Abstract
Ethnomedicine refers to indigenous healers' medicinal practices that rely on material and non-material components to prevent and treat illnesses. Indigenous healing works as an essential healthcare option for the indigenous population. Despite the advancement of biomedicine and expansion of healthcare services, indigenous people continue to consult indigenous healers for physical, psychosocial and emotional problems. However, there are concerns over the erosion of indigenous knowledge and a withered state of healing practices. Now, ethnomedicine is in question as there are suspicions or doubts over indigenous healing practices' usefulness, relevance and continuity. Based on the field data collected from the healers and patients of the Tharu ethnic community in Nepal, this paper discusses the change and continuity in healing practices. This paper examines how deeply embedded the healing practices are in the cultural traditions, how such traditions contribute to the continuation of healing practices and how supportive the state policies are in preventing the erosion of indigenous knowledge and healing practices.
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References
Acharya, R., & Acharya, K. P. (2009). Ethnobotanical study of medicinal plants used by Tharu community of Parroha VDC, Rupandehi District Nepal. Scientific World, 7(7), 80–84.
Adhikari, K. (2006). Indigenous healing practices among Tharus of Amrai Village in Dang. Education and Development, 22(Special issue), 106–116.
Anderson, I., Robson, B., Connolly, M., Al-Yaman, F., Bjertness, E., King, A., Tynan, M., Madden, R., Bang, A., Coimbra, C. E. A., Pesantes, M. A., Amigo, H., Andronov, S., Armien, B., Obando, D. A., Axelsson, P., Bhatti, Z. S., Bhutta, Z. A., Bjerregaard, P., & Yap, L. (2016). Indigenous and tribal peoples’ health (The Lancet-Lowitja Institute Global Collaboration): A population study. The Lancet, 388(10040), 131–157. https://doi.org/10.1016/S0140-6736(16)00345-7
Aryal, K., Dhimal, M., Pandey, A., Pandey, A., Dhungana, R., & Khaniya, B. (2016). Knowledge diversity and healing practices of traditional medicine in Nepal. Nepal Health Research Council.
Attewell, G., Hardiman, D., Lambert, H., & Mukharji, P. B. (2012). Agendas. In D. Hardiman & P. B. Mukharji (Eds.), Medical marginality in South Asia: situating subaltern therapeutics (pp. 1–5). Routledge.
Bajracharya, M. B. (2006). Traditional ayurveda, the indigenous knowledge and health practice in Nepal. Education and Development, 22(Special issue), 90–97.
Bista, D. B. (1969). People of Nepal. Ratna Pustak Bhandar.
Cameron, M. M. (2008). Modern desires, knowledge control, and physician resistance: Regulating ayurvedic medicine in Nepal. Asian Medicine, 4, 86–112.
Castillo, R. J. (2001). Lessons from folk healing practices. In W.-S. Tseng & J. Streltzer (Eds.), Culture and psychotherapy: A guide to clinical practice (pp. 81–103). American Psychiatrist Inc.
CBS. (2012). Volume 01, NPHC 2011: National population and housing census 2011 (National Report). Central Bureau of Statistics, Government of Nepal.
Dahal, D. R. (2014). Social composition of the Population: Caste/ethnicity and religion in Nepal. In Population monograph of Nepal, Vol II (Social Demography). Central Bureau of Statistics, Government of Nepal.
Dahit, G. (2008) Research brief: Inclusion/exclusion of Tharu indigenous knowledge and practices. Social Inclusion Research Fund (SIRF)/SNV Nepal.
Dalal, A. K. (2011). Relevance of traditional healing practices in India. Ailaan NCRI Newsletter, II (VII), 21–24.
DOAA. (2020). Paramparagat upacharakko suchikaran maapdand 2077 BS (Namuna Masyauda) [ Enlisting Criteria for Traditional Healers 2020 (Sample draft)]. https://doaa.gov.np/notices/
Ember, C. A. & Ember, M. (Eds.) (2004). Encyclopedia of medical anthropology: Health and illness in the world’s culture. (Vols. 1–2). Springer Science and Business Media.
Gaire, B. P. & Subedi, L. (2011). Medicinal plant diversity and their pharmacological aspects of Nepal Himalayas. Pharmacology Journal, 3(25).
Ghimire, K., & Bastakoti, R. R. (2009). Ethnomedicinal knowledge and healthcare practices among the Tharus of Nawalparasi District in Central Nepal. Forest Ecology and Management, 257, 2066–2072.
Guneratne, A. (2001). The shaman and the priest: Ghosts, death and ritual specialists in Tharu society. Himalaya, the Journal of the Association for Nepal and Himalayan Studies, 19(2), 9–20.
Guneratne, A. (2010). Tharu-state relations in Nepal and India. Himalaya, the Journal of the Association for Nepal and Himalayan Studies, 29(1), 19–28.
Gurung, G. M. (1992). Socioeconomic network of the Terai Village: An account of the Rana Tharus of the Urma Urmi. Contributions to Nepalese Studies, 19(1), 19–25.
Iwu, M. M., & Wootton, J. (Eds.), (2002). Ethnomedicine and Drug Discovery. Elsevier.
Joshi, P. (2004). The world of tribal healers. In A. K. Kalla, & P. C. Joshi (Eds.), Tribal health and medicines (pp. 202–241). Concept Publishing Company.
Katewa, S. S. (2009). Indigenous people and forests: Perspectives of an ethnobotanical study from Rajasthan (India). In K. G. Ramawat (Ed.), Herbal drugs: Ethnomedicine to modern medicine (pp. 33–56). Springer.
Koirala, R. R. & Khaniya, B. N. (2009). Present status of traditional medicines and medicinal and aromatic plants related resources and organizations in Nepal. Nepal Health Research Council.
Kleinman, A. & Sung, L. H. (1979). Why do indigenous practitioners successfully heal? Special issue: Parallel medical systems: Papers from a workshop on “The Healing Process 13(1), 7–26. https://doi.org/10.1016/0160-7987(79)90014-0
Konadu, K. (2007). Indigenous medicine and knowledge in African society. Routledge.
Krauskopff, G. (1995). The anthropology of the Tharus: An annoted bibliography. Kailash Journal of Himalayan Studies, XVII(3 & 4), 185–213.
Kunwar, R. M., Nepal, B. K., Kshhetri, H. B., Rai, S. K., & Bussmann, R. W. (2006). Ethnomedicine in Himalaya: A Case Study from Dolpa, Humla, Jumla and Mustang Districts of Nepal. Journal of Ethnobiology and Ethnomedicine , 2(1), 27. https://doi.org/10.1186/1746-4269-2-27
Lambert, H. (1996). Popular therapeutics and medical preferences in Rural North India. The Lancet, 348, 1706–1709.
Leslie, C. (1976). The ambiguities of medical revivalism in modern India. In C. Leslie (Ed.), Asian medical systems: A comparative study (pp. 356–367). University of California Press.
Lock, M., & Nguyen, V.-K. (2010). An anthropology of biomedicine. Wiley-Blackwell.
Maiti, S. (2004). The Tharu: their arts and crafts. Northern Book Centre.
Manandhar, N. P. (1985). Ethnobotanical notes on certain medicinal plants used by Tharus of Dang Deokhuri District Nepal. International Journal Crude Drug, 23(4), 153–159.
McDonaugh, C. (1989). The mythology of the Tharu: aspect of cultural identity, in Dang, West Nepal. Kailash Journal of Himalayan Studies, 15(3 & 4), 191–204.
MoHP. (2014). Rastriya Swasthya Niti 2071 [The National Health Policy 2014]. Ministry of Health and Population, Government of Nepal.
MoHP GoN. (2015). Nepal health sector strategy 2015–2020. Ministry of Health and Population, Government of Nepal (GoN).
MoHP. (2017). Rashtriya Swasthya Niti 2074 [The National Health Policy 2017] First Draft of on New Health Policy submitted by High-Level Committee for Internal and Public Discussion. Ministry of Health and Population, Government of Nepal.
Najunda, D., Annapurna, M., Midatala, R., & Laxmi, J. (2009). Medical pluralism and health seeking behavior of primitive society: A medico-anthropological study. In D. C. Najunda (Ed.), Social anthropology in India: An ethnography of policy and practice. (Vol. 3, pp. 696–711). Sarup Book Publishers Pvt. Ltd.
National Foundation for Upliftment of Aadibasi/Janjati Act. (2002). no. Act Number 20, Parliament. https://www.lawcommission.gov.np/en/archives/category/documents/prevailing-law/statutes-acts/national-foundation-for-upliftment-of-aadibasi-janjati-act-2058-2002
NESAC. (1998). Nepal human development report, 1998. Nepal South Asia Center (NESAC).
Nichter, M. (1980). The Layperson’s perception of medicine as perspective into the utilisation of multiple therapy systems in the Indian context. Social Science & Medicine. Part B: Medical Anthropology, 14(4), 225–233.
Nichter, M. (2005). Popular perceptions of medicine: A South Indian case study. In M. Nichter & M. Nichter, (Eds). Anthropology and international health: Asian case studies (Vol. 3, pp. 205–240). Routledge.
Paudyal, S., & Ghimire, G. (2006). Indigenous medicinal knowledge among tharus of central dang: A note on gastro-intestinal diseases. Education and Development, 22, 98–105.
Priya, R., & Shweta, A. S. (2010) Status and role of AYUSH and local health traditions under the NRHM. National Health Systems Resource Center.
Quack, J. (2012). Ignorance and utilisation: Mental health care outside the purview of the Indian state. Anthropology & Medicine, 19(3), 277–290. https://doi.org/10.1080/13648470.2012.692357
Rajaure, D. (1981a). Tharus of dang: The people and the social context. Kailash Journal of Himalayan Studies, 17(3 & 4), 155–188.
Rajaure, D. (1981b). The Tharu Women of Sukrawar. Center for Economic Development and Administration.
Rajaure, D. (1982). Tharus of Dang: Tharu Religion. Kailash Journal of Himalayan Studies, 9(1), 61–96.
Ramawat. K. (Ed). (2009). Herbal Drugs: Ethnomedicine to modern medicine. Springer.
Regmi, R. R. (2003). Ethnicity and identity. Occasional Papers in Sociology and Anthropology, Central Dept of Sociology and Anthropology, Tribhuvan University., VII, 1–11.
Shafey, O. (1997). Medical pluralism among the Tharu people of far West Nepal: The logic of shamanism at the jungle frontier [Ph. D. Dissertation]. University of California San Fransisco.
Shrestha, N., Prasai, D., Shrestha, K. K., Shrestha, S., & Zhang, X.-C. (2014). Ethnomedicinal practices in the highlands of central Nepal: A case study of Syaphru and Langtang Village in Rasuwa District. Journal of Ethnopharmacology, 155(2), 1204–1213. https://doi.org/10.1016/j.jep.2014.07.002
Singh, N., & Aggarwal, B. (2009). Health communication among scheduled tribes of chhatisgarh: An anthropological analysis. The Eastern Anthropologist, 62(4), 491–498.
Subedi, J. (1992). Primary health care and medical pluralism exemplified in Nepal: A proposal for maximizing health care benefit. Sociological Focus, Special Issue: Health and Health Care in Developing Countries, 25(4), 321–328.
Subedi, B. (2019). Medical pluralism among the Tharus of Nepal: Legitimacy, Hierarchy and state policy. Dhaulagiri Journal of Sociology and Anthropology, 13, 58–66. https://doi.org/10.3126/dsaj.v13i0.26197
Subedi, B., & Joshi, L. R. (2018). (Un) popular traditional medicine: Community perceptions, changing practices, and state policy in Nepal. Esocial Science and Humanities, 1(2), 157–167.
Sujatha, V. (2014). Sociology of health and medicine: A new perspective. Oxford University Press.
Tseng, W. S. (2009). Indigenous, folk healing practices. In M. G. Gelder, N. C., Andreasen, J. J. López-Ibor Jr. & J. R. Geddes (Eds.), New oxford text book of psychiatry (Vol. 1–II, pp. 1418–1422). Open University Press.
The ayurveda medical council (First Amendment) Act 1999, no. Act number 21 (1999). http://www.lawcommission.gov.np/en/documents/2015/08/ayurveda-medical-council-act-2045-1988.pdf
The Public Health Service Act. (2018). no. Act Number 11, Parliament. https://www.lawcommission.gov.np/en/wp-content/uploads/2019/07/The-Public-Health-Service-Act-2075-2018.pdf
WHO. (2019). WHO global report on traditional and complementary medicine 2019. World Health Organization. https://apps.who.int/iris/handle/10665/312342
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Subedi, B. (2023). Ethnomedicine in Question: The Case of Tharu Healers and Healing Practices. In: Reddy, S., Guite, N., Subedi, B. (eds) Ethnomedicine and Tribal Healing Practices in India. People, Cultures and Societies: Exploring and Documenting Diversities . Springer, Singapore. https://doi.org/10.1007/978-981-19-4286-0_13
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