Fourth BHMS CBDC - Practice of Medicine Syllabus (NCH/AYUSH)

Subjects in 4th BHMS CBDC

Practice of Medicine - Elaborated Syllabus

Programme Outcomes

• Develop competencies for primary health care including clinical diagnosis and homoeopathic treatment
• Recognize the scope and limitations of homoeopathy
• Apply evidence-based homoeopathic practice
• Develop lifelong learning aptitude and communication skills for healthcare settings

Unit 1 - General Medicine (System-wise Diseases)

1.1 Cardiovascular System (CVS)

• Ischaemic Heart Disease (Angina, Myocardial Infarction)
• Hypertension - classification, pathophysiology, management
• Heart Failure (acute and chronic)
• Cardiomyopathies
• Infective Endocarditis, Pericarditis, Myocarditis
• Valvular Heart Diseases (Mitral, Aortic, Tricuspid)
• Arrhythmias and conduction disorders
• Deep Vein Thrombosis (DVT), Pulmonary Embolism
• Homoeopathic therapeutics for each condition

1.2 Respiratory System

• Bronchial Asthma - types, triggers, management
• Chronic Obstructive Pulmonary Disease (COPD)
• Pneumonia (bacterial, viral, atypical)
• Tuberculosis - pulmonary and extra-pulmonary
• Pleural Effusion, Pneumothorax, Empyema
• Lung abscess, Bronchiectasis
• Lung Cancer (overview and scope of homoeopathy)
• COVID-19 and respiratory viral illnesses
• Homoeopathic therapeutics

1.3 Gastrointestinal System

• Peptic Ulcer Disease
• Gastroesophageal Reflux Disease (GERD)
• Irritable Bowel Syndrome (IBS)
• Inflammatory Bowel Disease (Crohn's, Ulcerative Colitis)
• Liver diseases: Hepatitis (A, B, C, E), Cirrhosis, Liver Failure
• Cholecystitis, Cholelithiasis, Pancreatitis
• Appendicitis and peritonitis (surgical referral scope)
• Malabsorption syndromes
• Colorectal cancer (overview)
• Homoeopathic therapeutics

1.4 Neurological System

• Stroke (Ischaemic and Haemorrhagic) - diagnosis, emergency management
• Epilepsy and seizure disorders
• Parkinson's disease
• Multiple Sclerosis
• Meningitis and Encephalitis
• Peripheral Neuropathy and Guillain-Barre Syndrome
• Headache disorders (Migraine, Tension, Cluster)
• Dementia and Alzheimer's disease
• Bell's Palsy, Trigeminal Neuralgia
• Spinal disorders
• Homoeopathic therapeutics

1.5 Endocrine System

• Diabetes Mellitus (Type 1 and 2) - diagnosis, monitoring, complications
• Diabetic emergencies (DKA, HHS)
• Thyroid disorders: Hypothyroidism, Hyperthyroidism, Thyroiditis, Goitre
• Adrenal disorders: Addison's disease, Cushing's syndrome, Pheochromocytoma
• Pituitary disorders (overview)
• Polycystic Ovarian Syndrome (PCOS)
• Homoeopathic therapeutics

1.6 Renal / Urinary System

• Urinary Tract Infections (UTI)
• Acute and Chronic Kidney Disease
• Nephrotic and Nephritic Syndrome
• Glomerulonephritis
• Renal calculi
• Dialysis - overview and when to refer
• Homoeopathic therapeutics

1.7 Haematological Disorders

• Anaemias (Iron Deficiency, B12/Folate, Haemolytic, Aplastic)
• Leukaemia and Lymphoma (overview, scope)
• Bleeding disorders (ITP, Haemophilia, DIC)
• Polycythaemia, Thrombocytopenia
• Blood transfusion reactions
• Homoeopathic therapeutics

1.8 Musculoskeletal System

• Rheumatoid Arthritis
• Systemic Lupus Erythematosus (SLE)
• Osteoarthritis, Gout, Pseudogout
• Ankylosing Spondylitis, Psoriatic Arthritis
• Osteoporosis, Fibromyalgia
• Polymyalgia Rheumatica
• Homoeopathic therapeutics

1.9 Infectious Diseases

• Malaria, Dengue, Chikungunya, Typhoid
• Enteric fever
• Viral fevers (measles, mumps, chickenpox, rubella, herpes)
• Rabies, Tetanus (overview and emergency management)
• HIV/AIDS - overview, antiretroviral therapy, homoeopathic supportive role
• Leptospirosis, Scrub typhus
• Fungal infections (systemic)

1.10 Dermatological Disorders

• Eczema/Dermatitis (all types)
• Psoriasis
• Urticaria, Angioedema
• Acne Vulgaris, Rosacea
• Bacterial skin infections (Cellulitis, Impetigo, Erysipelas)
• Fungal infections (Tinea species, Candidiasis)
• Viral skin conditions (Herpes Zoster, Warts, Molluscum)
• Pemphigus, Bullous Pemphigoid
• Homoeopathic therapeutics

Unit 2 - Clinical Methods and Diagnosis

• History taking and clinical examination
• Systematic examination of all organ systems
• Interpretation of clinical investigations: CBC, LFT, RFT, thyroid profile, lipid profile, blood sugar, urine routine
• Interpretation of ECG, X-rays, Ultrasound findings
• Differential diagnosis methodology
• Clinical case presentation and documentation

Unit 3 - Emergency Medicine and First Aid

• Basic Life Support (BLS) and CPR
• Management of anaphylaxis and shock
• Hypertensive emergency
• Acute respiratory failure and management
• Acute chest pain - diagnosis and first-line management
• Diabetic emergencies (hypoglycaemia, DKA)
• Acute abdomen - assessment and referral
• Burns, fractures, poisoning - first aid approach
• Scope and limitations of homoeopathy in emergencies

Unit 4 - Homoeopathic Approach to Clinical Practice (Integrated)

• Homoeopathic case taking in clinical disease settings
• Selecting the similimum for acute vs. chronic disease states
• Posology in clinical practice (potency, dose, repetition)
• Palliation, suppression, and cure - clinical differentiation
• Case management and follow-up
• Integration with Repertory (Kent, Boericke, Boenninghausen) in clinical practice
• Managing acute exacerbations of chronic disease homoeopathically
• Documentation: case records, follow-up notes, outcome tracking

Unit 5 - Geriatrics and Special Populations

• Geriatric assessment and common disorders in elderly
• Polypharmacy and multi-morbidity
• Paediatric medicine (in integration with earlier years)
• Mental health overview: Depression, Anxiety, Schizophrenia
• Psychosomatic illness and homoeopathic management

Unit 6 - Research and Evidence-Based Practice

• Basics of clinical research methodology
• Reading and interpreting clinical studies
• Homoeopathic clinical trials and evidence
• Writing case reports and clinical documentation
• Integration with Evidence-Based Homoeopathy (EBH)

Teaching Hours (4th BHMS - Practice of Medicine)

Assessment Pattern (CBDC)

Vertical and Horizontal Integration

• Homoeopathic Repertory (horizontal integration in 4th year)
• Homoeopathic Materia Medica (vertical integration throughout)
• Organon of Medicine (vertical integration throughout)
• Community Medicine (for population-level disease understanding)
• Research Methodology (evidence-based clinical practice)

Key Source

Note: "CBDC" in BHMS stands for Competency Based Dynamic Curriculum (issued by NCH/AYUSH), not "Community Based Doctor Care." The Practice of Medicine subject runs across 2nd, 3rd, and 4th BHMS with increasing clinical depth each year, with 4th year being the most comprehensive and clinically integrated phase.