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    • Abstract: MAHARASHTRA UNIVERSITY OF HEALTH SCIENCES,NASHIK(From Academic Year 2010-11 & onwards)Syllabus for MD (Ayurved) Final ExaminationRASA SHASTRALECTURES-400PRACTICALS-150PAPER-IAdharabhuta Siddhant, Rasa Chikitsa and Pharmacy Management

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MAHARASHTRA UNIVERSITY OF HEALTH SCIENCES,
NASHIK
(From Academic Year 2010-11 & onwards)
Syllabus for MD (Ayurved) Final Examination
RASA SHASTRA
LECTURES-400
PRACTICALS-150
PAPER-I
Adharabhuta Siddhant, Rasa Chikitsa and Pharmacy Management
1. History and Chronological evaluation of Rasa shastra, Concept of Raseshwar
darshan and study of Rasa granthas with special emphasis on Rasarnava,
Rasahridaya tantra, Rasa Ratna Samucchaya, Sharngadhara Samhita, Rasendra
Chintamani, Rasa Ratnakar, Rasadhyaya, Rasa Kamdhenu, Anandkanda, Ayurveda
Prakash, Bhavaprakash, Rasatarangini and Relevant portions of Brihatrayi
2. Concept of Rasamandapa and establishment of Rasashala in accordance with GMP.
3. Fundamental Principles of Rasashastra and Bhaisajya kalpana including principles of
designing different formulations with reference to Samslesha Vishleha and other
principles.
4. Study of ancient and metric systems of weights and measures including Kala mana
with their correlation.
5. Technical terminologies (Paribhasha) used in Rasa shastra and Bhaishajya kalpana.
6. Concept of Kshetrikaran, Importance of association of Rasa with Loha and Rasa-
abhraka with loha (Rasyoga and Rasabhrayog), Study of Kramana(Anupana) yoga as
described in Rasa Ratnakar, Rasayan khanda and Ananda kand, Study of Ashuddha,
Apakva, Avidhi sevita Rasa dravya sevana dosha and its management. Concept of
lohajirna and Rasajirna.
7. Management of Pharmacy, Store and Inventory Management, Personnel
Management, Good Manufacturing Practices related to Ayurvedic Drug Industry.
8. Marketing Pharmaceutical Services
9. Product Release and Withdrawals
10. Community Pharmacy
11. Laws Governing Pharmacy
a) Relevant regulatory provisions of Ayurvedic drugs in Drug and Cosmetic Act 1940
and Rules 1945
b) Laws pertaining to Drugs and Magic remedies (objectionable advertisement) Act-
1954.
c) Prevention of Food Adulteration (PFA) act.
d) Laws pertaining to Narcotics
e) Factory and Pharmacy Acts
f) Consumer Protection Act -1986
12. Regulatory Affairs related to International Trade and Practices of Ayurvedic Drugs.
13. Introduction to Ayurvedic Pharmacoepia of India, Ayurvedic Formulary of India.
14. Introduction to Indian Pharmacoepia, British and United States Pharmacoepia,
Pharamcoepial Codex.
15. Introduction to Traditional Knowledge Digital Library
PAPER-II
Aushadh Prasamsaskaran evam Rasa dravya Vigyan
1. Detailed knowledge of ancient and contemporary Yantropakarana and their
accessories used in Aushadhikaran and their contemporary modification such as
yantras, mushas, putas, Koshthis, Bhrashtris, Muffle furnaces and other heating
appliances, ovens, driers etc. used in manufacturing of Rasaushadhis in small scale
and large scale along with their applications.
2. Study of Samskara, definition, types and its effect on Physico- chemical and
Therapeutic properties of Samskararha dravya.
Role of Agni (Heat), Jala and other dravas (Water and other processing liquids), Kala
(Time span), Patra (Container) and other processing materials and their significance in
Aushadhikaran.
3. Detailed Knowledge of Shodhana with special emphasis on Shodhan dravya,
instrumentation and processing techniques in relation to Shodhya dravya.
4. Study of Mardana and its significance in Aushadhikaran. Concept of Bhavana, detailed
knowledge of ancient and contemporary grinding and trituration techniques.
5. Concept of Puta, definition, types and specifications of different Putas. Significance of
different Putas in relation to Bhasmikaran and therapeutic efficacy of dravya under
process. Bhasma pariksha vidhi and its significance in relation to contemporary testing
procedures
6. Detailed Knowledge of Marana, with special emphasis on Marak dravya,
Instrumentation, Processing technique in relation to Martya Dravya.
7. Detailed knowledge of Amritikaran and Lohitikaran and its significance in preparation of
Bhasma with reference to dravya under process.
8. Detailed knowledge of Satvapatan; Shodhan, Mridukaran and Maran of Satva, its
significance, in relation to therapeutic efficacy of dravya under process.
9. Detailed knowledge of Druti, its processing and its significance in relation to therapeutic
efficacy.
10. Concept of Jarana, Moorcchana, Bandhan, Pakshaccheda and Maran in relation to
Parad.
11. Detailed ancient and contemporary knowledge of Parada and its compounds with
reference to Source, Occurrence, availability, Physico-chemical characterization,
Grahya Agrahyatva, Shodhan maranadi vidhi, Therapeutic Properties and uses.
12. Detailed ancient & contemporary knowledge with
Geochemical/mineralogical/Biological identification, source, occurrence, availability,
physico-chemical characterization, grahya-agrahyatva, Shodhan Maranadi Vidhi and
Therapeutic properties and uses of dravyas included in Maharasa, Uparasa,
Sadharana rasa, Dhatu, Upadhatu, Ratna, Uparatna, Visha, Upavisha, Sudha varga,
Lavan varga, Kshar Varga and other varga used in Rasashastra.
1. Detailed knowledge of Standard Operating Procedure of manufacturing,
Standardization, Quality control, Storage, therapeutic efficacy, Mechanism of
action, Dose, Anupan and Method of administration of following Bhasma and pishti
viz:
Bhasma - Abhraka Bhasma, Vaikrant Bhasma, Svarnamakshika Bhasma, Kasis
Bhasma, Svarna Bhasma, Rajat Bhasma, Tamra Bhasma, Loha Bhasma, Mandur
Bhasma, Naga Bhasma, Vanga Bhasma,Yashad Bhasma, Trivanga Bhasma, Pittal,
Kamsya and Varthaloha Bhasma, Shankha Bhasma, Shukti Bhasma, Kapardika
Bhasma, Godanti Bhasma, Praval Bhasma, Mrigashringa Bhasma, Mayurpiccha
Bhasma, Kukkutand twaka Bhasma, Hiraka Bhasma, Manikya Bhasma.
Pishti - Praval pishti, Manikya Pishti, Mukta Pishti, Jahara mohara pishti,
Trinakanta mani pishti.
2. Principles of Aushadhi Path Samyojan, Standard Operating Procedure of
Preparation, Quality Control, Storage and Stability of Kharaliya, Parpati,
Kupipakwa and Pottali Kalpa.
PAPER- III
Aushadha Yoga Vigyan
Rasa Yoga Vigyan
Detailed knowledge of Aushadhi Patha Samyojan, Therapeutic efficacy, Mechanism of
action, Dose, Anupan and Method of administration of following Aushadhi Yogas
1. Kharaliya Yoga
Shwasakuthara Rasa, Tribhuvanakirti Rasa, Higuleshwara Rasa, Anandabhairava Rasa,
MahaLakshmivilasa Rasa, Vasnathakusumakara Rasa, Vasantamalti Rasa, Bhrihatvata
chintamani Rasa, Laghusutashekhar Rasa, Sutashekhar Rasa, Ramban Rasa,
Chandrakala Rasa, Yogendra Rasa, Hridyarnava rasa, Grahanikapata Rasa, Garbhapala
Rasa, Jalodarari Rasa, Mrityunjaya Rasa, Madhumalini vasanta Rasa, Arshakuthara
Rasa, Krimimudgara Rasa, Suchikabharana Rasa, Trinetra Rasa, Smrutisagara Rasa,
Vatagajankusha Rasa, Agnikumar Rasa, Ekangavir Rasa, Kamadudha Rasa,
Purnachandrodaya Rasa, Prataplankeshwara Rasa, Mahavata vidhwansaka Rasa,
Kasturibhairava Rasa, Ashwakanchuki Rasa, Gulmakuthara Rasa, Mahajwarankusha
Rasa, Chandramrita Rasa, Kaphaketu Rasa, Prabhakara Vati, Pravala Panchamrita,
Gandhaka Rasayana, Chaturbhuj rasa, Navajivan rasa, Shonitargal rasa, Raktapitta
kulakandan rasa, Amavatari Rasa, Kravyada Rasa, Garbhachintamani Rasa, Chintamani
Rasa, Trilokyachintamani Rasa, Pradarantaka Rasa, Vangeshwara Rasa,
Brihatvangeshwara Rasa, Shwasakasa Chintamani Rasa, Arogyavardhini Vati, Agnitundi
vati, Shankha Vati, Kautajyadi Shilajeet.
2. Loha Kalpa
Ayaskriti, Loha Rasayana, Amlapittantaka loha, Chandanadi loha, Dhatri loha, Navayasa
loha, Putapakva vishamajwarantaka loha, Shilajatwadi loha, Tapyadi loha, Saptamrita
loha, Punarnava Mandura, Amritasara Loha, Shankaramat loha, Pradarantaka loha,
Rohitaka loha.
3. Kupipakva Yoga
Rasa Sindura, Makaradhwaja, Sidhamakaradhwaja, Samirapannaga Swarnavanga, Malla
sindura, Rasa karpura, Rasa pushpa, Manikya Rasa.
4. Parpati Yoga
Rasa Parpati, Loha Parpati, Tamra Parpati, Suwarna Parpati, Gagana Parpati, Vijay
Parpati, Panchamrit Parpati, Shwet Parpati, Bola Parpati .
5. Pottali Yoga
Rasagarbhapottali, Hemagarbhapottali, Mallagarbha pottali, Hiranyagarbha pottali,
Shankagarbha pottali, Lokanatha rasa, Mriganka Pottali.
Bhaishajya Yoga Vigyan
Detailed knowledge of Aushadhi Path Samyojan, Therapeutic efficacy, Mechanism of
action, Dose, Anupan and Method of administration of following Aushadhi Yogas:
6. Panchavidha Kashayas and their Upakalpa
Ardraka swarasa, Tulasi swarasa, Vasa putapaka swarasa, Nimba kalka, Rasona kalka,
Kulattha Kwath, Punarnavasthaka kwatha, Rasna saptaka kwatha, Dhanyak hima,
Sarivadi hima, Panchakola phanta, Mustadi pramathya, Kharjuradi mantha, Shadanga
paniya, Laksha rasa, Ajamoda arka, Yavanyadi arka, Chincha panaka, Candana panaka,
Banapsha sharkara, Nimbu sarkara, Darvi rasakriya, Amrita satva, Ardraka satva, Arjuna
kshirapaka, Rasona kshirapaka,
7.Pathya Kalpana
Yavagu, (Krita and Akrita), Ashtaguna manda, Laja manda, Peya, Vilepi, Krishara, Yusha,
Mudga yusha, Kulattha yusha, Saptamushtika yusha, Khad, Kambalika, Raga, Shadava
Mamsarasa, Veshavara, Takra, Udasvita, Katvar, Mathita, Chhacchika, Dadhi,
Tandulodaka, Neutraceuticals and Food Supplements
8.. Churna
Sitopaladi Churna, Talisadi Churna, Triphala Churna, Hingvashtaka Churna, Yashtimadhu
Churna, Avipattikara Churna, Swadishta Virechana Churna, Trimada Virechana Churna,
Lavana Bhaskar Churna, Sudarshana Churna, MahaSudarshana Churna, Gandharva
Haritaki Churna, Navayasa Churna, Pushyanuga Churna, Ajamodadi Churna, Hingvadi
Churna, Eladi Churna, Dadimashtaka Churna, Trikatu Churna, Vaishwanara Churna
9. Gutika
Chandraprabha vati, Chitrakadi Gutika,, Sanjivani Vati, Lasunadi vati, Lavangadi Vati,
Vyoshadi vati, Khadiradi Vati, Kankayan Vati, Abhayadi modak, Marichyadi gutika,
Amalakyadi gutika, Samshamini Vati, Kutaja Ghana vati
10. Guggulu
Yogaraja Guggulu, Maha yogaraja Guggulu, Trayodashanga Guggulu, Kanchanara
Guggulu, Rasnadi Guggulu, Triphala Guggulu, Simhanada Guggulu, Gokshuradi Guggulu,
Kaishora Guggulu, Panchatikta Guggulu, Amritadi Guggulu, Vatari Guggulu, Lakshadi
Guggulu, Abha Guggulu
11. Snehapaka
Sneha Moorchhana - Ghrita Murchana, Taila Murchhana
Siddha Ghrita- Shatavari Ghrita, Jatyadi Ghrita, Phala Ghrita, Dadimadi Ghrita, Kshira
Shatpala Ghrita, Triphala Ghrita, Dhanvantri Ghrita, Amritaprasha Ghrita, Kalyanaka
Ghrita, Brahmi Ghrita, Changeri Ghrita, Panchatikta Ghrita, Sukumara Ghrita
Siddha Taila - Maha Narayana Taila, Maha Masha Taila, Bala Taila, Nirgundi Taila,
Shadbindu Taila, Vishagarbha Taila, Sahacharadi Taila, Jatyadi Taila, Apamarga Kshara
Taila,Tuvaraka Taila, Kshirabala Taila, Lakshadi Taila, Anu Taila, KumKumadi Taila,
Hingutriguna Taila, Kottumchukadi Taila, Prasarinyadi Taila, Dhanwantari Taila,
Balashwagandhadi Taila, Balaguduchyadi Taila, Nilibhringyadi Taila, Brihadavadi Taila,
Irimedadi Taila, Chandanadi Taila, Panchaguna taila, Arka taila
12. Avaleha
Vasa Avaleha, Brahma rasayana, Chyavanprasha Avaleha, Kushmanda Avaleha, Vyagri
Haritaki Avaleha, Dadima Avaleha, Bilvadi Avaleha, Kantakaryavaleha, Haridra Khanda,
Narikela khanda, Saubhagya shunthi paka.
13.Sandhan Kalpa
Shukta- Ikshu shukta, Tushambu, Kanjik, Sandaki
Madya - Sura, Shidhu, Varuni
Asava Arishta - Lodhrasava, Kumaryasava, Ushirasava, Chandanasava, Kanakasava,
Sarivadyasava, Pippalyasava, Lohasava, Vasakasava, Kutajarishta, Draksharishta,
Raktamitrarka, Dashamularishta, Abhayarishta, Amritarishta, Ashokarishta,
Sarasvatarishta, Arjunarishta, Khadirarishta, Ashwagandha Arishta, Vidangarishta,
Takrarishta.
14.Miscellaneous - Phala varti, Chandrodaya varti, Arka lavana, Narikela lavana, Triphala
masi, Apamarga kshara, Snuhi kshara, Ksharasutra, Atasi upanaha, Sarjarasa malahara,
Gandhaka malahara,Sinduradi Malahar, Shatadhouta Ghrita, Sahasra Dhouta Ghrita,
Sikta taila, Dashanga lepa, Doshaghna lepa, Bhallataka taila, Jyotishmati Taila, Bakuchi
Taila, Dashanga dhupa, Arshoghna dhupa, Nishadi Netra bindu, Madhutailika Basti,
Sneha Basti, Matra Basti, Piccha Basti, Yapana Basti.
PAPER -IV
Pharmaceutical Science
Pharmaceutical technology
1. Scope and Evolution of Pharmacy
2. Information Resources in Pharmacy and Pharmaceutical Science
3. Posology
4. Colloidal and Coarse dispersion and Pharmaceutical Rheology
5. Preformulation
6. Separation
7. Principles of Distillation, Methods of Extraction, Infusion, Decoction, Maceration,
Percolation and Fusion.
8. Sterilization & Sterile products, Ophthalmic and Parenteral Preparations
9. Preservation and stabilization of pharmaceutical products
10. Drying, Open and Closed Air drying, Freeze drying, Vacuum drying and other drying
methods
11. Pharmaceutical Excipients
12. Oral Solid Dosage Forms, Powder, Size reduction & size separations, Principles of
mixing Micrometrics- Methods of determination of particle size, shape & Surface area,
Methods of compression & Consolidation of powder solids, Tablets, Sustained release
dosage forms, Suppositories & Pessaries, Capsules- Hard capsules & soft gelatin
capsules & micro encapsulation
13. Semisolid Dosage Forms Emulsion, Suspensions and Extracts
14. Liquids - Solution, Solubility Phenomenon, Diffusion & Dissolution, pH, Buffers &
Isotonic solutions, Clarification & Filtration: Techniques of filtration & Centrifugation,
Syrup, Elixirs
15. Pharmaceutical aerosols
16. Topical drugs and Cosmetics
17. Packaging Materials and Labeling
18. Standardization of Raw material, In process Material and Finished Product
Pharmacology
19. Principles of Pharmacology
Pharmcodynamics & Pharmacokinetics: Absorption, distribution, mechanism of
action & Excretion, Dose response relationship, structure activity relationship
20.Routes of administration of drug
21.Factors modifying drug effect, Drug interactions, Adverse drug reaction and Drug
toxicity
22.Detailed Knowledge of Pharmacovigilance – National and International Scenario.
Pharmacovigillance of Ayurvedic Drugs
Clinical pharmacology: Preclinical & clinical evaluation, Bioavailability and
Bioequivalence
Toxicology
23.Principles of Toxicology
24.Toxicology of Metallic, Mineral, Plant & Animal products
General principles of Management of Acute and Chronic Toxicity
Scheme of Practicals
Duration: - 2 Years
i) Departmental Practicals :- 100
Student should prepare following drugs / perform practicals, (Any 100 out of
126) under supervision of Guide and record the same in Practical Journal.
(Proforma of journal is attached herewith as Annexure A)
1) Hidgulotha Parad Nirman
2) Parad Shamanya Shodhan
3) Parad Swedan Sanskar
4) Parad Mardan Sanskar
5) Parad Murchan Sanskar
6) Parad Utthapan Sanskar
7) Parad Trividha Patan Sanskar
8) Parad Rodhan Sanskar
9) Parad Niyman Sanskar
10) Parad Dipan Sanskar
11) Gandhak Samanya Shodhan
12) Gandhak Vishesh Shodhan
13) Gandhak Drutri Nirman
14) Gandhak Rasayan Nirman
15) Kajjali Nirman
16) Rasaparpati Nirman
17) Rasasindur Nirman
18) Rasapottali Nirman
19) Abhrak Shodhan
20) Dhanyabhrak Nirman
21) Abhrak Maran
22) Abhrak Amrutikaran
23) Abhrak Lohitikaran
24) Abhrak Satwapatan
25) Suvarna makshik Samanya Shodhan
26) Suvarna makshik Vishesh Shodhan
27) Suvarna makshik Maran
28) Suvarna makshik Amrutikaran
29) Shilajatu Prapti Agnitapi
30) Shilajatu Prapti Suryatapi
31) Sasyak Shodhan
32) Sasyak Satvapatan
33) Sasyak Maran
34) Chapal (Bismuth) Shodhan
35) Gairik Shodhan
36) Gairik Satwapatan
37) Kasis Shodhan
38) Kasis Maran
39) Kankshi Shodhan
40) Hartal Samanya Shodhan
41) Hartal Vishesh Shodhan
42) Hartal Bhasm Nirman
43) Rasmanikya Nirman
44) Man Shila Shodhan
45) Rasanjan Nirman
46) Pushpanjan Nirman
47) Souviranjan Nirman
48) Kankushtha Shodhan
49) Kampillak Shodhan
50) Gouripashan Shodhan
51) Gouripashan Maran
52) Navsagar Shodhan(Urdhavpatan)
53) Kaparda Shodhan
54) Kaparda Maran
55) Agnijaar Collection
56) Girisindur Collection
57) Hingul Shodhan
58) Mugdh Ras Nirman
59) Raspushpa Nirman
60) Rasakarpur Nirman
61) Rashpushpa Malhar Nirman
62) Rasakarpur Malhar Nirman
63) Suvarna Samanya Shodhan
64) Suvarna Vishesh Shodhan
65) Suvarna Dhatu Pishti Nirman
66) Suvarna Maran
67) Makardhavaj Nirmanartha Kajjali Nirman
68) Makardhavaj Nirman
69) Raupya Samanya Shodhan
70) Raupya Vishesh Shodhan
71) Raupya Maran
72) Raupyasindur Nirman
73) Kantloh Samanya Shodhan
74) Kantloh Vishesha Shodhan
75) Kantloh Sthalipak
76) kantloh Bhanupak
77) Kantloh Putpak
78) Mandur Shodhan
79) Mandur Maran
80) Tamra Samanya Shodhan
81) Tamra Vishesh Shodhan
82) Tamra Dhatu Pishti Nirman
83) Tamra Sindur Nirman
84) Tamra Bhasm Nirman
85) Tamra Amrutikaran
86) Somnathi Tamra Basma Nirman
87) Vanga Samanya Shodhan
88) Vanga Vishesh Shodhan
89) Vanga Jaran
90) Vanga Basma Nirman
91) Suvarnavanga Nirman
92) Yashad Samanya Shodhan
93) Yashad Vishesh Shodhan
94) Yashad Jaran
95) Yashad Maran
96) Nag Samanya Shodhan
97) Nag Vishesh Shodhan
98) Nag Jaran
99) Nag Maran
100)Trivanga Bhasma Nirman
101)Kansyaloh Nirman
102)Shankha Shodhan
103)Shankha Maran
104)Shukti Shodhan
105)Shukti Maran
106)Godanti Shodhan
107)Godanti Maran
108)Akik Pishti Nirman
109)Jaharmohara Pishti Nirman
110)Shwet Parpati Nirman
111)Tribhuvankirti Ras Nirman
112)Vatsanabh Shodhan
113)Dhattur Shodhan
114)Gunja Shodhan
115)Bhallatak Shodhan
116)Bhallatak Tail Patan
117)Kuchala Shodhan
118)Tankan Shodhan
119)Mayurpiccha Mashi Nirman
120)Kukkutanda tawk Bhasma Nirman
121)Ajasthi Bhasma Nirman
122)Shankha drava Nirman
123)Samirpannag Ras Nirman
124)Loknath Ras Nirman
125)Badarashama Shodhan
126)Badarashama Maran
ii) Research Project (other than Dissertation) : 1
Student should work on a specific topic related to Rasa Shastra as allotted by
Guide as per instructions and format provided in the P.G. Log Book
iii) Compilations : 8
Student should prepare Compilations on a specific topic related to Rasa
Shastra as allotted by Guide as per instructions provided in the P.G. Log
Book
iv) Clinical Case Study : 15
Student should study 15 cases and record the case in prescribed format
(attached herewith as Annexure B) as per instructions provided in PG Log
Book.
v) Drug Testing and Drug Standardization 18
Chromatographic separation T.L.C., H.P.T.L.C. or any other applicable tests –
Any 18 Drugs
a) Bhasmas - 6
b) Pottali - 2
c) Parpati - 3
d) Khalvi Rasayan - 3
e) Sindur - 2
f) Sudha Varga - 2
vi) Educational Visits 5
The brief report of each visit should be written by student in a journal (Duly
signed by Guide and HOD)
a) Visit to one Local Ayurvedic Pharmacy (GMP Approved)
b) Visit to one State Ayurvedic Pharmacy (GMP Approved)
c) Visit to one out of State Ayurvedic Pharmacy (GMP Approved)
d) Visit to one R&D Centre of Modern Pharmacy (MNC) such as Glaxo,
Pfizer, FDA Laboratory etc.
e) Visit to any one Siddha Pharmacy
Annexure ‘A’
PROFORMA
Departmental Practicals
Practical No: _____________________________________________ Date: ________________
Practical name: ___________________________________________Time: ________________
Aim: __________________________________________________________________________
______________________________________________________________________________
Reference: ____________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Equipments: ___________________________________________________________________
______________________________________________________________________________
Required Drugs:
No Drug Name Qnty. Cost No Drug Name Qnty. Cost
1 6
2 7
3 8
4 9
5 10
Method: ______________________________________________________________________
Procedure: ____________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Diagram:
Observation: ___________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Precautions: ___________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Final Processed drug: Weight Before ___________________ After ___________________
Loss ___________________ Gain ___________________
Change in weight due to _________________________________________________________
Examination of the processed drug:
Shabda : ______________________________________________________
Sparsha : ______________________________________________________
Rupa : ______________________________________________________
Rasa : ______________________________________________________
Gandha : ______________________________________________________
Drug Siddhi Lakshana : ______________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Drug Standardization: ___________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Properties of the finished drug: ___________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Therapeutic indications:
No Disease Action Dose Anupan Time
1
2
3
4
5
Any other uses : ____________________________________________________________
Saviryatavadhi of the drug : ______________________________________________________
Cost estimation: Label:
Item Cost Drug name
Raw material Reference
Fuel Dose
Labor charges Special note
Packaging charges Mfg. Date
Expiry date (if any)
Sign. of Student Sign. of Guide
Date :- Date :-
Annexure ‘B’
PROFORMA
Clinical Case Study
STUDY TITLE : Assessment of & confirmation of mode of action
SUBJECT NO : ______________________________________________________
SUBJECT NAME : ______________________________________________________
AGE : ______________________________________________________
SEX : ______________________________________________________
OCCUPATION : ______________________________________________________
ADDRESS : ______________________________________________________
___________________________________ TEL_______________
DATE OF FIRST VISIT : ______________________________________________________
INFORM CONSENT FORM : ______________________________________________________
PAST HISTORY/POORVA ROOPA : ________________________________________________
CHIEF COMPLAINTS/ROOPA:_____________________________________________________
INCLUSION CRITERIA : ______________________________________________________
EXCLUSION CRITERIA: ______________________________________________________
VISIT FIRST : ______________________________________________________
DATE OF VISIT : ______________________________________________________
A) PHYSICAL EXAMINATION
SR. If Abnormal
Body system ND Normal Abnormality in brief
No NCS CS
1 Skin
Head, Eyes, Ears,
2
Nose, Throat
3 Respiratory
4 Cardiovascular
5 Gastrointestinal
6 Neurological
7 Lymphatic
8 Musculoskeletal
9 Urogenital
10 Other (Specify)
ND: Not Done, NCS: Not Clinically Significant, CS: Clinically Significant (If abnormal CS, enter in
medical History)
B) SCREENING VISIT
VITAL SIGNS (in supine position after 3 min. rest)
Sr. If abnormal Abnormality in
Parameter ND Value Normal
No. NCS CS brief
1. Blood pressure(mmHg)
2. Heart rate(bpm)
3. Body temperature(ºF)
Oral
Axillary
4. Respiration Rate(/min)
ND: Not Done, NCS: Not Clinically Significant, CS: Clinically Significant (If abnormal CS, enter in
medical History)
VYADHI PRAKRITI : ____________________________________________________________
RUGNAPRAKRITI : ____________________________________________________________
DOSHA : ____________________________________________________________
DUSHYA : ____________________________________________________________
BALA : ____________________________________________________________
KAAL : ____________________________________________________________
VAYA : ____________________________________________________________
AGNI : ____________________________________________________________
PRAKRITI : ____________________________________________________________
SAAR : ____________________________________________________________
SATVA : ____________________________________________________________
SATMYA : ____________________________________________________________
AHARSHAKTI : ____________________________________________________________
VYAYAMSHAKTI : ____________________________________________________________
NIDAAN : ____________________________________________________________
AAHARJANYA : ____________________________________________________________
VIHARJAYNYA : ____________________________________________________________
VYASANJANYA : ____________________________________________________________
AUSHADHIJANYA : ____________________________________________________________
VYADHIJANYA : ____________________________________________________________
KAALJANYA : ____________________________________________________________
KULAJANYA : ____________________________________________________________
C) 12 LEAD ECG (in supine position after 5 min)
Date of examination
Sr. If abnormal Abnormality
Parameter Value Normal
No. NCS CS in brief
1. Qtc(msec)
2. QTcB(msec)
Overall interpretation
3.
of ECG
ND: Not Done, NCS: Not Clinically Significant, CS: Clinically Significant (If abnormal CS, enter in
medical History)
D) CHEST X-RAY
Date of investigation:
If abnormal Abnormality
Examination ND Normal
NCS CS in brief
Chest X-ray
ND: Not Done, NCS: Not Clinically Significant, CS: Clinically Significant (If abnormal CS, enter in
medical History)
E) HEMATOLOGY:
Date of sample collection:
Sr. If abnormal
Parameter ND Normal
No. NCS CS
1. WBC
2. RBC
3. Haemoglobin
4. MCV
6. MCH
7. MCHC
8. Platelate
9. WBC differential count
9.a Neutrophils
9.b Lymphocytes
9.c Monocytes
9.d Eosinophils
9.e Bosophils
ND: Not Done, NCS: Not Clinically Significant, CS: Clinically Significant (If abnormal CS, enter in
medical History)
F) URINE ANALYSIS:
Date of urine sample collection:
Sr. If abnormal
Parameter ND Normal
No. NCS CS
1. Protien
2. Glucose
3. Ketones
4. Blood
5. Bilirubin
6. Urine Microscopy
6.a Pus cells
6.b RBC
6.c Casts
ND: Not Done, NCS: Not Clinically Significant, CS: Clinically Significant (If abnormal CS, enter in
medical History)
G) LIPID PROFILE
Sr. If abnormal
Parameter ND Normal
No. NCS CS
1. Total cholesterol
2. Triglycerides
3. HDL
4. LDL
5. VLDL
ND: Not Done, NCS: Not Clinically Significant, CS: Clinically Significant (If abnormal CS, enter in
medical History)
DIAGNOSIS : ______________________________________________________
MEDICATION DETAILS : ______________________________________________________
SOURCES : ______________________________________________________
INGREDIENTS : ______________________________________________________
MANUFACTURING METHOD: _____________________________________________________
TEST DETAILS-Physical/Analytical : _______________________________________________
BATCH NO : ______________________________________________________
H) MANUFACTURING DATE
Sr. Pharmaceutical
Ingredients Therapeutic value
No. value
1. Mercury
2. Sulphur
3. Copper
4. Iron
5. Aluminium
6. Zinc
7. Arsenic
DRUG/KALPA :______________________________________________________
ETIOPATHOGENESIS/HETU SAMPRAPTI : _________________________________________
BREAK UP OF ETIOPATHOGENESIS/Samprapti Vighatn : _____________________________
*ANCIENT POINT OF VIEW : ______________________________________________________
*MODERN POINT OF VIEW : ______________________________________________________
I) ADVERSE DRUG REACTION IF ANY
SR.N
Mercury Arsenic Lead Copper Zinc Iron Calcium
O
Same as of
arsenic
Acute G.I
Metallic except Metallic G.I distur- Reduce
1. distur- Nausea
Taste diarrhea is Taste bance bone mass
bances
replaced by
constipation
Throat Metallic Osteoporo
2. Nausea Dry throat Salivation Vomiting
constriction taste sis
Burning
Metallic
sensation Burning in Diarr-
3. astringent Thirst Gullet
from mouth G.I tract hoea
taste
to stomach
Severe,
Radiating continous
Burning Constipa-
4. painover and Thirst Vomiting
in stomach tion
Abd. persisting
vomiting
Corrossion Iron
Colicky
of mouth , overload
5. Diarrhoea Nausea abdo- Diarrhoea
tongue , with organ
minal pain
faeces damage
Mucous
membrane
Intense
6. appears Colicy pain Vomitting Collapse
thirst
grayish
white
Destruc-
tion
Cramps in of mucus
7. Nausea Vomiting Diarrhoea
legs membran
e
of mouth
Vomiting
with stringy
mass of Bloody
8. Oligouria Purging Collapse
bloody purging
white
mucous
Profuse Skin Liquid
Offensive
9. bloody eruption in brown
black faeces
purging later stage stool
Inky
Painful appear-
10. Cramps
tenesmus ance
of urine
Cardio-
Headache
11. respiratory Oligouria
drowsiness
arrest.
Severe
12. Paraylsis
headache
Encephalo
13. Dyspnoea
pathy
Sleeplessnes
14. Jaundice
s


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