Bare Acts Live

Homoeopathy (Degree Course) Regulations, 1983

Published vide Notification No. 7-1/83/CCH, dated 11.5.1983

Last Updated 23rd April, 2019 [act3388]

Part-I

Preliminary

(i) "Act" means the Homoeopathy Central Council Act, 1973 (59 of 1973);

[(ia) "Clinical work" means case taking and treatment of patients in the hospital;]

(ii) "Courses" means the course of study in Homoeopathy, namely:-

(a) D.H.M.S. (Diploma in Homoeopathic Medicine and Surgery) and

(b) B.H.M.S. (Bachelor of Homoeopathic Medicine and Surgery) Course;

(iia) "Demonstration" means an educational activity conducted to explain by way of experimentation to show practically or clinically, the process of explaining whatever taught in the class;

(iii) "Diploma" means a Diploma in Homoeopathy as defined in clause (iii) of regulation 2 of the Homoeopathy (Diploma Course) Regulations, 1983;

(iv) "Degree" means a Degree in Homoeopathy provided in regulation 3 of these Regulations or a Degree as defined in clause (iv) of regulation 2 of the Homoeopathy (Graded Degree Course) Regulations, 1983.

[(v) "Homoeopathic College" means a Homoeopathic College affiliated to a University and recognized by the Central Government;]

(vi) "Inspector" means a Medical Inspector appointed under sub-section (i) of section 17 of the Act;

[(via) "Local Body" means the development authority, municipal committee, municipal corporation and panchayat;]

(vii) "President" means the President of the Central Council;

[(viia) "Seminar" means a session or sessions of discussion on a particular topic or topics related to the course involving interaction amongst the teaching faculty and the students;]

(viii) "Second Schedule" and "Third Schedule" means the Second Schedule and Third Schedule respectively of the Act;

(ix) "Syllabus" and "Curriculum" means the Syllabus and Curriculum for different courses of study as specified by the Central Council under these Regulations, the Homoeopathy (Diploma Course) Regulations, 1983 and the Homoeopathy (Graded Degree Course) Regulations, 1983;

[(x) "Teaching experience" means teaching experience in the subject concerned in a Homoeopathic College and include s teaching experience in the subjects of Medicine, Surgery, Obstetrics and Gynaecology, gained in the Medical Colleges recognised by the Central Government;]

[(xa) "Tutorial" means a regular meeting in which a teacher and a small group of students discuss a topic as a part of the course;]

(xi) "Visitor" means a Visitor appointed under sub- section (1) of Section 18 of the Act;

[(xii) "Post Graduation in Homoeopathy" means a Post Graduate qualification in Homoeopathy recognised as per the provisions of the Act.]

Part-II

Courses of Study

[(ii) Every candidate after passing the final BHMS examination, shall undergo compulsory internship for a period of twelve months as per the procedure laid down in Annexure 'A' attached to these regulations.]

[(iii) On successful completion of the internship and on the recommendation of the Principal of the Homoeopathic College concerned, the concerned University shall issue the Degree to such candidates.]

[(iv) Every candidate shall complete the course including the passing of examination in all subjects and complete the compulsory internship training within a period of eleven years from the date of admission in First B.H.M.S. Degree Course in the college concerned, failing which his name shall be removed from the rolls of the college;]

Part-III

Admission to Course

(ii) candidate with benchmark disabilities as specified under the Rights of Persons with Disabilities Act, 2016 (49 of 2016), the minimum qualifying marks in qualifying examination in Physics, Chemistry and Biology shall be forty-five per cent, for general category and forty per cent, for the Scheduled Castes, Scheduled Tribes and Other Backward Classes.]

[(ii) No candidate shall be admitted to B.H.M.S. Degree Course unless he has attained the age of seventeen years on or before the 31st December of the year of this admission in the first year of the course and not older than the age of twenty-five years on or before the 31s December of the year of admission in the first year of the course:

(iii) No candidate shall be admitted to B.H.M.S Degree Course if he is blind (including colour blindness), deaf, dumb, deaf and dumb.]

Part IV

The Curriculum

Part V

Anatomy

(b) The amount of detail which a student is required to memorise should be reduced to the minimum;

(c) Major emphasis should be laid on functional anatomy of the living subject rather than on the static structures of the cadaver, and on general anatomical positions and broad relations of the viscera, muscles, blood-vessels, nerves and lymphatics and study of the cadaver is the only means to achieve this;

(d) Students should not be burdened with minute anatomical details which have no clinical significance.

II Though dissection of the entire body is essential for the preparation of the student of his clinical studies, the burden of dissection can be reduced and much saving of time can be effected, if considerable reduction of the amount of topographical details is made and the following points are kept in view:-

(1) Only such details as have professional or general educational value for the medical students.

(2) The purpose of dissection is to give the student an understanding of the body in relation to its function, and the dissection should be designed to achieve this goal.

(3) Normal radiological anatomy may also form part of practical or clinical training and the structure of the body should be presented linking functional aspects.

(4) Dissection should be preceded by a course of lectures on the general structure of the organ or the system under discussion and then its function. In this way anatomical and physiological knowledge can be presented to students in an integrated form and the instruction of the whole course of anatomy and physiology and more interesting, lively and practical or clinical.

(5) A good part of the theoretical lectures on anatomy can be transferred to tutorial classes with the demonstrations.

(6) Students should be able to identify anatomical specimens and structures displayed in the dissections.

(7) Lectures or demonstrations on the clinical and applied anatomy should be arranged in the later part of the course and it should aim at demonstrating the anatomical basis of physical signs and the value of anatomical knowledge to the students.

(8) Seminars and group discussions to be arranged periodically with a view of presenting these subjects in an integrated manner.

(9) More stress on demonstrations and tutorials should be given. Emphasis should be laid down on the general anatomical positions and broad relations of the viscera, muscles, blood vessels, nerves and lymphatics.

(10) There should be joint seminars with the departments of Physiology and Bio-Chemistry which should be organised once a month.

(11) There should be a close correlation in the teaching of gross Anatomy, Histology, Embryology and Genetics and the teaching of Anatomy, Physiology including Bio-chemistry shall be integrated.

(a) A complete course of human anatomy with general working knowledge of different anatomical parts of the body.

1. General Anatomy:

1.1 Modern concepts of cell and its components; cell division, types with their significance.

1.2 Tissues.

1.3 Genetics.

2. Developmental anatomy (Embryology):

2.1 Spermatogenesis

2.2 Oogenesis

2.3 Formation of germ layers

2.4 Development of embryogenic disk

2.5 Placenta

2.6 Development of abdominal organs

2.7 Development of cardio vascular system

2.8 Development of nervous system

2.9 Development of respiratory system

2.10 Development of body cavities

2.11 Development of uro-genital system

3. Regional anatomy. - This will be taught under the following regions:-

3.1. Head, Neck and Face, Brain

3.2. Thorax

3.3. Abdomen

3.4. Upper and Lower Extremities

3.5 Special Senses

Each of the above areas will cover, -

(a) osteology

(b) syndesmology (joints)

(c) myology

(d) angiology

(e) neurology

(f) splanchnolgy (viscera and organs)

(g)surface anatomy

(h) applied anatomy

(i) radiographic anatomy

4. Histology (Microanatomy):

1. Dissection of the whole human body, demonstration of dissected parts.

2. Identification of histological slides related to tissues and organs.

3. Students shall maintain practical or clinical journals and dissection cards.

1. Theory. - The written papers in anatomy shall be in two papers, namely:-

1.1. Paper-I

a. General Anatomy,

b.Head, face and neck, Central nervous System, upper extremities and Embryology.

1.2. Paper-II

a. Thorax, abdomen, pelvis, lower extremities and Histology (micro-anatomy).

2. The Practical including viva voce or oral examination includes the following:-

Physiology

(b) To a Homoeopath the human organism is an integrated whole of body life and mind and though life includes all the chemico-physical processes it transcends them;

(c) There can be no symptoms of disease without vital force animating the human organism and it is primarily the vital force which is deranged in disease;

(d) Physiology shall be taught from the stand point of describing physical processes underlying them in health;

(e) Applied aspect of every system including the organs is to be stressed upon while teaching the subject.

II (a) There should be close co-operation between the various departments while teaching the different systems;

(b) There should be joint courses between the two departments of anatomy and physiology so that there is maximum co-ordination in the teaching of these subjects;

(c) Seminars should be arranged periodically and lecturers of anatomy, physiology and bio-chemistry should bring home the point to the students that the integrated approach is more meaningful.

The curriculum includes the following, namely:-

I. General physiology:

1. Introduction to cellular physiology

2. Cell Junctions

3. Transport through cell membrane and resting membrane potential

4. Body fluids compartments

5 .Homeostasis

II. Body fluids:

1. Blood

2. Plasma Proteins

3. Red Blood Cells

4. Erythropoiesis

5. Haemoglobin and Iron Metabolism

6. Erythrocyte Sedimentation Rate

7. Packed Cell Volume and Blood Indices

8. Anaemia

9. Haemolysis and Fragility of Red Blood Cells

10. White Blood Cell

11. Immunity

12. Platelets

13. Haemostasis

14. Coagulation of Blood

15. Blood groups

16. Blood Transfusion

17. Blood volume

18. Reticulo-endothelial System and Tissue Macrophage

19. Lymphatic System and Lymph

20. Tissue Fluid and Oedema

III. Cardio-vascular system:

1. Introduction to cardiovascular system

2. Properties of cardiac muscle

3. Cardiac cycle

4. General principles of circulation

5. Heart sounds

6. Regulation of cardiovascular system

7. Normal and abnormal Electrocardiogram (ECG)

8. Cardiac output

9. Heart rate

10. Arterial blood pressure

11. Radial Pulse

12. Regional circulation- Cerebral, Splanchnic, Capillary, Cutaneous & skeletal muscle circulation

13. Cardiovascular adjustments during exercise

IV. Respiratory system and environmental physiology:

1. Physiological anatomy of respiratory tract

2. Mechanism of respiration : Ventilation, diffusion of gases

3. Transport of respiratory gases

4. Regulation of respiration

5. Pulmonary function tests

6. High altitude and space physiology

7. Deep sea physiology

8. Artificial respiration

9. Effects of exercise on respiration

V. Digestive system:

1. Introduction to digestive system

2. Composition and functions of digestive juices

3. Physiological anatomy of Stomach, Pancreas, Liver and Gall bladder, Small intestine, Large intestine

4. Movements of gastrointestinal tract

5. Gastrointestinal hormones

6. Digestion and absorption of carbohydrates, proteins and lipids

VI. Renal physiology and skin:

1. Physiological anatomy of kidneys and urinary tract

2. Renal circulation

3. Urine formation : Renal clearance, glomerular filtration, tubular reabsorption, selective secretion, concentration of urine, acidification of urine

4. Renal function tests

5. Micturition

6. Skin

7. Sweat

8. Body temperature and its regulation

VII. Endocrinology:

1. Introduction to endocrinology

2. Hormones and hypothalamo-hypophyseal axis

3. Pituitary gland

4. Thyroid gland

5. Parathyroid

6. Endocrine functions of pancreas

7. Adrenal cortex

8. Adrenal medulla

9. Endocrine functions of other organs

VIII. Reproductive system:

1. Male reproductive system- testis and its hormones; seminal vesicles, prostate gland, semen.

2. Introduction to female reproductive system

3. Menstrual cycle

4. Ovulation

5. Menopause

6. Infertility

7. Pregnancy and parturition

8. Placenta

9. Pregnancy tests

10. Mammary glands and lactation

11. Fertility

12. Foetal circulation

IX. Central nervous system:

1. Introduction to nervous system

2. Neuron

3. Neuroglia

4. Receptors

5. Synapse

6. Neurotransmitters

7. Reflex

8. Spinal cord

9. Somato-sensory system and somato-motor system

10. Physiology of pain

11. Brainstem, Vestibular apparatus

12. Cerebral cortex

13. Thalamus

14. Hypothalamus

15. Internal capsule

16. Basal ganglia

17. Limbic system

18. Cerebellum - Posture and equilibrium

19. Reticular formation

20. Proprioceptors

21. Higher intellectual function

22. Electroencephalogram (EEG)

23. Physiology of sleep

24. Cerebro-spinal fluid (CSF)

25. Autonomic Nervous System (ANS)

X. Special senses:

1. Eye : Photochemistry of vision, Visual pathway, Pupillary reflexes, Colour vision, Errors of refraction

2. Ear: Auditory pathway, Mechanism of hearing, Auditory defects

3. Sensation of taste : Taste receptors, Taste pathways

4. Sensation of smell : Olfactory receptors, olfactory pathways

5. Sensation of touch

XI. Nerve muscle physiology:

1. Physiological properties of nerve fibres

2. Nerve fibre- types, classification, function, Degeneration and regeneration of peripheral nerves

3. Neuro-Muscular junction

4. Physiology of Skeletal muscle

5. Physiology of Cardiac muscle

6. Physiology of Smooth muscle

7. EMG and disorders of skeletal muscles

XII. Bio-physical sciences:

1. Filtration

2. Ultra filtration

3. Osmosis

4. Diffusion

5. Adsorption

6. Hydrotropy

7. Colloid

8. Donnan Equilibrium

9. Tracer elements

10. Dialysis

11. Absorption

12. Assimilation

13. Surface tension

I. Haematology:

1. Study of the Compound Microscope

2. Introduction to haematology

3. Collection of Blood samples.

4. Estimation of Haemoglobin Concentration

5. Determination of Haematocrit

6. Haemocytometry

7. Total RBC count

8. Determination of RBC indices

9. Total Leucocytes Count (TLC)

10. Preparation and examination of Blood Smear

11. Differential Leucocyte Count (DLC)

12. Absolute Eosinophil Count

13. Determination of Erythrocyte Sedimentation Rate

14. Determination of Blood Groups

15. Osmotic fragility of Red cells

16. Determination of Bleeding Time and Coagulation Time

17. Platelet Count

18. Reticulocyte Count

II. Human experiments:

1. General Examination

2. Respiratory System- Clinical examination, Spirometry, Stethography

3. Gastrointestinal System- Clinical examination

4. Cardiovascular System- Blood pressure recording, Radial pulse, ECG, Clinical examination

5. Nerve and Muscle Physiology- Mosso's Ergography, Handgrip Dynamometer

6. Nervous System- Clinical examination

7. Special Senses- Clinical examination

8. Reproductive System- Diagnosis of pregnancy

Bio-Chemistry

1. Demonstration of uses of instruments or equipment

2. Qualititative analysis of carbohydrates, proteins and lipids

3. Normal characteristics of urine

4. Abnormal constituents of urine

5. Quantitative estimation of glucose, total proteins, uric acid in blood

6. Liver function tests

7. Kidney function tests

8. Lipid profile

9. Interpretation and discussion of results of biochemical tests.

1. Theory:

(1) No. of Papers- 02

(2) Marks: Paper I- 100

(3) Paper II- 100

1.1. Contents:

1.1.1. Paper-I:

General Physiology, Biophysics, Body fluids, Cardiovascular system, Reticuloendothelial system, Respiratory system, Excretory system, Regulation of body temperature, Skin, Nerve Muscle physiology

1.1.2. Paper-II:

Endocrine system, Central Nervous System, Digestive system and metabolism, Reproductive system, Sense organs, Biochemistry, Nutrition.

2. Practical Including viva voce or oral:

Organon of Medicine with Homoeopathic Philosophy

(b) It illustrates those principles which when applied in practice enable the physician to achieve results, which he can explain logically and rationally in medical practice with greater competence;

(c) Focus of the education and training should be to build up the conceptual base of Homoeopathic Philosophy for use in medical practice.

II Homoeopathy should be taught as a complete system of medicine with logical rationality of its holistic, individualistic and dynamistic approach to life, health, disease, remedy and cure and in order to achieve this, integration in the study of logic, psychology and the fundamentals of Homoeopathy becomes necessary.

III (a) It is imperative to have clear grasp of inductive and deductive logic, and its application and understanding of the fundamentals of Homoeopathy;

(b) Homoeopathic approach in therapeutics is a holistic approach and it demands a comprehension of patient as a person, disposition, state of his mind and body, along with the study of the disease process and its causes;

(c) Since Homoeopathy lays great emphasis on knowing the mind, preliminary and basic knowledge of the psychology becomes imperative for a homoeopathic physician and introduction to psychology will assist the student in building up his conceptual base in this direction.

IV The department of organon of medicine shall co-ordinate with other departments where students are sent for the pre-clinical and clinical training and this will not only facilitate integration with other related departments, but also enhance the confidence of the students when they will be attending specialty clinics.

First B.H.M.S.

1. Introductory lectures

1.1. Evolution of medical practice of the ancients (Prehistoric Medicine, Greek Medicine, Chinese medicine, Hindu medicine and Renaissance) and tracing the empirical, rationalistic and vitalistic thoughts.

1.2. Short history of Hahnemann's life, his contributions, and discovery of Homoeopathy, situation leading to discovery of Homoeopathy

1.3. Brief life history and contributions of early pioneers of homoeopathy like C.V. Boenninghausen, J.T. Kent, C.Hering, Rajendra Lal Dutta, M.L. Sircar

1.4. History and Development of Homoeopathy in India, U.S.A. and European countries

1.5. Fundamental Principles of Homoeopathy.

1.6. Basic concept of:

1.6.1. Health: Hahnemann's concept and modern concept.

1.6.2. Disease: Hahnemann's concept and modern concept.

1.6.3. Cure.

1.7. Different editions and constructions of Hahnemann's Organon of Medicine.

2. Logic

To understand organon of medicine and homoeopathic philosophy, it is essential to be acquainted with the basics of LOGIC to grasp inductive and deductive reasonings.

Preliminary lecturers on inductive and deductive logic (with reference to philosophy book of Stuart Close Chapter 3 and 16).

3. Psychology

3.1. Basics of Psychology.

3.2. Study of behavior and intelligence.

3.3. Basic concepts of Sensations.

3.4. Emotion, Motivation, Personality, Anxiety, Conflict, Frustration, Depression, Fear, Psychosomatic Manifestations

3.5 Dreams.

4. Aphorisms 1 to 28 of organon of medicine

5. Homoeopathic Prophylaxis

Second B.H.M.S.

1. Aphorisms 29-104 including foot notes of Organon of Medicine (5th & 6th Editions translated by R.E. Dudgeon and W. Boericke).

2. Homoeopathic philosophy:

2.1. Chapters of Philosophy books of J.T. Kent (Chapters 1 to17, 23 to 27, 31 to 33), Stuart Close (Chapters- 8,9, 11, 12) and H.A. Roberts (Chapters3,4,5,6, 8, 9, 11, 17, 18, 19,20), related to Aphorisms 29-104 of Organon of Medicine

2.2. Symptomatology. - Details regarding Symptomatology are to be comprehended by referring to the relevant aphorisms of organon of medicine and chapters of the books on homoeopathic philosophy.

2.3. Causations. - Thorough comprehension of the evolution of disease, taking into account pre-disposing, fundamental, exciting and maintaining causes.

2.4. Case taking. - The purpose of homoeopathic case taking is not merely collection of the disease symptoms from the patient, but comprehending the patient as a whole with the correct appreciation of the factors responsible for the genesis and maintenance of illness. Hahnemann's concept and method of case taking, as stated in his Organon of Medicine is to be stressed upon.

2.5. Case processing: This includes,

(i) Analysis of Symptoms,

(ii) Evaluation of Symptoms,

(iii) Miasmatic diagnosis,

(iv) Totality of symptoms

1. Clinical posting of students shall be started from Second B.H.M.S onwards.

2. Each student shall maintain case records of at least ten acute cases

1. Theory

1.1. No. of papers -01

1.2. Marks: 100

1.3. Distribution of marks:

1.3.1. Logic - 15 marks

1.3.2. Psychology - 15 marks

1.3.3. Fundamentals of homoeopathy and aphorisms 1 to 104 - 50 marks

1.3.4. Homoeopathic philosophy - 20 marks

2. Practical including viva voce or oral:

Third B.H.M.S.

1. Hahnemann's Prefaces and Introduction to Organon of Medicine.

2. Aphorisms 105 to 294 of Hahnemann's Organon of Medicine, including foot notes (5th and 6th Editions translated by R.E. Dudgeon and W. Boericke)

3. Chapters of Philosophy books of J.T. Kent (Chapters- 28, 29, 30, 34 to 37), Stuart Close (Chapters- 7, 10, 13, 14, 15) & H.A. Roberts (Chapters- 7, 10, 12 to 19,21, 34) related to 105- 294 Aphorisms of Organon of Medicine.

Fourth B.H.M.S.

1. Evolution of medical practice of the ancients (Prehistoric Medicine, Greek Medicine, Chinese medicine, Hindu medicine and Renaissance) and tracing the empirical, rationalistic and vitalistic thoughts.

2. Revision of Hahnemann's Organon of Medicine (Aphorisms 1-294) including footnotes (5th & 6th Editions translated by R.E. Dudgeon and W. Boericke).

3. Homoeopathic Philosophy. - Philosophy books of Stuart Close (Chapters- 1, 2, 4, 5, 6, 8, 17), J.T. Kent (Chapters - 18 to 22) and H.A. Roberts (Chapters- 1 to 5, 20, 22 to 33, 35), Richard Hughes (Chapters- 1 to 10) and C. Dunham (Chapters- 1 to 7).

4. Chronic Diseases:

4.1. Hahnemann's Theory of Chronic Diseases.

4.2. J.H. Allen's The Chronic Miasms - Psora and Pseudo-psora; Sycosis

(a) Emphasis should be given on the way in which each miasmatic state evolves and the characteristic expressions are manifested at various levels and attempt should be made to impart a clear understanding of Hahnemann's theory of chronic miasms.

(b) The characteristics of the miasms need to be explained in the light of knowledge acquired from different branches of medicine.

(c) Teacher should explain clearly therapeutic implications of theory of chronic miasms in practice and this will entail a comprehension of evolution of natural disease from miasmatic angle, and it shall be correlated with applied materia medica.

(a) The students shall maintain practical records of patients treated in the out patient department and inpatient department of the attached hospital.

(b) The following shall be stressed upon in the case records, namely:-

(1) receiving the case properly (case taking) without distortion of the of patient's expressions;

(2) nosological diagnosis;

(3) analysis and evaluation of the symptoms, miasmatic diagnosis and portraying the totality of symptoms;

(4) individualisation of the case for determination of the similimum, prognosis, general management including diet and necessary restrictions on mode of life of the individual patients;

(5) state of susceptibility to formulate comprehensive plan of treatment;.

(6) order of evaluation of the characteristic features of the case would become stepping stone for the repertorial totality;

(7) remedy selection and posology;

(8) second prescription.

Note: - (1) Each student has to maintain records of twenty thoroughly worked out cases (ten chronic and ten acute cases).

(2) Each student shall present at least one case in the departmental symposium or seminar.

Homoeopathic Pharmacy

(1) importance of homoeopathic pharmacy in relation to study of homoeopathic materia medica, organon of medicine and national economy as well as growth of homoeopathic pharmacy and research;

(2) originality and speciality of homoeopathic pharmacy and its relation to pharmacy of other recognised systems of medicine;

(3) the areas of teaching shall encompass the entire subject but stress shall be laid on the fundamental topics that form the basis of homoeopathy.

I. General concepts and orientation:

1. History of pharmacy with emphasis on emergence of Homoeopathic Pharmacy.

2. Official Homoeopathic Pharmacopoeia (Germany, Britain, U.S.A., India).

3. Important terminologies like scientific names, common names, synonyms.

4. Definitions in homoeopathic pharmacy.

5. Components of Pharmacy.

6. Weights and measurements.

7. Nomenclature of homoeopathic drugs with their anomalies.

II. Raw Material: drugs and vehicles

1. Sources of drugs (taxonomic classification, with reference to utility).

2. Collection of drug substances.

3. Vehicles.

4. Homoeopathic Pharmaceutical Instruments and appliances.

III. Homoeopathic Pharmaceutics:

1. Mother tincture and its preparation - old and new methods.

2. Various scales used in homoeopathic pharmacy.

3. Drug dynamisation or potentisation.

4. External applications (focus on scope of Homoeopathic lotion, glycerol, liniment and ointment).

5. Doctrine of signature.

6. Posology (focus on basic principles; related aphorisms of organon of medicine).

7. Prescription (including abbreviations).

8. Concept of placebo.

9. Pharmaconomy - routes of homoeopathic drug administration.

10. Dispensing of medicines.

11. Basics of adverse drug reactions and pharmaco-vigilance.

IV. Pharmacodynamics:

1. Homoeopathic Pharmacodynamics

2. Drug Proving (related aphorisms 105 - 145 of organon of medicine) and merits and demerits of Drug Proving on Humans and Animals.

3. Pharmacological study of drugs listed in Appendix -A

V. Quality Control:

1. Standardisation of homoeopathic medicines, raw materials and finished products.

2. Good manufacturing practices; industrial pharmacy.

3. Homoeopathic pharmacopoeia laboratory - functions and activities, relating to quality control of drugs.

VI. Legislations pertaining to pharmacy:

1. The Drugs and Cosmetics Act, 1940 (23 of 1940) {in relation to Homoeopathy};

2. Drugs and Cosmetics Rules, 1945 {in relation to Homoeopathy;

3. Poisons Act, 1919 (12 of 1919);

4. The Narcotic Drugs and Psychotropic Substances Act, 1985 (61 of 1985);

5. Drugs and Magic Remedies (Objectionable Advertisements) Act, 1954 (21 of 1954);

6. Medicinal and Toilet Preparations (Excise Duties) Act, 1955 (16 of 1955).

Experiments

1. Estimation of size of globules.

2. Medication of globules and preparation of doses with sugar of milk and distilled water.

3. Purity test of sugar of milk, distilled water and ethyl alcohol.

4. Determination of specific gravity of distilled water and ethyl alcohol.

5. Preparation of dispensing alcohol and dilute alcohol from strong alcohol.

6. Trituration of one drug each in decimal and centesimal scale.

7. Succussion in decimal scale from Mother Tincture to 6X potency.

8. Succussion in centesimal scale from Mother Tincture to 3C potency.

9. Conversion of Trituration to liquid potency: Decimal scale 6X to 8X potency.

10. Conversion of Trituration to liquid potency: Centesimal scale 3C to 4C potency.

11. Preparation of 0/1 potency (LM scale) of 1 Drug.

12. Preparation of external applications - lotion, glycerol, liniment, ointment.

13. Laboratory methods - sublimation, distillation, decantation, filtration, crystallisation.

14. Writing of prescription.

15. Dispensing of medicines.

16. Process of taking minims.

17. Identification of drugs (listed in Appendix B)-

(i). Macroscopic and Microscopic characteristic of drug substances- minimum 05 drugs;

(ii) Microscopic study of trituration of two drugs (up to 3X potency).

18. Estimation of moisture content using water bath.

19. Preparation of mother tincture - maceration and percolation.

20. Collection of 30 drugs for herbarium.

21. Visit to homoeopathic pharmacopoeia laboratory and visit to a large scale manufacturing unit of homoeopathic medicines (GMP compliant). (Students shall keep detailed visit reports as per proforma at Annexure- 'B').

1. General instructions for practical or clinical in pharmacy.

2. Identification and use of homoeopathic pharmaceutical instruments and appliances and their cleaning.

3. Estimation of moisture content using water bath.

4. Preparation of mother tincture - maceration and percolation.

Appendix-A

1. Aconitum napellus

2. Adonis vernalis

3. Allium cepa

4. Argentum nitricum

5. Arsenicum album

6. Atropa Belladonna

7. Cactus grandiflorus

8. Cantharis vesicatoria

9. Cannabis indica

10. Cannabis sativa

11. Cinchona officinalis

12. Coffea cruda

13. Crataegus oxyacantha

14. Crotalus horridus

15. Gelsemium sempervirens

16. Glonoinum

17. Hydrastis canadensis

18. Hyoscyamus niger

19. Kali bichromicum

20. Lachesis

21. Lithium carbonicum

22. Mercurius corrosivus

23. Naja tripudians

24. Nitricum acidum

25. Nux vomica

26. Passiflora incarnata

27. Stannum metallicum

28. Stramonium

29. Symphytum officinale

30. Tabacum

Appendix-B

I. Vegetable Kinngdom

1. Aegle folia

2. Anacardium orientale

3. Andrographis paniculata

4. Calendula officinalis

5. Cassia sophera

6. Cinchona officinalis

7. Cocculus indicus

8. Coffea cruda

9. Colocynthis

10. Crocus sativa

11. Croton tiglium

12. Cynodon dactylon

13. Ficus religiosa

14. Holarrhena antidysenterica

15. Hydrocotyle asiatica

16. Justicia adhatoda

17. Lobelia inflata

18. Nux vomica

19. Ocimum sanctum

20. Opium

21. Rauwolfia serpentina

22. Rheum

23. Saraca indica

24. Senna

25. Stramonium

26. Vinca minor

II. Chemicals or Minerals

1. Aceticum acidum

2. Alumina

3. Argentum metallicum

4. Argentum nitricum

5. Arsenicum album

6. Calcarea carbonica

7. Carbo vegetabilis

8. Graphites

9. Magnesium phosphorica

10. Natrum muriaticum

11. Sulphur

III. Animal kingdom

1. Apis mellifica

2. Blatta orientalis

3. Formica rufa

4. Sepia

5. Tarentula cubensis

Note. - 1. Each student shall maintain practical or clinical record or journal and herbarium file separately.

2. College authority shall facilitate the students in maintaining record as per Appendix-C.

Homoeopathic Materia Medica

(b) Homoeopathy considers that study of the action of drugs on individual parts or systems of the body or on animal or their isolated organs is only a partial study of life processes under such action and that it does not lead us to a full appreciation of the action of the medicinal substance, the drug substance as a whole is lost sight of.

II Essential and complete knowledge of the drug action as a whole can be ascertained only by qualitative drug proving on healthy persons and this alone can make it possible to elicit all the symptoms of a drug with reference to the psychosomatic whole of a person and it is just such a person as a whole to whom the knowledge of drug action is to be applied.

III (a) The Homoeopathic Materia Medica consists of a schematic arrangement of symptoms produced by each drug, incorporating no theories for explanations about their interpretation or inter-relationship;

(b) Each drug should be studied synthetically, analytically and comparatively, and this alone would enable a Homoeopathic student to study each drug individually and as a whole and help him to be a good prescriber.

IV (a) The most commonly indicated drugs for day to day ailments should be taken up first so that in the clinical classes or outdoor duties the students become familiar with their applications and they should be thoroughly dealt with explaining all comparisons and relationship;

(b) Students should be conversant with their sphere of action and family relationships and the rarely used drugs should be taught in outline, emphasizing only their most salient features and symptoms.

(V) Tutorials must be introduced so that students in small numbers can be in close touch with teachers and can be helped to study and understand Materia Medica in relation to its application in the treatment of the sick.

(VI) (a) While teaching therapeutics an attempt should be made to recall the Materia Medica so that indications for drugs in a clinical condition can directly flow out from the proving of the drugs concerned;

(b) The student should be encouraged to apply the resources of the vast Materia Medica in any sickness and not limit himself to memorise a few drugs for a particular disease and this Hahnemannian approach will not only help him in understanding the proper perspective of symptoms as applied and their curative value in sickness but will even lighten his burden as far as formal examinations are concerned;

(c) Application of Materia Medica should be demonstrated from case-records in the outdoor and the indoor;

(d) Lectures on comparative Materia Medica and therapeutics as well as tutorials should be integrated with lectures on clinical medicine;

VII For the teaching of drugs, the department should keep herbarium sheets and other specimens for demonstrations to the students and audio-visual material shall be used for teaching and training purposes.

VIII (a) There is a large number of Homoeopathic medicines used today and much more medicines being experimented and proved at present and more will be added in future and some very commonly used Homoeopathic medicines are included in this curriculum for detail study;

(b) It is essential that at the end of this course each student should gain basic and sufficient knowledge of "How to study Homoeopathic Materia Medica" and to achieve this objective basic and general topic of Materia Medica should be taught in details during this curriculum, general topics should be taught in all the classes;

(c) The medicines are to be taught under the following headings, namely:-

(1) Common name, family, habitat, parts used, preparation, constituents (of source material).

(2) Proving data.

(3) Sphere of action.

(4) Symptomatology of the medicine emphasizing the characteristic symptoms (mental, physical generals and particulars including sensations, modalities and concomitants) and constitution.

(5) Comparative study of medicines.

(6) Therapeutic applications (applied Materia Medica).

First B.H.M.S.

(a) Basic Materia Medica -

1. Basic concept of Materia Medica

2. Basic construction of various Materia Medicas

3. Definition of Materia Medica

(b) Homoeopathic Materia Medica

1. Definition of Homoeopathic Materia Medica

2. Basic concept and construction of Homoeopathic Materia Medica.

3. Classification of Homoeopathic Materia Medica.

4. Sources of Homoeopathic Materia Medica.

5. Scope and Limitations of Homoeopathic Materia Medica

Note. - There shall be no examination in First B.H.M.S.

Second B.H.M.S

(a) In addition to syllabus of First B.H.M.S. Course, following shall be taught, namely:-

(i) Science and philosophy of homoeopathic materia medica.

(ii) Different ways of studying homoeopathic materia medica (e.g. psycho-clinical, pathological, physiological, synthetic, comparative, analytical, remedy relationships, group study, portrait study etc.)

(iii) Scope and limitations of homoeopathic materia medica.

(iv) Concordance or remedy relationships.

(v) Comparative homoeopathic materia medica, namely:-

Comparative study of symptoms, drug pictures, drug relationships.

(vi) Theory of biochemic system of medicine, its history, concepts and principles according to Dr. Wilhelm Heinrich Schuessler. Study of 12 biochemic medicines. (tissue remedies).

(b) Homoeopathic Medicines to be taught in Second B.H.M.S as per Appendix -I.

Appendix-I

1. Aconitum napellus

2. Aethusa cynapium

3. Allium cepa

4. Aloe socotrina

5. Antimonium crudum

6. Antimonium tartaricum

7. Apis mellifica

8. Argentum nitricum

9. Arnica Montana

10. Arsenicum album

11. Arum triphyllum

12. Baptisia tinctoria

13. Bellis perrenis

14. Bryonia alba

15. Calcarea carbonica

16. Calcarea fluorica

17. Calcarea phosphoric

18. Calcarea sulphurica

19. Calendula officinalis

20. Chamomilla

21. Cina

22. Cinchona officinalis

23. Colchicum autumnale

24. Colocynthis

25. Drosera

26. Dulcamara

27. Euphrasia

28. Ferrum phosphoricum

29. Gelsemium

30. Hepar sulph

31. Hypericum perforatum

32. Ipecacuanha

33. Kali muriaticum

34. Kali phosphoricum

35. Kali sulphuricum

36. Ledum palustre

37. Lycopodium clavatum

38. Magnesium phosphoricum

39. Natrum muriaticum

40. Natrum phosphoricum

41. Natrum sulphuricum

42. Nux vomica

43. Pulsatilla

44. Rhus toxicodendron

45. Ruta graveolens

46. Silicea

47. Spongia tosta

48. Sulphur

49. Symphytum officinale

50. Thuja occidentalis

This will cover,-

(i) case taking of acute and chronic patients

(ii) case processing including totality of symptoms, selection of medicine, potency and repetition schedule

Each student shall maintain practical record or journal with record of five cases.

The syllabus covered in First BHMS and Second BHMS course are the following, namely:-

Third B.H.M.S

(a) concept of nosodes - definition of nosodes, types of nosodes, general indications of dosodes.

(b) concepts of constitution, temperaments, diathesis -

definitions, various concepts of constitution with their peculiar characteristics, importance of constitution, temperaments and diathesis and their utility in treatment of patients.

Appendix-II

(1) This will cover,-

(a) case taking of acute and chronic patients

(b) case processing including selection of medicine, potency and repetition schedule

(2) Each student shall maintain a journal having record of ten case takings.

Fourth B.H.M.S

Appendix-III

Each student shall maintain a journal having record of ten acute and ten chronic case takings.

Pathology

(b) Focus will be given on the following points, namely:-

(1) Pathology in relation with Homoeopathic Materia Medica.

(2) Correlation of miasms and pathology.

(3) Characteristic expressions of each miasm.

(4) Classification of symptoms and diseases according to pathology.

(5) Pathological findings of diseases; their interpretation, correlation and usage in the management of patients under homoeopathic treatment.

(c) To summarise, all the topics in the general and systemic pathology and microbiology should be correlated, at each juncture, with homoeopathic principles so that the importance of pathology in Homoeopathic system could be understood by the students.

(a). General Pathology

1. Cell Injury and cellular adaptation

2. Inflammation and repair (Healing).

3. Immunity

4. Degeneration

5. Thrombosis and embolism

6. Oedema

7. Disorders of metabolism

8. Hyperplasia and hypertrophy

9. Anaplasia

10. Metaplasia

11. Ischaemia

12. Haemorrhage

13. Shock

14. Atrophy

15. Regeneration

16. Hyperemia

17. Infection

18. Pyrexia

19. Necrosis

20. Gangrene

21. Infarction

22. Amyloidosis

23. Hyperlipidaemia and lipidosis

24. Disorders of pigmentation

25. Neoplasia (Definition, variation in cell growth, nomenclature and taxonomy, characteristics of neoplastic cells, aetiology and pathogenesis, grading and staging, diagnostic approaches, interrelationship of tumor and host, course and management).

26. Calcification

27. Effects of radiation

28. Hospital infection

(b) Systemic pathology. - In each system, the important and common diseases should be taught, keeping in view their evolution, aetio-pathogenesis, mode of presentation, progress and prognosis, namely:-

1. Mal-nutrition and deficiency diseases.

2. Diseases of Cardiovascular system

3. Diseases of blood vessels and lymphatics

4. Diseases of kidney and lower urinary tract

5. Diseases of male reproductive system and prostate

6. Diseases of the female genitalia and breast.

7. Diseases of eye, ENT and neck

8. Diseases of the respiratory system.

9. Diseases of the oral cavity and salivary glands.

10. Diseases of the G.I. system

11. Diseases of liver, gall bladder, and biliary ducts

12. Diseases of the pancreas (including diabetes mellitus)

13. Diseases of the haemopoetic system, bone marrow and blood

14. Diseases of glands-thymus, pituitary, thyroid, and parathyroid, adrenals, parotid.

15. Diseases of the skin and soft tissue.

16. Diseases of the musculo-skeletal system.

17. Diseases of the nervous system.

18. Leprosy

(c) Microbiology

(I) General Topics:

1. Introduction

2. History and scope of medical microbiology

3. Normal bacterial flora

4. Pathogenicity of micro-organisms

5. Diagnostic microbiology

(II) Immunology:

1. Development of immune system

2. The innate immune system

3. Non-specific defense of the host

4. Acquired immunity

5. Cells of immune system; T cells and Cell mediated immunity; B cells and Humoral immunity

6. The compliment system

7. Antigen; Antibody; Antigen - Antibody reactions (Anaphylactic and Atopic); Drug Allergies

8. Hypersensitivity

9. Immuno-deficiency

10. Auto-immunity

11. Transplantation

12. Blood group antigens

13. Clinical aspect of immuno-pathology.

(III) Bacteriology:

1. Bacterial structure, growth and metabolism

2. Bacterial genetics and bacteriophage

3. Identification and cultivation of bacteria

4. Gram positive aerobic and facultative anaerobic cocci, eg. Streptococci, Pneumococci.

5. Gram positive anaerobic cocci, e.g. peptostreptococci

6. Gram negative aerobic cocci, eg. neisseria, moraxella, kingella.

7. Gram positive aerobic bacilli, eg. corynebacterium, aacillus anthrax, cereus subtitis, mycobacterium tuberculosis, M. leprae, actinomycetes; nocardia, organism of enterobacteriac group.

8. Gram positive anaerobic bacilli, eg. genus clostridium, lactobacillus.

9. Gram negative anaerobic bacilli, eg. bacteroides, fragilus, fusobacterium.

10. Others like- cholerae vibrio, spirochaetes, leptospirae, mycoplasma, chlamydiae, rickettsiae, yersinia and pasturella.

(IV) Fungi and Parasites:

1. Fungi - (1) True pathogens (cutaneous, sub-cutaneous and systemic infective agents), (2) Opportunistic pathogens.

2. Protozoa - (1) Intestinal (Entamoeba histolytica, Giardia lamblia, Cryptosporidum parvum), (2) Urogenital (Trichomonas vaginalis) 3) Blood and Tissues (Plasmodiumspecies, Toxoplasma gondii, Trypanosoma species, leishmania species).

3. Helminths - (1) Cestodes (tapeworms)- Echinococcus granulosus, Taenia solium, Taenia saginata, (2) Trematodes (Flukes): Paragonimus westermani, Schistosoma mansoni, Schistosoma haematobium (3) Nematodes- Ancylostoma duodenale, Ascaris lumbricoides, Enterobius vermicularis, Strongyloides, Stercoralis, Trichuris trichiura, Brugia malayi, Dracunculus medinensis, Loa loa, Onchocerca volvulus, Wuchereria bancroftii).

(V) Virology:

1. Introduction

2. Nature and classification of viruses

3. Morphology and replication of viruses

4. DNA viruses:

(i) parvo virus

(ii) herpes virus, varicella virus, CMV, EBV.

(iii) hepadna virus (hepatitis virus)

(iv) papova virus

(v) adeno virus

(vi) pox virus- variola virus, vaccinia virus, molluscum contagiosum etc.

5. RNA viruses:

(a) orthomyxo virus:

(i) entero virus

(ii) rhino virus

(iii) hepato virus

(b) paramyxo virus- rubeola virus, mumps virus, Influenza virus etc.

(c) phabdo virus

(d) rubella virus (german measles)

(e) corona virus

(f) retro virus

(g) yellow fever virus

(h) dengue, vhikungunya virus

(i) Miscellaneous virus:

(i) arena virus

(ii) corona virus

(iii) rota virus

(iv) bacteriophages

(VI) Clinical microbiology: (1) Clinically important micro organisms (2) Immunoprophylaxis, (3) Antibiotic Sensitivity Test (ABST)

(VII) Diagnostic procedures in microbiology: (1) Examination of blood and stool (2) Immunological examinations (3) Culture methods ( 4) Animal inoculation.

(VIII) Infection and Disease: (1) Pathogenicity, mechanism and control (2) Disinfection and sterilisation (3) Antimicrobial chemotherapy (4) Microbial pathogenicity

(d) Histopathology:

1. Teaching of histopathological features with the help of slides of common pathological conditions from each system.

1. Teaching of gross pathological specimens for each system.

2. Histopathological techniques, e.g. fixation, embedding, sectioning and staining by common dyes and stains.

3. Frozen sections and its importance.

4. Electron microscopy; phase contrast microscopy.

(1) Clinical and Chemical Pathology: estimation of haemoglobin (by acidometer) count of Red Blood Cells and White Blood Cells, bleeding time, clotting time, blood grouping, staining of thin and thick films, differential counts. blood examination for parasites. erythrocyte sedimentation rate.

(2) Urine examination, physical, chemical microscopical, quantity of albumin and sugar.

(3) Examination of Faeces: physical, chemical (occult blood) and microscopical for ova and protozoa.

(4) Methods of sterilisation, preparation of a media, use of microscope. gram and acid fast stains. motility preparation. gram positive and negative cocci and bacilli. special stains for corynebacterium gram and acid fast stains of pus and sputum.

(5) Preparation of common culture medias, e.g. nutrient agar, blood agar, Robertson's Cooked Meal media (RCM) and Mac conkey's media.

(6) Widal test demonstration.

(7) Exposure to latest equipment, viz. auto-analyzer, cell counter, glucometer.

(8) Histopathology

(a) Demonstration of common slides from each system.

(b) Demonstration of gross pathological specimens.

(c) Practical or clinical demonstration of histopathological techniques, i.e. fixation, embedding.

(d) Sectioning, staining by common dyes and stain. frozen section and its importance.

(e) Electron microscopy, phase contrast microscopy.

Forensic Medicine and Toxiocology

(b) This learning shall enable the student to be well-informed about medico-legal responsibility in medical practice and he shall also be able to make observations and infer conclusions by logical deductions to set enquire on the right track in criminal matters and connected medico-legal problems;

(c) The students shall also acquire knowledge of laws in relation to medical practice, medical negligence and codes of medical ethics and they shall also be capable of identification, diagnosis and treatment of the common poisonings in their acute and chronic state and also dealing with their medico-legal aspects;

(d) For such purposes, students shall be taken to visit district courts and hospitals to observe court proceedings and post-mortem as per Annexure 'B'.

I. Forensic Medicine

1. Introduction

(a) Definition of forensic medicine.

(b) History of forensic medicine in India.

(c) Medical ethics and etiquette.

(d) Duties of registered medical practitioner in medico-legal cases.

2. Legal procedure

(a) Inquests, courts in India, legal procedure.

(b) Medical evidences in courts, dying declaration, dying deposition, including medical certificates, and medico-legal reports.

3. Personal identification

(a) Determination of age and sex in living and dead; race, religion.

(b) Dactylography, DNA finger printing, foot print.

(c) Medico-legal importance of bones, scars and teeth, tattoo marks, handwriting, anthropometry.

(d) Examination of biological stains and hair.

4. Death and its medico-legal importance

(a) Death and its types, their medico-legal importance

(b) Signs of death (1) immediate, (2) early, (3) late and their medico-legal importance

(c) Asphyxial death (mechanical asphyxia and drowning).

(d) Deaths from starvation, cold and heat etc.

5. Injury and its medico-legal importance

Mechanical, thermal, firearm, regional, transportation and traffic injuries; injuries from radiation, electrocution and lightening.

6. Forensic psychiatry

(a) Definition; delusion, delirium, illusion, hallucinations; impulse and mania; classification of Insanity.

(b) Development of insanity, diagnosis, admission to mental asylum.

7. Post-mortem examination (autopsy)

(a) Purpose, procedure, legal bindings; difference between pathological and medico-legal autopsies.

(b) External examination, internal examination of adult, foetus and skeletal remains.

8. Impotence and sterility

Impotence; Sterility; Sterilisation; Artificial Insemination; Test Tube Baby; Surrogate mother.

9. Virginity, defloration; pregnancy and delivery

10. Abortion and infanticide

(a) Abortion: different methods, complications, accidents following criminal abortion, MTP.

(b) Infant death, legal definition, battered baby syndrome, cot death, legitimacy.

11. Sexual Offences

Rape, incest, sodomy, sadism, masochism, tribadism, bestiality, buccal coitus and other sexual perversions.

II. Toxicology

1. General Toxicology

(a) Forensic Toxicology and Poisons

(b) Diagnosis of poisoning in living and dead,

(c) General principles of management of poisoning,

(d) Medico-legal aspects of poisons,

(e) Antidotes and types.

2. Clinical toxicology

(a) Types of Poisons:

(i) Corrosive poisons (Mineral acids, Caustic alkalis, Organic acids, Vegetable acids)

(ii)Irritant poisons (Organic poisons - Vegetable and animal; Inorganic poisons - metallic and non-metallic; Mechanical poisons)

(iii) Asphyxiant poisons (Carbon monoxide; Carbon dioxide; Hydrogen sulphide and some war gases)

(iv) Neurotic poisons (Opium, Nux vomica, Alcohol, Fuels like kerosene and petroleum products, Cannabis indica, Dhatura, Anaesthetics Sedatives and Hypnotics, Agrochemical compounds, Belladonna, Hyoscyamus, Curare, Conium)

(v) Cardiac poisons (Digitalis purpurea, Oleander, Aconite, Nicotine)

(vi) Miscellaneous poisons (Analgesics and Antipyretics, Antihistaminics, Tranquillisers, antidepressants, Stimulants, Hallucinogens, Street drugs etc.)

III. Legislations relating to medical profession

(a) the Homoeopathy Central Council Act, 1973 (59 of 1973);

(b) the Consumer Protection Act, 1986 (68 of 1986);

(c) the Workmen's compensation Act, 1923 (8 of 1923);

(d) the Employees State Insurance Act, 1948 (34 of 1948);

(e) the Medical Termination of Pregnancy Act, 1971 (34 of 1971);

(f) the Mental Health Act, 1987 (14 of 1987);

(g) the Indian Evidence Act, 1872 (1 of 1872);

(h) the Prohibition of Child Marriage Act, 2006 (6 of 2007);

(i) the Personal Injuries Act, 1963 (37 of 1963)

(j) the Drugs and Cosmetics Act, 1940 (23 of 1940)and the rules made therein;

(k) the Drugs and Magic Remedies (Objectionable Advertisements) Act, 1954 (21 of 1954);

(l) the Transplantation of Human Organs Act, 1994 (42 of 1994);

(m) the Pre-natal Diagnostic Techniques (Regulation and Prevention of Misuse) Act, 1994 (57 of 1994);

(n) the Homoeopathic Practitioners (Professional Conduct, Etiquette and Code of Ethics) Regulations, 1982;

(o) the Drugs Control Act, 1950 (26 of 1950);

(p) the Medicine and Toiletry Preparations (Excise Duties) Act, 1955 (16 of 1955);

(q) the Indian Penal Code (45 of 1860) and the Criminal Procedure Code (2 of 1974) {relevant provsions)

(r) the Persons with Disabilities (Equal Opportunities, Protection of Rights and Full Participation) Act, 1995 (1 of 1996);

(s) the Clinical Establishment (Registration and Regulation) Act, 2010 (23 of 2010).

1. Demonstration:

(a) Weapons

(b) Organic and inorganic poisons

(c) Poisonous plants

(d) Charts, diagrams, photographs, models, x-ray films of medico-legal importance

(e) Record of incidences reported in newspapers or magazines and their explanation of medicolegal importance.

(f) Attending demonstration of ten medico-legal autopsies.

2. Certificate Writing:

Various certificates like sickness certificate, physical fitness certificate, birth certificate, death certificate, injury certificate, rape certificate, chemical analyzer (Regional Forensic Laboratory), certificate for alcohol consumption, writing post-mortem examination report.

Repertory

(b) Homoeopathic materia medica is an encyclopedia of symptoms. No mind can memorize all the symptoms or all the drugs with their gradations;

(c) The repertory is an index and catalogue of the symptoms of the materia medica, neatly arranged in a practical or clinical form, with the relative gradation of drugs, which facilitates quick selection of indicated remedy and it may be difficult to practice Homoeopathy without the aid of repertories.

II (a) Each repertory has been compiled on distinct philosophical base, which determines its structure;

(b) In order to explore and derive full advantage of each repertory, it is important to grasp thoroughly its conceptual base and construction and this will help student to learn scope, limitations and adaptability of each repertory.

1. Repertory: Definition; Need; Scope and Limitations.

2. Classification of Repertories

3. Study of different Repertories (Kent, Boenninghausen, Boger-Boenninghausen):

(a) History

(b) Philosophical background

(c) Structure

(d) Concept of repertorisation

(e) Adaptability

(f) Scope

(g) Limitation(s)

4. Gradation of Remedies by different authors.

5. Methods and techniques of repertorisation. Steps of repertorisation.

6. Terms and language of repertories (Rubrics) cross references in other repertories and materia medica.

7. Conversion of symptoms into rubrics and repertorisation using different repertories.

8. Repertory - its relation with organon of medicine and materia medica.

9. Case taking and related topics:

(a) case taking.

(b) difficulties of case taking, particularly in a chronic case.

(c) types of symptoms, their understanding and importance.

(d) importance of pathology in disease diagnosis and individualisation in relation to study of repertory.

10. Case processing

(a) analysis and evaluation of symptoms

(b) miasmatic assessment

(c) totality of symptoms or conceptual image of the patient

(d) repertorial totality

(e) selection of rubrics

(f) repertorial technique and results

(g) repertorial analysis

1. Record of five cases each of surgery, gynaecology and obstetrics worked out by using Kent's repertory.

2. Rubrics hunting from Kent's & Boenninghausen's repertories.

Note. - There will be no Examination in the subject in Third B.H.M.S.

1. Comparative study of different repertories (like Kent's Repertory, Boenninghausen's Therapeutic Pocket Book and Boger- Boenninghausen's Charactetristic Repertories, A Synoptic Key to Materia Medica).

2. Card repertories and other mechanical aided repertories- History, Types and Use.

3. Concordance repertories (Gentry and Knerr)

4. Clinical Repertories (William Boericke etc.)

5. An introduction to modern thematic repertories- (Synthetic, Synthesis and Complete Repertory and Murphy's Repertory)

6. Regional repertories

7. Role of computers in repertorisation and different softwares.

1. Five acute and five chronic cases (each of medicine, surgery and obstetrics and gynaecology) using Kent's Repertory

2. Five cases (pertaining to medicine) using Boenninghausen's therapeutics pocket book.

3. Five cases (pertaining to medicine) using Boger-Boenninghausen's characteristics repertory.

4. Five cases to be cross checked on repertories using homoeopathic softwares.

Gynaecology and Obstetrics

(b) Pregnancy is the best time to eradicate genetic dyscrasias in women and this should be specially stressed. And students shall also be instructed in the care of new born;

(c) The fact that the mother and child form a single biological unit and that this peculiar close physiological relationship persists for at least the first two years of the child's life should be particularly emphasised.

II A course of instructions in the principles and practice of gynaecology and obstetrics and infant hygiene and care including the applied anatomy and physiology of pregnancy and labour, will be given.

III Examinations and investigations in gynaecological and obstetrical cases shall be stressed and scope of homoeopathy in this subject shall be taught in details.

IV The study shall start in Second B.H.M.S and shall be completed in Third B.H.M.S. and examinations will be held in Third B.H.M.S and following topics shall be taught, namely:-

1. Gynaecology

(a) A review of the applied anatomy of female reproductive systems-development and malformations.

(b) A review of the applied physiology of female reproductive systems-puberty, menstruation and menopause.

(c) Gynaecological examination and diagnosis.

(d) Developmental anomalies

(e) Uterine displacements.

(f) Sex and intersexuality.

(g) General Management and therapeutics of the above listed topics in Gynaecology .

2. Obstetrics

(a) Fundamentals of reproduction.

(b) Development of the intrauterine pregnancy-placenta and foetus.

(c) Diagnosis of pregnancy-investigations and examination.

(d) Antenatal care.

(e) Vomiting in pregnancy.

(f) Preterm labour and post maturity.

(g) Normal labour and puerperium

(h) Induction of labour

(i) Postnatal and puerperal care.

(j) Care of the new born.

(k) Management and therapeutics of the above listed topics in obstetrics.

1. Gynaecology

(a) Infections and ulcerations of the female genital organs.

(b) Injuries of the genital tract.

(c) Disorders of menstruation.

(d) Menorrhagia and dysfunctional uterine bleeding.

(e) Disorders of female genital tract.

(f) Diseases of breasts

(g) Sexually transmitted diseases

(h) Endometriosis and adenomyosis.

(i) Infertility and sterility

(j) Non-malignant growths.

(k) Malignancy

(l) Chemotherapy caused complications

(m) Management and therapeutics of the above listed topics in gynaecology.

2. Obstetrics

(a) High risk labour; mal-positions and mal-presentations; twins, prolapse of cord and limbs, abnormalities in the action of the uterus; abnormal conditions of soft part contracted pelvis; obstructed labour, complications of 3rd stage of labour, injuries of birth canal, foetal anomalies.

(b) Abnormal pregnancies-abortions, molar pregnancy, diseases of placenta and membranes, toxemia of pregnancy, antepartum haemorrhages, multiple pregnancy, proctracted gestation, ectopic pregnancy, intrauterine growth retardation, pregnancy in Rh negative woman, intrauterine fetal death, still birth.

(c) Common disorders and systemic diseases associated with pregnancy.

(d) Pre-natal Diagnostic Techniques (Regulation and Prevention of Misuse) Act, 1994.

(e) Common obstetrical operations-medical termination of pregnancy, criminal abortion, caesarean section, episiotomy.

(f) Emergency obstetric care.

(g) Population dynamics and control of conception.

(h) Infant care - neonatal hygiene, breast feeding, artificial feeding, management of premature child, asphyxia, birth injuries, common disorders of newborn.

(i) Reproductive and child health care (a) safe motherhood and child survival (b) Risk approach -MCH care (c) Maternal mortality and morbidity (d) Perinatal mortality and morbidity (e) Diseases of foetus and new born.

(j) Medico-legal aspects in obstetrics.

(k) Homoeopathic Management and Therapeutics of the above listed clinical conditions in Obstetrics.

Practical or clinical classes shall be taken on the following topics both in Second and Third B.H.M.S

(a) Gynaecological case taking

(b) Obstetrical case taking

(c) Gynaecological examination of the patient

(d) Obstetrical examination of the patient including antenatal, intranatal and post- natal care

(e) Bed side training

(f) Adequate grasp over Homoeopathic principles and management

(g) Identification of Instruments and models

Record of ten cases each in gynaecology and obstetrics.

Community Medicine

(b) He has to be well conversant with the national health problems of rural as well as urban areas, so that he can be assigned responsibilities to play an effective role not only in the field of curative but also preventive and social medicine including family planning.

II This subject is of utmost importance and throughout the period of study attention of the student should be directed towards the importance of preventive medicine and the measures for the promotion of positive health.

III (a) During teaching, focus should be laid on community medicine concept, man and society, aim and scope of preventive and social medicine, social causes of disease and social problems of the sick, relation of economic factors and environment in health and disease;

(b) Instructions in this course shall be given by lectures, practicals, seminars, group discussions, demonstration and field studies.

Third B.H.M.S

1. Man and Medicine

2. Concept of health and disease in conventional medicine and homoeopathy

3. Nutrition and health

(a) Food and nutrition

(b) Food in relation to health and disease

(c) Balanced diet

(d) Nutritional deficiencies, and Nutritional survey

(e) Food Processing

(f) Pasteurisation of milk

(g) Adulteration of food

(h) Food Poisoning

4. Environment and health

(a) air, light and sunshine, radiation.

(b) effect of climate

(c) comfort zone

(d) personal hygiene

(e) physical exercise

(f) sanitation of fair and festivals

(g) disinfection and sterilisation

(h) atmospheric pollution and purification of air

(i) air borne diseases

5. Water

(a) distribution of water; uses; impurities and purification

(b) standards of drinking water

(c) water borne diseases

(d) excreta disposal

(e) disposal of deceased.

(f) disposal of refuse.

(g) medical entomology- insecticides, disinfection, Insects in relation to disease, Insect control.

6. Occupational health

7. Preventive medicine in pediatrics and geriatrics Fourth B.H.M.S

1. Epidemiology

(a) Principles and methods of epidemiology

(b) Epidemiology of communicable diseases:

- General principles of prevention and control of communicable diseases;

(c) Communicable diseases: their description, mode of spread and method of prevention.

(d) Protozoan and helminthic infections- Life cycle of protozoa and helminthes, their prevention.

(e) Epidemiology of non-communicable diseases: general principles of prevention and control of non- communicable diseases

(f) Screening of diseases

2. Bio-statistics

(a) Need of biostatistics in medicine

(b) Elementary statistical methods

(c) Sample size calculation

(d) Sampling methods

(e) Test of significance

(f) Presentation of data

(g) Vital statistics

3. Demography and Family Planning; Population control; contraceptive practices; National Family Planning Programme.

4. Health education and health communication

5. Health care of community.

6. International Health

7. Mental Health

8. Maternal and Child Health

9. School Health Services

10. National Health Programs of India including Rashtriya Bal Chikitsa Karyakram.

11. Hospital waste management

12. Disaster management

13. Study of aphorisms of organon of medicine and other homoeopathic literatures, relevant to above topics including prophylaxis.

1. Food additives; food fortification, food adulteration; food toxicants

2. Balanced diet

3. Survey of nutritional status of school children, pollution and Water purification

4. Medical entomology

5. Family planning and contraception

6. Demography

7. Disinfection

8. Insecticides

1. Milk dairy

2. Primary Health Centre

3. Infectious Diseases Hospital

4. Industrial unit

5. Sewage treatment plant

6. Water purification plant

Note. - 1. For field visits, Annexure 'B' has to be kept in view.

2. Students are to maintain practical records or journals in support of above practical or field visits.

3. Reports of the above field visits are to be submitted by the students.

4. Each student has to maintain records of at least ten infectious diseases.

Surgery

(b) Knowledge about surgical disorders is required to be grasped so that the Homoeopathic Physician is able to:-

(1) Diagnose common surgical conditions.

(2) Institute homoeopathic medical treatment wherever possible.

(3) Organise Pre and Post-operative Homoeopathic medicinal care besides surgical intervention with the consent of the surgeon.

II For the above conceptual clarity and to achieve the aforesaid objectives, an effective co-ordination between the treating surgeons and homoeopathic physicians is required keeping in view the holistic care of the patients and it will also facilitate the physician in individualising the patient, necessary for homoeopathic treatment and management.

III The study shall start in Second B.H.MS and complete in Third B.H.M.S. and examination shall be conducted in Third B.H.MS.

IV (a) Following is a plan to achieve the above and it takes into account about the Second and Third year B.H.M.S syllabus and respective stage of development;

(b) Throughout the whole period of study, the attention of the students should be directed by the teachers of this subject to the importance of its preventive aspects.

V There shall be periodical inter-departmental seminars, to improve the academic knowledge, skill and efficiency of the students and the study shall include training on, -

(a) principles of surgery,

(b) fundamentals of examination of a patient with surgical problems

(c) use of common instruments for examination of a patient.

(d) physiotherapy measures.

(e) applied study of radio-diagnostics.

(f) knowledge of causation, manifestations, management and prognosis of surgical disorders.

(g) miasmatic background of surgical disorders, wherever applicable.

(h) bedside clinical procedures.

(i) correlation of applied aspects, with factors which can modify the course of illness, including application of medicinal and non-medicinal measures.

(j) role of homoeopathic treatment in pseudo-surgical and true surgical diseases.

(a) General Surgery:-

1. Introduction to surgery and basic surgical principles.

2. Fluid, electrolytes and acid-base balance.

3. Haemorrhage, haemostasis and blood transfusion.

4. Boil, abscess, carbuncle, cellulitis and erysipelas.

5. Acute and chronic infections, tumors, cysts, ulcers, sinus and fistula.

6. Injuries of various types; preliminary management of head injury

7. Wounds, tissue repair, scars and wound infections.

8.Special infections (Tuberculosis, Syphilis, Acquired Immuno Defeciency Syndrome, Actinomycosis, Leprosy).

9. Burn

10. Shock

11. Nutrition

12. Pre-operative and post-operative care.

13. General management, surgical management and homoeopathic therapeutics of the above topics will be covered.

(b) Systemic Surgery:-

1. Diseases of blood vessels, lymphatics and peripheral nerves

2. Diseases of glands

3. Diseases of extremities

4. Diseases of thorax and abdomen

5. Diseases of alimentary tract

6. Diseases of liver, spleen, gall bladder and bile duct.

7. Diseases of abdominal wall, umbilicus, hernias.

8. Diseases of heart and pericardium.

9. Diseases of urogenital system.

10. Diseases of the bones, cranium, vertebral column, fractures and dislocations.

11. Diseases of the joints.

12. Diseases of the muscles, tendons and fascia.

1. Applied anatomy and applied physiology of ear

2. Examination of ear

3. Diseases of external, middle and inner ear

1. Applied anatomy and physiology of nose and paranasal sinuses.

2. Examination of nose and paranasal sinuses

3. Diseases of nose and paranasal sinuses

1. Applied Anatomy and applied Physiology of pharynx, larynx, tracheobronchial tree, oesophagus

2. Examination of pharynx, larynx, tracheobronchial tree, oesophagus

3. Diseases of Throat (external and internal)

4. Diseases of oesophagus.

1. Applied Anatomy, Physiology of eye

2. Examination of eye.

3. Diseases of eyelids, eyelashes and lacrimal drainage system.

4. Diseases of Eyes including injury related problems.

1. Applied anatomy, physiology of teeth and gums;

2. Milestones related to teething.

3. Examination of Oral cavity.

4. Diseases of gums

5. Diseases of teeth

6. Problems of dentition

1. Every student shall prepare and submit twenty complete histories of surgical cases, ten each in the Second and Third B.H.M.S. classes respectively.

2. Demonstration of surgical Instruments, X-rays, specimens etc.

3. Clinical examinations in Surgery.

4. Management of common surgical procedures and emergency procedures as stated below:

(a) Wounds

(b) Abscesses: incision and drainage.

(c) Dressings and plasters.

(d) Suturing of various types.

(e) Pre-operative and post-operative care.

(f) Management of shock.

(g) Management of acute haemorrhage.

(h) Management of acute injury cases.

(i) Preliminary management of a head Injury case.

It will be conducted in Third B.H.M.S (not in Second B.H.M.S).

Practice of Medicine

(b) it recognises an ailing individual by studying him as a whole rather than in terms of sick parts and emphasizes the study of the man, his state of health, state of Illness.

II The study of the above concept of individualisation is essential with the a following background so that the striking features which are characteristic to the individual become clear, in contrast to the common picture of the respective disease conditions, namely:-

(1) correlation of the disease conditions with basics of anatomy, physiology and, biochemistry and pathology.

(2) knowledge of causation, manifestations, diagnosis (including differential diagnosis), prognosis and management of diseases.

(3) application of knowledge of organon of medicine and homoeopathic philosophy in dealing with the disease conditions.

(4) comprehension of applied part.

(5) sound clinical training at bedside to be able to apply the knowledge and clinical skill accurately.

(6) adequate knowledge to ensure that rational investigations are utilised.

III (a) The emphasis shall be on study of man in respect of health, disposition, diathesis, disease, taking all predisposing and precipitating factors, i.e. fundamental cause, maintaining cause and exciting cause;

(b) Hahnemann's theory of chronic miasms provides us an evolutionary understanding of the chronic diseases: psora, sycosis, syphilis and acute manifestations of chronic diseases and evolution of the natural disease shall be comprehended in the light of theory of chronic miasms.

IV (a) The teaching shall include homoeopathic therapeutics or management in respect of all topics and clinical methods of examination of patient as a whole will be given due stress during the training;

(b) A thorough study of the above areas will enable a homoeopathic physician to comprehend the practical aspects of medicine;

(c) He shall be trained as a sound clinician with adequate ability of differentiation, sharp observation and conceptual clarity about diseases by taking help of all latest diagnostic techniques, viz. X-ray, ultrasound, electrocardiogram, and commonly performed laboratory investigations;

(d) Rational assessment of prognosis and general management of different disease conditions are also to be focused.

V Study of subject. - The study of the subject will be done in two years in Third B.H.M.S and Fourth B.H.M.S, but examination shall be conducted at the end of Fourth B.H.M.S.

1. Applied anatomy and applied physiology of the respective system as stated below.

2. Respiratory diseases.

3. Diseases of digestive system and peritoneum.

4. Diseases concerning liver, gall-bladder and pancreas.

5. Genetic Factors (co-relating diseases with the concept of chronic miasms).

6. Immunological factors in diseases with concept of susceptibility (including HIV, Hepatitis-B)

7. Disorders due to chemical and physical agents and to climatic and environmental factors.

8. Knowledge of clinical examination of respective systems.

9. Water and electrolyte balance - disorders of.

1. Nutritional and metabolic diseases

2. Diseases of haemopoietic system.

3. Endocrinal diseases.

4. Infectious diseases.

5. Diseases of cardiovascular system.

6. Diseases of urogenital Tract.

7. Disease of CNS and peripheral nervous system.

8. Psychiatric disorders.

9. Diseases of locomotor system (connective tissue, bones and joints disorders)

10. Diseases of skin and sexually transmitted diseases.

11. Tropical diseases.

12. Paediatric disorders.

13. Geriatric disorders.

14. Applied anatomy and applied physiology of different organ and systems relating to specific diseases.

15. Knowledge of clinical examination of respective systems.

(a) General management and homoeopathic therapeutics for all the topics to be covered in Third B.H.M.S and Fourth B.H.M.S shall be taught simultaneously and the emphasis shall be on study of man in respect of health, disposition, diathesis, disease, taking all predisposing and precipitating factors, i.e. fundamental cause, maintaining cause and exciting cause.

(b) Study of therapeutics does not mean simply list of specifics for the clinical conditions but teaching of applied materia medica which shall be stressed upon.

(a) Each candidate shall submit of twenty complete case records (ten in Third B.H.M.S and ten in Fourth B.H.M.S).

(b) The examination procedure will include one long case and one short case to be prepared. During clinical training, each student has to be given adequate exposure to,-

1. comprehensive case taking following Hahnemann's instructions;

2. physical examinations (general, systemic and regional);

3. laboratory investigations required for diagnosis of disease conditions;

4. differential diagnosis and provisional diagnosis and interpretation of Investigation reports;

5. selection of similimum and general management.

Note. - The case reports of the students carried out during the course shall also be considered for the oral examination.

Part VI

First BHMS Examination

Second BHMS Examination

Third BHMS Examination

Fourth BHMS Examination

Results and Re-Admission to Examination

(ii) Candidates who have passed in one or more subjects need not appear in that subject or those subjects again in the subsequent examinations if the candidate passes the whole examination with in four chances including the original examination.

(iii) Facility to keep term: Not withstanding with the foregoing regulations, the students shall be allowed the facility to keep term on the following conditions:

(a) The candidate must pass the Second BHMS examination at least one term (6 months) before he is allowed to appear in the Third BHMS examination.

(b) The candidate must pass the Third BHMS examination at least one term (6 months) before he is allowed to appear in the Fourth BHMS examination.

[(c) the candidate shall pass First B.H.M.S examination in all the subjects at least one term (six months) before he is allowed to appear in the Second B.H.M.S examination provided that he has passed in the subjects of Anatomy and Physiology (including Biochemistry) examinations two terms (twelve months) before he is allowed to appear in the Second B.H.M.S examination.]

[(iv) A candidate who appears at First B.H.M.S examination, Second B.H.M.S examination, Third B.H.M.S examination or Fourth B.H.M.S examination but fails to pass in the subject or subjects shall be re-admitted to the next examination in the subject or subjects (theory and practical or clinical including oral or practical or clinical wherein he has failed).]

(v) Special classes, seminars, demonstrations, practical, tutorials etc. shall be arranged for the repeaters in the subject in which they have failed before they are allowed to appear at the next examination, in which attendance shall be compulsory.

(vi) If a candidate fails to pass in all the subjects with in four chances in examinations, he shall be required to prosecute a further course of studying all the subjects and in all parts for one year to the satisfaction of the head of the college and appearing for examination in all the subjects.

(vii) The examining body may under exceptional circumstances, partially or wholly cancel any examination conducted by it under intimation to the Central Council of Homoeopathy and arrange for conducting re-examination in those subjects within a period of thirty days from the date of such cancellation.

[(viii) The University or examining authority shall have the discretion to award grace marks at the maximum to ten marks in total if a student fails in one or more subjects.]

(vii) He shall also submit a copy of his communication to the Central Council for such action as the Central Council may consider fit.]

General Guidelines for Admission to Examination and Scheme of Examination

(ii) The examining body shall ensure that the students of the Homoeopathic Medical Colleges, who do not fulfill the Homoeopathy (Minimum Standards of Education) Regulation, are not sent for the University Examination.

[(iii) seventy five percent attendance at the minimum in each of the subjects (in theory and practical including clinical) for appearing in the University examinations shall be compulsory.]

(iv) Each theory paper shall be of three hours duration.

(v) The Practical/oral examination shall be completed immediately after the theory examination.

(vi) That the examining body shall hold examinations on such date and time as the examining body may determine. The theory and practical examination shall be held in the premises of the Homoeopathic Medical College concerned.

[(vii) There shall be a regular examination and a supplementary examination in a year and the supplementary examination shall be conducted within two months of declaration of results (including issue of mark sheets);]

[(viii) For non-appearance in an examination for any reason, a candidate shall not have any liberty for availing additional chance to appear in that examination.]

Miscellaneous

(ii) Interpretation. - Where any doubt arises to the interpretation of these regulations it shall be referred to the Central Council for clarification.

(iii) Power to relax. - Where any University, or Medical institution in India which grants medical qualification, is satisfied that the operation of any of these regulations causes undue hardship in any particular case, that University or Medical Institution as the case may be, may by order, for reasons recorded in writing, dispense or relax the requirement of that regulation in such an extent and subject to such exceptions and conditions as it may consider necessary for dealing with the case in a just and equitable manner.

(iii) Saving Clause. - Any Diploma/Degree qualification, at present included in II or III Schedule to the Homoeopathy Central Council Act where nomenclature is not in consonance with these regulations shall cease to be recognized medical qualification when granted after the commencement of these regulations. However, this clause will not apply to the students who are already admitted to these courses before the enforcement of these regulations.

[(vi) Migration or transfer of students from one college to another:]

(a) Migration from one college to other is not a right of a student.

(b) Migration of students from the Homoeopathic College to another Homoeopathic college in India shall be considered by the Central Council of Homoeopathy only in exceptional cases on extreme compassionate grounds, provided following criterias are fulfilled. Routine migrations on other grounds shall not be allowed;

(c) Both the college, i.e. one at which the student is studying at present and one to which migration is sought are recognised as per provisions of Homoeopathy Central Council Act.

(d) The applicant shall have passed First B.H.M.S examination.

(e) The applicant shall submit his application in the Format annexed below for migration, complete in all respects, to the principal of his college within a period of one month of passing (declaration of result) the first professional Bachelor of Homoeopathic Medicine and Surgery (B.H.M.S) examination.

(f) The applicant shall submit an affidavit stating that he shall pursue twelve months of prescribed study before appearing at second professional B.H.M.S examination at the transferee college, which shall be duly certified by the Registrar of the concerned University in which he is seeking transfer and the transfer shall be effective only after receipt of the affidavit.

(g) Migration during internship training shall be allowed on extreme compassionate grounds, provided that such migration shall be allowed only with the mutual consent of the concerned Colleges, where both the college, i.e. one at which the student is studying at present and one to which migration is sought are recognised as per provisions of Homoeopathy Central Council Act.

Note 1. - (A) All applications for migration shall be referred to Central Council of Homoeopathy by college authorities. No institution or University shall allow migrations directly without the approval of the Central Council.

(B) The Central Council of Homoeopathy reserves the right not to entertain any application except under the following compassionate grounds, namely:-

(i) death of a supporting guardian;

(ii) illness of candidate causing disability supported by medical grounds certified by a recognised hospital;

(iii) disturbed conditions as declared by concerned Government in the area where the college is situated.

(C) A student applying for transfer on compassionate ground shall apply in 'Format 1'in complete manner with requisite documents.

Annexure 'A'

(Regulation 3 (ii))

Internship Training

(i)(a) All parts of the internship training shall be undertaken at the hospital attached to the College, and in cases where such hospital cannot accommodate all of its students for Internship then such candidates/students shall be informed in writing by the college and it shall be the responsibility of the College to ensure that each of such students is put on internship training in a Homoeopathic Hospital or dispensary run by Government or local bodies.

(ii) To enable the State Board/Council of Homoeopathy to grant provisional registration of minimum of one year to each candidate to undertake the internship, the University concerned shall issue a provisional passed certificate on passing the final BHMS examination to each successful candidate.

(iii) Full registration shall only be given by the State Boards if the BHMS degree awarded by the University concerned is a recognized medical qualification as per Section 13 (1) of the Act, and Board shall award registration to such candidates who produce certificate of completion or compulsory rotating internship of not less than one year duration from the Principal of College where one has been a bonafide student which shall also declare that the candidate is eligible for it.

(iv) The internee students shall not prescribe the treatment including medicines, and, each of them shall work under the direct supervision of Head of Department concerned and/or a Resident Medical Officer. No intern student shall issue any medicolegal document under his/her signatures.

(v) [omitted].

(i) Each internee student shall be asked to maintain a record of work which is to be constantly monitored by the Head of concerned Department and/or Resident Medical Officer under whom the internee is posted. The scrutiny of record shall be done in an objective way to update the knowledge, skill and aptitude of internee.

[(ii) (a) The stress during the internship training shall be on case taking, analysis and evaluation of symptoms, nosological and miasmatic diagnosis, totality of symptoms, repertorisation and management of sick people based on principles of Homoeopathy;]

(b) The Principal or Head of the College in consultation with heads of concerned clinical departments (including Organon of Medicine, Materia Medica and Repertory) shall make medical units having integration of teaching faculty of concerned departments to regulate internship training to be given to each student;

(c) Weekly seminars shall be conducted wherein interns in rotation be given a chance to present their cases for discussion and concerned teachers shall assess performance of each of interns;

(d) Resident Medical Officer shall co-ordinate with teachers concerned in conduct of weekly seminars.

(iii) rotation of intern students shall be as under:

[(a) Practice of Medicine - 8 Months wherein internee will be rotated in each Psychology, Respiratory, Gastro - intestinal, Endocrinology, Skin and V.D., Loco-motor, Cardiology, Paediatrics sections.]

(b) Surgery - 1 month.

(c) Obstetrics & Gynaecology -2 Months [1 month each (including Reproductive & child health care)].

(d) Community Medicine (including PHC/CHC) -1 month.

(iv) Each internee shall be exposed to clinicopathology work to acquire skill in taking samples and doing routine blood - examination, blood smear for parasites, sputum examination, urine and stool examination. Students shall be trained to correlate laboratory findings with diagnosis and management of sick people.

(v) Each internee shall be given opportunities to learn the diagnostic techniques like x-rays, Ultrasonography, E.C.G., Spirometer and other forthcoming techniques and co-relate their findings with diagnosis and management of cases.

(vi) Each internee student shall be given adequate knowledge about issuing of medico-legal certificates including medical and fitness certificates, death certificates, birth certificates, court producers and all of such legislation's be discussed which were taught in curriculum of Forensic Medicine.

(vii) Each internee shall maintain records of 40 acute and 25 chronic cases complete in all manner including follow up in Practice of Medicine, record of 5 antenatal check-up and 3 delivery cases attended by him/her in Department of Obstetrics and 3 cases of Gynaecology; records of 5 surgical cases assisted by him (and demonstration of knowledge of dressings) in Surgery department, and records of knowledge gained in Primary Health Centres, Community health Centres, various health programmes.

(viii) [Omitted]

(ix) Each internee shall be given a liberty to choose an elective assignment on any subject, and complete out-put shall be furnished in writing by the internee in respect of elective assignment to the Principal of the College within internship duration.

(x) Each intern shall be posted on duty in such a manner that each of them attend at least 15 days in O.P.D. and 15 days in I.P.D. at least in each month (except for duty in Community Medicine, and attend the other parts of duty including self-preparation in Library.

(xi) Each intern-student shall be made to learn importance of maintaining statistics and records, intern-student shall also be familiarized with research methodology.

(ii). Each internee shall be on duty of at least 6 hrs. per day during the compulsory internship training.

[Annexure -'B']

(See regulation 6)

Educational Tour

Number of Students:

Name of teachers accompanying students:

What the tour is about- an overview:

Prerequisites -What knowledge the students must know before going for tour

How it will be organised:

Approaches to teaching or learning and assessment:

1. To provide the basic knowledge of practical aspects of pharmacy/ FMT/ community medicine by exposure of students to pharmaceutical labs. and HPL/ district courts/ hospitals/ milk dairies/ PHC/ I.D. Hospitals/ industrial units/ sewage treatment plants/ water purification plants as the case may be.

2. To inspire students for their involvement in study during the said visits to learn the related procedures.

3. To provide the platform for evaluation of their skill and knowledge by interactive methodology.

4. To infuse confidence amongst students about homoeopathy, its future and their career.

5. To provide interaction between students, induce decision making skills and to motivate them for better vision about their future.

6. To improve cognitive skills (thinking and analysis).

7. To improve communication skills (personal and academic).

1. To be more than a wish list objectives, need to be realistic, pragmatic, understandable and achievable.

2. The focus should be on what students will be able to do or how they will show that they know, and how this will help in their career and individual growth.

3. Knowledge we want the students to have by the end of the course.

4. Skills we want the students to master by the end of the course.

5. Attitudes we want students to demonstrate at the ends of the course.

Note. - It shall be an essential part of the Journal on the subject a viva- voice can be put in respect of it.

1. Essential and recommended text books.

2. Journals and other readings.

3. Equipment and apparatus.

1. Places visited with photographs

2. Programmes organised during visit.

3. Summary.

1. Description of assignments.

2. Due dates of assignments.

3. Preparation method for the project report

(i) Purpose.

(ii) Schedule.

(iii) Places visited.

(iv) Details of visit.

(v) Summary of achievements or learnings.

Format-1

{See regulation 14(v)}

1. Date of admission in First B.H.M.S course

2. Date of passing First B.H.M.S University examination

3. Date of application

4. No objection certificate from relieving college (enclosed) -Yes/No

5. No objection certificate from relieving University(enclosed) -Yes/No

6. No objection certificate from receiving college(enclosed) - Yes/No

7. No objection certificate from receiving University(enclosed) -Yes/No

8. No objection certificate from State Government wherein the relieving college is located - Yes/No.

9. Affidavit, duly sworn before First Class Magistrate containing an undertaking that "I will study for full twelve months in existing class of B.H.M.S course in transferred Homoeopathic Medical College before appearing in the IInd Professional University examination" (enclosed) -Yes/No

10. Reasons for migration in brief( please enclose copy of proof) - Yes/No

11. Permanent address:_________________________".