4thBAMS Syllabus PDF
4thBAMS Syllabus PDF
4thBAMS Syllabus PDF
NEW DELHI
INDEX
4TH PROFESSIONAL
Part - A 50 Marks
1 Derivation of the terms ‘Kaya’, ‘Chikitsa’ and their definitions and synonyms. Definition
of ‘Kayachikitsa, Definition of ‘Bheshaja’. Types and detailed description of Bheshaja and
Chikitsa, Knowledge about Chikitsa Chatushpada, Rogi Roga Pariksha Siddhantha,
Astasthana Pariksha.
2 Importance of Kriya Kaala according to stages of Dosha and their management.
3 Chikitsa sutra and Management of vriddhi (increased) and kshaya (decreased) of
Dosha, Dhatu and Mala, Ojo Vyapat (Kshaya, Visramsa and Vyapat) and its
management. Chikitsasutra and Management of Sama-Nirama states,
Roga-Anutpattikara Chikitsa, Roga Prashamana Chikitsa (Doshapratyanika,
Vyadhipratyanika, Ubhayapratynika), Doshopakrama, Chikitsa sutra and Management of
Sthanantara Dosha (Ashayapakarsha, Anuloma/Pratiloma gati of Dosha, Vimarga
gamana of Dosha), Knowledge of Lina Dosha & its management, Diagnosis, Chikitsa
Sutra and Management of Avarana and of Dhatu Pradoshaja diseases, Importance of
Dosha, Dushya , Bala, Kaala, Agni, Prakriti, Vaya, Sattva Satmya, Desha, Ahara and
stage of diseases in treating them. Chikitsa Sutra and Management of ‘Samanyaja and
Nanatmaja’ diseases.
4 Detailed description of Dvividhopakrama (Santarpana and Apatarpana) and
Shadavidhopakrama (Rookshana, Snehana, Swedana, Sthambhana, Langhana and
Brimhana). Detailed description of Shodhana, Shamana and Nidana Parivarjana.
Knowledge of Aushadha matra, Sevan kaala and Anupana, Definition and Knowledge
of Pathya-Apathya with examples of diseases of various systems.
5 Derivation of the term ‘Manas’, its sthana (place), Guna (qualities) and Karma
(functions). Samanya Chikitsa Siddhanta of Manasa Roga.
6 Principles & Management of Nutritional deficiency disorders.
7 Management of Vardhakyajanita vikara, Indriyapradoshoja vikara, Alzhiemer’s Disease,
Sleep disorders, General debility.
Part B 50 Marks
1. Detailed description of Chikitsa Sutra and Management of Jwara and its types.
Etiopathogenesis & relevant Ayurvedic and Modern management of following types of
Fevers-Typhoid, Pneumonia, Pleurisy, Influenza, Mumps, Meningitis, Encephalitis,
Tetanus, Yellow fever, Plague, Dengue Fever, Chikun Guniya, Leptospirosis,Viral Fever,
Anthrax, Masurika (Small pox), Laghu Masurika (Chicken pox), Romantika (Measles).
1. Chikitsa sutra and Management of the diseases of Rasavaha Srotas such as – Pandu,
Amavata, Madatyaya, Hridroga, Hridshoola, Hypotension, Hypertension, Anaemia,
Rheumatoid arthritis.
2. Chikitsa sutra and Management of the diseases of Raktavaha Srotas such as -
Raktapitta, Kamala, Kumbhakamala, Halimaka, Daha, Mada, Murcha, Sanyasa,
Vatarakta, Plihadosha, Yakrut dosha, Haemolytic disorders, Hepatitis, Cirrhosis of Liver,
Leukaemia, Kushta, Shvitra, Visarpa, Sheetapitta, Udarda, Kotha and Kshudra Roga.
3. Knowledge of National Health Programmes and the relevant Ayurvedic Management
of the following diseases enlisted by World Health Organisation- Malaria, Filaria, Kala
Azar, Leprosy, Tuberculosis, AIDS.
4. Introduction of general principles of maintenance of health and management of
diseases of following systems of Medicine- Yoga, Naturopathy, Unani, Siddha,
Physiotherapy and Rehabilitation.
5. Diseases of different Endocrine Glands- such as Thyroid, Parathyroid, Pituitary, Pancreas
and Adrenal glands and their management.
6. General introduction, types and Management of diseases caused by Vyadhi Kshamatwa
Hinata (Immuno deficiency disorders), Auto Immune Disorders.
7. Description and Management of following Emergency Conditions- Acute Haemorrhage,
Hypertensive Emergencies, Acute abdominal pain (Renal colic, Biliary colic, Gastritis,
Pancreatitis, Peritonitis and Appendicitis), Acute Abdomen, Anuria/ Oliguria, Congestive
Heart Failure, Myocardial Infarction/Angina, Shock, Syncope, Convulsions, Hyperpyrexia,
Hyperglycaemia, Hypoglycaemia, Status Asthmaticus, Acute Respiratory distress
Syndrome, Drowning and Electric shock.
Part A 50 Marks
1. Chikitsa sutra and Management of the diseases of Pranavaha Srotas such as - Kasa,
Shwasa, Hikka, Rajayakshma, Urakshata, Parshwashoola, Bronchitis, Bronchiectasis,
Emphysema and COPDs.
2. Chikitsa sutra and Management of the diseases of Udakavaha Srotas such
as- Shotha, Jalodara, Trishna, Water & Electrolyte Imbalance.
3. Chikitsa sutra and Management of the diseases of Annavaha Srotas such as –
Agnimandya, Aruchi, Ajirna, Anaha, Atopa, Adhmana, Alasaka, Vilambika, Visuchika,
Chardi, Grahani, Amlapitta, Gulma, Shoola, Bhasmaka, Acid peptic disorders.
4. Principles of treatment and management of Vata Vyadhi such as - Pakshavadha,
Ekangavata, Sarvangavata, Ardita, Avbahuka, Kati Graha, Manyastambha, Gridhrasi,
Vishwachi, Khalli, Khanja, Pangu, Padaharsha, Padadaha, Vatakantaka,
Kroshtukashirsha, Udavarta, Kampavata, Dhatugata and Ashayagata Avarana Vata,
other Vata Rogas, Parkinsonism.
5. Nidana and Chikitsa of Urusthambha, Gullian Barrie syndrome, Muscular Dystrophy,
Myasthenia Gravis, Motor Neuron Diseases and Neuralgia.
1. Chikitsa Sutra and Management of Mamsavaha Srotas and Medovaha Srotas such
as- Gandamala, Galaganda, Mamsashosha, Arbuda, Apachi, Prameha, Sthaulya,
Karshya, Diabetes Mellitus, Dyslipidaemia.
2. Chikitsa Sutra and Management of ‘Asthi and Majjavaha Srotas such as
Asthimajja Vidradhi, Asthisoushirya, Asthi kshaya, Sandhigata Vata, Osteo Arthritis,
Osteomyelitis, Osteoporosis, Osteopenia.
3. Chikitsa sutra and management of Shukravaha srotas such as Klaibya, shukralpata,
shukradosha, kshina shukra, dhwajabhanga.
4. Chikitsa Sutra and Management of diseases of Mutravaha Srotas such as -Mutrakricha,
Mutraghata, Ashmari, Cystitis, Nephritis, Nephrotic Syndrome, BPH, Renal Failure.
5. Chikitsa Sutra and Management of diseases of Purishavaha Srotas such as – Atisara,
Pravahika, Arsha, Purishaj Krimi, IBS and Ulcerative Colitis.
6. Chikitsa Sutra and Management of Sexually Transmited Diseases such as – Phiranga,
Puyameha, Upadamsha, lymphogranuloma inguinale, Syphilis, Gonorrhoea.
7. Introduction, Definition and Management of Kama, Krodha, Lobha, Moha, Mada,
Matsarya, Shoka, Bhaya, Vishada, Dainya, Harsha and Pragyaparadha.
8. Manas and Manovahasrotas, Nidana and Chikitsa of the following disorders - Unmada-
Apasmara-Atattvabhinivesha, Chittodvega, Vishada, Anxiety disorders, Depression,
Somatoform and Mood disorders, Stress induced disorders, Psychosexual Disorders.
Importance of Daivavyapashraya, Sattwavajaya, Adravyabhuta Chikitsa. Medhya
Rasayana in the management of Manasa Roga. Bhuta Vidya diagnosis and management
of graha disorders.
9. Derivation, definition and synonyms of Rasayana, importance of Rasayana
and its benefits. Indications of Rasayana therapy. Classification of Rasayana.
Kutipraveshika and Vatatapika Rasayana. Indications of Vatatapika Rasayana.
Knowledge of Kayakalpa, Achara Rasayana. Procedures of Kutipraveshika, Poorvakarma
and specific schedules to be followed after Kutipravesha, benefits of Kutipraveshika
Rasayana, duration of process, Rasayana yoga and directions for their use.
Determination of dose of Rasayana according to age. Rules and regulation after
Rasayana therapy, Importance of Immunomodulators and antioxidants in Rasayana
therapy.
10. Vajikarana- Derivation, definition, synonyms, necessity, benefits, importance of
fertility, Symptoms of Shûkra (Semen), Vajikaran Dravya and Aushadhi. Properties,
doses, methods of administration, ingredients and methods of formation of Rasayana &
Vajikarana formulation. Classification and importance of Vajikarana Dravya
Reference books:
1. Charak Samhita, Sushrut Samhita, Ashtanga Samgraha and Ashtanga Hridaya with their
commentries. Madhav Nidana with Madhukosha Commentary.
2. Ayurvediya Vyadhi Vigyana - Yadavji Trikamji
3. Roga Pariksha Vidhi - Priyavrat Sharma
II. Snehana
1. Etymology and Definition of Sneha and Snehana
2. Snehayoni- Sthavara and Jangama: Properties of Sneha dravyas, Snehopag Dravyas
3. General knowledge of Ghrita, Taila, Vasa and Majja with their specific utility and
actions ,Yamaka, Trivrit and Maha Sneha
4. Metabolism of fat
5. Achcha and Pravicharana of Sneha
6. Snehapaka and its importance in Panchakarma
7. Types of Snehana: i) Bahya and ii) Abhyantara Snehana
i) Bāhya Snehana :
Methods, indications and contraindications of the following types of Bahyasnehana;
Mardana, Unmardana, Pādāghāta, Samvāhana, Karna Purana & Akshi Tarpan, Lepa,
Talam,
Murdhni Taila: Siro-Abhyanga, Shiro Seka/dhārā, Siro Pichu and Siro-Basti
Shodhanārtha Snehana
a. Importance and method of Deepan Pāchan and Rookshana in Shodhanārtha
Snehana. Properties of Rookshana Dravya. Samyak Rookshana Lakshana
b. Consideration of Agni and Koshtha in Snehana
c. Indication of Different Matra, Various dose schedules for Shodhanārtha Snehana;
Hraseeyasi, Hrasva, Madhyama and Uttama Mātrā, Ārohana Mātrā
d. Methods of Shodhanārtha Snehana,
e. Anupāna of Sneha
III. Svedana
1. Etymology and Definition of Sveda and Svedana
2. Classifications of Sveda/Svedana
3. General Sweda dravya, Properties of Sweda dravyas, Swedaopag dravyas ,
4. Indications and contraindications of Svedana
5. Ten Types of Niragni Svedana
6. Knowledge of 13 types of Sagni Svedana and Chaturvidh Svedan
7. Detailed Knowledge with their Utility of the following Svedana procedures:
Sankara/Pinda Sveda-Ruksha and Snigdha Sveda
Patrapinda Sveda, Jambir Pinda Sveda,Vāluka Sveda,Churna Pinda Sveda,Kukkutand
Pinda Sveda, Shashtika Shalipinda Sveda, Nadi Sveda, Bashpa Sveda Ksheer
dhooma ,Ksheer Seka, Kwath Seka, Avagaha Sveda,Dhanymla Dhara
Parisheka Sveda, Pizichil, Upanaha Sveda, Annalepa
8. Local Basti such as Kati Basti, Janu Basti, Greeva Basti and Urobasti
9. General precautions during Sagni Svedana and Methods to protect vital during
svedana
10. Samyak Yoga, Ayoga and Atiyoga of Svedana
11. Complications of Svedana and their Management according to Ayurveda & Modern
Medicine
12. Diet and management during and after Svedana
13. Parihār Vishaya
14. Svedana Kārmukata (Mode of action)
15. General Knowledge about current Sudation techniques like Sauna bath, Steam bath
V. Virechana Karma
VIII. Raktamokshana
IX.Physiotherapy
Distribution of Marks
1. Practical Record of 25 procedures 05 Marks
2. Long Procedure 10 Marks
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3. Long Procedure Viva 05 Marks
4. Short Procedure 08 Marks
5. Viva on Short Procedure 02 Marks
6. General Viva-voce 20 Marks
Total 50 Marks
Reference Books
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4.3 SHALYA TANTRA
Theory Two Papers – 100 Marks Each
Practical - Viva voce – 100 Marks
Part – A 50 Marks
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Yogya - Experimental Surgery.
Target –Appreciation and comprehension of concepts of Yogya. Idea of patient’s
safety in experimental training.
Preferable targets- Hands on training on mannequins.
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Fluid, Electrolyte, Acid Base Balance and Nutrition:
i. Introduction of physiology of fluids and electrolytes.
ii. Dehydration and over hydration.
iii. Specific electrolyte loss, Acidosis, Alkalosis, Symptomatology and Management.
iv. Electrolyte changes in specific diseases like pyloric stenosis, intestinal obstruction
and anuria.
v. Various replacement fluids in surgery, mode of administration and complications.
vi. Nutrition.
Target – Capability to identify and manage fluid and electrolyte imbalance. Ability to
administer parenteral fluid.
Preferable targets - Advanced techniques of fluid and electrolyte assessment and
management.
Part - B
50 Marks
Shat Kriyakala in surgical practice.
Target- Clinical utility of the concepts.
Preferable targets - Applied aspects of Kriyakalas in the light of current concepts of
pathogenesis.
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vi. Marmagata - Shock
vii. Kotha – Gangrene and Principles of Amputation.
viii. Granthi - Cyst
ix. Arbuda - Tumour
Target-Clinical application of the concepts.
Preferable targets - Hands on experience of management of different conditions.
Snayu Vikara - Diseases of tendons and ligaments – Tennis elbow, Ganglion and their
Management.
Target - Clinical application of the concepts.
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Preferable targets - Hands on experience of management of different conditions.
Part - A 50 Marks
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Target - Clinical utility of the concepts.
Preferable targets - Hands on experience of management of different conditions.
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Part – B
50 Marks
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Diseases of Urethra – Aetiopathogenesis, Classification, Clinical features, Diagnosis,
Complications and Management of Urethritis, Stricture and Rupture.
Target - Clinical utility of the concepts.
Preferable targets - Hands on experience of management of different conditions.
PRACTICALS
Content of Practicals:
1. Identification, uses, demonstration of surgical instruments and methods of
sterilization.
2. Training of case taking, bed side clinicals and case presentation.
3. Demonstration and Practical training in Anaesthesia.
4. Training to develop skills in following Parasurgical and other procedures
i. Kshara Karma
ii. Agnikarma
iii. Kshara Sutra
iv. Raktamokshana
v. Application of bandages and splints
vi. Catheterization
vii. Wound management procedures like Parisheka and Patradana
viii. Ryle’s tube aspiration
ix. Injections -Intramuscular / Intravenous / Subcutaneous / Intradermal
x. Incision and drainage of abscess
xi. Suturing of open wounds
5. Observation of following procedures
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i. Circumcision
ii. Hydrocele
iii. Hernial repair
iv. Vasectomy
v. Haemorrhoidectomy
vi. Fistulectomy
vii. Fissurectomy
viii. Appendecectomy
ix. Cholecystectomy
6. Training of Surgical Emergencies and Management.
Distribution of Marks
Reference Books
1. Sushruta Samhita
2. Ashtanga Sangraha
3. Ashtanga Hridaya
4. Charaka Samhita
5. The Surgical instruments of the Hindus -
Girindranath Mukhopadhyaya
6. Shalya Tantra Samuchchaya -
Pandit Ramadesh Sharma
7. Shalya Vigyan (Part 1-2) -
Dr. Surendra Kumar Sharma
8. Shalya Samanvaya (Part 1-2) -
Vd. Anantaram Sharma
9. Shalya Pradeepika -
Dr. Mukund Swaroop Verma
10. Soushruti -
Dr. Ram Nath Dwivedi
11. Clinical Shalya Vigyan -
Dr. Akhilanand Sharma
12. Bhagna Chikitsa -
Dr. Prabhakar Janardhan
Deshpande
13. Kshara sutra management in anorectal ailments - Dr. S.K. Sharma, Dr. K.R.Sharma
and Dr. Kulwant Singh.
14. Anorectal diseases in Ayurveda - Dr. Sijoria and Dr. Praveen
Kumar Chowdary.
15. Adhunika Shalya Chikitsa Siddanta - Dr. Katil Narshingham Udupa
16. Agnikarma Technology Innovation - Dr. P.D. Gupta
17. Shalya Tantra Ke Siddhant - Dr. K.K.Takral
18. Recent advances in the management of Arshas / Haemorrhoids - Dr. P. Hemantha
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Kumar
19. Arsha Evum Bhagander Mein sutra Avacharan - Vd. Kanak Prasad Vyas
20. Kshara Sutra - Dr. S.N.Pathak
21. Surgical ethics of Ayurveda - Dr. D.N. Pande
22. Bailey and Love’s Short Practice of Surgery - Norman.S. Williams, Charles.V.
Mann and R.C.G. Russell
23. Clinical methods in surgery - S. Das
24. Textbook of Operative Surgery - S. Das
25. Shalya Vigyan (Sachitra) - Anantram Sharma
26. Anushastra Karma - Dr. D.N. Pande
27. Concept of Vrana is Ayurveda - Dr. Lakshman Singh
28. Significance for Poorva Karma in Surgical Patient - Dr. Lakshman Singh
29. Sangyaharan Prakash - Dr. D.N. Pande
30. A concise Text Book of Surgery - S. Das
31. A manual on Clinical Surgery - S. Das
32. A System of Surgical Diagnosis - T.N. Patel
33. A Practical Guide to Operative Surgery - S. Das
34. Drugs and Equipment for Anaesthesia - Arun kumar
35. Manual of Surgical Instruments - M.M. Kapur
36. Ward Procedures - Patel Mansukh. B
37. Recent trends in the management of Arshas / Haemorrhoids - Dr. P. Hemantha
Kumar
38. Primary Anaesthesia - Maurice King
39. Synopsis of Anaesthesia - Lee
40. Clinical Anatomy/ Surgical Anatomy - John E.Skandalakis
41. Surgical Instruments of the Hindus - Girindharnath Mukopadyay
42. Outline of Orthopedics - John Crawford Adams and David
Hamblen. L
43. Outline of Fracture - John Crawford Adams
44. Recent trends in the management of Bhagandara / Fistula-in-ano - Dr. P. Hemantha
Kumar
45. Principles and Practice of Agnikarma - Dr. Anand Kumar and
Dr. Kanchan Shekokar
46. Manipal Manual of Surgery - Dr. Rajgopal Shenoy
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4.4 SHALAKYA TANTRA
I. Introduction
a) Shalakyatantra nirukti, Parichayam, Ithihasam
b) Netra rachana shariram (Mandala, Patala, Sandhi, Drushti Vichara) and Netra Kriya
Sharira alongwith modern anatomy of Eye.
c) Eye examination and knowledge of basic instruments/equipments required for
examination of Eye.
d) Netrarognanam – Samanya Hetu (Nija and agantuja), Purvarupa, Samprapti, Rupa
and Chikitsa.
e) Classification of Netraroga and its importance.
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and management of Arma, Arjuna and Shuktika
b) Brief Knowledge of Sira pidika, Sira jala, Pishtaka, Balasgrathita.
c) Study of Pterygium, Scleritis, Episcleritis, Sub-Conjunctival Hemorrhage including their
Etiology, signs and symptoms, differential diagnosis and medical & surgical
management.
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SHIRA - KARNA- NASA- MUKHA ROGAS
I Samanya Chikitsa
a) Study of therapeutic procedures like Sveda, Kavala, Gandusa, Dhuma, Murdhni Taila,
Nasya, Pratisarana, Karna Purana,karna prakshalana, nasa prakshalana Mukha Lepa.
b) Ashtavidha shastrakarma and anushastrakarma used in the treatment of Shira,
Karna,Nasa evam Mukha Rogas.
II Shiro Roga
a) Importance and Superiority of Shira.
b) Number, general etiology, pathology and cardinal features of shiro rogas and kapalgata
rogas along with their common line of management/treatment.
c) Detailed study of Vataja, Pittaja, Kaphaja shirashoola, Suryavarta, Ardhavabhedaka,
Khalitya, Palitya.
d) Brief Knowledge of Raktaja shiraha shoola, Krimija shiraha shoola , Kshayaja shiraha
shoola & Sannipataja shiraha shoola, Ananta vata, Indralupta, Darunaka.
e) Detailed study of Headache, Migraine its differential diagnosis and treatment.
IV Nasa Roga
a) Detailed study of Rachana and Kriyasharir of Nasa (Nose and paranasal sinuses)&
Ghranendriya as per Ayurvedic and modern view, Examination of Nose. along with
instruments/equipments required in Nose examination.
b) Detailed study of Pratishyaya, Dushta pratishyaya, Nasanaha, Kshavathu, Nasagata
raktapitta & Nasarsha.
c) Brief Knowledge of Putinasa, Bhranshathu, Peenasa, Apeenasa, Nasarbuda, Nasashotha,
Dipta, Nasa Sandhana.
d) Detailed study of Rhinitis & Sinusitis Epistaxis, Nasal Polyp, DNS, Foreign body including
their Etiology, pathology, clinical features differential diagnosis and medical & surgical
management.
e) Brief Knowledge of Nasal trauma, Tumours of nose and Para nasal sinuses.
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V Mukha Roga (Diseases of Oral Cavity)
a) Detailed study of Rachana and Kriyasharir of Mukha Rogaadhisthana– oshtha,
dantamoola, danta, jivha, talu, gal, sarvasara (Oral cavity ) as per Ayurvedic and
modern view along with their Basic examination including instruments/equipments
required for the examination
b) Mukha and Danta Swasthya as per ancient and modern concepts including
prevention of malignancy of oral cavity.
c) Number and general aetiology, pathology, cardinal features of Mukha rogas
along with their common line of management/treatment.
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Swrabhedha , Galavidradhi.
b) Brief Knowledge of Rohini, Galashotha, Kantharbuda, Kanthavidradhi,
Galarbuda Galaugham, Vrindam, Ekavrindam, Valaya, balasa , Shataghni,
Swaraghna.
c) Detailed study of Etiology, pathology, classification, clinical features and
management of - Pharyngitis, Laryngitis, Tonsillitis & Adenoiditis
d) Brief Knowledge of foreign body in the throat, Carcinoma of Larynx &
Pharynx, Dysphagia Diphtheria & diseases of salivary glands.
VI Miscellaneous Diseases
National Programme for Prevention and Control of Deafness.
PRACTICAL
Content of Practical
Reference Books:-
1. Shalakya Tantra Dr. Rama Nath Dwivedi
2. Shalakya Vigyan Dr. Ravindra Chandra Choudhary
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3. Abhinava Netra Chikitsa Acharya Vishva Nath Dwivedi
4. Netra Chikitsa Vigyan Dr. Ravindra Chandra Choudhary
5. Netra Roga Chikitsa Dr. Munje
6. Netra Roga Vigyan Dr. Hans Raj
7. Parson’s Diseases of Eye
8. Diseases of ENT Log and Turner
9. Shalakya Tantra Shiv Nath Khanna
10. A text book of ophthalmology in Ayurveda Dr. P.K.Shantha kumara
11. Shalakya Kriya Kalpa Vigyan Prof. K. S. Dhiman
Useful portions of Charak, Sushrut, Vagbhata
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4.5 Research methodology and Medical statistics
Part – B Medical-Statistics
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c. Mode
5. Variability and its measurement
a. Range
b. Standard deviation
c. Standard error
6. Introduction to probability and test of significance
7. Parametric and non parametric tests
8. Introduction to commonly used statistical soft-wares.
1. Dawson, Catherine, 2002, Practical Research Methods, New Delhi, UBS Publishers’
Distributors
2. Kothari, C.R.,1985, Research Methodology-Methods and Techniques, New Delhi, Wiley
Eastern Limited.
3. Kumar, Ranjit, 2005, Research Methodology-A Step-by-Step Guide for Beginners,
(2nd.ed), Singapore, Pearson Education
4. Students guide to research methodology – Undergraduates. Alexandria Medical Students
Association.
5. Health research methodology. A guide for training in research methods. 2nd edition.
Manila, World Health Organization Regional Office for the Western Pacific, 2001.
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