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In Thimphu, the capital, there is Bhutan's Institute of Traditional Medicine Services sprawled on a hilltop, with the Traditional Arts Center and National Library just below. As with Tibetan medicine, the main methods of diagnosis are feeling the pulse, checking urine, and examining the eyes and tongue, as well as interviewing the patient.
A European Union (EU) project to support traditional medicine in Bhutan was initiated in the year 2000. A view of the traditional medicine situation in Bhutan can be gained by examining several news reports on the subject, presented below. Silver earrings dangling in wisps of her pixie-cut gray hair, Tshering Chenzon leans forward on a stool with her blouse pulled up from behind while a doctor's aide aims a fine mist from a small garden hose at her lower back.
The instruments for nasal irrigation, bloodletting, massage, and stone-heated baths are nearby. A Buddhist monk may get more benefit from the treatment than a Westerner of another religion, says the institute's director, Pema Dorji. Traditional medicine has been an official part of Bhutan's public health system along with Western-style medicine for more than three decades. Bhutanese fought off Tibetan and British attempts to take over their territory and remained isolated from foreign visitors until 1974, allowing protection of many rare plants and animals. Traditional medicine became part of the public health system in 1967 and the government plans to have a traditional medicine center and a Western hospital in all 18 districts of the 46,500-square-mile country by next year. At a time when anything that is traditional is indiscriminately put aside vis-a-vis modern science, Bhutan has a unique opportunity to rise above the challenge posed by modern development. Traditional medicine was first introduced into Bhutan around the 17th century after the arrival of Zhabdrung in 1616.
The Traditional medicine service was officially started as an offshoot of the Department of Health services. It was Dungtsho (physician-pharmacist) Pema Dorji who institutionalized traditional medicine in Bhutan. Dip one sachet of tea into a cup of hot water (no sugar or milk required), and brew for a few minutes to get the best flavor and color. The sachet contains the Tsheringma herbal tea, just introduced into the market by Menjong Sorig Pharmaceuticals, a unit of the Institute of Traditional Medicine Services. According to Ugyen Dorji, marketing officer of the institute, research on the formulation had started early last year. Bhutan, the kingdom of the peaceful Dragon, used to be called Men Jong, Land of Medicinal Plants, because of the fertility of its valleys and the luxury of its forest flora. These differences in altitude, bringing almost tropical vegetation right to the base of glaciers, has made it possible for plants of extremely different climate and environments to grow in the same country. The Bhutanese medical system goes well beyond the notion of medicine in the narrow Western sense.
The system of medicine referred to as Sowa Rigpa is practiced in many countries today, but owes its origins and development to ancient Tibet.
It is believed that the beginning of time, the art of healing was a prerogative of the gods, and it was not until Kashiraja Dewadas, an ancient Indian king, went to heaven to learn medicine from them, that it could be offered to man as a means to fight suffering. When Buddhism was first brought into Tibet in the eighth century by Guru Rimpoche, some of these medicinal texts were translated into the Tibetan Language, and enlightened rulers of that country became interested in the subject.

Though it took shape in Tibet, this medical tradition, which is still practiced in Bhutan, has always been characterized by the diversity of its origins. These two great systems of thought inspired Tibetan and Bhutanese medicine, but there were also local influences.
Over and above these various influences, Buddhism itself is at the heart of Tibetan and Bhutanese medical traditions.
Since then, the Bhutanese tradition of Sowa Rigpa has developed independently of its Tibetan origins and although the basic texts used are the same, some differences in practice make it a tradition particular to the country.
Unfortunately, very little is known of the traditional doctors who practiced in Bhutan from the time of Shabdrung Ngawang Namgyal (1594-1651; the founder of the Kagyu tradition of Buddhism in Bhutan) to the time of the Wangchuck Dynasty (1907-present). Another Bhutanese physician at the court of the second King was Mahaguru, the former Gangtey Trulku's physician. The first practitioner to work as a government servant, in the modern sense of the word, is Dungtsho Pema Dorji (current director of the National Institute of Traditional Medicine), who opened the first government run, traditional-style dispensary in Dechencholing, Thimphu. Bhutanese treasure their traditional arts and deem it important to preserve them as part of their cultural and religious heritage, thus, this art school was established. In fact, the government also established the Institute of Traditional Medicine in cooperation with the World Health Organization not only to provide traditional treatment but also to develop and promote Bhutanese herbal medicine. Our first two days in Bhutan gave us a great introduction to the richness of the country’s cultural and religious tradition and preservation. I so enjoyed the colour and variety of this post – Bhutan is so vibrant with culture, art and craft, and exotic herbal medicine that it just calls to be explored, so thank you for taking me on a virtual tour. Hi M- I’m amazed at the richness of the culture and how much effort they take to preserve every form of it. The institute uses outreach clinics to encourage healers to change some practices and improve others. The principal of reciprocity- whereby Tibet provided schools for training Bhutanese doctors, and Bhutanese doctors in turn transported medicinal plants as far as Lhasa or Kham-was practiced. These facilities included a laboratory, outpatient department, hostel and a library for training. The tea is the first commercial product of the institute, along with a medicinal incense under the same brand name.
The pharmaceutical unit started using the modern imported machines to produce the traditional medicines in December 1998.
It forms part of a whole-blending culture and tradition-in which Buddhism is the prevailing influence. He taught his progeny the principles and the practice of healing, and this knowledge was spread and perpetuated as an oral tradition until the lord Buddha appeared and gave specific written teachings on medicine.
They started promoting the development of the art of healing, by organizing meetings on medicine to which they invited healers not only from the whole of Tibet and surrounding Himalayan countries, but also from China, India, and the Muslim world. It is based on Indian and Chinese traditions and has also incorporated ancient medical practices connected with magic and religion. They provided the majority of the theoretical bases of the medical tradition, revealed to mankind through the channel of Vedic sages.
The specific knowledge and experience gained by the Bhutanese over the centuries are still very much alive in this medical tradition that originated in Tibet.

Pursuing a well-established family tradition, he began his medical studies in Kurtoe in the east of Bhutan under Dungtsho Chimi Gyeltshen, his grandmother's brother. Each time a player hits the target, his teammates perform a victory dance and a song of praise for him. We looked forward to witness and experience more of the Bhutanese way of life as we headed to the countryside.
It made possible the introduction of modern scientific methods into practices of traditional medicine.
In this tradition, man can be understood by analogy with the universe, the laws and matter of which serve as a model of elementary physiology. Local gods, demons, and spirits of all kings could be considered as responsible for certain illnesses. I love the colourful outfits and the fact that they do a victory dance for teammates every time the target is hit – well that’s just awesome! Plants and other materials used in medicinal formula were tested for their chemical and pharmaceutical contents.
To date, more than 600 medicinal plants have been identified in Bhutan, and at least 300 of these commonly used by practitioners for preparing drugs, pills and tablets. This tradition was further enriched by the contribution of great Tibetan doctors including Yuthog "the Elder" in the eighth century, and one of his descendants, Yuthog "the Younger," who lived in the eleventh century. The divinity of medicine, Sangye Menla (the Medicine Buddha) is represented in traditional iconography with a blue body.
In spite of a pleasant life in the Kurtoe region, he decided at the age of 16 to leave Bhutan for a while to continue his studies in Tibet, at Chagpori Monastery, one of the two famous medical schools in Lhasa [destroyed in 1959 by Chinese soldiers]. Also, most herbal medicines taken with hot water on an empty stomach are bitter, so a pill is easier to swallow. Now he spends most of his time on computers, mapping the chemical contents of the minerals, plants and animal parts that make up the medicines that Himalayan monks and village healers have used for centuries. Over the next four years, the National Institute of Traditional Medicine (NITM) was established. These parallels gave birth to the theory of the humours, one of the fundamental principles of medicine now practiced in Bhutan.
Gado Tshering, director of health, urged consumers to leave tea, coffee and alcohol for Tsheringma herbal tea.
The Four Medical Tantras, which were originally Sanskrit texts dating perhaps from the fourteenth century, are unanimously considered to be the basic work of Tibetan medicine.
And even though medical techniques in Tibet and Bhutan developed subsequently, the combination of observation, experience, study, knowledge, and popular beliefs had a definite influence in the way traditional medicine evolved in each land. The plant (known as Indian Bay Leaves, displayed here) is naturally grown in Bhutan and is found in the sub-tropical forest; the plant is also found in northern India.
He joined the monastic body at Chagpori medical school and, in his monk's habit, spent seven years studying in Tibet with the greatest masters of the Sowa Rigpa medical tradition.

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