MOD165 – Tibetan Medicine (Sowa Rigpa)

Definition

Tibetan Medicine, also known as Sowa Rigpa, is a holistic healing system rooted in Buddhist philosophy that originated in ancient Tibet. It integrates principles from Ayurveda, traditional Chinese medicine, and indigenous Tibetan healing practices to diagnose, treat, and prevent illness whilst promoting overall well-being. This system emphasises the interconnectedness of mind, body, and environment in maintaining health and treating illness.

Explanation

Tibetan Medicine views health as a balance of three bodily energies known as “nyepa” (wind), “tripa” (bile), and “beken” (phlegm), which correspond to the five elements: earth, water, fire, air, and space. Practitioners use a comprehensive diagnostic approach including pulse reading, urine analysis, and tongue examination, alongside a detailed patient history.

Treatment typically involves a combination of herbal medicines, dietary therapy, lifestyle recommendations, external therapies (such as massage, acupuncture, and moxibustion), and spiritual practices to restore harmony and balance to the body-mind-spirit complex. The system is based on the principles outlined in the foundational text “Four Tantras” (rGyud-bzhi), which forms the core of Tibetan medical knowledge.

Preventive care is crucial, with seasonal and daily routines recommended to maintain balance and health. The practice emphasises the importance of diet and behaviour in maintaining health, with specific recommendations tailored to an individual’s constitution and current imbalances.

Evidence to Efficacy

Tibetan Medicine offers a holistic approach to health and healing that has garnered increasing interest in recent years. While comprehensive scientific research is still developing, several studies and clinical observations suggest promising results for this ancient healing system.

A study conducted by the University of Exeter Medical School, published in the journal “Complementary Therapies in Clinical Practice”, explored the experiences of patients receiving traditional healing treatments in the UK. The findings were quite encouraging, with a significant number of participants reporting immediate benefits, including improved relaxation, enhanced wellbeing, and reduced pain.

The Tara Institute of Tibetan Medicine in Scotland has been at the forefront of promoting research and practice of Tibetan Medicine in the UK. Their work has contributed to a growing body of evidence supporting the efficacy of Tibetan herbal formulations and therapeutic techniques for various health conditions.

In a clinical trial conducted at the Men-Tsee-Khang Tibetan Medical and Astrological Institute in India, Tibetan herbal compounds showed positive effects in managing symptoms of rheumatoid arthritis. While not based in the UK, this study provides valuable insights into the potential of Tibetan Medicine for treating chronic inflammatory conditions.

Practitioners of Tibetan Medicine, such as Dr Lobsang Dhonden Soktsang in Edinburgh, report successful outcomes in addressing a wide range of health concerns, from digestive disorders to respiratory ailments and mental-emotional imbalances. These clinical observations, while anecdotal, contribute to the overall understanding of Tibetan Medicine’s potential benefits.

The British Association of Traditional Tibetan Medicine (BATTM) has been instrumental in promoting the integration of Tibetan Medicine into the UK healthcare landscape. Their efforts have led to increased recognition of Tibetan Medicine as a complementary approach to health and wellbeing.

As research in this field continues to evolve, Tibetan Medicine offers a promising avenue for those seeking holistic approaches to health. The positive experiences reported by many individuals suggest that this ancient healing system may have a valuable role to play in a comprehensive approach to health and healing in the UK and beyond.

The Neuroscience

While scientific research on Tibetan Medicine (Sowa Rigpa) is still developing, some studies suggest potential mechanisms that might explain its reported effects:

Neuroplasticity: The holistic approach of Tibetan Medicine, including lifestyle changes and meditation practices, may promote neuroplasticity, potentially influencing cognitive function and emotional regulation.

Stress Reduction: Many Tibetan Medicine practices, such as meditation and breathing exercises, may activate the parasympathetic nervous system, reducing stress and promoting overall well-being.

Gut-Brain Axis: The emphasis on dietary therapy in Tibetan Medicine aligns with emerging research on the gut-brain axis, suggesting potential influences on mood and cognitive function through gut microbiome modulation.

Circadian Rhythm Regulation: Tibetan Medicine’s focus on daily and seasonal routines may help regulate circadian rhythms, potentially influencing hormone production and overall physiological balance.

Inflammatory Response: Some Tibetan herbal formulations have shown anti-inflammatory properties in preliminary studies, which could explain their reported effects on various health conditions.

Neuroendocrine Modulation: Practices like meditation and mindfulness, often incorporated in Tibetan Medicine, have been associated with changes in neuroendocrine function, potentially influencing stress responses and overall health.

Psychoneuroimmunology: The integration of mind-body practices in Tibetan Medicine aligns with the field of psychoneuroimmunology, suggesting potential influences on immune function through psychological and neurological pathways.

It’s important to note that while these explanations draw on established scientific concepts, their specific application to Tibetan Medicine is not proven. The field continues to evolve, with ongoing studies exploring the complex interactions between traditional practices and human physiology in the context of this ancient healing system.

Governing Body

While there is no single central governing body for Tibetan Medicine practitioners globally, several organisations provide training, certification, and some level of oversight for practitioners in different regions. Here are some notable examples:

The Tibetan Medicine and Astro Science Institute (TMASI): Based in the UK they offer training and certification programmes in Tibetan Medicine. They also maintain standards of practice for its members

Men-Tsee-Khang (Tibetan Medical and Astro Institute): The official institute of His Holiness the Dalai Lama. They offer comprehensive training and  internationally recognised certifications in Tibetan Medicine. They maintain a branch in London for UK-based training and treatments.

Shang Shung Institute: Has branches in Italy, USA, and UK where they offers courses and certification in Tibetan Medicine and Kunye massage

Sowa Rigpa International College: Based in Kathmandu, Nepal for those that want authentic teaching. They offer bachelor’s and master’s degree programmes in Tibetan Medicine, and are recognised by the Central Institute of Higher Tibetan Studies, India

The British Association for Traditional Tibetan Medicine (BATTM): Professional body for Tibetan Medicine practitioners in the UK, they maintain a register of qualified practitioners and promote ethical standards and continuing professional development

It’s important to note that standards and practices can vary between different organisations and regions. While these bodies provide some structure and standards, there is no universally recognised certification or governing body for Tibetan Medicine globally. Potential practitioners and clients are encouraged to thoroughly research the credentials, methodologies, and ethical standards of any Tibetan Medicine programme or practitioner they consider.

What Good Looks Like

In the context of Tibetan medicine (Sowa Rigpa), a positive and effective experience should encompass several key elements:

• As you enter the consultation, you should feel a sense of calm and reverence. The practitioner creates an environment that feels sacred and conducive to healing, perhaps with traditional Tibetan art or objects that set the tone for the session.
• You’ll notice the practitioner’s demeanour is one of deep compassion and attentiveness. They should embody the qualities outlined in Tibetan medical texts – analytical, ethical, patient, focused and wise.
• During the diagnosis, you’ll experience a thorough assessment that goes beyond just physical symptoms. The practitioner will inquire about your mental state, emotions, lifestyle, and environment, demonstrating a holistic approach to understanding your health.
• You may be surprised by the depth of the pulse reading. The practitioner will carefully feel your pulse on both wrists, often for several minutes, as they discern subtle patterns that reveal your constitutional balance.
• The practitioner’s observation of your tongue and urine sample should feel respectful and purposeful, not rushed or dismissive. They may explain what they’re looking for, helping you understand the diagnostic process.
• You should feel actively engaged in the consultation, not just a passive recipient. The practitioner will likely ask you to reflect on your habits, thoughts, and feelings, encouraging self-awareness as part of the healing process.
• When discussing treatment, you should sense that the recommendations are tailored specifically to you, not a one-size-fits-all approach. The practitioner will explain how diet, lifestyle changes, and possibly herbal medicines will work together to restore balance.
• Throughout the session, you should feel a growing sense of understanding about your own constitution and how it relates to your health. The practitioner will educate you on Tibetan medical concepts in a way that’s accessible and empowering.
• By the end of the consultation, you should feel a sense of hope and direction. While instant cures aren’t promised, you should have a clear understanding of your path towards better health and balance.

Remember, a good Tibetan medicine experience is one where you feel respected, supported, and empowered to take an active role in your healing journey. The effects should feel gentle yet profound, leaving you with a sense of harmony between your body, mind, and spirit.

What to Ask a Practitioner

Here are some key questions to help identify an exceptional Tibetan Medicine practitioner, along with what to look for in their answers:

How do you personalise treatment plans for individual patients?

Desired answer: A detailed explanation of how they assess each patient’s unique constitution (nyepa) and current imbalances. They should mention techniques like pulse reading, urine analysis, and tongue examination, as well as how they tailor herbs, diet, and lifestyle recommendations to the individual.

Can you explain your approach to integrating the mind-body-spirit connection in your treatments?

Desired answer: A clear articulation of how they address not just physical symptoms, but also emotional and spiritual aspects of health. They should mention concepts like karma and the importance of mental cultivation in the healing process.

How do you source and prepare the Tibetan herbal medicines you prescribe?

Desired answer: Knowledge of authentic Tibetan herbal formulations and their sources. An exceptional practitioner should be able to explain the quality control measures they use and possibly mention traditional blessing rituals for the medicines.

Can you describe a particularly challenging case you’ve treated and how you approached it?

Desired answer: A thoughtful response demonstrating problem-solving skills, adaptability, and persistence in finding effective solutions for complex cases. They should explain how they combined various Tibetan medical techniques to address the issue.

How do you integrate modern medical knowledge with traditional Tibetan medical practices?

Desired answer: An approach that respects traditional knowledge while also acknowledging the value of modern medical insights. They should be able to explain how they stay updated on both Tibetan and Western medical developments.

Can you explain the concept of ‘subtle body’ in Tibetan Medicine and how you work with it?

Desired answer: A clear explanation of the channels (tsa) and winds (lung) in Tibetan Medicine, and how they influence health. They should mention techniques like Tsalung practice or other methods for working with the subtle body.

How do you address the role of diet and lifestyle in your treatment plans?

Desired answer: Specific examples of dietary and lifestyle recommendations based on Tibetan medical principles. They should explain how these recommendations are tailored to an individual’s constitution and current imbalances.

How do you incorporate Buddhist principles or other spiritual practices into your treatments, if at all?

Desired answer: An approach that respects the patient’s beliefs while offering optional spiritual practices or principles that can support healing. They should not insist on Buddhist practice but be able to explain its potential benefits in the healing process.

Key items a practitioner MUST include:

• A clear explanation of the diagnostic process in Tibetan Medicine
• An understanding of the three nyepas (bodily humours) and how they relate to health and disease
• A commitment to holistic treatment that addresses body, mind, and spirit
• Knowledge of authentic Tibetan herbal formulations and their appropriate use
• An ability to provide personalised dietary and lifestyle recommendations based on Tibetan medical principles

Remember, an exceptional Tibetan Medicine practitioner should demonstrate a deep understanding of both traditional principles and modern applications, an ability to explain complex concepts clearly, and a genuine commitment to patient-centred, holistic care.

Related Therapies

Ayurveda (MOD018): An ancient Indian holistic healing system based on the balance of body, mind, and spirit.

Traditional Chinese Medicine (MOD167): An ancient medical system that includes various forms of herbal medicine, acupuncture, massage, exercise, and dietary therapy.

Acupuncture (MOC007): A traditional Chinese medicine practice that involves inserting thin needles into specific points on the body to balance energy flow (Qi) and promote healing. Acupuncture can complement Reiki by addressing energetic blockages.

Herbal Medicine (MO067): The use of plant-based remedies to treat various health conditions. Herbal medicine can complement flower essence therapy by addressing physical symptoms alongside emotional imbalances.

Meditation (MOD099): A practice that focuses on calming the mind and enhancing awareness. Meditation can deepen the relaxation experienced during Reiki sessions and help individuals connect more profoundly with their inner selves.

Qigong (MOD102): A holistic system of coordinated body posture and movement, breathing, and meditation used for health, spirituality, and martial arts training.

Sound Healing (MOD154): The use of sound vibrations, such as singing bowls or tuning forks, to promote relaxation and healing. Sound therapy can enhance the meditative state achieved during Reiki sessions.

Massage Therapy (MOD097): This hands-on therapy involves manipulating the body’s soft tissues to relieve tension, reduce pain, and promote relaxation. It can enhance the effects of Reiki by addressing physical discomfort and improving circulation.

Energy Healing (MOD054): A range of therapies that manipulate the energy fields around the body to promote physical and emotional healing.