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This fictitious figure Sushruta was created only in the 18th century after the establishment of Calcutta Medical College.in 1835. The British East India Company established the Indian Medical Service (IMS) as early as 1764 to look after Europeans in British India.. IMS officers headed military and civilian hospitals in Bombay, Calcutta and Madras, and also accompanied the Company's ships and army. The British also established on 21 June 1822 "The Native Medical Institution"(NMI) in Calcutta, where medical teaching was imparted in the vernacular. Treatises on anatomy, medicine, and surgery were translated from European languages for the benefit of the students. From 1826 onwards, classes on Unani and Ayurvedic medicine were held respectively at the Calcutta madrasa and the Sanskrit college. In 1827 John Tyler, an Orientalist and the first superintendent of the NMI started lectures on Mathematics and Anatomy at the Sanskrit College which was also founded by the British. In general, the medical education provided by the British at this stage involved parallel instructions in western and indigenous medical systems. Translation of western medical texts was encouraged and though dissection was not performed, clinical experience was a must. But the government was not satisfied with the medical education imparted at the Native Medical Institution. Ayurveda had no knowledge of virology, anatomy, surgery, Otolaryngology (Ear, Nose & Throat), pediatrics and surgery. Surgical instruments were never used in Ayurveda because Ayurvedic system stressed a balance of three elemental energies or humors: Vāyu vāta (air , space – "wind"), pitta (fire & water – "bile"). This was a primitive belief and Ayurvedic conception of elemental energies has no scientific basis for the treatment of patients.. Even basic equipments such as thermometer, stethoscope and BP apparatus were unknown to Ayurvedic physicians and they were seeing them for the first time in 1822 at the NMI.