INTRODUCTION Natinal Cuncil n Ayurvedic Educatin Educatinal Outline fr Cmpetency This dcument serves as a guideline bth fr the develpment f the Natinal Examinatin and as a guide fr schls t prepare curriculum meeting the minimum natinal guidelines. This dcument is nt intended t be a fixed dcument but rather ne that is reviewed n an annual basis and mdified in accrdance with the input f the member schls and supprted by a majrity vte f the member schls. Any significant changes t this dcument in the future wuld be made with due regard fr the ability f the schls t adapt their curriculum accrdingly. Please nte; schls may exceed the educatinal guidelines and cmpetencies in their training. SECTION I: SKILLS AND COMPETENCIES SECTION COUNSELING AND COMMUNICATION SKILLS NCAE Scpe f Practice: The cunselr shuld have the necessary skills t supprt a patient t implement Ayurveda int their lives. As cunseling is a brad field with many appraches t creating behavir change, the NCAE des nt advise schls n a methdlgy but requires schls t teach ne r mre methds t their students fr the purpse f implementing Ayurveda int their lives. Related Pre-requisite r Cmplementary Knwledge: T be determined by the individual schl Testing: Nne Persnal and Family Health Histry NCAE Scpe f Practice: The Cunselr shuld have the ability t take a detailed current and past persnal and family health histry. In rder t be cmpetent, the Cunselr shuld have the fllwing ability / abilities: The ability t gather infrmatin by utilizing standardized frms and fllw up questins. The NCAE des nt advise schls n creating frms but encurages schls t include this in their educatin.
Cunselr Knwledge f the patients lifestyle, wrk, relatinships and daily rutines Knwledge f hw the patient utilizes the five senses Knwledge f any allergy r intlerance the patient has t drugs r fd. Nidana NCAE Scpe Descriptin: The Cunselr shuld have the skills t be able t determine the etilgical factrs (nidana) respnsible fr the dshic imbalance. In rder t be cmpetent, the Cunselr shuld have the fllwing ability / abilities: The ability t interpret the case histry and determine the factrs that have caused the general dshic imbalance within the patient. Knwledge f the factrs that cause dshas t verflw Knwledge f the three fundamental causes f disease and hw the misuse f the senses, repressin f urges and inapprpriate daily and seasnal practices disturb the dshas. Testing: Prvided with a case histry, the Cunselr shuld be able t identify the factrs in a patient's life that are cntributing t the disease. Twenty Gunas NCAE Scpe f Practice Descriptin: The Cunselr shuld be able t determine which guna r gunas are predminant in the prakruti and vikriti. In rder t be cmpetent, the Cunselr shuld have the fllwing ability / abilities: The Cunselr shuld have the ability t determine the rle and influence f the ten ppsing qualities (guruvadi gunas) in the prakruti and vikruti thrugh the data received frm the histry and examinatin f the patient. Knwledge f the 10 pairs f ppsite qualities (guruvadi gunas) assciated with the five elements (pancha maha bhutus) and the three dshas (tridsha). Ability t assciate the qualities with the symptms f vikruti. Testing: Prakruti: Given the findings f a histry and exam n a patient, the Cunselr shuld be able t ascertain the qualities inherent in the persn.
Vikruti: Given the findings f a histry and exam n a patient, the Cunselr shuld be able t ascertain the qualities f the symptm. Prakruti and Vikruti NCAE Scpe f Practice Descriptin: The Cunselr shuld have the ability t assess prakruti and vikruti using Ayurvedic methdlgies f bservatin and examinatin. In rder t be cmpetent, the Cunselr shuld have the fllwing abilities: Trividha Pariksha: The ability t use the fllwing three tls in diagnsis; Tuch (Sparshanam): Observatin (Darshanam) Questining (Prasnam) Ashtavidha Pariksha: The ability t apprpriately use the fllwing eight tls in diagnsis; Pulse Assessment (Nadi Pariksha) Urine Assessment (Mutra Pariksha) Stl Assessment (Mala pariksha) Tngue Assessment (Jihva Pariksha) Speech and Vice Assessment ( Shabda Pariksha). Skin Assessment (Sparsha Pariksha). Assessment f Eyes (Drika Pariksha) General Appearance f external features - Face, Nse (Akriti Pariksha) Dashavidha Pariksha : The ability t assess the patient utilizing the fllwing criteria; Dushyam- Structural and functinal abnrmalities f the bdy Desham -Gegraphical nature f the place where patient lives Balam -Physical strength Kalam- The seasn and climatic cnditins Analam -The digestive system f the patient Prakriti- Cnstitutin Vayas -Age f the patient Satvam- Psychlgical nature f the patient Sathmyam- General and persnal habits f the patient (ie. smking) Aharam- Nature f the patients diet and sensry intake (e.g. vegetarian r nn-vegetarian) Knwledge f hw t interpret the findings leading t the crrect cnclusin f prakruti and vikruti.
Testing: Presented with findings, the Cunselr shuld be able t interpret the findings and cme t the prper diagnsis f prakruti and vikruti. Schls t be respnsible fr practical testing. Subdshas NCAE Scpe f Practice Descriptin: The Cunselr shuld be intrduced t the subdshas In rder t be cmpetent, the cunselr shuld be able t: Name the subdshas f each dsha Knw the primary lcatins f each subdsha Knwledge f the names and lcatins f each subdsha Testing: The Cunselr shuld be able t name the subdshas f each dsha. Given a name, the cunselr shuld be able t identify a primary lcatin. Given a lcatin, the cunselr shuld be able t prvide the subdsha that has its primary lcatin in that part f the bdy. Dhatus / Upadhatus NCAE Scpe f Practice Descriptin: The Cunselr shuld be intrduced t the knwledge f dhatus and upadhatus. In rder t be cmpetent, the Cunselr shuld be able t: Name each dhatu and knw the crrespnding Western tissue that is assciated with it. Name the updhatus assciated with each dhatu Knwledge f the seven dhatus and their related upadhatus Knwledge f hw dhatus are frmed Testing: The cunselr shuld be able t crrelate the Sanskrit name f a dhatu and its crrespnding western tissue as well as the secndary tissues (upadhatus) assciated with the dhatu.
Srtamsi NCAE Scpe f Practice Descriptin: The Cunselr shuld be intrduced t Srtas. In rder t be cmpetent, the cunselr shuld be able t: Crrelate each srta with a crrespnding system f the bdy Knwledge f each srta and its rigins Knwledge hw each srta crrelates with a channel system in the bdy Testing: Presented with a srta, the cunselr shuld be able t name the crrespnding channel system in the bdy and visa-versa. Mala- Dhatu NCAE Scpe f Practice Descriptin: The cunselr shuld be intrduced t the malas and dhatu malas. In rder t be cmpetent, the cunselr shuld be able t: Name the malas (Sanskrit and English) and dhatu malas (English nly) Knwledge f their nrmal functins Nted abve Testing: Given a dhatu, the cunselr shuld be able t name the assciated dhatu mala Agni- Ama NCAE Scpe f Practice Descriptin: The Cunselr shuld be able t assess the clinical state f agni, and ama in the patient thrugh questining and bservatin. In rder t be cmpetent, the Cunselr shuld have the fllwing knwledge r skill: Ability t determine the state f agni by questining the client abut appetite, digestin and eliminatin Ability t recgnize the signs and symptms f ama in the bdy by the bservatin f the tngue, stls and bdy dr Knwledge f the 13 majr agnis Knwledge f the functin f agni Knwledge f the symptms and signs f the fur states f agni. Knwledge f hw ama is frmed
Testing: Given the findings upn a histry (questining) and exam (bservatin), the Cunselr shuld be able t determine the state f agni and ama. Samprapti NCAE Scpe f Practice Descriptin: The cunselr shuld be intrduced t the cncept f samprapti. In rder t be cmpetent, the student shuld have the ability t; Name the three stages f nrmal dshic flw Name the six stages in the disease prcess. Basic Knwledge f the nrmal cycle f dshic mvement Basic Knwledge f the six stages f disease Basic Knwledge f the effects f seasn, time f day n the flw f the dshas. Testing: Academic nly Prana-Tejas-Ojas NCAE Scpe f Practice Descriptin: The Cunselr shuld be able t shw skill and cmpetency in determining the state f prana, jas and tejas. In rder t be cmpetent, the Cunselr shuld be able t assess the fllwing: The Cunselr shuld be able t assess the state f prana, tejas and jas thrugh bservatin and questining (Prasna). Questining (Prasna) Emtinal stability Quality f sleep Intellectual strength Observatin (Darshana) Vice Eyes Bdy Mvements Cmplexin Definitins f prana, tejas and jas Functin f prana-tejas and jas in the bdy and mind Knwledge f the relatinship f prana, tejas and jas t vata, pitta and kapha Knwledge f the signs f healthy r balanced prana, tejas and jas Knwledge f the symptms f high prana, high tejas and high jas Knwledge f the symptms f lw prana, lw tejas and lw jas
Knwledge f the symptms f cmbined imbalances Knwledge f hw t restre the balance f prana, tejas and jas Knwledge f the effect f diet, clrs, armas, sunds, tuch and lifestyle n prana, tejas and jas. Testing: Given the findings frm the questining and bservatin, a student shuld be able t identify the prper treatments utilizing diet, clrs, armas, sunds, tuch and lifestyle. SECTION 2: RECOMMENDATIONS, TREATMENT AND OTHER INTERVENTIONS Fd / Diet NCAE Scpe f Practice Descriptin: Cunselrs shuld be able t recmmend the apprpriate Ayurvedic fd prgram fr the patient. In rder t be cmpetent, the Cunselr shuld be able t: Recmmend the apprpriate diet t restre balance based n vikruti, prakruti, agni and ama Teach and supprt the patient t implement the prper dietary guidelines int their lives Recmmend the prper use f spices t assure prper digestin Knwledge f the six tastes, their elemental make up and qualities Knwledge f the rasa, virya and vipaka f the six tastes Knwledge f the 10 pairs f ppsite qualities (guruvadi gunas) f each taste Knwledge f the effects f each taste n dsha, dhatu and mala Knwledge f the tastes that are nurishing (brimhana) and thse that are purifying(langhana) Knwledge f the effect f the tastes and fds n agni and ama. Knwledge f the elemental make up f fds Knwledge f the prper guidelines fr healthy eating. Knwledge f the qualities f cmmn fds and their effect n the dshas Milk Kidney Bean Ygurt Cffee Wheat Black Tea Rice Peaches Sesame il Orange Olive il Cucumber Mung Bean Onin Knwledge f the qualities f cmmn spices and their effect n the dshas Fennel Criander Cumin Turmeric
Salt Thyme Black pepper Basil Mustard Seed Oregan Cardamm Rsemary Preparatin f Fd Knwledge f hw prcessing fd changes its qualities Knwledge f hw t prepare basic fds such as kicheree, ghee and takra Other Knwledge f the imprtance f drinking warm water in the mrnings (ushapaan) Testing : Given the prakruti r vikruti f the patient, the Cunselr can identify the tastes and fds that wuld supprt keeping the desired dsha(s) in balance. The Cunselr can als identify the qualities and dshic effects f cmmn fds and spices. Lifestyle NCAE Scpe f Practice Descriptin. The Cunselr shuld be cmpetent t recmmend practices with due regard t daily, seasnal and stage f life f the patient. In rder t be cmpetent, the Cunselr shuld be able t: Recmmend daily rutines Prper ral hygiene (Tngue scrapping, Swishing, Brushing, Flssing) Taking care f Eyes (Eye wash) Self abhyanga Neti Supprt the patient t make life style changes t create harmny; Adjusting bed times and wake up times Times t take fd Instruct the patient in adjusting lifestyle in accrdance with the seasns Knwledge f each f the practices: Hw t perfrm, indicatins, cntraindicatin Knwledge f the effect f apprpriate physical, devtinal, spiritual practices n dshas and gunas. Knwledge f hw each practice affects the dshas Knwledge, when apprpriate, f hw t adjust each practice per the prakruti / vikruti f the patient. Knwledge f prper daily rutine fr each dsha Knwledge f hw the seasns might impact ne's rutine Knwledge f evening rutines (Ratricharya) Testing: Academic and Clinical: Academic; is directly related t the knwledge abve. Clinical; given a snap sht f a patient's lifestyle, the Cunselr shuld be able t identify imprvements t be made in the patient's lifestyle in accrdance with the patient s prakruti and vikruti.
Sensry Therapy NCAE Scpe f Practice Descriptin. The Cunselr shuld be cmpetent t suggest the apprpriate use f therapies fr each f the five senses. In rder t be cmpetent, the Cunselr shuld be able t: Prescribe apprpriate arma therapy in harmny with the patients prakruti / vikruti Prescribe apprpriate tuch therapy in harmny with the patients prakruti / vikruti Prescribe apprpriate sund therapy in harmny with the patients prakruti / vikruti Prescribe apprpriate visual therapy in harmny with the patients prakruti / vikruti (Fr dietary therapy see the sectin fr fd and diet) The Cunselr shuld be able t identify excessive utilizatin, deficient utilizatin and the wrng (mis) f each f the five senses Knwledge f the prper use f each sense Knwledge f the relatinship f the five elements t each sensry and mtr faculty Knwledge f hw each sensry stimuli affect the dshas Testing: Academic and clinical. Given a case histry, the Cunselr shuld be able t identify the actins that are causing disharmny thrugh each f the senses and be able t recmmend psitive changes. The Cunselr shuld be able t identify the effect f a sensry stimulant n each f the dshas. Herbs (Cunselr) See the sectin n fd fr cunselrs as it pertains t spices. Langhana: Shamana (Pacificatin f Dshas) NCAE Scpe f Practice Descriptin: The Cunselr recmmends pacificatin (shamana) therapies t balance the dshas and eliminate ama In rder t be cmpetent, the Cunselr shuld be able t: Utilize thse tls allwable within their scpe f practice t gently cleanse the bdy, reduce ama and alleviate the dshas in accrdance with the principles f shamana chikitsa. Required Knwledge Knwledge f the 7 traditinal frms f palliative therapy
Deepana: Herbs that increasing agni Pachana: Herbs that digest ama Kshuudhanigraha: Cntrl ver diet including the use f fasting Nigraha: Cntrl ver water and il intake Vyama: Use f exercise Aatpa seva: Frms f creating heat withut directly increasing agni such as sunbathing. Maruta seva: Ways t cl the bdy t prtect pitta dsha such as mn walks. Knwledge f indicatins and cntraindicatins fr palliatin therapy Knwledge f hw t design a palliatin prgram t crrect an imbalance in each dsha Knwledge f hw t determine if palliatin therapy is advisable The principles f shamana chikitsa Testing: Clinical; Given a case scenari, a Cunselr shuld be able t determine if palliatin is indicated. Academic; The Cunselr shall be tested n the academic knwledge as nted abve. Tnificatin (Brimhana) NCAE Scpe f Practice Descriptin: The Ayurvedic Cunselr is cmpetent t prescribe therapies fr general tnificatin (brimhana) f the bdy and mind. In rder t be cmpetent, the cunselr shuld be able t; Determine when tnificatin is indicated Utilize all therapies within their scpe f practice t achieve the gal f tnificatin Knwledge f the indicatins and cntraindicatins fr tnificatin therapy Knwledge f hw t design a tnificatin prgram in accrdance with the dshic vikruti. Knwledge f hw t manage a tnificatin prgram and make adjustments t the prgram in accrdance with the patient s prgress Knwledge f hw t assess the state f agni, ama and jas Knwledge f hw t assess the dhatus and the signs f depletin Testing: Academic and clinical. Given the findings n a histry and exam, the Cunselr shuld be able t determine if tnificatin therapy is indicated and be able t identify which therapies are indicated. Children s Health NCAE Scpe f Practice Descriptin. Cmpetent t supprt children abve the age f five, t learn basic health practices. In rder t be cmpetent, the Cunselr shuld be able t:
Teach the parents f a yung child the prper diet apprpriate fr their child s cnstitutin and vikruti with due regard t the child s age and stage f life and prvide supprt fr its implementatin Teach the parents f a yung child the prper lifestyle apprpriate t the child s cnstitutin and vikruti with due regard t the child s age and stage f life and prvide supprt fr its implementatin Utilize sensry therapies apprpriate t the child s cnstitutin and vikruti with due regard t the child s stage f life and prvide supprt fr its implementatin Knwledge f the relatinship between the dshas and life cycle and hw this impacts the child's diet and lifestyle Knwledge f diet, sensry therapies and lifestyle as previusly nted Testing: Academic and clinical: Prvided with the infrmatin abut the child, the Cunselr shuld be able t identify the prper cmpnents f the treatment prgram Internal Medicine NCAE Scpe f Practice Descriptin. The Cunselr shuld be cmpetent t teach self- care skills fr the health f the digestive system. In rder t be cmpetent, the cunselr shuld be able t: Prescribe the apprpriate diet, prper eating guidelines, lifestyle and rutines t supprt prper digestin. Knwledge f hw t supprt digestin and balance the patients agni in accrdance with prakruti / vikruti utilizing all f the tls within their scpe f practice Knwledge f hw t prevent and treat ama Knwledge f hw t supprt healthy eliminatin thrugh Ayurveda practices Knwledge f the fundamental principles f Ayurveda Testing: Academic and clinical: Given the findings in a case, the cunselr shuld be able t identify factrs that aggravate the patient's cnditin and recmmend apprpriate changes t establish nrmal physilgy. ENT / Head and Neck Regin NCAE Scpe f Practice Descriptin: The cunselr shuld be cmpetent t teach self care skills t eliminate excess dsha frm the head and neck. In rder t be cmpetent, the Cunselr shuld be able t;
Teach / demnstrate il massage fr head, face, neck muscles Teach/ demnstrate leatin fr ears, nse, eyes and muth Teach the use f diet and lifestyle t supprt the gal f pacifying the dshas within the head Teach the use f nasya when apprpriate t pacify the dshas f the head and neck Knwledge f the practices nted abve; indicatins, cntraindicatins and prcedures Knwledge f the benefits f fllwing the prcedures Knwledge f the indicatins and cntraindicatins fr each prcedure. Testing: Academic nly. Schls will test practical cmpetency. Psychiatry NCAE Scpe f Practice Descriptin: The Cunselr shuld be able t recmmend diet, lifestyle and prper cnduct t prevent suffering in the mind. In rder t be cmpetent, the Cunselr shuld be able t: Utilize: Visual Therapy: Sattvic intake f impressins and the prper use f clr Auditry Therapy: Sattvic intake f impressins and the prper use f sund Armatic Therapy: Sattvic intake f impressins and the prper use f armas Gustatry Therapy: Sattvic intake f impressins and the prper use f fds Tactile Therapy: Sattvic intake f impressins and the prper use f tuch Healthy daily rutines Supprt the patient t adpt the abve therapies and mdify their behavir in accrdance with the principles f Ayurveda Knwledge f each practice Knwledge f the three gunas and hw t determine their state Knwledge f what cnstitutes prper behavir Knwledge f the effect f sensry input n the mind Knwledge f hw t supprt lifestyle and behaviral transfrmatin Testing: Academic and clinical. Given a case histry, the cunselr shuld be able t design a treatment prgram within the scpe f their practice t prevent psychlgical disease and supprt restring balance.
WESTERN MEDICAL APPROACHES NCAE Scpe f Practice Descriptin: The Cunselr shuld be able t refer a patient fr assessment and pssible treatment by a medical Cunselr fr all acute cnditins that have nt been evaluated by a licensed health care prfessinal. In rder t be cmpetent, the Cunselr shuld be able t: Refer t a cmpetent Western Cunselr at the apprpriate time Knwledge f the scpe f practice f a Medical Cunselr Knwledge f the indicatins that require a referral. Knwledge f hw a Western Medical Cunselr can cmplement the care being prvided by the Ayurveda Health Cunselr and Ayurveda Dctr