Objective :
Sow rig pa –
The Tibetan Medical System has been officially recogonised by the Govt. of
India by including it in the IMCC Act 1970 with due approval of the Indian
Parliament in 2010. Since this sy.stem has a lot of commonalities with the
Indian Systems of Traditional Medicine
-Ayurveda and Siddha it was decided to understand the commanalities in
the area of Basic principles, Drugs & Pharmaceutics, Diagnostic methods and
Treatment methods among these systems and also sensitize physicians of the
unique speciality procedures of each system.
Organizers
The
director of Mee- Tsee-Khang ( Tibetan Medical Astrological Institute) of His
Holiness Dalai Lama deputed 16 Tibetan Medical practitioners from TMAI-
Dharamsala and its branch clinics (53) functioning across the country to Centre
for Traditional Medicine & Research for this interactive meet.
The
Local Siddha Partner- CTMR invited 12 Siddha experts (From National Institute
of Siddha, Siddha Medical College, Anna Hospital of Indian Medicine, CCIM E.C member, Siddha Primary health care
physician, Varma Physician, Researchers, Private Practitioners and NGO) to
interact with the visiting Tibetan practitioners.
Venue and
Date
The
proceedings took place in the CPR Foundation, Enviornmental Research Centre,
Chennai on 8th and 9th March, 2013. The delegates also
visited Sri Ragavendra Siddha Varma Hospital the evening of 8th and National
Institute of Siddha on 9th morning.
First day
proceedings
The proceedings started with
traditional invocation in tamil followed by invocation in Tibetian
language”Medicine Buddha” . Dr. Nandhitha Krishnan of CPR Foundation welcomed
the gathering and explained how the tibetan medicine was able to help cancer
patients in chennai and Bangalore This was followed by the inaugural address by
Dr. Prof. K. Manickavasakam Director,National Institute of Siddha who
appreciated the initiative of dialogoue between two traditional systems of
medicines which could further strengthen the systems. The Chief Conservator of
Forest and Director of Sericulture Govt.
of Tamilnadu Mr. V. Prabakaran in his keynote address stressed the need of
conservation and propagation of medicinal plants, both tropical and high
alltitute plants and explained how his department is working towards increasing
local production of silk to stop import of chinese silk which could also be
done in medicinal plant sector.
The first presentation was by Dr.
Thirunarayanan, Secretary, CTMR on the Basic principles and History of Siddha
Medicine where he briefly introduced the system to the Tibetian doctors and
also spoke on the scope of collaboration between the two systems. The Basis and
History of Tibetian system of medicine was presented by Dr. Sonam Dolkar Oshoe
of Documentation & Publication Department Men-Tsee-Khang. The Commonanities
where explained by both speakers on the Five Physico cosmic elements. Three
humours ( Vata- rlung, Pita- tripa and Kapha- Bad-kan) and the historical
exchange between Indian and Tibetan traditional
physicians as early as 7th Centuary A.D was appreciated by the
delegates. The influence of Buddhist thoughts on siddha medicine was clearly
spelt out.
Dr. R.Sudha of Govt. Siddha Medical college
Chennai elaborated on understanding disease and diagnostic methods of Siddha
while Dr. Migmar Lhamo, Resident Doctor Bylakupee Branch Clinic spoke for
Tibetian medicine which was also followed by a question session. The
understaning on the Pulse diagnosis and Urine analysis though common for both
systems, which does not require any high end laboratory, certain finer details
like examining the radial pulse of both hands related to different internal
organs of tibetan medicine reminded one of the Chinese pulse diagnosis.
The post lunch session commenced
with Vaidya S.Usman Ali’s presentation on Inorganic Pharmaceutics of Siddha. The
emphasis on inorganic pharmaceutics in siddha due to non-availability of herbs
all round the year, long shelf life of the inorganic drugs, its nano particle
size, formulation expertise, requirment of minute dose for short term use and
efficacy in addressing nutritional needs (Trace elements) and management of even
life threatening conditions.He also explained the intricacies of the detoxifying
process of inorganics and mentioned their use only in appropriate condition.The
thirty two dosage forms of internal medicine was also touched upon.
Tibetian medicine pharmaceutics was presented
in tibetian by Jamyang Tashi, Head of Pharmaceutical Department of
Men-Tsee-Khang and was translated by Dr. Sonam Dolkar Oshoe for the audience.
He explained the ten dosage morms – Decoction, concentrate, powder, pills, medicinal
paste, medicinal butter,medicinal ash, medicinal wines, gem medicines and
herbal compounds. In all 176 drugs are prepared under GMP conditions in his
department at TMAI, Dharamsala and distributed to all 53 branch clinics in the
country and abroad. He also mentioned that medicines are not being prepared for
the purpose of commerce and there is no deviation from the textual reference
both in terms of ingredients or process. But however Modern equipments for
particle size reduction, cleaning, blending, pill making are used as well as
utilities for clean manufacture. Quality parameters for raw material and
processing are follwed as per the text Rgyud-bzhi ( Four tantras)
The Topic on Plant medicine resource
was also presented by Vaidya S.Usman Ali for Siddha and by Dr. Tsetan Mingyur, Materia
Medica Department, Men-Tsee-Khang, Dharamsala for Tibetian medicine. The drug
raw materials are classified as gem, stone, soil, tree, musciliginous, shrubs,
herbs and animal products. Most plants are common like Chebulic myrobalan,
belleric myrobalan, Indian gooseberry, Pushkaramool, kutki etc, There are some
exclusive high alltitute plants that are unique to Tibetan medicine. The issue
of non availabity of certain species
like musk were also discussed. The issue of ban on mercurial drugs from 2013
Jan and its implication on both systems and ayurveda as well was discussed.
The entire interactive programme was
co-ordinated by Dr. T. Thirunarayanan.
The participants then went on a
field visit to Sri Ragavendra Siddha Varma Hospital were a private siddha
hospital specializing in varma and other external therapies are being carried
out in North Chennai, the tibetan practitioners said it motivated them to take
up the accessory therapies of their system with more seriousness in their
branch clincs and the day closed with
dinner hosted by CTMR.
Second
day proceedings
The morning session started with a visit to NIS and
Dr.A.Rajendrakumar presented a overview of the functioning of NIS, its clinical
services, academic branches, research, capacity building activities. The visiting
practitioners were surprised with huge turn out of patients in the NIS hospital
(around 2300 p[er day). They expressed the apprehension that individual
patients have to wait for their turn both to see physicians as well as to
collect their medicines. The proposal for expansion of hospital services was
explained to them by the Director, NIS. They were also taken around the campus
to study its flora, particularly medicinal plants used in siddha system.
The post lunch session started with presentation on Role
Of Diet by Dr. R. Padmapriya of Centre for Traditional Medicine & Research and
by Dr. Sonam Dolkar Oshoe for Siddha and Tibetian medicine respectively. The
similarities between the two system of medicines reflected beautifully in these
presentations. In fact the incompatabile foods mentioned in both systems were
too similar.Dr Bhooma of Ambattur briefed with clarity on Cleansing Therapy
while Dr. T. Thirunarayanan introduced External Therapies of Siddha Medicine and Dr.
Siddique Ali demonstrated it for frozen shoulder which hogged the attention of
all participants. Specialtiy treatment for Tibetian medicine was presented.
Dr. B.Muthukumar Executive committee member of Central
Council For Indian Medicine rendered his reflection of the interactive meet. He
mentioned gSowa-rigpa and Siddha medicine should also be compared in the areas of
reproductive and child care and this was a good platform to debate and many
similarities were discussed and there is a good scope for collaborative
efforts. Dr. Dorjee Rapten Neshar CMO of the Bangalore unit of Mee- Tsee- Khang
made the concluding remarks and expressed his desire for continued interaction
between the two systems.
Dr.T.Thirunarayanan, Secretary, CTMR said as both
systems have many commanalities that collaborations in areas of drug research,
treatment is possible and expressed his desire that Siddha system should
emulate the TM in expanding it services to all over the country and
subsequently to humankind all over the world. He appreciated that with 300
registered practitioners 53 branch clinics of Mee- Tsee- Khang is functioning
all over, then it is time for Siddha too to spread.
Language barrier (Texts of Siddha and training being
only in Tamil) is the impediment and it should be overcome. The Dept of AYUSH
should come out with Special schemes for Siddha to open centres atleast in all
major cities of India with Sizable Tamil population.
Dr.V.Tamilalagan and Dr.R.Sangeetha documented the whole proceedings. Vd.R.B.Ramamurthy, traditional siddha physician also provided his insight.
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