HEALTH AND MEDICINE

Siddha Doctor (BSMS)

Practises Siddha, the traditional Tamil system of medicine, using herbal and mineral drugs and varmam therapy.

Physics, Chemistry, Biology and English; Tamil needed (can be learnt in Year 1) After Class 12 Regulated profession

Facts checked 29/10/2026

Is this for me?

People in this work enjoy
  • Talking to patients at length and finding the root of a problem
  • Plants, herbs and traditional knowledge, and the Tamil language and culture
  • Hands-on therapies and building trust with families over many years
It may not suit you if you dislike
  • You must learn Tamil well enough to read old texts and pass exams in it
  • Seats and colleges are limited, so you may study far from home, and the NEET competition is real
  • Public understanding and job openings are uneven, and much depends on state rules and your own reputation
Class 11–12 subjects
Class 12 (Science) with Physics, Chemistry and Biology, plus English, with at least 50% marks together in PCB. Relaxation for reserved categories follows the state or university rules. You should have studied Tamil in Class 10 or 12. If you have not, you study Tamil as a subject in the first professional year.
First degree
BSMS (Bachelor of Siddha Medicine and Surgery, also called Siddha Maruthuva Arignar), 5.5 years. This is 4.5 years of study plus a compulsory 1-year rotatory internship.
Entrance exams
NEET (UG), held by NTA. You must qualify at the percentile cut-off set for that year. Seats are then filled through counselling: AACCC (Ministry of Ayush) for all-India seats, and the state selection committee for state seats. In Tamil Nadu this is the AYUSH Selection Committee.
Licence or registration
After the degree and internship, you register with the state council for Indian or Siddha medicine (in Tamil Nadu, the Tamil Nadu Siddha Medical Council or Board of Indian Medicine) before you practise. Check the exact registration steps with that council (reported).
Subjects that keep this door openClass 11–12: Physics + Chemistry + Biology.Physics, Chemistry, Biology and English; Tamil needed (can be learnt in Year 1).Way back: You can add the missing subject later as an extra subject (for example through NIOS) and still apply, but check the exam's and college's rules. A longer road, but open.Check your subjects against every career

What the work is like

Seeing patients and finding the cause of illness in the Siddha way, including pulse reading (naadi), looking at the tongue and eyes, and asking about diet and habits. Prescribing herbal, mineral and metal-based medicines, diet and lifestyle advice. Varmam and thokkanam (massage) therapy. Working in clinics, government AYUSH hospitals, colleges, research and Siddha drug companies.

A day in the work
Your day may start in the OPD at 9 am, where you check each patient's pulse, tongue and eyes and listen to their story of food, sleep and stress. You write herbal or mineral medicines, and advise diet and daily routine. Some patients need varmam or thokkanam sessions, which you do with your own hands. In the afternoon you may check the medicine stock, look at records, teach students if you are in a college, or visit a village health camp.

Professional qualificationRun by National Commission for Indian System of Medicine (NCISM), Ministry of Ayush, with state Siddha or Indian medicine councils for registration. You can start after: Class 12 with Physics, Chemistry, Biology and English (Tamil: studied in Class 10 or 12, or learnt in Year 1). Minimum time: 5.5 years after Class 12 (4.5 years of study + 1 year internship).

The full route: exams, training, registration

  1. Step 1 · Class 9–11Choose Science with Physics, Chemistry and Biology, and keep English. Try to take Tamil as a subject in Class 10 or 12. If you do not study it, you must learn it in the first BSMS year, because Siddha's classical books are written in Tamil.
  2. Step 2 · Class 12Pass Class 12 with PCB and English. NCISM asks for at least 50% in PCB together. You must be 17 years old by 31 December of the admission year. There is no upper age limit in the state prospectus.
  3. Step 3 · After Class 12Write NEET (UG). Admission to BSMS is based on NEET marks and you must clear the percentile cut-off for your category. There is no separate entrance exam. Dates and the cut-off change every year, so read the current NTA bulletin. (reported — check with the official body)
  4. Step 4 · CounsellingRegister for counselling. AACCC handles all-India seats and the National Institute of Siddha follows it. For state seats, apply to your state's selection committee (Tamil Nadu: tnayushselection.org). You fill in college choices online. Selected students bring a medical fitness certificate and a Hepatitis-B vaccination certificate.
  5. Step 5 · 4.5 years of studyStudy Siddha basics and philosophy, anatomy and physiology in the Siddha way, Gunapadam (drug science), Noi Naadal (diagnosis), Maruthuvam (medicine), Sirappu Maruthuvam (specialities, including varmam), plus modern subjects. The medium of instruction is Tamil or English. You clear a professional exam each stage. You need all Final Professional subjects cleared before internship.
  6. Step 6 · 1 yearCompulsory Rotatory Resident Internship in a teaching hospital, where you treat real patients under supervision.
  7. Step 7 · After internshipRegister with the state Siddha or Indian medicine council. Then work in a government or private hospital, set up a clinic, or study further. (reported — check with the official body)
  8. OptionalMD (Siddha), 3 years, through the AIAPGET entrance, in specialities such as Maruthuvam or Gunapadam. Also PhD in Siddha. (reported — check with the official body)
Recently changed, or still changing
  • The NEET qualifying percentile is set every year. The Central Government can lower it for a particular year only.
  • NCISM's Siddha education regulations were reissued in 2022. Old websites may show older rules, so check the latest prospectus.

Time and money

StageTimeGovernment college or bodyPrivate collegeHelp available
Class 11–12 (Science with PCB and English)2 yearsYour school's feesYour school's fees—
NEET (UG) exam and counselling1 day examCheck the noticeCheck the notice—
BSMS degree at National Institute of Siddha, Chennai (central)4.5 years₹50,000 per year tuition (2026–27 notice); plus ₹5,000 refundable caution deposit at joining—Stipend paid during internship; SC, ST and PwD students did not pay application fee in 2023–24
BSMS at state government Siddha colleges4.5 yearsCheck the college's fee page—Special-category seats and 7.5% quota for government school students (check prospectus)
BSMS at private Siddha colleges in Tamil Nadu4.5 years—₹1,25,000 for the year (Tamil Nadu prospectus 2026–27)Check the prospectus for exact terms
Compulsory rotatory resident internship1 yearStipend paid (amount not stated)Stipend paid (amount not stated)Paid internship stipend; no fee
Registration with state Siddha or Indian medicine councilCheck with councilCheck with the state councilCheck with the state council—
Total timeAbout 5.5 years after Class 12
Total costGovernment-college tuition is about ₹50,000 per year at the National Institute of Siddha; private Tamil Nadu colleges list ₹1,25,000 for the year, and other college fees must be checked.
Good to knowThe ₹2.5 lakh bond penalty at the National Institute of Siddha (2023–24 prospectus) applies if you leave the course, so read any college's bond terms before joining.

Fees from: National Institute of Siddha: BSMS admission 2026–27, fee and documents · National Institute of Siddha: BSMS prospectus 2023–24 · Government of Tamil Nadu prospectus 2026–27. Fees change every year — check the college's own fee page before you pay.

What people earn

Earnings vary a lot: a new graduate in a private clinic or hospital or on a short-term government post usually earns modestly, while an established doctor with a good clinic, a government post or a Siddha pharma role can earn much more, depending on the city, the employer and the patient base.

Myth and fact

Myth: You cannot do Siddha medicine if you have not studied Tamil.
Fact: If you have not studied Tamil in Class 10 or 12, you can study it as a subject in the first professional year (about 18 months). But you must pass it to sit the other exams, and the classical Siddha books are in Tamil, so you need to put in real effort.

For girls and students with disabilities

At the National Institute of Siddha, SC, ST and PwD students did not have to pay the application fee in 2023–24. The Tamil Nadu prospectus has special-category seats, including for persons with benchmark disability, children of ex-servicemen and sportspersons, and a 7.5% preferential quota for government school students. Check the current prospectus for the exact rules.

Try it now

  • Class 7–9Make a notebook of 10 common kitchen or garden herbs such as turmeric, tulsi, neem and ginger. Write their Tamil and English names and one traditional use of each. Ask your grandparents, and do not try any home remedy without an adult.
  • Class 10–12Read the Class 11–12 NCERT Biology chapters on human physiology and plants, since NEET tests them. Also read about the BSMS course on the National Institute of Siddha website to see what you will study.Open link ↗
  • College or afterAsk a senior Siddha doctor or a government AYUSH hospital if you can shadow an OPD day or join a health camp as a volunteer. Spend time on Tamil reading so that you can follow the classical Siddha texts.

Good to know

  • A BSMS doctor is trained and registered in Siddha medicine. Do not assume that the degree lets you practise modern (allopathic) medicine. Rules on what Ayush doctors may prescribe differ by state and change, so check with the state council.
  • At the National Institute of Siddha, Chennai, the 2023–24 prospectus asks students to sign a bond with a ₹2.5 lakh penalty for leaving the course. Read the bond terms of any college before you join.
  • Siddha colleges are mostly in Tamil Nadu, with a few elsewhere (for example Kerala). Seats are limited, so many students will have to move to another city or state.
  • If you like medicine but not the Tamil-language side, look at BAMS (Ayurveda), BUMS (Unani) or BHMS (Homeopathy). They use different systems and different language rules.

If it doesn't work out

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