Porter John Dh, Mathpati Mahesh Madhav, Payyappallimana Unnikrishnan, Shankar Darshan
London School of Hygiene and Tropical Medicine, Keppel Street, London, WC1E 7HT, United Kingdom; The University of Trans-Disciplinary Health Sciences and Technology (TDU), 74/2, Jarakabande Kaval, Post Attur Via Yelahanka, Bengaluru, 560064, India.
London School of Hygiene and Tropical Medicine, Keppel Street, London, WC1E 7HT, United Kingdom; The University of Trans-Disciplinary Health Sciences and Technology (TDU), 74/2, Jarakabande Kaval, Post Attur Via Yelahanka, Bengaluru, 560064, India.
J Ayurveda Integr Med. 2023 Jan-Feb;14(1):100474. doi: 10.1016/j.jaim.2021.06.014. Epub 2021 Nov 24.
The current global economic and biomedical perspectives contribute content, strategy, and values to global health systems, like objectification and competition, which encourage the medicalisation of the system. Medicalisation overlooks our interdependence with other beings, the environment and biosphere. In contrast, ancient health traditions like Ayurveda, derived from Asian cultures, provide knowledge of the human being's composition of five basic states of nature that need to remain in constant equilibrium to ensure health (Svasthya). Asian health traditions encourage values like vulnerability and respect to facilitate an inherent relationship with the internal and external environment. The recent pandemic has revealed the fragile vulnerability in this nexus and the consequences to human health and well-being when that equilibrium is disturbed. Serious deliberations and discussions are needed between the modern economic and the Asian frameworks for healthcare which result in two different approaches to health and to health systems. This debate may encourage the creation of a philosophy and structure for a new global pluralistic health system more aligned to nature. These deliberations need to encourage the discussion of Svasthya (health), Soukhya (sustainable happiness), and the inner and outer ecological landscapes experienced by human beings that can be understood through mindful self-awareness. Global health systems need to evolve in the direction of a different, pluralistic philosophy of health that encourages a 'population's self-reliance in health' through an intimate and integrated connection with nature.
当前的全球经济和生物医学观念为全球卫生系统贡献了内容、战略和价值观，比如客观化和竞争，这些促使卫生系统医学化。医学化忽视了我们与其他生物、环境和生物圈的相互依存关系。相比之下，源自亚洲文化的阿育吠陀等古老的健康传统，提供了关于人类由五种基本自然状态构成的知识，这五种状态需保持动态平衡以确保健康（即“健康”）。亚洲健康传统倡导诸如脆弱性和尊重等价值观，以促进与内外环境建立内在联系。近期的疫情揭示了这种联系中的脆弱易损性，以及平衡被打破时对人类健康和福祉的影响。现代经济和亚洲医疗框架之间需要进行严肃的思考和讨论，这两种框架导致了对健康和卫生系统的两种不同方法。这场辩论可能会促使创建一种更符合自然的新的全球多元卫生系统的理念和结构。这些思考需要鼓励对“健康”、“可持续幸福”以及人类通过正念自我意识所能理解的内外生态景观进行讨论。全球卫生系统需要朝着一种不同的、多元的健康理念发展，通过与自然建立紧密和综合的联系，鼓励“民众在健康方面的自力更生”。
