Monday, 9 November 2015

Traditional Chinese and Thai medicine in a comparative perspective


Highlights

It is a comprehensive comparison between two traditional medicines.
The spread of modern medicine do impacted the rise and fall of traditional medicines.
Deepening exchanges and cooperation between China and Thailand are beneficial.
Traditional medicines can serve for upgrading healthcare tourism.

Abstract

The work presented in this paper compares traditional Chinese medicine and traditional Thai medicine, expounding on origins, academic thinking, theoretical system, diagnostic method and modern development. Based on a secondary analysis of available literature, the paper concentrates on two crucial historical developments: (1) the response to, and consequences of, the impact of the Western medicine; and (2) the revival of traditional medicine in these two countries and its prospects. From a comparative perspective, the analysis has led to the conclusion that the rise and fall of traditional medicine is an issue closely related with social and political issues; and the development of traditional medicines requires national policy and financial support from governments, human resource development, the improvement of service quality, and the dissemination of traditional medicine knowledge to the public. In addition, this paper also suggests deepening exchanges and cooperation between China and Thailand, strengthening cooperation between traditional medicine and medical tourism.

Abbreviations

  • TM, traditional medicine;
  • TCM, traditional Chinese Medicine;
  • TTM, traditional Thai medicine;
  • FDA, Thai food and drug administration;
  • KMT, the nationalists;
  • MOPH, Thailand’s ministry of public health;
  • WHO, world health organization;
  • PHC, primary health care;
  • ITTM, institute of Thai traditional medicine;
  • DATM, department for the development of Thai traditional and alternative medicine;
  • DSHEA, dietary supplement health and education act;
  • SARS, severe acute respiratory syndrome;
  • UNESCO, "united nations educational, scientific and cultural organization";
  • ICD-11, the 11th version of international classification of disease

Keywords

  • Traditional medicine;
  • Modern development;
  • Comparative studies

1. Introduction

Traditional medicine (TM) has been used for thousands of years in some countries.1 The history of Traditional Chinese medicine (TCM) dates back to antiquity, traditional Chinese medical science and medicine has been spread to many places all over the world.2 Similarly, evidence shows that Thai people began to use herbal medicine for the treatment of various symptoms and diseases and health promotion before the Sukhothai period or before 1238 A.D. The Kingdom of Thailand also has its own system of traditional medicine which is called “Thai traditional medicine” (TTM) and it had been a means of national health care for the Thai people until the early 20th century.3
Among the TMs in the world, there are Chinese, Korean, Japanese traditional medicines which originated from ancient China. Besides, the Ayurvedic medicine has Indian origin and Unani medicine is used in Arabic countries.4 Although TTM is not considered to be a major traditional medicine in the world, it is worth a study because there is much comparability between TCM and TTM. Both China and Thailand are developing countries with similar climatic and geographical environment. Both countries are rich in medical resources and have distant historical and cultural backgrounds. Besides, there have been many overseas Chinese people in Thailand for a long time and TCM has been accepted and developed in Thai society.
The TM of China and Thailand differ in their origins, academic thinking, theoretical system and diagnostic method. And yet, the modern development of these two medicines strikingly manifests a historical similarity: The spread of modern medicine from the Western world to the East led to a decline in the practice of traditional medicine both in Thailand and China. Based on a secondary analysis of available literature, this paper aims to do comparative studies between TCM and TTM, and concentrates on two crucial historical developments: (1) the response to, and consequences of, the impact of the Western medicine; and (2) the revival of traditional medicine in these two countries and its prospects. In this ever-changing globalization age, the practical significance of the comparison is to discover the objective laws of the development of TM, to fully identify the similarities and differences between the two medicines, to create a necessary platform for securing cultural sensitivity and enhancing mutual understanding and cooperation between the two countries.

2. TCM and TTM

2.1. Legal definition and brief history

Committee for Terms in TCM defined TCM as “a comprehensive science to study transformation between health and disease in human life and the prevention, diagnosis, treatment, rehabilitation and health care based on Chinese medicine theory and practical experience”.5 However, TCM is born of Chinese culture and there are a lot of enlightening views in Daoism, Confucianism, and Buddhism, the major schools of philosophy in Chinese civilization. They are thought to be essential to healthy living and development of TCM. TCM originated from the legendary clan leader Fu Xi (2593 BC) period, established its theoretical system during the late years of the Warring States period to Chin and Han dynasties (475 BC–AD 220).6 So t he Comprehensive academic system of TCM had been formed more than 2500 years. During the Jin and Tang dynasties (265 AD–907 AD), TCM experienced great development and absorbed much medical information from Arabian countries, Japan and India. During the Song and Yuan dynasties (960 AD–1368 AD), the invention of printing technology and further advances in papermaking caused TCM to spread widely and to be deeply researched. During the Ming and Qing dynasties (1368 AD–1911 AD), every part of TCM was enriched and TCM spread to the countries of Europe and the Americas. From the beginning of the Opium War in 1840, China was continually defeated by outside forces. There were some Chinese people who, as a result of the national crisis, developed a cultural inferiority complex and produced a tide of complete opposition to their own culture. Western medicine took root, and Chinese medicine went into a hundred year decline.