COMPETENCY BASED DYNAMIC CURRICULUM

FOR
FIRST BHMS PROFESSIONAL COURSE

(Applicable from Batch 2022-2023 onwards for 5 years or until further notification by National
Commission for Homoeopathy whichever is earlier)

(Human physiology & Biochemistry)

HOMOEOPATHY EDUCATION BOARD

NATIONAL COMMISSION FOR HOMOEOPATHY
MINISTRY OF AYUSH, GOVERNMENT OF INDIA
JAWAHAR LAL NEHRU BHARTIYA CHIKITSA AVUM HOMOEOPATHY ANUSANDHAN BHAVAN

No.61-65, Institutional Area, opp. ‘D’ block, Janak Puri, New Delhi-110 058
4. TEACHING HOURS

Sr Practical / Tutorial /
Subject Theoretical Lecture
No. Seminar / Clinical Posting
PHYSIOLOGY &
01 325 hrs. 330 hrs.
BIOCHEMISTRY

Theory Wise Teaching Hours Distribution – 325 Hours

Sr. No Paper-I
List of System Teaching Hours
1 General Physiology 20
2 Bio Physics Science 15
3 Skin & The Integumentary System 15
4 Body fluids & Immune mechanism 35
5 Nerve Muscle physiology 15
6 Cardiovascular system 20
7 Respiratory and Environmental Physiology 25
8 Renal Physiology 20
Total 165
Sr. No Paper-II
List of System Teaching Hours
1 Central Nervous System 35
2 Endocrinology 30
3 Reproduction 15
4 Special Senses 20
5 Digestion and Nutrition 35
6 Biochemistry 25
Total 160

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Practical / Clinical Physiology / OPD Wise Teaching Hours Distribution – 330 Hours
Physiology – Practical – lab work
Demonstration Number of
No Practical
/ Performance Teaching Hours
HAEMATOLOGY
1 Study of the Compound Microscope Performance 05
2. Collection of Blood Samples Performance 05
3 Estimation of Haemoglobin Concentration Performance 05
4 Determination of Haematocrit Demonstration 05
5 Hemocytometry Performance 05
6 Total RBC Count Performance 10
7 Determination of RBC Indices Demonstration 05
8 Total Leucocytes Count (TLC) Performance 10
9 Preparation And Examination Of Blood Smear Performance 10
10 Differential Leucocyte Count (DLC) Performance 10
11 Absolute Eosinophil Count Demonstration 05
12 Determination of Erythrocyte Sedimentation Rate Demonstration 05
13 Determination of Blood Groups Performance 05
14 Determination of Bleeding Time and Coagulation Time Performance 05
BIOCHEMISTRY
1 Demonstration of Uses Of Instruments Or Equipment Demonstration 05
2 Qualitative Analysis of Carbohydrates, Proteins And Lipids Performance 10
3 Normal Characteristics of Urine Performance 04
4 Abnormal Constituents of Urine Performance 10
5 Quantitative Estimation of Glucose, Total Proteins, Uric Acid in Blood Performance 05
6 Liver Function Tests Demonstration 04
7 Kidney Function Tests Demonstration 04
8 Lipid Profile Demonstration 04
9 Interpretation and Discussion of Results of Biochemical Tests Demonstration 04
Total 140
 CLINICAL PHYSIOLOGY
1 Case Taking & Approach to pt Performance 05
2 General Concept Of Examination Performance 10
3 Examination of muscles, joints, Performance 10
4 Cardio-Vascular System – Blood Pressure Recording, Radial Pulse, ECG, Clinical Examination Performance 15
5 Nervous System- Clinical Examination Performance 15
6 Respiratory System- Clinical Examination, Spirometry, Stethography Performance 15
7 Special Senses- Clinical Examination Performance 15
8 Reproductive System- Diagnosis of Pregnancy Performance 05
9 Gastrointestinal System- Clinical Examination Performance 10
Total 100
OPD – APPLIED PHYSIOLOGY
1 OPD ( Applied Physiology ) Demonstration 90
& Performance
TOTAL 90

Semester Wise Distribution of Theory, Practical, Clinical Physiology & OPDs

Sr. No Theory, Practical, Clinical Physiology & OPDs
SEMESTER - 1
Module 1. Theory :
Organization of the human body • General physiology
• Bio Physics Science
• Skin & The integumentary System
Clinical Physiology :
• Case Taking & Approach to Patient
• General concept of examination.
Module 2 Theory :
Principals of Support System & • Body Fluid & Immune Mechanism
Movements with transportation • Nerve Muscles Physiology

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 Practical :
• Study of the Compound Microscope
• Collection of Blood Samples
• Estimation of Haemoglobin Concentration
• Determination of Haematocrit
• Haemocytometry
• Total RBC Count
• Determination of RBC Indices
• Total Leucocytes Count (TLC)
• Preparation And Examination Of Blood Smear
• Differential Leucocyte Count (DLC)
• Absolute Eosinophil Count
• Determination of Erythrocyte Sedimentation Rate
• Determination of Blood Groups
• Determination of Bleeding Time and Coagulation Time
Clinical Physiology :
Examination of muscles, joints,
4th Month – 5 days PA
6th Month – 10 days TT – including Viva Voce
SEMESTER – 2
Module 3. Theory :
Vital Maintenance of the human body • Cardiovascular System
• Respiratory & Environmental Physiology
Clinical Physiology :-
• Cardio-Vascular System – Blood Pressure Recording, Radial Pulse, ECG, Clinical
Examination
• Respiratory System- Clinical Examination, Spirometry, Stethography
• OPD ( Applied Physiology )

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Module 4. Theory :
Control system of the human body with • Central Nervous System
continuity • Endocrinology
Clinical Physiology :
• Nervous System- Clinical Examination
• Special Senses- Clinical Examination
• Reproductive System – Diagnosis of pregnancy
• OPD
9th Month – 5 days PA
12th Month – 10 days TT – including Viva Voce
SEMESTER - 3
Module 5. Theory :
Energy maintenance of human body • Reproductive System
• Special Senses
• Digestion System & Nutrition
• Renal Physiology
• Bio-Chemistry
Practical : -
• Demonstration of Uses Of Instruments Or Equipment
• Qualitative Analysis of Carbohydrates, Proteins And Lipids
• Normal Characteristics of Urine
• Abnormal Constituents of Urine
• Quantitative Estimation of Glucose, Total Proteins, Uric Acid in Blood
• Liver Function Tests
• Kidney Function Tests
• Lipid Profile
• Interpretation and Discussion of Results of Biochemical Tests
Clinical Physiology :-

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 • Gastrointestinal System- Clinical Examination
• OPD
14th Month – 5 days PA
18th Month – 12 days TT – including Viva Voce – University exam

5.COURSE CONTENT

1. The purpose of a course in physiology is to enable the students to learn the functions, processes and inter-relationship of the
different organs and systems of the normal disturbance in disease so that the student is familiar with normal standards of
reference while diagnosing deviations from the normal, and while treating the patients.
2. There can be no symptoms of disease without vital force animating the human organism and it is primarily the vital force which is
maintaining state of health
3. Physiology shall be taught from the stand point of describing physical processes underlying them in health;
4. Applied aspect of every system including the organs is to be stressed upon while teaching the subject.
5. Correlation with Organon and philosophy especially the concept of health and its derangement the interplay of different cell,
tissue organ and system, their representation in repertory and integration in HMM
6. There should be close co-operation between the various departments while teaching the different systems;

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 7. 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;
8. Seminars should be arranged periodically and lecturers of anatomy, physiology and bio-chemistry should bring home the point to
the students that the integrated approach is more meaningful.
THEORY:-
1. GENERAL PHYSIOLOGY:
• Introduction to cellular physiology
• Cell Junctions
• Transport through cell membrane and resting membrane potential Body fluids compartments
• Homeostasis
2. BIO-PHYSICAL SCIENCES
• Filtration Ultra-filtration Osmosis
• Diffusion Adsorption Hydrotropy, Colloid
• Donnan Equilibrium Tracer elements Dialysis
• Absorption Assimilation Surface tension
3. SKIN &THE INTEGUMENTARY SYSTEM
• Skin & Integumentary System
• Layers of Skin
• Function of Skin
• Sweat
• Body temperature and its regulation
4. BODY FLUID & IMMUNE MECHANISM
• Blood
• Plasma Proteins
• Red Blood Cells
• Erythropoiesis
• Haemoglobin and Iron Metabolism

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 • Erythrocyte Sedimentation Rate
• Packed Cell Volume and Blood Indices
• Haemolysis and Fragility of Red Blood Cells
• White Blood Cell
• Immunity
• Platelets
• Haemostasis
• Coagulation of Blood
• Blood groups
• Blood Transfusion
• Blood volume
• Reticulo-endothelial System and Tissue Macrophage Lymphatic System and Lymph
• Tissue Fluid and Oedema
5. NERVE MUSCLE PHYSIOLOGY
• Physiological properties of nerve fibres
• Nerve fibre- types, classification, function, Degeneration and regeneration of peripheral nerves
• Neuro-Muscular junction
• Physiology of Skeletal muscle
• Physiology of Cardiac muscle
• Physiology of Smooth muscle
• EMG
6. CARDIO-VASCULAR SYSTEM
• Introduction to cardiovascular system Properties of cardiac muscle
• Cardiac cycle
• General principles of circulation Heart sounds
• Regulation of cardiovascular system
• Normal and abnormal Electrocardiogram (ECG)
• Cardiac output

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 • Heart rate
• Arterial blood pressure
• Radial Pulse
• Regional circulation- Cerebral, Splanchnic, Capillary, Cutaneous & skeletal muscle circulation.
• Cardiovascular adjustments during exercise
7. RESPIRATORY SYSTEM AND ENVIRONMENTAL PHYSIOLOGY
• Physiological anatomy of respiratory tract
• Mechanism of respiration: Ventilation, diffusion of gases
• Transport of respiratory gases Regulation of respiration Pulmonary Function Test
• High altitude and space physiology Deep sea physiology
• Artificial respiration
• Effects of exercise on respiration
8. CENTRAL NERVOUS SYSTEM
• Introduction to nervous system Neuron
• Neuroglia
• Receptors
• Synapse
• Neurotransmitters
• Reflex
• Spinal cord
• Somato-sensory system and somato-motor system Physiology of pain
• Brain stem, Vestibular apparatus
• Cerebral cortex
• Thalamus
• Hypothalamus
• Internal capsule
• Basal ganglia
• Limbic system

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 • Cerebellum – Posture and equilibrium
• Reticular formation
• Proprioceptors
• Higher intellectual function Electroencephalogram (EEG)
• Physiology of sleep
• Cerebro-spinal fluid (CSF) Autonomic Nervous System (ANS)
9. ENDOCRINOLOGY
• Introduction of endocrinology and importance of PNEI axis Hormones and hypothalamo- hypophyseal axis
• Pituitary gland
• Thyroid gland
• Parathyroid
• Endocrine functions of pancreas Adrenal cortex
• Adrenal medulla
• Endocrine functions of other organs
10. REPRODUCTIVE SYSTEM
• Male reproductive system-testis and its hormones; seminal vesicles, prostate gland, semen.
• Introduction to female reproductive system
• Menstrual cycle
• Ovulation
• Menopause
• Infertility
• Pregnancy and parturition Placenta
• Pregnancy tests
• Mammary glands and lactation Fertility
• Foetal circulation
11. SPECIAL SENSES
• Eye: Photochemistry of vision, Visual pathway, Pupillary reflexes, Colour vision, Errors of refraction
• Ear: Auditory pathway, Mechanism of hearing, Auditory defects

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 • Sensation of taste: Taste receptors, Taste pathways
• Sensation of smell: Olfactory receptors, olfactory, pathways Sensation of touch
12. DIGESTIVE SYSTEM & NUTRITION
• Introduction to digestive system
• Composition and functions of digestive juices
• Physiological anatomy of Stomach, Pancreas, Liver and Gall bladder, Small intestine, Large intestine
• Movements of gastrointestinal tract
• Gastrointestinal hormones
• Digestion and absorption of carbohydrates, proteins and lipids
13. RENAL PHYSIOLOGY
• Physiological anatomy of kidneys and urinary tract
• Fluid & electrolyte with acid base balance need to be include
• Renal circulation
• Urine formation: Renal clearance, glomerular filtration, tubular reabsorption, selective secretion, concentration of urine,
acidification of urine
• Renal functions tests
• Micturition
14. BIO-CHEMISTRY THEORY
• Carbohydrates: (Chemistry, Metabolism, Glycolysis, TCA, HMP, Glycogen synthesis and degradation, Blood glucose regulation)
• Lipids: (Chemistry, Metabolism, Intestinal uptake, Fat transport, Utilization of stored fat,Activation of fatty acids, Beta oxidation
and synthesis of fatty acids)
• Proteins: (Chemistry, Metabolism, Digestion of protein, Transamination, Deamination Fate of Ammonia, Urea cycle, End
products of each amino acid and their entry into TCA cycle
• Enzymes: (Definition, Classification, Biological Importance, Diagnostic use, Inhibition)
• Vitamins: (Daily requirements, Dietary source, Disorders and physiological role)
• Minerals (Daily requirement, Dietary Sources, Disorders and physiological role) mineral metabolism
• Organ function tests

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PRACTICAL & CLINICAL PHYSIOLOGY:-
No Practical Demonstration / Performance
Haematology
1 Study of the Compound Microscope Performance
2. Collection of Blood Samples Performance
3 Estimation of Haemoglobin Concentration Performance
4 Determination of Haematocrit Demonstration
5 Hemocytometry Performance
6 Total RBC Count Performance
7 Determination of RBC Indices Demonstration
8 Total Leucocytes Count (TLC) Performance
9 Preparation And Examination Of Blood Smear Performance
10 Differential Leucocyte Count (DLC) Performance
11 Absolute Eosinophil Count Demonstration
12 Determination of Erythrocyte Sedimentation Rate Demonstration
13 Determination of Blood Groups Performance
14 Determination of Bleeding Time and Coagulation Time Performance
Biochemistry
1 Demonstration of Uses Of Instruments Or Equipment Demonstration
2 Qualitative Analysis of Carbohydrates, Proteins And Lipids Performance
3 Normal Characteristics of Urine Performance
4 Abnormal Constituents of Urine Performance
5 Quantitative Estimation of Glucose, Total Proteins, Uric Acid in Blood Performance
6 Liver Function Tests Demonstration
7 Kidney Function Tests Demonstration
8 Lipid Profile Demonstration
9 Interpretation and Discussion of Results of Biochemical Tests Demonstration
Clinical Physiology & OPD
1 Case Taking & Approach to pt Performance
2 General Concept Of Examination Performance

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3 Examination of muscles, joints, Performance
4 Cardio-Vascular System – Blood Pressure Recording, Radial Pulse, ECG, Clinical Examination Performance
5 Respiratory System- Clinical Examination, Spirometry, Stethography Performance
6 Nervous System- Clinical Examination Performance
7 Special Senses- Clinical Examination Performance
8 Reproductive System- Diagnosis of Pregnancy Performance
9 Gastrointestinal System- Clinical Examination Performance
10 OPD Demonstration & Performance

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Asse

8. PRACTICAL TOPICS
PRACTICAL & CLINICAL PHYSIOLOGY:-

No Practical Demonstration / Performance

HAEMATOLOGY
1 Study of the Compound Microscope Performance
2. Collection of Blood Samples Performance
3 Estimation of Haemoglobin Concentration Performance
4 Determination of Haematocrit Demonstration
5 Hemocytometry Performance
6 Total RBC Count Performance
7 Determination of RBC Indices Demonstration
8 Total Leucocytes Count (TLC) Performance
9 Preparation And Examination Of Blood Smear Performance
10 Differential Leucocyte Count (DLC) Performance
11 Absolute Eosinophil Count Demonstration
12 Determination of Erythrocyte Sedimentation Rate Demonstration
13 Determination of Blood Groups Performance
14 Determination of Bleeding Time and Coagulation Time Performance
BIOCHEMISTRY
1 Demonstration of Uses Of Instruments Or Equipment Demonstration
2 Qualitative Analysis of Carbohydrates, Proteins And Lipids Performance
3 Normal Characteristics of Urine Performance
4 Abnormal Constituents of Urine Performance
5 Quantitative Estimation of Glucose, Total Proteins, Uric Acid in Blood Performance
6 Liver Function Tests Demonstration

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7 Kidney Function Tests Demonstration
8 Lipid Profile Demonstration
9 Interpretation and Discussion of Results of Biochemical Tests Demonstration
CLINICAL PHYSIOLOGY & OPD
1 Case Taking & Approach to pt Performance
2 General Concept Of Examination Performance
3 Examination of muscles, joints, Performance
4 Cardio-Vascular System – Blood Pressure Recording, Radial Pulse, ECG, Clinical Examination Performance
5 Respiratory System- Clinical Examination, Spirometry, Stethography Performance
6 Nervous System- Clinical Examination Performance
7 Special Senses- Clinical Examination Performance
8 Reproductive System- Diagnosis of Pregnancy Performance
9 Gastrointestinal System- Clinical Examination Performance
10 OPD (Applied Physiology) Demonstration & Performance

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9. ASSESSMENT
PHYSIOLOGY THEME TABLE

PAPER – 1
Theme* Topics Term Marks MCQ’s SAQ’s LAQ’s
A General Physiology I 07 Yes Yes No
B Biophysics Science I 07 Yes Yes No
C Body fluids& Immune Mechanism I 16 Yes Yes Yes
D Cardiovascular system II 16 Yes Yes Yes
E Respiratory system II 16 Yes Yes Yes
F Excretory system III 16 Yes Yes Yes
G Skin & The Integumentary System I 11 Yes Yes No
H Nerve Muscle physiology system I 11 Yes Yes No

QUESTION PAPER BLUE PRINT

UNIVERSITY EXAM PAPER-I – 100 MARKS
MCQs – 10 Marks. SAQs – 50 Marks. FAQs – 40 Marks
Question Question Paper Format
Type of Question
Serial Number (Refer Theme table for themes)
Q1 Multiple choice Questions (MCQ) 1. Theme A
All questions compulsory 2. Theme A
1 mark each 3. Theme B
4. Theme B
5. Theme C
6. Theme D
7. Theme E
8. Theme F
9. Theme G
10. Theme H
Q2 Short answer Questions(SAQ) 1. Theme A

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 All questions compulsory 2. Theme B
5 Marks Each 3. Theme C
4. Theme D
5. Theme E
6. Theme F
7. Theme G
8. Theme G
9. Theme H
10. Theme H
Q3 Long answer Questions (LAQ) 1. Theme C
All questions compulsory 2. Theme D
10 marks each 3. Theme E
4. Theme F

PAPER – 2
Theme* Topics Term Marks MCQ’s SAQ’s LAQ’s
A Endocrine system II 21 Yes Yes Yes
B Central Nervous System II 21 Yes Yes Yes
C Digestive system and Nutrition III 21 Yes Yes Yes
D Reproductive system III 17 Yes Yes Yes
E Sense organs III 12 Yes Yes No
F Biochemistry III 08 Yes Yes No

UNIVERSITY EXAM PAPER-II – 100 MARKS

MCQs – 10 Marks. SAQs – 50 Marks. FAQs – 40 Marks

Question Question Paper Format

Type of Question
Serial Number (Refer Theme table for themes)

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 Q1 Multiple choice Questions (MCQ) 1) Theme A
All questions compulsory 2) Theme B
1 mark each 3) Theme C
4) Theme D
5) Theme D
6) Theme E
7) Theme E
8) Theme F
9) Theme F
10) Theme F

Q2 Short answer Questions (SAQ) 1) Theme A

All questions compulsory 2) Theme A
5 Marks Each 3) Theme B
4) Theme B
5) Theme C
6) Theme C
7) Theme D
8) Theme E
9) Theme E
10) Theme F
Q3 Long answer Questions (LAQ) 1) Theme A
All questions compulsory 2) Theme B
10 marks each 3) Theme C
4) Theme D

Distribution of Marks for Practical Exam:

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 Practical Exam: 100 Marks
Haematology 20 marks
Bio-chemistry 20 marks
Clinical Physiology 20 marks
Spotting 30 marks
Journal 10 marks
Viva: 80 Marks
Viva Voce 80 marks
Internal Assessment: 20
IA 20

The Pass Marks in Each Component of the Examination shall be 50%.

9B - Scheme of Assessment (formative and Summative)

Sr. Professional 1st term (1-6 Months) 2nd Term (7-12 Months) 3rd Term (13-18 Months)
No Course
1 First 1st PA 1ST TT 2nd PA 2ND TT 3rd PA UE
Professional
20 Marks 100 100 20 Marks 100 100 20 Marks
BHMS
Practical/Viva Marks Marks Practical/Viva Marks Marks Practical/Viva
Theory Practical/ Theory Practical/
Viva Viva

For Internal assessment, Only Practical/Viva marks will be considered. Theory marks will not be counted)
Method of Calculation of Internal Assessment Marks for Final University Examination:

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 PA1 PA2 PA3 Periodical TT1 TT2 Terminal Final
Practical/Viva Practical/Viva Practical/Viva Assessment Practical/ Practical/ Test Internal
(20 Marks) (20 Marks) (20 Marks) Average Viva Viva Average Assessment
PA1+PA2+PA3/3 (100 Marks) (100 Marks) TT1+ Marks
TT2/
200*20
A B C D E F G D+G/2

PA- Periodical Assessment TT- Terminal Test UE- University Examination

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10.LIST OF RECOMMENDED BOOKS
THEORY

TEXT BOOKS
1. John N A (2023)Chatterjee C C. Text Book of Physiology 14th Edition. CBS Publication. (CBDC based)
2. Tortora G (2020). Principles of Anatomy & Physiology. Wiley Publication.
3. Jain A (2021). Text Book of Physiology Vol – 1 & 2. Avichal Publishing Company.
4. Reddy L P(2023)Fundamentals of Medical Physiology. CBS Publishers and Distributors(CBDC based)

REFERENCE BOOKS
1. Hall J. (2020). Guyton & Hall Text book of Medical Physiology. Elsevier Publication.
2. Khurana I (2021). Essential Medical Physiology. Elsevier Publication.

PRACTICAL & CLINICAL PHYSIOLOGY:-

1. Varshney VP, Bedi M, (2023) Ghai’s Textbook of Practical Physiology: 10th Edition. Jaypee Brothers Medical Publisher (CBDC
based)
2. John N Aet al (2021) C C Chatterjee’s Manual of Practical Physiology: CBS Publishers and Distributors(CBDC based)
3. Jain A. (2019) Manual of Practical Physiology. 6th ed. Arya Publications.
4. Glynn M., William D. (2017). Hutchison’s Clinical methods. 24th edition Elsevier Publication

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