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Tibb - A whole person medicine
by Muhammed Salim Khan, MIGN, TIBB Assoc., MBHMA, MURHP

In the traditional civilisations of Middle East, India and China, we find some of the oldest and most time-tested systems of healthcare and medicine. In Egypt, textbooks on medicine were written by 3000BC. In India, the traditional Indian medicine Ayurveda, was practiced and taught at university level in 700BC. In China, Traditional Chinese medicine (TCM) was well established by 700BC throughout China, with its roots going back at least to 3000BC.

One of the distinctive features of oriental medicines is that they are an integral part of man's philosophy, his consciousness and his relationships with other beings and the cosmos. The results are a rich harvest of perspectives and modalities that are unsurpassed both in their profundity and sophistication as well as being practical, economical and ecologically sustainable.

In this article I would like to introduce Tibb, a whole person medicine, and its potential for promotion of health and well-being, about which very little in known in the West.

Historical context
Tibb is a tradition of health, which was synthesised in the crucible of the Middle East, and integrated elements from Egypt, India, China and classical Greece. Tibb is an Arabic word, which in different places has been referred to as Arabic, Greco-Arab, Hikmah, Unani, Islamic and Sufi medicine. Some of the most illustrious names, such as Ar-Razi of Persia, Ibn Al-Baytar of Andalusia , Mainmondes of Egypt and Ibn Sina were practitioners and teachers of Tibb. Today, Tibb continues to provide healthcare for millions of people in India, Pakistan, Afghanistan, Bangladesh, Malaysia and various parts of the Middle East.

Wholeness and balance
Tibb, which literally means nature, is a body of knowledge and practice, which maintains health and endeavours to restore it whenever lost. Health is a purposeful condition of dynamic balance, in which all the functions are carried out in a correct and whole manner. The concept of wholeness and balance permeates the philosophy, principles and practices of Tibb. In historical times, the condition of wholeness and balance was the norm for most human beings. However, as people and societies moved away from natural patterns, disharmony and diseases increased.

Diagnosis
There are three types of professionals within Tibb.

Hakim, a philosopher/physician,

Tabib, a physician

Mualliaj, a practitioner.

Each physician within the Tibb system works with the whole person. The diagnosis or evaluation is to assess the whole person, while attempting to locate the focus of any given disease. The imbalance may be located within one or more of four levels. In addition, and depending upon (i) the individual patient's Mijaz - constitution and type, and (ii) the level of their imbalance - the physician can use one or more of the techniques or modalities to enable order and balance.

Treatment
On the physical level he may select massage, manipulation or cupping. This may be complemented with subtle changes in diet supported by a simple or complex remedy from rich material medica, mostly from plants.

If necessary and appropriate, the physician can use wholistic psychotherapeutic measures to balance the inner dimensions of emotions or thoughts. If there is a spiritual imbalance, then the Hakim may use logotherapy to harmonise the transcendental aspects at the core of a human being.

In Tibb, the rose is seen as a remedy par excellence. The Hakims consider a human being to be analogous to the rose, the physical body representing the thorns, emotions the stem, the mind the flower and the spirit or the self personified by the essence and fragrance.

Tibb in the 21st century

The following factors all contribute toward creating dissatisfaction and alienation within sections of health service users

the prohibitive cost of technological medical systems

modern medicine's inability to cure increasing chronic diseases

rising levels of negative side-effects produced by chemical drugs

dehumanisation in the organisation of institutional medicine

In the non-industrialised parts of the world, provision of adequate healthcare facilities on the European or North American model is impossible. The world- wide awareness of ecological imbalances together with need and desire for sustainable life styles highlights Tibb as an excellent tradition that can provide effective and sustainable models of healthcare and medicine.

The World Health Organisation's (WHO) acknowledgement of traditional medicines' positive contribution in primary health care, particularly for non-industrial societies provides many opportunities for the continuing development of Tibb. The rich repository of literature and clinical experience in use of plant remedies over centuries awaits open-minded researchers. The botanical heritage of Tibb will be extremely practical and useful for many distressing conditions facing our age, such as toxicity and breakdown of the human immune system.

The wholistic and integrative perspective of Tibb can enable synthesis and development of the individual in the context of the family and the community .The emphasis of oneness and unity enable connectedness and not disintegration, which is often the hallmark of drug and surgery-based methods.

The consequence of a wholistic perspective is development and inter-connectedness. In the 21st century the theme of inter-connectedness and interdependence will be of psychological and practical significance.

Tibb, while able to deal successfully with physiological imbalances, is however most useful in psychological disorders. The clarity within Tibb tradition regards the genesis, nature and purpose of a human being and provides a vision that is above time and space. It recognises the transcendental aspect of human beings and acknowledges the spiritual nature of each person, which can enable and galvanise individuals towards transformation and unification, an essential need of the 21st century.

"Contemporary western men and women, in quest of the sacred and the rediscovery of pontifical man, seek techniques of meditation which overcome the excessive cerebral activity which characterises modern mental activity, allowing the agitated mind to simply be. The quest may include yoga, oriental forms of medicine, natural food and medicine and the like. In reality the quest is for the heart which, in the spiritual person, who is aware of his vocation as man, "penetrates" into both the head and the body, integrating them into the centre, bestowing a contemplative perfume to mental activity and intellectual and spiritual presence to the body, which is reflected in its gestures and motion.

This potential towards transformation and unification constitutes the excellence and zenith of Tibb, a balanced, whole person medicine.

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