TM for NPI

TRADITIONAL MEDICINE FOR
NON-PHARMACOLOGICAL
INTERVENTIONS IN HEALTH
MANAGEMENT
Draft 3
TM FOR NPI IN HM
COPYRIGHT
All rights reserved. This book, in whole or any part thereof,

should not be reproduced, stored in a retrieval system, or
transmitted in any form or by any means-electronic,
photocopying, recording, or otherwise without the prior
permission of the National Institute of Traditional Medicine
(NITM).
Copyrights © 2024, NITM
First publication 2024
First Revision 2026
Published by;
National Institute of Traditional Medicine

Clinical Section
Old Kottawa Road, Nawinna, Maharagama, Sri Lanka.

Tel: +94-11-2840670, +94-11-2845937
Fax: +94-11-2840669
E-mail: nitmsrilanka@gmail.com
Web: www.nitm.ayurveda.gov.lk
Page 2
Vision
Better, Innovative, and Differentiated Continued
Professional Development for Ayurveda Medical
Officers.
Mission
Sri Lankan Ayurveda Medicine knowledge and Modern
process techniques are collaborating, and shared with
Ayurveda Medical Practitioners through the cognitive
(knowledge), affective (attitude & value), and psychomotor
(body & skills) domains.
Page 3
GOALS &
OBJECTIVES
OBJECTIVES 1
Continuing professional development
plays a crucial role in maximizing
clients' wellness.
To continue the professional

development of the
Ayurveda Medical Officers.
OBJECTIVES 2
Caring for the patient, followed
by the doctor is important but it
is a time of great pain and
suffering. For that, developing an
efficient therapeutic relationship
is very important. Enhance integrated
therapeutic
relationships with the
public.
Page 4
Executive
Summery
Non-pharmacological intervention (NPI) is any type of healthcare
intervention which is not primarily based on medication. Non-
pharmacological interventions may be intended to prevent or treat
(ameliorate or cure) diseases or other health-related conditions, or to
improve public health. They can be educational and may involve a variety of
lifestyle or environmental changes. Complex or multicomponent
interventions use multiple strategies, and they often involve the
participation of several types of care providers. Non-pharmacological
interventions can call on various fields of expertise, such as surgery,
medical devices, rehabilitation, psychotherapy, and behavioral interventions
(Ninot, 2021)
Non-pharmacological interventions (NPIs) have become essential solutions

for better living, preventing disease, and self-care, in addition to biomedical
treatments, and for increasing longevity without loss of quality of life. These
practices have gone from general diet and hygiene advice to targeted and
personalized solutions for prevention, care optimization, and curative
treatments. Selected empirically for centuries or recently with the help of
technological innovations and epigenetic, interventional, and medico-
economic studies, their development is growing and diversifying around the
world.
Page 5
Traditional Medicine encompasses a variety of nonpharmacological
interventions aimed at promoting health and managing diseases without
the use of pharmaceutical drugs. These interventions include: 1. Physical
Modalities: Techniques such as acupuncture, massage, and heat therapy
that help alleviate pain and improve physical function. 2. Psychological
Interventions: Methods like meditation, mindfulness, and cognitive-
behavioral therapy that address mental health and stress-related
conditions. 3. Complementary and Alternative Therapies: Practices such as
herbal medicine, homeopathy, and naturopathy that use natural remedies
to support health. 4. Lifestyle Modifications: Changes in diet, exercise, and
sleep patterns to enhance overall well-being and prevent diseases. 5.
Innovative techniques: Emerging methods like neurostimulation and
biofeedback that offer new ways to manage health conditions.
These nonpharmacological approaches are valuable for their ability to

provide holistic care, reduce reliance on medications, and improve quality
of life. They are particularly beneficial for managing chronic conditions and
promoting long-term health.
Page 6
Abbreviations
NPI Nonpharmacological Intervention
TR Traditional Medicine
HM Health Management
NITM National Institute of Traditional Medicine

Table of contents
Vision and Mission
Better, Innovative, and Differentiated Continued
Professional Development for Ayurveda Medical
Officers.
Goals and Objectives

03 Executive summery
To continue the professional development of the Ayurveda
Medical Officers.
Executive summary
Non-pharmacological intervention (NPI) is any type of
healthcare intervention which is not primarily based on
medication.
Introduction
In a global context for thousands of years, practices
resembling non-pharmacological interventions (NPIs)
03
have been used in the treatment of health conditions.
Our Short Course
This is the first-ever continuing professional development
(CPD) course of this nature and it will open up rewarding
opportunities in your future career.
05
The Profesonalism
The National Institute of Traditional Medicine (NITM) is
dedicated to advancing the integration of traditional medicinal
practices with public health care services.
06
Course Outline
Target group, course objectives, mode of delivering
Course Module
Consist of 16 modules
07 and Evaluation Process

Assessment
Formative Assessment, Summative Assessment,
Practical Evaluation, Peer and Self-Assessment, ect.
Page 7
Introduction
Traditional Medicine for NPI in Health Management
In a global context for thousands of years, practices resembling non-
pharmacological interventions (NPIs) have been used in the treatment of health
conditions. For hundreds of years, case reports have mentioned their benefits for
health and well-being. For the last few decades, observational studies have
indicated their role in longer lifespans and better quality of life. In recent years,
clinical trials have shown specific benefits with respect to biological,
psychological, and socioeconomic markers.
Sri Lanka, with an archeological history dating back to at least 3000 B.C. Also, Sri
Lankan Traditional medicine has a long history. This system has been practiced for
many centuries in the island nation. The Sri Lankan Traditional Medical System is a
mixture of the Ayurveda and Siddha systems of India, Unani medicine from the
Arabs, and most importantly, the Desheeya Chikitsa, which is the indigenous
medicine of Sri Lanka.
The word "Ayurveda" translates into English as the "science of life" (ayur- life,
Veda - science). Considered to be the oldest healing science in the world, this
ancient medicine is practiced extensively in Sri Lanka and India. Passed down
through time, this system focuses on the connection between the body and the
mind. Using natural cures, Ayurveda aims to maintain the body in a balanced state
of health. Sri Lanka developed its own Ayurvedic system based on a series of
prescriptions handed down from generation to generation over a period of 3,000
years. It is closely associated with the wellness of the body, mind, and soul.
Traditional medicine in Sri Lanka plays a vital role in nonpharmacological health

management. Rooted in centuries-old practices, it encompasses a variety of
natural remedies, lifestyle modifications, and holistic approaches aimed at
promoting overall well-being. These interventions, which include herbal
treatments, dietary adjustments, and therapeutic practices like Ayurveda, Unani,
Sddha and Deshiya chikitsa, are integral to the country’s healthcare system. They
not only address physical ailments but also focus on mental and spiritual health,
offering a comprehensive approach to disease prevention and health
maintenance.
Page 8
At present, we are making every effort to strengthen our medical and wellness
institutions and empower our medical professionals in the field of SLTM. To
achieve this broad objective, it is critical to benchmark global standards,
particularly in health management. The supply of medical and wellness services is
characterised by several institutions, including hospitals and clinics, health resorts
and hotels, spas, facilities based on natural resources, retreats (such as yoga and
meditation). These entities are devoted to enhancing the overall well-being of
individuals through a variety of professional services that encourage the renewal
of mind, body and spirit. Hence, professionalism is the key factor to mark our
presence in the global nonpharmacological intervention in health management.
The quest for a healthy life has been an eternal one. In 1978 Alma-Ata Declaration
expressed the need for urgent action by all governments, health and development
workers, and the world community to protect and promote the health of all
people.
The World Health Organization (WHO) launched its "Health For All" campaign and
defined Health for All as the attainment by all peoples of the world by the year
2000 of a level of health that will permit them to lead a socially and economically
productive life.
Given this background, we are passionate about meeting the ever-growing need
for healthy and sustainable living through the application of Traditional Medicine
for nonpharmacological intervention in health management modalities.
Professionalism is our main driving force of the overall service delivery that
integrates well with economic, social, and environmental sustainability.
Page 9
Our
Short Course
This is the first-ever continuing
professional development (CPD) course of
this nature and it will open up rewarding
opportunities in your future career. Having
this qualification, you will be able to
recognize the need and development
potential between Traditional Medicine
and nonpharmacological intervention, to
work responsibly and independently with
a professional spirit. You will be able to
plan, organize, and operate Traditional As the health services market evolves,
medicine for non-pharmacological grows, and becomes more competitive
intervention in health management and it will thus demand more complex
promote the same based on healthcare- practices both in professional and
specific guidelines, scientific criteria, best business contexts. As such, a
practices, and international developments. programme of this nature is deeply
needed at present to establish the
inter-sectoral linkages between
The country's well-established TM sector
nonpharmacological intervention and
can play a vital role in the delivery of health Traditional Medicine (Ayurveda, Unani,
services. To make this a reality, the Siddha, and Deshiyachikitsa) in Sri
Traditional Medicine sector itself is Lanka.
required to empower with non-
pharmacological intervention and thereby This course explores the principles and
contribute to the national health sector practices of traditional medicine as
with better value addition. nonpharmacological interventions for
health management. Ayurveda doctors
will learn about various traditional
healing systems, including Ayurveda,
Unani, Siddha, Indigenous healing
practices, and Korean Oriental
Medicine. The course emphasizes the
role of natural remedies, lifestyle
modifications, and holistic approaches
in preventing and managing diseases.
Through a combination of theoretical
knowledge and practical applications,
Ayurveda doctors will gain insights into
integrating traditional medicine with
modern healthcare to enhance patient
outcomes and promote overall well-
being.
Page 10
The Profesionalism
The National Institute of Traditional Medicine (NITM) is dedicated to
advancing the integration of traditional medicinal practices with public
health care services. Our commitment to professionalism is reflected in our
rigorous continued professional development and continued medical
education, ethical standards, and dedication to public health. We strive to
uphold the highest levels of integrity, transparency, and accountability in all
our endeavors. Our multidisciplinary approach encompasses the
documentation, validation, and clinical evaluation of traditional remedies,
ensuring they meet contemporary scientific standards. Through continuous
education, community engagement, and collaborative efforts, NITM aims to
enhance the credibility and efficacy of traditional medicine, contributing to
holistic and sustainable health solutions.
Not as a new training institute, we have become an organization that has

high professionalism to provide our clients with services that are satisfied
with the training results we do. We have established substantial and
extensive cooperation (private-public partnership) with several well-known
organizations as well as pioneers who will be delivering their respective Sri
Lankan traditional Medicine training and services. Although there are
differences in the form of Sri Lankan traditional Medicine training between
the organizations because all organizations have different targets and
activities of consumers, we always work according to what they want to
achieve and also to the vision and mission of the training Institute even
though it must run slowly over time.
Page 11
ACKNOWLEDGMENT
Overall Dr. M. D. J. Abegunawardana
Direction Commissioner General of Ayurveda,
Department of Ayurveda, Nawinna,
Maharagama.
Mr. H. T. W. Chaturanga
Director, National Institute of Traditional
Medicine, Nawinna, Maharagama.
Technical Prof. Sayakkara Jayawardane

Support Retired Professor, Faculty of Indigenous
Medicine, University of Colombo.
Prof. Samudra Senevirathna

Professor in Psychology and Education
Department, Faculty of Education,
University of Colombo.
Dr. (Mrs.) Himalee De Silva

Senior Lecturer, Faculty of Indigenous
Medicine, University of Colombo.
Rajagiriya.
Dr. (Mrs.) B. M. S. Amarajeewa

Senior Lecturer, Department of Ayurveda
Surgery, ENT, Opthalmology, Gynecology,
Obstetrics, and Pediatrics,
Faculty of Indigenous Medicine,
University of Colombo,
Dr. (Mrs.) W. K. B. D. S. Fernando

Medicine University of Colombo,
Rajagiriya.
Dr. S. M. N. Ameen
Consultant, Unani Medicine,
National Ayurveda Hospital, Borella.
Dr. W. A. K. Wijedasa
Department of Indigenous Medicine,
Colombo Municipal Council, Colombo
Dr. Samantha Namal Liyanage

Clinical Division, National Institute of
Traditional Medicine, Department of
Ayurveda, Nawinna, Maharagama.
Dr. (Mrs.) Amiltini Subramaniam

Siddha Unani Division, National Institute
of Traditional Medicine, Department of
Page 12
Traditional Medicine for Nonpharmacological
Intervention in Health Management
Development Prof. Samudra Senevirathna

Committee Professor in Psychology and Education
Department, Faculty of Education,
University of Colombo.
Dr. Himalee De Silva

Medicine, University of Colombo. Rajagiriya.
Dr. S. M. N. Ameen
Consultant, Unani Medicine,
National Ayurveda Hospital, Borella.
Dr. W. A. K. Wijedasa
Department of Indigenous Medicine,
Colombo Municipal Council, Colombo
Dr. Amiltini Subramaniam

Siddha Unani Division, National Institute
of Traditional Medicine, Department of
Dr. Samantha Namal Liyanage

Clinical Division, National Institute of
Traditional Medicine, Department of
Facilitator Mr. H. T. W. Chaturanga

Director, National Institute of Traditional
Medicine, Nawinna, Maharagama.
Coordinator Dr. Samantha Namal Liyanage

Review & Clinical Division, National Institute of
Editing Traditional Medicine, Department of
Page 13
Course Outline
Course Traditional medicine for non-pharmacological interventions in
health management
Ayurveda Medical Officers (BAMS/BUMS/BSMS),

Target Group
Maximum 20 participants.
Course 1. Promoting Holistic Health: Emphasizing the balance of

Objectives physical, mental, and spiritual well-being through natural
and traditional practices such as Ayurveda, Unani, and
Siddha.
2. Disease Prevention: Utilizing preventive measures like
dietary adjustments, herbal treatments, and lifestyle
modifications to reduce the incidence of diseases.
3. Integrating with Modern Medicine: Ensuring a smooth
integration of traditional medicine with modern
healthcare systems to provide comprehensive health
services.
4. Enhancing Accessibility: Making traditional nonpharmacological
intervention in health management accessible to all segments of
the population, especially in rural and underserved areas.
5. Supporting Sustainable Practices: Encouraging the use
of locally available natural resources and sustainable
practices in health management.
6. Research and Development: Promoting research to
validate and improve traditional nonpharmacological
medical practices and their efficacy.
7. Health Education: Educating the public about the
benefits and proper use of traditional
nonpharmacological practices for maintaining health and
preventing diseases.
Mode of Lectures, Focus group discussion, Demonstrations

delivering Practical base theory in different locations, Field visit
Medium English/Sinhala
Assessment Questionnaire, online survey, module base quiz, individual or

and group assignment, examinations.
Evaluation
Facilitators Subject related qualified lectures/resource persons
Course Fee Free of charge to in-service government ayurveda medical

officers.
Page 14
Course Modules
Module 1 Introduction of NPI
Module 2 Holistic Therapies: Body, Mind, & Spirit Connection
Module 3 PrakrIti (body constitution)
Module 4 Marma. Chakra, and Nadi
Module 5 Varma Therapy
Module 6 Yoga- the art of living
Module 7 Beauty care, pampering, and fitness
Module 8 Acupuncture and acupressure
Module 9 Therapy for Evacuation and Retention
Module 10 Mental Health and Counselling
Module 11 Cultural intervention for holistic health.
Module 12 Traditional Dietotherapy
Module 13 Art therapy and Music therapy
Module 14 Nonpharmacological treatment of Pain Management
Module 15 Legal and Ethical Environment in Traditional Medicine

for NPI in Health Management.
Module 16 Research and Development Project for NPI
Page 15
Time allocation for course modules
Coverup Module Number of hours Total
Modules code hours
Module 1 NPI-MD1 3 hours - Lectures 03

6 hours - Practical base theory











Total hours 180
Page 16
Time allocation for course modules
Lectures hours 60
Practical base theory hours 120
Individual study and assignment hours 120
Total hours 300
Page 17
MODULE 1
Title, Code & Introduction to non-pharmacological intervention
Time duration NPI - MD1 - 03 hours lectures
Topic Sub Topics
1.1 Overview of Nonpharmacological Interventions (30

minutes). Definition and Scope, Historical Context,
Types of NPIs,
1.2 Importance and Benefits of NPIs (30 minutes).

Advantages Over Pharmacological Treatments,
Applications in Healthcare,
1.3 Key Principles and Approaches (45 minutes). Holistic

Approach, Patient-Centered Care, Evidence-Based
Practice.
1.4 Common Nonpharmacological Interventions (45 minutes).

Lifestyle Interventions, Physical Therapies, Psychological
Therapies, Complementary and Alternative Medicine
(CAM).
1.5 Case Studies and Practical Applications (30 minutes).

Real-World Examples, Interactive Activities
1.6 Summary and Q&A (30 minutes). Recap of Key Points,

Questions and Answers.
MODULE 1 - INTENDED LEARNING OUTCOMES
ILOs At the end of this module, participants will be able to:
Define Nonpharmacological Interventions and Identify

1
Various Types of NPIs
2 Explain the Importance and Benefits of NPIs
3 Understand Key Principles and Approaches
4 Recognize Common Nonpharmacological Interventions
5 Apply Knowledge Through Case Studies
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MODULE 2
Title, Code & Holistic Therapies: Body, Mind, & Spirit Connection
Topic Sub Topics
Holistic 1.1 Understanding Holistic Health: To explain the

Therapies: principles of holistic health, including the
Body, Mind, & interconnectedness of the body, mind, and spirit.
Spirit
Connection 1.2 Normal and abnormal states of an individual according
to Ayurvedic philosophy.
1.3 Application of Holistic Therapies: Effects of diet,

yoga, massage, rejuvenation, detoxification, herbal
remedies, meditation, and daily lifestyle for a
holistic approach.
1.4 Personalized Care Plans: To create personalized care

plans that address the physical, emotional, mental, and
spiritual needs of individuals.
1.5 Evidence-Based Practice: Critically evaluate the evidence

supporting different holistic therapies and apply this
knowledge to practice.
1.6 Integration with Conventional Medicine: To integrate

holistic therapies with conventional medical
treatments to enhance patient care and outcomes.

Demonstrate knowledge, skill, and understanding of the

1
theory and practice in a holistic approach to well-being.
Ayurveda Doctors will learn to apply various holistic

2
therapies to promote overall well-being.
learn about the ethical considerations and professional

3
standards in the practice of holistic therapies.
To equip doctors with the knowledge and skills necessary

4 to effectively use holistic therapies as nonpharmacological
interventions.
Page 19
MODULE 3
Title, Code & PrakrIti (body constitution),
Time duration NPI - MD3 - 06 hours lectures and 6 hours practical
based theory
Topic Sub Topics
1.1 Introduction to Prakriti: Definition and significance of

Prakriti in Ayurveda. Overview of the three doshas:
Vata, Pitta, and Kapha.
1.2 Characteristics of Different Prakritis: Detailed descriptions

of Vata, Pitta, and Kapha constitutions. Mixed Prakritis and
their unique traits.
1.3 Determining Prakriti: Methods for assessing Prakriti,

including physical, mental, and emotional characteristics.
Use of questionnaires and self-assessment tools. Pulse
Diagnosis (Nadi Pariksha) techniques
1.4 Prakriti and Health: How Prakriti influences health, disease

susceptibility, and treatment approaches. Personalized
lifestyle and dietary recommendations based on Prakriti.
1.5 Case Studies and Practical Applications: Real-life examples

and case studies to illustrate Prakriti assessment. Hands-on
practice sessions for trainees to apply their knowledge.
1.6 Genetic and environmental factors affecting Prakriti.

Modern research and scientific validation of Prakriti
concepts.
1 Understanding Prakriti
2 Ability of Assessment Skills
3 Application of Knowledge
4 Enhancing Practical Experience
Page 20
MODULE 4
Title, Code & Marma, Chakra, and Nadi
based theory
Topic Sub Topics
Marma, 1.1 Introduction to Marma, Chakra, and Nadi (45 minutes).

Chakra, and Understanding the basic concepts of Marma points,
Nadi Chakras, and Nadis. Historical and Cultural Context,
1.2 Detailed Study of Marma Points (1 hour 30 minutes),

Anatomy and Locations, Functions and Effects,
Techniques for Stimulation.
1.3 Chakras: Energy Centers of the Body (1 hour 30 minutes).

Overview of the Seven Major Chakras, Balancing and
Healing Techniques, Chakras and Health (How imbalances
in Chakras can affect physical and mental health).
1.4 Nadis: Energy Channels (1 hour): Understanding

Nadis, Major Nadis, Techniques to Clear Nadis.
1.5 Integration of Marma, Chakra, and Nadi (45 minutes):

Interconnections, Holistic Health Management.
1.6 Practical Applications and Case Studies: Real-World

Examples, Interactive Activities.
1.7 Summary and Q&A (30 minutes): Recap of Key Points,

Open floor for participants to ask questions and discuss
1 Understand the Basic Concepts of Marma, Chakra, and Nadis.
Identify and Describe Marma Points: the physiological and

2 therapeutic roles of Marma points. Demonstrate techniques for
stimulating Marma points, such as acupressure and massage.
Comprehend the Role of Chakras: Explain techniques for

3
balancing and healing Chakras, including meditation and yoga.
Integrate Knowledge of Marma, Chakra, and Nadi and

4
Apply Practical Knowledge.
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MODULE 5
Title, Code & Varma Therapy

based theory
Topic Sub Topics
Basic Varma 1.1 Overview and core concepts of Siddha Varmam

Therapy treatments and Guidelines.
1.2 Significance of Siddha Varmam treatments in the

context of non-pharmacological intervention in
health management to promote overall well-being.
1.3 Applications of Varmam points (Location, Indication,

and Contraindication) in clinical practice
1.4 Varmam Thadaval (Thokkanam/Massage) and

Manthiram (Manthra) therapy for Chakra Stimulation
1.5 Integration of other non-pharmacological interventions

with Varmam therapy in health management.
1.6 Effective and efficient service delivery of Siddha

Varmam therapy in the context of non-pharmacological
intervention in health management.
Demonstrate knowledge, skill, and understanding of the

1 theory and practice in a holistic view of Varmam therapy
for health management
Significance of Siddha Varmam treatments in the context

2 of non-pharmacological intervention to promote overall
well-being.
Practice the intervention to the health problem based on

3
the basic concepts of Varmam
Integration of other non-pharmacological interventions

4
with Varmam therapy in health management.
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MODULE 6
Title, Code & Yoga- the art of living
based theory
Topic Sub Topics
Yoga - the art 1.1 Overview and Body Concept (Pancha Kosha and
of living Shad-chakra) of Yoga.
1.2 The holistic approach of Yoga is a way of life: Physical

and mental cleanliness (shatkarma), Unity of body,
mind soul; Meditation, Self-transformation, and Self-
realization; relaxation techniques (yoganidra), and
dietary recommendation. Misconceptions about yoga.
1.3 Yoga for wellness: prevention, and promotion of

positive health, Yoga, and stress management.
Beauty care
1.4 Health Restoration through Yoga:
1.5 The difference between yoga asanas and non-yogic

physical practices
1.6 Yoga Practice: Guidelines for before and after practices.

Kriyā yoga (Cleaning), Āsana (Poster) Prāṇāyāma
(Breathing), Dhyāna (Meditation) ; Krīḍa Yoga (games),
Kīrtana (Emotion Culture), Maitri Milana (Friendship Meet),

ILOs At the end of the module, trainees will be able to:
The holistic approach of yoga for future needs of health

1 management, peace, and harmony attaining the
opportunity to live and use it effectively and efficiently.
Learning to educate clients will enable them to introduce

2
the wellness principles and practices of yoga.
Continued Medical Education (CME) certification process

3
enables you to make yoga a part of your profession.
The Yoga module meets the prerequisites for admission to

4 all other Advanced Yoga courses at the University of Sri
Lanka.
Page 23
MODULE 7
Title, Code & Beauty care, pampering, and fitness

based theory
Topic Sub Topics
Beauty care, 1.1 Introduction to Beauty Care and Pampering (45 minutes):
pampering, Concepts and Importance, Historical and Cultural
and fitness Perspectives.
1.2 Traditional Beauty Care Techniques (1 hour 30 minutes):

Herbal Remedies and Natural Ingredients, Skin and Hair
Care, Facial Treatments and Masks.
1.3 Pampering Techniques (1 hour): Massage and Relaxation,

Aromatherapy (Use of essential oils for relaxation and
beauty care), Bathing Rituals (Traditional bathing
practices for rejuvenation and relaxation.)
1.4 Fitness and Physical Well-being (1 hour 30 minutes):

Traditional Exercise Practices, Breathing Techniques
(Pranayama and other breathing exercises for fitness
and well-being, Diet and Nutrition (Role of
traditional diets in maintaining physical fitness).
1.5 Integration of Beauty, Pampering, and Fitness (45 minute):

Holistic Approach (,Integrating beauty care, pampering,
and fitness for overall well-being), Personalized Regimens
(Creating personalized beauty and fitness regimens based
on individual needs).
1.6 Practical Applications and Case Studies: Real-World

Examples and Interactive Activities.

1 Understand the Role of Beauty Care and Pampering
2 Identify and Apply Traditional Beauty Care Techniques
Implement Pampering Techniques and Promote Fitness

3
and Physical Well-being
Integrate Beauty, Pampering, and Fitness Practices and

4
Apply Practical Knowledge
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MODULE 8
Title, Code & Acupuncture and acupressure

based theory
Topic Sub Topics
Acupuncture 1.1 Brief introduction to acupuncture and acupressure

and
acupressure 1.2 Theory of Yin and Yang and Five Elements
1.3 Physiological concepts and relationships among

the Zang-Fu organs, Causes of disharmony and
Sasang Medicine
1.4 Needling techniques and Meridian
1.5 Acupressure theory and Clinical Application of

Acupuncture
1.6 Cupping Therapy
MODULE 8- INTENDED LEARNING OUTCOMES
ILOs At the end of the module, trainees will be able to:
Identify the history and development of Korean

1 acupuncture and the current status of Korean acupuncture
in the national health care system.
Identify the actual clinical application of the theories of

2
Acupuncture.
Learn how acupuncture can be used in the clinical

3
application of various diseases, and health promotion.
Learn Integration of other non-pharmacological

4 interventions with acupresser an acupuncture therapy in
health management.
Page 25
MODULE 9
Title, Code & Therapy for Evacuation and Retention

based theory
Topic Sub Topics
1.1 Overview and basic concept related to Evacuation

and Retention therapy (30 minutes): Concepts and
Importance, Historical and Cultural Context.
1.2 Types of Evacuation Therapies and Types of Retention

(Oil Retention (Snehana), Herbal Decoctions and
Infusions, Dietary Practices) Therapies (45 minutes)
1.2 Techniques and Procedures (30 minutes): Preparation

and Administration, Safety and Precautions.
1.3 Mizaj’s assessment of individuals and patients
1.4 Application of evacuation and retention therapy

according to involved mizaj for Prevention,Promotion
and Rehabilitation.
1.5 Practical Applications and Case Studies (30 minutes):

Real-World Examples, Interactive Activities.
1 Understand the Role of Evacuation and Retention Therapies
2 Identify Types of Evacuation Therapies and Retention Therapies
3 Perform Techniques and Procedures
Integrating other treatment interventions with non-

4 pharmacological, evacuation, and retention therapies in
health management.
5 Apply Practical Knowledge
Page 26
MODULE 10
Title, Code & Mental Health and Counselling

based theory
Topic Sub Topics
Mental Health 1.1 Introduction to Mental Health in Traditional

and Medicine (30 minutes): Concepts and Importance,
Counselling Historical and Cultural Context.
1.2 Traditional Approaches to Mental Health (1 minutes):

Herbal Remedies and Natural Treatments, Mind-Body
Practices, Diet and Nutrition.
1.3 Counselling Techniques in Traditional Medicine (1 hour):

Holistic Counselling Approaches, Communication Skills,
Therapeutic Relationship
1.4 Nonpharmacological Interventions for Common Mental

Health Issues (30 minutes): Stress and Anxiety
Management, Depression and Mood Disorders, Sleep
Disorders (Traditional methods to improve sleep quality).
1.5 Practical Applications and Case Studies (30 minutes): Case

studies demonstrating the application of traditional mental
health and counselling techniques, Group discussions or
practical exercises to apply the concepts learned.
1 Understand the Role of Mental Health in Traditional Medicine
2 Identify Traditional Approaches to Mental Health
3 Apply Counselling Techniques in Traditional Medicine
Implement Nonpharmacological Interventions for Common

4
Mental Health Issues
5 Apply Practical Knowledge
Page 27
MODULE 11
Title, Code & Cultural intervention for holistic health.

based theory
Topic Sub Topics
Cultural 1.1 Introduction to Cultural Interventions: Importance

intervention of cultural interventions in health management,
for holistic Significance of religious interventions in health
health. management.
1.2 Role of Religion in Health and Healing: Exploration of

various religious beliefs and practices that contribute to
health and wellness, Historical perspectives on religion
and healing
1.3 Spirituality and Mental Health:Understanding the

connection between spirituality and mental well-
being, Techniques for fostering spiritual health.
1.4 Cultural Competence in Healthcare: Understanding

cultural competence and its significance in healthcare.
1.5 Community-Based Health Interventions: Designing

and implementing community health programs that
respect and utilize cultural practices
1.6 Practical Applications: Practical sessions on traditional

healing techniques,
1.7 Evaluation and Assessment: Methods for evaluating the

effectiveness of cultural interventions, Tools for
assessing patient outcomes and satisfaction
1 Understand Cultural Interventions in Health
Integrate Cultural Practices in Healthcare and Enhance Spiritual

2
and Mental Well-being
3 Design Community-Based Interventions and Apply Practical Skills
4 Evaluate and Assess Interventions
Page 28
MODULE 12
Title, Code & Traditional Dietotherapy

based theory
Topic Sub Topics
Dietotherapy 1.1 Introduction to Diatotherapy (30 minutes): Definition and

principles of diatotherapy. Historical background and
cultural significance.
1.2 Nutritional Foundations (30 minutes): Basic concepts of

nutrition and dietary requirements, Role of diet in
maintaining health and preventing disease.
1.3 Traditional Dietary Practices: Exploration of traditional

dietary practices from various cultures, Benefits and
limitations of these practices
1.4 Dietary Interventions for Specific Conditions (30 minutes):

Designing and implementing community health
programs focused on diet,
1.5 Cultural Competence in Dietary Interventions (30

minutes): Understanding cultural dietary
preferences and restrictions,
1.6 Community-Based Dietary Programs; Designing and

implementing community health programs focused on diet
(Practical Applications).
1 Understand the Principles of Diatotherapy
Apply Nutritional Foundations and Evaluate Traditional

2
Dietary Practices
3 Design Dietary Interventions for Specific Conditions
4 Implement Community-Based Dietary Programs
5 Apply Practical Skills in Diatotherapy
Page 29
MODULE 13
Title, Code & Art therapy, Music therapy and Dancing

based theory
Topic Sub Topics
Art therapy 1.1 Introduction to Creative Therapies (30 minutes): Overview

Music therapy of art therapy, music therapy, and dance therapy.
and Dancing
1.2 Art Therapy: Principles and techniques of art therapy,
Benefits of art therapy for mental and emotional well-
being, Practical session: Creating therapeutic art.
1.3 Music Therapy: Principles and techniques of music therapy,

Benefits of music therapy for physical, mental, and
emotional health, Practical session: Using music for
therapeutic purposes.
1.4 Dance Therapy: Principles and techniques of dance therapy,

Benefits of dance therapy for physical and emotional well-
being, Practical session: Therapeutic dance movements
1.5 Integrating Creative Therapies in Healthcare: Strategies

for incorporating art, music, and dance therapies into
healthcare.
1.6 Evaluation and Assessment: Methods for evaluating the

effectiveness of creative therapies, Tools for assessing
patient outcomes and satisfaction.
1 Understand Creative Therapies
Apply Art Therapy Techniques, Utilize Music Therapy and

2
Implement Dance Therapy.
3 Integrate Creative Therapies in Healthcare management.
4 Evaluate and Assess Creative Therapies
Page 30
MODULE 14
Title, Code & Traditional Nonpharmacological treatment of Pain

Time duration Management
NPI - MD14 - 06 hours lectures and 12 hours practical
based theory
Topic Sub Topics
Traditional 1.1 Overview of Pain Management: Understanding the

Nonpharmacol different types of pain (acute, chronic, neuropathic,
ogical etc.) and their impact on quality of life. The role of
treatment of traditional medicine in pain management, including
historical context and cultural significance.
Pain
Management
1.2 Nonpharmacological Treatments: Massage Therapy,
Acupuncture, Herbal Remedies, Mind-Body Techniques
(Meditation and Mindfulness, Yoga and Tai Chi,
Biofeedback), Physical Therapies (Exercise and
Rehabilitation, Heat and Cold Therapy, Chiropractic
Care).
1.3 Integrative Approaches: Combining Treatments,

Patient-Centered Care, Case Studies (Real-world
examples of successful pain management using
traditional nonpharmacological methods).
1 Understanding Pain Management
Evaluate the scientific evidence supporting NPI for pain

2
relief
Apply knowledge of how massage therapy can alleviate

3
pain and improve mobility.
Page 31
MODULE 15
Title, Code & Legal and Ethical Environment in Traditional Medicine

Time duration for NPI in Health Management.
NPI - MD15 - 03 hours lectures
Topic Sub Topics
1.1 Introduction to Legal and Ethical Principles:

Overview of legal frameworks governing traditional
medicine. Ethical principles in healthcare and their
application to traditional medicine
1.2 Regulatory Environment: National and international

regulations affecting traditional medicine practices
1.3 Patient Rights and Confidentiality
1.4 Informed Consent: Procedures for obtaining informed

consent from patients. Legal implications of informed
consent in traditional medicine.
1.5 Professional Conduct and Accountability
1.6 Cultural Sensitivity and Ethical Practice
1 Understand Legal Frameworks
2 Apply Ethical Principles and Obtain Informed Consent
3 Ensure Patient Rights and Confidentiality
4 Maintain Professional Conduct
Page 32
MODULE 16
Title, Code & Research and Development

Topic Sub Topics
1.1 Overview of research methodologies applicable to

traditional medicine
1.2 Research Design and Methods
1.3 Data Collection and Analysis: Techniques for

collecting data in traditional medicine research.
1.4 Ethical Considerations in Research: Ethical

guidelines for conducting research in traditional
medicine.
1.5 Literature Review and Critical Appraisal and

Developing Research Proposals.
1.6 Publication and Dissemination of Research
1 Understand Research Methodologies
2 Design and Conduct Research
3 Analyze and Interpret Data
4 Apply Ethical Principles
5 Critically Appraise Research
Develop and Present Research Proposals and Disseminate

6
Research Findings
Page 33
ASSESSMENT AND EVALUATION PROCESS
1. Formative Assessment:
Quizzes and Tests: Regular quizzes at the end of each module to assess
understanding.
Assignments: Practical assignments related to each module’s content.
Class Participation: Active participation in discussions and practical
sessions.
2. Summative Assessment:
Project Work: A final project demonstrating the application of traditional
medicine in nonpharmacological interventions.
Case Studies: Analysis and presentation of case studies related to
traditional medicine practices.
3. Practical Evaluation:
Clinical Skills Assessment: Hands-on evaluation of clinical skills in
traditional medicine.
Simulation Exercises: Use of standardized patients to simulate real-life
scenarios.
Fieldwork: Practical experience in a clinical setting, supervised by
experienced practitioners.
4. Peer and Self-Assessment:
Peer Review: Students review each other’s work to provide constructive
feedback.
Self-Assessment: Reflection on personal learning and progress throughout
the course.
5. Continuous Feedback:
Instructor Feedback: Regular feedback from instructors on performance
and areas for improvement.
Student Feedback: Collection of student feedback on the course content
and teaching methods for continuous improvement.
6. Evaluation Models:
Kirkpatrick’s Four-Level Model: Evaluating reaction, learning, behavior, and
results.
CIPP Model (Context, Input, Process, Product): Comprehensive evaluation of
the course’s context, resources, implementation, and outcomes
Page 34
MODULE GUIDLINES
Step 1 Select a suitable location and Human resources.
Prepare the taxonomies base on the module topic and

Step 2
sub-topics.
Design the mode of delivery (Lectures, Client-centered

Step 3
activities, practical’s sessions, field visits, and etc.).
Design assessment and evaluation process for the relevant

Step 4
module.
FOREIGN TOUR
Government funds have not been allocated for this. Trainees should personally
bear the money for this after reaching a preliminary memorandum of
understanding with the relevant institutions of the two countries. Otherwise, the
contribution of a sponsoring organization should be taken for travel expenses.
This field study abroad is not included in the course and can be arranged at the
trainee's discretion. The purpose of the visit is to study the use of Traditonal
Medical systems in NPI abroad.
Page 34
Page 35
THE REGISTRATION PROCEDURE FOR THE COURSE
PARTICIPANTS REGISTRATION
Programme details are available on NITM social media and also be obtained
via telephone / Email / Fax / Letters.
Registration for programme is to be made at least five (07) working days
before the commencement of the training programme to: Director, National
Institute of Traditional Medicine, Old Kottawa Road, Nawinna, Maharagama.
Telephone: +94 (0) 11 2840669 (Direct) +94 (0) 11 2840668, 11 2840679
Tele/fax: +94 (0) 11 2840669
E-mail: nitmsrilanka@gmail.com
Online registration should be done using the link provided by the NITM Clinical
Training Division at least one week before the commencement date of the
training programs. You should keep a copy of it with you and the selected
applicants will be informed about it through the online system. All applicants
must attach a photocopy/Image of the written permission letter obtained from
the head of the institution that they will be released from the institution if they
are selected for the relevant course while registering for the course. The release
of the selected participants' priority list will be through the online system. The
selection of applicants for the course is done by the National Institute of
Traditional Medicine standardized selection committee.
CONFIRMATION
Confirmations are informed to all confirmed participants through an online
platform (WhatsApp group). Group capacity will decided by the National
Institute of Traditional Medicine clinical section.
CANCELLATION
Cancellation made by participant/organization is not accepted after

registration.
If the cancellation is done by NITM, the applicants will be informed about it.
Only those who can genuinely participate in the course should be
registered.
SPECIAL NOTE
All applicants should be friendly with the staff of the institute during the
training period and should provide maximum support.
PROVISIONS
Course material, and lunch are not provided for weekdays programmes.
Refreshments are provided for weekdays programmes.
Page 36
SELECTION CRITERIA
The suggested selection criteria for the certificate course on Traditional Medicine
for Nonpharmacological Intervention in Health Management:
1.Professional Background:
Must be an in-service Ayurvedic Medical Officer.
Preference is given to those with a minimum of 2 years of clinical experience
(from registration date).
2. Educational Qualifications:
A degree in BAMS, BUMS, or BSMS from a recognized institution.
3. Application Completeness:
Fully completed online application form.
Submission of all required documents (e.g., proof of qualifications, professional
experience, Leave approval letter for authorized person).
4. Statement of Purpose:
A brief statement (300-500 words) explaining the applicant’s interest in the
course and how it will benefit their professional practice.
5. Professional Recommendations:
At least one letter of recommendation from a senior professional or supervisor.
6. Geographical Representation:
Ensuring a diverse representation from different regions to promote a wide
exchange of knowledge and practices.
7. Commitment to Course Duration:
A signed commitment to attend all 30 working days of the course.
8. Previous Training:
Preference for candidates who have not previously attended similar training
programs to ensure wider dissemination of knowledge (2023 and 2024 years,
>/=5 days course conducted by NITM).
9. Interview:
Shortlisted candidates may be required to attend a brief interview (online or in-
person) to assess their suitability and commitment.
10. First-Come, First-Served Basis:
In case of equally qualified candidates, selection may be based on the order of
application submission.
11. Clinical Practice
·Should be medical officers working clinically.
·Ayurveda Community Health Medical Officers engaged in treatment.
·Medical officers holding administrative positions cannot participate in this
12. Age Limit
Consideration should be given to the ability to complete the course and the
timing of its results to the community.
These criteria will help ensure the most suitable and committed candidates are
selected for the course, maximizing the training program's impact.
Page 37
REFFERENCE
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TRADITIONAL MEDICINE FOR

All rights reserved. This book, in whole or any part thereof,

Copyrights © 2024, NITM

First publication 2024

First Revision 2026

National Institute of Traditional Medicine

Old Kottawa Road, Nawinna, Maharagama, Sri Lanka.

To continue the professional

Non-pharmacological interventions (NPIs) have become essential solutions

These nonpharmacological approaches are valuable for their ability to

NITM National Institute of Traditional Medicine

Goals and Objectives

07 and Evaluation Process

Traditional medicine in Sri Lanka plays a vital role in nonpharmacological health

Not as a new training institute, we have become an organization that has

Technical Prof. Sayakkara Jayawardane

Prof. Samudra Senevirathna

Dr. (Mrs.) Himalee De Silva

Dr. (Mrs.) B. M. S. Amarajeewa

Dr. (Mrs.) W. K. B. D. S. Fernando

Dr. Samantha Namal Liyanage

Dr. (Mrs.) Amiltini Subramaniam

Development Prof. Samudra Senevirathna

Dr. Himalee De Silva

Dr. Amiltini Subramaniam

Dr. Samantha Namal Liyanage

Facilitator Mr. H. T. W. Chaturanga

Coordinator Dr. Samantha Namal Liyanage

Ayurveda Medical Officers (BAMS/BUMS/BSMS),

Course 1. Promoting Holistic Health: Emphasizing the balance of

Mode of Lectures, Focus group discussion, Demonstrations

Assessment Questionnaire, online survey, module base quiz, individual or

Facilitators Subject related qualified lectures/resource persons

Course Fee Free of charge to in-service government ayurveda medical

Module 2 Holistic Therapies: Body, Mind, & Spirit Connection

Module 3 PrakrIti (body constitution)

Module 4 Marma. Chakra, and Nadi

Module 5 Varma Therapy

Module 6 Yoga- the art of living

Module 7 Beauty care, pampering, and fitness

Module 8 Acupuncture and acupressure

Module 9 Therapy for Evacuation and Retention

Module 10 Mental Health and Counselling

Module 11 Cultural intervention for holistic health.

Module 12 Traditional Dietotherapy

Module 13 Art therapy and Music therapy

Module 14 Nonpharmacological treatment of Pain Management

Module 15 Legal and Ethical Environment in Traditional Medicine

Module 16 Research and Development Project for NPI

Module 1 NPI-MD1 3 hours - Lectures 03

Module 2 NPI-MD2 6 hours - Lectures 06

Module 3 NPI-MD3 6 hours - Lectures 12

Module 4 NPI-MD4 3 hours - Lectures 12

Module 5 NPI-MD5 3 hours - Lectures 18

Module 6 NPI-MD6 3 hours - Lectures 18

Module 7 NPI-MD7 3 hours - Lectures 12

Module 8 NPI-MD8 6 hours - Lectures 18

Module 9 NPI-MD9 3 hours - Lectures 18

Module 10 NPI-MD10 3 hours - Lectures 18

Module 11 NPI-MD11 3 hours - Lectures 9