COURSE CURRICULUM FOR THIRD PROFESSIONAL BAMS

(PRESCRIBED BY NCISM)

Prasuti Tantra evam Stree Roga

(Gynecology and Obstetrics)

(SUBJECT CODE : AyUG-PS)

(Applicable from 2021-22 batch, from the academic year 2024-25 onwards for 5 batches or until further
notification by NCISM, whichever is earlier)

BOARD OF AYURVEDA
NATIONAL COMMISSION FOR INDIAN SYSTEM OF MEDICINE
NEW DELHI-110026
 NCISM
III Professional Ayurvedacharya
(BAMS)
Subject Code : AyUG-PS
Prasuti Tantra evam Stree Roga
(Gynecology and Obstetrics)

Summary

Total number of Teaching hours: 275

Lecture (LH) - Theory

Paper I 50
100 100(LH)
Paper II 50

Non-Lecture (NLHT)
52
Paper I 26
175(NLH)
Paper II 26

Non-Lecture (NLHP)
123
Paper I 62

Paper II 61

Examination (Papers & Mark Distribution)

Item Theory Component Marks Practical Component Marks

Practical Viva Elective IA
Paper I 100 100 60 10 (Set-TA) 30

Paper II 100

Sub-Total 200 200

Total marks 400

Important Note :- The User Manual III BAMS is a valuable resource that provides comprehensive details about the
curriculum file. It will help you understand and implement the curriculum. Please read the User Manual III before
reading this curriculum file. The curriculum file has been thoroughly reviewed and verified for accuracy. However, if
you find any discrepancies, please note that the contents related to the MSE should be considered authentic. In case of
difficulty and questions regarding curriculum write to [email protected]
Table 2 : Contents of Course

Paper 1 (PRASUTI TANTRA - OBSTETRICS)

Sr. A2 B2 C2 D2 E2 E2
No List of Topics Term Marks Lecture Non- Non-
hours Lecture Lecture
hours hours
Theory Practica
l
1 Stree Vishishta Shareera Vigyana - Anatomy 1 30 3 2 4
of Female Reproductive System

a. Introduction to Prasuti Tantra and Stree

Roga. Origin of word "Stree" with
nomenclature. (Vayobheden Stree sangya)

b. Tryavarta Yoni and anatomical insights of

Garbhashaya with marma, peshi.

c. Artavavaha and Stanyavaha Srotas.

d. Anatomy of Female internal and external genital

organs with applied aspects.

e. Streeshroni (Female Pelvis) -Types, Diameters

and Obstetric significance.
2 Rutuchakra - Menstrual Cycle 1 1 4 1

a. Shuddha Artava & Shuddha Shukra Lakshana.

b. Tridosha & Panchamahabhoota in Rutuchakra.

c. Practices of Rajaswala Paricharya and its

potential effects on reproductive health.

d. Rutukala, Rutumati Lakshana and Rutumati

Paricharya with significance.

e. Highlights on Beeja Nirmana - Oogenesis,

Spermatogenesis.

f. Rutuvyatita Kala.

g. Phases of Menstrual cycle. Importance of HPO

axis in menstrual regulation.
3 Garbha Vigyana - Embryology & Fetal 1 4 4 4
Development

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 a. Garbhakara Bhava,
Garbhadhana, Garbhavakranti, Garbha Samskara,
Pumsavana Samskara for achieving Shreyashi-
praja.

b. Apara (Placenta) and Garbha Nabhinadi

(umbilical cord), Garbhodaka (amniotic fluid)
- formation with abnormalities

c. Garbha Poshana

d. Fetal nourishment and Fetal circulation.

e. Masanumasika Garbha Vriddhi

f. Garbhashayantara Garbha Sthiti (Fetus-in-utero)

- Lie, Attitude, Presentation, Presenting
part, Denominator, Position.
4 Garbhini Vigyana - Physiology of Pregnancy 1 3 3 8
& Antenatal Care

a. Garbhini Nidana – Garbhini Lakshana, Garbha-

Upaghatkara bhava, Garbha Vikruti.

b. Physiological changes and Diagnosis of

Pregnancy.

c. Garbhini Paricharya, Prajasthapana gana.

d. Antenatal care – Objectives, Immunization,

Examination, Investigations and Management with
contemporary National protocol.

e. Demographic statistics related to Obstetrics.

5 Garbha Vyapad - Fetal Pathologies 2 40 4 4 7

a. Garbha Srava, Garbha Pata - Nidana,

Samprapti, Lakshana, Chikitsa.

b. Abortion, Medical Termination of Pregnancy Act

(MTP Act).

c. Garbha Vyapad – Nidana, Samprapti, Lakshana,

Chikitsa.

d. Intrauterine Growth Restriction,

Oligohydramnios, Polyhydramnios—Etiological
factors, Clinical features, Management.

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 e. Rh incompatibility, ectopic pregnancy,
gestational trophoblastic disease.

f. Antarmruta Garbha – Nidana, Samprapti,

Lakshana, Chikitsa.

g. Intrauterine Fetal Demise—Etiological factors,

Clinical features, Management.

h. Raktagulma—Nidana, Lakshana, Chiktisa.

6 Garbhini Vyapad - Minor Ailments and 2 6 0 6
Major Disorders of Pregnancy

a. Garbhini Vyapad – Aruchi, Hrillasa,

Chardhi, Vibanda, Atisara, Arsha, Parikartika,
Udavarta

b. Vaivarnya, Kandu, Kikkisa, Pandu, Garbhini

Jwara, Shotha.

c. Hypertensive Disorders in Pregnancy.

d. High risk Pregnancy.

e. Prasava poorva rakta srava (Ante Partum

Hemorrhage) – Causes, Classification, Clinical
features, Management.
7 Prasava Vigyana - Labour 2 10 1 17

a. Sutikagara and Labour Room setup, Labour

Room Protocol according to contemporary National
Health Guidelines.

b. Drugs commonly used during Labour

(Uterotonics, Tocolytics, Analgesics, Ergot
Alkaloids and Anesthetics) - Guidelines for use
with Pharmacotherapeutics.

c. Prasava Paribhasha, Prasava Hetu, Prasava

Kala.

d. Causes of onset, Physiology and Diagnosis of

Labour.

e. Anatomy of Fetal Skull and Clinical Pelvimetry.

f. Prajayini, Upasthita Prasava and Asanna

Prasava.

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 g. Stages of Labour and Mechanism of Labour.

h. Avi, Grahishoola, Prasuti maruta and Garbha

Sthiti Parivartana during Prasava Kala.

i. Prasava Paricharya - Monitoring with

Partograph and management of Labour.

j. Episiotomy.

k. Intrapartum Fetal Monitoring techniques, Non

Stress Test, Fetal Distress.

l. Jatamatra Paricharya (Immediate care &

Resuscitation of Newborn).
8 Prasava Vyapad - Labour Complications & 3 30 6 2 4
Obstetric Emergencies.

a. Nidana, Samprapti, lakshana and Chikitsa of

Akala Prasava (Preterm labour)

b. Post term pregnancy

c. Garbha Sanga, Vilambita Prasava.

d. Obstructed and Prolonged labour.

e. Apara sanga - Nidana, Lakshana and Chikitsa.

f. Post Partum Haemorrhage - Causes, Clinical

features, Complications and Management.
9 Moodhagarbha - Obstructed Labour 3 8 3 6

a. Nirukti, Samprapti, Bheda, Gati, Chikitsa of

Moodhagarbha.

b. Abnormal Presentations – Breech, Persistent

Occipito Posterior Position.

c. Cephalo Pelvic Disproportion (CPD).

d. Moodhagarbha Upadrava – Garbhakosha-

parasanga, Makkala, Yonisamvarana.

e. Obstetric Emergencies with timely referral - Cord

prolapse, Genital Tract Injuries during labour,

f. Uterine -inversion, Amniotic fluid Embolism,

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 Obstetric Shock, Uterine Rupture.

g. Induction and Augmentation of Labour and

Assisted Labour Techniques. (Forceps, Vacuum,
Caesarean Section).
10 Sootika Vigyana - Puerperium 3 3 1 3

a. Sootika, Sootika-kala, Sootika Paricharya.

b. Puerperial changes, Postpartum care.

c. Contraception

d. Sootika Vyapad – Nidana, Samprapti, Lakshana,

Chikitsa.

e. Puerperial Disorders.
11 Stanya Vigyana - Lactation 3 2 2 2

a. Stanya, Stanya Sampat.

b. Physiology of Lactation, Breast feeding

techniques.

c. Stanya dushti, Stana Shotha, Stana Vidradhi.

d. Mastitis, Breast abscess.

Total Marks 100 50 26 62

Paper 2 (STREE ROGA - GYNAECOLOGY)

Sr. A2 B2 C2 D2 E2 E2
No List of Topics Term Marks Lecture Non- Non-
hours Lecture Lecture
hours hours
Theory Practica
l
12 Stree Prajanananga Nirmana and Vikruti - 1 30 3 2 4
Development of Female Reproductive System
with Anomalies.

a. Development of female reproductive system from

Mullerian duct and its anomalies.

b. Neuroendocrinology of reproduction.

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 c. Anatomy and Physiological aspects of Puberty
and Menopause.
13 Yantra evam Shastra - Instruments 1 1 1 6

Instruments commonly used in Prasutitantra

(Obstetrics) and Stree Roga
(Gynaecology) procedures and surgeries -

a. Types of Yantra (Blunt instruments) and

utilization-

i) Sandansha Yantra (Pincer like or dissecting

forceps) –

* Annigraha – plain non toothed forceps

* Sannigraha – Toothed forceps

ii) Swastika Yantra (Cruciform like Forceps) -

Allies forceps, Vulsellum, Sponge holding
forceps, Cheatle’s forceps, Kocher’s forceps,
Babcock’s forceps, Needle holder, Artery
forceps, Ovum forceps, Green armytage forceps,
Cervical punch biopsy forceps.

iii) Shalaka Yantra (Rod like instruments) - Uterine

sound, Hegar’s dilator, Uterine
curette, Endometrial biopsy curette, Agnikarma
Shalaka, Anterior vaginal wall retractor

iv) Dvi Tala Yantra (Scoops or spoon-shaped

instruments) - Sim’s speculum, Endometrial
curette, Cusco’s speculum, Doyen’s retractor,
Obstetric forceps

v) Nadi Yantra (Tubular instruments) -

Yonivranekshana yantra, Leech Wilkinson’s HSG
cannula, Rubin’s cannula, Suction cannula,
Uttarabasti cannula, Vaginal douching syringe,
Basti yantra

b. Type of Shastra (Sharp instruments) and

utilization -

i) Kartari Shastra (Scissors) - Atimukha

Shastra (Episiotomy Scissors), Mandalagra
Shashtra (Umbilical cord cutting Scissors),
Shararimukha Shastra (Mayos scissors / Simple
scissors, suture removing scissors)

AyUG-PS - III BAMS, NCISM 11 / 138

 ii) Vriddhipatra Shastra – Scalpel

iii) Suchi Shastra – different type of needles

14 Stree Rugna Parikshana - Gynaecological 1 2 1 4
Examination

a. Gynaecological History taking.

b. General and systemic examination.

c. Breast examination, Per abdomen, Per speculum,

Per vaginal, Per rectal examination.
15 Artava Vyapad - Menstrual Disorders 1 6 2 4

a. Ashtartava Dushti.

b. Anartava (Amenorrhoea).

c. Poly Cystic Ovarian Syndrome (PCOS).

d. Artava Kshaya (Oligomenorrhoea,

Hypomenorrhoea).

e. Artava Vruddhi (Polymenorrhoea).

f. Asrugdara (Abnormal Uterine Bleeding).

16 Rajonivritti - Menopause 1 2 1 2

a. Anatomical & Physiological changes in Genital

organs during Menopause.

b. Rajonivrutti Janya Lakshana (Menopausal

Syndrome).

c. Management of Menopausal syndrome.

d. Role of Rasayana in Menopausal syndrome.

17 Yoni Vyapad - Disorders of Female 2 40 13 3 10
Reproductive system

a. Yoni vyapad - Bheda, Nidana, Samprapti,

Lakshana, Upadrava, Samanya & Vishesha
Chikitsa.

b. Udavarta, Vandhya, Vipluta, Paripluta,Vatala,

Rudhirakshara, Vamini, Sramsini, Putraghni,
Pittala,

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 c. Atyananda, Karnini, Acharana, Aticharana,
Shleshmala, Shandhi,

d. Phalini, Mahati, Soochivaktra, Sarvaja,

Antarmukhi, Shuska, Arajaska, Lohita kshaya,
Upapluta.

e. Dysmenorrhoea, Pruritus Vulvae, Endometriosis,

Adenomyosis, Pelvic Inflammatory Diseases,

f. Pelvic organ prolapse, Cervical erosion and

Ectropion, Dyspareunia, Vaginismus, Presacral
neuralgia, Constitutional nymphomania, Effluvium
seminis - Causes, Clinical features, Investigations
and Management.
18 Vandhyatwa - Infertility 2 4 3 8

a. Nirukti and Bheda of Vandhyatwa.

b. Female and Male factors of infertility.

c. Infertility Evaluation - Semen Analysis,

Hormonal assays, Follicular
study, Ultrasonography & Hysterosalpingography

d. Chikitsa of Vandhyatwa – Shodhana, Shamana

and Sthanika upakrama

e. Assisted Reproductive Techniques.

19 Vyadhi Vinischaya Upaya - Diagnostic Tools 2 1 1 2
and Techniques

a. Pap smear

b. Colposcopy

c. Cervical biopsy

d. Endometrial biopsy

e. Hysterosalpingography

f. Ultrasonography

g. Hysteroscopy

h. Laparoscopy

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 i. Magnetic Resonance Imaging

j. Computed Tomography scan

20 Sthanika Upakrama - In situ Treatment 2 1 2 7
Modalities

Sthanika Upakrama - Yoni Dhavana, Yoni

Prakshalana,Yoni Pichu,Yoni Varti,Yoni Lepana,
Yoni Avachurnana, Yoni Purana, Yoni Dhoopana,
Dahana, Ksharkarma, Uttarbasti.
21 Stree Janananga Granthi Evam Arbuda - 3 30 4 2 4
Benign & Malignant lesions of Female
Reproductive System

a. Yonikanda,Yoni Arsha.

b. Benign lesions of reproductive system - Fibroid

uterus, Bartholin cyst, Endometrial and Cervical
polyp, Ovarian cyst, Tubo ovarian mass.

c. Arbuda

d. Premalignant & Malignant lesions of Uterus,

Cervix, Endometrium & adnexa - Aetiology,
Evaluation, Staging, Management

e. Preventive aspects of Malignancies.

f. Vaccination for cervical cancer.

22 Guhya Roga - Sexually Transmitted Diseases 3 2 1 0

a. Upadamsha, Firanga, Puyameha - Nidana,

Samprapti, Lakshana, Chikitsa.

b. Sexually Transmitted Infections.- Causative

microorganisms, Pathology, Clinical
features, Investigations and Treatment.
23 Yoni srava - Vaginal Discharge 3 1 1 2

a. Shweta pradar - Nidana, Lakshana and Chikitsa.

b. Differential Diagnosis of Abnormal Vaginal

Discharge and management.
24 Stana Roga - Breast Disorders 3 3 1 3

a. Clinical Anatomy of Breast.

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 b. Stana Keelaka, Stana Granthi - Nidana,
Samprapti Lakshana, Bheda, Upadrava & Chikitsa

c. Fibroadenoma Breast.

d. Stanarbuda - Breast carcinoma.

e. Aetiology, Clinical features, Diagnosis, Staging,

Prevention & Management.
25 Shastra Karma in Stree Roga - Surgical 3 4 1 4
Procedures in Gynaecology

a. Sterilization methods of Instruments, Equipments

and Labour - OT complex.

b. Garbhashaya Mukha Vistrutikarana evam

Lekhana (Dilatation & Curettage).

c. Garbhashaya Mukha Dahana (cauterization).

d. Vandhya karana (Sterilization) – Tubectomy &

Vasectomy.

e. Udaramarga Garbhashaya Nirharana

(Abdominal hysterectomy).

f. Yonimarga Garbhashaya Nirharana (Vaginal

hysterectomy).

g. Arbudanirharana (Myomectomy).

h. Granthinirharana (Cystectomy).

i. Arshanirharana (Polypectomy).
26 Stree Roga Sambandhi Aushadhi- Classical 3 1 1 0
Formulations

a. Vishista-Phalashruti (Specific indication) of

following formulations -

b. Churna Kalpana - Pushyanuga Churna,

Shatpushpa Churna, Shatavari Churna,
Nagakeshara Churna.

c. Ghrita Kalpana - Phalaghrita, Kashmaryadi

Ghrita, Vidaryadi Ghrita.

d. Taila Kalpana - Dahtakyadi Taila, Shatpushpa

AyUG-PS - III BAMS, NCISM 15 / 138

 Taila, Jatyadi Taila, Narayana Taila.

e. Asava and Arishta - Ashokarishta, Kumaryasava.

f. Rasa aushadhi - Rajahpravartini Vati,

Pratapalankeshwar Rasa, Garbhapala
Rasa, Pushpadhanva Rasa.

g. Kwatha - Nyagrodhadi kwatha, Dashmoola

Kwatha, Panchavalakala Kwatha.

h. Paka Kalpana - Sobhagya Shunthi Paka, Puga

Khanda/ Puga Paka.

i. Avaleha - Jeerakavaleha, Kushmandavaleha

27 National Maternal Health Programs 3 1 2 0

a. Family planning.

b. Reproductive and Child Health

c. 'Janani Suraksha Yojana'

d. 'Janani Shishu Suraksha Karyakram'

e. 'Pradhan Mantri Surakshit Matritva Abhiyan'

f. 'Mission Indradhanush'

g. 'Menstrual Hygiene Scheme'

h. 'LaQshya programme'
28 Medical ethics, Record keeping and Audit in 3 1 1 1
Obstetrics and Gynaecology

a. Medical ethics.

b. Medical record documentation – Informed

Consent, Birth & Death registration, Issuing
Medical Certificate

c. Audit in Obstetrics and Gynaecology.

Total Marks 100 50 26 61

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