Model CCP

PATIENT DETAILS ( Atura vrittanta)

NAME:

AGE:

SEX:

OCCUPATION:

ADDRESS:

OPD no.:

IPD no. :

DOA :
 CHIEF COMPLAINTS
(Pratyatma Lakshana)
Associated complaints
(Anubandhi Lakshana):
HISTORY OF PRESENT ILLNESS
( Vedana Samuchraya)
Onset:

Site:

Aggravating factor:

Relieving factor:
PAST HISTORY
PERSONAL HISTORY
(Vaiyaktika Vrittanta)

 Appetite:

 Bowels:

 Micturation:

 Sleep:
Asthasthana Pareeksha

 Nadi :

 Jihwa :

 Mala :

 Mutra :

 Sparsha :

 Drik :

 Akriti :
 GENERAL EXAMINATION

 Built : PR:

 Nourishment : B.P:

 Pallor: Resp. Rate :

 Icterus: Temperature:

 Cyanosis: Wt:

 Lymph nodes:
 Systemic Examination

CVS:
 S1, S2 :

 Added sounds:
Respiratory system

 Inspection :

 Palpation :

 Percussion :

 Ascultation :
GI system

 Inspection :

 Palpation :

 Percussion :

 Ascultation :
 Locomotor Examination

SYMPTOMS Joint Joint

Pain

Tenderness

Warmth

Swelling

Crepitation

ROM
Central Nervous System

 Higher mental functions :

 Consciousness :

 Orientation :

 Memory :

 Illusion, delusion, hallucination :

 Cranial nerve examination :
 Muscle bulk :

 Muscle tone :

 Muscle strength :

 Reflexes : Superficial reflexes :

 Deep tendon reflexes :

 Sensory examination :

 Motor examination :
INVESTIGATIONS
 Differential Diagnosis
(Vyadhi vyavacchedana)
 Diagnosis
(Vyadhi vinischaya)
Samprapti ghataka
 Dosha –

 Dushya –

 Srotas –

 Srotodushti prakara –

 Agni –

 Ama –

 Udbhava sthana –

 Vyakta sthana -
Dashavidha Pareeksha
 Prakruti –

 Sara –

 Samhanana –

 Satva -

 Satmya –

 Samhanana -

 Ahara shakti – Jarana shakti –

 Abhyavarana shakti -

 Vyayama shakti -

 Vaya -
Nidana Panchaka

 Nidana -

 Purvaroopa –

 Roopa –

 Upashaya –

 Samprapti -
Chikitsa sutra adopted
Details of chikitsa with ingredients, dose,
duration
Condition at the time of Discharge
Discussion on treatment principles adopted
w.r.t clinical condition
CONCLUSION
THANK YOU