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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 />

plant, with the exception of those plants<br />

<strong>in</strong>cluded <strong>in</strong> the list of poisonous substances,<br />

and no herbalist may store or sell any other<br />

pharmaceutical preparation or speciality.<br />

Labell<strong>in</strong>g, Advertis<strong>in</strong>g and<br />

Promotion<br />

Few regulatory texts have specific provisions<br />

concern<strong>in</strong>g the labell<strong>in</strong>g, advertis<strong>in</strong>g and<br />

promotion of medic<strong>in</strong>al plants. Those that<br />

do address these issues tend to extend to<br />

herbal medic<strong>in</strong>es the general provisions<br />

applied to other medic<strong>in</strong>al products. A few<br />

countries do have discrete and specific<br />

provisions<br />

Norway requires herbs and blended<br />

herbs available over-the-counter (OTC) to<br />

carry the follow<strong>in</strong>g warn<strong>in</strong>gs<br />

“The medic<strong>in</strong>al effect of this<br />

preparation has not been assessed by the<br />

public authorities responsible for the<br />

control of medicaments”.<br />

Brazil requires the botanical classification<br />

of the medic<strong>in</strong>al plant to appear<br />

on labels and wrappers. No proprietary<br />

name is required <strong>in</strong> Ch<strong>in</strong>a either for<br />

medic<strong>in</strong>al plants or for decoctions<br />

prepared <strong>in</strong> accordance with Ch<strong>in</strong>ese<br />

traditional medic<strong>in</strong>e. Indonesia requires<br />

that traditional drugs <strong>in</strong>tended for cl<strong>in</strong>ical<br />

trials must be labelled with the words<br />

“<strong>in</strong>tended for Cl<strong>in</strong>ical Trials; Not for Sale”.<br />

Gambia prohibits all advertis<strong>in</strong>g of<br />

products derived from plants cultivated <strong>in</strong><br />

the country and used as traditional<br />

medic<strong>in</strong>es, unless specific approval has<br />

been obta<strong>in</strong>ed from the <strong>Medic<strong>in</strong>e</strong>s Board.<br />

Research and Institutional<br />

Mechanisms<br />

Several African countries provide for further<br />

research on medic<strong>in</strong>al plants. The National<br />

Pharmaceutical Bureau of Burundi, the<br />

Central Laboratory at Mototo <strong>in</strong> Gu<strong>in</strong>ea,<br />

the National Institute for Medical Research<br />

202<br />

of Tanzania, the Institute of Medical<br />

Research and Medic<strong>in</strong>al Plants of<br />

Cameroon, and the National Institute for<br />

Research on the <strong>Traditional</strong> Pharmacopoeia<br />

and <strong>Traditional</strong> <strong>Medic<strong>in</strong>e</strong> of Mali have<br />

a statutory responsibility to undertake<br />

research relat<strong>in</strong>g to medic<strong>in</strong>al plants.<br />

Conclusions<br />

Despite <strong>in</strong>creas<strong>in</strong>g pressures for the<br />

<strong>in</strong>troduction of controls, relatively few<br />

countries have enacted specific legislative<br />

measures to control either the use of<br />

medic<strong>in</strong>al plants or of herbal preparations<br />

derived from them <strong>in</strong> respect of which there<br />

is only limited data concern<strong>in</strong>g their quality,<br />

safety and efficacy. Legislative texts of those<br />

countries that have developed systems for<br />

the scientific and technical assessment of<br />

the quality, safety and efficacy of medic<strong>in</strong>al<br />

plants, as well as guidel<strong>in</strong>es formulated<br />

under the aegis of the World Health<br />

Organization, def<strong>in</strong>e the criteria for<br />

assessment and the procedures to be<br />

followed <strong>in</strong> undertak<strong>in</strong>g such assessments.<br />

As the assessment of medic<strong>in</strong>al plants<br />

cannot be guided by systematic or long<br />

experience, it is important that drug<br />

regulatory authorities wish<strong>in</strong>g to regulate<br />

medic<strong>in</strong>al plants as well as assess them<br />

make the maximum use of the accumulated<br />

wisdom of those authorities with more<br />

experience <strong>in</strong> this relatively unchartered<br />

territory. The new United Nations Convention<br />

on Biological Diversity offers a stimulus to<br />

countries that wish to review the control of<br />

medic<strong>in</strong>al plants with<strong>in</strong> a framework that<br />

ma<strong>in</strong>ta<strong>in</strong>s a balance between reasonable<br />

exploitation and conservation.<br />

<strong>Traditional</strong> Medical<br />

Practitioners<br />

<strong>Traditional</strong> medical practitioners exist <strong>in</strong><br />

almost every society; not all prefer to be

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