ハーブとエビデンス : 健康食品から漢方薬まで

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Attention to traditional medicine in international health evolved in the 1970s. It was discussed in the context of primary health care (PHC), as mentioned in the Alma Ata Declaration issued by WHO and UNESCO in 1978. It was considered one of the forms of "appropriate technology", although "appropriateness" was not strictly defined at that time. PHC was a human-focused concept and movement, while the ecology movement, which also started around the same time, was environment-oriented. The wide use of traditional herbs was considered to be not ecology conscious. Thus, the concept of sustainable development in the use of traditional medicine was introduced in the 1980s. Evidencebased medicine (EBM), which evolved in early 1 990, soon dealt with traditional medicine. The 1990s was also the time complementary and alternative medicine (CAM) started flourishing in the West. There was much discussion on the relation between CAM-TRM and EBM, and gradually modern health technology assessment methodology was introduced in CAM-TRM. The Dietary Supplement Health and Education Act (DSHEA) issued in the United States in 1994 boosted the use of some herbs but resulted in several serious adverse drug reactions (ADRs). This led to concerns on the issue of safety. The Uppsala Monitoring Centre (UMC) for International Drug Monitoring started an ATC classification project of herbs to analyze adverse events (AE) and ADR cases on a global basis. After the collapse of the former Soviet Union in 1991, the concept of health as defined in the WHO Constitution was strongly challenged. Spiritism and dynamism were brought into the debate, along with the quality of life (QOL) movement. TRM/CAM is said to be continually evolving, not only in terms of its technological aspects, but also changes in value systems around the world.
日本生薬学会の論文
2004-10-20

ハーブとエビデンス : 健康食品から漢方薬まで

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