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Arun Srinivasan, New Delhi January 27 , 2018
The Bridge Course proposal in the National Medical Commission (NMC) Bill that gives practitioners of Ayush system of medicine green signal to take up modern medicine will take the sheen off the country’s herbal and traditional products industry and may prove detrimental to the healthcare system, industry representatives say.

However, the industry’s stance is contradictory to the views voiced by the Ayush doctors who are up in arms across the country over the delay in implementing the controversial proposal. After a short lull, the issue is hitting the headlines again with hundreds of Ayush doctors taking out protest marches in Indore and Guwahati during the last two days along with representatives from other northeastern states.

“We bank on Ayush practitioners to promote our products. A doctor trained in another system of medicine won’t understand the basic principles of Ayurveda or any other alternative healing system. A crossover will backfire and only hurt the industry,” Shashank Sandu, Joint Secretary of Ayurvedic Drug Manufacturers Association (ADMA) told Pharmabiz. The association is the apex body of the ayurvedic industry and its members cumulatively contribute more than 80 per cent of the ayurvedic commerce in India.

The argument that the proposed short-term course will help tackle shortage of doctors also finds few takers in the industry. While the doctor-population ratio according to the World Health Organistion norms should be 1:1,000, it is 1:1674 in India. The shortage is more pronounced in the rural areas.

“Thousands of Ayush practitioners are already providing basic medical services in villages and remote areas. They learn an alternative system of medicine for five-six years. Now allowing them to practise a different stream of medicine after a six-month crash course will be ultimately self-defeating,” another industry official opined.

Industry representatives are also skeptical about the enthusiasm of Ayush doctors to embrace the bridge course though many welcome the integration of various streams of medicine. “I think both systems can be integrated. For instance, triphala, an ayurvedic rasayan formula, is found to be effective in dealing with the side effects of chemotherapy. But allowing Ayush practitioners to practice modern medicine may only promote quackery,” a Delhi-based ayurvedic products manufacturer and exporter said on condition of anonymity.  

According to official data, the number of people practising alternative systems of healing is on the rise in the country. Ayush minister Shripad Naik had told Lok Sabha recently that in the past two years there has been about 5 per cent increase. However, industry sources point out that once the bridge course proposal materialises, many of these practitioners will immediately shift focus to modern medicine.

India, with a wealth of 6,600 medicinal plants, is the second largest exporter of Ayush and herbal products in the world. According to various surveys, the Ayush industry would touch Rs. 1.4 trillion by 2020 and might grow in double digits by providing direct employment to one million and indirect jobs to 25 million by 2020. The products market itself is worth about Rs. 40 billion with over-the-counter products such as digestives, health food and pain balms constituting 75 per cent the segment.

India has 9,000 units engaged in the manufacture of Ayush drugs. The export of Ayush products is also on the rise with worth of shipments, including extracts of medicinal herbs, crossing $403 million in 2016-17.

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