Himalayan
Amchi Association
Mission Statement
The Himalayan Amchi Association (HAA) is dedicated to the preservation
and development of traditional amchi medicine, or sowa rigpa, in Nepal,
and to networking with and mutually supporting amchi throughout the
greater Himalayan and Central Asian region. Amchis’ mission as
medical practitioners is to serve people altruistically and help promote
health through the balance of humanity and nature, as well as mind,
body, and spirit. As such, the HAA aims to provide local communities
in Nepal with reliable health care, safeguard amchi knowledge, improve
educational opportunities for amchi, and contribute to the conservation
of medicinal plants and the fragile Himalayan ecosystems on which amchi
medicine depends.
Amchi
Medicine: Past, Present, and Future
In general, amchi medical practice is also identified
by the name sowa rigpa, which means “science of healing”
in classical Tibetan as well as in regional Himalayan and Central Asian
languages and dialects. The word amchi means “doctor.” This
system of medicine is a spiritual practice, a science, and an art that
dates back thousands of years. Aspects of our medicine system were transmitted
from India to Tibet between the 7th and 12th centuries, during the first
and second dissemination of Buddhism. This system, combines the profound
work of Sangye Menla, the Medicine Buddha, with indigenous Tibetan traditions
such as Bön, and was shaped into sowa rigpa as it is known today.
Historically, amchi would begin their medical training
at an early age. Their knowledge and skills have been transferred from
teacher to student, often from father to son. Thus, lineages of amchi
families exist throughout the Tibetan cultural world. After learning
how to read and write classical Tibetan and studying relevant religious
texts, students would learn their vocation by apprenticing elder amchi
and studying the Gyud Shi, or the Four Root Tantra texts of Tibetan
medicine. Young amchi would also learn how to identify and collect medicinal
plants, make medicine, remove poisonous qualities of certain ingredients,
diagnose disease using pulse and urine analysis, and provide prescriptions
for patients. They would also be trained in moxibustion, cauterization,
and other healing techniques. Likewise, amchi would receive training
in astrology, as it is an essential component of diagnosis and treatment
within Tibetan medical tradition.
Challenges and Statement of Need
Amchi have been contributing significantly to the health care systems
of remote mountain communities in the Himalaya and Tibetan Plateau for
centuries. In many parts of Nepal, amchi are the sole providers of health
care. However, despite the great benefit that comes from amchi medicine,
this system is under threat in Nepal and other parts of the Himalaya
and Tibetan Plateau. The younger generation is having a difficult time
sustaining this practice amidst changing social, economic, and cultural
circumstances. The dearth of traditional institutes of learning for
Tibetan medicine has contributed to this decline. Likewise, the lack
of government recognition for amchi practice by the government of Nepal
has further hindered the amchis’ abilities to pass on knowledge,
serve communities, and protect the environments on which this medicine
depends.
It has become clear that amchi living and practicing
in the greater Himalayan region, including Nepal, must take effective
and timely steps to revitalize this unique traditional medical system.
By doing this, we will also help safeguard the health, well being, and
cultural traditions of our remote mountain communities. If we do not
protect and support our own knowledge and practice, it will soon be
rendered obsolete.
Organizational
History, Activities, and Goals
Given these circumstances, amchi practicing in Nepal agreed to establish
the Himalayan Amchi Association (HAA) with the objective of restoring
the practice of amchi medicine and encouraging the restoration and support
of this vital traditional knowledge within areas where amchi are still
living and practicing medicine. The HAA has been registered with His
Majesty’s Government of Nepal as a non-profit organization since
1998. The organization represents a large number of traditional doctors
from remote areas of Nepal, including those from the districts of Dolpa,
Mustang, Gorkha, Sinduwapalchowk, Mugu, Humla.
Since its founding in 1998, the HAA has organized four
national conferences of amchi in Nepal and three refresher training
courses for novice amchi in the fundamentals of sowa rigpa, according
to the Gyu Shi. These events have brought together more than 100 senior
and novice amchi from Nepal, as well as guests from India and the Tibetan
Autonomous Region of China. The HAA has also published and distributed
four booklets based on the national conferences.
In 2003, the HAA opened its own clinic in Kathmandu.
This clinic, staffed by member amchi on a rotational basis, not only
provides medical care to people from remote mountain communities when
they come to Kathmandu, but also provides the HAA with a source of income
and a view towards organizational sustainability. It also serves as
a site for clinical training and apprenticeship for novice amchi.

Members of the Himalayan Amchi Association and fellow practitioners of
Sowa Rigpa gather in Kathmandu for the First International Amchi Conference in Nepal, January 2004
©Sienna Craig
In 2004, the HAA held its first International Conference
of Amchi, with delegates from Mongolia, Tibet Autonomous Region (PRC),
Bhutan, Ladakh (India), and throughout Nepal. During this historic conference,
delegates have discussed both constraints and potentials of our medical
traditions and made several unanimous resolutions, in order to safeguard
and develop amchi medical systems in the contemporary global context.
Amchis from each country agreed to establish a coalition in order to
realize the five-point action plan and resolutions listed below, in
both national and international contexts.
Objectives
The
long-term aims of the HAA is to preserve and consolidate the knowledge
and skills represented by traditional Himalayan healers and Tibetan
medicine, in order to provide local communities with an effective health
care system and at the same time contribute to the conservation of Himalayan
ecosystems.
Our
immediate objectives are to:
- Improve
the quality of and support for amchi medicine throughout the greater
Himalayan region.
- Obtain
government recognition and support for amchi medicine. --Improve
and standardize traditional medicines.
- Coordinate
communication within and between amchi.
- Organize
the production of medicinal herbs in a sustainable manner.
- Expand
the knowledge of and support for traditional amchi medicine both
regionally and internationally.
Activities
of the HAA
The
HAA's action plan is as follows:
1. Recognition and Support
In Bhutan, Mongolia and the PRC, sowa rigpa is fully recognized and
supported by national governments. In Nepal and India, however, the
national governments have not recognized this medical system, although
many citizens in both rural and urban environments rely on amchi for
health care. As such, especially in the countries where our medical
system has not yet been recognized, we strongly request the formal and
full recognition of our medical practice, and concomitant and support
by the government. Such support should include equal rights for medical
practitioners and financial commitments toward medical education, medical
production, medicinal plant conservation, and health care delivery.
2. Development of Medical Educational Systems
With the exception of Nepal, formal university level education of
our medical system exists in all other represented countries; education
in amchi medicine in Nepal is currently conducted through four small,
private schools, none of which receive government support. It is crucial
in Nepal to institutionalize medical education in collaboration with
appropriate government agencies. We aim to combine ancient and modern
systems of medical education and create curriculums that will be recognized
and supported by both the government of Nepal and international institutions
of sowa rigpa. There is great potential to develop existing educational
structures, particularly through collaboration and knowledge sharing
among amchi from diverse countries and backgrounds. It is essential
to conduct trainings and workshops with the aim of developing curriculums
and teaching plans which combine traditional, lineage-based instruction
with the structure and standards of modern medical institutions.
3. Health Care Delivery: Serving our Communities
It is necessary to develop and extend our reach and capacities as
medical practitioners to serve local and national communities; it
is especially important that we can continue to treat those who are
poor, those who cannot access, prefer not to access, or cannot be
cured by biomedicine. Our medicine should remain an affordable, quality
health care option, especially for rural communities. It is also necessary
to coordinate education, training, and health care delivery between
this medical system and biomedical medicine now and in the future.
4. Conservation, Cultivation, and Sustainable Utilization
of Medicinal Plants
Amchi possess a great deal of knowledge about the use, trade, history,
and current situations of medicinal plants, from lowland species to
the high-altitude species found in our home environments. We also
understand that without reliable and renewable access to medicinal
plants, we will be unable to make our medicines, serve patients, or
preserve our unique medical cultures. As such, amchi are ready and
willing to contribute toward the sustainable utilization of medicinal
plants, as this has positive implications for the health of people
and economies of all countries represented (Nepal, India, Bhutan,
China).
5. Research, Documentation, and Intellectual Property Rights
Various research and documentation efforts are required to help ensure
the future vitality of this medical system throughout the region,
and the world. This includes clinical research, pharmaceutical research,
sociological and anthropological research, etc. Alongside this growing
need for, and interest in, research – particularly between our
medicine and biomedicine – we must also be aware of Intellectual
Property Rights (IPR) issues, and network with government and non-government
institutions accordingly. We must ensure our legal access to and benefit
from our medicines and raw materials, now and in the future.
Edited
by Sienna Craig, Advisor, HAA
Board
Members of the HAA
Amchi Gyatso Bista, Chairman
Khenpo Menlha Phuntsok, Vice Chairman, General Secretary
Karma Tsering Dhondup, Treasurer
Tenzin Darkye, Member
Amchi Wangchuk, Member
Lama Namgyal, Member
Tsepal Dorje, Member
Karma Choedron, Member
Amchi Nima, Member
Amchi Tashi Namgyal, Member
Staff
Tsewang Norbu Lama
Advisors
Yoji Kamata, anthropologist, University
of Sussex and IHC
Hiroya Iida, scholar of Tibetan culture
Sienna Craig, anthropologist, Dartmouth College and DROKPA
Narayan Nath Tiwari, Tribhuvan University
Gelek Gyaltso
Tenzing Lama |
Membership
Application
Persons
interested in becoming a member of the HAA can apply to the Board, who
will consider the application and notify applicants in due course. Members
pay an annual fee of Rs. 500 and will receive the HAA newsletter and
program updates.
Appeal
for Support
The HAA and its international partners hope to realize
the above action plan through specific projects such as curriculum development
workshops, teacher training, study tours, medicinal plant cultivation
trials, etc. However, in order realize these goals and safeguard the
future of amchi medicine, HAA seeks support from concerned individuals
and organizations. Funds are needed to:
-
Fund curriculum development, textbook production
and reproduction (especially of old and/or rare manuscripts), advanced
study scholarships, and to support existing and future institutions
of sowa rigpa in Nepal
-
Fund health care delivery and public health
initiatives, such as small grants for raw material purchase and
the development of maternal and child health care programs in rural
areas
-
Provide HAA office and clinic with institutional
development and support, including staff and management training
-
Continue international networking, knowledge
sharing and specific workshops on topics such as diagnosis, medicine
production, medicinal plant cultivation, etc.
-
Produce publications in relevant languages for
distribution to amchi in Nepal and regionally.
Contact Us:
If you would like to make a donation to the HAA, or if you would like
more information about our organizational history, board of directors
and advisors, please contact:
Himalayan Amchi Association
G.P.O.Box # 14202
Boudha, Kathmandu
Nepal
Tel: 977-1-4490269
Fax : 977-1-4472529
Email: hiam98@yahoo.com
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