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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 />

leaves, flowers, fruits, seeds and roots.<br />

There are also elaborate descriptions of the<br />

methodology for the preparation of<br />

medic<strong>in</strong>es (dosage forms) and methods of<br />

detoxification of m<strong>in</strong>eral products.<br />

Most fasc<strong>in</strong>at<strong>in</strong>g are the descriptions<br />

of the pathogenesis of diseases based on<br />

the concept of Tridosha: Vata, Pitta, Kapha.<br />

It is postulated that the human body is<br />

composed of five elements (Panchmahabhutas)<br />

and is <strong>in</strong> perfect health when the<br />

“Three Doshas” are <strong>in</strong> a state of equilibrium.<br />

Disease produces imbalance of<br />

Doshas and, depend<strong>in</strong>g upon the nature<br />

and extent of imbalance, an appropriate<br />

management strategy is employed to br<strong>in</strong>g<br />

back the body to its orig<strong>in</strong>al equilibrium. (1)<br />

Ayurveda describes very methodically<br />

the pharmacology of “Drugs and Diet”,<br />

both be<strong>in</strong>g accorded equal importance <strong>in</strong><br />

the management of a patient. Charaka’s<br />

classification of plants was based on their<br />

therapeutic uses and properties. Each<br />

medic<strong>in</strong>e and also dietetic article have <strong>in</strong><br />

them what Ayurveda describes as Rasa<br />

(taste) Vipaka (alteration or metabolism <strong>in</strong><br />

the body), Virya (potency) and Prabhava<br />

(specific action/potential which is beyond<br />

the rasadi attributes of the drug). Thus, <strong>in</strong><br />

Ayurveda drugs are prescribed to treat an<br />

<strong>in</strong>dividual and not just his disease, depend<strong>in</strong>g<br />

upon the predom<strong>in</strong>ant property of the<br />

medicament and the Prakriti (Vata, Pitta or<br />

Kapha) of the patient.<br />

In the Ch<strong>in</strong>ese system of traditional<br />

medic<strong>in</strong>e, the human body is considered<br />

as a s<strong>in</strong>gle entity. Normal body functions<br />

are a result of the harmonious, balanced<br />

behaviour of elemental forces called Y<strong>in</strong>yang<br />

and Wux<strong>in</strong>g. Other concepts are<br />

Zang fu (<strong>in</strong>ternal organs) and J<strong>in</strong>g luo<br />

(channels and collaterals), and Qi, a vital<br />

force circulat<strong>in</strong>g <strong>in</strong> the body. Cont<strong>in</strong>uous<br />

circulation of Qi is believed to promote<br />

health, while <strong>in</strong>terruption of Qi <strong>in</strong> any<br />

248<br />

organ leads to disease. Acupuncture is said<br />

to stimulate Y<strong>in</strong> or Yang and restore the<br />

normal flow of Qi.<br />

Numerous herbs or medicaments<br />

made from animal parts are thought to<br />

help <strong>in</strong> restor<strong>in</strong>g the balance of Y<strong>in</strong> and<br />

Yang when disturbance manifests as<br />

disease. It describes measures to rema<strong>in</strong><br />

healthy and prevent or treat disease.<br />

<strong>Traditional</strong> Ch<strong>in</strong>ese medic<strong>in</strong>e has produced<br />

over 10,000 medical books, and described<br />

over 5000 herbal drugs. Most countries<br />

<strong>in</strong> the Western Pacific Region have been<br />

<strong>in</strong>fluenced by traditional Ch<strong>in</strong>ese medic<strong>in</strong>e.<br />

These medic<strong>in</strong>es are complex mixtures<br />

of plants, animal parts or products,<br />

m<strong>in</strong>erals and metals. However, plants and<br />

plant products form the dom<strong>in</strong>ant part of<br />

the materia medica of traditional medic<strong>in</strong>e<br />

practised <strong>in</strong> different parts of the world and<br />

<strong>in</strong> particular <strong>in</strong> <strong>Asia</strong>, especially Ch<strong>in</strong>a,<br />

India, Korea, Philipp<strong>in</strong>es, Indonesia and<br />

Tibet. In India, for example, the Charaka<br />

Samhita (treatise), dat<strong>in</strong>g back to 900 BC,<br />

lists 341 plants and plant products for<br />

medic<strong>in</strong>al use. Susruta, who practised<br />

surgery about 600 BC, described 395<br />

medic<strong>in</strong>al plants. Vagbhatta practised<br />

Ayurveda <strong>in</strong> S<strong>in</strong>dh (now <strong>in</strong> Pakistan) around<br />

the 7th century AD and wrote an unrivalled<br />

treatise on the pr<strong>in</strong>ciples and practices of<br />

medic<strong>in</strong>es called Ashtangahridaya which<br />

provides systematic descriptions of<br />

medic<strong>in</strong>al plants and mixtures of plant<br />

products, m<strong>in</strong>erals or metals. Bhavaprakash,<br />

written by Bhavamishra <strong>in</strong> about<br />

1550 AD, describes 470 medic<strong>in</strong>al plants.<br />

It is thus evident that traditional medic<strong>in</strong>es<br />

offer a wide range of herbal medic<strong>in</strong>es,<br />

often classified therapeutically.<br />

Research Policy<br />

Most countries <strong>in</strong> the South-East <strong>Asia</strong><br />

Region (SEAR) have a political commitment

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