Health minister Harsh Vardhan spoke again in support of Ayurveda and “alternative” medicine yesterday, as reported in The Hindu (Harsh Vardhan bats for Ayurveda):
Dr. Vardhan recommended that the National Institute of Mental Health and Neuro Sciences (NIMHANS) commit itself “to promoting Ayush” (Ayurveda, Yoga, Naturopathy, Unani, Siddha and Homoeopathy). NIMHANS and SVYAS should work in coordination and share scientific expertise, he said. “The supremacy of Indian fields of medicine has been established… Today, we do not have to convince people about yoga and Ayurveda.” However, the country needs evidence-based medicine, he said, adding that research on practices such as meditation and yoga could help empirically prove the efficacy of these Indian health systems.
The bit about evidence-based medicine is most welcome. My suspicion though is that they are not serious about it. His remarks here and previously (see Ayurveda, Unani, Siddha and Homeopathy to be included in AIIMS system: Harsh Vardhan) suggest that he has already decided that Ayurveda works, and the evidence-based support is going to be selectively painted on – perhaps dishonestly – to give it a respectable veneer.
In a previous post titled How Ayurveda Works (Not Really) I argued against Ayurveda based on issues of plausibility. Perhaps we should also keep this different question handy to put to them:
Can you describe some Ayurveda remedies which were examined using the techniques of evidence-based medicine, found ineffective, and therefore discarded?
This would give some idea of whether they are seriously following evidence-based medicine or not. Mind you, this question is very valid even for modern medicine, as Ioannidis and co. have found – biases like publication bias are very real in modern medicine (Why Most Published Research Findings Are False). So if you put this same question to a doctor or researcher of modern medicine, you won’t get as many examples as you’d like. But you will find some, as a little searching on Google reveals. You will also find disputes, re-evaluations and controversies, like in the case of statins. So, in the future when our health ministry has its way on AYUSH, we should see at least this amount of failure and controversy in the news. If my suspicion is correct, we will not – instead we’ll see one positive result after another. Time will tell.