This post is part of our forum on David H. Freedman's July/August story, "The Triumph of New Age Medicine." Follow
the debate here.
Every medical system has its limitations. Acupuncture,
naturopathy, chiropractics, and Ayurveda--these are wonderful alternative
medical systems and they, too, have their own limitations. Modern allopathic medicine is no exception. Nothing can
compare to modern medicine during an acute emergency. When it comes to certain
heart attacks, stroke paralysis, fracture, or acute appendicitis, modern
medicine has achieved great success. Additionally, these treatments rely on a
very profound, scientifically developed method of research--double-blind studies
that show the effectiveness or lack of effectiveness of a drug.
But, modern medicine, like every other system of medicine,
has its challenges. Medical treatment, or even diagnostic examination, can
cause adverse effects in a patient. These effects are known as iatrogenic
disease, and they can be relatively minor--or they can be complex and life
threatening, claiming more than 50,000 lives each year. Plus, when it comes to preventing disease and treating chronic illnesses,
modern medicine continues to fall short.
Many of the practitioners of modern allopathic medicine
realize the limitations of their own science, and for that reason, they are
turning to other systems of medicine that have stood the test of time. Ayurveda
is one such system. Although it came to prominence in the western world during
the last two decades, this ancient medical system has been in practice for more
than 5,000 years. This system is based not upon disease alone but upon the
concept of perfect health. According to Ayurveda, every individual is a unique
expression of consciousness with a unique prakruti,
or psycho-physiological type. That concept is missing in modern medicine.
Even modern medicine recognizes that every individual is
unique and separate. Its treatments are based on statistical
observations--standards of normality that look at common traits in large groups
of people. These methods work to some extent, but they do not always work
because every individual has a unique constitution. A good example of this is
antihypertensive drugs. The same drug will not be suitable for everyone, so there
are many different antihypertensive drugs on the market, indicating that modern
medicine has come to the understanding that every individual is distinct.
Ayurveda is a safe alternative approach, a medical system
that focuses on preventing disease and treating its root causes. Ayurveda
provides specific advice on proper diet and lifestyle, as well as cleansing and
detoxification programs. And unlike modern allopathic drugs, Ayurvedic
treatments are tailored to the specific constitution (prakruti) and imbalances (vikruti)
of each individual person. Following these guidelines can help prevent future
heart attacks, stroke paralysis, or even cancer. It is also useful for chronic
conditions such as rheumatoid arthritis and sciatica, improving quality of life
in a way that modern medicine has not managed to do.
As the Atlantic
article points out, modern medicine relies on clinical trials to test the
effectiveness of a drug. The Ayurvedic approach is a bit different. In addition
to a history of developing and testing new substances, Ayurveda relies on its
own pharmacological "database," recorded in ancient texts such as the Charaka Samhita. Every herb we use has
logic behind it, based upon the qualities of the herb and its effects as it
passes through the digestive tract. This action is not placebo; it is
based upon a centuries-old understanding of how an individual's constitution
interacts with a specific substance.
For example, a patient might come to us with a rash. An
allopathic doctor might prescribe an antihistamine drug or a steroidal, topical
cream to treat the symptoms of the rash. This will suppress the symptoms but
does not address the root cause. But we examine the patient and look for the
underlying cause. If we determine that the rash is the result of a pitta imbalance--pitta being the constitutional quality that is hot, sharp, and
penetrating--we prescribe specific sweet, cooling herbs that have been
time-tested to reduce pitta. Once the
underlying balance is restored, the rash will diminish and disappear.
This is a simple example of these principles. More complex
protocols provide treatments specific to the pathogenesis, the particular
tissue involved, and the constitutional energy that is out of balance.
Ayurvedic medicine is a practical, clinical alternative medicine and not merely
a placebo.
There is active and ongoing research into Ayurveda,
particularly in India. Past research may not meet western standards, but
today's research aims to follow modern scientific protocol. In the meantime,
many M.D.s are already working together with Ayurvedic physicians to heal
patients. Allopathic medicine remains irreplaceable in situations of dire
emergency. But, once the emergency is over, the Ayurvedic physician can help.
The debate continues here.
This article available online at:
http://www.theatlantic.com/health/archive/2011/06/why-traditional-medicine-matters/240539/