Agad Tantra evam Vidhi Vaidyaka BAMS 2nd Year New NCISM Syllabus All Detail

BAMS – 2nd Year
SUBJECT – Agad Tantra evam Vidhi Vaidyaka
Subject Code : AyUG-AT

Ayurved Studies

Agada Tantra, is one of the eight clinical branches (Ashtanga) of Ayurveda. This branch of clinical toxicity was considered as the stalwart of Ayurveda which popularized this science across several civilizations around the world. Many great explorers glorified the snake bite management existed in India and this paved way for the popularization of Ayurveda in several countries with Ayurvedic scriptures being translated to several languages and many scholars came to India to study this science. The subject encompasses the detailed study for several toxicological conditions ranging from animate, inanimate and other disease entities with an inherent toxic pathology that enables to apply the principles of Agada Tantra in several diseases of contemporary significance.

Poisons disrupts the homeostasis created by the three doshas. Agada Tantra details measures to re-establish the proper functioning of the dosha, dhatu, mala, srotas and to reinstate the vital force (Oja). To attain this, a judicious use of Agada formulations is necessary coupled with specific treatment procedures enshrined in the 24-fold treatments (Chaturvimsati Upakrama). A proper assessment of the patient with respect to the level of spread of poison in the body ascertained through the concept of Vega is utmost important as far as any successful management of poisoning is concerned. A thorough knowledge of all these is essential to adopt treatment of any poison or to extend it to any contemporary toxicological conditions like contact dermatitis, food poisoning etc. Current curriculum has been designed to unearth the scope of this subject as a clinicl branch which aims at empowering an undergraduate student to understand the current clinical toxicological manifestations under the theoretical and practical/clinical framework of Agada Tantra.

1. Examination (Papers & Mark Distribution)

Examination (Papers & Mark Distribution)
Item	Theory Component Marks	Practical Component Marks
		Practical	Viva	Elective	IA
Paper I	100	100	60	10	30
Sub-Total	100	200
Total marks	300

2. Number of Papers and Marks Distribution

Subject Code	Papers	Theory	Practical/Clinical Assessment
Subject Code	Papers	Theory	Practical	Viva	Elective	IA	Sub Total	Grand Total
AyUG-AT	1	100	100	60	10	30	200	300

3. Question Paper Pattern

PAPER-1
Time: 3 Hours Maximum Marks: 100
INSTRUCTIONS: All questions compulsory

		Number of Questions	Marks per question	Total Marks
Q 1	MULTIPLE CHOICE QUESTIONS (MCQ)	20	1	20
Q 2	SHORT ANSWER QUESTIONS (SAQ)	8	5	40
Q 3	LONG ANSWER QUESTIONS (LAQ)	4	10	40
				100

4. Scheme of Assessment (formative and Summative)

PROFESSIONAL COURSE	DURATION OF PROFESSIONAL COURSE
	First Term (1-6 Months)	Second Term (7-12 Months)	Third Term (13-18 Months)
Second	3 PA & First TT	3 PA & Second TT	3 PA & UE
PA: Periodical Assessment; TT: Term Test; UE: University Examinations

5. Calculation Method for Internal assessment Marks

TERM	PERIODICAL ASSESSMENT*					TERM TEST**	TERM ASSESSMENT
	A 4	B	C	D	E	F	G	H
	1 (15 Marks)	2 (15 Marks)	3 (15 Marks)	Average (A+B+C/ 3)	Converted to 30 Marks (D/15*30)	Term Test (Marks converted to 30)	Sub Total _/60 Marks	Term Ass essment (…./30)
FIRST							E+F	(E+F)/2
SECOND							E+F	(E+F)/2
THIRD						NIL		E
Final IA	Average of Three Term Assessment Marks as Shown in ‘H’ Column.
Maximum Marks in Parentheses Select an Evaluation Method which is appropriate for the objectives of Topics from the Table 6 D for Periodic assessment. Conduct 15 marks assessment and enter marks in A, B, and C. * Conduct Theory (100 Marks)(MCQ(201 Marks), SAQ(85), LAQ(4*10)) and Practical (100 Marks) Then convert to 30 marks.

6. Distribution of theory examination

Paper 1
Sr. No	A List of Topics	B Term	C Marks	MCQ (1 Mark)	SAQ (5 Marks)	LAQ (10 Marks)
1	Concepts of Agada Tantra (Clinical Toxicology)	1	13	Yes	Yes	Yes
2	Visha Chikitsa (Management of Poisoning)	1		Yes	Yes	Yes
3	Vishakta aahara pariksha and Viruddha ahara	1		Yes	Yes	No
4	Garavisha and Dooshivisha	1	12	Yes	Yes	Yes
5	Visha Upadrava and diseases caused due to exposure to Visha/poisons	1	12	Yes	Yes	No
6	Environmental Toxicology	2	11	Yes	Yes	No
7	Dermatological manifestations of visha/poisons.	2		Yes	Yes	No
8	Therapeutic utility of Agada yoga	2		Yes	Yes	No
9	Sthavara visha – Poisons of Plant origin	2	17	Yes	Yes	Yes
10	Sthavara Visha – Poisons of Metallic origin	2		Yes	Yes	Yes
11	Jangama Visha	2		Yes	Yes	Yes
12	Kritrima visha	3	12	Yes	Yes	Yes
13	Substances of abuse	3		Yes	Yes	Yes
14	Agada Tantra perspectives on cancer	3		Yes	Yes	No
15	Forensic medicine (Vyavahara Ayurveda) and Medical jurisprudence (Vidhi vaidyaka):	1	10	Yes	No	No
16	Vaidya sadvritta : Duties and Responsibilities of medical practitioner	1		Yes	Yes	No
17	Legal Procedures	1		Yes	Yes	No
18	Personal identity	1		Yes	Yes	Yes
19	Thanatology	2	12	Yes	Yes	Yes
20	Asphyxial deaths	2		Yes	Yes	Yes
21	Injury	2		Yes	Yes	Yes
22	Pregnancy, delivery and abortion	3	6	Yes	Yes	No
23	Sexual offences	3	6	Yes	Yes	No
24	Forensic psychiatry.	3	7	Yes	Yes	No
25	Forensic science laboratory	3		Yes	Yes	No
26	Laws, Acts, Rules and Regulations	3		Yes	Yes	No
Total Marks			100

7. Distribution of Practical Exam

S.No	Heads	Marks
1	Spotting (15 specimens of 4 marks each) 1.1. Snake – 2 specimens 1.1.1 Identification – 1 mark 1.1.2 Differentiating features of poisonous/ non-poisonous snake – 1 mark 1.1.3 Important clinical signs – 1 mark 1.1.4 Ayurvedic management – 1 mark 1.2. Mineral poisons/ Kritrima visha (1 specimen each)-2 specimens 1.2.1. Identification – 1 mark 1.2.2 Identification of symptom clusters mimicking other diseases and their differential diagnosis – 2 marks 1.2.3 Method of detoxification and Antidotes – 1 mark 1.3. Toxic plants– 2 specimens 1.3.1 Identification with scientific, family and sanskrit names 1 mar 1.3.2 Mode of use in Visha cases – 1 mark 1.3.3 detoxification method, Class of poison and Active principles present in the plant – 1 mark 1.3.4 Antidotes used against the specimen – 1 mark 1.4. Antitoxic plants – 3 specimens 1.4.1 Identification with scientific, family and sankrit names – 1 mark 1.4.2 Mode of use in visha – 1 mark 1.4.3 Active principles – 1 mark 1.4.4 Important formulations – 1 mark 1.5. Injuries – 2 specimens 1.5.1. Identify the injury – 1 mark 1.5.2. Identify the weapon/criminal act causing such injury – 2 mark 1.5.3. Medico-legal importance- 1 marks 1.6. News item – paper cuttings or other medico-legal case scenarios – 2 specimens 1.6.1. Identify the crime – 1 mark 1.6.2. Relevant IPC/CrPC sections associated with the crime – 1 mark 1.6.3. Relevant Act related to the crime – with sub-questions related to its sub-sections, punishment etc. – 2 marks 1.7. Jangama visha – other poisonous creatures – 2 specimens 1.7.1 Identification – 1 mark 1.7.2 Adhishtana/samanya lakshana/ chikitsa – 2 marks 1.7.3 specific formulations/doses – 1 mark(Sub-questions mentioned against each item is for a purpose of example only. Different questions may be framed on the various aspects of the guidelines provided)	60
2	Practical Records	10
3	Medical and Medico-legal Certificate WritingStudents will be provided with a case-scenario based on which they are asked to write a medical certificate for a specific purpose. Evaluation guidelines should be based on the essential criteria in the format of a valid medical certificate.	10
4	Short CaseCase scenarios with pictures to diagnose a specific case of poisoning and specific questions asked regarding its clinical examination, investigations, treatment, prognosis etc.	10
5	Clinical Applications of Agada Identification of Agada for a case scenario detailed – 2 marks Select the ingredients of the formulation from a group of drugs and identify using scientific names and answer sub-questions based on its preparation, anupana, dose etc. – 8 marks	10
6	Viva Questions will be asked on the following topics Agada Tantra (2 questions 5 marks each) – 10 marks Forensic Science (Vyavaharayurveda) (2 questions 5 marks) – 10 marks Jurisprudence (Vidhivaidyaka) (2 questions 5 marks) – 10 marks Toxicology (2 questions 5 marks each) – 10 marks Concepts of Agada Tantra in cancer and substance abuse (one question from each) (2 questions 5 marks each) – 10 marks Viva on Compilation and Communication skills (2 questions 5 marks each) – 10 marks	60
7	Electives	10
8	IA	30
Total Marks		200

8. Contents of Course

Sr. No	A2 List of Topics	B2 Term	C2 Marks
1	Concepts of Agada Tantra (Clinical Toxicology) 1.1 Agada Tantra and Clinical Toxicology. 1.2 Scope of Agada Tantra. 1.3 Definition of visha and poison, synonyms, visha guna, difference between visha, madya and oja guna, visha gati, classification of visha and poison, sthavara and jangama visha adhishtana. 1.4 Difference between poison, venom and toxin. 1.5 Routes of administration of poison. 1.6 Mode of action of visha (visha gunanusara karma) and poison (Introduction to toxicokinetics) 1.7 Factors modifying the action of poison. 1.8 Visha vardhaka bhava and visha sankata 1.9 Vishavega, vegantara and sthavara visha veganusara lakshana and chikitsa. 1.10 Visha peeta and vishamukta lakshana.	1	13
2	Visha Chikitsa (Management of Poisoning) 2.1. Diagnosis of poisoning in living & dead 2.2. Chaturvimshati upakrama. 2.3. General principles of management of poisoning. 2.4. Duties of medical officer in case of suspected poisoning.	1
3	Vishakta aahara pariksha and Viruddha ahara 3.1. Sources of exposure of visha with contemporary relevance. 3.2. Vishakta aahara pariksha. 3.3. Adulteration and tests for its detection. 3.4. Techniques used in the detection of poisons. 3.5. Viruddha-ahara with contemporary relevance. 3.6. Food poisoning and amavisha.	1
4	Garavisha and Dooshivisha 4.1. Garavisha 4.2. Dooshivisha 4.3. Contemporary aspects of garavisha and dooshivisha. 4.4. Role of garavisha and dooshivisha in the manifestation of diseases 4.5. Research updates in garavisha and dooshivisha	1	12
5	Visha Upadrava and diseases caused due to exposure to Visha/poisons Visha upadrava Drug-induced toxicity Occupational Allergic manifestations Endocrine disrupters	1	12
6	Environmental Toxicology 6.1 Vishakta vayu, jala and bhumi (air, water and land pollution) 6.2 Effect of biological, chemical and nuclear warfare. 6.3 Ecotoxicology & biomagnification. 6.4 Toxicovigilance.	2	11
7	Dermatological manifestations of visha/poisons. 7.1. Contact dermatitis and its management. 7.2. Signs and symptoms and management of abhyanga visha, lepa visha, vastra visha, paduka visha, abharana visha etc. with contemporary relevance. 7.3. Signs and symptoms and management of dermatological manifestations due to cosmetics, chemicals, occupational and other allergens. 7.4. Dermatological manifestation due to dooshivisha and garavisha. 7.5. Dermatological manifestation due to bites and stings.	2
8	Therapeutic utility of Agada yoga 8.1 Dooshivishari agada 8.2 Bilwadi agada 8.3 Dashanga agada 8.4 Murvadi agada 8.5 Panchashirisha agada 8.6 Vishaghna mahakashaya (Charaka Samhita) 8.7 Ekasara gana (Sushruta Samhita)	2
9	Sthavara visha – Poisons of Plant origin 9.1. Cardiac Poisons – Vatsanabha, Karaveera, Digitalis, Tobacco and Cerbera odollam. 9.2. Neurotoxic Poisons- Kupeelu, Ahiphena, Dhattura, Bhanga. 9.3. Irritant Poisons – Jayapala, Gunja, Bhallataka, Arka, Snuhi, Langali	2	17
10	Sthavara Visha – Poisons of Metallic origin 10.1. Arsenic. 10.2. Mercury 10.3. Lead. 10.4. Copper	2
11	Jangama Visha 11.1. Sarpa visha 11.2. Loota visha 11.3. Vrischika visha 11.4. Mushika visha and its contemporary relevance. 11.5. Alarka visha and its contemporary relevance. 11.6. Keeta visha 11.7. Vector borne diseases.	2
12	Kritrima visha 12.1. Inorganic Acids – Sulphuric acid, Hydrochloric acid, Nitric acid. 12.2. Organic Acids – Oxalic acid, Carbolic acid, Formic acid. 12.3. Alkalies – Potassium hydroxide and Sodium hydroxide. 12.4. Asphyxiants – Carbon monoxide, Carbon dioxide. 12.5. Non-metallic poisons – Phosphorous, cyanide 12.6. Hydrocarbons – Kerosene. 12.7. Agrochemical Poisoning – Organo-phosphorus compounds, Carbamates, Organo-chlorine compounds, Aluminium phosphide. 12.8. Household poisons.	3	12
13	Substances of abuse 13.1. Madya and madatyaya, Alcoholism. 13.2. Addiction – Alcohol, Bhang, Opioids, Tobacco and Digital addiction. 13.3. Drugs of abuse- Lysergic acid diethylamide (LSD) and 13.4-Methylenedioxy methamphetamine (MDMA). 13.4. Narcotic Drugs and Psychotropic Substances (NDPS) Act.	3
14	Agada Tantra perspectives on cancer 14.1. Toxic carcinogens. 14.2. Toxicities due to chemo and radiotherapy and its Ayurvedic approach. 14.3. Agada and visha dravya prayoga in the prevention and management of cancer along with its research updates.	3
15	Forensic medicine (Vyavahara Ayurveda) and Medical jurisprudence (Vidhi vaidyaka): 15.1 Forensic Medicine and Medical Jurisprudence. 15.2 Introduction to Indian Penal Code, Indian Evidence Act and Criminal Procedure Code.	1	10
16	Vaidya sadvritta : Duties and Responsibilities of medical practitioner 16.1 Vaidya sadvritta, medical ethics and code of conduct, Charaka oath and Hippocratic oath. 16.2 NCISM – constitution, objectives and functions. 16.3 Duties, rights and privileges of a registered medical practitioner. 16.4 Consent, professional secrecy and privileged communication. 16.5 Professional negligence, professional misconduct and unethical practices. 16.6 Defenses in medical negligence suits. 16.7 Medical records. 16.8 Consumer Protection Act.	1
17	Legal Procedures 17.1. Courts and their powers 17.2. Inquest, evidence and witnesses 17.3. Court procedures: summons, oath, recording of evidence and conduct money. 17.4. Conduct of a medical professional in the court of law.	1
18	Personal identity 18.1 Identification data 18.2 Age 18.3 Rape, religion, 18.4 Moles, tattoos, scars, occupational marks & 18.5 Hand writing, dactylography, DNA typing and superimposition	1
19	Thanatology 19.1. Death 19.2. Signs of death. 19.3. Medicolegal autopsy and exhumation. 19.4. The Transplantation of Human Organs and Tissues Act (THOTA).	2	12
20	Asphyxial deaths 20.1. Hanging. 20.2. Strangulation and suffocation 20.3. Drowning.	2
21	Injury 21.1. Basics of injury 21.2. Mechanical injury 21.3. Firearm injury 21.4. Thermal injury 21.5. Dowry death	2
22	Pregnancy, delivery and abortion 22.1 Medico-legal aspects of pregnancy, delivery, infanticide and battered baby syndrome. 22.2 Abortion, Medical Termination of Pregnancy (MTP) Act and Pre-Conception and Pre-Natal Diagnostic Techniques (PCPNDT) Act. 22.3 Medico-legal aspects of artificial insemination and surrogacy.	3	6
23	Sexual offences 23.1. Rape 23.2. Medico-legal aspects of sexual offences 23.3. Protection of Children from Sexual Offences (POCSO) Act	3	6
24	Forensic psychiatry. 24.1. Common symptoms associated with psychiatric disorders 24.2. Lucid interval 24.3 Civil and criminal responsibilities of a mentally ill person 24.4 Mental Health Act (MHA)	3	7
25	Forensic science laboratory 25.1. Hierarchy and major divisions of forensic lab services. 25.2. Newer techniques and recent advances – polygraphy, narcoanalysis, DNA profiling.	3
26	Laws, Acts, Rules and Regulations 26.1 Clinical Establishments Act 26.2 State AYUSH registration board rules and regulations. 26.3 Medicare Service Persons and Medicare Service Institutions (Prevention of violence and damage or loss to property) Act, 2008. 26.4 Drugs and Cosmetics Act and Rules – Schedules related to poison. 26.5 The Occupational Safety, Health and Working Conditions Code, 2020 26.6 Employees State Insurance Act, 1948. 26.7 Rights of Person with Disability Act, 2016.	3
Total Marks			100

The present curriculum of Agada Tantra equips an undergraduate student to grasp the clinical utility of these concepts through an effective teaching-learning process involving cognitive, psychomotor and affective domains. Students will be guided through effective teaching-learning methods to understand the concepts through state-of-the-art techniques like activity based learning, problem based learning and group activities. Effective evaluation techniques are also been incorporated to make the student community learn this subject in its entirity and utilizes the spectrum of its theoretical, practical and clinical aspects.