- Article explains why it might be a good idea to integrate various system of medicine and how it can be done.
- All medicine systems can co-exist. Offer patient
the best of all the systems because every system has strengths.
Upgrading health standards and contributing to
promoting health-care systems is the main objective of any system of medicine.
Remission or cure of the disease and providing a feeling of wellbeing remain
the end goal of any medical science.
Science needs continuous updating and hence
continuous contemplations to maintain health is among the priority areas of
research. This has resulted in massive information related to human health and
diseases and for these reasons today exist several schools of thought that provide
opinions regarding it. Looking at the history of the civilization, it can be
traced that as per the need for time and available resources, continuous
efforts have been undertaken to improve and advance the health-care system.
As a consequence of it, different systems of
medicine exist now in different regions of the world. Every day a new form of
medicine or approach for existing diseases or newly emerging diseases are
thought out and included in existing guidelines of health care after getting
established by research or clinical trials. However, many of the conditions
remain untreated and researchers are rigorously working to find the solutions
for the same.
However, among various existing systems of
medicine, modern medicine has done major advancements in the last few decades,
and dominated other systems of medicines, and has become the primary health
care provider in most regions of the world and is thus, widely followed system
of medicine. This is the reason why modern medicine is termed as a conventional
system or mainstream medicine and other coexisting medical systems are grouped
under complementary or alternative medicine or traditional medicine.
It is also many a time expected that these
traditional systems of medicine shall keep pace with modern medical science, to
keep itself existent. The main working system of modern medicine is to generate
evidence and hence, proposed guidelines for diseases are evidence-based. The
advancement of modern medicine has given benefits to other systems of medicine
in understanding the human system more exclusively and has unfolded many
mysteries related to human and its environment.
However, the
evidence-based approach of modern medicine has created a difficult situation
for the previously existing systems of medicine and thus are now not accepted
as scientific. On other hand, the traditional systems of
medicines that are working either on the principle of holistic approach or
treatment based on herbal or mineral resources are catering to the need of
patients for many diseases and have positively benefitted society.
Further, conditions in developing countries
indicate that there is an uneven distribution of medical and health services,
and hence, there is a need for alternate approaches, strategies of health care
to resolve this imbalance. In most countries, this is the reason why there is
the employment of more than one medical system.
This chaos of existing multiple systems of
functioning at various levels in many countries has generated complex and
often-confusing choices when it comes to health and health-care concerns. The
patients, and their families, are often confused to decide which treatment or
other care option is best for them and need trustworthy information and thus
over the last decades, awareness has increased about the need for medical pluralism and to
integrate biomedicine and other forms of health care.
This can be achieved by defining the strengths
and weaknesses of every system of medicine and stating its scope in the health
care system. Further, if providing health to each individual of the society is
the ultimate goal, then the best way is to integrate
the various systems of medicine and treat the person as per the need and its
condition under the same roof. This can happen in either way, based on the physician's expert opinion or the demand of the patient.
For this educating experts of the various
existing systems of medicine regarding other systems of medicine can be the
first initiative. There is a need for bridging information among various
existing health-care facilities in countries and understanding and updating the
existing treatment approaches accordingly. For it, continuous interactions,
workshops, and sessions of expert meetings can be organized where physicians
share openly the strengths and limitations of their systems and discuss to find
the best solutions to the diseases.
Further collaborative
researches can be undertaken under the supervision of
health experts to generate evidence of effectiveness and safety of integrated
approach of management of commonly occurring diseases.
Recent clinical trials on progressive, chronic,
and degenerative diseases, have proved that Ayurveda
can provide additional benefits and improve quality of
life when given as an add-on to modern medicine. Certain researches carried out
considering the role of Rasayana and holistic approach of diet and lifestyle
interventions along with modern medicines has provided better overall
improvement in the cases of noncommunicable diseases like Type 2 and Type 1
diabetes, hypothyroidism, obesity, dyslipidemia, cancer, and gastrointestinal
related disorders.
Taking a cue from these findings, the
collaborative researches can be planned and data to elicit the chances of
drug-drug interactions, or any adverse events, or to generate evidence of the
effectiveness of integrated approaches of medicines can be established. This
will boost the confidence of health experts and patients will have more choices
to opt for their disease management.
In today's era, maintaining health has become the major concern of society and merely defining guidelines for the treatment of diseases is not only the need. Most of the countries are spending huge amounts of money to fight common diseases and this has drastically increased the burden of health care.
An approach to a healthy life by adopting principles that are mentioned in the traditional
system of medicines can also be considered for planning guidelines for the
treatment and prevention of certain diseases, especially noncommunicable diseases.
Researches to generate evidence of medicines and approaches applied for health
promotion and preservation will also boost the program of establishing wellness
centers and change the scenario of health care systems in the countries.
Efforts to integrate the various system of
medicines have already been started by the policy-makers in many of the
countries, and the experts of traditional medicine are paving their way to come
along with the existing system of health care, but open-heartedness from experts
of every system of medicine is required to strengthen the health facilities. A
new beginning in this field may open a new arena of researches and will give a
ray of hope to those who need this the most-the patients.
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About Author: Department of
Kayachikitsa, IPGT and RA, Jamnagar-361 008, Gujarat, India.
Article available online/offline on: AYU, Vol. 41, Issue 1,
January to March 2021, Page no.1-2, for more details please visit: www.ayujournal.org
Address
for correspondence: Mandip Goyal, Department of Kayachikitsa, IPGT and RA,
Jamnagar-361008, Gujarat, India.
No part of this article may be reproduced in full or part without written
permission of the Ayu Journal who can be contacted at ayujournal@yahoo.com
Also read
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Integrating
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2.
Ayurveda
and Modern Concepts