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.

Disease

Condition

needing hospitalization

Indicated therapies

required as per the condition of patient

Likely

duration of hospitaliz ation

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Shaqīqa
(Migraine)

Recurrent episodic throbbing pain in one half of head

Therapy related
Medication,
Fasd, Ishāl , Natūl, Lakhlakhah and Zimad

7-28 days

Sar‘ (Epilepsy)

Recurrent spells of convulsions

Therapy related
Medication, Qay’, Fasd, Ishāl, Huqna, Hammām, Hijāma, Ghargharah, Nafookh and Nashooq

7-28 days

Fālij (Paralysis)

flaccidity/atony of organs

Therapy related
Medication, Huqna, Dalk, Hijāma, Natūl, Ghargharah, Nafookh and Nashooq

7-28 days

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

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

Waram-i Asl al- Uzun (Mumps/ Parotitis)

Pain and swelling below the ears

Therapy related
Medication, Fasd, Ishāl, Hijāma, Inkibāb, Takmīd

7-28 days

Waram-i Halaq
(Pharyngitis)

Sore throat, dry cough, difficulty in swallowing

Therapy related Medication, Fasd, Irsal-I Alaq, Hijāma
and Ghargharah

7-28 days

Waram-i
Lawzatayn
(Tonsillitis)

Sore throat, difficulty in swallowing, fever

Therapy related
Medication, Fasd, Huqna, Ishāl, Hijāma,

Gharghara

7-28 days

Iltihāb-i Tajāwīf- i Anf (Sinusitis)

Headache, post nasal drip

Therapy related
Medication, Fasd, Takmīd, Tar’riq, Inkibāb,

7-28 days

Nazla Wabā’ī
(Influenza)

Headache, bodyache, fever

Therapy related Medication, Dalk, Pashoya, Ishāl

7-28 days

Shahīqa
(Pertussis/ Whooping Cough)

Severe episodes of cough

Therapy related
Medication, Inkibāb

7-28 days

Iltihāb al-Shu‘ab
(Bronchitis)

Productive cough, pain in chest, fever

Therapy related
Medication, Inkibāb, Gharghara, Qai, Dalk and Zimad

7-28 days

Zīq al-Nafas (Bronchial Asthma)

Recurrent attacks of cough, dyspnoea, pain

Therapy related
Medication, Fasd, Hijāma, Bukhoor and Qai

7-28 days

Zāt al-Riy’a
(Pneumonia)

Continuous fever, cough, dyspnoea, pain in chest

Therapy related
Medication, Fasd, Ishāl, Hijāma, Zimad and Takmeed

7-28 days

Ru’af
(Epistaxsis)

Recurrent episodes of bleeding from nose

Therapy related
Medication, Hijāma,
Fasd,

7-28 days

Salābat-i Kabid
(Cirrhotic Liver)

Heaviness in
abdomen and loss of appetite

Therapy related
Medication, Fasd and
Zimad

7-28 days

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

Zayābīṭus Sukkari Qism Sānī (Diabetes Mellitus Type II)

Excessive thirst, urination

Therapy related Medication, Takmīd, Ābzan, Dalk, Qay’, Tar’riq, Riyāzat

7-28 days

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

Qarḥa-i Huzūmī
(Peptic Ulcer)

Severe pain in
stomach, nausea, vomiting

Therapy related
Medication, Huqna, Zimad

7-28 days

Zahīr
(Dysentery)

repeated urge for
defecation, heaviness in abdomen, pain, abdominal distention, tenesmus

Therapy related Medication, Takmīd, Huqna, Ābzan

7-28 days

Ishāl
(Diarrhoea)

repeated defecation, indigestion, flatulence and gurgling

Therapy related
Medication,
Hammām, Dalk and
Huqna

7-28 days

Bawāsīr (Piles/ Heamorrhoids)

Mass, pain and itching in the anus

Therapy related
Medication, Fasd, Ābzan and Irsal-e- Alaq

7-28 days

Sū’ al-Qinya
(Anaemia)

Pallor, swelling

Therapy related
Medication, Dalk,
Hammām, Riyāzat

7-28 days

Tashaḥḥum al- Kabid (Fatty Liver)

Anorexia, dyspepsia, pain in abdomen

Therapy related Medication, Takmīd, Zimad

7-28 days

Waram-i Kabid
(Hepatitis)

Loss of appetite, pain abdomen, nausea, vomiting

Therapy related
Medication, Fasd, Riyāzat, Hammām and Zimad

7-28 days

Istisqa’Ziqqi
(Ascites)

Abdominal distention, dyspepsia,

Therapy related
Medication, Idrār,
Ishāl, Tar’riq

7-28 days

Istisqa’Lehmi
(Anasarca)

Generalized pitting edema

Therapy related
Medication, Tar’riq, Idrār, Hammām, Riyāzat, Hijāma,

7-28 days

Yaraqān
(Jaundice)

Yellow discolouration of skin, eyes and urine

Therapy related
Medication, rest, Is’hal, Qai, Fasd and Huqna

7-28 days

Waram-i Kulya
(Glomeruloneph ritis / Pyelonephritis)

Fever, difficulty in urination

Therapy related
Medication, Fasd, Takmīd, Qay’, Huqna, Ābzan, Natūl

7-28 days

Hasāt-i Bawl
(Urolithiasis)

heaviness in lower back, excruciating pain

Therapy related
Medication, Riyāzat, Hammām, Ābzan, Qay’, Fasd, Takmīd

7-28 days

Zu‘f-i Masāna
(Overactive bladder)

Dribbling of urine

Therapy related
Medication, Takmīd

7-28 days

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

Kasrat-I Isqat (Habitual Abortion)

Recurrent abortions

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

7-28 days

Sayalān-i
Rahim

(Leucorrhoea)

excessive discharge
from the uterus

Therapy related
Medication, Fasd,

Ishāl, Dalk , Ābzan
and Huqna

7-28 days

Ihtibās-i Tams
(Amenorrhoea)

cessation of menses

Therapy related
Medication, Fasd, Hammām, Hijāma, Idrar and Aabzan

7-28 days

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

Zu’f-i Bah
(Sexual
Debility)

Decrease in sexual competency

Therapy related
Medication, Dalk

7-28 days

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

Irq al-Nasā’
(Sciatica)

Pain in hips and leg

Therapy related
Medication, Qay’, Kayy, Fasd, Hammām, Huqna, Ābzan and Hijamah

7-28 days

Niqris (Gout)

severe pain in great toe or ankle joint

Therapy related
Medication, Fasd, Riyāzat , Zimad, Tila, Qai, Dalk and Nutool

7-28 days

Sharā
(Urticaria)

abrupt appearance of reddish itchy rashes

Therapy related
Medication, Fasd, Hammām and Hijamah

7-28 days

Jarab (Scabies)

rashes between the
fingers, wrist, elbow, groin, etc

Therapy related
Medication,
Hammām, Fasd, Ishāl

7-28 days

Nār Fārsī
(Eczema)

Red coloured lines and eruptions

Therapy related
Medication, Fasd, Ishāl, Hijāma, Zimad and Irsal-e-Alaq

7-28 days

Dā’ al-Ṣadaf
(Psoriasis)

Thick rough patches
on skin with silvery scales

Therapy related
Medication,
Hammām,

7-28 days

Baraṣ (Vitiligo)

glossy white patches on skin

Therapy related Medication, Dalk-i Khashin, Qai, Tila, and Hammam

7-28 days

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

Ḥummā
Ajāmiyya
(Malaria)

High fever with chills and rigors

Therapy related Medication, Huqna, Qay’, Fasd, Hammām

7-28 days

Ḥummā Mewi
(Enteric fever)

Continuous fever, loss of appetite, headache

Therapy related
Medication, Takmīd,

7-28 days

‘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.

Disease

Condition needing

hospitalization

Indicated therapies

required as per the condition of patient

Likely

duration of hospitaliz ation

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

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

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

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

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

Paanikkamba

vaatham,

Sirakamba vaatham

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

Ennai Kuzhiyal

Varthi / Thiri

Vedhu Thuvalai Pranayamam Varmam application Asanam

14- 28

Days

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

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

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

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

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

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

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

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

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
				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.

*****

Download / Read Revised CGHS Rates for Ayurvedic treatment expenditure claims