination with workmates

15. Patience while completing the tasks

5 Financial health

6 Social health

146
6 Daily routine practices advise:

Particulars Modification advises

1 Waking up time

2 Oral hygienic practices

3 Physical exercises/Yoga practices/brisk

walking/jogging/swimming/meditation/oth
ers

4 Working pattern-
official/sedentary/laborious/stressful

5 Evening routine

6 Habits

7 Sleeping time

8 Duration of sleep and nature of sleep

147
3 Dietetic advice

Particulars Modification Advises

1 Diet pattern – vegetarian

/nonveg/vegan/ovovegetarian

2 Timings of food intake - Morning

drink/Breakfast/midday
snacking/lunch/high tea/dinner

3 Food quantity and quality analysis

4 Nutritional analysis of food in all serving

times

Formulated diet plan

Timing +/_ Food items with serving size Other additional
15 min information

Morning 6am
drink

Breakfast 8.30am

Lunch 1.30pm

Evening 5pm
high tea
time
Dinner 8pm

Signature of teacher
148
D)CASE PAPER

Name of the patient:

Age/Sex:

OPD/IPD No:
Referring consultant:

Diet pattern:

Date:

Occupation:

Chief complaints for which patient got admitted:

General examination findings:

Height:
Weight:
BMI status:
BP:
HR:

Other systemic examination finding

Whether K/C/O DM, HTN, allergic to any drugs? On regular medication? If Yes, Details

Diagnosis:

Treatment details in brief:

On-going procedure:

149
7 Life style Observations

Observations Specific
observations if any

1 Physical health

2 Psychological health

3 Family Health

4 Occupational health

5 Financial health

6 Social health

150
2 Daily routine observations:
Particulars Observations

1 Waking up time

2 Oral hygienic practices

3 Physical exercises/Yoga
practices/brisk
walking/jogging/swimming/meditati
on/others
4 Working pattern-
official/sedentary/laborious/stressful

5 Evening routine

6 Habits

7 Sleeping time

8 Duration of sleep and nature of sleep

151
 6 Dietary Observations

Particulars

1 Diet pattern – vegetarian

/nonveg/vegan/ovovegetarian

2 Timings of food intake - Morning

drink/Breakfast/mid day
snacking/lunch/high tea/dinner

3 Food quantity and quality analysis

4 Nutritional analysis of food in all serving

times

152
Advices:
4. Life style modifications:

Modifications advised

1 Physical health

2 Psychological health

3 Family Health

4 Occupational health 16. Fix working hours

17. Schedule the work

18. Mark priority to the assigned work and work accordingly

19. Cooperation and coordination with workmates

20. Patience while completing the tasks

5 Financial health

6 Social health

153
8 Daily routine practices advise:

Particulars Modification advises

1 Waking up time

2 Oral hygienic practices

3 Physical exercises/Yoga practices/brisk

walking/jogging/swimming/meditation/oth
ers

4 Working pattern-
official/sedentary/laborious/stressful

5 Evening routine

6 Habits

7 Sleeping time

8 Duration of sleep and nature of sleep

154
3 Dietetic advice

Particulars Modification Advises

1 Diet pattern – vegetarian

/nonveg/vegan/ovovegetarian

2 Timings of food intake - Morning

drink/Breakfast/midday
snacking/lunch/high tea/dinner

3 Food quantity and quality analysis

4 Nutritional analysis of food in all serving

times

Formulated diet plan

Timing +/_ Food items with serving size Other additional
15 min information

Morning 6am
drink

Breakfast 8.30am

Lunch 1.30pm

Evening 5pm
high tea
time
Dinner 8pm

Signature of teacher

155
E)CASE PAPER

Name of the patient:

Age/Sex:

OPD/IPD No:
Referring consultant:

Diet pattern:

Date:

Occupation:

Chief complaints for which patient got admitted:

General examination findings:

Height:
Weight:
BMI status:
BP:
HR:

Other systemic examination finding

Whether K/C/O DM, HTN, allergic to any drugs? On regular medication? If Yes, Details

Diagnosis:

Treatment details in brief:

On-going procedure:

156
9 Life style Observations

Observations Specific
observations if any

1 Physical health

2 Psychological health

3 Family Health

4 Occupational health

5 Financial health

6 Social health

157
2 Daily routine observations:
Particulars Observations

1 Waking up time

2 Oral hygienic practices

3 Physical exercises/Yoga
practices/brisk
walking/jogging/swimming/meditati
on/others
4 Working pattern-
official/sedentary/laborious/stressful

5 Evening routine

6 Habits

7 Sleeping time

8 Duration of sleep and nature of sleep

158
 7 Dietary Observations

Particulars

1 Diet pattern – vegetarian

/nonveg/vegan/ovovegetarian

2 Timings of food intake - Morning

drink/Breakfast/mid day
snacking/lunch/high tea/dinner

3 Food quantity and quality analysis

4 Nutritional analysis of food in all serving

times

159
Advices:
5. Life style modifications:

Modifications advised

1 Physical health

2 Psychological health

3 Family Health

4 Occupational health 21. Fix working hours

22. Schedule the work

23. Mark priority to the assigned work and work accordingly

24. Cooperation and coordination with workmates

25. Patience while completing the tasks

5 Financial health

6 Social health

160
10 Daily routine practices advise:

Particulars Modification advises

1 Waking up time

2 Oral hygienic practices

3 Physical exercises/Yoga practices/brisk

walking/jogging/swimming/meditation/oth
ers

4 Working pattern-
official/sedentary/laborious/stressful

5 Evening routine

6 Habits

7 Sleeping time

8 Duration of sleep and nature of sleep

161
3 Dietetic advice

Particulars Modification Advises

1 Diet pattern – vegetarian

/nonveg/vegan/ovovegetarian

2 Timings of food intake - Morning

drink/Breakfast/midday
snacking/lunch/high tea/dinner

3 Food quantity and quality analysis

4 Nutritional analysis of food in all serving

times

Formulated diet plan

Timing +/_ Food items with serving size Other additional
15 min information

Morning 6am
drink

Breakfast 8.30am

Lunch 1.30pm

Evening 5pm
high tea
time
Dinner 8pm

Signature of teacher

162
F)CASE PAPER

Name of the patient:

Age/Sex:

OPD/IPD No:
Referring consultant:

Diet pattern:

Date:

Occupation:

Chief complaints for which patient got admitted:

General examination findings:

Height:
Weight:
BMI status:
BP:
HR:

Other systemic examination finding

Whether K/C/O DM, HTN, allergic to any drugs? On regular medication? If Yes, Details

Diagnosis:

Treatment details in brief:

On-going procedure:

163
11 Life style Observations

Observations Specific
observations if any

1 Physical health

2 Psychological health

3 Family Health

4 Occupational health

5 Financial health

6 Social health

164
2 Daily routine observations:
Particulars Observations

1 Waking up time

2 Oral hygienic practices

3 Physical exercises/Yoga
practices/brisk
walking/jogging/swimming/meditati
on/others
4 Working pattern-
official/sedentary/laborious/stressful

5 Evening routine

6 Habits

7 Sleeping time

8 Duration of sleep and nature of sleep

165
 8 Dietary Observations

Particulars

1 Diet pattern – vegetarian

/nonveg/vegan/ovovegetarian

2 Timings of food intake - Morning

drink/Breakfast/mid day
snacking/lunch/high tea/dinner

3 Food quantity and quality analysis

4 Nutritional analysis of food in all serving

times

166
Advices:
6. Life style modifications:

Modifications advised

1 Physical health

2 Psychological health

3 Family Health

4 Occupational health 26. Fix working hours

27. Schedule the work

28. Mark priority to the assigned work and work accordingly

29. Cooperation and coordination with workmates

30. Patience while completing the tasks

5 Financial health

6 Social health

167
12 Daily routine practices advise:

Particulars Modification advises

1 Waking up time

2 Oral hygienic practices

3 Physical exercises/Yoga practices/brisk

walking/jogging/swimming/meditation/oth
ers

4 Working pattern-
official/sedentary/laborious/stressful

5 Evening routine

6 Habits

7 Sleeping time

8 Duration of sleep and nature of sleep

168
3 Dietetic advice

Particulars Modification Advises

1 Diet pattern – vegetarian

/nonveg/vegan/ovovegetarian
2 Timings of food intake - Morning
drink/Breakfast/midday
snacking/lunch/high tea/dinner

3 Food quantity and quality analysis

4 Nutritional analysis of food in all serving

times

Formulated diet plan

Timing +/_ Food items with serving size Other additional
15 min information

Morning 6am
drink

Breakfast 8.30am

Lunch 1.30pm

Evening 5pm
high tea
time
Dinner 8pm

Signature of teacher

169
G)CASE PAPER

Name of the patient:

Age/Sex:

OPD/IPD No:
Referring consultant:

Diet pattern:

Date:

Occupation:

Chief complaints for which patient got admitted:

General examination findings:

Height:
Weight:
BMI status:
BP:
HR:

Other systemic examination finding

Whether K/C/O DM, HTN, allergic to any drugs? On regular medication? If Yes, Details

Diagnosis:

Treatment details in brief:

On-going procedure:

170
 1 Life style Observations

Observations Specific
observations if any

1 Physical health

2 Psychological health

3 Family Health

4 Occupational health

5 Financial health

6 Social health

171
2 Daily routine observations:
Particulars Observations

1 Waking up time

2 Oral hygienic practices

3 Physical exercises/Yoga
practices/brisk
walking/jogging/swimming/meditati
on/others
4 Working pattern-
official/sedentary/laborious/stressful

5 Evening routine

6 Habits

7 Sleeping time

8 Duration of sleep and nature of sleep

172
 3 Dietary Observations

Particulars

1 Diet pattern – vegetarian

/nonveg/vegan/ovovegetarian

2 Timings of food intake - Morning

drink/Breakfast/mid day
snacking/lunch/high tea/dinner

3 Food quantity and quality analysis

4 Nutritional analysis of food in all serving

times

173
Advices:
1Life style modifications:

Modifications advised

1 Physical health

2 Psychological health

3 Family Health

4 Occupational health 31. Fix working hours

32. Schedule the work

33. Mark priority to the assigned work and work accordingly

34. Cooperation and coordination with workmates

35. Patience while completing the tasks

5 Financial health

6 Social health

174
 2 Daily routine practices advise:

Particulars Modification advises

1 Waking up time

2 Oral hygienic practices

3 Physical exercises/Yoga practices/brisk

walking/jogging/swimming/meditation/oth
ers

4 Working pattern-
official/sedentary/laborious/stressful

5 Evening routine

6 Habits

7 Sleeping time

8 Duration of sleep and nature of sleep

175
3 Dietetic advice

Particulars Modification Advises

1 Diet pattern – vegetarian

/nonveg/vegan/ovovegetarian

2 Timings of food intake - Morning

drink/Breakfast/midday
snacking/lunch/high tea/dinner

3 Food quantity and quality analysis

4 Nutritional analysis of food in all serving

times

Formulated diet plan

Timing +/_ Food items with serving size Other additional
15 min information

Morning 6am
drink

Breakfast 8.30am

Lunch 1.30pm

Evening 5pm
high tea
time
Dinner 8pm

Signature of teacher
176
H)CASE PAPER

Name of the patient:

Age/Sex:

OPD/IPD No:
Referring consultant:

Diet pattern:

Date:

Occupation:

Chief complaints for which patient got admitted:

General examination findings:

Height:
Weight:
BMI status:
BP:
HR:

Other systemic examination finding

Whether K/C/O DM, HTN, allergic to any drugs? On regular medication? If Yes, Details

Diagnosis:

Treatment details in brief:

On-going procedure:

177
 3 Life style Observations

Observations Specific
observations if any

1 Physical health

2 Psychological health

3 Family Health

4 Occupational health

5 Financial health

6 Social health

178
2 Daily routine observations:
Particulars Observations

1 Waking up time

2 Oral hygienic practices

3 Physical exercises/Yoga
practices/brisk
walking/jogging/swimming/meditati
on/others
4 Working pattern-
official/sedentary/laborious/stressful

5 Evening routine

6 Habits

7 Sleeping time

8 Duration of sleep and nature of sleep

179
 4 Dietary Observations

Particulars

1 Diet pattern – vegetarian

/nonveg/vegan/ovovegetarian

2 Timings of food intake - Morning

drink/Breakfast/mid day
snacking/lunch/high tea/dinner

3 Food quantity and quality analysis

4 Nutritional analysis of food in all serving

times

180
Advices:
1 Life style modifications:

Modifications advised

1 Physical health

2 Psychological health

3 Family Health

4 Occupational health 36. Fix working hours

37. Schedule the work

38. Mark priority to the assigned work and work accordingly

39. Cooperation and coordination with workmates

40. Patience while completing the tasks

5 Financial health

6 Social health

181
 2 Daily routine practices advise:

Particulars Modification advises

1 Waking up time

2 Oral hygienic practices

3 Physical exercises/Yoga practices/brisk

walking/jogging/swimming/meditation/oth
ers

4 Working pattern-
official/sedentary/laborious/stressful

5 Evening routine

6 Habits

7 Sleeping time

8 Duration of sleep and nature of sleep

182
3 Dietetic advice

Particulars Modification Advises

1 Diet pattern – vegetarian

/nonveg/vegan/ovovegetarian

2 Timings of food intake - Morning

drink/Breakfast/midday
snacking/lunch/high tea/dinner

3 Food quantity and quality analysis

4 Nutritional analysis of food in all serving

times

Formulated diet plan

Timing +/_ Food items with serving size Other additional
15 min information

Morning 6am
drink

Breakfast 8.30am

Lunch 1.30pm

Evening 5pm
high tea
time
Dinner 8pm

Signature of teacher
183
I)CASE PAPER

Name of the patient:

Age/Sex:

OPD/IPD No:
Referring consultant:

Diet pattern:

Date:

Occupation:

Chief complaints for which patient got admitted:

General examination findings:

Height:
Weight:
BMI status:
BP:
HR:

Other systemic examination finding

Whether K/C/O DM, HTN, allergic to any drugs? On regular medication? If Yes, Details

Diagnosis:

Treatment details in brief:

On-going procedure:

184
 3 Life style Observations

Observations Specific
observations if any

1 Physical health

2 Psychological health

3 Family Health

4 Occupational health

5 Financial health

6 Social health

185
2 Daily routine observations:
Particulars Observations

1 Waking up time

2 Oral hygienic practices

3 Physical exercises/Yoga
practices/brisk
walking/jogging/swimming/meditati
on/others
4 Working pattern-
official/sedentary/laborious/stressful

5 Evening routine

6 Habits

7 Sleeping time

8 Duration of sleep and nature of sleep

186
 4 Dietary Observations

Particulars

1 Diet pattern – vegetarian

/nonveg/vegan/ovovegetarian

2 Timings of food intake - Morning

drink/Breakfast/mid day
snacking/lunch/high tea/dinner

3 Food quantity and quality analysis

4 Nutritional analysis of food in all serving

times

187
Advices:
1Life style modifications:

Modifications advised

1 Physical health

2 Psychological health

3 Family Health

4 Occupational health 41. Fix working hours

42. Schedule the work

43. Mark priority to the assigned work and work accordingly

44. Cooperation and coordination with workmates

45. Patience while completing the tasks

5 Financial health

6 Social health

188
 5 Daily routine practices advise:

Particulars Modification advises

1 Waking up time

2 Oral hygienic practices

3 Physical exercises/Yoga practices/brisk

walking/jogging/swimming/meditation/oth
ers

4 Working pattern-
official/sedentary/laborious/stressful

5 Evening routine

6 Habits

7 Sleeping time

8 Duration of sleep and nature of sleep

189
3 Dietetic advice

Particulars Modification Advises

1 Diet pattern – vegetarian

/nonveg/vegan/ovovegetarian

2 Timings of food intake - Morning

drink/Breakfast/midday
snacking/lunch/high tea/dinner

3 Food quantity and quality analysis

4 Nutritional analysis of food in all serving

times

Formulated diet plan

Timing +/_ Food items with serving size Other additional
15 min information

Morning 6am
drink

Breakfast 8.30am

Lunch 1.30pm

Evening 5pm
high tea
time
Dinner 8pm

Signature of teacher

190
J)CASE PAPER

Name of the patient:

Age/Sex:

OPD/IPD No:
Referring consultant:

Diet pattern:

Date:

Occupation:

Chief complaints for which patient got admitted:

General examination findings:

Height:
Weight:
BMI status:
BP:
HR:

Other systemic examination finding

Whether K/C/O DM, HTN, allergic to any drugs? On regular medication? If Yes, Details

Diagnosis:

Treatment details in brief:

On-going procedure:

191
 6 Life style Observations

Observations Specific
observations if any

1 Physical health

2 Psychological health

3 Family Health

4 Occupational health

5 Financial health

6 Social health

192
2 Daily routine observations:
Particulars Observations

1 Waking up time

2 Oral hygienic practices

3 Physical exercises/Yoga
practices/brisk
walking/jogging/swimming/meditati
on/others
4 Working pattern-
official/sedentary/laborious/stressful

5 Evening routine

6 Habits

7 Sleeping time

8 Duration of sleep and nature of sleep

193
 7 Dietary Observations

Particulars

1 Diet pattern – vegetarian

/nonveg/vegan/ovovegetarian

2 Timings of food intake - Morning

drink/Breakfast/mid day
snacking/lunch/high tea/dinner

3 Food quantity and quality analysis

4 Nutritional analysis of food in all serving

times

194
Advices:
1Life style modifications:

Modifications advised

1 Physical health

2 Psychological health

3 Family Health

4 Occupational health 46. Fix working hours

47. Schedule the work

48. Mark priority to the assigned work and work accordingly

49. Cooperation and coordination with workmates

50. Patience while completing the tasks

5 Financial health

6 Social health

195
 2 Daily routine practices advise:

Particulars Modification advises

1 Waking up time

2 Oral hygienic practices

3 Physical exercises/Yoga practices/brisk

walking/jogging/swimming/meditation/oth
ers

4 Working pattern-
official/sedentary/laborious/stressful

5 Evening routine

6 Habits

7 Sleeping time

8 Duration of sleep and nature of sleep

196
3 Dietetic advice

Particulars Modification Advises

1 Diet pattern – vegetarian

/nonveg/vegan/ovovegetarian

2 Timings of food intake - Morning

drink/Breakfast/midday
snacking/lunch/high tea/dinner

3 Food quantity and quality analysis

4 Nutritional analysis of food in all serving

times

Formulated diet plan

Timing +/_ Food items with serving size Other additional
15 min information

Morning 6am
drink

Breakfast 8.30am

Lunch 1.30pm

Evening 5pm
high tea
time
Dinner 8pm

Signature of teacher

197
 YOGA
General rules to be followed while doing Yoga Practice.

198
List Loosening Exercises used in common Yoga Practice

199
 1)ASANAS
Standing Asana ( Any two asanas among the theory syllabus)

1 Name of the Asana:

Procedure: (Paste own
picture) Sthiti :
Step by step description

BENEFITS

INDICATION

CONTRAINDICATION

200
201
2 Name of the Asana:
Procedure: (Paste own
picture) Sthiti :
Step by step description

BENEFITS

INDICATION

CONTRAINDICATION

202
203
SITTING POSTURES (any five asanas among the theory syllabus)

1 Name of the Asana:

Procedure: (Paste own
picture) Sthiti :
Step by step description

BENEFITS

INDICATION

CONTRAINDICATION

204
205
2 Name of the Asana:
Procedure: (Paste own
picture) Sthiti :
Step by step description

BENEFITS

INDICATION

CONTRAINDICATION

206
207
3 Name of the Asana:
Procedure: (Paste own
picture) Sthiti :
Step by step description

BENEFITS

INDICATION

CONTRAINDICATION

208
209
4 Name of the Asana:
Procedure: (Paste own
picture) Sthiti :

Step by step description

BENEFITS

INDICATION

CONTRAINDICATION

210
211
5 Name of the Asana:
Procedure: (Paste own
picture) Sthiti :
Step by step description

BENEFITS

INDICATION

CONTRAINDICATION

212
213
LYING SUPINE POSTURES (any two asanas among the theory
syllabus)

1 Name of the Asana:

Procedure: (Paste own
picture) Sthiti :
Step by step description

BENEFITS

INDICATION

CONTRAINDICATION

214
215
2 Name of the Asana:
Procedure: (Paste own
picture) Sthiti :
Step by step description

BENEFITS

INDICATION

CONTRAINDICATION

216
217
LYING PRONE POSTURES (any two asanas among the theory syllabus)

1 Name of the Asana:

Procedure: (Paste own
picture) Sthiti :
Step by step description

BENEFITS

INDICATION

CONTRAINDICATION

218
219
2 Name of the Asana:
Procedure: (Paste own
picture) Sthiti :
Step by step description

BENEFITS

INDICATION

CONTRAINDICATION

220
221
2)SHATAKARMA

JALANETI:

MATERIAL REQUIRED

PROCEDURE(paste
own picture) :

BENEFITS

INDICATION

CONTRAINDICATION

222
223
2 KAPALBHATI:

MATERIAL REQUIRED

PROCEDURE(paste
own picture

BENEFITS

INDICATION

CONTRAINDICATION

224
225
3TRATAKA:

MATERIAL REQUIRED

PROCEDURE(paste
own picture

BENEFITS

INDICATION

CONTRAINDICATION

226
227
3) PRANAYAMA

1 ANULOM VILOM PRANAYAMA

PROCEDURE (paste own picture)

BENEFITS

INDICATION

CONTRAINDICATION

228
229
2 NADISHUDHI PRANAYAMA

PROCEDURE (paste own picture)

BENEFITS

INDICATION

CONTRAINDICATION

230
231
3 SURYABHEDI PRANAYAMA

PROCEDURE (paste own picture)

BENEFITS

INDICATION

CONTRAINDICATION

232
233
4 UJJJAYI PRANAYAMA

PROCEDURE (paste own picture)

BENEFITS

INDICATION

CONTRAINDICATION

234
235
5 SHITALI PRANAYAMA

PROCEDURE (paste own picture)

BENEFITS

INDICATION

CONTRAINDICATION

236
237
6 SHITAKARI PRANAYAMA

PROCEDURE (paste own picture)

BENEFITS

INDICATION

CONTRAINDICATION

238
239
7 BHASTRIKA PRANAYAMA

PROCEDURE (paste own picture)

BENEFITS

INDICATION

CONTRAINDICATION

240
241
8 BHRAMARI PRANAYAMA

PROCEDURE (paste own picture)

BENEFITS

INDICATION

CONTRAINDICATION

242
243
COMMON PROTOCOL OF INTERNATIONAL DAY OF YOGA

244
245
246
247
248