Broadening the avenues of complementary medicine and way forward to integrate it with evidence-based modern medicine research – A need of the hour

Authors

  • Anjali Pal All India Institute of Medical Sciences, Raipur, Chhattisgarh
  • Sunil K Panigrahi All India Institute of Medical Sciences, Deoghar, Jharkhand https://orcid.org/0000-0001-8702-9479
  • Archismita Santra ESI-PGIMSR & ESIC Medical College, Joka, Kolkata, West Bengal

DOI:

https://doi.org/10.47203/IJCH.2025.v37i02.002

Keywords:

Complementary Medicine, Traditional Medicine, Alternative Medicine, Integrative Medicine, Universal Health Coverage

Abstract

This scoping review explores the evolving role of complementary and traditional medicine (TC&M) in modern healthcare systems, emphasizing the need for evidence-based practices to facilitate their integration into conventional medical research and practice. Complementary medicine refers to health practices which are not main-stream like modern medicine used along with conventional medicine, contributing to holistic health by addressing physical, mental, and social well-being. Despite their widespread use, particularly in underserved and resource-constrained settings, TC&M lacks rigorous scientific validation, hindering its acceptance and integration into mainstream healthcare. The review outlines the historical evolution of TC&M, citing key milestones such as the establishment of dedicated research institutions like the National Center for Complementary and Alternative Medicine (NCCAM) and WHO recommended strategies on Traditional Medicine. It also highlights the challenges of integrating TC&M due to the lack of research data, financial support, and standardized practices. Furthermore, the review identifies the growing need for evidence-based approaches, particularly in countries like India, where traditional systems such as AYUSH (Ayurveda, Yoga, Unani, Siddha, and Homeopathy) are widely practiced. To achieve Universal Health Coverage (UHC) and address the growing burden of non-communicable diseases, the review advocates for a shift toward integrative medicine, combining modern and complementary approaches. It stresses the importance of collaborative research, standardized training for healthcare professionals, and the development of global frameworks to evaluate TC&M practices. Ultimately, this integration could improve healthcare accessibility, reduce costs, and enhance overall health outcomes.

Downloads

Download data is not yet available.

References

World Health Organization. WHO traditional medicine strategy: 2014-2023. [cited 2025 Apr 25]. Available from: https://www.who.int/publications-detail-redirect/9789241506096

World health Organization. WHO global report on traditional and complementary medicine 2019. [cited 2025 Apr 25]. Available from: https://www.who.int/publications-detail-redirect/978924151536

National Center for Complementary and Integrative Health. NCCIH Strategic Plan FY 2021–2025: Mapping the Pathway to Research on Whole Person Health. National Center for Complementary and Integrative Health website accessed at https://nccih.nih.gov/about/nccih-strategic-plan-2021-2025 Accessed on 25.04.2025

Institute of Medicine (US) Committee on Using Performance Monitoring to Improve Community Health; Durch JS, Bailey LA, Stoto MA. Understanding Health and Its Determinants. In: Improving Health in the Community: A Role for Performance Monitoring [Internet]. National Academies Press (US); 1997. Available from: https://www.ncbi.nlm.nih.gov/books/NBK233009/ Accessed on 2025 Apr 25

Ministry of Ayush. Government of India [cited 2024 Dec 16]. Available from: https://ayush.gov.in/?hl=en-US#!/aboutus Accessed on 2025 Apr 25

Patwardhan B, Tillu G. Universal Health Coverage and AYUSH systems. J Ayurveda Integr Med. 2018;9(1):1–2.

World Health Organization. New WHO and Ministry of AYUSH, Republic of India agreement signed to advance traditional, complementary, and integrative medicine. Available from: https://www.who.int/news/item/17-11-2023-new-who-and-ministry-of-ayush--republic-of-india-agreement-signed-to-advance-traditional--complementary--and-integrative-medicine Accessed on 2025 Apr 25

Von Schoen-Angerer T, Manchanda RK, Lloyd I, Wardle J, Szöke J, Benevides I, et al. Traditional, complementary and integrative healthcare: global stakeholder perspective on WHO’s current and future strategy. BMJ Glob Health. 2023;8(12):e013150.

Ray J, Chakrabarty D, Paul R, Som K. Prevalence of the use of complementary and alternative medicine in an eastern Indian population with emphasis on tribal/ethnic minority groups. J Taibah Univ Med Sci. 2018;13(4):384–9.

World Health Organization. WHO Global Report on Traditional and Complementary Medicine 2019. 2019. 64 p. Available from: https://apps.who.int/iris/bitstream/handle/10665/312342/9789241515436-eng.pdf?ua=1 Accessed on 2025 Apr 25

Mortada EM. Evidence-Based Complementary and Alternative Medicine in Current Medical Practice. Cureus. 2024;16(1):e52041.

Ng JY, Dhawan T, Fajardo RG, Masood HA, Sunderji S, Wieland LS, et al. The Brief History of Complementary, Alternative, and Integrative Medicine Terminology and the Development and Creation of an Operational Definition. Integr Med Res. 2023;12(4):100978.

Patwardhan K, Gehlot S, Singh G, Rathore HCS. The Ayurveda Education in India: How Well Are the Graduates Exposed to Basic Clinical Skills? Evid Based Complement Alternat Med. 2011 [cited 2025 Jan 28];2011:197391.

Rifkin SB. Alma Ata after 40 years: Primary Health Care and Health for All—from consensus to complexity. BMJ Glob Health. 2018;3(Suppl 3):e001188.

Zhang DQ. Traditional and Complementary Medicine in Primary Health Care. In: Health For All: The Journey of Universal Health Coverage. Orient Blackswan; 2015. Available from: https://www.ncbi.nlm.nih.gov/books/NBK316267/

Devarakonda S. Hub and spoke model: Making rural healthcare in India affordable, available and accessible. Rural Remote Health. 2016;16(1). :3476.

Wagstaff A, Flores G, Hsu J, Smitz MF, Chepynoga K, Buisman LR, et al. Progress on catastrophic health spending in 133 countries: a retrospective observational study. Lancet Glob Heal. 2018;6(2):e169–79.

Boutayeb A. The Burden of Communicable and Non-Communicable Diseases in Developing Countries. Handbook of Disease Burdens and Quality of Life Measures. 2010;531–46.

Wendimagegn, N.F., Bezuidenhout, M. The integrated health service model: the approach to restrain the vicious cycle to chronic diseases. BMC Health Serv Res 2019;19:347

Li B, Forbes TL, Byrne J. Integrative medicine or infiltrative pseudoscience? Surgeon. 2018;16(5):271–7.

Tabish SA. Complementary and Alternative Healthcare: Is it Evidence-based? Int J Health Sci (Qassim). 2008 Jan;2(1):V–IX.

Mason S, Tovey P, Long AF. Evaluating complementary medicine: methodological challenges of randomised controlled trials. BMJ. 2002;325(7368):832–4.

Ernst E. The role of complementary and alternative medicine. BMJ. 2000;321(7269):1133-5.

Achilleos H. Beliefs, critical thinking and evidence-based medicine. BMJ Evidence-Based Medicine. 2018;23(1):4–5.

Rudra S, Kalra A, Kumar A, Joe W. Utilization of alternative systems of medicine as health care services in India: Evidence on AYUSH care from NSS 2014. PLoS One. 2017;12(5):e0176916.

Sen S, Chakraborty R. Revival, modernization and integration of Indian traditional herbal medicine in clinical practice: Importance, challenges and future. J Tradit Complement Med. 2016;7(2):234-244.

Seetharaman M, Krishnan G, Schneider RH. The Future of Medicine: Frontiers in Integrative Health and Medicine. Medicina (Kaunas) [Internet]. 2021;57(12):1303.

Cramer H. Research in Integrative and Complementary Medicine: Particularities, Challenges, Obstacles, and Misunderstandings. Part 1: The Why and the How of Clinical Research. J Integr Complement Med. 2025;31(1):1-3.

Cramer H. Research in Integrative and Complementary Medicine: Particularities, Challenges, Obstacles, and Misunderstandings. Part 2: Things Can also Work Differently when the Context is Different. J Integr Complement Med. 2025;31(2):109-111.

Krause B, Lavretsky H, Dunn LB. Ethical Challenges in Complementary and Alternative Medicine. Focus (Am Psychiatr Publ) . 2018;16(1):63–6.

Downloads

Published

2025-04-30

How to Cite

1.
Pal A, Panigrahi SK, Santra A. Broadening the avenues of complementary medicine and way forward to integrate it with evidence-based modern medicine research – A need of the hour. Indian Journal of Community Health [Internet]. 2025 Apr. 30 [cited 2025 Jul. 9];37(2):183-8. Available from: https://iapsmupuk.org/journal/index.php/IJCH/article/view/3202

Issue

Section

Review Article

Dimensions Badge