Socio-Economic Dimensions of Tibetan Medicine in the Tibet Autonomous Region, China Part One

2008 ◽  
Vol 4 (1) ◽  
pp. 174-200 ◽  
Author(s):  
Theresia Hofer

AbstractThis article investigates some of the socio-economic dimensions of contemporary Tibetan healing practices in the rural areas of the Tibet Autonomous Region (TAR) in China. It sheds light on the workings and the effects the commodification of the official Chinese health care system, which started in the late 1990s, have had on Tibetan medicine and how these are related to the concurrent re-introduction of the Co-operative Medical Services (CMS) scheme throughout rural China. The contribution to this journal is divided into two parts. Part One predominantly deals with the medical practitioners and the practices within governmental health care in the TAR. Part Two, which will be printed in the next issue of the journal, deals with the private sector of Tibetan medicine. Both parts focus on the situation in the Tsang or Shigatse region of the western and central TAR, hence enabling there to be useful comparisons with medical practices in the capital Lhasa, most of the anthropological literature has focused on so far. Both contributions are based on extensive anthropological fieldwork in Lhasa and the Tsang region of Tibet.

2008 ◽  
Vol 4 (2) ◽  
pp. 492-514 ◽  
Author(s):  
Theresia Hofer

AbstractThis article investigates some of the socio-economic dimensions of contemporary Tibetan medical practices in the rural areas of the Tibet Autonomous Region (TAR), China. The article is divided into two parts. Part One, printed in the last issue of the journal, deals with traditional medical practitioners and their medical practices within the governmental health care system in the TAR. It sheds light on the workings and the effects that the commodification of the official health care system have had on its Tibetan medical practitioners, most of whom now work as hybrid practitioners and incorporate Chinesestyle biomedicine into their practice. I argue that several historical, social and political factors have brought about unequal access and availability of Tibetan medicine as compared to Chinese style biomedical care in the rural areas. Special attention is given to the role of the reintroduction of the Cooperative Medical Services (CMS) scheme in the sidelining of Tibetan medical practices in the rural areas. Part Two describes the work of private Tibetan medical practitioners and explores some of the social dynamics and ethical dilemmas that have arisen for them due to the commodification of the official system and the reintroduction of the CMS. Both parts focus on the situation in the Tsang or Shigatse region of the western and central TAR, hence enabling there to be useful comparisons with medical practices in the capital Lhasa, where most of the anthropological literature has focused on so far. Both contributions are based on extensive anthropological fieldwork in Lhasa and the Tsang region of Tibet.


2009 ◽  
Vol 5 (2) ◽  
pp. 385-393
Author(s):  
Tsering D. Gonkatsang ◽  
Kalden Nyima

This paper, translated from the Tibetan original, presents the author’s viewpoint on the current situation regarding the protection of medicinal herbs and vegetation—the sources of Tibetan medicine—and makes recommendations on measures that should be taken for their protection in the future. The article also includes an appendix listing species names of plants that are A) particularly rare or endangered, and B) the subjects of conservation efforts and/or cultivation trials through the Project to Strengthen Traditional Tibetan Medicine (PSTTM), which is based in Lhasa, Tibet Autonomous Region (TAR), China.


ZooKeys ◽  
2020 ◽  
Vol 985 ◽  
pp. 61-70
Author(s):  
Guo-Xi Xue ◽  
Yutaka Inayoshi ◽  
Meng Li ◽  
Fu-Ming Zhang ◽  
Da-Kun Lai ◽  
...  

Celaenorrhinus pyrrha de Nicéville, 1889, a rare species of Hesperiidae previously known to be distributed from northeastern India to Indochina, is reported from southwestern Yunnan and southwestern Chongqing, China. A 658 bp COI gene sequence of this species is published for the first time. Although Chongqing is obviously isolated from the main distribution range, morphological characters of the specimens from this locality do not indicate a subspecies differentiation. Another rare taxon, C. munda munda (Moore, 1884), is also recorded from China for the first time based upon a male specimen from Cuona County in the Tibet Autonomous Region. This is the second specimen of C. munda from China, over 100 years after the holotype of C. munda joka Evans, 1949. The genitalia of both species are illustrated and described. Some taxonomic notes and a distribution map are provided as well.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Tingting Zhang ◽  
Xingrong Shen ◽  
Rong Liu ◽  
Linhai Zhao ◽  
Debin Wang ◽  
...  

Abstract Background In China, the primary health care (PHC) system has been designated responsible for control and prevention of COVID-19, but not treatment. Suspected COVID-19 cases presenting to PHC facilities must be transferred to specialist fever clinics. This study aims to understand the impact of COVID-19 on PHC delivery and on antibiotic prescribing at a community level in rural areas of central China. Methods Qualitative semi-structured interviews were conducted with 18 PHC practitioners and seven patients recruited from two township health centres and nine village clinics in two rural residential areas of Anhui province. Interviews were transcribed verbatim and analysed thematically. Results PHC practitioners reported a major shift in their work away from seeing and treating patients (due to government-mandated referral to specialist Covid clinics) to focus on the key public health roles of tracing, screening and educating in rural areas. The additional work, risk, and financial pressure that PHC practitioners faced, placed considerable strain on them, particularly those working in village clinics. Face to face PHC provision was reduced and there was no substitution with consultations by phone or app, which practitioners attributed to the fact that most of their patients were elderly and not willing or able to switch. Practitioners saw COVID-19 as outside of their area of expertise and very different to the non-COVID-19 respiratory tract infections that they frequently treated pre-pandemic. They reported that antibiotic prescribing was reduced overall because far fewer patients were attending rural PHC facilities, but otherwise their antibiotic prescribing practices remained unchanged. Conclusions The COVID-19 pandemic had considerable impact on PHC in rural China. Practitioners took on substantial additional workload as part of epidemic control and fewer patients were seen in PHC. The reduction in patients seen and treated in PHC led to a reduction in antibiotic prescribing, although clinical practice remains unchanged. Since COVID-19 epidemic control work has been designated as a long-term task in China, rural PHC clinics now face the challenge of how to balance their principal clinical and increased public health roles and, in the case of the village clinics, remain financially viable.


2016 ◽  
Vol 26 (2) ◽  
pp. 57-63 ◽  
Author(s):  
Zhipeng Fan ◽  
Yanhui Gao ◽  
Wei Wang ◽  
Hongqiang Gong ◽  
Min Guo ◽  
...  

2019 ◽  
Vol 42 (1) ◽  
pp. 38-81 ◽  
Author(s):  
Tashi Nyima ◽  
Hiroyuki Suzuki

Abstract This article presents information regarding newly recognised non-Tibetic Tibeto-Burman languages spoken in three counties, Dzogang, Markham, and Drag-yab, of Chamdo Municipality and the adjacent Dzayul County in the Tibet Autonomous Region. First, we introduce four languages – Lamo, Larong sMar, Drag-yab sMar, and gSerkhu – identifying the location of each language on the Chinese administrative map as well as the numbers of speakers of the languages. Second, we provide a brief historical background on these languages, which suggests a relationship between them and Qiangic groups. Third, we display lexical evidence that shows not only their non-Tibetic features but also their closeness to Qiangic languages. Finally, the article focuses on Lamo, an endangered language spoken in Dzogang County, and provides a linguistic analysis of an annotated Lamo historical narrative in the Appendix.


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