The Homoeopathy Central Council Act, 1973 (59 of 1973), the Central Council of Homoeopathy, with the previous sanction of the Central Government, makes the regulations to further amend the Homoeopathy (Graded Degree Course) Regulations, 1983.

REGD. No. D.L.–33004/99

The Gazette of India

EXTRAORDINARY

PART III—Section 4

PUBLISHED BY AUTHORITY

No. 350] NEW DELHI, FRIDAY, DECEMBER 28, 2001/PAUSA 7, 1923

3985 GI/20012 THE GAZETTE OF INDIA EXTRAORDINARY [PYKI III—SK 4] I4 THE GAZETTE (IF INDIA EXTRAORDINARY IPAKI III — Sk< 41 5 Tl IE GAZETTE OF INDIA EXTRAORDINARY |PARI III—She 4] (, 7 H -IHIiCi^ZLrrLOFINDlA,EXTRAORDINARY |P.vh-1 III—-Sir, 4| 9 39S':, GI/2001—210 THE GAZETTE OF INDIA EXTRAORDINARY | PAR i 111 —Sue 4| 11 n

THRfiAZRTTH OF INDIA: RXTRAORDINARY I PAR i 111—SEC 41 n 14 THE GAZETTE OF INDIA: EXTRAORDINARY I PABT III—SEC. 4115 16 THE GAZETTE OF INDIA: EXTRAORDINARY [PART III—SEC 41 17 3986 GI/2001—3IPARTIII—SKC.4] 18 THE GAZETTE OF INDIA: EXTRAORDINARY 19 20 THE GAZETTE OF INDIA: EXTRAORDINARY [PART III—SEC 4] 21 22 THE GAZETTEOF TNDT A: EXTRAORDINARY [PART HI—SEC. 4] 23 CENTRAL COUNCIL OF HOMOEOPATHY NOTIFICATION New Delhi, the 28 December, 2001

NO.F. 12-5/2000-CCH. :—In exercise of the powers conferred by clause (i), (j) and (k) of section 33 and section 20 of the Homoeopathy Central Council Act, 1973 (59 of 1973), the Central Council of Homoeopathy, with the previous sanction of the Central Government, hereby makes the following regulations to further amend the Homoeopathy (Graded Degree Course) Regulations, 1983, namely: -

1. Short title "nd Commencement.- (1) These regulations may be called the Homoeopathy (Graded Degree Course) Amendments Regulations, 2001.

(2) They shall come into force on the date of their publication in the

Official Gazette.

2. In the Homoeopathy (Graded Degree Course) Regulations, 1983( herein after referred to as the principal regulations), for regulation 5 , the

following regulation shall be substituted, namely: -

" 5. Subjects .- Subjects for study and examination of the B.H.M.S

(Graded Degree) Course shall be as under: -

(i) Practice of Homoeopathic medicine including Paediatrics, Preventive and Social Medicine, Surgery, Obstetrics and Gynaecology, and Systemic Pathology 24 THE GAZETTE OF INDIA: EXTRAORDINARY I PAR i III—SEC. 41 (ii) Homoeopathic Materia Medica (Applied and pure);

(iii) Organon of Medicine, Homoeopathic Philosophy, Chronic diseases, Psychology and Logic and Repertorisation".

3. For regulation 6 of the principal regulations, the following regulation shall be substituted, namely:-

"6. Syllabus for Graded Degree Course:- The following shall be the syllabus for the B.H.M.S (Graded Degree) Course, namely: -

I. Practice of Homoeopathic Medicine:- Homoeopathy has a distinct approach to diseases. It recognises disease neither by prominent symptoms nor by those of any organ or part of the body. It treats the patient as a whole and the totality of symptoms exhibited by him represents the disease. Merely the name of the condition from which he suffers is thus of no significance to a Homoeopath. Therefore, in the Graded Degree Course, the subject of Practice of Homoeopathic Medicine including Paediatrics, Preventive and Social Medicine, Surgery, Obstetics and Gyneacology and Systemic Pathology has been introduced on an integrated manner.

Medicine is essentially a practical science with stress on systematic disease diagnostic pattern of case taking whereas Homoeopathic Medicine has a variation with stress on constitution, liking/disliking, thermal reaction, mental set up (including behaviour) focussing individualisation besides, systematic disease diagnosis. Therefore, practice of Homoeopathic Medicine becomes practical. Therefore the teaching and training at the bed-side approach is introduced to inculcate such practical aspects in the mind of the students, to prepare them true25 Homoeopaths. The following is t he course of s t u dy for Practice of Homoeopathic Medicine:

A course of systematic instructions on the Principles a nd Practice of Homoeopathic Medicine inclusive of therapeutic prescribing.

The instructions m ay be given in following m a n n er during 1-1/2 years of clinical course in Practice of Homoeopathic Medicine:

(A) A course of General a nd Svstemip Pathology;

(B) A course of Preventive a nd Social Medicine which includes communicable diseases, its prevention, environmental medicine a nd Family Welfare;

(C) Paediatrics: The e m p h a s is should be laid on growth a nd development of child a nd common diseases of children;

(D) Surgery: A large n u m b er of conditions are a m e n a b le to internal medication in Homoeopathy. The scope of Homoeopathy is m u ch wider in t he case with surgical dimensions b ut as s u p p l e m e nt to medicine. Surgery h as definite place in Homoeopathy a nd should be t a u g ht accordingly with t h at orientation.

Therefore, a course of instructions on t he principles of surgery shall be-

(a) Practical instructions in surgical methods including Physiotherapy;

(b) Practical instructions in minor operative surgery;

(c) Lectures and demonstrations on radiology;

(d) Venereal diseases;

(e) Orthopaedics;

(f) Dental Diseases;

(g) Surgical diseases of children;

(h) Neurosurgery;

•10S6 GI/2001—42(> THE GAZETTEOFINDIA:EXTRAORDINARY IPARI 111—SEC. 4] (i) E.N.T.

(j) Opthalmology.

Lectures and demonstration on surgical appliances and methods of Physiotherapy.

Instructions in these branches of medicine should be directed to the attainment of sufficient knowledge to ensure familiarity with the common conditions, their recognition and homoeopathic treatment.

(E) Obstetrics and Gynaecology: Students must be trained in special clinical methods of investigation for diagnosis local conditions and discriminating cases where surgical intervention, either as a life saving measure or for removing mechanical obstacles is necessary. In this context Homoeopathy adopts the same attitude towards medicine and surgery.

A course of systematic instructions on the principles and practice of Obstetrics and Gynecology and Infant Hygiene with therapeutic prescribing should be given. Throughout the whole period of study, students should be directed towards the importance of diagnosis, prevention and management aspect of the conditions. The instructions in this branch of medicine should be directed to the attainment of sufficient knowledge to ensure familiarity with common conditions, recognition and treatment.

In addition to the subjects mentioned above, instructions in clinical medicine may be given on the diseases of different body systems including common diseases of skin.

(F). Homoeopathic Materia Medica.

(a) Homoeopathic Materia Medica: a) Homeopathic Materia Medica is differently constructed as compared to other Materia Medicas. Homoeopathy considers that study of the action of drugs on individual parts or system of the body or on animals or isolate organs is only27 a partial study of life processes under such action and that it does not lead us to full appreciation of the action of the medicinal agent, the drug agent as a whole is lost sight of (b) Essential and complete knowledge of the drug action as a whole can be supplied only by qualitative synoptic drug experiments on healthy persons and this alone can make it possible to view all the scattered data in relation to the psychosomatic whole of a person; and it is just such a person as a whole to the knowledge of drug action is to be applied.

(c) The Homoeopathic Materia Medica consists of a schematic arrangement of symptoms produced by each drug, incorporating no theories or explanations about their interpretation or inter-relationship. Each drug should be studied synthetically, analytically and comparatively, and this alone would enable a homeopathic student to study each drug individually and as a whole and help him to be a good prescriber.

(d) Polychrests and the most commonly indicated drugs for everyday ailments should be taken up first so that in the clinical classes or outdoor duties the students become familiar with their applications They should be thoioughly dealt with explaining all comparisons and relationship Students should be conversant with their sphere of action and family relationship.

The less common and rare drugs should be taught in outline, emphasizing only their most salient features and symptoms Rarer drugs should be dealt with laien.

(e) 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.

(f) While teaching therapeutics an attempt should be made to recall the Materia Medica so that indications for drugs in a clinical conditions can directly flow out from the provings' of the drugs concerned. The student should be encouraged to apply the resources of the vast Materia Medica in any sickness and not limit himself to memories a few drugs for a particular disease. 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. Otherwise the present trend produces the allopathic approach to treatment of diseases and is contradictory to the teaching of Organon.

Application of Materia Medica should be demonstrated from cases in the outdoor and hospital wards.

Lectures on comparative Materia Medica and therapeutics as well as tutorials should be as far as possible be integrated with lectures on clinical medicine in the various departments.

(g) For the teaching of drugs the college should keep herbarium sheets and other specimens for demonstration to the students Lectures should be made interesting and slides of plants and materials may be projected2X T H E G A Z E T T E O F I N D I A : E X T R A O R D I N A RY IPAKI 111—Sic 41 (h) (I) Introductory lectures:

Teaching of the Homeopathic Materia Medica should include:

(i) Nature and scope of Homoeopathic Materia Medica,

(ii) Sources of Homoeopathic Materia Medica, and

(iii) Different ways of studying the Materia Medica.

(II) The drugs to be taught under the following heads

(i) Common name, natural order, habitat, part used, preparation

(ii) Sources of drug proving.

(iii) Symptomatisation of the drug emphasizing the characteristics, symptoms and modalities

(iv) Comparative study of drugs

(v) Complementary, inimical, antidotal and concordant remedies

(vi) Therapeutic application (Applied Materia Medica).

(III) A study of 12 tissue remedies according to Schussler's biochemic svstem of medicine.

The list of drugs to be taught in BHMS (Graded Degree Course) are as per Appendix.

(G.) Organon and Principles of Homoeopathic Philosophy: Hahnemann's Organon of Medicine is the high water mark of medical philosophy. It is an original contribution in the field of medicine in a codified form. A study of the Organon as well as of the history of Homoeopathy and its founder's life story will show that Homoeopathy is a product of application of the inductive logical method of reasoning to the solution of one of the greatest problems of humanity namely the treatment and cure of the sick. A thorough acquaintance with the fundamental principles of logic, both deductive and inductive, is therefore essential. The Organon should accordingly be taught in29 such a manner as to make clear to the students the implications of the logical principles by which Homoeopathy was worked out and built up and with which a Homoeopathic physician has to conduct his daily work with ease and facility in treating every concrete individual case.

The practical portions should be thoroughly understood and remembered for guidance in practical work as a physician.

1. Introductory lectures-10 hours.

Subjects:

(a) What is Homoeopathy?

It is not merely a special form of therapeutics, but a complete system of medicine with its distinct approach to life, health, disease, remedy and cure.

Its holistic, individualistic and dynamistic approach to life, health, disease , remedy and cure. It is out and out logical and objective basis of approach.

Homoeopathy is nothing but an objective and rational system of medicine.

Homoeopathy is thoroughly scientific in its approach and methods. It is based on observed facts and data on inductive and deductive logic inseparably related with observed facts and data.

(b) Distinct approach of Homoeopathy to all the preclinical, clinical, and para- clinical subjects,

(c) Preliminary idea about all the pre-clinical,

(d) Hahnemann's organon 5th and 6th Editions-Aphorism 1 to 294,

(e) Homoeopathic Philosophy (i) Kent's lectures in Homoeopathic Philosophy (ii) Stuart close-Lectures and Essays on Homoeopathic Philosophy {The Genius of Homoeopathy) (iii) H. Roberts' Art of cure by Homoeopathy (iv) Dunhum's Science of Therapeutics,

(f) During the lectures on Homoeopathic Philosophy, the following items should be elucidated,W THE GAZETTE OF INDIA: EXTRAORDINARY |PART III—SEC.4] (i) The scope of Homoeopathy,

(ii) The logic of Homoeopathy,

(iii) Life, Health, Disease and Indisposition,

(iv) Susceptibility, Reaction and Immunity,

(v) General philosophy of Homoeopathic theory of acute and chronic miasma,

(vi) Homoeopathic posology,

(vii) Potentisation and the Infinitesimal dose and the drug potency,

(viii) Examination of the patient from the homeopathic point of view,

(ix) Significance and implications of totality of symptoms,

(x) The value of symptoms,

(xi) The homeopathic aggravation,

(xii) Prognosis after observing the action of the remedy,

(xiii) The second prescription,

(xiv) Difficult a nd incurable cases-Palliation.

(g) Introduction to organon (5th a nd 6th Editions),

(h) History of Homoeopathic Medicine - Medicine as it existed during Hahnemann's time, early life of Hahnemann; his disgust with the existing system of treatment; his discovery of the law of similars; History of the late life of Hahnemann: Introduction of Homoeopathy in various countries;

Pioneers of Homoeopathy and their contributions.

Development of Homoeopathy upto the present day. The present trends in the development of Homoeopathy, Influence of Homoeopathy on other systems of medicine.

(i) Hahnemann's Chronic Diseases,

(j) A. Lecture on doctrinal part (Aphorisms 1-70) topic-wise discussion):

(i)Aim of physician and highest ideal of cure Aph. 1 and 2,31 (ii)Knowledge of physician-Aph. 3 and 4,

(iii) Knowledge of disease which supplies the indication - Aph. 5 to 19, (iv)Knowledge of medicines - Aph. 19 to 2 1,

(v)Evaluation of Homoeopathic method from other methods of treatment Aph. 22 to 69,

(vi)Summary-three conditions for cure- Aph. 70.

B. Lectures on practical part of organon is to be divided into and taught under the following subjects:-

(a) What is necessary to be known in order to cure the disease and case taking methods. Aph. - 70 to 104.

(b) The pathogenetic powers of medicine, i.e. drug proving or how to acquire knowledge of medicine Aph. 105 - 145.

(c) How to choose the right medicine - Aph. 147, 148, 149, 150, 153, 155.

(d) The right dose-Aph. 185, 186, 187, 189, 190, 191, 196, 197, 199, 201, 202, and 203.

(e) Chronic disease - Aph. 204, 206, and 208.

(f) Mental disease - Aph. 210-230.

(g) Intermittent disease - Aph. 231, 232, 236, 237, 238, 240, 241, 242.

(h) Diet, regimen and the modes of employing medicine Aph. 245, 246, 247, 248, 252, 253, 257, 259, 262, 263, 269, 270, 271, 273, 275, 276, 278, 280, 286, 289, 290, and 291.

C. Clinical lectures on both in and out patient departments. Examination of the patient from Homoeopathic point of view.

(a) Disease determination

(b) Disease individualisation

(c) Evaluation of symptoms.

The value of symptoms.

(d) Gradation of symptoms _

(e) Selection of medicine and potency and repetition of dose.

(f) Disease aggravation or Homoeopathic aggravation.

(g) Miasmatic diagnosis,

(h) Second prescription.

(i) Prognosis after observing the action of the remedy.

(H). Psychology

Introduction to normal psychology:

(a) Definition of Psychology as a science a nd its difference from other sciences.

(b) Conception of the mind.

(c) Mesmar a nd his theory, Hypnotism structure of conscious, Development of Libide

(d) Fraud a nd his theory-Dynamics of the unconsciousness.

(e) Other contemporary schools of Psychology

(f) Relation between mind body in health arid disease

(g) Perception, Imagination, Ideation, Intelligence

(h) Cognition, Conation, Affect, Instinct, Sentiment, Behaviours.

(I) Homoeopathic Repertory: Homoeopathic Materia Medica is an encyclopedia of symptoms. No mind can memorize all the symptoms of all the drugs together with their characteristic gradation. The Repertory is an index, a catalogue of the symptoms of the Materia Medica, neatly arranged in a practical form, and also indicating the relative gradation of drugs, a nd it greatly, facilitates quick selection of the indicated remedy. It is impossible to practice Homoeopathy without the aid of Repertories, and the best repertory is that fullest.

It is possible to obtain the needed correspondence between drugs a nd disease conditions in a vareity of ways a nd degrees, and there are therefore different types of repertories, each with its own distinctive advantage in finding the similimum.

Case Taking: Difficulties of taking a chronic case. Recording of case and usefulness of record keeping

Totality of symptoms, prescribing symptoms; uncommon, peculiar and characteristic symptoms, general and particular symptoms; eliminating symptoms analysis of the case, uncommon and common symptoms, gradation and evaluation of symptoms.; importance of mental symptoms, kinds and sources of general symptoms.

(a) History of Repertories

(b) Types of Repertories

(c) Demonstration of three cases worked on Boenninghausen (d) Kent's Repertory advanced study with case demonstration (e) Boger Boenninghausen Repertory - his contribution to repertory

(f) Card Repertory with demonstration of five cases, limitation and advantages of Card repertories, theoretical lectures with demonstrations.

PRACTICAL: Students are to repertorise:

(i) 15 short cases on Kent,

(ii) 10 Chronic (Long cases on Kent)

(iii) 5 Cases to be cross checked.

4. In regulation 7 of the principal regulations .-

tt (i) sub-regulation (i) shall be numbered as sub-regulation (1), and;

(ii) sub-regulations (ii) totix), the following sub-regulations shall be substituted, namely:-

3986GI/2001—534 THE GAZETTE OF INDIA: EXTRAORDINARY [PART III—SEC. 41 (2) The B.H.M.S. Graded Degree examination shall be divided into two Parts- Part-I and Part-II. The examination in Part-I shall be held at the end of six months and Part-II at the end of eighteen months.

(3) Candidate must cleat all papers of Part-I examination at-least six months before appearing in the papers of Part-II examination.

Provided the candidates enrolled in B.H.M.S. Graded examinations under proviso of clause (a) and under clause (b) of sub-regulation (i.) of regulation 7 of principal Regulations shall have an option to take the examinations in Part -I & Part-II jointly at the end of 18 months.

(4) All the three major subjects shall be divided into Part-I and Part-II examinations.

(5) The examinations shall consist of theoretical papers and practical/clinical including oral examinations.

(6) Pass marks in all the subjects, both homoeopathic and Allied subjects shall be 50% in written and 50% in practical, including oral."

(7) A candidate who obtains atleast 75% marks or above in aggregate in all subjects shall be deemed to have passed the examination with honours, provided that he has passed the examination in first attempt.

PART I

(a) The examination in practice of Homoeopathic Medicine shall consist of two written papers and an oral including clinical examination.

The written paper I shall cover the following subjects;

Preventive and Social medicine including General and Systemic

Pathology.

The written paper II shall cover the following subjects in two sections:

Section 1: Clinical features of Obstetrics and Gynaecology including Paediatrics.

Section 2: Homoeopathic Therapeutics.

(b) The examination in Materia Medica shall consist of one written paper and one practical examination. The written paper shall be divided into two sections :-

Section 1: Drugs from the list of Drugs in Appendix.

Section 2: Comparative Materia Medica and applied Materia Medica.

(c) The examination in Organon of Medicine shall consist of one written paper and one practical including oral examination. The written papers shall cover Aphorism 1-294, Psychology and Logic, with question on Repertory and Case taking.

(8) Full marks for each subject and minimum number of marks required for passing shall be as follows:-

Subject Written Oral(inclu Total

ding practical) Full Pass Full Pass Full Pass 1. Practice of Homoeopathic 200 100 100 50 300 150 Medicine (including Preventive and Social Medicine, Pathology, Obstetrics and Gynacology and Paediatics)

2. Materia Medica 100 50 100 50 200 100 3. Organon of Medicine, 100 50 100 50 200 100 Homoeopathic Philosophy including Psychology and logic^ IHhi GAZETTE OF TND1A EXTRAORDINARY | PAH i l i l - S i . t, 4] (9) Marks for oral including practical for each subject shall be divided as under:

(a) Practice of Homoeopathic Medicine:

Macro-scopic and Microscopic spotting of specimens - 40 Marks Case presentation of Gynaecology and Obstetrics - 25 Marks Oral

- 25 Marks Journal

- 10 Marks (b) Materia Medica:

Case presentation with reports

- 50 Marks Oral

-40Marks Journal

- 10 Marks (c) Organon of Medicine:

Case presentation with analysis and evaluation - 30 Marks Repertorisation

- 30 Marks Oral

- 30 Marks Journal

- 10 Marks

PART II

(a) The examination in Practice of Homoeopathic Medicine shall consist of two written papers and one practical/clinical including oral examination. The written paper I shall cover the following into two sections:-

v Section 1 : Practice of Medicine.

Section 2 : Homoeopathic Therapeutics.

The written paper II shall cover the following in two sections:-

Section 1: Surgery with Gynaecology, ENT, Orthopaedics,

Dentistry. •

Section 2: Homoeopathic Therapeutics

(b) The examination in Materia Medica shall consist of one written paper and one practical paper. The written paper shall be divided into two sections:

Section 1 : Drugs from the list of drugs in Appendix-

Section 2 : Comparative Materia Medica and Applied Materia

Medica.

(c) The examination in Organon of Medicine and Homoeopathic Philosophy shall consist of one written paper and one oral including bed-side clinical examination. The written paper shall consist of the following two sections:

Section 1 : Homoeopathic Philosophy, concept of Homoeopathic

Art of cure with reference to Kent, Robert, Stuart

Close and others.

Section 2 : Detailed fundamental causes of diseases i.e. miasma,

theory of its logical interpretations as applied in

practice.

(10) Full marks for each subject and minimum number of marks required for passing shall be as follows:-

Subject Written Oral, inclu- Total

ding practical

Full Pass Full Pass Full Pass 1. Practice of Homoeopathic 200 100 100 50 300 150 Medicine including Surgery {with Homoeopathic therapeutics)

2. Materia Medica 100 50 100 50 200 100 3. Organon of Medicine, 100 50 100 50 200 100 Homoeopathic Philosophy.

(11) Full marks for oral including practical for each subject shall be divided as under:-

Practice of Homoeopathic Medicine: -100 Marks One long case with Homoeopathic management - 30 Marks

One short case of Surgery with Homoeopathic

management

- 20 Marks Oral including X- rays, instruments and specimens - 50 Marks

Materia Medica:

- 100 Marks Case Presentation with regards to Homoeopathic

remedies

- 50 Marks Oral

-40Marks

Journal

- 10 Marks Organon of Medicine:

- 100 Marks Case Presentation with disease determination,

second prescription

- 50 Marks Oral

- 50 Marks"39 (12) Results of Part II shall be declared if a candidate takes the examination in both the Parts I and II jointly and unless he has passed Part I examination.

5. For regulation 8 of the principal regulations, the following regulation shall be substituted, namely :-

"8.Re"nlt" and rcadmi—ion to examination- (l)There shall not be more than two examinations in an year with an interval of four to six months between the examinations.

(2)All the examinations shall ordinarily be held on such dates., time and place as the examining body may determine.

(3)Every candidate for admission to an examination shall, at least 21 days before the date fixed for the commencement of the examination, send to the authority concerned his application in the prescribed form along with the examination fee.

(4)The examining body shall as soon as may be after the examination publish a list of successful candidates.

(5)Every candidate shall, on passing the examination, receive a certificate in the form prescribed by the examining body concerned.

(6)If a candidate fails to pass in all the subjects within the prescribed four chances, he shall be required to prosecute a further course of study in all the subjects of and in all parts for one year to the satisfaction of the head of the college and appear for examination in all the subjects.

Provided that if a student appearing for Part-II BHMS examination has only one subject to pass at the end of prescribed chances, he shall be allowed to appear at the next examination in the particular subject and shall complete the examination with this special chance.

(7)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 the re-40 THE GAZETTE OF INDIA. EXTRAORDINARY |IJAIM III -SL< . 41 examination in those subjects within a period of thirty days from the date of

such cancellation.

(8)Grace marks shall be awarded to the students only on exceptional circumstances on a general principle and norm fixed by the examining body from time to time".

Dr LA1.IT VHRMA Rcwstrar-uim-Secv.

| ADVT11LTV/147/2I K)l/ExL\. | Foot Note:—Principal regulations were published in die Ga/.ctte~of India Extraordinary Part TT1. Section 4, \ idc No 7-1/S3- CCH dated 1 Itli Mav, 1983 and subsequent corrigendum vide No. 7-1/8 VCCH dated (>lh Fcbnuin lt>"441

LIST OF DRUGS APPENDIX

3QI/2OO1—642 THE GAZETTE OF INDIA: EXTRAORDINARY [PART III—SEC. 41

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