A debate on X involving a hepatologist and an Indian chess Grand Master regarding whether traditional medicine practitioners can be called doctors has generated significant discussion about the role and position of traditional Indian medicine practitioners, like those in Ayurveda and Unani, in India
What are various viewpoints on AYUSH?
A long-standing debate – This argument's origins can be traced back almost 80 years to 1946.
Bhore committee – In 1946, the Bhore Committee strongly advocated for modern, evidence-based medicine.
The committee noted that other nations were in the midst of eliminating their traditional medicine systems.
It suggested that states determine the degree to which traditional medicine contributed to their public health systems.
Resistance from conventional medical practitioners – The practitioners of traditional medicine contested the Bhore committee report.
They advocated for maintaining practices like Ayurveda.
Committee on Indigenous Medicine Systems – The government formed the committee in reaction to the dissent.
It presented the report in 1948 that incorporated the legitimacy of traditional medicine within a narrative of Hindu nationalism.
The Indian Medicine Central Council Act, 1970 – It was established during the Indira Gandhi administration in 1970, while Jawaharlal Nehru did not provide formal recognition to these systems.
It identifies and oversees the practitioners of Ayurveda, Siddha, and Unani.
This legislation was substituted by the National Commission for Indian System of Medicine Act 2020.
Disorganized curriculum – The syllabus for future Ayurvedic practitioners is a complete jumble of ideas.
It encompasses all aspects of doshas, prakriti, and atmas (including understanding the distinction between paramatma and jivatma).
They include a minimal amount of contemporary medical ideas, such as anatomy and cell physiology.
Contradictory ideas — The tridosha theory ascribes all ailments to a dosha imbalance.
Contemporary medicine identifies the ideas behind certain illnesses, including infections, within germ theory, among other concepts.
Ideas like integrative medicine are illogical as there is no compromise between the two medical systems.
What difficulties are linked with this?
Issues regarding drugs – If the 2020 notification remains in effect, the concern is whether these Ayurvedic practitioners are now permitted to utilize anesthetics and antibiotics necessary for performing surgeries.
Unfounded arguments – The dangers to public health in India are significant because Ayurvedic practitioners may claim that contemporary surgeries were already recognized in traditional Indian medicine.
Political elements – It's not solely the governing party; many political parties are pressured to endorse a clearly hazardous stance on public health.
The party claimed it would “support” all forms of medicine, rather than committing to just rational, evidence-based medicine.
Government policies – The government is currently exploring the addition of AYUSH (Ayurveda, Yoga and Naturopathy, Unani, Siddha, and Homeopathy) therapies within the Ayushman Bharat insurance program financed by taxpayers.
Massive Expenditure – About ₹20,000 crores will be allocated for research bodies operating under the Ministry of AYUSH tasked with investigating AYUSH.
What is in store?
Unquestioning reliance on traditional medicine may eventually be costly for each citizen, as there is minimal scientific evidence supporting these practices.
The government might take into account the welfare, security, and informed consent of Indian citizens.
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