The authorities has issued a notification authorising post-graduate practitioners in specified streams of Ayurveda to be skilled to carry out surgical procedures reminiscent of excisions of benign tumours, nasal and cataract surgeries, a transfer which has drawn flak from the trendy medication fraternity.
The November 20 gazette notification by the Central Council of Indian Medicine (CCIM), a statutory physique underneath the AYUSH Ministry to manage the Indian methods of drugs, listed 39 basic surgical procedure procedures and round 19 procedures involving the attention, ear, nostril and throat by amending the Indian Medicine Central Council (Post Graduate Ayurveda Education) Regulations, 2016.
The Indian Medical Association (IMA), the most important physique of contemporary medication doctors, has condemned the transfer, describing it as “poaching the disciplines of modern medicine through back door means” and a “retrograde step of mixing the systems”.
Demanding that the order be withdrawn, the IMA urged the CCIM to develop their very own surgical disciplines from their very own historical texts and never declare the surgical disciplines of contemporary medication as their very own.
Attempting to make clear the notification, AYUSH Ministry Secretary Vaidya Rajesh Kotecha mentioned it doesn’t quantity to any coverage deviation or any new choice.
“This notification is more of the nature of a clarification. It streamlines the existing regulation relating to post graduate education in Ayurveda with respect to the specified procedures.
“Further, the notification doesn’t open up the whole area of surgical procedure to Ayurveda practitioners and specifies a set of surgical procedures. It outlines that not all post-graduates of Ayurveda can carry out these procedures. Only these specialised in Shalya and Shalakya are allowed to carry out these surgical procedures,” Kotecha said.
Chairman of Board of Governors, CCIM, Vaidya Jayant Devpujari said that these surgical procedures were being performed in Ayurveda institutes for over 20 years and the notification legalises them.
“The objective of bringing out the notification can also be to set boundaries by specifying the checklist of procedures in order that practitioners limit themselves to the set of surgical procedures as talked about within the regulation,” Devpujari said.
The AYUSH ministry also issued a clarification stating the notification is a clarification of the relevant provisions in the previously existing regulations of 2016 and that the use of modern terminology in the said notification does not amount to “mixing” of Ayurveda with conventional (Modern) medicine.
“Since starting, Shalya and Shalakya are impartial Departments in Ayurveda faculties, performing such surgical procedures.
“While the notification of 2016 stipulated that the students shall undergo training of investigative procedures, techniques and surgical performance of procedures and management in the respective specialty, the details of these techniques, procedures and surgical performance were laid down in the syllabus of respective PG courses issued by CCIM, and not the regulation per se,” the clarification acknowledged.
The current clarification was issued in general public curiosity by CCIM by bringing the mentioned particulars into the regulation. Hence this doesn’t signify any coverage shift, it acknowledged.
The ministry additionally mentioned, “All scientific advances including standardized terminologies are inheritances of the entire mankind. No individual or group has monopoly over these terminologies.”
Modern terminologies within the area of drugs, aren’t fashionable from a temporal perspective, however are derived considerably from historical languages like Greek, Latin and even Sanskrit, and later languages like Arabic, it mentioned.
“Evolution of terminologies is a dynamic and inclusive process,” the AYUSH ministry mentioned, including use of contemporary terminology within the mentioned notification doesn’t quantity to “mixing” of Ayurveda with typical (Modern) medication.
The notification issued by the Central Council of Indian Medicine acknowledged, “These regulations may be called the Indian Medicine Central Council (Post Graduate Ayurveda Education) Amendment Regulations, 2020.
“In the Indian Medicine Central Council (Post Graduate Ayurveda Education) Regulations, 2016, in regulation 10, after sub-regulation (8), the next sub-regulation shall be inserted, specifically — During the interval of examine, the PG scholar of Shalya and Shalakya shall be virtually skilled to acquaint with in addition to to independently carry out the next actions in order that after completion of his PG diploma, he is ready to carry out the next procedures independently,” it read.
According to the notification, the procedures listed include removal of metallic and non-metallic foreign bodies from non-vital organs, excision of simple cyst or benign tumours (lipoma, fibroma, schwanoma etc) of non-vital organs, amputation of gangrene, traumatic wound management, foreign body removal from stomach, squint surgery, cataract surgery and functional endoscopic sinus surgery.