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

Disease Condition

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

2 Greevastambha,

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

   
3 Kateegraha,

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

4 Apabahuka,

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

   
5 Pakshaghata

(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, mamsapindasweda 14-       28

DAYS

 
7 Ardita

(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

 
9 Amavata

(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

10 Sarvanga    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

11 Sandhigatavata

(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

12 Twak          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

 

14 Arsha,

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
15 Moothraghata,

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

 

17 Mamsagata

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

 

19 Sirasoola,

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

20 Khanja   ,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
No Treatment Name Unit Cost in Rupees
1 Abhyanga 1145
2 Abhyanga- Sthanika 570
3 Abhyanga + Sweda 1280
4 Avagaha 765
5 Anjana 340
6 Aanchana (Traction) 480
7 Annalepa/Njavaratheppu- Full body 1290
8 Annalepa/Njavaratheppu – Sthanikam 755
9 Aschothana 335
10 Agnikarma-Infra  Red  Coagulation  (Package  rate  for  full
Course of treatment)
10,000
11 Agnikarma- High frequency Coagulation (Package rate for
full course of treatment)
10,000
12 Agnikarma- Radio frequency Coagulation (Package rate for
full course of treatment)
10,000
13 Achasnehapana/day 440
14 Bhedana (of eye) 565
15 BhagnaBandhana   (Fracture   Bandage   with   Reduction
&Immobilisation)
885
16 ChoornaPindaSweda/Podikkizhi-Full Body 1210
17 ChoornaPindaSweda/Podikkizhi- Sthanika/Ekangam 715
18 DhanyaPindaswedam/Dhanyakkizhi/     Navadhanyakkizhi-
Full body
1245
19 Dhara/Sirodhara-Thaila 1420
20 Dhanyamladhara-Sthanika/Local -KateeDharaetc 705
21 Dhoopana 480
22 Dhoomapana 460
23 DhanyamlaPindaSweda/  Dhanyamlakkizhi/Kaatikkizhi-Full
Body
1240
24 Eshana 565
25 Greevavasthi 845
26 Gandoosha 390
27 Goshbanabandha 300
28 Jaloukavacharana 745
29 Jambeerapindasweda/ Narangakkizhi-Full Body 1190
30 Januvasthi 845
31 Kabala 390
32 Kateevasthi 845
33 Kashayavasthi (Niroohavasthi)-Different varieties 1030
34 KashayaDhara- Full Body 1045
35 KashayaDhara -Ekangam/ Local 635
36 KsheeraDhara(Medicated-different varities) -full body 1155
37 KsheeraDhooma 735
38 Kshara karma (Package rate for full course of treatment) 10,000
39 Ksharasoothra-Low  level  fistula  (Package  rate  for  full course of treatment) 10,000
40 Ksharasoothra-Middle  level  fistula  (Package  rate  for  full
course of treatment)
10,000
41 Ksharasoothra-  High  level  fistula  (Package  rate  for  full
course of treatment)
10,000
42 Kshalana 355
43 KsharaPathana(Package rate for full course of treatment) 10,000
44 Karnapoorana 350
45 Kuttanam 540
46 Lekhana 540
47 Lepa/Lepana-Local 390
48 Mathravasthi 350
49 MamsaPindaSweda/Mamsakkizhi-Full Body 1420
50 MamsaPindaSweda/Mamsakkizhi-Sthanikam/Ekangam 820
51 Mukhalepa 490
52 Moordhataila 315
53 Nadeesweda/Snigdhasweda – Full 580
54 Nadeesweda/Snigdhasweda – Ekangam/Local 450
55 Nethradhara/Akshiseka 595
56 Nasya 600
57 PathraPindaSweda/Ilakkizhi-Full 1220
58 PathraPindaSweda/Ilakkizhi-sthanika/Ekangam 720
59 Pizhichil/Kayaseka – Full Body 1995
60 Pizhichil – Sthanikam/Ekangam/Local 1105
61 Pichu 410
62 Prushtavasthi 845
63 Putapaka 850
64 Prachanna 590
65 Pindi 450
66 ShashtikapindaSweda/Navarakkizhi-full body 1320
67 ShashtikapindaSweda/ Navarakkizhi-Ekangam/Sthanikam 770
68 Sirovasthi 970
69 Snehapana/day 440
70 Sirolepa/Thalapothichil 1120
71 Siravyadha/Siravedha/Rakthamoksha 640
72 TailaVasthi 710
73 Thakradhara 1145
74 Thalam 410
75 Tharpana 735
76 Tailadaha (Package rate for full course of treatment) 10,000
77 Thakrapana 250
78 Utharavasthi 1100
79 Udwarthana 1095
80 Urovasthi 845
81 Upanaha/Upanahasweda 590
82 Vamana 745
83 Virechana 355
84 Valukasweda/Manalkkizhi- Full Body 1080
85 Vitalaka/Bitalaka 450
86 Yoniprakshalana 500
87 Yonidhavana 500
88 Yoni Pichu 460
89 Yoni Poorana 460
90 Yoni Dhoopana 335
91 Valukasweda/Manalkkizhi- Sthanikam 655
92 Ksheeradhara-Head 1095
93 Jambeerapindasweda/ Narangakkizhi-sthanika/Local 735
94 Dhanyapindasweda-Sthanika/Local 730
95 Dhanyamlapindasweda/ Katikkizhi-Sthanika 705
96 Veshtanam 330
97 Agnikarma (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
.
Disease Conditions requiring hospitalization Indicated 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 Hammam 400
47. Therapy related Medication, Fasd, Ishāl, Hijāma, Qay’ and Zimad 2,150
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

 

8 Uthira             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

 

14 Moolam,  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

15 Vindhanu · Fertility disorders
(Male)
Ennai Kuzhiyal 14-48

 

  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
16 Karuppai        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

17 Thasai         Vaatham

(Muscular Dystrophy)

·  Weakness of muscles
·  Muscle wasting
·  Muscular hypertrophy
·  Difficulty in
Ennai Kuzhiyal

Kalichal  /  Vamanam  / Aamum Neekal
Ennai Poochu

14-48

Days

    movements Ennai Kattu

Pattru Poochu Pasai Kali
Ottradam Pottanam Podithimirthal Varmam application

 
18 Kan 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

19 Soorya        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

 
20 Enbu 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
21 Vayiru      /      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

 
22 Kalleral / 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

23 Siruneeraga 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

 
24 Thottra  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

 
25 Mudhiyor 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

26 Kuzhanthai     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

 

 
27 Mana       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

1 Aruvai Rs.500/-
2 Asanam Rs.500/-
3 Attai Vidal – (Leech Therapy) Rs.350/-
4 Dhaniya Kizhi (Complete ) Rs.700/-
5 Dhaniya Kizhi (local) Rs.350/-
6 Ennai Kattu (Medicated oil bandage for bone

and joint Disorder, Muscle weakness)

Rs.200/-
7 Ennai Kizhi.(Complete) Rs.700/-
8 Ennai Kizhi.(Local) Rs.350/-
9 Ennai Kuliyal Rs.500/-
10 Kaara Uppu (Local) Rs.100/-
11 Kali Rs.350/-
12 Kalikkam Rs.150/-
13 Kalimbu, Rs.350/-
14 Karanool application in Fistula (Initial) under L.

A

Rs.1100/-
15 Karanool application in Fistula (Follow-up) Rs.450/-
16 Karanool application in Piles / other conditions Rs.450/-
17 Keeral Rs.500/-
18 Kuruthi vaangal – Blood Letting (Cupping) Rs.350/-
19 Kuruthi  vaangal  –  Blood  Letting  (I&D  and

Dressing)

Rs.450/-
20 Mai Rs.150/-
21 Manal Kizhi Rs.350/-
22 Murichal & Kombu Kattal Rs.500/-
23 Nasigaparanam Rs..200/-
24 Nasiyam Rs.200/-
25 Neer Rs.200/-
26 Ottradam (fomentation) Rs.550/-
27 Pattikattal Rs.200/-
28 Pasai Rs.350/-
29 Peetchu (Rectal oil Douche)  (Enema) Rs.200/-
30 Peetchu (Vaginal Douche) Rs.200/-
31 Podi Kizhi.(Complete) Rs.700/-
32 Podi Kizhi.(Local) Rs.350/-
33 Podi Thimirthal Rs.700/-
34 Poochu (Ennai application) Rs.700/-
35 Poochu (Ennai application – local) Rs.300/-
36 Pottanam (Bundle) / Rs.550/-
37 Pranayamam Rs.350/-
38 Pugai application in Piles and Fistula Rs.200/-
39 Salaagai Rs.350/-
40 Seelai Rs.350/-
41 Sira Thokkanam with Medicated Ennai Rs.550/-
42 Suttigai – Cauterization Rs.150/-
43 Thokkanam (Complete) (Massage) Rs.1000/-
44 Thokkanam (Local) (Massage) Rs.500/-
45 Thuvalai Rs.500/-
46 Vamanam (Herbal Kudinner or Tablets) Rs.400/-
47 Varma Application Rs.350/-
48 Varthi Rs.150/-
49 Vedhu Rs..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. Disease Therapies Charges    per day Minimum 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 weeks At    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 weeks At  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 weeks At  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 weeks At  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  weeks At    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 weeks At    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 weeks At    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 weeks At    least    2
weeks after the first course of treatment, if needed

 

NATUROPATHY

 

S.
No.
Disease

Therapies

Rate per day Minimum
duration of treatment
Repetition
01 Diabetes
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 days After 6
months
02 Obesity Fasting,  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 days After 6
months
03 Metabolic
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 days After 6
months
04 Hypertension 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 days After 6 months
05 Bronchial
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 days After 6
months
06 Arthritis
(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 days After 6
months
07 Musculo-
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 days After 6
months
08 Skin
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 days After 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/ Treatment Rate      per

unit.

01 Jalaneti(OPD) Rs. 050/-
02 Sutra neti(OPD) Rs. 050/-
03 Dugdhaneti(OPD) Rs. 100/-
04 Ghritaneti(OPD) Rs. 100/-
05 Kunjala / Vamanadhouti(OPD) Rs. 100/-
06 Vastradhouti(OPD) Rs. 100/-
07 Jalabasti(OPD) Rs. 150/-
08 Sthalabasti(OPD) Rs. 050/-
09 Moolashodhana/ Chakri karma (OPD) Rs. 050/-
10 Shankhaprakshalana (with therapeutic diet) (OPD) Rs. 500/-
11 Kapalabhati (OPD) Rs. 025/-
12 Nauli (OPD) Rs. 050/-
13 Trataka (Jyoti) (OPD) Rs. 050/-
14 Shat karma package – I (Jalaneti, Sutra neti andKapalabhati)  (OPD) Rs. 150/-
15 Shat karma package – II (Jalaneti, Sutra neti, Kunjala/VastraDhouti

and Kapalabhati)   (OPD)

Rs. 200/-
16 Trataka   package      (Jatrutrataka,   JyotiTrataka,   Eye   wash   and

relaxation technique) (OPD)

Rs. 100/-
17 Individual Yoga Therapy Session (Yogic Sukshmavyayama,  Surya

namaskar,  Yogasana,  Relaxation)  (Minimum  one  hour  duration) (OPD)

Rs. 100/-
18 Individual Pranayama/ Dhyana (Meditation) session (Minimum one

hour duration) (OPD)

Rs. 100/-
19 One day individual Yoga therapy package (Shatkarma, Yogasana,

Pranayama, Dhyana) (around 3 hours)  (OPD)

Rs. 250/-
20 One week individual Yoga therapy package (Shatkarma, Yogasana,

Pranayama, Dhyana etc.) (Minimum 1 hour daily) (OPD)

Rs. 500/-
21 One month individual Yoga therapy package (Shatkarma, Yogasana,

Pranayama, Dhyana etc.) (Minimum 1 hour daily)  (OPD)

Rs. 1,500/-
22 One week Yoga therapy package (3-4 hours per day) (OPD) Rs. 1,500/-
23 Two weeks Yoga therapy package (3-4 hours per day) (OPD) Rs. 2,500/-
24 One month Yoga therapy package (3-4 hours per day) (OPD) Rs. 5,000/-
25 One week Yoga therapy package (Indoor) / (IPD) Rs. 10,000/-
26 Two weeks Yoga therapy package (Indoor) / (IPD) Rs. 18,000/-
27 Three weeks Yoga therapy package (Indoor) / (IPD) Rs. 25,000/-

 

 

NATUROPATHY

S.No. Procedures/ Treatment Rate      per
unit
  JalChikitsa (Hydrotherapy)  
01 Hip bath Rs.   150/-
02 Spinal bath Rs.   100/-
03 Spinal spray Rs.   200/-
04 Arm/ Foot bath Rs.   150/-
05 Full Immersion bath Rs.   200/-
06 Local jet spray Rs.   200/-
07 Under Water Massage Rs.   350/-
08 Deluxe Hydro Massage Rs.   400/-
09 Whirl pool bath Rs.   400/-
10 Circular jet bath Rs.   350/-
11 Enema Rs.   100/-
12 Colon Hydrotherapy Rs.   500/-
13 Local steam Rs.   100/-
14 Full body steam Rs.   200/-
15 Sauna bath Rs.   250/-
  MardanaChikitsa.  
16 Full body Mardana Rs.   300/-
17 Local Mardana Rs.   150/-
18 Dry Mardana Rs.   200/-
  Packs / Fomentation  
19 Full wet sheet pack or Fomentation Rs.   150/-
20 Local pack / Fomentation(chest, abdomen, leg etc.) Rs.   100/-
  Mud Therapy  
21 Full Body Mud Bath Rs.   250/-
22 Local Mud pack / Application Rs. 100/  –
  Chromo Therapy  
23 Thermoleum Sun bath Rs.   200/-
  Naturopathy Therapeutic Diet  
24 Naturopathy diet (Single Serve) Rs.   100/-
  Package Treatments with minimum 3 procedures.  
25 One day package treatment (OPD) Rs.   750/-
26 One week package treatment (OPD) Rs. 3,500/-
27 Two weeks package treatment (OPD) Rs. 6,000/-
28 Three weeks package treatment (OPD) Rs. 9,000/-
29 One week package treatment (IPD) Rs. 10,000/-
30 Two weeks package treatment (IPD) Rs. 18,000/-
31 Three 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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Download / Read Revised CGHS Rates for Ayurvedic treatment expenditure claims

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