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Traditional Medicine in Asia

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Protection of traditional systems of medic<strong>in</strong>e, patent<strong>in</strong>g and promotion of medic<strong>in</strong>al plants<br />

b) Methods of diagnosis and treatment,<br />

<strong>in</strong>clud<strong>in</strong>g physical, mental and spiritual<br />

therapies, which are <strong>in</strong>fluenced by the<br />

culture and beliefs dom<strong>in</strong>ant <strong>in</strong> a<br />

particular community. vii The traditional<br />

therapies may encompass the use of<br />

certa<strong>in</strong> biological materials, <strong>in</strong>clud<strong>in</strong>g<br />

dosage and forms of adm<strong>in</strong>istration<br />

thereof, and rituals applied by healers<br />

as part of their traditional heal<strong>in</strong>g<br />

methods.<br />

Codification<br />

The codification of TM varies significantly.<br />

A dist<strong>in</strong>ction can be made, particularly <strong>in</strong><br />

<strong>Asia</strong>, between the codified systems of<br />

‘traditional medic<strong>in</strong>e’ and the non-codified<br />

medic<strong>in</strong>al knowledge, which <strong>in</strong>cludes<br />

“folk”, “tribal” or “<strong>in</strong>digenous” medic<strong>in</strong>e.<br />

Thus, <strong>in</strong> India, the system of medic<strong>in</strong>e<br />

consists of two major tendencies: the folk<br />

and the codified traditions. Folk traditions<br />

are handed down orally from generation<br />

to generation. The codified tradition<br />

consists of medical knowledge with<br />

sophisticated theoretical foundations<br />

expressed <strong>in</strong> thousands of manuscripts<br />

cover<strong>in</strong>g all branches of medic<strong>in</strong>e.<br />

Examples are Ayurveda, Siddha, Unani and<br />

the Tibetan tradition. 7<br />

The Ayurvedic system of medic<strong>in</strong>e, <strong>in</strong><br />

particular, is codified <strong>in</strong> the 54 authoritative<br />

books of this system. In contrast, the “folk”<br />

medic<strong>in</strong>e is based on traditional beliefs,<br />

norms and practices based on centuriesold<br />

experiences of trials and errors,<br />

successes and failures at the household<br />

level. These are passed through oral<br />

tradition and may be called, “people’s<br />

health culture”, home remedies or folk<br />

remedies. They have a vital place <strong>in</strong> primary<br />

health care <strong>in</strong> develop<strong>in</strong>g countries. 1<br />

Individual/collective possession<br />

TM may be possessed by <strong>in</strong>dividuals<br />

(“<strong>in</strong>dividual knowledge”). viii In some cases,<br />

for <strong>in</strong>stance, healers use rituals as part of<br />

their traditional heal<strong>in</strong>g methods, which<br />

often allow them to monopolize their<br />

knowledge, despite disclosure of the<br />

phytochemical products or techniques<br />

used. 8<br />

In other cases, knowledge is <strong>in</strong> the<br />

possession of some but not all members<br />

of a group (“distributed knowledge”). There<br />

is, hence, asymmetric <strong>in</strong>formation between<br />

groups but not with<strong>in</strong> a given group of<br />

persons, even though the latter may not<br />

be aware that others share the same<br />

knowledge. 11<br />

F<strong>in</strong>ally, a certa<strong>in</strong> k<strong>in</strong>d of knowledge may<br />

be available to all the members of a group<br />

(“common knowledge”), such as <strong>in</strong> cases<br />

of knowledge on herbal-home remedies<br />

which is held by millions of women and<br />

elders. ix<br />

Commercial value<br />

TM may encompass commercial value when<br />

its application, and notably the delivery of TM<br />

products, can be made trough commercial<br />

channels. While some TM can be used and<br />

understood outside its local/traditional/<br />

communal context, this is not always the<br />

vii Physical methods of treatment <strong>in</strong>volve muscle manipulation and massage. Mental methods of treatment <strong>in</strong>volve<br />

self-discipl<strong>in</strong>e <strong>in</strong> the form, for <strong>in</strong>stance, of a strict diet. Spiritual methods of treatment <strong>in</strong>volve prayers and use of<br />

holy water (9, p. 167).<br />

viii Reviews of anthropological literature reveal that concepts close or equivalent to <strong>in</strong>dividual forms of IPRs are quite<br />

common <strong>in</strong> <strong>in</strong>digenous and traditional proprietary systems (see, e.g., 10, p. 69).<br />

ix For an alternative classification of modalities of knowledge possession based on the concept of “negative” and<br />

“positive” community, see 15, p. 185).<br />

229

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