Syllabus | Fourth Year | Shalya Tantra

Sl.No Topic Domain Time(Hours)  
1.      Definition of Shalya, Shalya Tantra and its importance. Introduction to ShalyaTantra:

Historical background and progress made.
· Target – Fluency in textual reading and comprehension.
· Preferable targets – Know recent developments and controversies.

Must to Know 4  
2.      Description of Yantra, Shastra, Anushastra: Definition, number, types, uses,
Dosha, Guna, Karma. Relevant modern instruments.
· Target – Basic understanding of the concepts of Yantra and Shastra. Acquaintance
with commonly used surgical instruments. Knowledge of textual descriptions.
· Preferable targets – Knowledge about currently used surgical instruments, their
specifications, procurement sources etc.
Must to Know 5  
3.      Sangyaharan / Anaesthesia: Definition and Types.
i. Local anaesthesia – Drugs, Techniques, Indications, Contraindications,
Complications and their Management.
ii. Regional and General anaesthesia– Drugs, Techniques, Indications,
Contraindications, Complications and their Management.
· Target-Basic knowledge of the drugs and instruments of anaesthesia. To observe the
process of induction, monitoring and recovery.
· Preferable targets- Assisting and handling anaesthesia.
Must to Know 5  
4.      Trividha Karma – Purva Karma, Pradhana Karma and Paschat Karma.
· Target- Capability to identify conditions which can affect the outcome of surgery in
pre, intra and post- operative period.
· Preferable targets- Experience of handling incidents.
Must to Know 4  
5.      Ashtavidha Shastra Karma – Surgical procedures.
· Targets- Appreciation and comprehension of concepts and indications of different
procedures.
· Preferable targets –Hands on experience of surgical procedures.
Must to Know 3  
6.      Yogya – Experimental Surgery.
· Target –Appreciation and comprehension of concepts of Yogya. Idea of patient’s
safety in experimental training.
· Preferable targets- Hands on training on mannequins.
Must to Know 3  
7.      Marma: Nirukti, types, description and importance.
· Target –Clinical application of concepts of marma.
· Preferable targets- Study of relevance of marma in the light of current anatomical
and surgical knowledge.
Good to Know 3  
8.      Kshara and Kshara Karma:
i. Nirukti, Pradhanyata, Guna, Dosha, Karma, Prakara, Yogya, Ayogya,
Procedure, Upadrava and Chikitsa.
ii. Ksharanirmanavidhi, knowledge of KsharaVarti, Taila and Pichu.
iii. Kshara Sutra – Preparation, Indications, Contraindications and Method of
application, Complications and their Management.
· Target – Capability to identify and practice the use of kshara, kshara sutra in
common clinical conditions.
· Preferable targets – Broader knowledge of current trends and ongoing researches in
kshara application.
Must to Know 4  
9.      Agnikarma: Mahatva, Upakarana, Vidhi, Akrutibheda, Yogya, Ayogya and
UpadravaChikitsa.
Contemporary techniques and tools of Agnikarma.
· Target – Capability to appreciate the clinical indications and comprehend Agnikarma
procedure.
· Preferable targets – Hands on experience of use of cautery in surgical practice.
Must to Know 4  
10.   Raktamokshana: Mahatva, Prakara – Siravyadha, Pracchanna, Shringa, Alabu,
Jaloukavacharana – Yogya, Ayogya, Procedure, Upadrava and Chikitsa.
· Target- Capability to appreciate and comprehend clinical indications of
Jaloukavacharana and other Raktamokshana procedures.
· Preferable targets – Uses of bloodletting in current therapy.
Must to Know 3  
11.   Bandha Vidhi – Prayojana, Dravya, Indications, Contraindications, Prakara,
Upadrava, Pichu, Plota, Kavalika and Vikeshika.
· Target- Hands on experience of techniques of bandaging.
· Preferable targets – New generation of bandaging and splintage tools.
Must to Know 2  
12.   PranastaShalya and NirharanaUpaya.
· Target – Importance of concepts of Sushruta in the management of Shalya and
concerns of patient safety. Identification and management of foreign bodies.
· Preferable targets – Current concepts and diagnostic tools of dealing with foreign
bodies.
Good to Know 3  
13.   Fluid, Electrolyte, Acid Base Balance and Nutrition:
i. Introduction of physiology of fluids and electrolytes.
ii. Dehydration and over hydration.
iii. Specific electrolyte loss, Acidosis, Alkalosis, Symptomatology and Management.
iv. Electrolyte changes in specific diseases like pyloric stenosis, intestinal obstruction
and anuria.
v. Various replacement fluids in surgery, mode of administration and complications.
vi. Nutrition.
· Target – Capability to identify and manage fluid and electrolyte imbalance. Ability to
administer parenteral fluid.
· Preferable targets – Advanced techniques of fluid and electrolyte assessment and
management.
Must to Know 4  
14.   RaktaMahatwa, Raktasrava / Haemorrhage: Prakara and Lakshana.
i. Raktastambhana – Haemostasis.
ii. Blood Transfusion –Blood groups, Compatibility, Indications, Contraindications and
Complications with Management.
iii. Component therapy.
· Target-Knowledge of achieving haemostasis in haemorrhage.
· Preferable targets – Detailed knowledge of blood bank techniques.
Must to Know 4  
15.   Antibiotics, analgesics, anti-inflammatory and emergency drugs in surgical
practice.
· Target – Working knowledge of commonly used drugs.
· Preferable targets – Advanced pharmacological study of the above drugs.
Must to Know 3  
16.   Diagnostic techniques – X-ray, Imaging techniques, Ultrasonography, CAT Scan, MRI,
Biopsy / Cytological study.
· Target- Knowledge of proper indications for optimum investigational tools and their
interpretation.
· Preferable targets – Capability to work independently in the field of diagnostic
techniques.
Must to Know 3  
17.   Shat Kriyakala in surgical practice.
· Target- Clinical utility of the concepts.
· Preferable targets – Applied aspects of Kriyakalas in the light of current concepts of
pathogenesis.
Nice to Know 3  
18.   Nirukti, Nidana, Samprapti, Prakara, Lakshana, Sadhya-asadhyata, Upadrava and
Chikitsa of the following disorders.
i. Vranashotha – Inflammation
ii. Vidhradi – Abscess
iii. Pidika – Boils
iv. NadiVrana – Sinus / Fistulae
v. VranaGranthi – Keloid / Hypertrophic scar

vi. Marmagata – Shock
vii. Kotha – Gangrene and Principles of Amputation.
viii. Granthi – Cyst
ix. Arbuda – Tumour
· Target-Clinical application of the concepts.
· Preferable targets – Hands on experience of management of different conditions.

Must to Know 8  
19.   Vrana – Nirukti and Prakara
i. NijaVrana – Nidana, Samprapti, VranaVasthu, Prakara, Lakshana, VranaPariksha –
Sthana,VranaAkruti, Srava, Gandha, Vedana. VranaAvastha- Dustavrana, Shuddha
Vrana, RuhyamanaVrana, SamyakRoodhaVrana, VranaSadhya-asadhyatha and
VranaUpadrava.
ii. VranaChikitsa – Pathya-apathya and Shashti Upakrama,Vranitagara and Rakshakarma.
iii. AgantujaVrana :
a. SadyoVrana – Traumatic wounds – Nidana, Prakara, Lakshana, Upadrava and
Chikitsa.
b. Management of bites and stings.
iv. DagdhaVrana – Burns and scalds.
v. Ulcer – Types and their management.
vi. Wound healing stages and their management.
vii. Pramehapidaka – Diabetic carbuncle and wounds.
· Target – Clinical application of the concepts.
· Preferable targets – Hands on experience of management of different conditions.
Must to Know 10  
20.   TwakVikara – Nidana, Samprapti, Lakshana and Chikitsa of Chippa – Paronychia,
Kadara – Corn and Kshudrarogas.
· Target – Clinical application of the concepts.
· Preferable targets – Hands on experience of management of different conditions.
Good to Know 3  
21.   ManyaVikara – Nidana, Samprapti, Lakshana and Chikitsa of Galaganda – Goitre,
Gandamala, Apachi –Lymphadenitis, Pashanagardhabha – diseases of parotid gland.
· Target-Clinical application of the concepts.
· Preferable targets – Hands on experience of management of different conditions.
Nice to Know 5  
22.   SiraVikara – Venous disorders – Superficial and Deep venous thrombosis,
Haemangioma, Varicose veins – Diagnosis and their Management.
· Target – Clinical application of the concepts.
· Preferable targets – Hands on experience of management of different conditions.
Good to Know 4  
23.   DhamaniVikara – Arterial disorders – Nidana, Samprapti, Lakshana and Chikitsaof
Aneurysm, Buerger’s disease, Atherosclerosis, Raynaud’s disease.
· Target – Clinical application of the concepts.
· Preferable targets – Hands on experience of management of different conditions.
Good to Know 3  
24.   SnayuVikara– Diseases of tendons and ligaments – Tennis elbow, Ganglion and their
Management.
· Target – Clinical application of the concepts.
· Preferable targets – Hands on experience of management of different conditions.
Good to Know 4  
25.   Care of AIDS – HIV and hepatitis infected patients.
· Target – Knowledge of safety precautions.
Must to Know 3  
26.   Bhagna – Skeletal injuries: Prakara including pathological fracture, Samanya
Lakshana, Upadrava and Chikitsa.
Description of fracture of following bones with Clinical features, Diagnosis, Complications
and Management – scapula, clavicle, humerus, radius, ulna, femur, patella, tibia and pelvis
bones.
Sandimoksha – Dislocation: Dislocation of following joints with Clinical features, Diagnosis,
Complications and Management of shoulder, elbow and hip.
· Target – Clinical utility of the concepts.
· Preferable targets – Hands on experience of management of different conditions.
Must to Know 3

 

 
27.   Diseases of bone: Aetiopathogenesis, Classification, Clinical features, Diagnosis,
Complications and Management of Congenital anomalies, Osteomyelitis, Cysts, Tumours and
Tuberculosis.
· Target – Clinical utility of the concepts.
· Preferable targets – Hands on experience of management of different conditions.
Must to Know 4

 

 
28.   Diseases of bone: Aetiopathogenesis, Classification, Clinical features, Diagnosis,
Complications and Management of Congenital anomalies, Osteomyelitis, Cysts, Tumours and
Tuberculosis.
· Target – Clinical utility of the concepts.
· Preferable targets – Hands on experience of management of different conditions.
Must to Know 3

 

 
29.   Cranio-cerebral injuries: Mechanism, Pathology, Classification, Investigations,
Complications and primary management.
· Target – Clinical utility of the concepts.
· Preferable targets – Hands on experience of management of different conditions.
Must to Know 3

 

 
30.   Diseases of Spine: Mechanism, Pathology, Classification, Investigations, Complications
and primary management of Tuberculosis, Ankylosing Spondylitis and Disc prolapse.
· Target – Clinical utility of the concepts.
· Preferable targets – Hands on experience of management of different conditions.
Nice to Know 4

 

 
31.   Diseases of breast: Aetiopathogenesis, Classification, Clinical features, Diagnosis,
Complications and Management of SthanaVidradhi – Breast abscess and SthanaArbuda Breast tumours.
· Target – Clinical utility of the concepts.
· Preferable targets – Hands on experience of management of different conditions.
Diseases of chest: Aetiopathogenesis, Classification, Clinical features, Diagnosis,
Complications and Management of Chest injury, Pleural effusion, Pleurisy and Tumours.
· Target – Clinical utility of the concepts.
· Preferable targets – Hands on experience of management of different conditions.

 

Must to Know 4  
32.   Diseases of esophagus: Aetiopathogenesis, Classification, Clinical features, Diagnosis,
Complications and Management of Congenital anomalies, Oesophagitis, Varices, Ulcer and
Tumours.

· Target – Clinical utility of the concepts.
· Preferable targets – Hands on experience of management of different conditions.

Must to Know 6

 

 
33.   GulmaRoga– Nidana, Prakara, Lakshana, Upadrava and Chikitsa. Good to Know 6

 

 
34.   Shoolavyadhi– Nidana, Prakara, Lakshana, Upadrava and Chikitsa.
· Target – Clinical utility of the concepts.
· Preferable targets – Hands on experience of management of acute abdomen.
Nice to Know 3  
35.   UdaraRoga: Aetiopathogenesis, Classification, Clinical features, Diagnosis, Complications
and Management of Jalodara – Ascites, Chidrodara – Perforation, Peritonitis and
Badhagudodara-Intestinal obstruction.
· Target – Clinical utility of the concepts.
· Preferable targets – Hands on experience of management of different conditions.
Must to Know 6

 

 
36.   Diseases of stomach and duodenum: Aetiopathogenesis, Classification, Clinical features,
Diagnosis, Complications and Management of Pyloric Stenosis, Peptic Ulcer and Tumours.
· Target – Clinical utility of the concepts.
· Preferable targets – Hands on experience of management of different conditions.
Diseases of small intestine: Aetiopathogenesis, Classification, Clinical features,
Diagnosis, Complications and Management of Tuberculosis, Obstruction and Perforation.
· Target – Clinical utility of the concepts.
· Preferable targets – Hands on experience of management of different conditions.
Diseases of large intestine – Aetiopathogenesis, Classification, Clinical features,
Diagnosis, Complications and Management of Tuberculosis, Obstruction, Perforation,
Tumours, Appendicitis, Crohn’s disease and Ulcerative Colitis.
· Target – Clinical utility of the concept.
· Preferable targets – Hands on experience of management of different conditions.
Diseases of Rectum and Anal Canal – Aetiopathogenesis, Classification, Clinical features,
Diagnosis, Complications and Management of Congenital disorders, Arshas – Haemorrhoids,
Parikartika – Fissure-in-ano, Bhagandara – Fistula-in-ano, GudaVidradi – Anorectal
abscesses, Gudabhramsa – Rectal prolapse, Sanniruddaguda – Anal stricture, Incontinence,
Rectal Polyp and Tumours.
· Target – Clinical utility of the concepts.
· Preferable targets – Hands on experience of management of different conditions.
Abdominal injuries and their management.
· Target – Clinical utility of the concepts.
· Preferable targets – Hands on experience of management of different conditions
Nice to Know 10  
37.   Diseases of Liver: Aetiopathogenesis, Classification, Clinical features, Diagnosis,
Complications and Management of YakritVidhradi – Abscess, Neoplasia, Portal hypertension
and Yakritdalyodar –Hepatomegaly.
· Target – Clinical utility of the concepts.
· Preferable targets – Hands on experience of management of different conditions.
Diseases of Gallbladder: Aetiopathogenesis, Classification, Clinical features, Diagnosis,
Complications and Management of Cholecystitis, Cholelithiasis, Obstructive jaundice and
Tumours.
· Target – Clinical utility of the concepts.
· Preferable targets – Hands on experience of management of different conditions.
Diseases of Pancreas: Aetiopathogenesis, Classification, Clinical features, Diagnosis,
Complications and Management of Pancreatitis, Cysts of Pancreas and Tumours.
· Target – Clinical utility of the concepts.
· Preferable targets – Hands on experience of management of different conditions.
Diseases of Spleen – Aetiopathogenesis, Classification, Clinical features, Diagnosis,
Complications and Management of Pleehodara – Splenomegaly and Splenic rupture.
· Target – Clinical utility of the concepts.
· Preferable targets – Hands on experience of management of different conditions.
Must to Know 20  
38.   Diseases of Kidney and Ureters – Aetiopathogenesis, Classification, Clinical features,
Diagnosis, Complications and Management of Congenital anomalies, Polycystic kidney,
Injuries, Perinephric abscess, Calculus and Neoplasms.
· Target – Clinical utility of the concepts.
· Preferable targets – Hands on experience of management of different conditions.
Diseases of Urinary bladder – Aetiopathogenesis, Classification, Clinical features,
Diagnosis, Complications and Management of Congenital anomalies, Injuries, Ashmari Vesical Calculus, Cystitis and Neoplasms.
· Target – Clinical utility of the concepts.
· Preferable targets – Hands on experience of management of different conditions.
Mutraghata and Mutrakrichra – Aetiopathogenesis, Classification, Clinical features,
Diagnosis, Complications and Management. Retention of urine.
· Target – Clinical utility of the concepts.
· Preferable targets – Hands on experience of management of different conditions.
Diseases of Prostate – Aetiopathogenesis, Classification, Clinical features, Diagnosis,
Complications and Management of Prostatitis, Prostatic abscess, Benign Enlargement of
Prostate and Carcinoma of Prostate.
· Target – Clinical utility of the concepts.
· Preferable targets – Hands on experience of management of different conditions.

Diseases of Urethra – Aetiopathogenesis, Classification, Clinical features, Diagnosis,
Complications and Management of Urethritis, Stricture and Rupture.
· Target – Clinical utility of the concepts.
· Preferable targets – Hands on experience of management of different conditions.
Diseases of Penis: Aetiopathogenesis, Classification, Clinical features, Diagnosis,
Complications and Management of Congenital anomalies, Niruddhaprakasha -Phimosis,
Parivartika -Paraphimosis, Avapatika – Prepuceal ulcer, Arbuda- Tumours and Lingarsha Penile Warts.
· Target – Clinical utility of the concepts.
· Preferable targets – Hands on experience of management of different conditions.
Diseases of Scrotum and Testis: Aetiopathogenesis, Classification, Clinical features,
Diagnosis, Complications and Management of Epididymo-orchitis, Epididymal cyst, Scrotal
filariasis, Shukrashmari – Seminal calculus, Torsion of testis, Ectopic testis, Undescended
testis and Tumours

Must to Know 18  
39.   VriddhiRoga: Aetiopathogenesis, Classification, Clinical features, Diagnosis, Complications
and Management of Mutravriddhi – Hydrocele.
· Target – Clinical utility of the concepts.
· Preferable targets – Hands on experience of management of different conditions.
Antra Vriddhi – Aetiopathogenesis, Classification, Clinical features, Diagnosis,
Complications and Management of Hernia – Inguinal, Femoral, Epigastric, Umbilical,
Incisional and rare forms of Hernia.
· Target – Clinical utility of the concepts.
· Preferable targets – Hands on experience of management of different conditions.
Must to Know 10  
  PRACTICALS
40.   Content of Practicals:
1. Identification, uses, demonstration of surgical instruments and methods of
sterilization.
Must to Know  
41. 2. Training of case taking, bed side clinicals and case presentation. Must to Know  
42. 3. Demonstration and Practical training in Anaesthesia. Nice to Know  
43. 4. Training to develop skills in following Parasurgical and other procedures
i. Kshara Karma
ii. Agnikarma
iii. Kshara Sutra
iv. Raktamokshana
v. Application of bandages and splints
vi. Catheterization
vii. Wound management procedures like Parisheka and Patradana
viii. Ryle’s tube aspiration
ix. Injections -Intramuscular / Intravenous / Subcutaneous / Intradermal
x. Incision and drainage of abscess
xi. Suturing of open wounds
Must to Know  
44. 5. Observation of following procedures
i. Circumcision
ii. Hydrocele
iii. Hernial repair
iv. Vasectomy
v. Haemorrhoidectomy
vi. Fistulectomy
vii. Fissurectomy
viii. Appendecectomy
ix. Cholecystectomy
Must to Know  
45. 6. Training of Surgical Emergencies and Management. Must to Know