CENTRAL COUNCIL OF INDIAN MEDICINE
SIDDHA MARUTHUVA PERARINGNAR (M.D. (SIDDHA) COURSE
SYLLABUS FOR PURA MARUTHUVAM (EXTERNAL THERAPY) SPECIALITY
[UNDER THE INDIAN MEDICINE CENTRAL COUNCIL (POST GRADUATE SIDDHA EDUCATION)
REGULATIONS, 2016.]
GOAL:
The goal of MD Pura Maruthuvam shall be establishing the External therapies of Siddha
System of medicine for treating various diseases affecting mankind and to getting global
acceptance in the healthcare delivery system.
OBJECTIVES:
To teach the importance of external therapeutic procedures for the betterment of the
patients those undergoing treatment for various conditions along with internal
medicines.
To make aware of the contemporary and developments in External therapies to the
Siddha students and graduates.
To make the students for acquiring the advanced skills through teaching external
therapies in the treatment of various ailments.
To create potent resources for the teaching of 32 external therapies and other special
therapies of Siddha System of Medicine.
Developing professional and academic knowledge of external therapeutic expertise in
academic arena, clinical practice and research aspects.
Scientific study of external therapies and also along with internal medicines in treating
various ailments.
Providing World class hands on training and practice in 32 types of external therapies.
To document the clinical practice of external therapies in line of global scientific research
and global acceptance.
To equip a graduate with the capacity for independent practice and application of
external therapies for treating various ailments.
To establish and develop the pharmacopeia and various Siddha external therapies and
medications.
Establishing the standard operative procedure (SOP) for external therapies of Siddha
System of Medicine for treating many chronic conditions for a uniform care across the
country and global level.
Implementation of role and importance of external therapies in National Health
Programmes.
Establishing the selective external therapy procedures as a preventive and treatment tool
for Non-communicable diseases (NCD).
Documentation of External therapies for the evidence based medical science.
CCIM MD Siddha - Pura Maruthuvam Syllabus Page 1 of 23
FIRST YEAR (Preliminary Examination)
S. SUBJECT THEORY PRACTICAL/CLINICAL VIVA TOTAL
NO MARKS
1. PAPER –I Research 100 Minor Project -100 -- 200
Methodology and Bio - (Submission of report -60
Medical Statistics marks,
Publication/Presentation-
20 marks, Oral-20 Marks)
2. PAPER –II Basic
Principles of Siddha 100 50 150
Adopted in Pura --
Maruthuvam and Clinical
surgery
SECOND YEAR
Essential: Obtain CME credit points through,
Seminars/Workshops/Conferences(National/International)
Desirable: Publication/ Visits or internship at Industry / Lab / Research
institute /other AYUSH Institutions/ Journal club/ Teaching under
graduate students
THIRD YEAR (Final Examination)
S. SUBJECT THEORY PRACTICAL/CLINICAL VIVA TOTAL
NO MARKS
1. PAPER –I Aruvai, Agni 100 100(Clinical 70+Oral 30) 50 250
and Kaaram-Invasive and
Non Invasive Procedures
2. PAPER –II Thokkanam 100 100(Clinical 70+Oral 30) 50 250
and Physical Medicine
3. PAPER –III Preparation 100 100(Practical 70+Oral 50 250
and Applications of 30)
Puramarunthukal
4. PAPER –IV Essentials in 100 100(Clinical 70+Oral 30) 50 250
Orthopaedics and
Traumatology
Dissertation: Maximum marks will be 100 and Minimum marks for passing will be fifty
percent.
CCIM MD Siddha - Pura Maruthuvam Syllabus Page 2 of 23
FIRST YEAR
PAPER- I RESEARCH METHODOLOGY AND BIO-MEDICAL STATISTICS
CLINICAL RESEARCH METHODS UNIT-I
• Measures of disease frequency
• Measures of association/impact in clinical research
• Measurement errors in clinical research
• Validity in clinical research
• Bias in clinical research
• Descriptive bio-statistics
• Inferential bio-statistics
• Formulating research question
• Descriptive studies
• Analytical studies
• Pre-clinical studies
• Experimental studies
• Sampling and sample size estimation
• Survival analysis
CLINICAL RESEARCH METHODS UNIT-II
• Bio-medical literature search / Organization of Literature search (Zoteroetc)
• Developing data collection instruments/Case Record Form (CRF)
• Developing analysis plan
• Use of statistical software for data analysis
• Writing protocol: Principles and Guidelines
• Ethics in clinical research (Siddha, International/National)
• Scientific writing/ Writing the Dissertation (Including University Guidelines)
• Scientific presentation (oral/visual/poster)
• Case report writing / presentation
• Journal critique
• Writing research grants
• Comparative study of traditional medical systems (specifically Chinese, Ayurveda,
Homeopathy, Unani)
• Mentorship
• Pedagogic methods
CLINICAL RESEARCH METHODS UNIT-III
• Introduction to National health programmes/health system including AYUSH
• Indian health/medical research systems/bodies including AYUSH ICMR, CCRAS,
CCRS, Clinical Trials Registry of India etc
• Orientation to National clinical research guidelines/regulatory bodies
CDSCO/DCGI/NABH/QCI Indian GCP for ASU
CCIM MD Siddha - Pura Maruthuvam Syllabus Page 3 of 23
• Drug standardization as per Pharmacopoeial Laboratory for Indian Medicine
(PLIM)
• International guidelines ICH-GCP; WHO guidelines for traditional medicine;
WHO/OECD guidelines for animal studies
CLINICAL RESEARCH METHODS UNIT-IV (MINOR PROJECT)
• Cross-sectional study (Hospital-based)
• Patients; Care-takers; Physicians
• Cross-sectional study (Community-based)
• Local traditional health traditions, including traditional bone-setting
• Community (including tribal populations)
• Studies using qualitative research methods
• Clinical epidemiological studies (Hospital-based)
• Secondary data analysis of clinical data with report
• Case report/Case-series writing
• Systematic review
• Literary research
• Comparative study of traditional medical systems
• Report on visit to industry / entrepreneurship ideas
Publication of any of the above work will get 20 marks
References:
Name of the book, Language, Publishers & Year Author
S.No. of publication
1 Health research methodology: A Guide for Training World Health Organization
in Research Methods, (English), Second Edition,
World Health Organization, Manila, 2001
2 General Guidelines for Methodologies on Research World Health Organization
and Evaluation of Traditional Medicine, (English),
First Edition, World Health Organization, 2000
3 Designing clinical research. (English), Third Edition, Hulley SB, Cummings SR,
Philadelphia: Lippincott Williams and Wilkins; 2013 Browner SR, Grady D,
Newman TB
4 Biostatistics – Principles and Practice, (English), B Antonisamy, Solomon
Elsevier, 2017 Christopher, Prasanna
Samuel
CCIM MD Siddha - Pura Maruthuvam Syllabus Page 4 of 23
PAPER-II BASIC PRINCIPLES OF SIDDHA ADOPTED IN PURAMARUTHUVAM AND
CLINICAL SURGERY
1. Definition for Pura Maruthuvam
2. Synonyms of Pura Maruthuvam
3. Importance of Pura Maruthuvam
4. Udallkoorgal and Udalthathuvam related with Pura Maruthuvam
5. Siddha pathology
6. Nadiyum Noikanippum and other diagnostic methods in siddha
7. Type of Pura Maruthuvam
Aruvai (Surgical)
Invasive
Non-Invasive
Others.
Siddha basic principles - Five element theory - Three vital humours - Seven physical
constituents - Naadi - Siddha pathology - Siddha way of diagnosis - Treatment in Siddha
medicine - Prevention of diseases - Life style mentioned in Siddha literatures - External
therapies - Selection of patients for external therapies - Types of external therapies -
Instruments used in external therapies - Pre requisite for external therapies - Diseases meant
for external therapies - Medicines used in various external therapies.
CLINICAL SURGERY:
1. Surgical principles
2. General scheme of case taking
3. Special symptoms and sign
4. Lump or swelling
a. Examination
b. Investigation
c. Differential diagnosis
5. Ulcer
a. Examination
b. Investigation
c. Differential diagnosis
6. Sinus and fistula
a. Examination
b. Investigation
c. Differential diagnosis
7. Peripheral vascular diseases and gangrene
a. Examination
b. Investigation
c. Differential diagnosis
CCIM MD Siddha - Pura Maruthuvam Syllabus Page 5 of 23
8. Varicose vein
a. Examination
b. Investigation
c. Differential diagnosis
9. The lymphatic system
a. Examination
b. Investigation
c. Differential diagnosis
10. Peripheral nerve lesion
a. Examination
b. Investigation
c. Differential diagnosis
11. Diseases of muscle, tendon, and fasciae
a. Examination
b. Investigation
c. Differential diagnosis
12. Diseases of bone
a. Examination
b. Investigation
c. Differential diagnosis
13. Bone and joint injury
a. Examination
b. Investigation
c. Differential diagnosis
14. Head injury
a. Examination
b. Investigation
c. Differential diagnosis
15. Intracranial space occupying lesion
a. Examination
b. Investigation
c. Differential diagnosis
16. Spinal injury
a. Examination
b. Investigation
c. Differential diagnosis
17. Spinal abnormalities
a. Examination
b. Investigation
CCIM MD Siddha - Pura Maruthuvam Syllabus Page 6 of 23
c. Differential diagnosis
18. Diseases and injury of hand
a. Examination
b. Investigation
c. Differential diagnosis
19. Diseases and injury of foot
a. Examination
b. Investigation
c. Differential diagnosis
20. Diseases and injury of head and face
a. Examination
b. Investigation
c. Differential diagnosis
21. Diseases and injury of jaws and temporo mandipular joints
a. Examination
b. Investigation
c. Differential diagnosis
22. Diseases of palate, tongue, cheek and floor of mouth
a. Examination
b. Investigation
c. Differential diagnosis
23. Diseases of salivary glands
a. Examination
b. Investigation
c. Differential diagnosis
24. Diseases of neck
a. Examination
b. Investigation
c. Differential diagnosis
25. Disorder of thyroid gland
26. Injuries of chest
a. Examination
b. Investigation
c. Differential diagnosis
27. Diseases of chest
a. Examination
b. Investigation
c. Differential diagnosis
CCIM MD Siddha - Pura Maruthuvam Syllabus Page 7 of 23
28. Diseases of breast
a. Examination
b. Investigation
c. Differential diagnosis
29. Abdominal injuries
a. Examination
b. Investigation
c. Differential diagnosis
30. Acute abdomen
a. Examination
b. Investigation
c. Differential diagnosis
31. Chronic abdominal condition
a. Examination
b. Investigation
c. Differential diagnosis
32. Abdominal lump
a. Examination
b. Investigation
c. Differential diagnosis
33. Rectal diseases
a. Examination
b. Investigation
c. Differential diagnosis
34. Urinary disorders
a. Examination
b. Investigation
c. Differential diagnosis
d. Hernia and other swelling in inguinal scrotal region
e. Examination
f. Investigation
g. Differential diagnosis
35. External genitalia diseases
a. Examination
b. Investigation
c. Differential diagnosis
CCIM MD Siddha - Pura Maruthuvam Syllabus Page 8 of 23
References:
S.N Name of the book, language, publisher, year Author
o
1. Siddha Maruthuvanga Churukkam, (Tamil), Dr. Ka. Su.Uthamarayan
Department of Indian Medicine and Homoeopathy -
Chennai.
2. Siddhar Aruvai Maruthuvam, (Tamil),Indian Medicine Dr. Ka. Su.Uthamarayan
and Homeopathy Thurai, (2005)
3. Siddha Maruthuva Noinaadal Noimudhal Naadal Dr. M.Shanmugavelu HPIM
(Part-II), (Tamil), Siddha MaruthuvaVariyaVeliyeedu
, (1987).
4. NoiIlla Neri, (Tamil), Department of Indian Medicine Dr. K. Durairasan H. P. I .M
and Homoeopathy, Chennai-106, (2004)
5. Thotrakirama Araichiyum Siddhamaruthuva Dr. Ka. Su.Uthamaraayan
Varalaarum, (Tamil), Department of Indian Medicine H.B.I.M.
and Homeopathy, (2003 )
6. A Complete Manual on Siddha External Dr.G.Senthilvel.,M.D(S),Ph.D
Therapies,ShanlaxPublications,Maudurai,Tamilnadu,2 Dr.J.Jeyavenkatesh.,M.D(S),Ph
017 .D
7. Therantharu, (Tamil), Siddha Maruthuv Aaraichi --
Nilayam-chennai 17, (1997).
8. Therankarisalai-300, (Tamil), Govt Siddha medical --
college.
9. Theraiyaryamagavenba, (Tamil), Indian Medicine and --
Homeopathy Thurai- Chennai 106, (2003).
10. Udalkoorugal,(Tamil), Indian Medicine and Dr.R.Thiagarajan H.I.M
Homeopathy Thurai
11. Udalthathuvam, (Tamil), Department of Indian Dr.P.M. Venugopal H.B.I.M.
Medicine and Homeopathy
12. External Therapies of Siddha Medicine Dr. T. Thirunaraynan,
Dr. R. Sudha
13. Manual of Clinical Surgery, (English),old mayors court S.Das.
14. Oxford hand Book of Clinical Surgery, Greg Mclatchie
(English),(English), oxford university press
15. Essential surgery, (English), Churchill Livingstone Clive R.R. Quick
16. Anatomy of general surgical operation, (English), Glyn G.Jamieson
elsvier health science
17. short practice of surgery, (English)Edward Arnold lid. Bailey & Loves’s
18. Basic surgical techniques, (English),6thed R.M..Kirk
19. Principle and practice of surgery, (English), Churchill O James Garden
livingstone
CCIM MD Siddha - Pura Maruthuvam Syllabus Page 9 of 23
THIRD YEAR
PAPER-I ARUVAI, AGNI AND KAARAM - INVASIVE AND NON INVASIVE PROCEDURES
ARUVAI (EXCISION)
Definition
Materials and Methods
Preparation of Application
Literature Evidence
Therapeutic procedures for varies disease
OOTHAL (BLOWING)
Definition
Materials and Methods
Preparation of application
Literature evidence
Therapeutic procedures for various diseases
VARTHI VAITHAL (MEDICATED WICK)
Definition
Materials and Methods
Preparation of application
Literature evidence
Therapeutic procedures for various diseases
KEERAL (INCISION)
Definition
Materials and Methods
Preparation of application
Literature evidence
Therapeutic procedures for various diseases
ATTAI VIDAL (LEECH THERAPY)
Definition
Materials and Methods
Preparation of application
Literature evidence
Therapeutic procedures for various diseases
KURUTHI VANGAL (VENESUCTION)
Definition
Materials and Methods
Preparation of application
Literature evidence
Therapeutic procedures for various diseases
CCIM MD Siddha - Pura Maruthuvam Syllabus Page 10 of 23
PEETCHU (DOUCHE)
Definition
Materials and Methods
Preparation of application
Literature evidence
Therapeutic procedures for various diseases
URINCHAL (SUCCTION)
Definition
Materials and Methods:
Preparation of Application:
Literature Evidence:
Therapeutic Procedures for Various Diseases
SALAGAI (PROBE)
Definition
Materials and Methods
Preparation of Application
Literature Evidence
Therapeutic procedures for varies Diseases
MURICHAL (BONE RESTRUCTURING)
Definition
Materials and Methods
Preparation of Application
Literature Evidence
Therapeutic procedures for varies Diseases
KOMBUKKATTAL (FRACTURE IMMOBILIZATION)
Definition
Materials and Methods
Preparation of Application
Literature Evidence
Therapeutic procedures for varies Diseases
AKKINI SUTTIGAI-CAUTERY
Definition
Materials and Methods
Preparation of Application
Literature Evidence
Therapeutic procedures for various Diseases
POTTANAM (MEDICATED POUCH/PACKS)
Definition
Materials and Methods
Preparation of Application
CCIM MD Siddha - Pura Maruthuvam Syllabus Page 11 of 23
Literature Evidences
Therapeutic procedures for various Diseases
PUGAI( FUMIGATION)
Definition
Materials and Methods
Preparation of Application
Literature Evidences
Therapeutic procedures for various Diseases
KALIKAM (EYE DROPS)
Definition
Materials and Methods
Preparation of application
Literature evidences.
Therapeutic procedures for various Diseases
NASIYAM (NASAL DROPS)
Definition
Materials and Methods
Preparation of application
Literature evidences.
Therapeutic procedures for various Diseases
NASIKABARANAM (INSUFFLATION)
Definition
Materials and Methods
Preparation of application
Literature evidences.
Therapeutic procedures for various Diseases
KARAM (CHEMICAL CAUTERY)
Definition
Materials and Methods
Preparation of application
Literature evidences.
Therapeutic procedures for various Diseases
References:
S.No Name of the book, language, publisher, year Author
1. Siddha Maruthuvanga Churukkam, (Tamil), Depatment of Dr.Ka.Su.Uthamarayan
Indian Medicine and Homoeopathy - Chennai.
2. Siddhar Aruvai Maruthuvam, (Tamil),Indian Medicine Dr.Ka.Su.Uthamarayan
and Homeopathy Thurai, (2005)
3. Siddha Maruthuva Noinaadal Noimudhalnaadal Thirattu Dr.M.Shanmugavelu HPIM
(part-2), (Tamil), Siddha MaruthuvaVariyaVeliyeedu,
(1987).
CCIM MD Siddha - Pura Maruthuvam Syllabus Page 12 of 23
4. NoiIllaNeri, (Tamil), Department of Indian Medicine and Dr.K.Durairasan H. P. I .M
Homoeopathy, Chennai-106, (2004)
5. Thotrakirama Aaraichiyum Siddhamaruthuva Dr. Ka.Su.Uthamarayan
Varalaarum, (Tamil), Department of Indian Medicine and
Homeopathy, (2003 )
6. A Complete Manual on Siddha External Dr.G.Senthilvel.,M.D(S),Ph.D
Therapies,ShanlaxPublications,Maudurai,Tamilnadu,2017 Dr.J.Jeyavenkatesh.,M.D(S),Ph.D
7. Therantharu, (Tamil), Siddha Maruthuvaaraichi Nilayam-
chennai 17, (1997)
8. Therankarisalai-300, (Tamil),
9. Theraiyaryamagavenba, (Tamil), Indian medicine and
Homeopathy Thurai- Chennai 106, (2003).
10. Udalkoorugal,(Tamil), Indian Medicine and Homeopathy Dr. R.Thiagarajan H.I.M
Thurai, (1992)
11. Udalthathuvam, (Tamil), Department of Indian Medicine Dr. P.M.Venugopal H.B.I.M.
and homeopathy, (2014)
12. External Therapies of Siddha Medicine(English) Dr. T.Thirunaraynan,
Dr. R.Sudha
PAPER-II THOKKANAM AND PHYSICAL MEDICINE
Definition of Thokkanam
General Procedures of Thokkanam
Types of Thokkanam
Diseases treated with Thokkanam
Therapeutic benefits of Thokkanam
PHYSICAL THERAPEUTIC MODALITIES
a) Electrotherapy
Electrical stimulation
Effects of Heat
Effects of Cold
Superficial Heat Therapy
Deep Heat Therapy
TENS / IFT
UV irradiation
Laser therapy
Cry therapy
b) Therapeutic Exercises
Balance and Co-ordination exercises
Strengthening exercises
Mobilisation exercises
stretching exercises
CCIM MD Siddha - Pura Maruthuvam Syllabus Page 13 of 23
c) Traction
Methods of Traction,
Traction at different levels,
Indications and Contra-indications
d) Massage and Manipulation
Methods and techniques in different clinical conditions
e) Clinical applications
Therapeutic modalities in different clinical conditions
Indications
Complications
Contra-indications
ORTHOTICS
Principle and prescription of orthosis
Cervical and Thoraco-lumbar orthoses
Orthoses for Spinal deformities
Upper limb orthoses
Lower limb weight bearing orthoses
Orthosis for weakness and deformities
Foot wear modifications
Orthosis in Polio, Spinal cord injury, Stroke, Nerve injury, Cerebral Palsy,
Rheumatology & Sports
Ambulatory aids
Wheel chairs and Tricycles
Assistive devices
REHABILITATION OF NEUROMUSCULAR CONDITIONS
Neuro-muscular Conditions
a) CNS- Stroke
Traumatic Brain Injury
Multiple sclerosis
Parkinsonism
Spinal cord injury and diseases
b) Anterior horn cell diseases
c) Plexopathies
d) Nerve injuries and diseases
e) Muscular diseases – myopathies and dystrophies
8. Cancer, Geriatrics and Sports Rehabilitation
SPORTS REHABILITATION
Scope of sports medicine
Athlete and normal person
Type of muscle fibres in different sports activities
Methods of improving performance
Sports injuries
First-aid and rehabilitation management
CCIM MD Siddha - Pura Maruthuvam Syllabus Page 14 of 23
Long-term disability in sports injuries
Stress fractures
VASCULAR DISEASES REHABILITATION
Arterial diseases
TAO
Diabetes Mellitus
Vasculitis
Occupational disorders
Rehabilitation management
Venous diseases
DVT
Varicose veins
Venous ulcers
Lymphatic diseases
Lymph oedema
Filiariasis
Rehabilitation management
REHABILITATION OF ORTHOPAEDIC AND RHEUMATOLOGIC CONDITIONS
Orthopaedics
Structure and development of bone
Osteoporosis, Scurvy, Rickets
Genu valgum and varum
Chondro-dystrophies
Gigantism, dwarfism
Osteomyelitis
Cervical rib,
Congenital Dislocation of Hip,
Arthrogryphosis,
Congenital limb deficiencies,
Spinal dysraphism
Osteogenesis imperfecta
Trauma- Fractures and complications,
Volkmann’s ischemic contracture,
Delayed union, mal-union, non-union,
Post-operative management,
Post-traumatic management,
Post-burns management
Soft tissue conditions – Ganglion,
Bursitis,
Dupytren’s contracture,
Muscle and tendon injuries,
Trigger finger,
Dequervain’s disease,
Plantar Fasciitis,
Tennis elbow.
CCIM MD Siddha - Pura Maruthuvam Syllabus Page 15 of 23
RHEUMATOLOGY
Study of Rheumatic diseases
Rheumatoid Arthritis & Juvenile Rheumatoid Arthritis
Ankylosing spondylitis
Psoriatic Arthritis
Rheumatic fever and others
Collagen diseases – SLE, Polyarteritis Nodosa, Scleroderma, Dermatomyositis
Degenerative diseases - Osteo arthritis
Metabolic bone & joint disorders – Gout, Pseudo gout, Alkaptonuria
Infections – Septic, Syphilitic, T.B., Gonorrhoeal, HIV
Affections of different joints
References:
S. Name of the book, language, publisher, year Author
No
1. Siddhar Aruvai Maruthuvam, (Tamil),Indian Medicine Dr.Ka.Su.Uthamarayan
and Homeopathy Thurai, (2005)
2. NoiIlla Neri, (Tamil), Department of Indian Medicine Dr.K. Durairasan H. P. I .M
and Homoeopathy, Chennai-106, (2004)
3. Therantharu, (Tamil), Siddha Maruthuvaaraichi Nilayam- --
chennai 17, (1997).
4. Therankarisalai-300, (Tamil), Govt Siddha Medical --
College.
5. Siddha medicine Volume - III - Special Areas (English) - Dr.J.R.Krishnamoorthy et. Al.
Tamil Valarchi Kazhagam.2010
6. A Complete Manual on Siddha External Dr.G.Senthilvel.,M.D(S),Ph.D
Therapies,ShanlaxPublications,Maudurai,Tamilnadu,2017 Dr.J.Jeyavenkatesh.,M.D(S),Ph.D
7. External Therapies of Siddha Medicine(English) Dr. T. Thirunaraynan,
Dr. R. Sudha
8. Massage For Therapists, (English) published by Blackwell Margaret hollies
science.
9. Tidy’s Physiotherapy, (English), Elsevier publisher Edited by stuart porter
10. Muscle Energy Techniques: A Practical Handbook for John Gibbons and Amanda
Physical Therapist (English) Williams
12. Neurological Rehabilitation (English), paperback Carr.
publisher
13. Handbook of Physical Medicine and Randall L. Braddom
Rehabilitation(English) paperback publisher
13. Orthopaedics and Traumatology (English) Prof.M.Natarajan,
Mayilvahanan Natarajan
14. Textbook of Orthopaedics and Traumatology (English) Natarajan
Wolters Kluwer
CCIM MD Siddha - Pura Maruthuvam Syllabus Page 16 of 23
15. Essential Orthopaedics Including Clinical Methods, J Maheshwari
(English) Jaypee Brothers publisher
16. Text book of Orthopaedics,(English) Jaypee Brothers John Ebenezer
publisher
17. Varma Odivu Murivugal Maruthuvam (Traumatology in Dr.T.KannanRajaram
Varma Medicine), Vol-1, ElumbuMurivu, ATSVS Siddha
Medical College (2010)
18. Varma Odivu Murivu Maruthuvam (Traumatology in Dr.T.KannanRajaram
Varma Medicine), Vol-2, NarambuMurivu, ATSVS Siddha
Medical College (2010)
19. Varma Odivumurivu Maruthuvam (vol I fractures)ATSVS Dr. Kannanrajaram Dr.
Siddha Medical College (2010) Pelicitraalk.rajaram
PAPER III- PREPARATION AND APPLICATIONS OF PURAMARUNTHUKAL
This includes Materials used for the preparation of Puramarunthukal, preparatory
methods, preservation, precautionary measures, application techniques and its
therapeutic usage, contraindications etc.,
1. Herbs used in Pura Maruthuvam
2. Metals and minerals used in Pura Marthuvam
3. Animal products used in Pura Maruthuvam
4. Preparation from combination of Mineral and herbal, herbal and Animal Origin, Metals
and Herbals etc.
References:
S. Name of the book, language, publisher, year Author
No
1. Gunapadam MooligaiVaguppu, (Tamil), Department Dr. M. Murugesa Muthaliyar
of Indian Medicine and Homeopathy, (2003)
2. GunapadamThathu Jeeeva Vaguppu (2nd and 3rd Dr. R.Thiyagarajan
part), (Tamil), Department of Indian Medicine and
Homoeopathy, (2004)
3. Therantharu, (Tamil), Siddha Maruthuva Aaraichi --
Nilayam-chennai 17, (1997).
4. Therankarisalai-300, (Tamil), Govt Siddha Medical --
college.
5. Siddha Maruthuvanga Churukkam, (Tamil), Dr.Ka.Su.Uthamarayan
Department of Indian Medicine and Homoeopathy -
Chennai.
CCIM MD Siddha - Pura Maruthuvam Syllabus Page 17 of 23
6. Siddhar Aruvai Maruthuvam, (Tamil),Indian Dr.Ka.Su.Uthamarayan
medicine and homeopathy Thurai, (2005)
7. T.V.Sambasivampillai Tamilagarathy, (Tamil), T.V.Sambasivampillai
Directorate of Indian medicine an homeopathy,
(1991)
8. A Complete Manual on Siddha External Dr.G.Senthilvel.,M.D(S),Ph.D
Therapies,ShanlaxPublications,Maudurai,Tamilnadu, Dr.J.Jeyavenkatesh.,M.D(S),Ph.D
2017
9. Agathiyarnayanavithi, (Tamil) --
10. Nagamuninayanavithi, (Tamil) --
11. Agathiyar Rana Vaithyam (Tamil) --
PAPER IV - ESSENTIALS IN ORTHOPAEDICS AND TRAUMATOLOGY
ORTHOPEDICS: GENERAL
History- Orthopaedics In India- Emblem-Deformities-Acquired Deformities-Assessment-
Principles Of Management- Gait- Walk Cycle- Abnormal Gait- Antalgic Gait- Unstable Hip-
Gluteus Maximus Gait- Quadriceps Gait- High Stepping- Short Leg-Scissoring-stiff knee gait.
CONGENITAL DEFORMITIS:
Aetiology-lower limb-congenital talipesequinovarus-developmental dysplasia of the hip-
congenital genu recurvatum- Upperlimb- sprengel’s shoulder-radio-ulnar synostosis-
madelung’s deformity-syndactylism- polydactylism-Congenital Skeletal Limb Deficiencies-
congenital absence of the radius-congenital absence of fibula-Neck and Spine-congenital
torticollis-spine bifida-congenital scoliosis.
GENERALISED DISEASES OF BONES:
Metabolic diseases-rickets-osteoporosis-scurvy-Endocrine Disorders- parathyroid
osteodystropy-secondary hyperparathyroidism- Disease Of The Reticulo Endothelial System-
eosinopil granuloma of bone- hand Schuler Christian disease-Diseases Of The Haemopoietic
System- Miscellaneous- Paget’s disease- fluorosis- hypervitaminosis A- hypervitaminosis D-
infantile cortical hyperostosis.
DISEASES OF JOINT:
Classification-rheumatoid arthritis-juvenile rheumatoid arthritis-sero negative
spondylarthropathy-ankylosing spondylitis-reiter’s disease-psoriatic arthritis-enterpathic
arthritis-degenerative arthritis-osteoarthrosis knee-Osteoarthritis of hip joint-neuropathic
joints crystal synovitis gout –pseudo gout alkaptonuric arthritis-haemophilic arthritis-
reactive arthritis-miscellaneous conditions –villonodularsynovitis-synovial
chrondromatosis-pulmonary hypertrophic osteoarthopathy-hysterical joint
CCIM MD Siddha - Pura Maruthuvam Syllabus Page 18 of 23
AVSACULAR NECROSIS OF BONE AND EPIPHYSEAL OSTEOCHONDRITIS
Definition-pathogenesis-pathology-clinical features-radiological staging-other imaging
techniques-functional exploration of bone- classification-treatment-specific types of
avascular necrosis- fracture neck of femur with osteonecrosis-caisson’s disease-drug induced
osteonecrosis- sickle cell anaemia- epiphyseal osteochrondritis- perthes’sdisease- Osgood-
schlatter’sdisease – osteochrondritis dissecans.
REGIONAL CONDITIONS OF NECK AND UPPER LIMB
Neck-brachial neuralgia-intervertibral disc prolapse-cervical spondylosis-cervical rib-
torticollis-Shoulder-supraspinatus tendinitis-calcification-rupture of rotator cuff-
periarthritis shoulder-deltoid fibrosis-Elbow-tennis elbow-recurrent subluxation of the ulnar
nerve-cubitus valgus-cubitusvarus-Wrist and Hand- ganglion-de Quervain’s disease-trigger
finger-trigger thumb-carpal tunnel syndrome-dupuytren’s contracture.
REGIONAL CONDITIONS OF THE SPINE AND LOWER LIMB:
The Spine– Kyphosis – Scoliosis – Spondylolisthesis – Backache – lumbosacral strain –
Ftbrositis back – Sacralisation of 5th lumbar vertebra – Intervertebral disc prolapsed –
Lumbar canal stenosis – Lower Limb– CoxaVara – Slipped upper femoral epiphysis –
Idiopathic chondrolysis of hip – Knee – Genu valgum – Genu varum – Tibia varum – Genu
recurvatum – Quadriceps fibrosis – Recurrent dislocation of patella – Bursae around the knee
– Loose bodies in the knee – Anterior knee pain – Chondromalacia patella – Foot – Painful
Heel – Plantar Fasciitis – Posterior heel pain – Rat foot – Foot strain – Rain in the fore foot –
Hallux valgus – Anterior metatarsalgia.
TRAUMATOLOGY
INJURIES TO BONES AND JOINTS
Fractures – Types of fractures – Mechanism of fracture – Biology of fracture healing –
Factors which influence fracture heal – General Principles of management of fractures –
Diagnosis – Conservative management – Functional Cast Bracing – Open reduction and
internal fixation.
Complications of fracture– Volkmann’s Ischaemic contracture – Myositis Ossifians – Fat
Embolism – Non union – Malunion – Cross union – Sudeck’sOsteodystrophy.
Fractures in children–Birth fractures – Battered baby Syndrome –Epiphyseal injuries –
Pathological fracture – Dislocation of joints – Traumatic Dislocation – Pathological
Dislocation – Paralytic Dislocation.
INJURIES OF THE SHOULDER AND ARM
CCIM MD Siddha - Pura Maruthuvam Syllabus Page 19 of 23
Shoulder – Fracture clavicle – Dislocation of the Acromioclavicular joint – Dislocation of the
shoulder joint – Recurrent dislocation of shoulder.
Arm – Fracture of the proximal end of humorous – Fracture of the greater tuberosity –
Fracture neck of humerus – Fracture of the shat of the humorous.
INJURIES OF THE ELBOW, FOREARM AND WRIST
Elbow – Supracondylar fracture – Inter condylar fracture – Fracture of the medial epicondyle
– Fracture of the lateral condyle of the humerus – Fracture capitulum – Dislocation of the
elbow – Pulled elbow – Fractures of the Proximal end of the Radius – Fractures of the neck of
the radius – Fractures of the olecranon.
Forearm – Fracture both bones forearm – Monteggia fracture dislocation – Galleazzi fracture
dislocation.
Wrist– Colles’fracture – Fracture separation of lower epiphysis of radius –Smith’s fracture –
Barton’s fracture – Fracture of the Scaphoid – Dislocation of the Lunate bone.
INJURIES OF THE HAND
Closed injuries – Fractures of Metacarpal bones – Fractures of the phalanges – Dislocation of
metacarpo phalangeal joint – Bennett’s fracture dislocation – Open injuries – Tendon injuries
– Flexor tendon injuries – Extensor tendon injuries – Mallet finger.
INJURIES OF THE HIP AND THIGH
Hip – Dislocation of the hip joint – Posterior dislocation – Anterior dislocation – Central
dislocation – Old unreduced dislocation of the hip – Intracapsular fracture neck of femur –
Trochanteric fracture of femur.
Thigh – Fracture shaft of the femur – Proximal third – Middle third – Distal third – Fracture
femur in children – Complications of Fracture Femur.
INJURIES OF THE KNEE AND LEG
Knee – Fracture of the Femoral condyles – Fracture of the tibial condyles – Fracture patella –
Injuries of the extensor mechanism – Dislocation of the knee – Traumatic Dislocation of
Patella.
Leg – Fracture of Tibia and Fibula – Fracture Fibula.
INJURIES OF THE ANKLE AND FOOT
Ankle- Fracture-dislocation of the ankle-epiphyseal injury lower end of tibia.
Foot-fractures of talus- fractures of calcaneum- fractures of metatarsals and phalanges-
Jones fracture.
INJURIES OF THE SPINE
CCIM MD Siddha - Pura Maruthuvam Syllabus Page 20 of 23
Classification- Thoraco- Lumbar Spine-mechanism and types of injuries-stable fractures-
management of paraplegia-bed sore-bladder care.
Cervical Spine-lower cervical spine injuries-upper cervical spine injuries.
FRACTURES OF THE PELVIS
Fractures of the pelvis ring- mechanism- classification-management-fractures of the
acetabulam-fractures and the sacrum-coccyx.
POLYTRAUMA
Polytrauma-Incidence-primary survey-Glasgow coma scale-triage-resuscitation-
management.
COMPOUND FRACTURES Compound fractures- classification-emergency surgical
treatment-management of wound- management of fracture- management of infected open
fracture-complication of open wound-management-crush injury-gunshot injury.
SOFT TISSUE INJURIES INCLUDING SPORTS INJURIES
Injuries Of Ligaments-Ankle joint-knee joint-internal derangements-collateral ligament
injuries-cruciate ligament injuries-injuries to semilunar cartilage.
Injuries Of Muscle-type and pathology-rupture of the biceps brachi-rupture of the
supraspinatus –rupture of the tendoachillies.
NERVE INJURIES
Nerve injuries-injuries of peripheral nerves- classification- mechanism of closed nerve
injuries-diagnosis of nerve lesion-clinical examination-management of nerve injuries-radial
nerve injuries-median nerve injuries-ulnar nerve injuries-brachial plexus injuries erb’s
palsy-klumpke’s palsy- sciatic nerve injuries-lateral popletial nerve injuries.
VASCULAR INJURIES
Classification-etiology-pathology-clinical-presentation-management-subfascial compartment
syndrome-brachial artery injury-popliteal artery injuries-injuries of tibia arteries.
AMPUTATION
Indication-types-selection of level of amputation-level of amputation-stump and its
management-complication-amputation in children- prosthetic fitting and rehabilitation.
NEUROMUSCULAR SKELETAL DISORDERS
EXTRA PYRAMIDAL - Parkinsonism
Neurological features of Wilson disease
Huntington’s disease
Tardine dyskinesia
CCIM MD Siddha - Pura Maruthuvam Syllabus Page 21 of 23
Restless leg syndrome
DEMYLINATING LESION – Multiple sclerosis
Schildre’s diffuse cerebral sclerosis
MND - Amyotropic lateral sclerosis
Spinal muscular atrophies
Hemiplegia
Bulbar palsy
DISEASE OF CEREBELLUM – Ataxias
DISEASE OF SPINAL CORD – Myelopathy
NERVE ROOTS AND PLEXUSES
DISEASE OF VERTEBRAL COLUMN - Klippelfeil syndrome
Arnold - chiari malformation
Cervical spondylosis
PERIPHERAL NERVOUS SYNDROME – Guillianbarre’s syndrome
Diabetic neuropathy
Neuralgic amyotrophy
DISEASE OF MUSCLES - Muscular dystrophy
Polymyositis
References:
S.No Name of the book, language, publisher, Author
year
1. The Principles of Exercise Therapy, M.Dena Gardiner
(English), CBS publisher
2. Massage for Therapists, (English),Paperback Margaret hollies
publisher
3. Tidy’s Physiotherapy, (English), Elsevier Stuart porter
publisher
4. Orthopaedics and Traumatology, (English) M.Natarajan
5. Textbook of Orthopaedics and Traumatology Natarajan
(English) wolters Kluwer
6. Essential Orthopaedics Including Clinical J Maheshwari
Methods, (English) Jaypee Brothers
publisher
7. Essentials of Orthopaedics, (English), Jaypee R M Shenoy
Brothers
8. Essentials of Ortho physiotherapy for Upper Saurabh Garg
and Lower Limb Fractures, (English), Jaypee
Brothers publisher
9. Text book of Orthopaedics, (English),Jaypee John Ebenezer
Brothers publisher
10. Orthopaedics and Traumatology, (English), Apley
hodder Arnold publisher
CCIM MD Siddha - Pura Maruthuvam Syllabus Page 22 of 23
11. Physical medicine and rehabilitation, Sullivan
(English),Georgefulk lid
12. Adam’s Orthopaedics and Traumatology, Adam
(English)
13. Text book of Orthopaedics and Kulkarni
Traumatology (English),Jaypee Brothers
publisher
14. Textbook of Medicine, (English) Jaypee K.V. Krishna das
Brothers publisher
DISSERTATION
Kindly refer the regulation 11 of IMCC (Post-Graduate Siddha Education) regulations, 2016.
CCIM MD Siddha - Pura Maruthuvam Syllabus Page 23 of 23