Priority setting & Social relevance of Bio-ethics in Traditional Siddha Medicine – Lessons from th...
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Priority setting & Social relevance of Bio-ethics in Traditional Siddha Medicine – Lessons from the Field. C. Suvetha , Thomas M. Walter, M. Sri Sakthi Logisha , R. Sweety Nirmala . Govt. Siddha Medical College, Palayamkottai , Tamilnadu. T raditional Siddha Medicine.

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C suvetha thomas m walter m sri sakthi logisha r sweety nirmala

Priority setting & Social relevance of Bio-ethics in Traditional Siddha Medicine – Lessons from the Field.

C. Suvetha,

Thomas M. Walter,

M. Sri SakthiLogisha,

R. SweetyNirmala.

Govt. Siddha Medical College, Palayamkottai, Tamilnadu.


T raditional siddha medicine

Traditional Siddha Medicine


S iddha medical education

Siddha Medical Education

Institutes imparting Siddha Education at Tamilnadu.

  • One National Institute(NIS) – at Chennai

  • Two Govt. Medical Colleges – at Chennai & Tirunelveli.

  • Five Private Siddha Medical Colleges.

  • One Private Siddha Medical College (Santhagiri) at Trivandrum, Kerala.


U g p g courses of siddha

U.G & P.G. courses of Siddha

  • Colleges are affiliated to The Tamilnadu Dr. MGR Medical University, Chennai.

  • B.S.M.S (Bachelor of Siddha Medicine & Surgery) consists of 41/2 years of study and one year of Internship.

  • The three years P.G course (M.D) has six branches, i.e., General Medicine, Pharmacology, Special Medicine, Paediatrics, Pathology and Forensic Medicine & Toxicology.


A bout u g syllabus

About U.G. Syllabus

  • Basic Medical Sciences:

    Bio- Chemistry, Anatomy,

    Physiology, Medicinal Botany.

  • Microbiology, Modern Pathology, Forensic Medicine & Toxicology.

  • Siddha subjects including Pharmacology, Pathology,

    Medicine, Special medicine, O.G.


Background and purpose

Background and purpose

  • The concept of ethics is in no way new to the Traditional Siddha Medicine. Descriptive ethical guidelines are found in the classic Siddha literature, YamagaVenba by the great Siddhar, ‘Theraiyar’ which is said to be written centuries back. He gives guidelines for almost all aspects involving ethics.


Description of survey method

Description of survey method

Based upon the above mentioned Siddha text a questionnaire with 26 questions was framed. The questions are relevant to the theme of priority setting and social relevance. The questions include bio-ethical concepts such as:

  • Eligibility criteria for a physician;

  • The role of environmental factors,

  • The appropriate months and days for beginning the treatment;

  • The relevance of Guru-Sishya parampara (resident teaching of Medical Science) in the present day;

  • Traditional pulse reading;

  • The commercialisation of clinical/research practice, etc.

  • Description of Messenger / Patient’s attender.

    Two Siddha medical colleges were selected for the survey, one being a government college, the other a private college run by a Traditional Healers’ Trust.


A bout siddhar theriyar

About Siddhar Theriyar

  • Theriyar is one among the 18 Siddhars – also known as ‘Mandooga Maharishi’ in Ayurvedic texts.

  • Theriyar had expertise in more than 6 Indian languages and apart from Medical knowledge, well versed in Astrology, Vedanta, Siddhantha, Logistics, Yoga,

    Alchemy etc.


Boys vs girls ratio in the survey

Boys Vs Girls ratio in the survey

Out of the 169 U.G. students selected for this survey,

  • 40 were Boys and

  • 129 were Girls


P riorities covered in the survey

Priorities covered in the survey

  • Eligibility criteria for a Physician

  • Role of Environmental factor

  • Appropriate days for beginning treatment

  • Relevance of Guru - ShisyaParampara

  • Traditional Pulse reading.

  • Ethics in Clinical Practice / Research and

  • Description of Messenger.


G eneral questions

General Questions

Categories

Percentage

  • Is Ethics in U.G. syllabus essential ?

  • Acceptability of Hippocrates Oath in the present situation.

  • Is it possible to implement the Code of Ethics 100 %


E ligibility criteria for physician

Eligibility criteria for Physician

Criteria include:

Percentage

  • A person with Self-confidence & Self-control.

  • Having Worldly interest

  • Knowledge of Medicinal plants in addition to Anatomy, Physiology & Pathology.


R ole of environmental factors

Role of Environmental factors

Theriyar’s thoughts.

Percentage

  • Crossing of Dog, Cat & Snake indicates that the Patient should not be treated.

  • Smell of Grave yard causes Disease.


A ppropriate days to start treatment

Appropriate Days to start Treatment

Literary evidence

Percentage

  • Good Days – Sunday, Monday.

    Moderate Days – Tuesday, Thursday and Friday.

    Not advised: Wednesday, Saturday.

  • Will you follow it in your Clinic ?


R elevance of guru shishya parampara

Percentage

Relevance of Guru – Shishya Parampara.

  • Is it possible now-a-days ?

  • Is Hands on training essential to achieve Mastery over the subject ?


T raditional pulse reading

Traditional Pulse reading

While making a Diagnosis:

Percentage

  • Is it possible through Pulse reading, i.e. Vatha, Pitha and Kabha

  • Is Panchendriyam test (testing of 5 Sensory function) necessary ?


Religious based

Religious based

  • Which god is considered as the Protector of human in Siddha Medicine?

    Answer: Thirumal/Vishnu

    Correct: 21.89

    Wrong answer: 77.51

    No answer: 0.59


E thics in research clinical practice

Ethics in Research / Clinical Practice.

Categories

Percentage

  • Following Dietary restrictions & Vehicle.

  • Accepting the interruption of Patient’s relatives.

  • Treating Un-cooperative patient.


Ethics in research clinical practice

Ethics in Research / Clinical Practice.

Categories

Percentage

4. Can a Physician treat his own Parents and Friends.

5. Should not have Nuptial relationship with Elder women.


D escription of messenger accompanying person

Description of Messenger/Accompanying person

Categories

Percentage

  • Bald headed & Blind man should not come as messenger.

  • Liar & much Grieved should not come

  • An already diseased person should not come.


Q uestions to medicos

Questions to Medicos

  • Can a best chef prepare Medicines as per the correct procedure ?

  • Will you accept a Pharmacist treating patients?

  • Can you accept a money minded Doctor as an Ideal Physician ?


C onclusion

Conclusion

The survey results show that though the text ‘TheriyarYamagaVenba’ was written by one of the 18 siddharsTheriyar some centuries ago, the principles are applicable in day to day clinical practice and research even today.


Thank you

Thank You


Acknowledgement

ACKNOWLEDGEMENT

My grateful thanks to my lecturer,

Dr.ThomasM.Walter and Mrs. SweetyNirmala

My heartful thanks to my uncle,

Dr.MangalaS.Ravindran (consultant surgeon)

My fruitful thanks to my parents,

Mr.S.G.Chanthrasekaran and Mrs.C.S.Indhumathy

Last but not least , I would like to thank my friends

(VEERA VIZHUTHUGAL)


C suvetha thomas m walter m sri sakthi logisha r sweety nirmala

My grateful thanks to my lecturer,

Dr.ThomasM.Walter and Mrs. SweetyNirmala

My heartful thanks to my uncle,

Dr.MangalaS.Ravindran (consultant surgeon)

My fruitful thanks to my parents,

Mr.S.G.Chanthrasekaran and Mrs.C.S.Indhumathy

Last but not least , I would like to thank my friends

(VEERA VIZHUTHUGAL)


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