Traditional medicine

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Traditional medicine in a market in Antananarivo, Madagascar
lucky bamboo
, and other items.

Traditional medicine (also known as indigenous medicine or folk medicine) comprises medical aspects of traditional knowledge that developed over generations within the folk beliefs of various societies, including indigenous peoples, before the era of modern medicine. The World Health Organization (WHO) defines traditional medicine as "the sum total of the knowledge, skills, and practices based on the theories, beliefs, and experiences indigenous to different cultures, whether explicable or not, used in the maintenance of health as well as in the prevention, diagnosis, improvement and treatment of physical and mental illness".[1] Traditional medicine is often contrasted with scientific medicine.

In some

.

The WHO notes, however, that "inappropriate use of traditional medicines or practices can have negative or dangerous effects" and that "further research is needed to ascertain the efficacy and safety" of such practices and medicinal plants used by traditional medicine systems.[1] Its "Traditional Medicine Strategy 2014–2023" said that the WHO would "support Member States in developing proactive policies and implementing action plans that will strengthen the role traditional medicine plays in keeping populations healthy."[2]

Usage and history

Classical history

In the written record, the study of herbs dates back 5,000 years to the ancient

Ebers papyrus from c. 1552 BC records a list of folk remedies and magical medical practices.[3] The Old Testament also mentions herb use and cultivation in regards to Kashrut
.

Many herbs and minerals used in

.

Roman sources included

Rhazes (Rāzi, 865–925) and the Jewish Maimonides.[5]

Some fossils have been used in traditional medicine since antiquity.[7]

Medieval and later

Arabic indigenous medicine developed from the conflict between the magic-based medicine of the

Unani system of traditional medicine is also based on the Canon.[15]

Translations of the early Roman-Greek compilations were made into German by Hieronymus Bock whose herbal, published in 1546, was called Kreuter Buch. The book was translated into Dutch as Pemptades by Rembert Dodoens (1517–1585), and from Dutch into English by Carolus Clusius, (1526–1609), published by Henry Lyte in 1578 as A Nievve Herball. This became John Gerard's (1545–1612) Herball or General Historie of Plantes.[5][6] Each new work was a compilation of existing texts with new additions.

Women's folk knowledge existed in undocumented parallel with these texts.

Puritans took Gerard's work to the United States where it influenced American Indigenous medicine.[5]

Aztec ethnomedicinal information into the European concepts of disease such as "warm", "cold", and "moist", but it is not clear that the Aztecs used these categories.[16] Juan de Esteyneffer
's Florilegio medicinal de todas las enfermedas compiled European texts and added 35 Mexican plants.

Martín de la Cruz wrote a herbal in

ethnographic methods to compile his codices that then became the Historia General de las Cosas de Nueva España, published in 1793.[17] Castore Durante published his Herbario Nuovo in 1585 describing medicinal plants from Europe and the East and West Indies
. It was translated into German in 1609 and Italian editions were published for the next century.

Colonial America

In 17th and 18th-century America, traditional folk healers, frequently women, used herbal remedies,

leeching.[19] Native American traditional herbal medicine introduced cures for malaria, dysentery, scurvy, non-venereal syphilis, and goiter problems.[20] Many of these herbal and folk remedies continued on through the 19th and into the 20th century,[21] with some plant medicines forming the basis for modern pharmacology.[22]

Modern usage

The prevalence of folk medicine in certain areas of the world varies according to cultural norms.[23] Some modern medicine is based on plant phytochemicals that had been used in folk medicine.[24] Researchers state that many of the alternative treatments are "statistically indistinguishable from placebo treatments".[25]

Knowledge transmission and creation

Indigenous medicine is generally transmitted orally through a community, family and individuals until "collected". Within a given culture, elements of indigenous medicine knowledge may be diffusely known by many, or may be gathered and applied by those in a specific role of healer such as a shaman or midwife.[26] Three factors legitimize the role of the healer – their own beliefs, the success of their actions and the beliefs of the community.[27] When the claims of indigenous medicine become rejected by a culture, generally three types of adherents still use it – those born and socialized in it who become permanent believers, temporary believers who turn to it in crisis times, and those who only believe in specific aspects, not in all of it.[28][verification needed]

Definition and terminology

Traditional medicine may sometimes be considered as distinct from folk medicine, and considered to include formalized aspects of folk medicine. Under this definition folk medicine are longstanding remedies and practises passed on and practiced by lay people. Folk medicine consists of the healing modalities, ideas of body physiology and health preservation known to some in a culture, transmitted informally as general knowledge, and practiced or applied by anyone in the culture having prior experience.[29]

Folk medicine

Curandera
performing a limpieza in Cuenca, Ecuador

Many countries have practices described as folk medicine which may coexist with formalized, science-based, and institutionalized systems of medical practice represented by conventional

Kampō medicine, traditional Aboriginal bush medicine, Native Hawaiian Lāʻau lapaʻau, and Georgian folk medicine, among others.[31]

Australian bush medicine

Generally, bush medicine used by

Aboriginal and Torres Strait Islander people in Australia is made from plant materials, such as bark, leaves and seeds, although animal products may be used as well.[32] A major component of traditional medicine is herbal medicine, which is the use of natural plant substances to treat or prevent illness.[33]

Native American medicine

foxglove herb as a treatment for an illness they referred to as dropsy or edema, which is fluid buildup typically in the lower legs, and its common cause is heart failure.[35] In modern medicine, foxglove extract is still used under the name digitalis, and its purpose is to moderate the heart rate.[35] Native Americans were successful with some medical practices, such as treating fevers, gastrointestinal conditions, skin rashes, setting bones, as well as birthing babies, and aiding mothers in healing.[35] A study conducted within an IHS hospital that allows Navajo healers to visit patients found that the hospital had an 80 percent success rate in getting comatose patients back to consciousness, which is higher than the rate of present-day biomedical management hospitals.[34] The plant family Asteraceae has been commonly selected for orthopedic aids and pulmonary aids, specifically the species Achillea and Artemisia.[36] A study conducted amongst 14 different tribes within North America found that Asteraceae was the most widely used plant family for its medicinal properties.[36]

Nattuvaidyam

Nattuvaidyam was a set of indigenous medical practices that existed in India before the advent of allopathic or western medicine.[37] These practices had different sets of principles and ideas of the body, health and disease. There were overlaps and borrowing of ideas, medicinal compounds used and techniques within these practices.[38] Some of these practices had written texts in vernacular languages like Malayalam, Tamil, Telugu, etc. while others were handed down orally through various mnemonic devices. Ayurveda was one kind of nattuvaidyam practised in south India.[39] The others were kalarichikitsa (related to bone setting and musculature),[40] marmachikitsa (vital spot massaging), ottamoolivaidyam (single dose medicine or single time medication),[41] chintamanivaidyam and so on. When the medical system was revamped in twentieth century India, many of the practices and techniques specific to some of these diverse nattuvaidyam were included in Ayurveda.[42]

Home remedies

A home remedy (sometimes also referred to as a granny cure) is a treatment to cure a

placebo effect.[43]

One of the more popular examples of a home remedy is the use of

liqueurs or digestifs were originally sold as medicinal remedies. In Chinese folk medicine, medicinal congees (long-cooked rice soups with herbs), foods, and soups are part of treatment practices.[46]

Criticism

Safety concerns

Although 130 countries have regulations on folk medicines, there are risks associated with the use of them (i.e. zoonosis, mainly as some traditional medicines still use animal-based substances[47][48]). It is often assumed that because supposed medicines are natural that they are safe, but numerous precautions are associated with using herbal remedies.[49]

Use of endangered species

Sometimes traditional medicines include parts of endangered species, such as the slow loris in Southeast Asia.

Endangered animals, such as the slow loris, are sometimes killed to make traditional medicines.[50]

Shark fins have also been used in traditional medicine, and although their effectiveness has not been proven, it is hurting shark populations and their ecosystem.[51]

The illegal ivory trade can partially be traced back to buyers of traditional Chinese medicine. Demand for ivory is a huge factor in the poaching of endangered species such as rhinos and elephants.[52]

Pangolins
are threatened by poaching for their meat and scales, which are used in traditional medicine. They are the most trafficked mammals in the world.

See also

References

  1. ^ a b "Traditional Medicine: Definitions". World Health Organization. 2008-12-01. Retrieved 2014-04-20.
  2. ^ "WHO traditional medicine strategy: 2014-2023". The World Health Organization. December 2013. Archived from the original on January 13, 2014.
  3. ^ "Ebers' Papyrus". Retrieved 28 December 2014.
  4. ^ Girish Dwivedi, Shridhar Dwivedi (2007). History of Medicine: Sushruta – the Clinician – Teacher par Excellence (PDF). National Informatics Centre. Archived from the original (PDF) on 2008-10-10. Retrieved 2008-10-08.
  5. ^ .
  6. ^ .
  7. ^ van der Geer, Alexandra; Dermitzakis, Michael (2010). "Fossils in pharmacy: from "snake eggs" to "Saint's bones"; an overview" (PDF). Hellenic Journal of Geosciences. 45: 323–332.
  8. .
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  11. ^ Diane Boulanger (2002), "The Islamic Contribution to Science, Mathematics and Technology", OISE Papers, in STSE Education, Vol. 3.
  12. ^ Tschanz David W (2003). "Arab Roots of European Medicine". Heart Views. 4: 2.
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  18. ^ Lozoya, Xavier (2016). "Libellus de Medicinalibus Indorum Herbis (Librito de las yerbas medicinales de los indios) o Códice Badiano". Arqueología Mexicana.
  19. ^ Rosalyn Fraad Baxandall, Linda Gordon, Susan Reverb, America's Working Women: A Documentary History, 1600 to the Present, W. W. Norton & Company, 1995, p. 50
  20. ^ Madsen, Deborah L. The Routledge Companion to Native American Literature, Routledge, 2015
  21. ^ Swerdlow JL. Medicine Changes: late 19th to early 20th century. Nature's Medicine: Plants that Heal. Washington, D.C.: National Geographic Society; 2000. pp. 158–91.
  22. ^ Eugenia M. Fulcher, Robert M. Fulcher, Cathy Dubeansky, Pharmacology: Principles and Applications'', Soto Elsevier Health Sciences, 2014, p. 5
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  24. ^ The Economist, "Alternative Medicine: Think yourself better", 21 May 2011, pp. 83–84.
  25. .
  26. ^ Maurice Mwu, Eric Gbodossou (December 2000). "ALTERNATIVE MEDICINE: NIGERIA The role of traditional medicine" (PDF). The Lancet.
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  29. ^ "Traditional, complementary and integrative medicine". World Health Organization. 2018. Archived from the original on October 14, 2017. Retrieved 7 May 2018.
  30. ^ "WHO Traditional Medicine Strategy 2014-2023" (PDF). World Health Organization. 2013. Retrieved 7 May 2018.
  31. ^ "Traditional Aboriginal Bush Medicine". Aboriginal Art Online. Archived from the original on 25 May 2013. Retrieved 26 June 2013.
  32. ^ "Select Your Library - Credo Reference". search.credoreference.com. Retrieved 2015-04-17.
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  38. ^ K P, Girija (2016). "Refiguring of Ayurveda as Classical Tradition". Pragmata: Journal of Human Sciences. 3: 43–62.
  39. ^ TNN (22 Jul 2019). "Those availing kalari marma chikitsa on the rise". The Times of India. Retrieved 9 April 2021.
  40. ^ Correspondent (5 June 2016). "Ottamooli (single ingredient) cure for lifestyle diseases..." Onmanorama. Retrieved 9 April 2021.
  41. .
  42. ^ "Placebo Effect: A Cure in the Mind". Scientific American. February–March 2009.
  43. 1874. Retrieved on 2007-11-05.
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  45. ^ Prince Wen Hui's Cook Bob Flaws and Honora Wolf 1985
  46. ^ Africa’s growing risk of diseases that spread from animals to people
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  48. ^ "National Policy on Traditional Medicine and Regulation of Herbal Medicines - Report of a WHO Global Survey". World Health Organization. April 2016. Archived from the original on May 24, 2009.
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  50. ^ "Traditional medicines continue to thrive globally". www.cnn.com. CNN. Retrieved 2016-04-25.
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External links