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J Thai Trad Alt Med                                   Vol. 19  No. 2  May-Aug  2021  501




            ern medicine was introduced into Thailand by   continued until today as stated in the Fifth to
            the group of missionaries and Western physi-  Ninth (current) National Economic and Social

            cians, gradually increasing and becoming well   Development Plans (2002- 2006). [1-3]
            accepted. In 1888, King Rama V established       An office was established in 1989, ini-
            Siriraj Hospital, the first Western-style hos-  tially as the “Collaborating Centre for the

            pital and medical school. In the beginning,   Development of Thai Traditional Medicine and
            both TTM and modern medical services were   Pharmacy” under the Office of the Permanent
            provided. The medical school also taught both   of Secretary. This Centre was later upgraded

            TTM and modern medical principles.          to division level in 1993 as the “Institute of
                 However, in 1915 the teaching of TTM   Thai Traditional Medicine’’ (ITTM) under the
                                                                                    [4]
            and the provision of TTM services at Siriraj   Department of Medical Services . Therefore,
            Hospital were discontinued because the two   the commitment of the government to promote
            principals were considered incommensurable   TTM as another means of health care for Thai

                                                                                        [5-6]
            and confusing to medical students. Moreover,   people was more or less established .
            the TTM was viewed as inconsistent and vari-     In addition to the Ministry, non-gov-
            able depending on a doctor’s opinion rather   ernmental organizations (NGOs) have also

            than empirical evidence.                    played a role in the revival and development
                 Almost 70 years after the cessation of   of TTM. In 1980, Professor Dr. Ouay Ketusingh,

            TTM services and TTM education at Siriraj   announced on the establishment of the “Foun-
            Hospital, the revival of TTM began around   dation for the Promotion of Thai Traditional
            1978 after the proclamation of the Alma-Ata   Medicine’’, which was officially registered in

                       [1]
            Declaration. The World Health Organization   1982.The Foundation’s main objectives were
            (WHO) urged its member countries to include   to revive TTM knowledge, improve educa-
            their own national traditional medicine into   tional standards and the medical practice of

                                                                                       [7]
            health service system. In Thailand, Ministry   TTM and promote TTM education . In 1987,
            of Public Health responded to WHO’s recom-  the Ministry issued the Control of the Practice
            mendation by having such a policy to promote   of the Art of Healing Act B.E. 2530, allowing

            medicinal plants in PHC since the time of the   the graduates from the Ayurveda Vidhayalai
            Fourth Health Development Plan (1977-1981).   (Jivaka Komarapaj) college who passed the

            Government policy regarding the promo-      licensing examination to become licensed
            tion of the use of medicinal plants and Thai   applied-TTM practitioners. However, they can
            traditional medicine in the country has been   prescribe only traditional medicines and use
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