REGISTERED No. D. (D.N.)-72
The Gazette of India
EXTRAORDINARY
PARTI I I - S e c t i on4
PUBLISHED BY AUTHORITY
No. 5] NEW DELHI, WEDNESDAY, MAY 11, 1983/VAISAKHA 21, 1905
Separate paging is given to this Part in order that it may be filed as a separate
compilation
182 GI/83
(1)
2 THE GAZETTE OF INDIA : EXTRAORDINARY [PART HI—SBC^ 3 4 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SBC.-4) 5 6 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC. 4] 7 8 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC. 4} 9182 GI/82—2
10 THE GA ZETTE OF INDIA : EXTRAORDINARY [PART HI—SEC.^ 11 12 THE OA ZETTB OP INDIA : EXTRAORDINARY [PART III—SEC. 4J 13 H THE GAZETTE OF INDIA i EXTRAORDINARY \PAB.T Dl—SEC. 4} 15 16 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC. 4} 17182 GI/81— 3
18 THE GA ZETTE OF INDIA : EXTRAORDINARY [PART III —SEC . 4] 19 20 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC. 4] 21 22 THE GAZETTE OP INDIA : EXTRAORDINARY [PART HI—SBC** 23 24 THE GA ZETTE OF INDIA : EXTRAORDINARY [PART III—SEC. ^ 25182 Gl/83—4
26 THii GAZETTE OF INDIA : EXTRAORDINARY [PART 111-SLC, I] 27 28 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC. 4] 29 30 THE GAZETTE OF INDIA : EXTRAORDINARY [PART [II—SEC. 4] 31 32 THE GAZETTE OF INDIA : EXTRAORDINARY [PART 1J1—SEC. 4] 33182 GI/83—5
34 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC. J]CENTRAL COUNCIL OF HOMOEOPATHY
NOTIFICATION
New Delhi, the 11th May, 1983
No. 7-1/83/CCH.—In exercise of the powers con- ferred by clauses (i), (j) and (k) of section 33 and sub-section II of Section 20 of the Homoeopathy Cetral Council Act, 1973 (59 of 1973), the Central Council of Homoeopathy, with the previous sanction of the Central Government hereby make the follow- ing regulations, namely:—
PART I
Preliminary
1. Short title and commencement.—(1) These regulations may be called the Homoeopathy (Degree Course) Regulations, 1983.
(2) They shall come into force on the date of their
publication in the Gazette of India.
2. Definitions.—In these regulations, unless the
context otherwise requires—
(i) "Act" means the Homoeopathy Central Council
Act, 1973 (59 of 1973);
(ii) "Courses" means the Course of study in
Homoeopathy, namely:—
(a) D.H.M.S. (Diploma in Homoeopathic Medi-
cine and Surgery) course ; and
(b) B.H.M.S. (Bachelor of Homoeopathic
Medical and Surgery) Course ;
(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
35PART IV
The Curriculum
Degree as defined in clause (iv) of regulation 2 of the Homoeopathy (Graded Degree Course) Regulations, 1983;
(v) "Homoeopathic College" means a Homoeo- pathic College affiliated to a Board or a University and recognised by the Central Council;
(vi) "Inspector" means a Medical Inspector appointed under sub-seotion (1) of section 17 of the Act;
(vii) "President" means the President of the Central
Council;
(viii) "Scond Schedule" and "Third Schedule" means' the Second Schedule and Third Schedule res- pectively of the Act;
(ix) "Syllabus" and "Curriculum" meaua the Sylllabus 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 experi- ence in the subject concerned in a Homoeopathic College or in a Hospital recognised by the Central Council;
(xi) "Visitor" means a Visitor appointed under
sub-section (1) of section 18 of the Act.
3. Courses of Study :
(i) The Degree Course of B.H.M.S. (Degree) shall comprise a Course of study consisting of Curriculum and Syllabus provided in these regulations spread over a period of 5i years, including compulsory Internship of one year duration after passing the Final Degree Examination;
5. Subjects.—Subjects for study and examination of the B.H.M.S. (Degree) Course, shall be as under—
(i) Anatomy,
(ii) Physiology,
(iii) Organon of Medicine,
(iv) Chronic diseases and Homoeopathic philo-
sophy,
(v) Fundamentals of psychology and logic,
(vi) Case-taking and homoeopathic repertorisa-
tion,
(vii) Homoeopathic Pharmacy,
(viii) Homoeopathic matcria medica,
(ix) Pathology, bacteriology and parasitology,
(x) Social and preventive medicine including
health education and family medicine,
(xi) Forensic Medicine,
(xii) Practice of Medicine and paediatrics,
(xiii) Obstetrics and gynaecology,
(xiv) Surgery including E.N.T. and opthalmo-
(xv) Homoeopathic therapeutics, and
(xvi) History of medicine.
PART V
Syllabus
(ii) The Internship shall be undertaken at the Hospital attached to the College and in case* where such Hospitals cannot accommodate all of its student* for Internship, such students may undertake their Internship in a Hospital or dispensary run by the Central Government or State Government, or local bodies ;
(iii) At the completion of the internship of the specified period and on the recommendation of the head of the Institution where Internship was under- taken, the concerned State Board or University, as the case may be, shall issue the degree to the successful candidate;
PART III
Admission to Course
4. Minimum qualification.—No candidate shall be admitted to the B.H.M.S. (Degree) Course unless he has—
(a) passed the Intermediate Science or its equivalent examination with Physics, Che- mistry and Biology as his subjects;
(b) Attained the age of 17 years on or before 31st TJecember of the year of his admission to the first year of the course.
6. Syllabus foj Direct Degree Course.—Following shall be syllabus for B.H.M.S. (Direct Degree) Course;
PREFACE
A direct degree course is ultimately to be the pattern of uniform homoeopathic education in India, though for various reasons the diploma course and the graded degree course have to be continued for some time.
As the direct degree course is now being introduced wherever possible, a good number of dogree colleges dotted all over the country may soon be expected. As this course will thus in time set the standard of homoeopathic education and practice in India, it is of the utmost importance that the syllabus expected to fulfil this object should be designed accordingly.
An endeavour has therefore been made in the following syllabus to ensure that the requisite type of education is imparted by the degree colleges to their students.
16 THE GAZETTE OF INDIA : EXTRAORDINARY [PART I I I — S EC 4]FIRST B.H.M.S. EXAMINATION HOMOEOPATHIC PHARMACY Theoretical
1. Introduction.—Homoeopathic Pharmacy its
speciality and originality, Horn. Pharmacopoeia.
2. Scope of Homoeopathic Pharmacy in relation
to:—
(1) Organon of Medicine (Aph 264 to 285
organon of medicine).
(2) Materia Medica.
(3) National Economy.
3. Weights and measures including Horn. Scales
(Deci. Centi. Milli).
4. Homoeopathic pharmaceutical instruments and
appliances.
5. Sources of Homoeopathic Drugs, process of collection of drugs substances, identification, purifica- tion, preservation and also preservation of potentised drugs.
6. Vehicles—
(1) their preparation and uses.
(2) purification.
(3) determination of proof strength of alcohol.
7. Methods of preparation of drugs from organic and inorganic chemicals, vegetables, animals and animal products, disease products (Nosodes) etc! (Hahnemann's classical and modern methods includ- ing merits and demerits).
8. (a) Methods of prcparation^of mother tinctures,
solutions potencies and trituration.
(b) Potentisation of drugs on :—
(i) Decimal scale,
(ii) Centicimal scale.
9. Fluxion potency—methods of convertion of
trituration into liquid form—straight potency.
10. External application—its scope—modes of preparation and uses, lotion, Liniment, glyceiole, ointment.
11. Prescription—its study including abreviations— principles and mode of prescription writing and ifs validity.
12. Pharmacology—Drug strength—Horn Pharma- codynamics—Dynamic Power—Medicine— Posology— Remedy.
13. Brief study of standardisation of drugs and
vehicles.
14. General knowledge of legislation in relation to
Homoeopathic pharmacy.
15. General laboratory methods solutions, dilution, Decantation, precipitation, filtration, distillation, crystalisation, sublimation, percolation etc.
16. Study of biological/mechanical and/or chemical
characteristics of some important drug substances,
17. The technique of Homoeopathic drug proving.
PRACTICAL
1. Identification and uses of Homoeopathic Phar- maceutical insti'urnents and appliances and their cleaning.
2. Identification of important Homoeopathic drugs
(vide list attached).
(a) Microscopic—
,(i) At least 30 drugs substances—20 from vegetable kingdom and 10 from minerals and chemicals;
(ii) Collection of 30 drugs substances for
her barium;
(iii) Microscopic study of two ttiturations upto
3X potency.
3. Estimation of moisture constant of one drug
substance with water bath.
4. Purity test of ethyl-alcohol, distilled water, sugar of milk including determination of sp. gravity of dist. water and alcohol.
5. Estimation of size of globule;—its medication, medication of milk sugar and Dist. water—making of doses.
6. Preparation of dispencing and dilute alcohol
solutions and dilutions.
7. Preparations of mother tinctures of 3 poly-
chrests.
8. Preparations of triturations of 3 crude drugs
upto 3X.
9. Preparations of mother tinctures of drugs which
do not conform to the D.S.I.
10. Potentisation of 3 mother tinctures upto
6 decimal scale and 3 centicimal scale.
11. Trituration of 3 drugs 6X and their conversion
into liquid potencies.
12. Preparation of external application—one each.
13. Writing of prescriptions and dispensing of the
same.
14. Laboratory Methods:—
(a) Sublimation.
(b) Distillation.
(c) Decantation.
(d) Filtration,
(e) Crystalisation.
(f) Percolation.
15. Visit to a Homoeopathic Laboratory to study
the manufacture of drugs on a large scale.
37LIST OF DRUGS FOR IDENTIFICATION
55. RhusTox. 56. RutaG. 57. Sambucus N. 58. Sanguinaria C. 59. SecaleCor. 60. Sepia. 61. Silicea. 62. Spigclia. 63. SpongiaT. 64. Stannum Met. 65. Stramonium. 66. Sulphur. 67. Tarentula Hisp. 68. Thuja O. 69. Vertrum Album. 70. Veratrum Viride. 71. Zincum Met.
ANATOMY AND PHYSIOLOGY
Study of Normal Mail in Preclinlcal Period
Human anatomy is the most difficult of all sciences to study. Man is a conscious mentalised, Living being and functions as a whole. Human knowledge has become so vast that for precise comprehension of man as a whole development of different branches of science like anatomy, physiology and psychology was necessary. But such a division is only an expedient, man nevertheless remains indivisible,
Consciousness, life and its phenomena cannot be explained in terms of cell physiology or of Quantum mechanics, nor by physiological concepts which in their turn are based on chemico-physical concepts.
Though anatomy and physiology are hitherto being taught as entirely different subjects, a water-tight barrier should not be erected between them, structure (anatomy) and function (physiology) are but corelatcd aspects and the physio-chemical processes are but an external expression of an inexplicable phenomenon which is life.
So anatomy and physiology should be taught with
the (following aims:
(i) to provide for the understanding of fhe mor- phological, physiological and psychological principles which determine and influence the organism of the living body as a functioning unit;
(ii) to correlate and interpret the structural organism and normal physiology of the human body and thus to provide the data on which to anticipate disturbances of functions;
(iii) to enable the student to recognise the anato- mical, physiological and psychological basis of the clinical signs and symptoms of disorders due to injury, discaaC and maldeveloprueat;
1. Aconitum Nap. 2. Agaricus M. 3. Antimonium Tart. 4. Apis Mellifica. 5. Argentum Nitric. 6. Arnica Montana. 7. Arsenicum Alb. 8. Aurum Met, 9. Baptisia T. 10. Baryta Carb. 11. Belladonna. 12. Bryonia Alb. 13. Cactus G. 14. Calcarea Carb. 15. Calcarea Plios. 16. Calendula. 17. Camphor. 18. Cantheris. 19. Carbo Vegetabilis. 20. Causticum. 21. Chamomilla. 22. Chelidonium M. 23. China. 24. Cina. 25. Cocculus I. 26. Colchicum A. 27. Colocynthis. 28. Conium M. 29. Cuprum Met. 30. Digitalis P. 31. Drosera. 32. Dulcamara. 33. Glonoine. 34. Graphites. 35. Hepar Sul. 36. Hyoscyamus. 37. Hypericum. 38. Ignatia. 39. Ipecacuanha. 40. Kali Carb. 41. Lachesis. 42. Lycopodium. 43. Mercurius Cor. 44. Mercurius Sol. 45.. Mezet'ium. 46. Natrum Mur. 47. Nitric Acid. 48. Nux Vomica. 49. Opium. 50. Phosphorus. 51. Phosphoric Acid. 52. Platina M. 53. Plumbum M. 54. Pulsatilla.
(iv) Similarly, to give the student to understand the factors involved in the development of pathological
38 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4]processes and the possible complications which may arise therefrom;
(v) to £ive the student such knowledge of pre- clinical subjects as will enable him ultimately to employ competently and rationally all the ordinary methods of examination and treatment (including surgery) that may involve such knowledge; and
(vi) for enabling the student to pick out strange, rare and uncommon symptoms from pathognqmornc symptoms for individualisation of patients and drugs for the purpose of applying the law of similars in homoeopathic practice.
ANATQMY
Instruction in anatomy should be so planned as to present a general working knowledge of the structure of the human body. The amount of detail which he is required to memorise should be reduced to the minimum. Major emphasis should be laid on func- tional anatomy of the living subject rather than on the static structures of the cadaver, and on general anatomical positions and broad relations of the yicera, muscles, blood-vessclcs, nerves and lymphatics. Study of the cadaver is only a means to this end. Students should not be burdened with minute anato- mical details which have no clinical significance.
Though dissection of the entire body is essential for the preparation of the student for 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 taken into con- sideration.
1. Only .such details as have professional or general educational value for the medical student should be presented to him.
2. The purpose of dissection is not to create technically expert prosector but to give the student an understaflffing of the l>ody in relation to its function, and the dissection -should be designed to achieve this end; for example, ignoring of small and clinically unimportant blood vessles result* in such cleaner dis- section and a much clearer picture of the main structures and their natural relationships.
3. Much that is at present taught by dissection could be demonstrated as usefully through prepared dissected specimens.
4. Normal radiological anatomy may also form [part of prafl;J;al training. The structure of the body should be presented linking functional aspect.
5. Actual 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 fan be presented to students in an integrated form and the instruction of the whole course of anatomy and physiology made more interesting, lively and practical.
<• 6. A good part of the theoretical lectures on anatomy can be transferred to tutorial classes with demonstrations.
A few lectures or demonstrations on the clinical and applied anatomy should be arranged in the later part of the course. They should preferably be given by a clinician and should aim at demonstrating the anatomical basis of physical signs and the value of anatomical knowledge to the clinician.
Seminars and group discussions to be arranged periodically with a view of presenting different sub- jects in an integrated manner.
Formal class room lectures to be reduced but
demonstrations and tutorials to be increased.
There should be joint teaching-cum-demonstration sessions with clinical materials illustrating applied aspect of Anatomy in relation to clinical subjects. This should be arranged once a fortnight and even form part of scries of introductory lectures if be needed.
There should be joint seminars with the depart- ments of Physiology and Bio-Chemistry and should be organised once a month. There should be a close corelation in the teaching of gross Anatomy, Histo- logy, Embryology and Genetics. The teaching of areas and systems in Anatomy, Physiology including Bio-chemistry should be integrated as far as possible.
THEORETICAL
A complete course of human anatomy with general working knowledge of different anatomical parts J6t the body. Emphasis should be laid down on the general anatomical positions and broad relations of the viscera, muscles, blood vessel^ nerves and lympha- tics. Candidates should not be burdened with minute anatomical details of every description which has no clinical significance.
Candidates will be required to recognise anato- mical specimen and to identify and answer questions on structures displayed in recent dissections, to be familiar with the bones and their articulations including the vertebrae, the skull and with yie manner of ossification of the long boned.
Emphasis will not be laid on minute details except in so far as is necessary to the understanding of or in their application to medicine and surgery. Candi- dates are expected to know the attachments of muscles sufficiently to understand their actions, but not the precise details of origin and insertion of every muscles. A knowledge of the minor details of the bones of the hand, foot, their articulations and details of the small bones of the skull will not be required;
The curriculum of anatomy should be divided under
the following headings :—
I. Gross Anatomy—to be dealt under the following
categories :—
(a) Introductory lectures with demonstrations.
' (b) Systematic scries.
The study to be covered by deductive lectures, lecture, demonstrations, surface and radiological ana- tomy, by dissection of the cadaver and study of
39dissected specimen. Knowledge thus obtained toge- ther with corolation of Wets should be integrated into living anatomy. Details of topographical relation should be stressed for these parts which are of importance in general practice.
(i) Superior extremity, inferior extremity, head, neck, throax, abdomen and pelvis to be studied regionally and system by system (special reference to be made to develop- ment and its anomalies, regional, innerva- tion, functional groups of muscles in relation to joints or otherwise and Applied Ana- tomy).
(ii) Endorcrine organs—with special reference
to development and applied anatomy.
II. Devolpmental anatomy—General principles of development and growth and flie effect of hereditary and environmental factors to be given by lectures, charts, models and slides.
III. Neuro-anatomy, Gross Anatomy of brain and spinal cord and the main nerve tracts. The peri- pheral nerves. Cranical nerves their relations, course and distributions.
Automic nervous system—Development and anoma-
lies. Applied Anatomy.
The study to be covered by lectures, lecture- demonstrations, dissection of brain and cord, and clinical corelation.
N,B.—The practical study should proceed the study of physiology nervous system. Early cor- relation—with the clinical course is desirable.
IV. Mircro-anatomy (Histology)—Modern concep- tions of cell, epithelial tissue, connective tissue, muscular tissue, nervous tissue.
(A) Introductory Lectures—
(a) Modern conception of cell-components and their functions why a cell divides, cell division—types with their signification.
(b) Genetic Individuality.—7 Laws and their significances,
(iii) Applied genetic.
(B) Developmental Anatomy—15 lectures.
(C) General anatomy & micro-anatomy—15 lectures.
(D) Regional anatomy.
(a) Upper Extremity—15 lectures.
(i) Skeleton, position and functions of joints.
(Ii) Muscle groups, brachial plexus.
(iii) Arterial supply, venons drainage, neuro vascular bundles, lymphatics and lymph nodes, relation of nerves to bones.
(iv) Joints with special emphasis on shoulder, elbow and wrist joints, muscles, producing movement, results of nerve injury.
(v) Radiology of bones and joints, ossification,
determination of age.
'(vi) Applied anatomy.
(vii) Surface marking of main arteries, nerves.
(b) Lower extremity—15 lectures.
(i) Skeleton, position and functions of joints,
(ii) Muscle groups, lumber plexus.
(iii) Arterial supply, venons drainage, neuro vascular bundles, lymphatics and lymph nodes, relation of nerves to bones.
(iv) Joints with special emphasis on lumbo sacral hip, knee and ankle joints, muscles producing movement, results of nerve injury.
(v) Radiology of bones and joints, ossification,
determination of age.
(vi) Applied anatomy,
(vij) Surface marking of main arteries, nerves.
(c) Thorax—15 lectures.
(i) Skeleton of joints of muscles of chest w a l l- diaphragm, innervation of abdominal and thoracic respiration, difference with age. The mammary gland lymphatic: drainage.
(ii) The pleura & lungs.
(iii) Arrangements structures in the mediastinum, heart, coronary arterios, great vessels, tra- chea, oesophagus, lymph nodes, thymus.
(iv) Radiology of heart, aorta, lungs, broncho-
gram.
(v) Applied anatomy,
(vi) Surface marking—pleura, lungs, heart— valves of heart, border, arch of arota, sup. venacava, bifurcation of trachea.
(d) Abdomen and pelvis—25 lectures.
(i) The abdominal wall—skin and muscles, innervation of fascia, peritoneum, blood vessels, lymphatics, autonomic, ganglia and plexuses.
(ii) Stomach, small intestine, caecum, appendix,
large intestine.
(iii) Duodenum, pancreas, kidneys, ureters, supra
renals.
(iv) Liver and gall bladder.
40 THE GA ZETTE OF INDIA : EXTRAORDINARY [PART III—SEC. 4]
(vi) Blood vessels and nerve plexuses of abdomen and pelvis, the portal venous system.
(vii) Apllied anatomy of referred pain, portal systemic anastomosis, catheterization of the urinary bladder in the male and female.
(viii) Surface marking of organs and blood vessels.
(e) Head and neck—25 lectures.
(i) Scalp—Inncrvation, vascular, supply middle
meningeal artery.
(ii) Face-Main Muscles groups-muscles of facial expression, muscles of mastication, innerva- tion of skin and repair muscles, vascular supply, principles of repair scalp and face wrinkles.
(iii) The eyelids, eyeball, lacrimal apparatus, the
muscles that move the eyeball.
(iv) The nasal cavity and nasopharynx, septum, conchac, paransal sinus, eustachian tube lymphoid masses.
(v) Oral cavity and Phaiynx.
(vi) Larynx and laryngeal part of Pharynx structure (No details) functions, nerves supply, larynago scopic appearances.
(vii) Cervical vertebrae joints of head and neck.
(viii) Structures of neck, sternomastoid, brachial plexlus, main arteries and veins, disposition of lymph nodes, areas of drainage, phrenic nerve, thyroid gland and its blood supply, para-thyroid the trachea, oesophagus. The position of the Sub-mendibular and sub- linguial salivery glands.
(ix) Teeth and dentitor.
(x) The external middle and internal ear.
(xi) Applied anatomy.
' (xii) Surface Marking.—Parootid gland, middle meningeal artery, thyroid gland, common, internal and external carotid arteries.
(f) Neuro-anatomy.^10 lectures,
(i) Meninges—functions of.
(ii) Cerebrum—areas of localisation, vascular supply basal ganglion, internal capsule.
(vii) Spinal cord-coverings, segments, relation of segments to vertebral column, spinal nerves, distribution.
(viii) The sympathetic and parasympathetic nerv-
ous system, location, distribution, function.
(ix) Applied anatomy of lumbar puncture, refercd pain, spinal anaesthesia, increased intracranial pressure.
PRACTICAL
Dissection of th© whole human body in the course
of 1st Months, academic months shall be 160 hrs.
1. Each dissection when completed, must be shown to the demonstrator and permission must be obtained before proceed to the next item.
2. Before allotment of a part, each student must pass the oral test of the bones on the part taken by the demonstrator.
3. There should be printed form of the class of practical anatomy as per guide lines to be followed by every recognised college.
GU1DLINE FOR DISSECTION
Nome :
Session : Roll No.
Year :
BRAIN-BULBUS OCULI
Each dissection, when completed, must bo shown to one of the Demonstrators and permission must be obtained before proceeding to the next Item. Date of distribution of p a r t i- Date of completion of part:— Remarks :
Demonstrator, Professor of Anatomy
Braln-BnUms Ocull
(iii) Cerebellum—functions.
i(v) Pons, mcduller midbrain, cranial nerves,
palsies.
(v) Cerebro-spinal fluid—formation, circulation,
function, absorption.
(vi) Cranial neives, origin, courses (with mini- mum anatomical detail) areas of distribution.
Marks
Item
Items started
Exami- - miner
Viva
on Disse- qction
1. Membranes of the brain
and the cisternae
2. Superficial blood vessels
of the brain
41Hem
s
Mark
Mar ks
Item
- miner
Hems started
Exa- miner
Items started
Viva
on
on
Viva
Diisc- oclion
Dissec- tion
T
i
T . Superficial anatomy
1.
Lateral surface Medical surface- Baso of brain
Scalp and superficial dissection of temporal region
4 , Cerebrum—
(a) Fissures Sulci and
Removal of brain — (i) Roots of craninl
nerves
Gyri Lobes Motor and Sensory nrea
(i) Duramater with
its sinuses
(iii) Base of skull-
(b) Corpus cailosum; lateral ventricle; (c) Tola chordiae and
fa Anterior fossa
3rd ventricle
(b) Middle fossa
(c) Posterior fossa
Occipital Region-
3.
(i) Superficial dissec-
tion Sf neck
(d) Thalamus and corpus stnatum (c) Commisural, Asso- ciation and proje- ction fibres
(ii) Suboccipital triangle
(0 Rhinon Cephelon
4.
5 . Mid brain—
Back (i) Identification of
muscles
Cerebral peduncles Corpora quadrigemina Optic tract
(ii) Lumbodorsal fascia
fi . Mid b r a i n-
5. Spinal medulla, mem-
fa) Pons and 4th
ventricle
branes and liga- mentum fleva
(b) Medulla oblongata
6. Face and lacrimal appa-
(c) Cerebellum
ratus
7. Ascendig and descending tracts
7. Orbit
8, , Cranial topography
8. Post of triangle of neck
9.
9.
External tunics — Sclera Cornea Choroid
Ant. triangle of neck- (i) Carotid triangle (ii) Muscular triangle (iii) Middle line of neck:
10. fiis, ciliary body- ciliary nerves and vessels
11.
i
Thyroid and para- thyroid glands (iv) Digastric triangle (v) Submandibular region 1
10. Deep dissection of neck
(i) Vessels
Refractive media— Aqueous Humour Pupil Lens and its capsule Vitreous humour Retina
(ii) Nerves
Total
X
Percentage
i
1 ;iii) Lateral wall of phary (iv) Cervical portion of
sympathetic trunk
Parotid region
11.
12.
Head and Neck Name ; Roll Mo.— — — Session: Year :
Infratemporal region (i) Optic ganglion and chorda tympani
(ii) Sinus of meningis
Each dissection, when completed, must be shown to one of the demonstrators and permission must be obtained before proceeding to the next item.
Mendibular joint
13.
Date of distribution of part:—
Prevertebral region
14.
Date of Completion of part:—
15. Cranio-vertebral and vertebral articulations
Remarks Professor of Anatomy EcTtonstrator
Mouth and pharynx
Id.
i s: QI/"3—6
42 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC. 4] 4 5 1 2 3 1 2 .1 4 5 10.17.
Pustcrior madiastinum and its contents
Nose and access"ry sinuses
18. Spheno-palulinc region-
11.
(i) Plerygo-palatine fossa
Thoracic portion of sympathetic its bran- ches and distribution
(ii) Ptery^o-ma.\illary
fissure
12. Posterior thoracic wall- intercostal vessels and nerves
(iii) Maxillary nerve :ind {•plicnopalud'nc ganglion
13. Dinptuagm
Larynx
1*1.
14, Vertebral—Costovertc- bral articulations
20. Tongue
Surface anatomy
Auditory appratus-
21.
15.
(i) External ear
Total Percentage
(ii) Middle car, rtiHstoid
untriim
(iii) Internal ear
Total — - —
ABDOMEN
Percentage • —
Name :
Session : Roll No.
TMORAX
Year:
Name :
Session : Roll No.--
Ea:h dissection when completed, must be shown to one of the Demonstrators and permission must be obtained before proceeding to the next item.
Year:
Date of distribution of part :
Date of completion of part:
Each dissection when completed, must bo shown to one of the Demonstractors and permission must be obtained before proceeding (o the next item.
Remarks:
Date of distribution of part ;
Professor of Anatomy.
Date of completion of part :
Demonstrator
Remarks:
Items Item Marks Exa-
Professor of Anatomy
startcd — miner on Dissec- Viva
Demonstrator
i l^n
rtem
Marks Exa-
2 3 4 5
1
- miner
Items start- ed on
- Viva
1. Perineum
Dissec (km
2
2
1
3
4
5
External genitals— Male Female
1. Anteriathoracic wall
3.
2. Dissection of intercostal
Space and contents
3.
Anterior abdominal wall Spermatic cord Round Ligament
4. Ant. articulation —
4.
(i) Sterno Clavicular
(ii) Chondrostornal
Abdominal cavity- Positions and relations of viscera
(iii) Infra chondral
5.
articulations
Peritoneum— Greater sac Lesser sac
5. Pleura-roots of lungs and pulmonary plexus
Mesentcric vessels
6.
6.
7. Stomach, Cocliac Axia, and Portal vein
Anterior mediastinum and superior mediasli- num
8.
7.
Small intestine (Jejunam and Ueum)
Middle mediastinum and pericardium
9.
8.
Large intestine up to iliac colon
Phrenic and Vagus ner- ves cardiac plexus
10.
y. Heart
Duodenum, pancreas and spleen
43 1 2 3 4 5 Items Marks Bxa- minerLiver
Viva 11.
Items started on Dissec- tion
12.
1
2
4
3
5 Kidney, Suprarenal gland and abdominal wall
1.
13. Diaphragm
Superficial dissection of back
2.
14.
Pectoral region and axillary fossa
3.
Abdominal portion of sympathetic system including coeliac and aortic, plexuses.
Shoulder and scapular region Acromio — clavicular articulation
15.
Cubital fossa
4.
Aorta, Inf. Venacava, Common, internal and External Jliac vessels.
5. I-ronl of the arm
16.
ft. Back of the arm
Lymphatic system of the abdomen.
l:ront of Ihe forearm
7.
17.
S. Palm of the h a n d- superficial dissection
Lumbar plexus of nerves and lumbar ves- sels
- q,
18.
Palm of the hand Deep dissection
Pelvis—Positions and relations of viscera
Back of forearm
10.
19.
Dorsum of the hand
11.
Hypogastric vessels and their branches.
J2. Shoulder joint
20.
13. Elbow and Raiio-ulnar joint
Pelvic fascia and Pel- vis muscles—pelvis portion of ureter
14.
21.
Wri^t joint and anicu- ialions or the hand.
Sigmoid colon, Rec- tum, Anal Canal
Total
22.
Percentage Urinary bladder. Pro- strate and urethra
INFERIOR EXTREMITY 23. Ovary, uterus, ulrine tubes, vagina
Name :
Session :
Pelvic nerves
24.
Roll No. —-
25.
Ycai :
Articulations— Lumbo sacral Sacro illiac Sacro coccygcal Symphasis pubis
Total ——
Each disscuccti n when completed, musl he s,h wn to ine '. I ihc Demonstrators and permission must be obtained before proceeding to the next item. Date of distribution of part :— Date of completion of part :—
Pc rce n tage
Remarks:—
Demonstrator
Professor of Anatomy
SUPERIOR EXTREMJTY
IVT
Hems
Exa- miner Name :
Dissec- Viva
Items skirled on
Session:
tion
Roll No. —
Year:
5
3 4
2
1
1. Supcriicial dissection of sole
Each dissection when completed, must be sho-.sn to one of the Demonstrators, and permission must be obtained before proceeding to the next item.
Glnlml region
Date of distribution of ixirt:
Popliteal fossa
3.
Date of completion of part:
Back nf thigh
4.
Renvrka Professor of Anatomy
.14 THE GAZETTE OF INDIA : EXTRAORDINARY [PART I I I - S E C. 4]5. Superficial dissection ol" whole of the front of the thigh Culancnus nerves Cutaneous vessels
Deep fascia
0. Deep dissection—
(a) femoral sheath and Femoral hernia
(b) Ailduclor region
(c) Adductor canal
(d) Quadiiecps mubelc
7. Anterior tibioflbular region, Dorsum of foot
8. Pcrcneal region
0. Post tibiofibular region Superficial and middle compartment
10. Deep dissection of sole
11. Hip joint
12. Knee joint
13. Tibioflbular and joints
14. Articulations of the
fool including the arches
Total
Percentage
The written papers in Anatomy shall be distributed as
follows: —
Paper 1 — Upper extremity, head, face, neck and brain,
Paper II — Thoni<, addomin, pilvis a'i,i lower extremity
PHYSIOLOGY
The purpose of a course in physiology is to leach the lunctions, processes and inter-relationship of the diflerent organs and systems of the normal hunum organism as a necessary introduction to their distur- bance in disease and to equip the student with normal standards of reference for use while diagnosing and treating devictions from the normal. To a homoeopath the human organism is an integrated whole of body, life and mind; though life includes all the chernico- physical processes it transcends them. 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. Physiology should taught from the stand-point of description of vital phenomena and the chemico-physical processes under- lying them in health.
There should be close co-operation between the various departments while teaching the different systems. 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.
Seminars should be arranged periodically and lecturers of .anatomy, physiiogy and bio-chemistry should bring home the point to (he students that Ihc integrated approach is more meaningful. For example, gross and minute structure will be dealt with by the anatomist while the role of subcel- lular particles in metabolic processes and the method to assess them may be explained by the bio-chemist and towards the end the physiologist may dealt in an integrated manner with behaviour of the cell as a unit, co-ordinating the characteristic bio-chemical and structural components sub-servhig specific functions. Students should be encouraged to participate in the seminars and present the practical subjects in an integrated manner.
THEORETICAL
(1) Introductions
Fundamental phenomena of life. The cell and its differentiation. Tissues and organs of Ihe body.
(2) Bio-chemical principles
Elementary constituents of protoplasm. Che- mistry of proteins, carbohydrates and lipids. Ensymcs.
(3) Bio-physical principles
Units of concentration of solutions, ions, electroytcs and non-electroytes, filtration, diffusion, ultrafiltration, dialysis, surface tension. Absorption, hydrotrophy, doman equilibrium, coloid, acid, base concentra- tion H.
(4) Nerve muscle physiology
Excitation process in a nerve and its propaga- tion changes undergone by a nerve on stimu- lation. Polarisation phenomena in nerve. Electrolecus, Reaction of degeneration, Ncuro- muscular transmission Different types of muscles in the body. Change on exitation and nature of the contractile process. Physiology of muscular exercise. Rigor mortis.
(5) Blood composition
Regulations of blood volume and its determina- tion, specific gravity of blood, reaction of blood and ifs regulation. Composition and func- tion of blood plasma. Plasma protein and their function. Bone marrow, origin, com- position, fat, function of the formed element of blood,, Chemistry of haemoglobin and its com- pounds and derivatives, coagulation of blood. Haemolysis, blood group.
(6) Cardio-vascular system
Structure and properties of cardiac muscle, cardiac cycle, action of valves, heart sounds, apex b.-ut, nutrition of heart and coronary circulation, Electro-c,ardiogram, cardiac out- put. Origin and propagation of cardiac im- pulse. Nervous regulation of heart, cardiac reflexes, course and circulation of blood, structure of arteries, capillaries and veins, peculiarities of cerebral, pulmonary, hepatic, portal and renal circulation. Time of com- plete circulation, velocity of blood flow. Pulse, arterial and venous, innervalion of blood vessels and control of circulation. Blood pressure and its reguintion.Xontrol of capillary circulation.
45(7) Reticule Endothclial system and lymph Reticulo endothelial svstem ( R E. system), spleen lymphatic glands. Tissue fluids and lymph, odema,
(8) Respiratory system.
Analomy and minute structure of respiratory organs. Mechanism of respiratory movement, spirometry, chemistry of respiration. Composi- tion of inspired, expired and alveolar air Res- piratory quotient. Basal metabolism. Gases in blood and their tension. Transport of 02 and CO2 in blood. Mechanism of external and internal respiration, control of respiration. Cheynes-stokcs respiration. Apnoea, dysponea, anoxia, cyanosis, asphyxia, effect of high and low atmospheric pressure, acclimatisation. Mountain sickness, eaision disease, artificial respiration, effect of respiration on circulation.
(9) Digestive system
Metabolism, nutrition and dietetities, normal diet, vitamines. Milk its properties. The digestive organs and their structure and func- tion, various digestive juices, mechanism and functions. Liver, movement of alimentary cannt, Defection, digestion and absorption of the food stulT, and their metabolism. Biologi- cal value of protein. Bloodsugar and its regula- tion. Mineral Metabolism and metabolism during starvation. Nutrition of an individual.
(10) The sense organs
General features, classification, sensation, Sensory Organs and sensory pathways :
(a) Vision.—Anatqjny of the eye. Errors of refraction and their correction. Mecha- nism of accommodation, structure and func- tions of coats of eye ball. Ocular reflexes. Visual field. Visual pathway. Colour vision, Colour blinedness. Binocular vision.
(b) Hearing.—Structures of auditory appa- ratus, conduction of sound waves. Helmuts theory. Cochlear response. Vcstibular apparatus.
(c) Taste and smell.—^Structure and func- tion of the receptor organs.
(d) Cutenous and deen sensation.—Struc- ture and function and receptors.
(11) Voice and speech
Anatomy of larynx, Mechanism of production of voice and speech.
(12) Endocrine Organs
(1.1) Reproduction
Primary and secondary sex organs and secondary sex character. Mammary gland and Prostate. Placenta :wd its function. Foetal respiration and circulation.
( I -1) Excretory system
Kidney—formation and chemical composition of urine, structure and functions of kidney. Constituents of urine, normal and abnormal. Volume of urine, physiology of micturition. Renal efficiency tests.
(15) Inegumentary stystcm
Structure and functions of skin, formation, secretion, composition of sweat and sebum. Body temperature and its regulation.
(16) Nervous svstem
Evolution and history of nervous system. Spinal cord and reflexes and Hs properties. Control of excitatory and inhibitory status. Somatic sensory receptors and pathways Thalamus, Cerebral Cortex. Motor and asso- ciated areas. Pyramidal and extrapyramidal pathways, basal ganglia. Posture and loco- motion. Sensory and motor. Motor point in man, rccticular formation. EEG sleep, auto- nomic nervous system. Hypothalamas and limbic system. Conditional reflexes, cerebellam.
PHYSIOLOGY (Practical)
(1) Urine-examination of normal and abnormol constituents of urinary sediments. Quanti- tative examination for sugar, urea, albumin, acetone .and bile.
(2) R.B.C. & W.B.C. total count making and staining; blood-film and differential count of W.B.C. coagulation and bleeding time, Hb. estimation, fragility and sendimentation rate of R.B.Cs.
(3) Identification and use of common physiolo-
gical instruments and appliances.
(4) Identification of histological specimen of tissues and organs viz, Liver, Kidney, lungs, thyroid, pnncreas, spleen, trachea, oesopha- gus, stomach, tongue, intestine, large intes- tine, testes, overy, bone, adipose tissue, spinal cord, suprarenal gland, parotid gland, anterior pituitary, salivarv glands, skin, parathyroid gland, cerebellum, cerebral cortex, cardiac muscle.
The written papers in physiology shall be distributed
as follows :—
Pap;r—I
Elements of Bio-Physics, Histology, Blood and lymph, Cardiovascular system, Reticulo-cndothelial system, spleen. Respiration, Excretion of urine, skin, rcrmlation of body temperature, sense organs.
Paper—II
Endocrine organs, nervous system, nerve muscles physiolocy. Digestive system and metabolism. Bio- chemistry of protein, caibnhydrate rmd lipoid, Ensymcs. Nutrition.
46 THE GAZETTE OF INDIA : EXTRAORDINARY [PART I I I — S E C ®]Practical Examination
Full Murks—100
Murks I
(1)
20
3. The homoeopathic malcvia medica consists of 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, homoeo- pathic student to study each drug individually and as a whole and help him to be a good prescribes ExaminaLion of physical and chemi- cal constituents of normal and abnormal urine (qualitative).
(2)
15
Enumeration of total cell count of Blood (R.B.C. or W.B.C.) or differential count of peripheral blood or estimation of percentage of Hb.
(3)
15
Viva-voce on instruments and apparatus
4. Polyehrests and the most commonly indicated drugs for every day 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 thoroughly dealt with, explaining all comparisons and relationship. Students should be conversant with their sphere of action and family relationship.
(4)
10
Identification of two Hjjtoiogical slides
15
i Experimental physiology
(5)
The Isss common and rare drugs should be taught in outline, emphasising only their most salient features and symptoms. Rare drugs should be dealt with later.
10
I Laboratory Note-Book
(6]
15
I Viva-voce on experiments
(7)
PSYCHOLOGY
5. 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.
Introduction to Normal Psychology
e and
i Definition of jDsychology as a scienc
(a)
its difference irom other science.
1 Conception of the mind.
struc-
(b) (c) Mesmar and his theory. Hypnotism turc of consciousness.
the
) Fraud and his theory-Dynamics of unconcious Development of the Libk ie.
iology.
Other contemporary schools of Psych
(c)
health
(f) Relation between mind and body in and disease.
6. While teaching therapeutics an attempt should be made to recall the materia medica so that indica- tions for drugs in ,a clinical condition can directly flow out from the provings of the drugs concerned. The student should be encouraged to apply the re- sources of the vast materia medica in any sickness and not limit himself to memorise a few drugs for a particular disease. This Hahnemannian approach will not only help him in understanding the proper pers- pective 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 it contradictory to the teaching of organon,
1 Percentage. Imagination. Ideation. 1
Intelli-
u:
gence. Memory.
Application of materia medica should be demons- trated from cases in the outdoor and hospital wards.
istinct.
) Cognition. Conation. Affect. In
(h
Sentiment. Behaviour.
HOMOEOPATHIC MATERIA MEDICA
Lectures on comparative materia medica and therapeutics as well as tutorials should be as far as possible integrated with lectures on clinical medicine in the various departments.
7. For the teaching of drugs the college should keep herbarium sheets and other specimens for de- monstration to the students. Lectures should be made interesting and slides of plants and materials may be projected.
8.CA) Introductory lectures : Tenehing of the Homoeopathic materia medica is differenfly cons- tructed as compared to. other material medicas. Homoeopathy, considers that study of the action of drugs on individual parts or systems of the body or on animals 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 agent; the drug agent as a whole is lost sight of.
Homoeopathic materia medica should include :
(i) nature and scope fit homoeopathic materia
medica.
(Ji) \..iu,;c: nl' rmmoenpnthic niitotia medica,
and
fiii) different ways of studying the materia 2.' Essential. and complete knowledge of the drug action as a whole can supplied only by qualitative synoptic drug experiments on healthy persons and this alone can make it possible to "view all the scat- tered data in relation to the psycho-somatic whole of a person; and it is just such a person as a whole to whom the knowldege of drug action is to be applied.
medica.
47(E) The drugs are to bs taught under the following
heads :
(i) common name, natural order, habitat, part
used, preparation.
(ii) sources of drug proving, (iii) symptomatology of the drug emphasising the characteristic symptoms and modalities.
(iv) comparative study of drugs,
(v) complementary, inimical, antidotal and con-
cordant remedies.
(vi) therapeutic applications (applied nia'.erki
medica).
(C) A study of 12 tissue remedies according to
Schussler's Biochemic System of Medicine.
APPENDIX T
LIST OF DRUGS INCLUDED IN THE SYLLABUS
OF MATERIA MEDICA FOR THE 1ST B.H.M.S.
EXAMINATION
1. Abrotanum
2. Aconitum Nap. 3. Aesculus Hip. 4. Aeihusa Cyn. 5. Alium Cepa. 6. Aloes Socotrina 7. Ammonium Carb 8. Antimoniurn Crud 9. Autimonium Tart
38. Helleborus 39. Hyoscyamus N. 40. Ignartia 41. Ipecac 42. Kali Bich 43. Kali Carb. 44. Lachesis 45. Ledum Pal '16. Lycopodimn 47. Mercurius Cor. 48. Mercurius Sol. 49. Niteric Acid 50. Nux. Vomica 51. Podophyllum 52. Pulsafilla 53. Rhus Tox. 54. Secale Cor. 55. Spongia Tosta 56. Sulphur 57. Thuja Oc. 58. Vcratrum Alb. 59. Calcarea Fluor 60. Calcarea Phos. 61. Calcarea Sulph. 62. Fcrrum Phos 63. Kali Mur, 64. Kali Phos. 65. Kali Sulph. 66. Magnesia Phos 67. Natrum Mur, 68. Natrum Phos. 69. Natrum Sulph
70. Silicea
APPENDIX Til
SYLLABUS OF MATERIA MEDICA FOR
III & ]V 13.H.M.5. EXAMINATION
In addition to the list of dr:igs (Appendix I & II) for-the I & II B.H.M.S. examinations rhe following additional druas are included in the syllabus of Matcria Medica for the HI & IV B.H.M.S. exami- nations.
1. Abies Can. 2. Abies Nigra. 3. Acalypha Tndica 4. Actea Spicata 5. Adonis Vcinalis 6. Adrenalin 7. Anthra'xium 8. Antimonium Ars. 9. Artemisia Vulearis
10. Apis Mellifica 11. Argentum Met. 12. Argentum Nit. , 13. Arnica Montana. 14. Arsenicum Alb. 15. Arum Triph. 16. Aurum Met. 17. Baptisia Tin. 18. Baryta Carh 19. Belladonna 20. Berberis Vul. 21. Borax 22. Bryonia Alb. 23. Cak-area Carb. 24. Calendula 25. Carbo Veg. .,26. Causticum 27. Chamomilla 28. Cina 29. Cichona Off 30. Colchicum Autm. 31. Colocynth 32. Drosera 33. Dulcamara 34. Euphrasia 35. Gelsemium 36. Graphites
37. Hepar Suiph.
10. Asafoelida 11. Asterias Rubena 12. Avena Sativa J3. Baeillinum 14. Baryta Mur. 15. Bcllis Perenois 16. Benzoic Acid
4S THE GAZETTE OF JNDIA : EXTRAORDINARY [Cwir III—Sec. 4J17. Bluttu Oricutaiit. 18. Bufo Ranu 19. Caladium 20. Cannabis Ind. 21. Cannabis Sat. 22. Capsicum 23. Carbo AniinaJis 24. Carbolic Acid 25. Cardus Marianus
74. Murcmius Sol, 75. Miilefolium 76. Mezereum 77. Moschus 78. Murex 79. Muriatic Add 80. Naja T. 81. Onosmodium 82. Oxalic Acid 83. Passiflora 84. Petroleum 85. Phosphoric Acid 86. Phvsosfigma 87. Picric Acid 88. Plumbum Met. 89. Psorinum 90. Pyrogenium 91. Radium Bro. 92. Rananculus Bulb 93. Raphanus 94. Ratanhia 95. Rheum 96. Rhododendron 97. Rumex Cr. 98. Ruta G. 99. Sabadilla
26. Carsinosin 27. Cauiophyllum 28. Cedron 29. Ceanothus 30. Chininum Ars 31. Cholesteriura 32. Cicutta virosa 33. Clematis 34. Coca 35. Cocculus Ind. 36. Coffca Crud 37. Collinsonia 38. Condurango 39. Corallium 40. Crafacgus 41. Crocus Sat. 42. Crotalus Hor. 43. Croton Tip. 44. Cuprum Met. 45. Cyclamen 46. Dioscorea Villosa 47. Diphthcrinum 48. Equisetum 49. Erigcron 50. Eupatroium Perfol. 51. Flouric Acid 52. Glonoine 53. Helonias 54. Hydrastis Can. 55. Hydrocotyle 56. Hypericum 57. lodum 58. Kalmia Lai. 59. Lac Caninum 60. Lac Def. 61. Lillium Tig. 62. Lithium Carb. 63. Lobelia Inflata 64. Lyssin 65. Magnesia Carb. 66. Magnesia Mur. 67. Malandrinum 68. Medorrhinum 69. Mephitis 70. Mclilotus A, 71. Menyanthcs 72. Mercurius Cynatus 73. Mercurius Dulcis
100. Sabal Ser. 101. Sabina 102 Sambucus Nigra 103. Sanguinaria Can 104. Sanicula J05. Sarsaparilla 106. Squilla 107. Spigclia 108. Stannum Met. 109. Staphysagria 110. Sticta Pul 111. Selenium 112. Stramonium 113. Sulphuric Acid 114. Symphytum 115. Syphilinum 116. Sysygium Jam. 117. Tabacum 11S. Taraxacum 119 Tarentula C. 120. Terebinthina 121. Tlieridion 122. Thnlspi Bursa 123. Thvroidinum 124. TtJlliiLm Pendulum 125. T.'nicEi Urens 126 IMi'ago M. 12?. Vaccimnm 128. Valeriana 129. Varlolinura 130. Verafrum Viride 131. Vinca Minor
49132. Vipcra 133. Vibernum Opules 134. X-Ray 135. Ziiicum Met.
APPENDIX II
SYLLABUS OF MATER1A MEDTCA FOR THE TT. B.H.M.S. EXAMINATION
In addition to the list of 70 drugs lor the first 13.H.M.S. Examination, (Appendix 1) the following additional drugs arc included in the svllabus of Materia M?dica lor the Ii B.H.M.S. examination.
EXAMINATION
1. Acetic Acid 2. Actca Raeemosa 3. Agaricus Muscarius 4. Agnus Castus 5. Alumina 6. Ambra Grisca 7. Ammonium Mur. 8. Anacardium Ori. °. Apocynum Can.
10. Arsenicmn lod. 11. Bismuth 12. Bromium 13. Bovista 14. Cactus G. 15. Calcarea Ars. 16. Camphora 17. Canthcris 18. Chelidonium Mai. 19. Conium Mac. 20. Digitals P. 21. Ferrum Met. 22. KaliBrom. 23. Kreosotum 24. Nairum Garb. 25. Nux. Moschaia 26. Opium 27. Petroleum 28. Phosphorus 29. Phytolacca 30. Platiua Met 31. Sepia.
ORGANON AND PRINCIPLES OF HOMOEO-
PATHIC PHILOSOPHY
I. 11. & III B.H.M.S. EXAMINATIONS
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 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
182 GI/83—7
nquaintp.ncc with the- fundamental principles of logic, both' "dejl-uctive mid "inductive- is therefore essential. The Organon should accordingly be taught in such manner as to make clear to the students the implica- tions of the logical principle by which homoeopathy was worked out and build up and with which a homoeopathic physician has to conduct his daily work with case and facility in treating every concrete individual case.
The practical portions should be thoroughly under- stood and remembered for guidance in pratical work ;is a physician.
T, B.H.M.S. Examination
(1) Introductory lectures 10 lectures.
Subjects :
What is homoeopathy ?
It is not merely a special form of therapeutics, but a complete system of medicine with the distinct approach to life, health, disease, remedy and cure.
— Its out and out logical and objective basis
and approach.
— Homoeopathy is nothing but an objective
• and rational system of medicine.
— Homoeopathv is thoroughly scientific In
the approach and methods.
— Based on observed facts and data and on inductive and deductive logic inseparably related with observed facts and data.
— Distinct approach of Homoeopathy to all the pre-clinical para-clinical and clinical subjects.
— Preliminary idea about all the para- clinical and prc-clinical subjects. Their mutual relations, and relation with the whole living organism.
— Importance of learining the essentials of subjects for efficient applications of the principles of homoeopathy for the purpose of cure and health.
— Distinctive essential features of the dynamic pharmacology (proving) and pharmacy of Homoeopathy.
(2) Hahnemann's life and pioneers of Homoeo-
pathy and their contributions.
(3) Hahnemann's Organon of Medicine—
aphorism 1 to 70.
TI B.H.M.S. Examination
(1) Hahnemman's Organon of Medicine should be completed during the II B.H.M.S. course though the examination may be limited to Aphorism 1 to 145.
(2) Introduction to Organon of Medicine (5th
and 6th Editions).
(3) Homoeopathic philosophy (a) Kent's lectures in Homoeopathic philosophy,
[ P A RT l l f •- S B O ^J 50 T HE G A Z t T TE OF I N D IA : E X T R A O R D I N A RY(b) Stuart Closs-lcctures and Essays on homoeopathic- philosophy (Geniur of Flomoepp-Uhvi (c) Art of cure by Homoea- jwthy--H. Roberts (d) Science of therapeu- tlcs-—Dunhum. During the lectures on Homoeopathic philosophy, the following terms should be elucidated :—
(i) The scope of homoeopathy.
(ii) Tlie logic of homoeopathy,
(iii) Life, Health, Disease and Indisposition,
(vi) Susceptibility, reaction and immunity.
(v) General pathology of Homoeopathic
theory of acute and chronic mjasms.
(vi) Homoeopathic Philosophy.
(vii) Potentisation and infinitesimal dose and
the drug and the drug potential.
(viii) Examination of the patient, from the
Homoeopathic point of view.
(ix) Significance and implications of totality of
symptoms.
(x) The value of symptoms.
(xi) The Homoeopathic aggravation.
(xii) Prognosis after observing the action of the
remedy,
(xiii) The second prescription.
(xiv) Difficult and incurable cases—palliation.
(4) Introductory chapters of Huges's Principles and practice of Homoeopathy. In their introductory lectures to organon the pro- fessors are requested to impress upon the mind of the students the implications of the logical principles of which homoeopathy was built and worked out; and the history of the development of medicine in the West and Hahnemann's contribution to it in order to arrive at a right assessment of the place of Homoeopathy in all its aspects in the field of medicine and life of Hahnemann.
TTI. B.H.M.S. Examination
(1) HahnernannV Organon of Medicine (5th &
6th Editions).
(2) History of homoeopathic medicine—as it existed during Hahnemann's time, eartv life of Hahnemanu; his disgust with the existing system of treatment: his discovery of law of similars; historv of the late life of Hahne- mann. Introduction of Homoeopathy in various countries. Pioneers of Homoeopathy and their contributions, Development of Homoeopathy upto the present day. The present trend's in the development of Homoeopathy on other systems of medicine.
(3) Homoeopathic philosophy.
(4) Hahnemann's on chronic Diseases.
Tepicwise Study of Organon
V Lectures on doctrinal p-vt (Aphorism 1—70)
(a) Aim of physician and highest ideal cure
Aph 1 & 2.
(b) Knowledge of a physician—Aph 3 & 4.
(c) Knowledge of disease which supplies the
indication—Aph, 5 to 15.
(d) Knowledge of medicines—Aph 19 to 21.
(e) Evaluation of Homoeopathic method from other methods of (reaiment—Aph 22 to 69.
(f) 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) That is necessary to be known in order to cure the diseases and case taking method— Aph 71 to 104.
(b) The pathogenetic powers of medicine i.e. drug proving or how to acquire knowldege of medicine—Aph 105—145.
(c) How to choose the right medicine—Aph.
147, 148. 149, 150, 153, 155.
(d) The right dose—Aph. 157, 160, 161,
162, 163, 164, 169, 171, 173.
(e) Local disease—Aph. 186, 187 190, 191,
196, 197, 199, 201, 202, 203.
(f) Chronic diseases—Aph. 204, 206, 208.
(g) Mental diseases Aph. 200 to 230.
(h) Intermittent diseases—Aph. 231. 232,
236, 238, 240 to 242.
(i) Diet regimen and thc. modes of employing medicines—Aph. 245, 248, 252, 253, 256, 262, 263, 269, 270, 272, 275, 276, 280, 286, 289, 290, 291.
PRACTICAL
Practical application of knowldege of Organon :—
Clinical lectures both in mi out patients departments examination of the patient from homoeopathic point of view : —
(a) Disease determination
(b) Disease individualisation.
(c) Evaluation of symptoms
(d) Gradation of symptoms
(e) Selection of medicine
and potency and repetition of dose.
The virtue of symptoms
(f) Disease aggravation or Homoeopathic Aggra*
vation.
51(g) Miasmatic diagnosis,
(h) Second prescription.
(i) Prognosis after observing the action of the
remedy,
111. B.H.M.S. Organou Examinations
AL the 111 B.H.M.S. examination the written papers in Organon und principles of. Homoeopathy Philosophy shall be distributed as follows :—
Paper 1—Introduction to organou (5th and bth
Editions)—Aphorism 1—294
Paper II—(i) History or' Homoeopathic Medicine, (ii) Homoeopathic Philosphy. (iii) Chronic Diseases.
PATHOLOGY BACTERIOLOGY AND PARA-
SI TOLOGY
The teaching of pathology and bacteriology has to be done very cautiously and judiciously, while allopathy associates the pathology of tissues and micro-orga- nisms with disease conditions and considers bacteria as conditioned causes of diseases, homoeopathy re- gards disease as purely a dynamic disturbance of the vital force expressed as altered sensations and functions which lrviy or may not ultimate in gross tissue changes. The tissue changes are not therefore an essential part of the disease perse and are not accordingly in homoeo- pathy the object of treatment by medication.
2. Since the discoveries of Louis Pasteur and Robert Koch the medical world has come to believe in the simple dogma "kill the germs and cure, the disease". But subsequent experience has revealed that there is nn elusive factor called 'susceptibility' of the patient which is behind infection and actual outbreak of disease. As homoeopathy is mainly concerned with reactions of the human organism M different morbid factors, rnicrobial or otherwise, the role of bacteria or viruses in the production of disease is therefore in homoeopathy quite secondary,
3. Knowldege of bacteriology is nevertheles.i neces- sary for a complete homoeopathic physician; but it is for purposes other than therapeutics such as for diagnosis, prognosis, prevention of" disease and general management. Similarly knowldege of pathology is necessary for disease determination, prognosis, for dis- crimination between symptoms of the patient and symptoms of the disease and for adjusting the dose and potency of indicate homoeopathic remedy.
4. Only^ broad basic training in pathology, free from specialist bias, should however iv imparted to students. Teachers of pathology should never lose sjght of the fact that they are training medical practi- tioners, especially homoeopathic practitioners, and not technicians and specialists in pathology. The living patient, and not the corps, should be the central theme in the teaching of this subject.
5. The purpose of the instruction in pathology is to enable the student to cordate' subjective symptoms with the objective ones to interpret clinical symptoms and their inter-relationship of the basis of mideiying pathology.
Introduction : Scope of pathology—old school—new school (Homoeopathic j. How to study pathology.
THEORETICAL
1. UAC1KRIOLOGY :
Morphology, biology, sterilisation, chemotherapy, principles of .artificial media, infection, defence reaction, immunity, hyjjersensitivcncss, skin tests, systematic study of bacterial habits, importance—morphological, cultural, bio-chemical, serological and toxic behaviour of the common pathogenic and non-pathogenic species. Pathologic changes produced by diseases— bacteria and their laboratory diagnosis. Staphylococci, strepto- cocci, diplococei, Neisseria, MycobacUirium tubercu- losis (Types) Juicobactarium leprue, names and diffe- rentiation of sjiirochaetes from pathogcuic mycobacte- riac, emyiiebaeteiiuin diphtherae. Aerobic spore bearing bacteria-bacillus anthreis, .anaerobes, general and special feature-, of the pathogens. Names of some important, non-pathogens. Gram negative intestinal bacteria classification, identification of the pathogen salmonella, vibric bacterium, pastcrurella, general idea about hiieniophiles. pscudomonas, brucellii, ricktsia, protciK spirochaelcs—general idea, details of trepo- neniii pailidum and leptospiraictcro haemorrhagiae.
Viruses-general characters, classification of disease,
immunological measures, against some important viruses disease, e.g. varicella. Rabies, Bacteriophage.
2, PARAS1TOLOGY :
Protozoa-classification names of important rhizo- podu, ent. hU-tolytica, morphology, pathogenesis and pathogsnieity, diagnosis, differences from ent. coli sporitecu species of plasmod\a life history and patho^ genesis differentiation of species.
Mas.Ugoph.6ra-—general broad morphological fea- tures, classification, pathogensis, vectors, pathlogy of Kalazar important features source disease due to balantidium coli.
Helminths—-definition of certain terms, simple classi- fication differences between namatodes, cestodes and trematodjs, Broad differentiating morphological fea- tures and broad life history and pathogencsts of im- portant species, of Cestodes and Nematodes-infecthig liver, lungs, intestines and blood-general life differences between sehislo^omcs arid other irematodes.
3. Pathology:
fa) Principles of general pathology :
Injury, inflammation and repair, degenerations, cloudy swelling and post-mortem degeneration. Princi- ples of fixation. Fatty changes, Lipoid degeneration, tumours Hyaline, mucoid and myloid degenerations, Necrosis and gangrene. Disturbances of pigment, calcium cind uric acid metabolism. Avitnmitiosis. Anaemias. Disorders of growth melaplesia, uiiaplasia. atrophy hypcrtorophy, erysipedious. Neoplasm classifi- cation benign and malignant, spread- cyfnlopieal
52 THE GAZETTE OF INDIA : EXTRAORDINARY [PART I I I — S E C. 4]factors, experimental carcinogenesis theories, circula- tory disturbances, clothing, ischaemia, thrombosis,, embolism, infarction, hyperaemia, oedema, shock.
(b) Pathology and special organs :
Morbid anatomy (Microscopic) in common disorders.
(c) Clinical and chemical pathology :
Blood—collection for different purposes. Estima- tion of haemoglobin, total cqunt of R.B.Cs., platelets, M.C.H., M.C.V., M.C.H.C. significance, differential leucocyte count. Malaria-parasites, leishmania, trypan- osornes in peri-pheral blood, marrow or spleen punc- ture material, Development of R.B.C. and W.B.C. Leukaemia. Eiythrocyte sedimentation rate, blood cultuie. Aldehyde and Chopra's test, Bleeding and coagulation time Prothrombin time.
Blood groups, Estimation of blood sugar. Sugar tolerance test. Liver function tests, specially bilirubin, vandenbergh's reaction, icterus index, fractional meal test.
Urine—estimation of urea, urea clearance test, water disease, urinary deposits, faeces, different "ova- differentiation bacillary dysentaiy. Amoebic desentary. Examination of thrpat swab, sputum, C.S.F. ascitic and pleural fluids.
physicians are to be employed by Government in areas where they may have to handle meJjco-legal cases, perform autopsies, apart from giving evidence in such cases. The training in torensic medicine at present conducted is inadequate to meet these needs.
The couisj should consist of a series of lectures and
demonstrations including—
1. Legal Procedure :
Definition of Medical Jurisprudence, eouris #nd
their jurisdiction.
2. Medical ethics :
Law relating to medical registration and medical relation between practitioner and the State. The Central Council of Homoeopathy Act, 1973 and the Code of Ethics under it, the practitioners and the patients, Malpractices covering professional secrecy, the practitioner and the various legislations (Acts) Provincial and Union such as Workman's compensa- tion Act, Public Health Act, Injuries Act, Child Marriage Registration Act, Borstal Schools Act, Medical Termination of Pregnancy Act. Lunacy Act, Indian Evidence Act etc.
3. Forensic Medicine :
Practical
Clinical and Chemical Pathology :
Estimation of haemoglobin (by acidornetery)— Count of R.B.Cs. and W.B.Cs. staining of thin and thick films, differential counts and paiasitcs.
Erythrocyte sedimentation rate, urine, physical, chemical microscopical, quantity of albumin and sugar, faeces—physical chemical (ocult blood) and micro- scopical for ova and protozoa.
Methods of sterilisation, preparation of a media, use of microscope. Gram and acjd fast stains. Motility preparation. Gram positive and negative cocci and bacilli. Special stains for corynebacterium-gram and acid fast stains of pus and sputum.
Haconkeys plate—sugar reactions-gram stain and motility of gram negative ,intestinal bacteria, widal and demonstration of pasteurella and of spirochaetes by dark field illumination—Fentans's strain-Lovaditt's stain. Demonstration of Methods of nacrobiosis.
Morbid Histology :
Practical tiaining in methods of fixation, embedding, cutting and staining of paraffin and frozen sections. Grey hepatization, acute appendicitis, chronic appen- dicitis septic liver abscess. Granulation tissue, tuber- culosis of lung, portfil cirrhosis, fatty liver, maiarjae liver athcroma, papilloma, fibro-adenoma, fibromyoma, squamous cell and basal cell carcinomas, adenocra- cinema, scirrhous carcinoma, encephaloid carcinoma, secondary carcinoma in lymph gland, round and spindle—celled sarcoma.
FORENSIC MEDICINE AND TOXICOLOGY
The subject is of practical importance to the stu- dents of homoeopathic medicine as homoeopathic Examination and identification of persons living and dmd : Parts', Bon^s, stains, etc. health : Medico- legal; Post Mortem si"ns, sfages and results; putrifi- cation, mummification ; saponificatio.i, forms of death, caus.es, agencies, onset etc. Assaults, wounds, injuries and death by violence. Asphyxial death, blood exa- mination, blood stains, seminal stains ; burns, scalds, lighting stroke etc. Starvation, pregnancy, delivery, abortion, Tnfantic'de, sexual crimes, Insenity in rela- tion to the State life and accident insurance.
Toxicology
A separate course of lectures dealing poisoning in general, the symptoms and treatments of various poisons, post-mortem- appearance, and test should be given, study ot' the following poisons :—
Mineral Acid, corrosive sublimate, arsenic and its compound alcbohol, opinm and its alkaloids, carbolic acid, carbon monoxide, carbon dioxide. Kerosene oil, carmabis indica, cocaine, belladonna, • strychnin and nuxvomica, aconite, oleander, snake poisoning, prusic acid, lead poisoning.
4. Medico legal post-mortem :
Recording post mortem appearance, forwarding materials to chemical examiner; Interpretation
5. Demonstration :
(1) Weapons,
(2) Organic & Inorganic poisons,
53(3) Poisonous plants,
(4) Charts, • diagram, models, X-ray films etc. of
medico-legal interest.
PREVENTIVE AND SOCIAL MEDICINE &. FAMILY WELFARE
(including Health Education an/ Family Mediciao)
Instruction in this course should be given in the third year of medical studies by lectures, demonstra- tions and field studies. This subject is of utmost importance, and throughout the period of medical studies the attention of the student should be directed to the importance of preventive medicine and the measures for the promotion of positive health.
His function is not limited merely to prescribing homoeopathic medicines for curative purposes but he has a wider role to play in the community. He has to be well conversant with the national health prob- lems both oif rural as well as urban areas, so that he can be assigned responsibilities to play an effective role not only in the field of cuu-.r'e but also of preventive and social medicine i,.eluding family planning.
1. Introduction to preventive and social medicine concept, man and society ; aim and scope cf preven- tive and social medicine, social causes of disease and social problems of the sick. relation of economic factors and environment in health and disease.
2. Physiological hygiene—
Food and nutrition—food in relation to health and disease. Balanced diets. Nutritional deficiencies and nutritional survey. Food processing, pasteurisation of milk. Adulteration of food and iood inspection.
Food poisoning.
(b) Air, light and sunshine.
(c) Effect of climate—Humidity temperature, pres- sure and other meteorological conditions—comfort zone, effect ol overcrowding.
(d) Personal hygiene—(Cleanliness, rest, sleep, work) Physical exercise and training care of health in topics.
3. Environmental sanitation :
(a) Definition and importance.
(b) Atmospheric pollution—purification of air, air
sterilisation. Air borne diseases.
(c) Water supplies—sources and uses, impurities and purification. Public water supplies in urban and rural areas. Standards of drinking water, water borne diseases.
(d) Conservancy—Methods in villages, towns and cities, septic tanks, dry earth latrines—water closets. Disposal of sewage, disposal of the. deseased, disposal of refuge, incineration.
(e) Sanitation of fairs and festivals.
(f)-•Disinfection—disinfectants, deodorants, anti- septics germicides. Methods of disinfection and sterilisation.
(g) Insects—Insecticides and disinfection—insects
in relation to disease. Insect control.
(h) Protozoa! and helminthic disease,—Life cycle
of protozen and helminths, their prevention.
5. Medical statistics :
Principles and elements -of vital statibtics.
b. Preventive medicine :
(a) General principles of prevention and ccclrol of communicable diseases. Plague, cholera, small pox, diphtheria, leprosy, tuberculosis, malaria, kala-zar, fiiarisis, common viial diseases e.g. common col:l measles, chicken pox, poliomyelitis, infective hepatitis, helminthic infections, enteric fever and dysenteries, also animal diseases transmissible to man. Their description and methods of preventive spread by contact, by droplet infection by environmental vehi- cles, (water, soil, food insects, animals,- founderics etc.) homoeopathic point of view regarding prophylaxis and vaccination.
Natural history of diseases.
7. Maternal and child health, school health services health education, mental hygiene—elementary princi- ples ; school medicine its aim and methods.
8. Family PI;; •..' ~ ^ •, •••:.'.; channels of communication, .* : • • ;' •_, L . ••ling programme, knowledge, attitudes regarding contraceptive prac- tices. Population and growth control.
9. Public health administration and international
health relation.
N.B.—Field demonstration—water purification plant, infectious diseases hospitals etc.
SURGERY INCLUDING HOMOEOPATHIC THERAPEUTICS
Where medicine fails surgery begins. Affection of ej-fernal parts requiring, mechanical tkili propeily belong to surgery; but frequently whsn the injury is to extensive or violent as to evoke dynam>c reaction in the organism, dynamic treatment with remedies is necessary.
Surgery removes the end products of disease ; but pro and post operative treatment is essential U correct the basic dyscrasia and prevent sequelae or compli- cations.
A large number of conditions being . amenable to internal medication in homoeopathy, the scop; of the latter is much ¥/ider and that of surgery is to that extent limited. But as a supplement to medicine, surgery has definite place in homoeopathy and shoifK be taught accordingly.
A. A course of systematic inittrcfiops in the
principles of surgery,
B. During the first three months of. the ciinic?.j period when the students will not be in charge of.beds, they will be given instruc- tions of fundamentals or clinical exf/ninaiion including phy§ic,al signs, the uses of common
54 THE GAZETTE OF INDIA : EXTRAORDINARY [PART I I I — S E C. 4]instruments, asepsis and antisepsis, dressing of wounds etc.
C. Practical instructions in suigical method
including physiotherapy.
D. Practical instructions in minor operative
surgery on the living.
E. Instruction in the following subjects :
(i) Radiology and electrotherapeutics and
their application to surgery.
(iii) Orthopcadics.
(ivj Dental diseases,
(v) Surgical diseases of infancy and childhood.
F. As a matter of convenience, it is .iiiggested that instructions may be given in the follow- ing manner during the two years of clinical course in surgery.
II. B.H.M.S.
1. General:
tree and oesophagus with a knowledge of anatomy, physiology, pathology, treatment and simple operative measures.
J. Ophthalmology :
Clinical examination of the eye—subjective and objective elementary anatomy of the_ eye, Common diseases of the lids, lacrimal apparatus, conjunctivitis, cornea, sclera, iris, cilliary body and lens, glaucoma, orbital cellulities, exophthalmos. , Endophthalmos, Panophthalmitis, common diseases of Ihe retina and the optic nerve, associated with general conditions. Injuries of the eye lids and eye ball. Elementary refraction of the eye. Squint Oph'thalnioseopy, Common operations of the eye and its appendages.
4. Lecture demonstrations on X-ray.
5. Surgical diseases of infancy and childhood.
Note;
1. Throughout the whole period of the study, 1ht attention of the student should be directed by the teachers of this subject 1o the importance of its pre- ventive aspects.
2. 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.
3. Every student shall prepare and submit 20 com- plete case histories, 10 each in the 11 & 111 B.H.M.S classes respectively.
The written papers in Surgery shall be distributed as
follows :—
Paper I
Applied anatomy and applied physiology, general surgical procedure. Inflammation. Infection-non- specific infections, specific infections, suppuration, bacteriology of surgical diseases, immunity, injuries, contusions, wounds, haemorrhage, shock, burns and scalds, tumours and cysts, injuries and diseases of skin and subcutaneous tissues, ulceration and gangrene, diseases of the blood vessels and lymphatic system, injuries of bones, injuries of joints, injuries in" limbs. Injuries of the pelvis, diseases £fnd tumours of bone and curtilage, diseases of joints, clinical manifesta- tions of diseases of individual joints. Deformities of limbs. Amputation. Artificial limbs. Injuries and diseases of nerves, muscles, tendons, bursae.
2. General diseases.
3. Dental Surgery.
4. Lecture demonstrations on bandages and other
surgical appliances.
Ill, B.H.M.S.
1. General:
General Surgery :
Inflammation, specific and non-specific infections, haemorrhage, shock, burns, ulcer and gangrene Tumours and cysts. Injuries and diseases of nervous, muscles, tendons and bursea, diseases of lymph, vascular system including spleen—
Head and neck surgery including surgery of
thyroid, breast and congenital anomalies.
Abdominal surgery including gastrointestinal system Bone and joint surgery. Injuries and diseases of spine.
Deformities of limbs.
Thracic surgery and Homoeopathic therapeutics-
Paper n
Injuries and diseases of the scalp and skull, brain and its membrance, face, lips, mouth, jaws, tongue, salivary glands, neck, thyroid, parathyroid and thymus, breast, chest and thoracic viscera, spine, abdominal parieties and peritoninm, stomach, duodenum, liver, gall bladder and bile ducts, pancreas nnd spleen, intestines rectum and anal canaU Intestinal obstruc- tion, hernia, injuries and diseases of kidney, ureter, bladder, urethra and genitalia. Disease-! of the supra- renal and the autonoinic nervous system,.
2. Otorhinolaryngology (E.N.T.):
Knowledge of the common diseases and accidents of ear, nose and throat including trncheo-bronchial Otorbinolaryngology, general diseases, ophthalmo logy. Dental and Homoeopathic therapeutics ancl scope of surgery in Homoeopathy.
OBSTETRICS GYNAECOLOGY AND TNFANT HYGTENE INCLUDING HOMOEOPATHIC THERAPEUTICS
Homoeopathy adopts the same attitude towards these subjects as it does towards medicine and surgery. But while dealing with obstetrical and gynaecological
55cases, a homoeopathic physicist must be trained- in special clinical methods of investigation for diagnosing local conditions and discriminating cases, there surgical intervention either as a life-saving measure for removing mechanical obstacles is necessary.
The best time to eradicate familial dyscrasias in a woman or to purify the foetus of such dyscrasias which it may inherit during preguaucy ; and this should fa specially stressed.
Students should also be instructed in the case of
the new-born. The fact that the mother and child' from a single biological unil and that this peculiar close psychological relationship persists for at leasl the first two years of the child's life should be particularly emphasised.
A course of systematic instructions in the principles and practice of obstetrics and gynaecology and infant hygiene, including the applied anatomy and physiology of pregnancy and labour.
IT B.H.M.S. Course
Obstetrics.—Applied anatomy, development of the ovum. The foetus and appendages, pregnancy- normal pregnancy, prenatal care, introduction to abnormal pregnancy. Labour-normal, introduction to abnormal labour. Pucrpurium ; normal puerperium ; Post-natal care.
Gynaecology.—Applied anatomy and physiolosy, gynaecological examination. Developmental anomalies of the female generative organs ; sex-hormones nud disorders of function, menstrual anomalies; displace- ment.
Infant Hygiene.—Ca-ro of the new-born.
TTI. B.H.M.S. Course
Obstetrics.—Pregnancy-abnormal pregnancy, abor- tions, molar pregnancy, extra-uterine pregnancy disease of placenta and membrane;, toxaemia of pregnancy. Antepartum haemorrhage. Disorders-of genital tract retroversion, pvoplapse, tumours etc. Multiple pregnan- cies. Protracted gestation. Common disorders associa- ted with pregnancy, labour, abnormal presentation and position, twins, prolapse of the cord and limbs. Abnormalities in the action of the uterus. Abnormal conditions of the sofe parts. Contracted pelvis. Obstructed labour. Complications of the third stage of labour. Injuries of birth canal. Common obstetrical operation. Pucpcrium, abnormal puerperium. Infec- tion, Other common disorders
Gynaecology—Inflammation. ulceraticn and trau- matic Jesions of the female genital organs. New growth, common gynaecological opeiatiors and radio- therapy.
teachers of this subject to the importance of its pre- ventive aspects.
2, Instructions in this branch er medicine should be directed to the attainment of sufficient knowledge to ensure, familiarity wilh the common conditions, their recognition and treatment,
3, Every student shall prepare and subnm 20 com- plete case histories, 10 each in ttu 11 and 111 B.H.M.S. classes respectively.
The written papers in Obstetrics and Gynaecology
shall be distributed as fellow.-; .- —
Paper I.—Obstetrics new boin, infant hygiene
homoeopathic therapeutics.
Paper II.—Gynaecology and Homoeopathic
therapeutics,
MEDICINE INCLUDING HOMOEOPATHIC THERAl-HUTTCS
Homoeopathy has a distinct approach to disease. It recognises diseases neither by its prominent symp- toms nor by those of uny organ or part of the body. It treats the patient as u whole and the totality of the symptoms exhibited by him represents his disease. Merely the name of the condition from which he suffers most is thus of no significance to a homoeopath.
The basic principles of homoeopathy that it treats the patient aud not his disease should be constantly impressed in the minds of the students, and it is only when this approach is firmly inculcate I in them that they will be true homoeopaths.
Medicine is essentially a practical science and can be more learnt at the bed-side than in a class room. Care should therefore be taken to impart an intensive clinical training to the students during the later part of their study in the college.
A. A course of systematic instructions in the
principles and practice of medicine.
B. During the first three months of the clinical period when the students will not be in charge of beds they will be given instructions on elementary methods of clinical examina- tion including physical ,signs, the use of the common instruments like stethoscope, ophthalmoscope, etc.
C, Instruction in Homoeopathic therapeutics
and prescribing.
D, As a matter of convenience, it is suggested that instructions may be given in the follow- ing manner during the II, III and TV B.H.M.S. classes in medicine.
II B.H.M.S.
Infant Hygiene.—Breast feeding—artificial feeding. Management of prematurity, asphyxia, birth injuries and common disorders of the new-born.
Note :
1, Uiroughout 1he wholo period oi" the study the attention of the student should be directed by the Applied Anatomy and Applied physiology.
Diseases of the respiratory system.
Diseases of the digestive system find peritoneum.
Diseases of matabolism and deficiency diseases.
Diseases of blood, spleen ^jjd lymph glands.
56 TIIC GAZETrri OV INDIA: EXTRAORDINARY [PART III—Sue. 41Pulmonary tuberculosis.
Diwidcrs cJ L-nOncrinc system.
Applied niaioiia mi diLa/rior.-tu'.'Opatliii; thera-
peutics.
IH & IV B.H.M.S.
J.'ifections diseases:
Diseases of the eardio vascular system.
Diseases of llic genito-ui'iuary system.
Diseases of the locomotor system.
Diseases of skin including leprosy.
Psychological medicine.
Tropical diseases.
Diseases of infants and children.,
Applied material mcdica/h.oiTi'~""''">patbii.- thera-
peutics.
N'ofc :
1. 'TTuwugbuut t!,j. whole period of the study the attention of the student should be. directed by tlie teachers ol" this subject to the importance ot its preventive aspects.
2. Instructions in these branches of medicine should be direded to the attainment of sufficient knowledge to cnMire familiarity with the common conditions, their recognition and treatment.
3. Every student shall prepare and submit 20 com- plete case histories, JO each in JI and IV B.H.M.S, classes.
The written papers in Medicine shall be distributed
as follows:—
Paper I:
Infectious diseases, Disorders of endocrine system, diseases of matabolism and deficiency diseases. Diseases ol' the digestive system and perintoneum. Diseases of respiratory system, diseases of blood, spleen and lymph glands and tropical diseases. Homoeopathic Therapeutics,
Paper I I;
Diseases of Jocomotor system, diseases of cardio- vascular system, diseases of uriuo-genitai system, diseases of children, diseases of nervous system, psychological medicine, common skin diseases, Homoeopathic therapeutics.
HOMOEOPATHIC REPERTORY
Homoeopathic materia medica is an r;iicvclopcui;i of .symptoms. No mind can mcmoiiso all the symp- toms, ol all the drug together with their characteristic gradation. The repertory is an indf11, a catalogue of the symptoms of the materia medico, neatly arranged in a practical form, and also indi'-Mtirni thi. relative gradation of drugs, and it greatly fueiliiates quick selection of the indicated remedy. It is impossible to practice homoeopathy without the aid of repertories and the beit repertory is the fullest. Homoeopathic materia medica and repertory are thus like twins.
It is possible to obtain the needed correspondence between drucs and disease conditions in a variety of ways and degrees and there are therefore diflfcrenl types of repertories, each with its own distinctive advantages in finding the similimum.
Case, taking:
Difficulties o!i taking a chronic case. Recording of
cases and usefulness of record keeping.
Totality of symptoms. Prescribing symptoms; uncommon peculiar and characteristic symptoms. General and particular symptoms. Eliminating symp- tomst Analysis of the case uncommon and common symptoms. Gradation and evaluation of symptoms. Importance of mental symptoms. Kinds of sources of general symptoms. Concomitant symptoms.
1. History of repertories.
2. Types of repertories.
3. Demonstration of 3 cases worked on Bochnin- ghausen.
4. Kent's repertory—advanced study with case demonstration.
5. Boger's Buenninghausen repertory—his contribu- tion to repertory.
6. Card repertory with demonstration of 5 caies, and advantages of Card repertories. Theoretical lectures with demonstrations.
PRACTICAL
Student are to repertories :
(i) 15 short cases on Kent,
(ii) 10 chronic (long cases on Kent),
(iii) 5 cases to be cross checked.
57PART VI
Examination
FIRST B.H.M.S. EXAMINATION
7. Admission to examination, scheme of examina- tion, etc.—(i) Any undergraduate may be admitted to the First B.H.M.S. examination provided that he has
Subjects
*lntroduction including
Materia Medical & Homoeopathic Philosophy Anatomy Physiology including Biochemistry Homoeopathic Pharmacy
^Students should be given introductory lectures on history of medicine in general with special reference to the emergence of Homoeopathy, contribution made by Hahncmann to medicine in general life of Hahne- mann, the history of the development of Homoeopathy in India, various schools of thought in Homoeopathy and their critical eyaluation, comparative study of fundamentals of various systems of medicine, introduc- tion of basic medical science like Anatomy, Physiology, Pathology etc. their inter-relationship and relevance to the clinical subjects, importance of biochemistry and pathology in homoeopathic practice (as an illus- tration, a little exposure to the clinical materials) the outlines of homoeopathic philosophy, study of man as a whole both in health and disease, introduction to the philosophy of materia medica and its study with illustration by a few drug-pictures of importance commonly used drugs, integrated approach towards the medical, surgical and gynaecological diseases, acquaintance with pharmacological action of some of the commonly used modern drugs so as to give them idea about the introgenic disease caused by thoso modern drugs, an introduction to biostatistics, a brief study of logic, psychology and psychiatry, the role of a physician in the changing society, national health and fam"ly welfare -needs and programmes of the country.
Greater emphasis should be laid on teaching of Homoeopathic Materia Medica with the help of drug pictures of important drugs and on the Homoeopathic Philosophy.
The First B.H.M.S. examination shall be held at
182 GI/83—8
regularly attended the following courses of instructions in the subjects of the examination, theoretical and practical for not less than one and half years at a Homoeopathic College to the satisfaction of the head of such College.
The Courses of minimum number of lectures, ilemonstrations/practical/clinical classes/seminars etc. in the subjects shall be as shown below : —
Thoorelical Number of lectures/ Demonstrations/ practical /tutorial classes.
50 Hrs.
250 Hrs.
150 1 *100 ^
450 Hrs. 400 Hrs. 100 Hrs.
200 Hrs. 250 Hrs. 50 Hrs.
the end of 18 months of First B.H.M.S. Course.
(ii) The examination shall be written, oral and
practical.
(a) The examination in Homoeopathic pharmacy shall consist of one theoretical paper, one practical examination and one oral examina- tion.
(b) The examination in anatomy shall consist of two theoretical papers, one practical exermi- nation and one oral examination.
(c) The examination in physiology shall consist of two theoretical papers, one practical examination and one oral examination.
(d) The examination in Materia Medica and Homoeopathic Philosophy shall consist of one theoretical paper and one oral exami- nation.
Three hours shall be allowed for each theoretical
paper in each subject.
(iii) A candidate securing 75% or above marks in any of the subjects shall be declared to receive honours in that subject provided he has passed the examina- tion in the first attempt.
(iv) In order to pass the first B.H.M.S. Examination a. candidate must pass in all subjects of the examina- tion.
(v) Pass marks m all subjects both homoeopathic and allied medical subjects shall be 50% in each part (written, oral and practical).
(vi) Full marks for each subject and the minimum number of marks required for passing arc as follows:—
58 THE GAZETTE OV INDIA ; EXTRAORDINARY [PART III—SEC. 4]Subjects
Written
Full Marks Oral
Practical
Total
Pass Marks.
100 200 200 100
50 100 100 50 Pharmacy Anatomy Physiology & Biochemistry Materia Medical & Homoeopathic Philosophy (20 Polychrest drugs will be expected from Appendix I. In Organon Aphorism 1—145)
SECOND B.H.M.S. EXAMINATION
8. (i) No candidate shall be admitted to the
II B.H.M.S. examination unless :—
(a) He has passed the First B.H.M.S, examina-
tion at least one year previously; and
(b) has regularly attended the following courses of instructions, theoretical and practical in
Subjects
Pathology, bacteriology and parasitology
Full Marks
Pass Marks
Full Marks
Pass Marks
FuH Marks
Pass Marks
50 JOO 100
25 50 50
50 100 100 50
25 50 50 25
200 400 400 200
100 200 200 100
the subjects of tho examination over a period of at least one year in a recognised Homoeopathic College subsequent to his passing the First B.H.M.S. examination to the satisfaction of the head of the College.
(ii) Courses of the minimum number of lectures, demonstrations and practical/clinical classes m the subjects shall be shown as below :—
Theoretical
Practical/clinical/ tutorial classes
1 5Q
50 20
too
70 inn
Forensic medicine & Toxicology 50 ^u "4 •" . f 1 * • / " i ll -i "rijT 1 ' - l it •• Social and preventive medicine (including health education and family medicine) 150 $Q Materia Medica 125 Organon and Homoeopathic Philosophy
(in) The Second B.H.M.S. Examination shall be
held at the end of 2i years of B.H.M.S. Course.
(v) The examination in pathology, bacteriology
and parasitology shall consist of one theoretical paper, one practical examination and one oral examination including questions of microscope and microscopic specimens.
(vi) The examination in social and preventive medicine including health education and family medi- cine shall consist of one theoretical paper, one oral examination and one spotting and identification of specimens.
(vii) The examination in forensic medicine and toxicology shall consist of one theoretical paper one oral examination and one identification and spott- ing of specimens.
Written Subject
Full Marks
Pass Marks
100 100 100
50 50 50 Pathology Forensic Medicine & Toxicology Social and Preventive Medicine (including
education and family medicine)
Materia Medica Organon & Homoeopathic Philosophy
100 100
50 50 (viii) The examination in Homoeopathic Materia Medica shall consist of one theoretical paper, one practical and one oral examination.
(hi) The examination in organon shall consist of one theoretical paper, one oral and practical examina- tion.
(x) Th" candidate securing 75 per cent or above marks in any of the subjects shall bo declared to receive honours in that subject provided IK lins passed the examination in the first attempt.
(xi) In order to pass the Second B.H.M.S. examina- tion, a candidate shall have passed in all subjects cr the examination.
(xii) Pass marks in all subjects, Homoeopathic and allied medical subjects shall be 50% in each part (written, oral and practical).
(xiii) Full marks for such subjects and the mini- mum number of marks required for passing are as follows:—
Oral
Practical
Total
Full Marks
Pass Marks
Full Marks
Pass Marks
Full Marks
Pass Marks
50 50
50 50 50
25 25 25
50
25 25 25
200 200 200
100 100 100
25
25
50 50
50 50
25 25
200 200
100 100
59THIRD B.H.M.S. EXAMINATION
9. (i) No candidate shall be admitted to the Third
B.H.M.S. examination unless :
(a) he has passed the Second B.H.M.S. exami- nation at least pn& year previously; and
(b) has regularly attended the following courses of instructions, theoretical and practical in
i Subjects
1.
the subjects of examination over a period of at least two years in a. Homoeopathic College subsequent to his passing the First B.H.M.S'. examination to the satisfaction of the head of the College.
(ii) The Courses of minimum number of lectures, demonstrations and practical/clinical classes in the subjects shall be as shown below :—
1 hcoietical
Practical/clinical/tutorial
classes
Surgery, including E.N.T., Bye, Dental and Homoeopathic Therapeutics
2.
200 (iii two years)
200
Obstetrics and Gynaecology, infant hygiene and Homooo. therapeutics
3. Materia Medica
4. Organon of Philosophy
(iii) The Third B.H.M.S. examination shall be held
at the end of 31 years of B.H.M.S. course.
(iv) The examination shall be written, oral, practical and/or clinical as provided hereinafter, three hours being allowed for each paper.
(v) The examination in surgery shall consist of two theoretical paper?;, one oral examination and one clinical examination not less than one hour being allowed to each candidate for the examination of and report on his cases with special reference to the scope of Homoeopathic therapeutics vis-a-vis the necessity of surgical treatment in the particular case.
(vi) A practical examination in which questions on the use of surgical instruments and other appliances shall form special pait.
(vii) The examination in obstetrics, gynaecology and infant hygiene including diseases of new-born shall consist of two theoretical papers, one oral examination including questions on pathological specimens, models and X-ray films including questidn on instruments and appliances and one clinical exami- nation of not less than one hour being allowed to the candidate for the examination and report on his cases (one obstetric and gynaecological case) with special reference to both nosologicaf and therapeutic diagnosis from Homoeopathic point of view.
Subject
Written
150^-Two terms of 3 months each in sur- gical ward & OPD. 150—Two terms of 3~mon-
(in two years)
ths homoeopathic therapeutics each ia Obs. and Oyn. ward and OPD.
75
100
200 (in two years) 250 (in two years)
(viii) The examination in Materia Medica shall con- sist of one theoretical paper, one oral examination and one bedside practical examination of 2 short cases not less than half an hour being allowed for exami- nations of and report on each case.
(ix) The examination in organon shall consist of two theoretical papers, one oral examination and one bed-side practical examination of one long case in the application of the tenets of the organon in case taking evaluation of symptoms and guidelines of treatment not less than 2 hours being allowed for examinations of an report of each case.
(AJ) A candidate securing 75 pei1 cent or above marks in any of the subjects shall be declared to receive honours in that subject provided he has passed the examination in first attempt.
(xi) In order to pass Third B.H.M.S. examination a candidate shall have passed in all subjects of the examination.
(xii) Pass marks in all subjects both homoeopathic and allied medical subjects shall be 50% in - each part (written, oral and practical).
(xiii) Full marks for each subject and minimum number of marks required for passing arc as follows :—
Oral
Practical
Total
Pass Marks
Full Marks
Surgery Obstetric & Gynaecology Organon and Homoeopathic Philosophy JS-ateria Medica
200 200 200 100 Full Marks
Full Marks
Pass Marks
Full Marks Pass Marks
Pass Marks
50 50 50 50
100 100 100 100
50 50 50 50
400 400 400 300
100 100 100 50 100 100 100 100
200 200 200 150
60 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC 4]FOURTH B.H.M.S. EXAMINATION
JO. (i) No candidate shall be admitted to the
Fourth B.H.M.S. examination unless :—
(a) he has passed the Third B.H.M.S. exami- nation at least one year previously; and
(b) has regularly attended the following courses of instructions, theoretical and practical in
Subjects
1. Practice of medicine
2
3.
Children diseases Mental diseases and Skin diseases including homoeopathic therapeutics Homoeopathic Maleriu Mcdica Repertory
(iii) The Fourth B.H.M.S1. examination shall be
held at the end of 4* years of B.H.M.S. Course.
(iv> The examination shall be written, oral, practical or clinical as provided hereinafter, three hours being allowed for each paper.
(v) The examination in medicine, (including children, mental and skin) shall consist of two papers, one oral examination and one bed-side practical examination in case taking of two short cases with a view to determining both nosological and therapeutic diagnosis from the Homoeopathic point of view. Time allotted shall be half an hour for each case.
(vi) The examination in Materia Medica shall consist of two theoretical papers, one oral examination and one bed-side practical examination, not less than two hours being allowed for examination and report on his case.
Subject
Written the subject of the examination over a period of at least three years in a recognised Homoeopathic College subsequent to his passing the First B.H.M.S. examination to the satisfaction of the head of the College.
(ii) Courses of the minimum number of lectures, demonstrations and practical/clinical classes in the subjects shall be as shown below :—
Practical/clinical/tutorial Theoretical
classes
250
(iu 3 yrs.)
40 40 20
400 (3 terms of 3 months each in homoeopathic ward & OPD including child- ren mental and skin, diseases deptts.)
200
125
(in one yr.)
150
100 (in 3 yrs.)
(vii) The examination in Repertory shall consist of one theoretical paper, on© oral examination and one practical examination in two cases of repertorial work. Time allotted shall be half an hour for each case.
(viii) A candidate securing 75 per cent or above marks in any of the subjects shall be declared to re- ceive honours in that subject provided he has passed the examination in first attempt.
(ix) In order to pass Third B.H.M.S. examination a candidate shall have passed in all subjects of the examination.
(x) Pass marks in all subjects, both homoeopathic and allied medical subjects shall be 50 per cent in each subject,
(xi) Full marks for each subject and minimum num-
ber of marks required, for passing are as follows :—
Practical
Total Oral
Pass
Pass Marks
Full Marks
Medicine Homoeopathic Materia Medica Repertory
200 200 100
Full Marks
Pass Marks Full Marks
Pass Marks
Marks
Full Marks
100 100 50
11. Results and readmission to examination.—(i) Every candidate for admission to an examination shall 21 days before the date fixed for the commencement of the examination send to the authority concerned his application in the prescribed form alongwith the examination fee.
(ii) As soon as possible after the examination the examining body shall publish a list of successful candi- dates arranged in the following manner :—
(w) the names and roll numbers of the first ten
candidates in order of merit, and 100 100 50
400 400 200
200 200 100 50 50 25
100 100 50
50 50 25
(b) the roll numbers of others arranged serially.
(iii) Every candidate on passing shall receive a certificate in the form prescribed by the examining body concerned.
(iv) A candidate who appears at the examination but fails to pass in a subject or subjects may be admit- ted to a supplementary examination in the subject or subjects of that part of the examination in which he has failed after six weeks from the publication of result of the first examination on payment of the prcs-
61cribed fee alongwith an application in the prescribed form.
(v) H a candidate obtains pass marks in the subject or subjects at the supplementary examination he shall be declared to have passed at the examination as a whole.
(vi) If such a candidate fails to pass in the subject or subjects at the supplementary examination he may appear in that subject or subjects again at the next annual examination on production of a certificate (in addition to the certificate required under the regula- tions) to the effect that he had attended, to the satis- faction of the Principal, a further course of study dur- ing the next academic year in the subject or subjects in which he had failed, provided that all the parts of the examination shall be completed within four chances (including the supplementary one) from the date when the complete examination came into force for the first time.
(vii) If a candidate fails to pass in all the subjects within the prescribed fonr chances, he shall be required to prosecute a further course of study in all the sub- jects 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 the TV B.H.M.S. examination has only one subject to pass at the end of prescribed chances, he shall be allowed to appear at the next examination in that particular subject and shall complete the examination with this special chance.
(viii) All examinations shall ordinarily be held on such dates, time and places as the examining body may determine.
(ixi) The examining body may, under exceptional circumstances, partially or wholly cancel any exami- nation 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.
12. Examiners.—(i) No person other than the folder of a Diploma obtained after 4 years of study or a Degree in Hompeopathy or a person possessing qualification included in the Third Schedule shall be appointed as an internal or external examiner or paper- setter for the conduct of a professional examination for the B.H.M.S. (Degree) any course.
Provided that—
(a) no such .person shall be appointed as an internal examiner unless ho has at least three years' teaching experience in the subject;
(b) no jperson below the rank of Reader/Assis- tant Professor in the subject of a Degree level institution shall be appointed as an internal examiner;
(c) no person shall be appointed as an external examiner in any allied medical subject unless
182IGI/83—9
he possesses a recognised medical qualifica- tion as required for appointment to a relative teaching post in accordance with Annexure B, of the Homoeopathy (Minimum standard of Education) Regulation, 1983 ;
(d) external examiners shall be appointed only ' from the teaching staff of recognised Homoeo- pathic College- and Colleges of Modern Medicine;
(e) not more than one-third of the total number of external examiners shall be from amongst practitioners in Homoeopathy or Modern Medicine who, in the opinion of the examin- ing body are practitioners of repute and' who have obtained a Homoeopathic qualification or a medical qualification recognised under the Indian Medical Council Act, 1956;
(f) persons in Government employment may also be considered for appointment as external examiners provided they possess a medical qualification as specified in sub-regulation (e) above;
(g) a paper-setter may be appointed as an inter-
nal or external examiner.
(ii) The examining body may appoint a single moderator or moderators not exceeding three in num- ber for the purpose of moderating question papers.
(iii) Oral and practical examinations shall as a rule be conducted by the respective internal and external examiners with mutual co-operation. They shall each have 50 per cent of the maximum marks out of which they shall allot marks to the candidates appearing at the examination according to their performance and the marks-sheet so prepared shall be signed by both the examiners.. Either of the examiners shall have the right to prepare sign and send mark-sheets separately to the examining body together with his comments. The examining body shall take due note of such commeuts but it shall declare results on the basis of the marks- sheets.
(iv) Every Homoeopathic College shall provide all facilities to the internal and external examiners for the conduct of examinations, and the internal exami- ners shall make all preparations for holding the exami- nations.
(v) The external examiner shall have the right to communicate to the examining ,body his views and observations about any shortcomings or deficiencies in the facilities provided by the Homoeopathic College.
(vi) He shall also submit a cogy of his communi- cation to the Central Council for such action as the Central Council may consider fit.
Dr. P. L. VERMA, Secy.
Central Council of Homoeopathy.