Ishan Ayurvedic Medical College & Research Centre
Department of Panchakarma syllabus

Panchakarma Syllabus – BAMS Third Professional

NCISM curriculum for Panchakarma & Upakarma (Therapeutic Procedural Management) — paper-wise topics with teaching hours, practicals, assessment pattern and reference books.

Professional Year
III BAMS (Third Professional)
NCISM Subject Code
AyUG-PK
Theory Papers
1
Teaching Hours
300 Hours
Total Marks
300 Marks

About the Panchakarma Syllabus

Department of Panchakarma covers Panchakarma & Upakarma (AyUG-PK) in the Third Professional year of BAMS (Ayurvedacharya). The syllabus below follows the curriculum prescribed by the National Commission for Indian System of Medicine (NCISM): the topic list of every paper with its teaching hours, followed by practicals, the assessment pattern and reference books.

Panchakarma & Upakarma (Therapeutic Procedural Management)

Panchakarma, a cornerstone of Ayurveda, embodies holistic healing through detoxification, rejuvenation, and restoration of balance in body and mind. This syllabus is designed to provide students with a profound understanding of its principles, therapeutic applications, and integration into modern healthcare. Structured into ten sections, the curriculum covers foundational and advanced concepts, emphasizing detoxification, rejuvenation, and the clinical implementation of various Panchakarma procedures.
From the preface of the NCISM AyUG-PK curriculum
SubjectPanchakarma & Upakarma (Therapeutic Procedural Management)
NCISM subject codeAyUG-PK
Professional yearIII BAMS (Third Professional)
Theory papers1 (100 marks)
Teaching hours300 hours (Lecture 100, Non-lecture theory 60, Non-lecture practical 140)
Total marks300 (Theory 100 + Practical/clinical assessment 200)
ApplicabilityApplicable from 2021-22 batch, from the academic year 2024-25 onwards for 5 batches or until further notification by NCISM, whichever is earlier
SourceNCISM curriculum document (86 pages)

Papers in Panchakarma & Upakarma

PaperTopicsLecture Hours
Paper I – Panchakarma and Upakarma10100

Panchakarma Paper I – Panchakarma and Upakarma Syllabus

Paper I – Panchakarma and Upakarma of Panchakarma & Upakarma (AyUG-PK) has 10 topics with 100 lecture hours as listed in Table 2 of the NCISM curriculum (PDF page 6).

LH – lecture hours; NLHT – non-lecture hours (theory); NLHP – non-lecture hours (practical).

1.Fundamentals of Panchakarma

Term ILH 6NLHT 2NLHP 4
  • Introduction to Panchakarma
  • Panchakarma in Swastha and Atura
  • Indications and contraindications of Shodhana
  • Agni and Koshta Pariksha in Panchakarma
  • Principles in Shodhana
  • Requirements of Panchakarma theatre

2.Snehana Karma

Term ILH 16NLHT 12NLHP 28
  • Introduction
  • Sneha Dravya
  • Lipids
  • Rookshana
  • Abhyantara Snehana
  • Bahya Snehana

3.Swedana Karma

Term ILH 9NLHT 4NLHP 10
  • Introduction
  • Swedana Dravya
  • Indications and Contraindications of Swedana
  • Sagni Sweda
  • Niragni Sweda
  • Procedure of Saagni Swedana Karma
  • Principles of practice of Swedana Karma in Sandhigata Vata, Vatarakta, Pakshaghata, Ardita, Gridhrasi, Amavata
  • Swedana Karmukata

4.Special Procedures: Sankara Sweda, Ksheeradhooma, Pizhichil, Dhanyamladhara, Takradhara, Thalam and Thalapothichil and Annalepa

Term IILH 7NLHT 9NLHP 19

Definition, Types, Procedure and Benefits of

  • Sankara Sweda
  • Ksheeradhooma
  • Pizhichil
  • Dhanyamladhara
  • Takradhara
  • Thalam and Thalapothichil
  • Annalepa

5.Physiotherapy

Term IILH 6NLHT 1NLHP 7
  • Introduction
  • Static exercise
  • Isotonic Exercise
  • Deep Heating Modalities
  • Superficial Heating Modalities
  • Electro Therapy
  • Manual Therapy

6.Vamana Karma

Term IILH 13NLHT 7NLHP 15
  • Introduction
  • Indications and Contraindications of Vamana Karma
  • Purva Karma of Vamana
  • Pradhana Karma of Vamana
  • Paschat Karma of Vamana
  • Sadyo Vamana
  • Vamana Karmukata
  • Principles of practice of Vamana Karma in Shwasa, Amlapitta, Kushta and Yuvanapidaka

7.Virechana Karma

Term IILH 13NLHT 7NLHP 15
  • Introduction
  • Classification of Virechana
  • Principles of selection of Virechana formulations
  • Indications and Containdications of Virechana Karma
  • Purva Karma of Virechana
  • Pradhana Karma of Virechana
  • Paschat Karma of Virechana
  • Virechana Karmukata
  • Principles of practice of Virechana Karma in Kushta, Vatarakta, Pakshaghata and Prameha

8.Basti Karma

Term IIILH 18NLHT 10NLHP 25
  • Introduction
  • Basti Yantra and Matra
  • Anuvasana and Anuvasanopaga, Asthapana and Asthapanopaga Dravya
  • Indications and Contra indications of Anuvasana Basti
  • Purva Karma of Anuvasana Basti
  • Pradhana Karma of Anuvasana Basti
  • Paschat Karma of Anuvasana Basti
  • Indications and Contra indications of Niruha Basti
  • Purva Karma of Niruha Basti
  • Preparation of Basti Dravya
  • Pradhana Karma of Niruha Basti
  • Paschat Karma of Niruha Basti
  • Niruha Basti Karmukata
  • Anuvasana Basti Karmukata
  • Basti Formulations
  • Principles of practice of Basti a) Niruha in Gridhrasi and Amavata b) Anuvasana in Kateegraha

9.Nasya Karma

Term IIILH 10NLHT 6NLHP 12
  • Introduction
  • Shirovirechana Gana
  • Purva Karma of Nasya
  • Pradhana Karma of Nasya
  • Paschat Karma of Nasya
  • Nasya formulations
  • Nasya Karmukata
  • Principles of practice of Nasya in Pakshaghata, Apabahuka, Manyastambha and Ardita

10.Emergency management and Research updates in Panchakarma and Upakarma

Term IIILH 2NLHT 2NLHP 5
  • Emergency management
  • Research updates in Snehana, Swedana, Vamana, Virechana, Basti, Nasya and Upakarma

Panchakarma Practicals and Non-Lecture Activities

List of Practicals

68 practicals are listed in the NCISM curriculum, grouped by the topic they belong to.

Fundamentals of Panchakarma

  • Koshta and Agni Pariksha in Panchakarma
  • Panchakarma theatre requirements
  • Advancement in instrumentation in Panchakarma and Upakarma

Snehana Karma

  • Procedure of Udwartana
  • Procedure of Udgharshana and Utsadana
  • Shodhanartha Snehapana in Kushta and Vatarakta
  • Shodhanartha Snehapana procedure
  • Shamanartha Snehapana procedure
  • Shamanartha Snehapana in Kushta and Vatarakta
  • Sneha Vyapat and Chikitsa
  • Brumhana Snehapana and Sadya Snehana
  • Shiro Abhyanga Procedure
  • Procedure of Shirodhara with Taila
  • Shiropichu demonstration
  • Procedure of Abhyanga
  • Shirobasti demonstration
  • Sthanika Basti demonstration

Swedana Karma

  • Nadi Sweda procedure
  • Tapa Sweda procedure
  • Upanaha Sweda procedure
  • Parisheka Sweda procedure
  • Avagaha Sweda procedure
  • Clinical application of Sweda

Special Procedures: Sankara Sweda, Ksheeradhooma, Pizhichil, Dhanyamladhara, Takradhara, Thalam and Thalapothichil and Annalepa

  • Procedure of Sankara Sweda
  • Demonstration of procedure of Ksheeradhooma
  • Demonstration of the procedure of Pizhichil
  • Demonstration of Dhanyamladhara procedure
  • Demonstration of Takradhara procedure
  • Demonstration of Thalam and Thalapothichil procedure
  • Demonstration of Annalepa procedure

Physiotherapy

  • Procedure of Superficial heating modalities and Deep Heating Modalities
  • Procedure of Isometric and Isotonic Exercise
  • Procedure of Interferential Therapy (IFT), Transcutaneous Electrical Nerve Stimulation (TENS) and Muscle Stimulation Therapy (MST)
  • Procedure of Manual therapy

Vamana Karma

  • Demonstration of Vamana Purva Karma in a patient
  • Pradhana Karma of Vamana in a patient
  • Demonstration of Paschat Karma of Vamana
  • Demonstration of Sadyo Vamana in a patient
  • Demonstration of Vamana Karma in a Shwasa patient
  • Demonstration of Vamana Karma in an Amlapitta patient
  • Demonstration of Vamana Karma in a Kushta patient

Virechana Karma

  • Demonstration of Paschat Karma of Virechana
  • Demonstration of Virechana in a Vatarakta patient
  • Demonstration of Virechana in a Pakshaghata patient
  • Demonstration of Virechana Purva Karma
  • Demonstration of Pradhana karma of Virechana
  • Demonstration of Virechana in a Prameha patient
  • Demonstration of Virechana in a Kushta patient

Basti Karma

  • Demonstration of Basti Yantra
  • Purva Karma of Anuvasana Basti
  • Pradhana Karma of Anuvasana Basti
  • Paschat Karma of Anuvasana Basti
  • Purva Karma of Niruha Basti
  • Pradhana Karma of Niruha Basti
  • Paschat Karma of Niruha Basti
  • Clinical application of Basti formulations

Nasya Karma

  • Demonstration of Paschat Karma of Nasya
  • Demonstration of Nasya in a Pakshaghata patient
  • Demonstration of Nasya in Apabahuka and Manyastambha
  • Demonstration of Purva Karma of Nasya
  • Demonstration of Nasya in an Ardita patient
  • Demonstration of Pradhana Karma of Nasya in a patient
  • Principles of selection of formulations for Nasya

Emergency management and Research updates in Panchakarma and Upakarma

  • Review of research updates on Snehana, Swedana and Upakarma
  • Review of research updates on Vamana Karma
  • Review of research updates on Virechana Karma
  • Review of research updates on Basti Karma
  • Review of Research updates on Nasya Karma

Non-Lecture Activities (Theory)

47 non-lecture theory activities — seminars, case discussions, projects and similar — are listed topic-wise.

Fundamentals of Panchakarma

  • Utility of Raktamokshana in diseases
  • Project work on Rutu Shodhana

Snehana Karma

  • Importance of Snehana Karma
  • Selection of Bahya Sneha
  • Selection of Abhyantara Sneha
  • Fat metabolism
  • Snehana Pharmacodynamics
  • Udwartana and its benefits
  • Diet and Parihara Vishaya during Snehapana
  • Discussion on Accha sneha and Pravicharana sneha
  • Abhyanga in Swastha and Atura
  • Massaging Techniques
  • Clinical application of Murdhni Taila

Swedana Karma

  • Mechanism of sweating
  • Indications of Sweda Karma
  • Contraindications of Sweda Karma

Special Procedures: Sankara Sweda, Ksheeradhooma, Pizhichil, Dhanyamladhara, Takradhara, Thalam and Thalapothichil and Annalepa

  • Interactive learning on Sankara Sweda
  • Compilation of drugs used for Thalam and Thalapothichil
  • Interactive learning on regional variations in practice of Pizhichil
  • Utilty of Thalapothichil
  • Interactive discussion on the procedure of Takradhara
  • Variations in practice of Takradhara
  • Clinical utility of Dhanyamla

Physiotherapy

  • Discussion on Integration of Physiotherapy and Ayurvedic approaches

Vamana Karma

  • Indications and contraindications of Vamana Karma
  • Identification of Vamana and Vamanopaga Dravya
  • Preparation of disease wise Vamana Purva Karma chart
  • Interactive discussion on Paschat Karma
  • Peer learning on the concept of Sadyo Vamana
  • Roleplay on patient communication for Vamana Karma

Virechana Karma

  • Indications and contraindications of Virechana Karma
  • Preparation of a disease wise Virechana Purva Karma chart
  • Enlist and identify Virechana and Virechanopaga Dravya
  • Compilation on Nitya Virechana and Koshta Shodhana
  • Analysis of selection of formulations for Virechana

Basti Karma

  • Benefits of Niruha Basti
  • Niruha and Anuvasana Basti Matra
  • Niruha Basti and Anuvasana Basti Karmukata
  • Anuvasana and Anuvasanopaga, Asthapana and Asthapanopaga Dravya
  • Indications and contra indications of Anuvasana Basti
  • Indications and contra indications of Niruha Basti
  • Principles of practice of Basti

Nasya Karma

  • Identification of Shirovirechana Gana
  • Preparation of Chart for Purva Karma of Nasya
  • Discussion on Pradhana Karma of Nasya
  • Nasya Karmukata

Emergency management and Research updates in Panchakarma and Upakarma

  • Emergency Management of Water and Electrolyte imbalance, Haematemesis and Epistaxis

Panchakarma Assessment Pattern and Marks

Papers and Marks Distribution

PapersTheoryPracticalVivaElectiveInternal AssessmentTotal
110010070—30300

Theory carries 100 marks and the practical/clinical assessment (practical, viva, elective and internal assessment) carries 200 marks, for a total of 300 marks.

Theory Question Paper Pattern (per paper)

Question TypeQuestionsMarks EachTotal
Multiple Choice Questions (MCQ)20120
Short Answer Questions (SAQ)8540
Long Answer Questions (LAQ)41040

Distribution of Practical Exam

HeadsMarks
Short case with Panchakarma protocol writing30
Procedure skill assessment (4 procedures on mannequins or simulated patients in OSPE format)40
Viva (2 examiners: 35marks/each examiner)70
Logbook (Activity record)10
Practical/Clinical Record20
Internal Assesment30
Total200

Topic-wise learning objectives — with domain, must/desirable/nice-to-know level, teaching–learning methods and assessment methods — are tabulated in Table 3 of the NCISM document. Open pages 9–64

Panchakarma Reference Books

24 books and resources are recommended in the NCISM AyUG-PK curriculum (PDF page 78).

  1. Charaka. Charaka Samhita. In: Sharma RK, Dash B, editors. Reprint ed. Varanasi: Chaukhambha Sanskrit Series Office; 2018
  2. Sushruta. Sushruta Samhita. In: Shastri AD, editor. Reprint ed. Varanasi: Chaukhambha Sanskrit Sansthan; 2017
  3. Vagbhata. Ashtanga Hridaya. In: Paradkar H, editor. Reprint ed. Varanasi: Chaukhambha Surbharati Prakashan; 2018
  4. Vidyanath R, Nishteshwar K. Sahasrayogam (English translation). Chaukhambha Sanskrit Series, Varanasi: 2nd ed. 2008
  5. Laxmipati Shastri, Shastri B. Yogratnakar. Vol. 1-2. 3rd ed. Varanasi: Chaukhamba Surbharati Prakashan; 2018
  6. Chakradatta, Tripathi I. Chakradatta. 1st ed. Varanasi: Chaukhambha Sanskrit Bhawan; 2019
  7. Acharya GS. Panchakarma Illustrated. 2015th ed. Varanasi: Chaukhamba Sanskrit Pratishthan
  8. Kshipra Rajoria, Sarvesh Kumar Singh:Panchakarma Vigyan Sahaja;1st Ed.Chaukhambha Prakashan, Varanasi.2024
  9. Lad VC. Principles & Practice of Panchakarma. Varanasi: Chaukhambha Publications; 2017
  10. Dwivedi M. Ayurvediya Panchakarma Chikitsa. Pt II. Varanasi: Chaukhamba Sanskrit Pratishthan; 2017
  11. Tripathi KD. Essentials of Medical Pharmacology. 8th ed. New Delhi: Jaypee Brothers Medical Publishers; 2018
  12. Patil VV. Principles and Practice of Panchakarma;Atrya Ayurveda Publications; 2010
  13. Gaonkar S. Panchakarma Pradeepika. Emmess Publications;2022
  14. CCRAS. Practical Handbook of Panchakarma Procedures. Ministry of Ayush
  15. Mahadevan L, Ramya A. Principles & Practice of Snehana; Sarada Mahadeva Iyer Ayurvedic Educational & Charitable Trust, Derisanamcope
  16. Mahadevan L, Nampoothiri V. Principles & Practice of Vasti; Sarada Mahadeva Iyer Ayurvedic Educational & Charitable Trust, Derisanamcope; 2014
  17. Jayaram P, Sankaranarayana M. Keraleeya Chikitsa Padhati; Sarada Mahadeva Iyer Ayurvedic Educational & Charitable Trust, Derisanamcope; 2017
  18. Menon PR. Sirassekadi Vidhi. Thrissur: VKRT Foundation for Ayurvedic Studies
  19. Gersh MR. Electrotherapy in Rehabilitation. Philadelphia: F.A. Davis Company; 1992
  20. Ebnezar J, John R. Essentials of Orthopedics for Physiotherapists. 3rd ed. New Delhi: Jaypee Brothers Medical Publishers Pvt. Ltd; 2016
  21. Sebastian D. Principles of Manual Therapy. New Delhi: Jaypee Brothers Medical Publishers Pvt. Ltd; 2019
  22. Sarangdhara. Sarangdhara Samhita. Varanasi: Chaukhambha Surbharati Prakashan
  23. Sreevathsa, Kumar AK. Vaidyamanorama Evum Dharakalpa. Varanasi: Chaukhambha Orientalia
  24. Vagbhata. Ashtanga Sangraha. 1st ed. Rao PS, editor and translator. Varanasi: Chowkhamba Krishnadas Academy; 2019

Download Panchakarma Syllabus PDF

The syllabus on this page is taken from the official NCISM curriculum document. Download the PDF for the complete learning objectives, activity details, question paper blueprint and practical examination guidelines.

Panchakarma Syllabus FAQs

Panchakarma & Upakarma (Therapeutic Procedural Management) has the NCISM subject code AyUG-PK. It is a Third Professional BAMS (III BAMS) subject, and the curriculum is applicable from 2021-22 batch, from the academic year 2024-25 onwards for 5 batches or until further notification by NCISM, whichever is earlier.

It has 1 theory paper carrying 100 marks and a practical/clinical assessment of 200 marks (100 practical, 70 viva and 30 internal assessment), for a total of 300 marks.

The NCISM curriculum allots Panchakarma 300 teaching hours: 100 lecture hours, 60 non-lecture theory hours and 140 non-lecture practical hours.

Paper I (Panchakarma and Upakarma) has 10 topics, including Fundamentals of Panchakarma, Snehana Karma, Swedana Karma, Physiotherapy, Vamana Karma and Virechana Karma.

The NCISM curriculum lists 24 reference books and resources for Panchakarma. The complete list is given in the Reference Books section of this page.

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