Shankar Darshan
The University of Trans-Disciplinary Health Sciences and Technology (TDU), 74/2, Post Attur via Yelahanka, Jarakabande Kaval, Bengaluru, 560064, Karnataka.
J Ayurveda Integr Med. 2023 Jan-Feb;14(1):100663. doi: 10.1016/j.jaim.2022.100663. Epub 2022 Nov 11.
In the light of the poor performance of the National Health System as a whole, the article argues the case for the urgent re-imagination and recalibration of the roles of legally approved, health knowledge systems. The article suggests that the analysis of ten years' retrospective clinical data (around 100 million records) from the most reputed Allopathic and Ayurveda clinical establishments may serve as a reliable source of information on the actual performance of different knowledge systems. This strategy for evidence generation, argues the author, is perhaps more realistic than analysis of fragmented clinical and preclinical data from trials and experiments. The article also reviews the quality of evidence and societal performance of western medicine during the last 70 years. The plural health seeking behaviour of millions of citizens, suggest that in the 21st century, a creative, functional, reliable form of integrative healthcare is imperative.
鉴于国家卫生系统整体表现不佳,本文论证了对法定认可的健康知识体系的角色进行紧急重新构想和重新校准的必要性。文章指出,对最著名的对抗疗法和阿育吠陀临床机构十年的回顾性临床数据(约1亿条记录)进行分析,可能是有关不同知识体系实际表现的可靠信息来源。作者认为,这种生成证据的策略可能比分析来自试验和实验的零散临床和临床前数据更为现实。本文还回顾了过去70年西医的证据质量和社会表现。数百万公民多元化的健康寻求行为表明,在21世纪,一种创新、实用、可靠的综合医疗保健形式势在必行。