Global Perspective on AyurvedaDR.KRISHNAKUMAR.R

MEDICAL OFFICERGAD VALLIKUNNAM

GlobalisationVividhani hi sasthrani bhishajam pracharanthi loke—(Charaka samhitha)

• Not New one for Ayurveda– Greeks-Helenic period– Arabs– Chinese– South East– Central Asia-Bhela samhitha– Horthus Malabaricus-Vanreed-300

• GLOBAL VILLAGE• INTERNET----------CULTURE, KNOWLEDGE

SHARING• WESTERN COUNTRIES- searching for

alternative health systems• Acupuncture,Aromatherapy,Ayurveda,Homeo,

Naturopathy,Reflexology,Tibetan medicine, Unani,Chiropractice..................................

CAM• The popularity of complementary and alternative medicine

is an international phenomenon.• The prevalence of CAM use is estimated at • 25% among the residents of the UK• 50% among German, French, and Australianpopulations

• 42% to 69 % among the residents of US.• CAM is major growth industry in Europe.”

(p 2505,Mary Ann Richardson, Tina Sanders, J. Lynn Palmer, Anthony Greisinger, and S. EvaSingletary, Complementary/Alternative Medicine Use in a Comprehensive

Cancer Center and theImplicationsfor Oncology: Journal of Clinical Oncology, Vol 18, No 13 (July),

2000)

Ayurveda

• Study of Anatomy & Physiology

• Specific Fundamental Theories

• Different from other CAM systems

Why we talk now about Globalisation

• Economics------Tourism• Job opportunities• New markets

Therapeutic Paradigm Pharmaceutical paradigm

• How we can Market Globaly

AyurvedaNeutraceuticalsFood supplimentsHerbal medicinesWellness

Treatments and Researches are going on

But

Not carried out by Doctors or scientists who are trained in Ayurveda. Caution has to be exercised to make sure that the research is fruitful for Ayurveda.

Marketing Now by---Businessmen, Travel agents, Tourism people

USA• Vasant Lad, Deepak Chopra, Robert Svoboda , and David Frawley have successfully

propagated Ayurveda in the US.

• Ayurveda Institute of New Mexico offer extensive onsite training programs for self-healing without certifying practitioner.

• American Institutes of Ayurveda runs ‘home study programs’ for Vedic Studies in New Mexico. Florida Vedic College, the Massachusetts & the Ayurveda Holistic Centre in New York - home study plus minimal classroom training culminating in certification as a practitioner.

• The only formal and elaborate training program in Ayurveda in America is being offered by the California College of Ayurveda. The training of Ayurveda practitioners was started with title Clinical Ayurveda specialist. In 1996 the State of California formally approved the college as a vocational training institution in the field of Ayurveda.

• In America, two associations i.e. National Ayurveda Medical Association and California Association of Ayurveda Medicine are trying to get recognition and accreditation for Ayurveda.

• The states of California, Florida, New Mexico and New York have approved teaching of Ayurveda at tertiary level. Recently, many institutions and associations were formed for Ayurveda training and practices. Many graduates and postgraduates of Ayurveda in USA are trying to establish Ayurveda teaching and treatment centres. Few of them are:• American Academy of Ayurveda Medicine (AAAM):

established G.D. Pandey Ayurved University at New Brunswick

• American Institute of Vedic Studies• New England Institute of Ayurveda Medicine• Vivekanand Ayurveda College• Vedic College of Florida

During Clinton Regime, A white House Committee on Complementary and Alternative Medicine was constituted to study the issue of regulation of CAM therapies. The report of the committee did not favour Ayurveda much to get any kind of recognition for its independent status as a Traditional Medicine.

SRILANKA

• Dept of Ayurveda – Ministry of Indigenous system• Minister, Deputy minister, Secretary and

Commissionar FOR AYURVEDA• VISION-Health for all through Ayurveda and

Indigenous Medical system Institute of Indigenous Medicine (IIM), Colombo University, Rajgiriya, Gampaha Wickramarachchhi Ayurveda Institute (GWAI), Kelonia University. Bandaranayake Institute for research in Ayurveda, Colombo. Ayurveda Drug Manufacturing Corporation of Sri Lanka, Colombo.

Nepal, Bhutan

Nepal - First country to execute a National Policy on Ayurveda. Ayurveda has the status of a medical system. Full-fledged Ayurveda degree course of 5½ years is conducted by the

Institute of Medicine in the premises of Tribhuvan University, Kathmandu.

Ayurveda is practiced widely and plays key role in Primary Health Care. Wide range of Ayurveda Medicines are manufactured and used in the

country. India supplies the major share of Ayurvedic Medicines used in Nepal. Bhutan also recognises Ayurveda as a Medical system. Unani, Ayurveda

and Tibetan Medicine are popular in the country. India caters to the Ayurvedic medicine requirements of Bhutan and

Nepal.

Bangladesh

The system is recognised officially and the Government has taken initiative to integrate the Ayurveda and Unani systems in the primary and secondary health care institutions, Upazilla Health Complexes (UHC) and District Hospitals (DH). A fullfledged 5-½ yrs degree course is being conducted at the Government Unani & Ayurveda degree college, Dhaka. The same syllabus offered by CCIM has been adopted. The college is affiliated to the University of Dhaka. Apart from this, there are 7 Ayurveda Colleges in the private sector offering Diploma in Ayurveda.

Japan• Study, research and spread of Ayurveda - for the last 30 years.• The Osaka Medical School has established Society of Ayurveda in Japan in

1969.Seminar,Exhibtion etc was organized.

• The Institute of Traditional Oriental Medicine in Tokyo -conducts short-term course for health professional.

• A special course in Panchakarma is also being offered to general public. A quarterly periodical named Shanti Marga is being published since its inception. Many books have already been translated in Japanese and published. Other Ayurveda institute, Aihore Pratisthanam Osaka Ayurveda Kenkyusho was established in Japan in 1987. They have also translated few Ayurveda classics in Japanese language.

• Course of Bhava Prakasha to study Ayurveda and Sanskrit together. Founders of college are well qualified in Ayurveda and a qualified faculty from India also supports college.

DPRKorea

• The Traditional Medicine of DPR Korea is called Koryo Medicine. • Koryo medicine has a remarkably pivotal role in the National

Health System. • The whole medical care system is government owned. • At Primary Health Care level, the Koryo Medicine covers 70% of

the treatment. The education is a six year integrated course, where 30% of the curriculum is devoted to Modern Medicine Studies. The Conventional Doctors also have to cover 30% of their curriculum in Koryo Medicine. The Korean Model of education and National healthcare System is ideal to be followed by other countries for developing their own TSMs. The Articles 15,29 and 36 of Law of Public Health of DPRK legally stipulates the issue of developing Koryo Medicine as a part of the NHS.

Myanmar

• The traditional medicine of Myanmar has its origin from Ayurveda. Up to 79% of the total raw materials are of herbal origin and the remaining are of animal and mineral origin. The country has a Department of Traditional Medicine. Ayurveda practise is officially recognised and many students are studying in India in various Ayurveda degree and certificate courses.

Thailand

Ayurveda is very popular in Thailand and is consisted as a Traditional Medicine. The Ayurved Vidhayalai (Jevaka Komarapaj) College offers a Bachelors’degree in Ayurveda Medicine. Many Ayurveda practitioners and Ayurveda therapy centres are running in the country and the medicaments are imported from India and Sri Lanka.

EU ban on Ayurvedic drugs

• Ayurvedic and traditional herbal medicines will need to licensed to comply with the EU directive passed in 2004.

• The UK –M edicines and Healthcare Products Regulatory Agency (MHRA) has issued more than a dozen safety alerts in the past two years.

• After the ban comes into effect, only high quality, long-established and scientifically safe herbal medicines will be sold over the counter-Official sources .

• Herbal practitioners say it is impossible for most herbal medicines to meet the licensing requirements for safety and quality, which are intended to be similar to those for pharmaceutical drugs, because of the cost of testing.

• According to EU's Traditional Herbal Medicinal Products Directive (THMPD), companies making herbal products will have to provide clinical data to demonstrate its safety through use of those products within the EU for a minimum of 15 years , and 30 years outside the Union.

• So apprx. 8 crore for Validification of Kottamchukkadi thailam----So it convenient to think that FOOD SUPPLIMENT label is good ????

• United States,FDA's criteria for experimental evaluation methods impedes those seeking to bring useful and effective treatments and approaches to the public, and that their contributions and discoveries are unfairly dismissed, overlooked or suppressed

• New Zealand, alternative medicine products are classified as food products, so there are no regulations or safety standards in place.

Australia-complementary medicine - TGA-Therapeutic good

administration has issued various guidances and standards.

Australian regulatory guidelines for complementary medicines (ARGCM) demands that the pesticides, fumigants, toxic metals, microbial toxins, radionuclides, and microbial contaminations present in herbal substances should be monitored, although the guidance does not request for the evidences of these traits.

However, for the herbal substances in pharmacopoeial monographes, the detailed information should be supplied to relevant authorities .

• Canada• Argentina• Brazil• South africa• Germany• Austriya• switzerland

• Hungary• Netherlands• Itally• Spain• France• Greece• Russia

WHO• Some of the objectives specific to the assessment of traditional

medicine through clinical are to:

• evaluate traditional medicine in its own theoretical framework”…. • ‘Holism is a key element of all systems of traditional medicine.

Therefore, when reviewing the literature on traditional medicine (both herbal and traditional procedure based therapies), the theories and concepts of the individual practice of traditional medicine, as well as the cultural background of those involved, must be taken into account’.

(General guidelines for Research in Traditional Medicine 2000)

Major Solution

• REASEARCH

• Study on comparison with Methotrexate.• Study of Vilwadi Gulika• Study of Dhanwantharam Thailam

• Currently the food products that India can export were undervalued and therefore there was a need to export goods of higher market value, especially those which were uniqur to India.

This would be possible through cooperatives, where in doctors,producers, traders and scientists and quality assurance people were brought together.

Solution from ISM dept.

• Give Tools for the Globalisation• Conduct Studies– In a net work through out Kerala• Publish it regularly through Govt.Portals.• Make a separate wing of Doctors for data

Collection, analysis, publishing etc• Use House surgeons• Fund-infuse-Data-publish• BE A SCIENTIFIC RESEARCH ORIENTED DEPT

Allopathy-Modern Bio medicineBy the help of Politicians,

Planners,Physics, chemistry, Biologist,Statitician,Bioengineer etc

In Ayurveda- is it the duty of Doctors alone?Is it possible by them alone???

Integrative Approach

Textual Tradition

Clinical Researc

h

Individual

Practice

• Why a Global Institute for Ayurveda in India

ForResearchDocumentation

Globalisation should be

OF AYURVEDABY AYURVEDAFOR AYURVEDA