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传统医疗体系在印度拉达克西部的转变。

Changing aspects of traditional healthcare system in western Ladakh, India.

机构信息

Wildlife Institute of India, Chandrabani Dehradun, PO Box 18, Uttarakhand 248001, India.

出版信息

J Ethnopharmacol. 2012 Sep 28;143(2):621-30. doi: 10.1016/j.jep.2012.07.017. Epub 2012 Aug 4.

DOI:10.1016/j.jep.2012.07.017
PMID:22884871
Abstract

ETHNOPHARMACOLOGICAL RELEVANCE

The Sowa-rigpa system of traditional healing has been practiced from time immemorial in western Ladakh but its existence is in jeopardy today. Documentation of information on various aspects of this system such as treatment methods, materials used for medicine and socio-cultural aspects is needed to ensure the long-term survival of this system.

MATERIALS AND METHODS

Extensive field surveys were conducted from March 2009 to June 2011 in three different Valleys of the Kargil district. Interviews with traditional healers, village heads and local people were conducted using semi-structured questionnaires and participatory observations to assess the current status of traditional medicine system. Plant specimens were collected from the field for identification and herbarium preparation which were later deposited in herbaria for future reference.

RESULTS

160 plants were recorded to be used by traditional healers of Western Ladakh. Traditional healing system (THS) is taking care of 30% of public healthcare. Only 36 traditional healers are left in this region of which 67% was found along the Wakha-chu Valley, followed by the Lower Indus Valley (17%) and the SuruValley (16%). The transfer of knowledge to the next generation is very low (25%) in Kargil. Low income and continuously deteriorating social status of healers has contributed to the decline of this system.

CONCLUSIONS

Lack of interest in young generation in adopting this system may pose a threat to the survival of Sowa-rigpa. Integration of this system with the modern healthcare system and more government support may prove effective to enhance its deteriorating conditions.

摘要

民族药理学相关性

从远古时代起,传统的藏医 Sowa-rigpa 系统就在拉达克西部施行,但如今它的存在正面临威胁。为了确保该系统的长期生存,需要记录有关其各个方面的信息,如治疗方法、药物材料以及社会文化方面。

材料与方法

2009 年 3 月至 2011 年 6 月,在卡吉尔地区的三个不同山谷中进行了广泛的实地调查。通过半结构化问卷和参与式观察,与传统治疗师、村长和当地居民进行访谈,以评估传统医学系统的现状。从实地采集植物标本进行鉴定和标本制作,随后将其存放在标本馆中以备将来参考。

结果

记录到拉达克西部的传统治疗师使用了 160 种植物。传统医疗系统(THS)负责 30%的公共医疗保健。该地区只剩下 36 名传统治疗师,其中 Wakha-chu 山谷有 67%,其次是下印度河谷(17%)和苏鲁河谷(16%)。知识向下一代的传承率非常低(25%)。收入低和治疗师社会地位不断恶化,导致该系统衰落。

结论

年轻一代对采用该系统缺乏兴趣,可能对 Sowa-rigpa 的生存构成威胁。将该系统与现代医疗保健系统融合,并获得更多政府支持,可能有助于改善其日益恶化的状况。

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