Regional Medical Research Centre, Indian Council of Medical Research, Nehru Nagar, Belgaum 590010, India.
J Ethnobiol Ethnomed. 2014 Jun 16;10:49. doi: 10.1186/1746-4269-10-49.
Traditional medicine in India can be classified into codified (Ayurveda, Unani, Siddha, Homeopathy) and non-codified (folk medicine) systems. Both the systems contributing equally to the primary healthcare in India. The present study is aimed to understand the current scenario of medicinal practices of non-codified system of traditional medicine in Belgaum region, India.
The study has been conducted as a basic survey of identified non-codified traditional practitioners by convenience sampling with semi structured, open ended interviews and discussions. The learning process, disease diagnosis, treatment, remuneration, sharing of knowledge and socio-demographic data was collected, analysed and discussed.
One hundred and forty traditional practitioners were identified and interviewed for the present study. These practitioners are locally known as "Vaidya". The study revealed that the non-codified healthcare tradition is practiced mainly by elderly persons in the age group of 61 years and above (40%). 73% of the practitioners learnt the tradition from their forefathers, and 19% of practitioners developed their own practices through experimentation, reading and learning. 20% of the practitioners follow distinctive "Nadi Pariksha" (pulse examination) for disease diagnosis, while others follow bodily symptoms and complaints. 29% of the traditional practitioners do not charge anything, while 59% practitioners receive money as remuneration.Plant and animal materials are used as sources of medicines, with a variety of preparation methods. The preference ranking test revealed higher education and migration from villages are the main reasons for decreasing interest amongst the younger generation, while deforestation emerged as the main cause of medicinal plants depletion.
Patrilineal transfer of the knowledge to younger generation was observed in Belgaum region. The observed resemblance in disease diagnosis, plant collection and processing between non-codified traditional system of medicine and Ayurveda require further methodical studies to establish the relationship between the two on a more objective basis. However, the practice appears to be at crossroads with threat of extinction, because of non-inheritance of the knowledge and non-availability of medicinal plants. Hence conservation strategies for both knowledge and resources at societal, scientific and legislative levels are urgently required to preserve the traditional wisdom.
印度传统医学可分为编码(阿育吠陀、尤纳尼、悉达、顺势疗法)和非编码(民间医学)系统。这两个系统都为印度的初级医疗保健做出了同等贡献。本研究旨在了解印度贝尔高姆地区非编码传统医学系统的当前医疗实践情况。
本研究通过便利抽样,对已确定的非编码传统从业者进行了基本调查,采用半结构化、开放式访谈和讨论。收集、分析和讨论了学习过程、疾病诊断、治疗、报酬、知识共享和社会人口统计学数据。
本研究共确定并采访了 140 名传统从业者。这些从业者在当地被称为“Vaidya”。研究表明,非编码医疗传统主要由 61 岁及以上的老年人(40%)实践。73%的从业者从祖先那里学习传统,19%的从业者通过实验、阅读和学习发展自己的实践。20%的从业者采用独特的“Nadi Pariksha”(脉诊)进行疾病诊断,而其他从业者则根据身体症状和投诉进行诊断。29%的传统从业者不收取任何费用,而 59%的从业者收取报酬。植物和动物材料被用作药物来源,有多种制备方法。偏好排序测试显示,较高的教育水平和从农村迁移是年轻一代兴趣减少的主要原因,而森林砍伐是药用植物枯竭的主要原因。
在贝尔高姆地区观察到知识向年轻一代的父系传承。在疾病诊断、植物收集和处理方面观察到的非编码传统医学系统与阿育吠陀之间的相似之处需要进一步进行系统的研究,以在更客观的基础上建立两者之间的关系。然而,由于知识的非继承性和药用植物的不可用性,该实践似乎正处于灭绝的十字路口。因此,迫切需要在社会、科学和立法层面制定知识和资源的保护策略,以保护传统智慧。