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Traditional Medicine in Asia

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<strong>Traditional</strong> <strong>Medic<strong>in</strong>e</strong> <strong>in</strong> <strong>Asia</strong><br />

This def<strong>in</strong>ition captures many salient<br />

features of most non-Western systems of<br />

medic<strong>in</strong>e that look at the human body and<br />

the multifarious ailments from a holistic<br />

perspective. In a few countries, <strong>in</strong>clud<strong>in</strong>g<br />

several South-East <strong>Asia</strong>n nations,<br />

traditional medical education is organized<br />

on a well-structured basis; the def<strong>in</strong>ition<br />

does not specifically exclude this aspect<br />

but the way it is formulated may tend to<br />

create the impression that <strong>in</strong>struction <strong>in</strong><br />

traditional medic<strong>in</strong>e takes place <strong>in</strong> an<br />

<strong>in</strong>formal context. Another possible<br />

limitation is conta<strong>in</strong>ed <strong>in</strong> that part of the<br />

def<strong>in</strong>ition which speaks of traditional<br />

medic<strong>in</strong>e be<strong>in</strong>g based exclusively on past<br />

experience and knowledge. There is a<br />

grow<strong>in</strong>g, albeit relatively slowly, body of<br />

empirical evidence of the properties of<br />

some herbal medic<strong>in</strong>es look<strong>in</strong>g especially<br />

at <strong>in</strong>ter alia long-term toxicity.<br />

A broader def<strong>in</strong>ition is to be found <strong>in</strong><br />

the law of Gu<strong>in</strong>ea. “<strong>Traditional</strong> Gu<strong>in</strong>ean<br />

medic<strong>in</strong>e is the sum total of all technical<br />

knowledge <strong>in</strong>volv<strong>in</strong>g the preparation and<br />

utilization of substances, measures, and<br />

practices <strong>in</strong> use, whether explicable or not<br />

at the current state of the art, result<strong>in</strong>g<br />

from the sociocultural and religious<br />

foundations of Gu<strong>in</strong>ean communities,<br />

which is based on practical experience and<br />

on traditions handed down from generation<br />

to generation, whether verbally or <strong>in</strong><br />

writ<strong>in</strong>g, and which is used <strong>in</strong> the diagnosis,<br />

prevention or elim<strong>in</strong>ation of an imbalance<br />

of well-be<strong>in</strong>g of a physical, mental, social<br />

or spiritual nature” .b This def<strong>in</strong>ition<br />

<strong>in</strong>cludes with<strong>in</strong> its scope the religious and<br />

spiritual dimensions of traditional medic<strong>in</strong>e.<br />

In some countries, traditional medical<br />

practice is closely connected with both<br />

religious as well as spiritual practices.<br />

196<br />

Regulation of <strong>Traditional</strong><br />

Medic<strong>in</strong>al Products<br />

Before the advent of synthetic compounds<br />

and preparations, medic<strong>in</strong>al plants<br />

provided the most diverse and potentially<br />

most effective means of treat<strong>in</strong>g many<br />

illnesses, and the tradition of us<strong>in</strong>g plants<br />

was passed from one generation of<br />

traditional healers to the next. 2<br />

While no precise figures are available,<br />

estimates suggest that some 80 per cent<br />

of the world’s <strong>in</strong>habitants rema<strong>in</strong><br />

extensively reliant for their primary health<br />

care needs on traditional medic<strong>in</strong>es,<br />

<strong>in</strong>clud<strong>in</strong>g those manufactured from plant<br />

extracts or purified active <strong>in</strong>gredients. 3<br />

Such products are not by any means<br />

conf<strong>in</strong>ed to develop<strong>in</strong>g countries. Use of<br />

herbal products and alternative systems of<br />

medic<strong>in</strong>e is widespread <strong>in</strong> many developed<br />

countries. In 1990, for <strong>in</strong>stance, the sales<br />

of over-the-counter (OTC) herbal<br />

medic<strong>in</strong>es <strong>in</strong> Germany alone have been<br />

claimed to be of the order of US$ 1.5<br />

billion. c<br />

Moreover, plant substances cont<strong>in</strong>ue<br />

to provide the basis for many modern<br />

medic<strong>in</strong>es. In the United States, for<br />

<strong>in</strong>stance, a 1993 estimate <strong>in</strong>dicates that<br />

some 25 per cent of prescription drugs and<br />

60 per cent of non-prescription drugs<br />

<strong>in</strong>clude one or more naturally-derived<br />

substances and <strong>in</strong> 1990 the sales of such<br />

products amounted to some US$ 15.5<br />

billion. 4<br />

In addition to be<strong>in</strong>g the sources of<br />

active constituents for many therapeutic<br />

products, plants frequently provide the<br />

start<strong>in</strong>g materials for potent synthesized<br />

drugs, as well as provid<strong>in</strong>g models for the<br />

development of related, pharmacologically<br />

b Law No. L/97/021/AN of 19 June 1997 (IDHL, 1999, 59 (2), 162).<br />

c Kuipers C.E. et al. Herbal medic<strong>in</strong>es – a cont<strong>in</strong>u<strong>in</strong>g world trend (draft manuscript available with the Programme).

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