This is the real intended way of learning in Ayurveda medical colleges. Nothing is taught properly and students are hardly taught how to translate the standardised evidences in samhitas into clinical practice. Also constant updation is required based on this kind of indepth evidence practice for physicians in their whole life .

1. TEST YOUR UNDERSTANDING
GIT
SBEBA DECISION MAKING
Dr. Remya Krishnan

2. Q1
• The SBEBA guidelines for Atisara caused by
vidagdhahara moorchitha prabhoota doshas
is ……….
a. Vamana
b. Virechana
c.Anulomana
d. Sthambhana

3. Q2
• Rohan , three years came with her mother
with complaints of persistent cough with
episodes of vomiting , refusing feeds and
choking during feeds with recurrent vomiting
and vomitus greenish yellow. There is poor
weight gain . He had an episode of vomiting
then itself and her mother reported that he
just had some sugar cane juice before 10mts.
What is the science led evidence based
approach to this?

4. Q3
• The two main complications of chronic
charddi are …….. and ……..
Their management by ………… and ………..

5. Q4
• SBEBA guidelines for ama soola is……. and ……
and niraama soola is ………

6. Q5
• 15 year old female comes to your clinic
presenting with a chief complaint of abdominal
pain since one day. The abdominal pain is
generalized in location, and described as a dull
pain, non-radiating. She notes some acid reflex
and poor appetite . O/E there is some
generalised tenderness in the abdomen region.
She had sore throat , nasal congestion and body
pain in the last week which she herself managed
by paracetamol .She has no cough, vomiting or
diarrhoea.
Evidence based decision making ??

7. Q6
• SBEBA guidelines for charddi in niraama status
??

8. Q7
• A 27 years old patient, Ms T. A. residing in Mumbai,
presented with complaint of severe burning in the
retrosternal area, food regurgitation, sensation as if
something stuck in the region behind the sternum,
nausea and eructations. She used to have this
complaint everyday since the last one year. The
complaints were more frequent after meals, after
spicy food and continued till late night, disturbing her
sleep. Also presented with anxiety neurosis. Great
craving for fish and pickles, more intolerance towards
summer . Write evidence based diagnosis and
management?

9. Q8
• Musta, Patola and Kiratatikta are beneficial in
a. Vishamaagni
b. Mandaagni
c. Theekshnaagni
d. Samaagni

10. Q9
• Mrs X , aged 57 years reported diffuse pain in the
mid stomach worsened after food intake
sometimes radiating to back also which is a bit
relieved by lying down or vomiting . She reported
weightloss and blood in her vomitus before a day
. What would be the accurate decision in her
diet?
a. Steamed foods at an interval of two hours
b.Diluted milk in intermittent intervals
c. Shadangapana followed by ghrita
d. Laja water and peyadikrama

11. Q10
• In Pittaatisara , na langhanam proktam- why??
Then what to do??

12. Q11
• Mr. X, 65 years had presented with severe pain in rt knee
joint ( 8/10) despite of taking Ibuprufen . He was also taking
Aspirin every day as advised by cardiologist. He came to
you with severe pain in the upper abdomen just below
sternum especially when hungry. Bloating is associated
.What is the appropriate decision ?
A. Withdraw Aspirin and Ibuprufen and start tikta ushna
oushadha.
• B.Continue the modern drugs and give tikta seeta
oushadha
• C. Stop the modern drugs and give deepana
• D. Stop the modern drugs and start medicated ghrita

13. Q12
• Mrs. S , aged 28 years presenting with loose
stools five times a day and 2-3 times at night
with occasional blood stains in stool.She takes
Ibuprofen for her menstrual cramps.Her
temperature is 100 degree F and her oral
mucosa appears dry. She was sent for rectal
examination and the surgeon reported no
external lesions but mucous on the glove is
positive for occult blood. What is your
evidence based diagnosis ?

14. Q13
• What will be the ideal evidence based
approach to start with in the above case ?
a. Sthambhana medicine and diet
b . Tikta seeta dravyas and yavagu.
c. Katu dravyas and jeera water ( sangrahi)
d. All the above

15. Q14
• A male patient, 25 years , with crampy pain in
abdomen , bloating, gas, mucous in stool with
intermittent diarrhoea and constipation?? The
symptoms are present for more than a year.
He is an IT professional . He has no addictions
.He has intermittent head ache, sleep
problems and anxiety by all these. What is
your evidence based diagnosis ?