Kimberley Aboriginal Medical Services Council Inc, Dora St, Broome 6725, Australia.
J Ethnobiol Ethnomed. 2013 Jul 2;9:46. doi: 10.1186/1746-4269-9-46.
The practice of traditional Aboriginal medicine within Australia is at risk of being lost due to the impact of colonisation. Displacement of people from traditional lands as well as changes in family structures affecting passing on of cultural knowledge are two major examples of this impact. Prior to colonisation traditional forms of healing, such as the use of traditional healers, healing songs and bush medicines were the only source of primary health care. It is unclear to what extent traditional medical practice remains in Australia in 2013 within the primary health care setting, and how this practice sits alongside the current biomedical health care model. An extensive literature search was performed from a wide range of literature sources in attempt to identify and examine both qualitatively and quantitatively traditional medicine practices within Aboriginal Australia today. Whilst there is a lack of academic literature and research on this subject the literature found suggests that traditional medicine practice in Aboriginal Australia still remains and the extent to which it is practiced varies widely amongst communities across Australia. This variation was found to depend on association with culture and beliefs about disease causation, type of illness presenting, success of biomedical treatment, and accessibility to traditional healers and bush medicines. Traditional medicine practices were found to be used sequentially, compartmentally and concurrently with biomedical healthcare. Understanding more clearly the role of traditional medicine practice, as well as looking to improve and support integrative and governance models for traditional medicine practice, could have a positive impact on primary health care outcomes for Aboriginal Australia.
由于殖民化的影响，澳大利亚传统原住民医学的实践正面临失传的风险。原住民被迫离开传统土地，以及家庭结构的变化影响了文化知识的传承，这两个例子都体现了这种影响的严重性。在殖民化之前，传统的治疗方法，如传统治疗师、治疗歌曲和草药，是初级卫生保健的唯一来源。目前尚不清楚 2013 年在澳大利亚初级卫生保健环境中传统医学实践的程度，以及这种实践与当前生物医学卫生保健模式的关系。从各种文献来源中进行了广泛的文献检索，试图从定性和定量的角度来确定和检查当今澳大利亚原住民的传统医学实践。尽管关于这个主题的学术文献和研究很少，但已有的文献表明，澳大利亚原住民的传统医学实践仍然存在，而且在澳大利亚各地的社区中实践的程度差异很大。这种差异取决于与文化的联系以及对疾病病因、发病类型、生物医学治疗效果、传统治疗师和草药的可及性的信念。传统医学实践被发现是与生物医学卫生保健顺序、分块和同时使用的。更清楚地了解传统医学实践的作用，并寻求改进和支持传统医学实践的整合和治理模式，可能会对澳大利亚原住民的初级卫生保健结果产生积极影响。
