Tibb - A Whole Person
Medicine
Muhammed Salim Khan, MIGN, TIBB Assoc., MBHMA, MURHP
In the traditional civilisations of Middle
East, India and China, we find some of the oldest and most time-tested
systems of healthcare and medicine. In Egypt, textbooks on medicine were
written by 3000BC. In India, the traditional Indian medicine Ayurveda, was
practiced and taught at university level in 700BC. In China, Traditional
Chinese medicine (TCM) was well established by 700BC throughout China,
with its roots going back at least to 3000BC.
One of the distinctive features of oriental
medicines is that they are an integral part of man's philosophy, his
consciousness and his relationships with other beings and the cosmos. The
results are a rich harvest of perspectives and modalities that are
unsurpassed both in their profundity and sophistication as well as being
practical, economical and ecologically sustainable.
In this article I would like to introduce
Tibb, a whole person medicine, and its potential for promotion of health
and well-being, about which very little in known in the West.
Historical Context
Tibb is a tradition of health, which was synthesised in the crucible of
the Middle East, and integrated elements from Egypt, India, China and
classical Greece. Tibb is an Arabic word, which in different places has
been referred to as Arabic, Greco-Arab, Hikmah, Unani, Islamic and Sufi
medicine. Some of the most illustrious names, such as Ar-Razi of Persia,
Ibn Al-Baytar of Andalusia , Mainmondes of Egypt and Ibn Sina were
practitioners and teachers of Tibb. Today, Tibb continues to provide
healthcare for millions of people in India, Pakistan, Afghanistan,
Bangladesh, Malaysia and various parts of the Middle East.
Wholeness and Balance
Tibb, which literally means nature, is a body of knowledge and practice,
which maintains health and endeavours to restore it whenever lost. Health
is a purposeful condition of dynamic balance, in which all the functions
are carried out in a correct and whole manner. The concept of wholeness
and balance permeates the philosophy, principles and practices of Tibb. In
historical times, the condition of wholeness and balance was the norm for
most human beings. However, as people and societies moved away from
natural patterns, disharmony and diseases increased.
There are three types of professionals
within Tibb.
Hakim, a philosopher/physician.
Tabib, a physician.
Muallij, a practitioner.
Diagnosis
Each physician within the Tibb system works with the whole person. The
diagnosis or evaluation is to assess the whole person, while attempting to
locate the focus of any given disease. The imbalance may be located within
one or more of four levels. In addition, and depending upon (i) the
individual patient's Mijaz - constitution and type, and (ii) the level of
their imbalance - the physician can use one or more of the techniques or
modalities to enable order and balance.
Treatment
On the physical level he may select massage, manipulation or cupping. This
may be complemented with subtle changes in diet supported by a simple or
complex remedy from rich material medica, mostly from plants.
If necessary and appropriate, the physician
can use wholistic psychotherapeutic measures to balance the inner
dimensions of emotions or thoughts. If there is a spiritual imbalance,
then the Hakim may use logotherapy to harmonise the transcendental aspects
at the core of a human being.
In Tibb, the rose is seen as a remedy par
excellence. The Hakims consider a human being to be
analogous to the rose, the physical body representing the thorns, emotions
the stem, the mind the flower and the spirit or the self personified by
the essence and fragrance.
Tibb in the 21st Century
The following factors all contribute toward creating dissatisfaction and
alienation within sections of health service users:
The prohibitive cost of technological medical systems
Modern medicine's inability to cure increasing chronic diseases
Rising levels of negative side effects produced by chemical drugs
Dehumanisation in the organisation of institutional medicine
In the non-industrialised parts of the
world, provision of adequate healthcare facilities on the European or
North American model is impossible. The world-wide awareness of ecological
imbalances together with need and desire for sustainable life styles
highlights Tibb as an excellent tradition that can provide effective and
sustainable models of healthcare and medicine.
The World Health Organisation's (WHO)
acknowledgement of traditional medicines' positive contribution in primary
health care, particularly for non-industrial societies provides many
opportunities for the continuing development of Tibb. The rich repository
of literature and clinical experience in use of plant remedies over
centuries awaits open-minded researchers. The botanical heritage of Tibb
will be extremely practical and useful for many distressing conditions
facing our age, such as toxicity and breakdown of the human immune system.
The wholistic and integrative perspective
of Tibb can enable synthesis and development of the individual in the
context of the family and the community .The emphasis of oneness and unity
enable connectedness and not disintegration, which is often the hallmark
of drug and surgery-based methods.
The consequence of a wholistic perspective
is development and inter-connectedness. In the 21st century the theme of
inter-connectedness and interdependence will be of psychological and
practical significance.
Tibb, while able to deal successfully with
physiological imbalances, is however most useful in psychological
disorders. The clarity within Tibb tradition regards the genesis, nature
and purpose of a human being and provides a vision that is above time and
space. It recognises the transcendental aspect of human beings and
acknowledges the spiritual nature of each person, which can enable and
galvanise individuals towards transformation and unification, an essential
need of the 21st century.
"Contemporary western men and women,
in quest of the sacred and the rediscovery of pontifical man, seek
techniques of meditation which overcome the excessive cerebral activity
which characterises modern mental activity, allowing the agitated mind to
simply be. The quest may include yoga, oriental forms of medicine, natural
food and medicine and the like. In reality the quest is for the heart
which, in the spiritual person, who is aware of his vocation as man,
"penetrates" into both the head and the body, integrating them
into the centre, bestowing a contemplative perfume to mental activity and
intellectual and spiritual presence to the body, which is reflected in its
gestures and motion.
This potential towards transformation and
unification constitutes the excellence and zenith of Tibb, a balanced,
whole person medicine.
Source:
http://www.wholisticresearch.com/info/artshow.php3?artid=106
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