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Tibetan culture and livelihoods depend on native plants for medicine, food, grazing, wood, as well as cash from market sales. The Medicine Mountains (part of the Hengduan Mountains) of the eastern Himalayas, with tremendous plant diversity derived from steep gradients of both elevation and precipitation, have traditionally been an important source of Tibetan medicinal plants. We examine climate change in this area and vegetation patterns influenced by biogeography, precipitation and elevation (NMS and CCA ordinations of GLORIA plots). The Alpine environment has the highest plant diversity and most useful plants and is the most susceptible to climate change with impacts on traditional Tibetan culture and livelihoods—particularly Tibetan medicine and herding.
Tibetans in five villages in the Mount Khawa Karpo area of the Menri (Meili Xueshan in Chinese) range, Northwest Yunnan, People's Republic of China, were interviewed about their knowledge of a number of medicinal plants and their uses. There was large variation in people's knowledge with significant differences among the villages and between men and women. Most of the reported knowledge focused on a small number of commercial plants and their uses. In comparison with Tibetan doctors, villagers generally knew fewer applications and focused on general health remedies. Many people collected medicinal plants for their own use as well as for sale, but also obtained medicinal plant remedies from markets and Tibetan doctors, and often used traditional Tibetan healthcare in conjunction with biomedical treatment.
[Tibetan medicine historically has had multiple medical lineages, despite ancient, shared literary medical canons. However, since the second half of the 20th century in Tibet, increasing state control and commoditization has lead to centralization and standardization of Tibetan medicine. Here we investigate how much variation in the use of medicinal plants remains in contemporary Tibetan medicine. Medicinal plants used and/or sold by fifteen Tibetan medical institutions, markets, and doctors, as well as two additional non-Tibetan markets, are inventoried and vouchered (where allowed). The data are ordered by Non-metric Multidimensional Scaling. Four distinct groups are defined: (1) government recognized Tibetan medical institutions and their disciples both in Lhasa and elsewhere, (2) local herbal doctors near Mt. Khawa Karpo, eastern Himalayas, (3) Tibetan medicinal markets in Lhasa and near Mt. Khawa Karpo, and (4) non-Tibetan medicinal markets near Dali and Kunming, Yunnan. This clearly documents the plurality of Tibetan medical traditions-official, local, and market-while differentiating these from non-Tibetan markets.]