Thursday, 7 December 2017

Revised CGHS Rates for Ayurvedic treatment expenditure claims

Revised CGHS Rates for Ayurvedic treatment expenditure claims

Revised CGHS Rates for Ayurvedic treatment expenditure claims and Guidelines for reimbursement/ settlement of Ayurvedic treatment expenditure claims under CGHS.

Revised CGHS Rates for Ayurvedic treatment expenditure claims – CGHS circular
Revised CGHS Rates and Guidelines for reimbursement/ settlement of Ayurvedic treatment expenditure claims under CGHS.
List  of  diseases/disease  conditions  needing  hospitalization  of  the patients, indicative therapies and likely duration of hospitalization-
Sl.
No
DiseaseCondition
needing hospitalization
Indicated               therapies
required      as      per      the condition of patient
Likely
duration of hospitaliz ation
1.SwasaRoga,
KasaRoga
(Restrictive
/Obstructive Pulmonary Diseases, Bronchial Asthma, Emphysema, COPD..etc)
·    Breathing difficulty
·    Cough
·    Fever
Snehapana,           Abhyanga,
Nadeesweda, Vamana, Virechana, Kavala, Dhoomapana, Nasya, Pizhichil, Thakra Dhara, Urovasthi, Taila Vasthi, Kashaya Vasthi,Pichu, Thailam, Kashay Dhara, Dhanyamla Dhara, Lepam
7-         28
DAYS
2Greevastambha,
Greevashundan a
(Cervical spondylosis, Cervical spondylitis, Ankylosing spondylitis       of cervical     spine, Cervical       disc prolapse.etc)

·    Persisting or radiating pain in cervical region
·    Restricted neck movements
·    Tenderness
·    Numbness
·    Vertigo

Abhyanga,   Lepa,   Upanaha,
Jambeerapindasweda,, Kukkutandapindasweda, Shashtikapindasweda, Churnapindasweda, Pizhichil, Pathrapindasweda, Dhanyamlapindasweda, Dhanyamladhara,         Pichu, Valukasweda,     Aanchanam, Sthanika                     Sekam, Nadeesweda,   Greevavasthi, Nasya, Kavala, Dhoomapana, Sirovasthi, Snehapana,Vamana,
Virechana,  Kashaya  Vasthi,
Thailavasthi,Thalam,Veshtan am,    Dhanya    Pindasweda, Valuka Sweda
7-         28
DAYS
  
3Kateegraha,
gridhrasi, kateesoolatrikap ristakateegraha, (Sciatica,     Low Back Pain/Ache, I.V.D.P, Spondylolysthesi s…etc)
·    Persistent or radiating back pain
·    Restricted movements of
low back/ hip region
·    Tenderness
·    Burning sensation
KatiVasthi,        PrishtaVasthi,
Agnikarma,            Kati-pichu, SiraVyadha/Siravedha, Virechana
Abhyanga,   Lepa,   Upanaha, Jambeerapindasweda, Kukkutandapindasweda, Shashtikapindasweda, Churnapindasweda, Pizhichil, Pathrapindasweda, Dhanyamla         Pindasweda, Dhanyamla    Dhara,    Pichu, Valukasweda,     Aanchanam, Sthanika                      sekam, Nadeesweda,     Kati  Vasthi, Avagaha,
Snehapana, Virechana, Thailavasthi, Kashayavasthi, Ksheeradhara,
PrIshtasandhi-marma abhyanga                  (Lumbar manipulation),         Veshtana, Dhanya  pindasweda,  Valuka sweda
7-         28
DAYS
4Apabahuka,
Viswachi (Frozen shoulder, Periarthritis, Tendinitis,
Brachial
neuralgia……etc
)
·    Radiating or local pain in shoulder
region
·    Restricted shoulder movements
·    Tenderness
·    Numbness
·    Muscle wasting
Agnikarma, Abhyanga, Lepa,
Upanaha,             Veshtanam, Jambeerapindasweda, Kukkutandapindasweda, Shashtikapindasweda, Churnapindasweda, Pizhichil,Pathrapindasweda,Dhanyamlapindasweda, Dhanyamladhara,         Pichu, Valukasweda,     Aanchanam, Sthanika                      sekam, Nadeesweda,   Greevavasthi, Nasya,                        KaVala, Dhoomapana,
Sirovasthi, Snehapana, Vamana, Thailavasthi, Kashayavasthi, Dhanya pindasweda, Valuka sweda, Mamsa pindasweda
7-28
DAYS
  
5Pakshaghata
(Paralysis, Hemiplegia, Hemiparesis…et c)
·    Weakness of one side of
the body
·    Stiffness of muscles
·    Muscle weakness
·    Numbness
·    Pain
·    Tremor
·    Difficulty in speech
virechana,
kashaya vasthi, taila vasthi, shashtikapindasweda, pathra pindasweda, choorna pindasweda, jambeera pindasweda, dhanyamla pindasweda, sirovasthi, thalapothichil,
pichu,seka, nasya, kabala, dhoomapana, abhyanga, thalam, moordhathailam, pizhichil, thailadhara,   kashayadahara, ksheeradhara, ksheera hoomam, jihwalepam, nadeeswedam, valuka sweda,  mamsa pindasweda
14   –   35
DAYS
6

Kampavata(Neur
o-spastic conditions, Parkinson’s
disease..etc)
·    Tremor
·    Stiffness of muscles
·    Muscle weakness
·    Walking
difficulty
·    Sluttering movements
·    Difficulty in speech
pizhichil,      nasya,      kabala,gandoosha, dhoomapana, sirovasthi, ushmasweda, pichu, choornapindasweda, pathrapindasweda, jambeerapindasweda, shashtikapindasweda,lepa,ab hyanga, nadeesweda, ksheeradhooma,  thailavasthi,  kashayavasthi, ksheeradhara-full body (different varities), dhanyamlapindasweda, dhanyapindasweda, mamsapindasweda14-       28
DAYS
 
7Ardita
(Facial
Paralysis..etc)
·    Weakness of facial muscles
·    Drooping of eye lids
·    Numbness of facial muscles
·    Salivation
murdhataila,   nasya,   kabala,
dhoomapana,
mukhabhyanga, nadeesweda, gandushaksheeradhooma, karnapoorana, akshitharpana, thalam, thailadhara,thakradhara, sirovasthi,                      pichu, thalapothichil/sirolepa, virechana,              tailavasthi, kashayavasthi, choornapindasweda, pathrapindasweda, annalepa/ navaratheppu- sthanika
7-         21
DAYS
8

Vatarakta  (gouti
arthritis
ischaemic   limb, sle,   rheumatoid arthritis..etc), kroshtukasheers ha

·    Joint pain
·    Swelling
·    Tenderness
·    Deformity
·    Burning sensation
·    Discolouration

kashaya vasthi, thaila vasthi,
virechana,
parisheka, rakthamoksham- jaloukavacharana, siravedha, patra pinda sweda,
nadee sweda, veshtana,
valuka sweda, choorna pinda
sweda,      shashtika      pinda
sweda, dhanyamla dhara, dhanyamla pinda sweda, ksheera dhara, kashaya dhara,lepana, upanaha, avagaha,   snehapana, pizhichil
14-28
DAYS
 
9Amavata
(Connective tissue   disorder, Rheumatic fever..etc)
·    Heaviness of body
·    Body ache
·    Immobility
·    Fever
·    Swelling
·    Pain in low back
virechana,   kashaya   vasthi,
thaila vasthi,
valuka sweda, choorna pinda sweda, dhanyamla pinda sweda, dhanyamla dhara, rakthamokshana, upanaha, lepana, dhanya pindasweda, nadee swedam
14-28
DAYS
10Sarvanga    Vata
(Cerebral atrophy, Cerebral
Diplegia,  Motor- Neuron
diseases,
M.N.D,        M.S, C.P..etc), SUPTHI (Neurological disorders, Fibromyalgia..et c)
·    Generalized pain
·    Stiffness
·    Numbness
·    Weakness
·    Feeling of coldness
Shastikapidna
sweda,
Kaya                Seka/Pizhichil, Annalepana/Navaratheppu, Abhyanga,
Kashayavasthi, thailavasthi, Shiropichu,          Snehapana, ChoornaPindasweda, DhanyamlaDhara, DhanyamlaPindaSweda, PathraPindaSweda, Thailadhara,      ThakraDhara, Sirolepam,                Nasyam, Ksheeradhara, MamsaPindasweda
14-28
DAYS
11Sandhigatavata
(DEGENERATIVE
JOINT DISORDERS, TENNIS    ELBOW), VATHAKANDAKAM (CALCANEAL SPUR)
·    Joint pain
·    Restricted joint movements
·    Stiffness
·    Crepitus
Januvasti,   Kashaya   vasthi,
Thaila    Vasthi,         Prushta
Vasthi, Katee Vasthi, Greeva Vasthi, Jaloukavacharana, Choorna  Pindsweda,  Pathra Pinda     Sweda,     Shashtika Pinda      Sweda,      Sthanika Annalepa,   Sthanika   Vasthi, Upanaha,    Lepa,        Pichu, Snehapana,           Parisheka, Veshtana, Mamsakkizhi,Ksheeradhara,
Pizhichil
14-28
Days
12Twak          Vikara (Skin         Diseases), Kitibha, Ekakushta, Vicharchika, Gajacharma (Lichen     Planus, Psoriasis, Eczema..etc) Discolouration
·    Itching
·    Scaling
·    Oozing
·    Peeling
·    Burning sensation
·    Numbness
Vamana, Virechana, Nehapana, Rakthamokshana- (Jaloukavacharana, prachana, siravedha/ siravyadha), Parisheka,  Takradhara,  Lepa, KashayaDhara, KashayaVasthi,TailaVasthi, Kshalana,     Abhyanga,
NadeeSweda
8-28 Days
13

Visarpa (Cellulitis, Erisepelus, Necrotising Cellulitis, Impetigo, Pemphiguos vulgaris…etc), Grandhi, Arbuda(Benign & Malignant growths,
Hodgkins disease..etc)),
Rashes
·    Blisters
·    Itching
·    Oozing
·    Burning sensation
·    Pain
·    Growths

Rakthamokshana, Jalukavacharana, Vamana, virechana, Kashaya  Vasthi, Thaila Vasthi, Kashaya Dhara, Thakra Dhara,
Abhyanga, lepa, 
14-       28
Days

14Arsha,
Bhagandara, Parikarthika (Haemorrhoid, Fistula   in   ano, Fissure            in ano..etc),
NADEE  VRANA (Pilonoidal sinus..etc)
·    Constipation
·    Pain in anal region
·    Itching around anus
·    Burning sensation
·    Prolapse of mass from
anus
·    Bleeding from anus
·    Pus from anus
Virechana,               Avagaha,
Upanaha, Lepa, Taila Vasthi- Mathravasthi,          Kshalana, Thakrapana,                 Varthi, Ksharakarma,Ksharasoothra, Agnikarma     Varieties     Like Classical/         Infra         Red Coagulation/ High Frequency Coagulation/                  Radio Frequency  coagulation  ..etc, suction   aided   ring   ligation procedure,  Kshara  Pathana, Taila      Daha,      Dhoopana, Goshbanabandha,
1-7 DAYS
15Moothraghata,
Moothrakruchra, Asmari     (Renal disfunction, Renal/Urinary Calculi,   Urinary Disfunction/ Obstruction…etc
)
·    Painful micturition or Pain in scrotum and penis with decreased urine output
·    Presence of blood with urine may be present
Snehapana,   Nadee  Sweda,
Virechana, Avagaha,
Kashaya vasthi, Taila Vasthi, Abhyanga,Uthara Vasthi, Lepa, Dhara-Sthanika
14-28
DAYS
16

Kashtarthava,
Kruchrarthava, Artava     Dushti, Yonee   Roga   , Rakthapradara (Amenorrhoea, Dysmenorrhoea,
PCOD/    PCOS,
D.U.B..etc)
· Severe pain with menstruation
· Very less menstrual flow
or no
Menstruation
· Irregular menstruation
· Abnormal menstruation

Vamana, virechana,
Kashaya      vasthi,      Thaila
Vasthi,
Nasya, snehapana, Uthara vasthi,    Yoni Prakshalana, Udwarthana, Dhanyamla Dhara,    Dhanyamla    Pinda
Sweda,             Avagaha      ,
Yonidhavana,  Yoni  Pichu, Yoni Poorana, Yoni Dhoopana, Abhyanga, Ksharakarma, Nadeesweda
14-       28
DAYS

17Mamsagata
Vikara, Mamsakshaya (Muscular Dystrophy…etc)
·    Weakness of muscles
·    Wastage of muscles
Choorna Pindasweda, Pathra
Pinda     Sweda,     Swedana, Shashtika     Pinda     Sweda, mamsa       Pinda       Sweda, Annalepa,            Vesthanam, Pizhichil, Udwarthana, Upanaha,      Matra      Vasthi, Kashaya Vasthi
14-28
DAYS
18

Dristidosha-
Asama    Drishti, Nethraja Rakthapitham, Jeerna Nethrabhishyand am, Sushkakshipaka m, Adhimandam,Na kulandhyam, Puyalasa, Chathurtha Patalagatha Vikara
(Refractive
errors,    Chronic Allergic             & Inflamatory diseases,
Chronic
Conjunctivitis,
Dry               Eye Syndrom,Retiniti s     Pigmentosa, Night  Blindness, Dacrocystitis, A.R.M.D, Retinopathy, Blepharospasm.. etc)
·    Diminished vision
·    Photophobia
·    Dyplopia
·    Watering of eyes
·    Pus formation in eyes
·    Itching of eyes
·    Strain & pain in eyes
·    Restricted field of vision
·    Headache

Tharpana, aschothana,
Nasya,
Eye exercises, Anjana, Putapaka, Shashtika Pindasweda- Sthanika, Kashaya  Vasthi, Thaila Vasthi, Jaloukavacharana, Nethra Dhara/ Akshi Seka, Sirovasthi,      Taila      Dhara,
Thakra Dhara, Pichu, Dhoomapana, Snehapana, Virechana,Pindi, Vitalaka, Kshalana,
Sirolepa,Sirolepam, Thalam,Eshana, Bhedana

7-         28
DAYS

19Sirasoola,
Sooryavartham, Ardhavabhedaka m(Migraine, Headache…etc)
·    Severe headache
·    Heaviness of head
·    Nausea
·    Photophobia
Snehapana,   Nadee  Sweda,
Nasya, Vamana, Virechana, Dhoomapana, Kabala, Gandoosha,  Thalam, Moordha Taila, Pichu- Siropichu, Sirovasthi, Tailadhara, Thakradhara
7-         21
DAYS
20Khanja   ,Pangu-
Abhigathaja, AbhighatajaVikar a(Restricted movements  due to           fracture/ dislocation..etc)
·    Dislocation of bone/
cartilage/
vertebrae
·    Pain
·    Swelling
·    Restricted or painful
movements of associated area/ nearby muscles
Veshtanam, Lepam,   Dhara-
Sthanika, Kukkutanda Pinda Sweda, Jambeera Pindasweda, Shashtika Pinda Sweda, Annalepa, Choorna Pindasweda, Pathra Pindasweda, Pizhichil, Dhanyamla Dhara, Pichu, Abhyanga
14-21
DAYS
2. Unit Cost of Ayurvedic therapies/interventions in OPD/IPD –
Unit cost per therapy/intervention means cost of procedure including cost of medicines used in the procedure as under.
Therapy/Intervention
NoTreatment NameUnit Cost in Rupees
1Abhyanga1145
2Abhyanga- Sthanika570
3Abhyanga + Sweda1280
4Avagaha765
5Anjana340
6Aanchana (Traction)480
7Annalepa/Njavaratheppu- Full body1290
8Annalepa/Njavaratheppu – Sthanikam755
9Aschothana335
10Agnikarma-Infra  Red  Coagulation  (Package  rate  for  full
Course of treatment)
10,000
11Agnikarma- High frequency Coagulation (Package rate for
full course of treatment)
10,000
12Agnikarma- Radio frequency Coagulation (Package rate for
full course of treatment)
10,000
13Achasnehapana/day440
14Bhedana (of eye)565
15BhagnaBandhana   (Fracture   Bandage   with   Reduction
&Immobilisation)
885
16ChoornaPindaSweda/Podikkizhi-Full Body1210
17ChoornaPindaSweda/Podikkizhi- Sthanika/Ekangam715
18DhanyaPindaswedam/Dhanyakkizhi/     Navadhanyakkizhi-
Full body
1245
19Dhara/Sirodhara-Thaila1420
20Dhanyamladhara-Sthanika/Local -KateeDharaetc705
21Dhoopana480
22Dhoomapana460
23DhanyamlaPindaSweda/  Dhanyamlakkizhi/Kaatikkizhi-Full
Body
1240
24Eshana565
25Greevavasthi845
26Gandoosha390
27Goshbanabandha300
28Jaloukavacharana745
29Jambeerapindasweda/ Narangakkizhi-Full Body1190
30Januvasthi845
31Kabala390
32Kateevasthi845
33Kashayavasthi (Niroohavasthi)-Different varieties1030
34KashayaDhara- Full Body1045
35KashayaDhara -Ekangam/ Local635
36KsheeraDhara(Medicated-different varities) -full body1155
37KsheeraDhooma735
38Kshara karma (Package rate for full course of treatment)10,000
39Ksharasoothra-Low  level  fistula  (Package  rate  for  full course of treatment)10,000
40Ksharasoothra-Middle  level  fistula  (Package  rate  for  full
course of treatment)
10,000
41Ksharasoothra-  High  level  fistula  (Package  rate  for  full
course of treatment)
10,000
42Kshalana355
43KsharaPathana(Package rate for full course of treatment)10,000
44Karnapoorana350
45Kuttanam540
46Lekhana540
47Lepa/Lepana-Local390
48Mathravasthi350
49MamsaPindaSweda/Mamsakkizhi-Full Body1420
50MamsaPindaSweda/Mamsakkizhi-Sthanikam/Ekangam820
51Mukhalepa490
52Moordhataila315
53Nadeesweda/Snigdhasweda – Full580
54Nadeesweda/Snigdhasweda – Ekangam/Local450
55Nethradhara/Akshiseka595
56Nasya600
57PathraPindaSweda/Ilakkizhi-Full1220
58PathraPindaSweda/Ilakkizhi-sthanika/Ekangam720
59Pizhichil/Kayaseka – Full Body1995
60Pizhichil – Sthanikam/Ekangam/Local1105
61Pichu410
62Prushtavasthi845
63Putapaka850
64Prachanna590
65Pindi450
66ShashtikapindaSweda/Navarakkizhi-full body1320
67ShashtikapindaSweda/ Navarakkizhi-Ekangam/Sthanikam770
68Sirovasthi970
69Snehapana/day440
70Sirolepa/Thalapothichil1120
71Siravyadha/Siravedha/Rakthamoksha640
72TailaVasthi710
73Thakradhara1145
74Thalam410
75Tharpana735
76Tailadaha (Package rate for full course of treatment)10,000
77Thakrapana250
78Utharavasthi1100
79Udwarthana1095
80Urovasthi845
81Upanaha/Upanahasweda590
82Vamana745
83Virechana355
84Valukasweda/Manalkkizhi- Full Body1080
85Vitalaka/Bitalaka450
86Yoniprakshalana500
87Yonidhavana500
88Yoni Pichu460
89Yoni Poorana460
90Yoni Dhoopana335
91Valukasweda/Manalkkizhi- Sthanikam655
92Ksheeradhara-Head1095
93Jambeerapindasweda/ Narangakkizhi-sthanika/Local735
94Dhanyapindasweda-Sthanika/Local730
95Dhanyamlapindasweda/ Katikkizhi-Sthanika705
96Veshtanam330
97Agnikarma (Classical with PanchalohaSalaka)995
3. Determination of treatment expenditure for payment/reimbursement
For the purpose of settlement of Ayurvedic treatment expenditure under CGHS , following criteria shall be applied-
a)  Above-mentioned rates of therapies/interventions shall be benchmarks for calculating treatment expenditure.
b)  The above unit rates are inclusive of the cost implication of materials, medicines, accessories, equipment maintenance , manpower (medical, paramedical and nursing) and diet used in imparting therapies except room rent of the hospitalization.
c)  Pre and post procedure cost will be chargeable @ Rs 75 per day.
d)  Room rent , wherever applicable  shall be chargeable as per the rates prescribed in the OM.
*****
Revised  CGHS  Rates  and  Guidelines  for  reimbursement/  settlement  of  Unani treatment under CGHS.
1.          List of diseases/disease conditions needing hospitalization of the patients, indicative therapies and likely duration of hospitalization-

S. No
.
DiseaseConditions requiring hospitalizationIndicated Therapies required as per the condition of patients
Likely
duration of hospitali zation
 

1
 
Shaqīqa
(Migraine)
 
Recurrent episodic throbbing pain in one half of head
Therapy           related
Medication,
Fasd, Ishāl , Natūl, Lakhlakhah and Zimad
 

7-28 days
 

2
 

Sar‘ (Epilepsy)
 

Recurrent    spells    of convulsions
Therapy           related
Medication, Qay’, Fasd, Ishāl, Huqna, Hammām, Hijāma, Ghargharah, Nafookh and Nashooq
 

7-28 days
 

3
 

Fālij (Paralysis)
 
flaccidity/atony         of organs
Therapy           related
Medication, Huqna, Dalk, Hijāma, Natūl, Ghargharah, Nafookh and Nashooq
 

7-28 days
 

4
 

Laqwa     (Bell’s
palsy)
 
flaccidity of angle of mouth   and/or dropping of lower eyelid
Therapy           related
Medication, Tadhīn, Facial exercise, Mazoogh,
Ghargharah          and
Zimad
 

7-28 days
 

5
 

Ri‘sha (Tremor)
 
involuntary movement of      affected      body part
Therapy           related
Medication, Hammām Hār, Takmīd Hār, Tamrīkh, Fasd, Dalk and Is’hal
 

7-28 days
 
6
 
Waram-i Asl al- Uzun (Mumps/ Parotitis)
 
Pain     and     swelling below the ears
Therapy           related
Medication, Fasd, Ishāl, Hijāma, Inkibāb, Takmīd
 
7-28 days
 

7
 
Waram-i  Halaq
(Pharyngitis)
 
Sore  throat, dry cough, difficulty in swallowing
Therapy related Medication, Fasd, Irsal-I   Alaq,   Hijāma
and Ghargharah
 

7-28 days
 
8

Waram-i
Lawzatayn
(Tonsillitis)

 
Sore  throat,  difficulty in swallowing, fever

Therapy           related
Medication,        Fasd, Huqna, Ishāl, Hijāma,
Gharghara
 
7-28 days

 
9
 
Iltihāb-i Tajāwīf- i Anf (Sinusitis)
 
Headache, post nasal drip
Therapy           related
Medication, Fasd, Takmīd, Tar’riq, Inkibāb,
 
7-28 days
 
10
 
Nazla     Wabā’ī
(Influenza)
 
Headache, bodyache, fever
Therapy related Medication, Dalk, Pashoya, Ishāl 
7-28 days
 
11
Shahīqa
(Pertussis/ Whooping Cough)
 
Severe   episodes   of cough
 
Therapy           related
Medication, Inkibāb
 
7-28 days
 
12
 
Iltihāb al-Shu‘ab
(Bronchitis)
 
Productive        cough, pain in chest, fever
Therapy           related
Medication, Inkibāb, Gharghara, Qai, Dalk and Zimad
 
7-28 days
 
13
 
Zīq       al-Nafas (Bronchial Asthma)
 
Recurrent attacks of cough,    dyspnoea, pain
Therapy           related
Medication, Fasd, Hijāma, Bukhoor and Qai
 
7-28 days
 
14
 
Zāt        al-Riy’a
(Pneumonia)
 
Continuous fever, cough,    dyspnoea, pain in chest
Therapy           related
Medication, Fasd, Ishāl, Hijāma, Zimad and Takmeed
 
7-28 days
 
15
 
Ru’af
(Epistaxsis)
 
Recurrent episodes of bleeding from nose
Therapy           related
Medication,     Hijāma,
Fasd,
 
7-28 days
 
16
 
Salābat-i  Kabid
(Cirrhotic Liver)
Heaviness                in
abdomen and loss of appetite
Therapy           related
Medication, Fasd and
Zimad
 
7-28 days
 
17
Zaghṭ     al-Dam
Qawī      Lāzimī (Essential Hypertension)
 
Headache, heaviness in head, clouding of conscious, epistaxsis
Therapy           related
Medication, Fasd, Dalk, Hijāma, Hammām, Riyāzat
 
7-28 days
 
18
Zayābīṭus Sukkari     Qism Sānī   (Diabetes Mellitus Type II) 
Excessive           thirst, urination
Therapy related Medication, Takmīd, Ābzan, Dalk, Qay’, Tar’riq, Riyāzat 
7-28 days
 

19
 
Waram-i   Mi‘da
(Gastritis)
 
Burning pain in chest, decreased appetite, distended stomach,
Therapy           related
Medication, Fasd, Riyāzat,   Dalk, Inkibāb,   Hammām and Zimad
 

7-28 days
 
20
 
Qarḥa-i Huzūmī
(Peptic Ulcer)
Severe       pain       in
stomach,        nausea, vomiting
Therapy           related
Medication,     Huqna, Zimad
 
7-28 days
 

21
 
Zahīr
(Dysentery)
repeated     urge     for
defecation, heaviness in abdomen, pain, abdominal distention, tenesmus
 
Therapy related Medication, Takmīd, Huqna, Ābzan
 

7-28 days
 
22
 
Ishāl
(Diarrhoea)
 
repeated defecation, indigestion, flatulence and gurgling
Therapy           related
Medication,
Hammām,  Dalk  and
Huqna
 
7-28 days
 
23
 
Bawāsīr  (Piles/ Heamorrhoids)
 
Mass, pain and itching in the anus
Therapy           related
Medication, Fasd, Ābzan and Irsal-e- Alaq
 
7-28 days
 
24
 
Sū’       al-Qinya
(Anaemia)
 
Pallor, swelling
Therapy           related
Medication,         Dalk,
Hammām, Riyāzat
 
7-28 days
 
25
Tashaḥḥum al- Kabid (Fatty Liver) 
Anorexia,   dyspepsia, pain in abdomen
Therapy related Medication, Takmīd, Zimad 
7-28 days
 
26
 
Waram-i   Kabid
(Hepatitis)
 
Loss of appetite, pain abdomen, nausea, vomiting
Therapy           related
Medication, Fasd, Riyāzat, Hammām and Zimad
 
7-28 days
 
27
 
Istisqa’Ziqqi
(Ascites)
 
Abdominal  distention, dyspepsia,
Therapy           related
Medication,         Idrār,
Ishāl, Tar’riq
 
7-28 days
 
28
 
Istisqa’Lehmi
(Anasarca)
 
Generalized       pitting edema
Therapy           related
Medication, Tar’riq, Idrār, Hammām, Riyāzat, Hijāma,
 
7-28 days
 
29
 
Yaraqān
(Jaundice)
 
Yellow   discolouration of skin, eyes and urine
Therapy           related
Medication, rest, Is’hal, Qai, Fasd and Huqna
 
7-28 days
 
30
Waram-i   Kulya
(Glomeruloneph ritis / Pyelonephritis)
 
Fever,     difficulty    in urination
Therapy           related
Medication, Fasd, Takmīd, Qay’, Huqna, Ābzan, Natūl
 
7-28 days
 
31
 
Hasāt-i      Bawl
(Urolithiasis)
 
heaviness in lower back, excruciating pain
Therapy           related
Medication, Riyāzat, Hammām, Ābzan, Qay’, Fasd, Takmīd
 
7-28 days
 
32
Zu‘f-i     Masāna
(Overactive bladder)
 
Dribbling of urine
 
Therapy           related
Medication, Takmīd
 
7-28 days
 
33
 
Waram-i Rahim
(Metritis)
 
fever,  nausea, shooting pain in lower back and pubic region
Therapy related Medication, Fasd, Qay’, Ishāl, Takmīd, Ābzan 
7-28 days
 

34
 
Kasrat-I     Isqat (Habitual Abortion)
 

Recurrent abortions
Therapy           related
Medication, Riyāzat, Qai,  Huqna, Hammam, Aabzan, Zimad and Hijamah
 

7-28 days
 
35

Sayalān-i
Rahim
(Leucorrhoea)
excessive    discharge
from the uterus

Therapy           related
Medication,        Fasd,
Ishāl,  Dalk  ,  Ābzan
and Huqna
 
7-28 days

 
36
 
Ihtibās-i    Tams
(Amenorrhoea)
 
cessation of menses
Therapy           related
Medication, Fasd, Hammām, Hijāma, Idrar and Aabzan
 
7-28 days
 
37
Kasrat-i    Tams
(Polymenorrhoe a)
 
Excessive loss of blood, pallor, weakness,
Therapy           related
Medication, Hijāma, Tar’riq, Idrār, Ishāl, Fasd, and Aabzan
 
7-28 days
 
38
Zu’f-i Bah
(Sexual
Debility)
 
Decrease   in   sexual competency
 
Therapy           related
Medication, Dalk
 
7-28 days
 


39
 

Waja‘ al-Mafāsil
(Arthritis)
 

pain,  swelling, stiffness and restricted movement of affected joint
Therapy           related
Medication, Fasd, Qay’, Idrār, Hijāma, Huqna, Natūl, Ābzan, Takmīd,   Dalk, Riyazat, Irsale-e-Alaq, Hammam and Ta’areeq
 


7-28 days
 

40
 
Irq        al-Nasā’
(Sciatica)
 

Pain in hips and leg
Therapy           related
Medication, Qay’, Kayy,  Fasd, Hammām, Huqna, Ābzan and Hijamah
 

7-28 days
 
41
 
Niqris (Gout)
 
severe  pain  in  great toe or ankle joint
Therapy           related
Medication, Fasd, Riyāzat , Zimad, Tila, Qai, Dalk and Nutool
 
7-28 days
 
42
 
Sharā
(Urticaria)
 
abrupt appearance of reddish itchy rashes
Therapy           related
Medication, Fasd, Hammām  and Hijamah
 
7-28 days
 
43
 
Jarab (Scabies)
rashes   between   the
fingers,  wrist,  elbow, groin, etc
Therapy           related
Medication,
Hammām, Fasd, Ishāl
 
7-28 days
 
44
 
Nār           Fārsī
(Eczema)
 
Red    coloured    lines and eruptions
Therapy           related
Medication, Fasd, Ishāl, Hijāma, Zimad and Irsal-e-Alaq
 
7-28 days
 
45
Dā’       al-Ṣadaf
(Psoriasis)
Thick  rough  patches
on   skin  with   silvery scales
Therapy           related
Medication,
Hammām,
 
7-28 days
 
46
 
Baraṣ (Vitiligo)
 
glossy  white  patches on skin
Therapy related Medication, Dalk-i Khashin,  Qai,  Tila, and Hammam 
7-28 days
 
47

Dā’            al-Fīl
(Lymphatic
Filariasis)
Increase       in       the
circumference  of  leg
and feet
Therapy           related
Medication,        Fasd,
Ishāl,   Hijāma,   Qay’
and Zimad
 
7-28 days

 
48
Ḥummā
Ajāmiyya
(Malaria)
 
High  fever  with  chills and rigors
 
Therapy related Medication, Huqna, Qay’, Fasd, Hammām
 
7-28 days
 
49
Ḥummā    Mewi
(Enteric fever)
 
Continuous fever, loss of appetite, headache
 
Therapy           related
Medication, Takmīd,
 
7-28 days
 
50
‘Izm-i  Ghudda-i
Mazī Sāda
 
Urinary       hesitance, dribbling
 
Therapy           related
Medication, Fasd
 
7-28 days
2.   Unit Cost of Unani therapies/interventions in OPD/IPD -:
Unit cost per therapy/ intervention means cost of procedure including cost of medicines used in the procedure as under:
Therapy/Intervention
S.
No.
 
Treatment Name
 
Unit cost in Rupees
1.
Therapy related Medication,  Fasd,  Ishāl ,  Natūl,
Lakhlakhah and Zimad
 
1,000
2.Therapy  related  Medication  Qay’,  Fasd,  Ishāl,
Huqna, Hammām, Hijāma, Ghargharah, Nafookh and Nashooq
 
2,850
3.Therapy related Medication Huqna, Dalk, Hijāma,
Natūl, Ghargharah, Nafookh and Nashooq
 
2,450
4.Therapy    related    Medication,    Tadhīn,    Facial
exercise, Mazoogh, Ghargharah and Zimad
 
150
5.Therapy    related    Medication,    Hammām    Hār,
Takmīd Hār, Tamrīkh, Fasd, Dalk and Is’hal
 
1,750
6.Therapy related Medication, Fasd, Ishāl, Hijāma,
Inkibāb, Takmīd
 
2,400
7.Therapy  related  Medication,  Fasd,  Irsal-I  Alaq,
Hijāma and Ghargharah
 
2,750
8.Therapy related Medication,  Fasd, Huqna, Ishāl,
Hijāma, Gharghara
 
2,200
9.Therapy related Medication, Fasd, Takmīd, Tar’riq,
Inkibāb,
 
1,650
10.Therapy related Medication, Dalk, Pashoya, Ishāl
850
11.Therapy related Medication, Inkibāb
150
12.Therapy related  Medication,  Inkibāb,  Gharghara,
Qai, Dalk and Zimad
 
150
13.Therapy    related    Medication,    Fasd,    Hijāma,
Bukhoor and Qai
 
2,000
14.Therapy related Medication, Fasd, Ishāl, Hijāma,
Zimad and Takmeed
 
2,000
15.Therapy related Medication, Hijāma, Fasd,
2,000
16.Therapy related Medication, Fasd and Zimad
750
17.Therapy related Medication, Fasd, Dalk, Hijāma, Hammām, Riyāzat
3,750
18.Therapy related Medication, Takmīd, Ābzan, Dalk,
Qay’, Tar’riq, Riyāzat
2,300
19.Therapy related Medication, Fasd, Riyāzat, Dalk,
Inkibāb, Hammām and Zimad
 
2,150
20.Therapy related Medication, Huqna, Zimad
450
21.Therapy   related   Medication,   Takmīd,   Huqna,
Ābzan
 
650
22.Therapy related Medication, Hammām, Dalk and
Huqna
 
1,250
23.Therapy  related  Medication,  Fasd,  Ābzan  and
Irsal-e-Alaq
 
900
24.Therapy   related   Medication,   Dalk,   Hammām,
Riyāzat
 
1,750
25.Therapy related Medication, Takmīd, Zimad
500
26.Therapy    related    Medication,    Fasd,    Riyāzat,
Hammām and Zimad
 
1,750
27.Therapy related Medication, Idrār, Ishāl, Tar’riq
50
28.Therapy    related    Medication,    Tar’riq,    Idrār,
Hammām, Riyāzat, Hijāma,
 
2,250
29.Therapy related Medication, rest, Is’hal, Qai, Fasd
and Huqna
 
30.Therapy related Medication, Fasd, Takmīd, Qay’,
Huqna, Ābzan, Natūl
 
1,750
31.Therapy  related  Medication,  Riyāzat,  Hammām,
Ābzan, Qay’, Fasd, Takmīd
 
1,800
32.Therapy related Medication, Takmīd
250
33.Therapy  related  Medication,  Fasd,  Qay’,  Ishāl,
Takmīd, Ābzan
 
1,300
34.Therapy related Medication, Riyāzat, Qai, Huqna,
Hammam, Aabzan, Zimad and Hijamah
 
500
35.Therapy  related  Medication,  Fasd,  Ishāl,  Dalk  ,
Ābzan and Huqna
 
1,650
36.Therapy   related   Medication,   Fasd,   Hammām,
Hijāma, Idrar and Aabzan
 
2,500
37.Therapy related Medication, Hijāma, Tar’riq, Idrār,
Ishāl, Fasd, and Aabzan
 
2,500
38.Therapy related Medication, Dalk
750
39.Therapy  related  Medication,  Fasd,  Qay’,  Idrār,
Hijāma,   Huqna,   Natūl,   Ābzan,   Takmīd,   Dalk, Riyazat, Irsale-e-Alaq, Hammam and Ta’areeq
 
3,000
40.Therapy  related  Medication,  Qay’,  Kayy,  Fasd,
Hammām, Huqna, Ābzan and Hijamah
 
3,000
41.Therapy   related   Medication,   Fasd,   Riyāzat   ,
Zimad, Tila, Qai, Dalk and Nutool
 
1,250
42.Therapy related Medication, Fasd, Hammām and
Hijamah
 
1,250
43.Therapy related Medication, Hammām, Fasd, Ishāl
1,250
44.Therapy related Medication, Fasd, Ishāl, Hijāma,
Zimad and  Irsal-e-Alaq
 
2000
45.Therapy related Medication, Hammām,
500
46.Therapy related Medication, Dalk-i Khashin, Qai, Tila, and Hammam400
47.Therapy related Medication, Fasd, Ishāl, Hijāma, Qay’ and Zimad2,150
48.Therapy related Medication,  Huqna,  Qay’, Fasd,
Hammām
 
1,600
49.Therapy related Medication, Takmīd,
250
50.Therapy related Medication, Fasd
1500
51.Dalk  (Massage) – Whole Body
750
52.Dalk (Massage) – Half Body
400
53.Dalk (Massage) – Single Limb
150
54.Dalk (Massage) – Single Joint
100
55.Dalk-i Khashin (Dry massage)
400
56.Hammām (Turkish Bath)
500
57.Inkibāb (Steam Bath)
150
58.Hammām Mu‘arriq (Sauna Bath)
500
59.Hip Bath
200
60.Spinal Bath
250
61.Ābzan (Sitz Bath)
150
62.Dastshoya (Hand Bath)
100
63.Pāshoya (Foot bath)
100
64.Qay’ (Emesis)
150
65.Huqna (Enema)
200
66.Natūl (Irrigation)
250
67.Irsal-i Alaq (Leeching)
750
68.Ḥijāma bila shart (Dry Cupping)
500
69.Ḥijāma bi’l Shart (Wet Cupping)
1250
70.Faṣd (Venesection)
750
71.Takmīd (Fomentation)
250
72.Zimād/ Tamrīkh (Applying Paste)
250
73.Riyāzat (Exercise)
500
74.Kayy (Cauterization)
1250
75.Ultrasound Therapy
250
76.Interferential Therapy
250
77.Nerve Stimulation
200
78.Short Wave Diathermy
200
79.Long Wave Diathermy
250
80.Intermittent Traction
250
81.Paraffin Wax Bath
250
82.Chest Physiotherapy
250
83.Exercise Therapy
200
84.Specialized Gait Therapy
150
 
85.
Transcutaneous    Electrical    Nerve    Stimulation
(TENS)
 
250
86.Hydrocollator Moist Heat Therapy
150
Note: Any minor / local Unani procedure/ therapy not included in the above list may be charged upto Rs. 100/- per sitting for upto 28 days.
3. Determination of treatment expenditure for payment/reimbursement
For  the  purpose  of  settlement  of  Unani    treatment  expenditure  under  CGHS  , following criteria shall be applied-
e)  Above-mentioned rates of therapies/interventions shall be benchmarks for calculating treatment expenditure.
f)    The above unit rates are inclusive of the cost implication of materials, medicines, accessories, equipment maintenance ,manpower (medical, paramedical and nursing) and diet used in imparting therapies except room rent of the hospitalization.
g)  Pre and post procedure cost will be chargeable @ Rs 75 per day.
h)  Room rent , wherever applicable  shall be chargeable as per the rates prescribed in the OM.
*****
Revised CGHS Rates and Guidelines for reimbursement/ settlement of   Siddha treatment expenditure claims under CGHS.
1.    List of diseases/disease conditions needing hospitalization of the patients, indicative therapies and likely duration of hospitalization-
Sl.
No
Disease
Condition needing
hospitalization
Indicated therapies
required as per the condition of patient
Likely
duration of hospitaliz ation
1
2
3
4
5
1.Iraippu,           Swasa
Kasam, Kaba noigal etc.,
(Restrictive
Obstructive
Pulmonary Diseases, Bronchial Asthma and other respiratory disorders)
·  Difficulty in
Breathing
·  Cough
·  Fever
·  Head ache
Ennai Kuzhiyal
Kalichal  /     Vaanthi  / Kutram             thannilai paduthal Thokkanam Nasiyam Nasigaparanam Ottradam
Pasai Pugai Poochu
Ennai Poochu Ennai Kattu Patru Pottanam Varthi – Thiri Vedhu
Peechu Suttigai Asanam Pranayamam
Varmam application
3- 28
Days
2

Sagana Vaatham
(Cervical Spondylosis, Cervical    Spondylitis,
Ankylosing
Spondylitis of Cervical Spine, Cervical Disc Prolapse)
· Persisting or radiating pain in cervical region
· Restricted neck
movements
· Tenderness
· Numbness
· Vertigo
Ennai Kuzhiyal
Kalichal  /     Vaanthi  / Kutram             thannilai
paduthal Thokkanam
Ennai Kizhi Ennai Kattu Ennai Poochu Nasiyam
Podi Kizhi Illai Kizhi Manar Kizhi Dhaniya Kizhi Poochu
Patru Pottanam Pasai Peechu Kattu
Kali Suttigai Attai Vidal Ottradam
Varthi / Thiri Vedhu Thuvalai Pranayamam
Varmam application
Asanam
7- 28
Days

21

3

Thandaga  Vaatham,
Peraasana  Narambu
Thaabitham
(Lumbar Spondylosis, Sciatica, Low Back Pain, I.V.D.P, Spondylolysthesis)

· Persistent or radiating back pain
· Restricted movements of low back/ hip region
· Tenderness
· Burning sensation

Ennai Kuzhiyal
Kalichal /   Vaanthi / Kutram thannilai paduthal
Thokkanam Ennai Kizhi Ennai Kattu Ennai Poochu Nasiyam
Podi Kizhi
Illai Kizhi Manar Kizhi Dhaniya Kizhi Poochu
Patru Pottanam Pasai Peechu Kattu
Kali Suttigai Attai Vidal Ottradam
Varthi / Thiri Vedhu Thuvalai Pranayamam
Varmam application
Asanam
7- 28
Days

4

Keel  Vaayu  Kumba
Vaatham
(Arthritis, Frozen Shoulder, Periarthritis, Tendinitis, Brachial Neuralgia)

· Radiating or local pain in shoulder region
· Restricted shoulder movements
· Tenderness
· Numbness
· Muscle wasting

Ennai Kuzhiyal
Kalichal /   Vaanthi / Kutram thannilai paduthal
Thokkanam Ennai Kizhi Ennai Kattu Ennai Poochu Nasiyam
Podi Kizhi Illai Kizhi Manar Kizhi Dhaniya Kizhi Poochu
Patru
Pottanam Pasai Peechu Kattu
Kali Suttigai Attai Vidal Ottradam
Varthi / Thiri Vedhu Thuvalai Pranayamam
Varmam application
Asanam
7-28 Days

5

Pakka           Vatham, Patcha Vaatham (Paralysis,
Monoplegia Hemiplegia, hemiparesis)

·  Weakness of one side of the body
·  Stiffness of muscles
·  Muscle weakness
·  Numbness
·  Pain
·  Tremor
·  Difficulty in speech

Ennai Kuzhiyal
Kalichal /   Vaanthi / Kutram thannilai paduthal
Thokkanam Ennai Kizhi Ennai Kattu Ennai Poochu Nasiyam
Podi Kizhi Illai Kizhi Manar Kizhi Dhaniya Kizhi Poochu
Patru Pottanam Pasai Peechu Kattu Kali Suttigai Attai Vidal Ottradam Varthi / Thiri Vedhu Thuvalai Pranayamam
Varmam application Asanam
14   –   35
Days

6

Paanikkamba
vaatham,
Sirakamba vaatham

· Tremor
· Stiffness of muscles
· Muscle weakness
· Difficulty in walking
· Sluttering movements
· Difficulty in speech

Ennai Kuzhiyal
Kalichal /   Vaanthi / Kutram thannilai paduthal
Thokkanam Ennai Kizhi Ennai Kattu Ennai Poochu Nasiyam
Podi Kizhi Illai Kizhi Manar Kizhi Dhaniya Kizhi Poochu
Patru Pottanam Pasai Peechu Kattu
Kali Suttigai Attai Vidal Ottradam
Varthi / Thiri
Vedhu Thuvalai Pranayamam Varmam application Asanam
14- 28
Days

7

Arpudtha   Vaatham,
Muga Vaatham
(Facial Paralysis)

· Weakness of facial muscles
· Drooping of eye lids
· Numbness of facial muscles
· Salivation

Ennai Kuzhiyal
Kalichal /   Vaanthi / Kutram thannilai paduthal
Thokkanam Ennai Kizhi Ennai Kattu Ennai Poochu Nasiyam
Podi Kizhi Illai Kizhi Manar Kizhi Dhaniya Kizhi Poochu
Patru Pottanam Pasai Peechu Kattu
Kali Suttigai Attai Vidal Ottradam
Varthi / Thiri Vedhu Thuvalai Pranayamam
Varmam application
Asanam
7- 21
Days

8Uthira             Vaatha
Suronitham,
Paithaya Vatha Suronitham Vali Azhal   Keelvayu (Gout Arthritis SLE, Rheumatoid Arthritis),
·  Joint pain
·  Swelling
·  Tenderness
·  Deformity
·  Burning sensation
·  Discolouration      of skin
·  Palpable cutaneous nodules
·  Migrating arthritis
Ennai Kuzhiyal
Kalichal /
Vaanthi / Kutram thannilai paduthal Thokkanam
Ennai Kizhi Ennai Kattu Ennai Poochu Nasiyam
Podi Kizhi Illai Kizhi Manar Kizhi Dhaniya Kizhi Poochu
Patru Pottanam Pasai Peechu Kattu
Kali Suttigai Attai Vidal Ottradam
Varthi / Thiri Vedhu Thuvalai Pranayamam
Varmam application
Asanam
14-28
Days
9

Vali             Keelvayu
(Rheumatic  Fever  & Arthritis)

· Pain and swelling in the joint
·  Immobility
·  Fever
·  low back Pain
·  Fleeting arthritis
Ennai Kuzhiyal
Kalichal  /     Vaanthi  / Kutram             thannilai
paduthal
Thokkanam Ennai Kizhi Ennai Kattu Ennai Poochu Nasiyam
Podi Kizhi Illai Kizhi Manar Kizhi Dhaniya Kizhi Poochu
Patru Pottanam Pasai Peechu Kattu
Kali Suttigai Attai Vidal Ottradam
Varthi / Thiri Vedhu Thuvalai Pranayamam
Varmam application
Asanam
14-28
Days

10

Sarvanga     Vatham,
Mutrudal         vatham (Cerebral              and Cerebellar      atrophy, Neurological Disorders, Fibromyalgia )

·  Generalized    body pain
·  Stiffness
·  Numbness
·  Weakness
·  Feeling of coldness

Ennai Kuzhiyal
Kalichal
Vaanthi / Kutram thannilai paduthal Thokkanam
Ennai Kizhi Ennai Kattu Ennai Poochu
Nasiyam
Podi Kizhi Illai Kizhi Manar Kizhi Dhaniya Kizhi Poochu
Patru Pottanam Pasai Peechu Kattu
Kali Suttigai Attai Vidal Ottradam
Varthi / Thiri Vedhu Thuvalai Pranayamam
Varmam application
Asanam
14-28
Days

11

Azhal          Keelvayu
(Degenerative Joint disorders Tennis Elbow, Kuthi Kaal Vaatham (Calcaneal Spur)

· Joint pain
· Restricted joint movements
· Stiffness
· Crepitus
· Difficulty in walking
· Difficulty in squatting

Ennai Kuzhiyal
Kalichal /   Vaanthi / Kutram thannilai paduthal
Thokkanam Ennai Kizhi Ennai Kattu Ennai Poochu Nasiyam
Podi Kizhi Illai Kizhi Manar Kizhi Dhaniya Kizhi
Poochu
Patru Pottanam Pasai Peechu Kattu
Kali Suttigai Attai Vidal Ottradam
Varthi / Thiri Vedhu Thuvalai Pranayamam
Varmam application Asanam
14-28
Days

12

Thol                Noikal,
Kalanjaga Padai, Karappan, Pathinen Vagai Kuttam
(18 Types Kuttam – Skin Diseases), (Lichen Planus, Psoriasis, Eczema)

·  Discolouration      of skin
·  Patches
·  Itching
·  Scaling
·  Oozing
·  Peeling
·  Burning sensation
·  Numbness
·  Rashes

Ennai Kuzhiyal
Kalichal /   Vaanthi / Kutram thannilai paduthal
Dhaniya Kizhi
Ennai Poochu Kaaram Kalimbu
Kali
Kattu
Kuruthi Vaangal
Kalikkam Neer Pugai Poochu Patru Pasai
Patti Kattal
Seelai
Podi
Attai vidal Peechu Nasiyam Suttigai Varthi Vedhu Aruvai Asanam
Pranayamam
Varmam application
8-28
Days

13

Pun,                   Katti,
Koppulam, Kiranthi, Pilavai
(Cellulitis, Necrotising Cellulitis, Erysipelas, Impetigo,
Pemphiguos Vulgaris, Carbungle etc., )

·  Ulcer
·  Rashes
·  Blisters
·  Itching
·  Oozing
·  Burning sensation
·  Pain
·  Suppuration

Ennai Kuzhiyal
Kalichal  /     Vaanthi  / Kutram             thannilai paduthal Dhaniya Kizhi Ennai Poochu
Kaaram Kalimbu Kali Kattu
Kuruthi Vaangal
Kalikkam Neer Pugai Poochu Patru Pasai
Patti Kattal
Seelai
Podi
Attai vidal Peechu Nasiyam
Suttigai
Varthi Vedhu Aruvai Asanam
Pranayamam
Varmam application
7- 28
Days

14Moolam,  Pouthiram,
Asana Vaai Vedippu, Katti, Adithallal (Haemorrhoids,
Fistula In  Ano, Fissure In Ano, Perianal abscess, Rectal prolapse etc.,)
·  Constipation
·  Pain in anal region
·  Itching around anus
· Burning sensation
· Prolapse   of   mass from anus
· Bleeding from anus
· Pus from anus
Ennai Kuzhiyal
Kalichal     Vaanthi / Kutram thannilai paduthal
Kuruthi Vaangal
Keeral Kaaram Kalikkam Kalimbu
Kaara Nool Sikitchai
Podi Patru Peechu Pasai Pugai Salaagai Attai Vidal Vedhu Varthi/Thiri Suttigai Seelai Aruvai
Kali Asanam Pranayamam Varmam application
7- 14
Days
15Vindhanu· Fertility disorders
(Male)
Ennai Kuzhiyal14-48

 Kuraipaadu,  Malattu
Thanmai
(Male     Reproductive
Disorders)
· Oligospermia
· Asthinospermia
· Teratozoospermia
· Azoospermia
· Erectile dysfunction
· Spermatorrhoea
Kalichal  /     Vaanthi  /
Kutram             thannilai paduthal Kalikkam
Kali Kattu Pattru Pottanam Ottradam Attai vidal
Dhaniya Kizhi Poochu Asanam Pranayamam
Varmam application
Days
16Karuppai        Noikal,
Soothaga         Kattu, Soothaga            Vali, Sinaippai           Neer Katty,                  Athi Uthirapokku (Amenorrhoea, Dysmenorrhoea, Anovulatory,  PCOD  / PCOS,              D.U.B, Menopausal
Disorders)
· Irregular menstruation
· Painful menstruation
· Excessive menstruation
· Excessive Vaginal discharge.
· Uterine prolapse
Ennai Kuzhiyal
Kalichal /   Vaanthi / Kutram thannilai paduthal
Kalikkam
Kali Kattu Pattru Pottanam Ottradam Attai vidal
Dhaniya Kizhi Poochu Asanam Pranayamam
Varmam application
14- 48
Days
17Thasai         Vaatham
(Muscular Dystrophy)
·  Weakness of muscles
·  Muscle wasting
·  Muscular hypertrophy
·  Difficulty in
Ennai Kuzhiyal
Kalichal  /  Vamanam  / Aamum Neekal
Ennai Poochu
14-48
Days
  movementsEnnai Kattu
Pattru Poochu Pasai Kali
Ottradam Pottanam Podithimirthal Varmam application
 
18Kan Noigal
(Refractive       Errors, Amblyopia,     Chronic Allergic & Inflamatory Diseases,       Chronic Conjunctivitis,       Dry Eye Syndrom,Retinitis Pigmentosa,       Night Blindness, Dacrocystitis,
A.R.M.D,
Retinopathy-Diabetic/ Hypertensive)
·  Diminished vision
·  Photophobia
·  Dyplopia
·  Watering of eyes
·  Pus formation in eyes
·  Itching of eyes
·  Strain & pain in eyes
·  Restricted field of vision
·  Headache
·  Conjunctivitis
·  Stye
Ennai Kuzhiyal
Kalichal /   Vaanthi / Kutram thannilai paduthal Kattu
Mai Kalikkam Poochu
Neer Salaagai Peechu Ottradam Thokkanam Pranayamam Asanam
Varma Thadaval
Vedhu
7- 28
Days
19Soorya        vartham,
Chandra vartham, Thalaivali (Migraine, idiopathic Headache)
·  Severe headache
·  Heaviness of head
·  Nausea
·  Photophobia
Ennai Kuzhiyal
Kalichal / Vaanthi / Kutram thannilai paduthal
Kalikkam Nasiyam Kattu Ottradam Pottanam
7- 21
Days
   Nasigaparanam
Pasai Kali Vedhu Poochu
Ennai Poochu
Pattru Thiri Pugai
Sira Thokkanam
Suttigai
Attaividal
Varma Thadavul Pranyamam Asanam
Varmam application
 
20Enbu Murivu Mootu
nazhuval /  (Fracture/ Dislocation / Ligamental injuries)
·  Difficulty in movements / walking
·  Fracture
·  Dislocation of bone/
cartilage/ vertebrae
·  Pain
·  Swelling
·  Restricted or painful movements of associated area/
nearby muscles
Ennai Kuzhiyal
Kalichal /   Vaanthi / Kutram thannilai paduthal
Kattu
Kombu Kattal Kalimbu Poochu Poochu Ottradam Pottanam
Pasai Murichal Thokkanam Asanam Pranayamam
Varmam application
7-21 Days
21Vayiru      /      Kudal
Noigal   /   Gunmam,
·  Abdominal pain and discomfort
·  Flatulence
Ennai Kuzhiyal
Kalichal   /   Vaanthi   /
14- 28
Days
 Soolai,    Peruvayiru,
Vikkal, Kazhichal (Gastro intestinal disorders)
·  Constipation / Diarrhoea
·  Nausea / Vomiting
·  Digestive disorders
·  Fever
Kutram             thannilai
paduthal Poochu Ottradam Pottanam Patru Peechu Attai vidal
Thokkanam Asanam Pranayamam Varmam application
 
22Kalleral / Manneeral
/ Kanaya Noigal (Liver,       Spleen   & Pancreatic diseases)
·  Nausea / Vomiting
·  Flatulence
·  Constipation / Diarrhoea
·  Indigesion
·  Abdominal pain and discomfort
·  Dyspnea
·  Anaemia
·  Jaundice
·  Liver and Speen enlargement.
·  Madhumegam
Ennai Kuzhiyal
Kalichal / Vamanam / Kutram thannilai paduthal
Poochu Ottradam Pottanam
Pasai Thokkanam Kali
Patru Peechu Attail vidal Suttigai Asanam
Pranayamam
Varmam application
14- 28
Days
23Siruneeraga Noigal
(Kidney disorders, Chronic   renal failure,   Renal calculi, UTI etc
·  Dysruia
·  Anuria
·  Oliguria
·  Urinary obstruction
·  Renal colic
·  Haematuria
·  Pyuria
Ennai Kuzhiyal
Kalichal / Vamanam / Kutram thannilai paduthal
Poochu
14- 28
Days
   Ottradam
Pottanam Pasai Thokkanam Kali
Patru Peechu Attail vidal Suttigai Seelai Asanam
Pranayamam
Varmam application
 
24Thottra  noigal  (Non
communicable disorders such as Diabetes, Hypertension, Cardivascular disorders,    Obesity, Cancer etc.,)
·  Hyperglycaemic
·  Hypercholesteralem ia
·  Diabetic ulcer
·  Giddiness
·  Neruopathy
·  Weakness
·  Nephropathy
·  Weight gain / loss
·  Depression
·  Pain
Ennai Kuzhiyal
Kalichal /   Vaanthi / Kutram thannilai paduthal
Kalikkam
Nasiyam Kattu Ottradam Pottanam
Nasigaparanam
Pasai Kali Vedhu Poochu
Ennai Poochu
Pattru Thiri Pugai
Sira Thokkanam
Suttigai
Attaividal
14- 48
Days
   Varma Thadavul
Pranyamam
Asanam
Varmam application
 
25Mudhiyor noigal
(Geriatrics   / Nadukku vatham, Marathi noigal , Alzemier’s disease, Sleep disorders, Depression)
·  Generalised debility
·  Degenerative disorders
·  Osteopenia & Osteoporosis
·  Generalised body pain
·  Neuropathy
·  Tremour
·  Memory loss
·  Sleep disorders
Ennai Kuzhiyal
Kalichal /   Vaanthi / Kutram thannilai paduthal
Kalikkam Nasiyam Kattu Ottradam Pottanam
Nasigaparanam
Pasai Kali Vedhu Poochu
Ennai Poochu
Pattru Thiri Pugai
Sira Thokkanam
Suttigai
Attaividal
Varma Thadavul Pranyamam Asanam
Varmam application
14- 48
Days
26Kuzhanthai     Noigal
(Paediatric diseases such as Sirakamba vatham, Thasai vatham,        Valippu,
Autism)
·  Cerebral palsy
·  Infantile paralysis
·  Myopathy
·  Mental retardation
·  Nutritional disorders
·  Seizures

Ennai Kuzhiyal
Kalichal  /  Vamanam  / Aamum Neekal
Ennai Poochu
Ennai Kattu
Pattru
Poochu Pasai Kali
Ottradam Pottanam Podithimirthal Varmam application
14- 48
Days

 
27Mana       noigal       /
Narambu Noigal) (Psychiatric disorders                  / Depression               / Valippu,            Sleep disorders,   Nadukku vatham etc)
·  Mood disorders
·  Sleep disorders
·  Tremour
·  Difficulty in movements
·  Psychiatric symptoms
Ennai Kuzhiyal
Kalichal /   Vaanthi / Kutram thannilai paduthal
Kalikkam Nasiyam Kattu Ottradam Pottanam
Nasigaparanam
Pasai Kali Vedhu Poochu
Ennai Poochu
Pattru Thiri Pugai
Sira Thokkanam
Suttigai
Attaividal
Varma Thadavul Pranyamam Asanam
Varmam application
14- 48
Days
3. 2. Unit Cost of Siddha therapies/interventions in OPD/IPD –
Unit cost per therapy/intervention means cost of procedure including cost of medicines used in the procedure as under
 
Therapy / Intervention
 
No.
 
Treatment Name
 
Unit  Cost  in
Rs
1AruvaiRs.500/-
2AsanamRs.500/-
3Attai Vidal – (Leech Therapy)Rs.350/-
4Dhaniya Kizhi (Complete )Rs.700/-
5Dhaniya Kizhi (local)Rs.350/-
6Ennai Kattu (Medicated oil bandage for bone
and joint Disorder, Muscle weakness)
Rs.200/-
7Ennai Kizhi.(Complete)Rs.700/-
8Ennai Kizhi.(Local)Rs.350/-
9Ennai KuliyalRs.500/-
10Kaara Uppu (Local)Rs.100/-
11KaliRs.350/-
12KalikkamRs.150/-
13Kalimbu,Rs.350/-
14Karanool application in Fistula (Initial) under L.
A
Rs.1100/-
15Karanool application in Fistula (Follow-up)Rs.450/-
16Karanool application in Piles / other conditionsRs.450/-
17KeeralRs.500/-
18Kuruthi vaangal – Blood Letting (Cupping)Rs.350/-
19Kuruthi  vaangal  –  Blood  Letting  (I&D  and
Dressing)
Rs.450/-
20MaiRs.150/-
21Manal KizhiRs.350/-
22Murichal & Kombu KattalRs.500/-
23NasigaparanamRs..200/-
24NasiyamRs.200/-
25NeerRs.200/-
26Ottradam (fomentation)Rs.550/-
27PattikattalRs.200/-
28PasaiRs.350/-
29Peetchu (Rectal oil Douche)  (Enema)Rs.200/-
30Peetchu (Vaginal Douche)Rs.200/-
31Podi Kizhi.(Complete)Rs.700/-
32Podi Kizhi.(Local)Rs.350/-
33Podi ThimirthalRs.700/-
34Poochu (Ennai application)Rs.700/-
35Poochu (Ennai application – local)Rs.300/-
36Pottanam (Bundle) /Rs.550/-
37PranayamamRs.350/-
38Pugai application in Piles and FistulaRs.200/-
39SalaagaiRs.350/-
40SeelaiRs.350/-
41Sira Thokkanam with Medicated EnnaiRs.550/-
42Suttigai – CauterizationRs.150/-
43Thokkanam (Complete) (Massage)Rs.1000/-
44Thokkanam (Local) (Massage)Rs.500/-
45ThuvalaiRs.500/-
46Vamanam (Herbal Kudinner or Tablets)Rs.400/-
47Varma ApplicationRs.350/-
48VarthiRs.150/-
49VedhuRs..200/-
Note: Any minor / local Siddha procedure/ therapy not included in the above list may be charged upto Rs. 100/- per sitting for upto 28 days.
3. Determination of treatment expenditure for payment/reimbursement
For the purpose of settlement of  Siddha   treatment expenditure under CGHS , following criteria shall be applied-
i)    Above-mentioned rates of therapies/interventions shall be benchmarks for calculating treatment expenditure.
j)    The above unit rates are inclusive of the cost implication of materials, medicines, accessories, equipment maintenance , manpower (medical, paramedical and nursing) and diet used in imparting therapies except room rent of the hospitalization.
k)  Pre and post procedure cost will be chargeable @ Rs 75 per day.
l)    Room rent , wherever applicable  shall be chargeable as per the rates prescribed in the OM.
*****
Revised CGHS Rates and Guidelines for reimbursement/ settlement of   Siddha treatment expenditure claims under CGHS.
1.  List of diseases/disease conditions needing hospitalization of the patients, indicative therapies and likely duration of hospitalization-
YOGA
S. No.DiseaseTherapiesCharges    per dayMinimum duration
of treatment
Repetition
1.Musculo-skeletal
disorders         like Arthritis,   Cervical or              Lumbar Spondylitis, Backache etc.
Yogic
SukshmaVyayaam, Yogasana, Pranayama, Bandha&Mula, Dhyana/Yoganidra.
Rs.   500/-   to
1000/-
4 weeksAt    least    2
weeks after the first course of treatment, if needed
2.Cardiovascular
disorders
Ahara,              Yogic
SukshmaVyayaam, Yogasana, Pranayama,  Mantra Japa,Yoganidra
Rs.   500/-   to
1000/-
2 weeksAt  least  one
week   after the first course of treatment, if needed
3.Cancer
rehabilitation
Ahara, Shat Karma,
Yogasana,Pranaya ma,Mantra Japa,Dhyana, Yoganidra
Rs.   500/-   to
1000/-
3-4 weeksAt  least    10
days to 2 weeks after the first course of treatment, if needed
4.Psychiatric
conditions, Depression, Anxiety,  Insomnia etc.
Shat  Karma,  Yogic
SukshmaVyayaam, Suryanamaskar, Yogasana, Pranayama,Bandha
&Mula, Mantra Japa, Dhyana.
Rs.   500/-   to
1000/-
3-4 weeksAt  least    10
days to 2 weeks after the first course of treatment, if needed
5.Metabolic
disorder,
Diabetes, Obesity, etc.
Ahara, Shat Karma,
Suryanamaskar, Yogasana, Pranayama,  Mantra Japa, Dhyana.
Rs.   500/-   to
1000/-
6  weeksAt    least    3
weeks after the first course of treatment, if needed
6.Psychosomatic
Disorders, Irritable Bowel Syndrome (IBS),
Constipation,
Ahara, Shat Karma,
Yogasana, Pranayama,Mantra Japa, Yoganidra
Rs.   500/-   to
1000/-
3 weeksAt    least    2
weeks after the first course of treatment,    if
 Acidity, etc.   needed
7.Asthma,    Chronic
respiratory disorder
Ahara,               Shat
Karma,Yogic SukshmaVyayaam, Yogasana, Pranayama, Bandha&Mula, Mantra             Japa, Dhayana
Rs.   500/-   to
1000/-
4 weeksAt    least    2
weeks after the first course of treatment, if needed
8.Sinusitis,
Migraine, etc.
Ahara,               Shat
Karma,Yogasana, Pranayama,  Mantra Japa, Yoganidra
Rs.   500/-   to
1000/-
3 weeksAt    least    2
weeks after the first course of treatment, if needed

NATUROPATHY

S.
No.
Disease
Therapies
Rate per dayMinimum
duration of treatment
Repetition
01Diabetes
mellitus
Full body / local massage,
steam bath, Hip bath, Alternate Hip bath, Mud bath/ mud pack, Underwater massage, Packs, Naturopathy diet
Rs. 500/- to
1000/-
15 daysAfter 6
months
02ObesityFasting,  Full  body/local  Dry
massage, steam bath, Hip bath, Alternate Hip bath, Mud bath/   mud   pack,   Full   wet sheet pack, Underwater massage, Naturopathy diet
Rs. 500/- to
1000/-
21 daysAfter 6
months
03Metabolic
disorders
Fasting,  Full  body/local  Dry
massage, steam bath, Hip bath, Alternate Hip bath, Mud bath/   mud   pack,   Full   wet sheet pack, Full Immersion bath,   Underwater massage, Naturopathy diet
Rs. 500/- to
1000/-
15 daysAfter 6
months
04Hypertension and Cardio- vascular
diseases
Full body / local massage, steam bath, Spinal bath, Arm
& Foot bath, Mud bath/ mud
pack, Full wet sheet pack, local packs, Naturopathy diet
Rs. 500/- to
1000/-
15 daysAfter 6 months
05Bronchial
asthma/ Chronic bronchitis
Full body / local massage,
steam bath, Spinal bath, Arm
& Foot bath, Mud bath/ mud pack, chest pack, Facial steam, Naturopathy diet
Rs. 500/- to
1000/-
15 daysAfter 6
months
06Arthritis
(Osteo, Rheumatoid, Gout)
Full  body  /  local  massage,
steam bath, Local steam, Spinal bath, Arm & Foot bath, Full   Immersion   bath,   Mud bath/ mud pack, packs, Naturopathy diet
Rs. 500/- to
1000/-
15 daysAfter 6
months
07Musculo-
skeletal disorders (Low back pain, sciatica, cervical spondylosis)
Full   body/   local   massage,
steam bath, Spinal bath, Arm
& Foot bath, Local steam, Full Immersion bath, Mud bath/ mud  pack, packs, Naturopathy diet
Rs. 500/- to
1000/-
15 daysAfter 6
months
08Skin
disorders (Psoriasis, Eczema)
Full   body/   local   massage,
steam  bath,  Spinal  bath, Local steam, Full Immersion bath, Mud bath/ mud pack, packs, Full wet sheet Pack, Naturopathy diet
Rs. 500/- to
1000/-
21 daysAfter 6
months

2.         Unit Cost of YOGA/ NATUROPATHY therapies/interventions in OPD/IPD -:
Unit cost per therapy/ intervention means cost of procedure including cost of medicines used in the procedure as under:

YOGA
S.No.Procedures/ TreatmentRate      per
unit.
01Jalaneti(OPD)Rs. 050/-
02Sutra neti(OPD)Rs. 050/-
03Dugdhaneti(OPD)Rs. 100/-
04Ghritaneti(OPD)Rs. 100/-
05Kunjala / Vamanadhouti(OPD)Rs. 100/-
06Vastradhouti(OPD)Rs. 100/-
07Jalabasti(OPD)Rs. 150/-
08Sthalabasti(OPD)Rs. 050/-
09Moolashodhana/ Chakri karma (OPD)Rs. 050/-
10Shankhaprakshalana (with therapeutic diet) (OPD)Rs. 500/-
11Kapalabhati (OPD)Rs. 025/-
12Nauli (OPD)Rs. 050/-
13Trataka (Jyoti) (OPD)Rs. 050/-
14Shat karma package – I (Jalaneti, Sutra neti andKapalabhati)  (OPD)Rs. 150/-
15Shat karma package – II (Jalaneti, Sutra neti, Kunjala/VastraDhouti
and Kapalabhati)   (OPD)
Rs. 200/-
16Trataka   package      (Jatrutrataka,   JyotiTrataka,   Eye   wash   and
relaxation technique) (OPD)
Rs. 100/-
17Individual Yoga Therapy Session (Yogic Sukshmavyayama,  Surya
namaskar,  Yogasana,  Relaxation)  (Minimum  one  hour  duration) (OPD)
Rs. 100/-
18Individual Pranayama/ Dhyana (Meditation) session (Minimum one
hour duration) (OPD)
Rs. 100/-
19One day individual Yoga therapy package (Shatkarma, Yogasana,
Pranayama, Dhyana) (around 3 hours)  (OPD)
Rs. 250/-
20One week individual Yoga therapy package (Shatkarma, Yogasana,
Pranayama, Dhyana etc.) (Minimum 1 hour daily) (OPD)
Rs. 500/-
21One month individual Yoga therapy package (Shatkarma, Yogasana,
Pranayama, Dhyana etc.) (Minimum 1 hour daily)  (OPD)
Rs. 1,500/-
22One week Yoga therapy package (3-4 hours per day) (OPD)Rs. 1,500/-
23Two weeks Yoga therapy package (3-4 hours per day) (OPD)Rs. 2,500/-
24One month Yoga therapy package (3-4 hours per day) (OPD)Rs. 5,000/-
25One week Yoga therapy package (Indoor) / (IPD)Rs. 10,000/-
26Two weeks Yoga therapy package (Indoor) / (IPD)Rs. 18,000/-
27Three weeks Yoga therapy package (Indoor) / (IPD)Rs. 25,000/-


NATUROPATHY
S.No.Procedures/ TreatmentRate      per
unit
 JalChikitsa (Hydrotherapy) 
01Hip bathRs.   150/-
02Spinal bathRs.   100/-
03Spinal sprayRs.   200/-
04Arm/ Foot bathRs.   150/-
05Full Immersion bathRs.   200/-
06Local jet sprayRs.   200/-
07Under Water MassageRs.   350/-
08Deluxe Hydro MassageRs.   400/-
09Whirl pool bathRs.   400/-
10Circular jet bathRs.   350/-
11EnemaRs.   100/-
12Colon HydrotherapyRs.   500/-
13Local steamRs.   100/-
14Full body steamRs.   200/-
15Sauna bathRs.   250/-
 MardanaChikitsa. 
16Full body MardanaRs.   300/-
17Local MardanaRs.   150/-
18Dry MardanaRs.   200/-
 Packs / Fomentation 
19Full wet sheet pack or FomentationRs.   150/-
20Local pack / Fomentation(chest, abdomen, leg etc.)Rs.   100/-
 Mud Therapy 
21Full Body Mud BathRs.   250/-
22Local Mud pack / ApplicationRs. 100/  –
 Chromo Therapy 
23Thermoleum Sun bathRs.   200/-
 Naturopathy Therapeutic Diet 
24Naturopathy diet (Single Serve)Rs.   100/-
 Package Treatments with minimum 3 procedures. 
25One day package treatment (OPD)Rs.   750/-
26One week package treatment (OPD)Rs. 3,500/-
27Two weeks package treatment (OPD)Rs. 6,000/-
28Three weeks package treatment (OPD)Rs. 9,000/-
29One week package treatment (IPD)Rs. 10,000/-
30Two weeks package treatment (IPD)Rs. 18,000/-
31Three weeks package treatment (IPD)Rs. 25,000/-
Note: Any minor / local Naturopathy procedure/ therapy not included in the above list may be charged upto  Rs. 100/- per sitting for upto 28 days.
3. Determination of treatment expenditure for payment/reimbursement
For  the  purpose  of  settlement  of  Unani    treatment  expenditure  under  CGHS  , following criteria shall be applied-
a)  Above-mentioned rates of therapies/interventions shall be benchmarks for calculating treatment expenditure.
b)  The above unit rates are inclusive of the cost implication of materials, medicines, accessories, equipment maintenance and manpower (medical, paramedical and nursing) and diet   used in imparting therapies except room rent of the hospitalization.
c)  Pre and post procedure cost will be chargeable @ Rs 75 per day.
d)  Room rent , wherever applicable  shall be chargeable as per the rates prescribed in the OM.

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