Journal of Research in Ayurvedic Sciences

EDITORIAL
Year
: 2022  |  Volume : 6  |  Issue : 1  |  Page : 1--3

Multidisciplinary approach for clinical diagnosis in traditional medicine: Towards personalized and targeted therapies


Rabinarayan Acharya 
 Editor-in-Chief, Journal of Drug Research in Ayurvedic Sciences, Central Council for Research in Ayurvedic Sciences (CCRAS), Ministry of Ayush, Government of India, New Delhi, India

Correspondence Address:
Prof. Rabinarayan Acharya
Central Council for Research in Ayurvedic Sciences (CCRAS), Ministry of Ayush, Government of India, Janakpuri, New Delhi
India




How to cite this article:
Acharya R. Multidisciplinary approach for clinical diagnosis in traditional medicine: Towards personalized and targeted therapies.J Res Ayurvedic Sci 2022;6:1-3


How to cite this URL:
Acharya R. Multidisciplinary approach for clinical diagnosis in traditional medicine: Towards personalized and targeted therapies. J Res Ayurvedic Sci [serial online] 2022 [cited 2022 Oct 6 ];6:1-3
Available from: http://www.jrasccras.com/text.asp?2022/6/1/1/353406


Full Text



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Like the contemporary medical sciences, the traditional medical systems (TMS) also emphasize precise diagnosis to treat diseases successfully. However, the diagnosis itself is a dynamic process that begins with the patient’s illness history and culminates in a diagnosis before planning a management strategy. The diagnostic methodology differs among the health systems based on their fundamental concepts and technologies.

Evidence-based medicine is the conscientious, explicit, judicious, and reasonable use of current best evidence in making decisions about the care of individual patients.[1] Evidence-based medicine focuses on a systematic approach to arriving at a diagnosis, integrating clinical expertise and available evidence, and overlaying it on specific patient signs and symptoms. In traditional medicine systems, the diagnosis process is based on the available codified information in the form of classical treatises, clinical experience, and physician’s logic, and the role of research evidence is minimal. In EBM, the clinical experience and judgment are combined with the finest available research information and investigational findings.[1] The current medical diagnostic process and decisions regarding the optimal diagnostic or therapy procedure are generated by amalgamating scientific evidence from clinical research. Clinical logic-based decision-making is not the primary basis in decision-making, unlike traditional medicine, and hence TM has limitations in integrating contemporary diagnostic processes or methods. TM is an inevitable component of health care in the present era, but the concepts, mechanisms, and methods are not easily explicable. Both systems of medicine have their limitations and their own unique merits. Holistic views, personalized approaches are unique to TM and the amenability to integration with advanced techniques, universality and evidence base are the advantages of contemporary medicine.

The need for multidisciplinary integrated diagnosis and therapeutic decision making is paramount in light of the mounting healthcare burden, inadequate healthcare delivery, presence of co-morbidities in health seekers, emerging techniques, and technological advances that range from laboratory methods/techniques to genetic testing, emerging evidence through research and practice, etc. is a point for discussion for health care decision-makers and stakeholders.

The role of traditional medicine in strengthening primary healthcare delivery system has been reflected in the WHO global report on traditional and complementary medicine 2019.[2] Development of Benchmarks for clinical training of Ayurveda is an encouraging global step for achieving integration by creating awareness from the basic level. Creating conducive environment for multi-disciplinary approach is an urgent need which can be met through unanimous efforts at different strat viz. academic, practitioner, research knowhow and policy making.

Development of concrete and impact making programmes which take into account fundamental doctrines of Ayurveda, experiential evidence from practicing physicians as well as experimental evidence from neatly planned research studies alongwith technology driven solutions in Ayurveda diagnostics can surely come up with demonstrable outcomes in terms of integration.[3]

In Ayurveda, the integration is essential in gathering the information required for diagnostic decision-making, including subjective evidence gathered from the patient through “Ayurveda Pariksha” and strengthened with objective and subjective evidence generated from the laboratory radiological and other investigations. The clinico-pathological approach in Ayurveda can be rejuvenated and strengthened by using multidisciplinary integration.

This would also enable the generation of evidence through modern parameters for the scientific validation of Ayurveda therapeutics for global dissemination.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.

References

1Masic I, Miokovic M, Muhamedagic B Evidence based medicine - new approaches and challenges. Acta Inform Med 2008;16:219-25.
2Anonymous. WHO benchmarks for training in Ayurveda. Geneva: World Health Organization; 2022. Licence: CC BY-NC-SA 3.0 IGO.
3Katoch VM Planning action for strengthening the ecosystem for ayurvedic research. J Ayurveda Integr Med 2018;9:248-9.