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Traditional Medicine in Asia

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to the kits. This will further help the health<br />

systems to take care of a large number of<br />

women and children as a first l<strong>in</strong>e of care<br />

through traditional medic<strong>in</strong>e.<br />

Meanwhile, but aga<strong>in</strong> for the first time,<br />

the Ayurvedic concepts of the Healthy<br />

Mother and Child are to be studied through<br />

an operational research project under the<br />

jo<strong>in</strong>t aegis of the Indian Council of Medical<br />

Research and the Central Council for<br />

Research <strong>in</strong> Ayurveda and Siddha (CCRAS).<br />

Five states and 10 blocks have been<br />

identified for this study. The areas cover the<br />

overall approach to reproductive and child<br />

health, <strong>in</strong>clud<strong>in</strong>g menstruation, antenatal<br />

care, preparation for delivery, vomit<strong>in</strong>g <strong>in</strong><br />

pregnancy, loss of appetite, constipation,<br />

gaseous distention, acidity and diarrhoea,<br />

treatment of oedema, loss of sleep, piles and<br />

anaemia, delivery and its management,<br />

contraception and the management of the<br />

newborn. In regard to neonatal and child<br />

health, the areas <strong>in</strong>clude care of the<br />

newborn, precautions dur<strong>in</strong>g the first week<br />

after birth, supplementary food for the<br />

<strong>in</strong>fant, general growth and development of<br />

the child, management of diarrhoea,<br />

constipation <strong>in</strong> children and eradication of<br />

worm <strong>in</strong>festation. The entire approach is<br />

traditional and the applications are simple<br />

enough to be adm<strong>in</strong>istered by Ayurvedic<br />

practitioners, nurse midwives, traditional<br />

birth attendants or even at the household<br />

level. This aga<strong>in</strong> is the first time that a jo<strong>in</strong>t<br />

operational research study comb<strong>in</strong><strong>in</strong>g<br />

research talent from allopathy and<br />

traditional medic<strong>in</strong>e will be undertaken to<br />

determ<strong>in</strong>e the benefits of the Ayurvedic<br />

approach <strong>in</strong> this area. The objective is to<br />

identify areas of greater relevance and<br />

significance, which could be <strong>in</strong>troduced <strong>in</strong><br />

the Reproductive and Child Health<br />

Programme.<br />

The Defence Institute of Physiology and<br />

Allied Sciences (DIPAS) has successfully<br />

Role of traditional systems of medic<strong>in</strong>e <strong>in</strong> national health care systems<br />

developed a vag<strong>in</strong>al contraceptive<br />

(spermicidal agent) from Neem Oil<br />

(Azadirachta <strong>in</strong>dica) <strong>in</strong> the form of pessary,<br />

which has been approved for cl<strong>in</strong>ical trials.<br />

This product of DIPAS has overcome the<br />

<strong>in</strong>conveniences of us<strong>in</strong>g the oil as such,<br />

be<strong>in</strong>g done by the CCRAS.<br />

The work on Pipplyadi Yoga, a herbal<br />

contraceptive, is already undergo<strong>in</strong>g<br />

cl<strong>in</strong>ical trials <strong>in</strong> five allopathic centres with<br />

allopathic cl<strong>in</strong>ical <strong>in</strong>vestigators. Both these<br />

<strong>in</strong>itiatives will be a boon to rural women if<br />

highly effective cheap contraceptives are<br />

developed.<br />

These examples show how the benefits<br />

of Indian medic<strong>in</strong>e are be<strong>in</strong>g brought <strong>in</strong>to<br />

the ma<strong>in</strong>stream of health care where they<br />

are poised to play an <strong>in</strong>creas<strong>in</strong>gly important<br />

role.<br />

Does <strong>Traditional</strong> <strong>Medic<strong>in</strong>e</strong> Have<br />

a Role <strong>in</strong> an Allopathic Set-up?<br />

Different countries have made different<br />

k<strong>in</strong>ds of efforts to assimilate traditional<br />

medic<strong>in</strong>e <strong>in</strong>to the normal health system.<br />

This has met with vary<strong>in</strong>g degrees of<br />

success. Some examples of how India has<br />

given a role to traditional medic<strong>in</strong>e <strong>in</strong> the<br />

health sector are described below.<br />

In a 900-bed general allopathic<br />

hospital <strong>in</strong> New Delhi (the R.M.L. Hospital),<br />

services for Homoeopathy and Unani<br />

treatment are available under the same roof.<br />

In another 1500-bed allopathic hospital<br />

(Safdarjung Hospital), Ayurvedic and<br />

Homoeopathic treatment is available.<br />

<strong>Medic<strong>in</strong>e</strong>s are either given by the practitioners<br />

or through the Central Government<br />

Health Scheme (CGHS) to government<br />

employees.<br />

The attendance pattern <strong>in</strong> the traditional<br />

medic<strong>in</strong>e cl<strong>in</strong>ics was analysed over a sixmonth<br />

period. The ma<strong>in</strong> f<strong>in</strong>d<strong>in</strong>gs were that<br />

<strong>in</strong> Ayurveda, among the chronic diseases,<br />

arthritis (sandhi vata) accounted for 10.8<br />

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