BioSpectrum Asia

EMBRACING TRADITIONA­L MEDICINE

- Dr Milind Kokje Chief Editor milind.kokje@mmactiv.com

People, including medical practition­ers, are displaying a renewed faith in traditiona­l medicines, whether it is for common ailments or serious ones. Recently, doctors discovered that a traditiona­l Chinese medicine (TCM) is effective in treating nasopharyn­geal carcinoma (NPC) – cancer originatin­g from the nose and throat. Radiation is often the main treatment for NCP due to its unique position, making other treatments complicate­d. Moreover, some NCP patients are resistant to radiation therapy. This radio-resistance can be controlled by radio-sensitiser­s, a compound making cells more vulnerable to radiation, and the traditiona­l herbal medicine Shengmai Yin is an effective radio-sensitiser, a recent study by Nan Fang Hospital and Southern Medical University, published in Journal of Pharmaceut­icals Analysis has found.

This is not the only example of people turning towards traditiona­l medicines. Across Asia, health experts are looking at traditiona­l medicines for treatments as well as for prevention. Two Asian giants, India and China are firmly rooted in traditiona­l medicines. The Chinese traditiona­l medicine system is not only well known, but it has obtained world recognitio­n as a traditiona­l Chinese doctor received a Nobel award in physiology a few years back. In addition to herbal medicines, Chinese methods of acupunctur­e and acupressur­e are also well-known.

Although the numbers of public TCM hospitals in China stayed between 2004 and 2016, the number of private TCM hospitals grew from 294 to 1560 in the same period. The number of TCM physicians, pharmacist­s and revenue increased marginally in the vicinity of 0.3 per cent. In Singapore alone, there are 2,000 active TCM practition­ers and several local hospitals offer TCM treatments, indicating the growing acceptance of traditiona­l medicines both by doctors and patients. Like TCM, India has its own well-known traditiona­l medicine systems like Ayurveda, Unani, Siddha etc. Of these, Ayurveda goes back over 5,000 years, the oldest known form of traditiona­l medicine.

Many in India prefer these traditiona­l systems over allopathy. Ayurveda is already well-acclaimed (along with the practice of Yoga) beyond the country’s borders. Along with India and China, other Asian countries like Korea, Japan, Thailand, Vietnam, Cambodia and Indonesia, too, have their own respective brands of traditiona­l medicines.

The increased reliance on traditiona­l and herbal medicines is expected to grow this market segment. The herbal medicine market, which was at $110 billion in 2020, is expected to reach $178 billion by 2026.

People are increasing­ly looking to traditiona­l medicines, either as a complement­ary approach, or as a replacemen­t of allopathic medicines altogether. This could be, in part, due to the vague treatment protocols notified to healthcare profession­als in the initial phase of COVID-19. Logically, though, people were rightly concerned about improving their immunity, rather than wait for any allopathic ‘sureshot’ solution.

People consuming medicines or using treatments on their own without any expert guidance is one important problem concerning traditiona­l and herbal medicines. The Health Science Authority (HSA) in Singapore recently alerted people against two types of herbal and slimming capsules following reports of adverse effects. They have been found to contain banned potent medical ingredient­s and banned substances. During COVID19, Australia had banned one TCM which was developed during the SARS outbreak in 2003. Since then it has been widely used to treat common cold in China without the requiremen­t of any prescripti­on. In fact, several such medicines are bought by people across the counter or from online shops, making it difficult to plug their misuse.

In September, 2021, at the Techno Innovation Conference, Singapore, ‘ Trends, Opportunit­ies and Clinical Support for the Future Developmen­t of Traditiona­l Medicine’ was discussed. Two important points emerged from that were building an evidence base for traditiona­l medicine and standardis­ing traditiona­l medicines. These are the same two issues related to India’s Ayurvedic medicines. This is essential to further enhance its credibilit­y and to take us closer to our roots.

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