27
Recent literature extols Tibetan medicine and its plants (Kletter and Kriechbaum 2001; Dash 1994), often giving the impression that there is one centralized practice. Like Chinese and Ayurvedic medical systems, Tibetan medicine has a central core of historic literary reference works, called “the four Tantras” (rgyud bzhi) which define and describe the Tibetan medical system. This core of literary texts (written in their present form in the 12th century) together with later commentaries (such as the 17th cen- tury “Blue Beryl treatise”) are still commonly accepted as the scholarly foundation of Tibetan medicine. However, the existence of such a com- monly accepted literary basis does not imply a static or uniform system of knowledge and prac- tice. Ghimire, McKey, and Aumeeruddy-Thomas (2005) have broken ground in appreciating varia- tion within Tibetan medical traditions in Nepal. The fact that similar variation has existed for many centuries is evidenced by Tibetan texts from the 16th century that bear witness to con- flicting views of the “proper” way of learning and practicing Tibetan medicine (Schaeffer 2003). The origin of Tibetan medicine is in itself diverse and from the beginning has been charac- terized by the existence of different lineages or schools. Not only have there been strong influ- ences from Indian and Chinese medical systems, but also from pre-Buddhist Bön, Middle Eastern, and Greek medical systems, and from local herbal practices (Beckwith 1979). Through the first half of the 20th century, Ti- betan medicine retained a diversity of schools and practitioners, including not only Buddhist monks, but also professional secular medical practitioners (with their own schools) and local healers, who often incorporated pre-Buddhist Tibetan Medicine Plurality 1 Jan Salick, Anja Byg, Anthony Amend, Bee Gunn, Wayne Law, and Heidi Schmidt Salick, Jan (Curator of Ethnobotany, Missouri Botanical Garden, P.O. Box 299, St. Louis, MO 63166; e-mail: [email protected]), Anja Byg (Post-doctoral Fellow, Missouri Botan- ical Garden), Anthony Amend (Senior Herbarium Assistant, Missouri Botanical Garden; present address: Department of Botany, University of Hawaii at Manoa; e-mail: [email protected]), Bee Gunn (Research Specialist, Missouri Botanical Garden; e-mail: [email protected]), Wayne Law (Ph.D. candidate, Missouri Botanical Garden; e-mail: [email protected]), and Heidi Schmidt (Senior Herbarium Assistant, Missouri Botanical Garden; e-mail: [email protected]). Tibetan Medicine Plurality. Eco- nomic Botany 60(3):227–253, 2006. 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 centraliza- tion 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 addi- tional non-Tibetan markets, are inventoried and vouchered (where allowed). The data are or- dered by Non-metric Multidimensional Scaling. Four distinct groups are defined: (1) govern- ment 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 tradi- tions—official, local, and market—while differentiating these from non-Tibetan markets. Key Words: Tibetan medicine, markets, cultural variation, medicinal plants. Economic Botany, 60(3), 2006, pp. 227–253. © 2006, by The New York Botanical Garden Press, Bronx, NY 10458-5126 U.S.A. 1 Received 13 September 2005; accepted 17 May 2006.

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Page 1: Tibetan Medicine Plurality - Amend Labamendlab.com/files/Library_File/tibetan_medicine.pdf · Tibetan Medicine Plurality. Eco-nomic Botany 60(3):227–253, 2006. Tibetan medicine

Recent literature extols Tibetan medicine andits plants (Kletter and Kriechbaum 2001; Dash1994), often giving the impression that there isone centralized practice. Like Chinese andAyurvedic medical systems, Tibetan medicinehas a central core of historic literary referenceworks, called “the four Tantras” (rgyud bzhi)which define and describe the Tibetan medicalsystem. This core of literary texts (written intheir present form in the 12th century) togetherwith later commentaries (such as the 17th cen-tury “Blue Beryl treatise”) are still commonlyaccepted as the scholarly foundation of Tibetanmedicine. However, the existence of such a com-monly accepted literary basis does not imply astatic or uniform system of knowledge and prac-tice. Ghimire, McKey, and Aumeeruddy-Thomas

(2005) have broken ground in appreciating varia-tion within Tibetan medical traditions in Nepal.The fact that similar variation has existed formany centuries is evidenced by Tibetan textsfrom the 16th century that bear witness to con-flicting views of the “proper” way of learningand practicing Tibetan medicine (Schaeffer2003). The origin of Tibetan medicine is in itselfdiverse and from the beginning has been charac-terized by the existence of different lineages orschools. Not only have there been strong influ-ences from Indian and Chinese medical systems,but also from pre-Buddhist Bön, Middle Eastern,and Greek medical systems, and from localherbal practices (Beckwith 1979).

Through the first half of the 20th century, Ti-betan medicine retained a diversity of schoolsand practitioners, including not only Buddhistmonks, but also professional secular medicalpractitioners (with their own schools) and localhealers, who often incorporated pre-Buddhist

Tibetan Medicine Plurality1

Jan Salick, Anja Byg, Anthony Amend, Bee Gunn, Wayne Law,and Heidi Schmidt

Salick, Jan (Curator of Ethnobotany, Missouri Botanical Garden, P.O. Box 299, St. Louis,MO 63166; e-mail: [email protected]), Anja Byg (Post-doctoral Fellow, Missouri Botan-ical Garden), Anthony Amend (Senior Herbarium Assistant, Missouri Botanical Garden;present address: Department of Botany, University of Hawaii at Manoa; e-mail:[email protected]), Bee Gunn (Research Specialist, Missouri Botanical Garden; e-mail:[email protected]), Wayne Law (Ph.D. candidate, Missouri Botanical Garden; e-mail:[email protected]), and Heidi Schmidt (Senior Herbarium Assistant, MissouriBotanical Garden; e-mail: [email protected]). Tibetan Medicine Plurality. Eco-nomic Botany 60(3):227–253, 2006. Tibetan medicine historically has had multiple medicallineages, despite ancient, shared literary medical canons. However, since the second half ofthe 20th century in Tibet, increasing state control and commoditization has lead to centraliza-tion and standardization of Tibetan medicine. Here we investigate how much variation in theuse of medicinal plants remains in contemporary Tibetan medicine. Medicinal plants usedand/or sold by fifteen Tibetan medical institutions, markets, and doctors, as well as two addi-tional non-Tibetan markets, are inventoried and vouchered (where allowed). The data are or-dered by Non-metric Multidimensional Scaling. Four distinct groups are defined: (1) govern-ment recognized Tibetan medical institutions and their disciples both in Lhasa and elsewhere,(2) local herbal doctors near Mt. Khawa Karpo, eastern Himalayas, (3) Tibetan medicinalmarkets in Lhasa and near Mt. Khawa Karpo, and (4) non-Tibetan medicinal markets nearDali and Kunming, Yunnan. This clearly documents the plurality of Tibetan medical tradi-tions—official, local, and market—while differentiating these from non-Tibetan markets.

Key Words: Tibetan medicine, markets, cultural variation, medicinal plants.

Economic Botany, 60(3), 2006, pp. 227–253.© 2006, by The New York Botanical Garden Press, Bronx, NY 10458-5126 U.S.A.

1 Received 13 September 2005; accepted 17 May2006.

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shamanistic practices in their treatments(Cantwell 1995; Janes 1995). During the Cul-tural Revolution, Tibetan medicine was stigma-tized as feudalistic and superstitious. Manymonasteries and medical institutions wereclosed, medical texts destroyed, and medicalpractitioners sent to labor camps and preventedfrom practicing (Janes 1995; Cantwell 1995).Reforms in the 1980s rehabilitated Tibetanmedicine, which is now seen as a cheap and ef-ficient way to provide health care in rural areas.

This development is similar to what has hap-pened in other Asian countries where traditionalmedical systems have been incorporated into na-tional health care systems (Holliday 2003). Theincorporation of traditional medicinal systemshas been recommended by the World Health Or-ganization (WHO 2002) as a means to improvehealth care access for the rural poor. Along withgovernmental recognition of traditional medi-cine, WHO promotes national and internationalregulation and control of treatment and practi-tioners. This route has been followed in Tibet,where increasing official acceptance of Tibetanmedicine has entailed increasing state control.The teaching of Tibetan medicine has been cen-tralized and secularized around the Mentsikhangschool of medicine in Lhasa (Janes 1995). Onlygraduates of the Mentsikhang school are offi-cially allowed to practice in state supported Ti-betan clinics and hospitals. As a result, much ofthe variation in Tibetan medicine in the form ofdifferent medical lines or schools has been lost(Janes 1995).

In addition to increasing state regulation, Ti-betan medicine has, like many other traditionalmedical systems, experienced an increasingcommoditization beginning in the 1990s (Janes1999). The reasons are twofold (Janes 1999;Fischer 2005). First, reforms in the health caresystem required hospitals and clinics to financea larger share of their budget themselves, intro-ducing consultation fees and higher prices formedicines. Second, external demand (from non-Tibetan China, as well as India, Nepal, andwestern countries) for Tibetan medicine hasbeen skyrocketing. The health care sector wasthus one of the few areas in Tibet experiencinginflation at the end of the 1990s, while all othersectors experienced stagnating prices. Since Ti-betan areas are among the most impoverishedin China, this medicinal economic sector waspromoted to alleviate poverty.

228 ECONOMIC BOTANY [VOL. 60

The number of people participating in Ti-betan medicinal markets has escalated dramati-cally, from the herbal collectors to investors inmedicinal production plants. Unfortunately,aside from the field collectors and factory la-borers, the Tibetan medicinal industry tends tobe controlled by non-Tibetans (Fischer 2005).The commoditization has led to increasing de-mands for standardized products and services,which can be subjected to quality control,adding further impetus to the state’s efforts atformalizing Tibetan medicine. Commoditiza-tion has therefore contributed further to the ho-mogenization of Tibetan medicine. Both com-moditization and state policies have had theirstrongest impacts in Lhasa and other urban cen-ters (Cantwell 1995; Janes 1995, 1999). Mean-while, rural areas mainly have been affected bya general decrease in the availability of healthcare from the end of the 1990s (Janes 1999;Fischer 2005).

Here we investigate how state interjection,commoditization, and local traditions affect Ti-betan medicine in Lhasa and a distant easternTibetan realm, known traditionally as the Menrior Medicine Mountains. To this end we com-pare the medicinal plant species used by differ-ent sectors of the medical system—formal Ti-betan hospitals and clinics, Tibetan medicinalmarkets, and local herbalist healers—in thesetwo localities. In addition, we compare these el-ements with nearby eastern outgroups—medici-nal markets in Dali (ethnically Bai) and Kun-ming (ethnically Han), Yunnan, China—whichgives a sense of where Tibetan medicine fitswithin a larger context.

Study SitesMount Khawa Karpo, (Fig. 1; 6,740m,

28°26’20”N latitude, 98°41’05”E longitude) issituated on the border in the extreme northwestof Yunnan and southeast of Tibet. It is the high-est peak of the Menri (“Medicine Mountains”in Tibetan, transliterated to Meili in Chinese),which are part of the Hengduan Mountains ofthe eastern Himalayas, the most biologically di-verse temperate ecosystems on earth (Mitter-meier et al. 1998). Mount Khawa Karpo is oneof the eight sacred mountains in Tibetan Bud-dhism and is circumambulated by thousands ofpilgrims from all over Tibet each year. Locally,the area is predominantly Kham Tibetan, withtraditional village livelihoods based on agricul-

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2006] SALICK ET AL.: TIBETAN MEDICINE PLURALITY 229

Fig. 1. In Lhasa, Dechen, Dali, and Kunming, medicinal plants were censused in Tibetan medicalinstitutions, markets, and with Tibetan doctors of Tibet and northwest Yunnan.

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ture, herding, forestry, and gathering (Salick,Yang, and Amend 2005). In the Menri there is arich tradition of herbalism, with doctors trainedlocally (Law and Salick n.d.), and thriving me-dicinal markets, as well as a state-supported Ti-betan clinic in the town of Dechen (pinyin:Deqin, formerly Atunze). The Medicine Moun-tains, as their name implies, are a traditionalarea for collecting Tibetan medicinal plants.

Lhasa (3,650m, 29°41.76’N 91°9.54’E) is lo-cated on the southern edge of the Tibetanplateau. Nearby mountains reach altitudes of upto 5,500m. Ethnically, Lhasa is originally cen-tral Tibetan. Nowadays, migrants from other re-gions of Tibet, as well as Han Chinese, make upa large proportion of the city’s population ofaround 200,000.

MethodsTibetan medicinal plants used near Khawa

Karpo by local doctors of various training, bythe formal clinic, and in markets are comparedto those used in Lhasa, Tibet, and in Dali andKunming, Yunnan. In Lhasa we inventoried me-dicinal plants at the Mentsikhang (Tibetan Hos-pital), the main Tibetan Medicine Factory, theTibetan Pharmacy in the Barkhor market (nearcentral Lhasa monastery, Jokhang), and the offi-cial, government licensed Tibetan MedicineMarket. Near Dali, Yunnan, we sampled thecentral warehouse of Bai medicinal plant mer-chants. In Kunming, Yunnan, we sampled thecentral Han Chinese medicinal market.

SamplingSampling varied by necessity; however, prior

informed consent was uniformly received withstipulations observed as follows. Optimally, forthe Kunming, Dali, Dechen, Sinong (nearKhawa Karpo), and Lhasa markets, as well asthe Barkhor Pharmacy in Lhasa and TibetanMedical Clinic in Dechen, vouchered plantsamples with scientific names are deposited atthe Missouri Botanical Garden. Less ideally,where we were not allowed to take samples,highly trained Tibetan doctors identified Ti-betan medicinal plants used at the Mentsikhangand the Tibetan Medicine Factory. With thesedoctors, we double-checked scientific namesagainst two standard Tibetan medicine manuals(Gawai Dorje 1995; Chinese Academy of Sci-ence 1996). Local herbalists near Khawa Karpowere interviewed (see Law and Salick n.d.), and

230 ECONOMIC BOTANY [VOL. 60

for each, a list of their 20 most useful medicinalplants was recorded for which we ascribed sci-entific names with reference to a Tibetan medi-cine guide specific to Dechen (Yang 1987–89).Finally, to provide the most recent nomencla-ture, all these scientific names are referencedagainst the International Plant Names Index(IPNI, www.ipni.org) and the Flora of China(mobot.mobot.org/W3T/Search/foc.html). SeeAppendix.

AnalysesSince there are many congeneric species

differences over the geographic range of ourstudy, since specific epithets are not uniformlyattributed and vouchers were not always avail-able, and since many congeneric species areused for the same general purposes in Tibetanmedicine, we chose to analyze the data at thegeneric level.

To differentiate and group Tibetan medicaltraditions, Non-metric Multidimensional Scal-ing with the Jaccard Distance Measure is per-formed with PC–Ord 4 (McCune and Mefford1999). The binary presence-absence matrix isappended including both genus and species.

ResultsTibetan medical institutions and doctors

clearly group by the plants that are used (Fig.2). The tightest group is the formal Tibetanmedicine establishment of Lhasa including theMentsikhang Tibetan Hospital, the Barkhorpharmacy, the Tibetan Medicine Factory, aswell as the Dechen Tibetan Medical Clinic(sanctioned and supplied by Lhasa) and the onemonk practicing in the Khawa Karpo area whohas Lhasa training in Tibetan medicine. Theseinstitutions/people represent the official Tibetanmedicinal system, as it is taught and practicedin state-approved institutions.

Similar but distinct are the local doctors whopractice herbal medicine near Khawa Karpoand were mostly trained by a local medicinal“grand master.” As a group, these doctors aremore dispersed in the ordination than the Lhasagroup, indicating that their local uses of medic-inal plants are less uniform and more individu-alistic. A third group, more distant and moredispersed, includes the markets in Lhasa,Dechen, and Sinong and two self-taught localherbalists who began their career by collectingfor the market. Finally, the two out-groups—the

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2006] SALICK ET AL.: TIBETAN MEDICINE PLURALITY 231

Fig. 2. Pluralism in Tibetan medicine, grouped by similarity of plant genera used, include the well-established Lhasa tradition (bottom right), local Tibetan doctors practicing near Mt. Khawa Karpo (centerright), and markets selling Tibetan plants (upper left). Medicinal markets outside of Tibetan cultural influence(lower left) are clearly distinct. Exceptions to these groups prove their integrity: for example, the one Decheninstitution falling within the Lhasa tradition is the state-run Tibetan Medicine Clinic that receives its storesfrom Lhasa; and two self-taught herbalists south of Dechen who used medicinal plants similar to those inmarkets learned medicine by collecting plants for such markets. This ordination is Non-metricMultidimensional Scaling with the Jaccard Distance Measure, performed with PC–Ord 4; the binary presence-absence matrix is appended.

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Kunming Medicinal Market and the Dali cen-tral warehouse of Bai medicinal plant mer-chants—are ordered separately and not particu-larly close to each other, but clearly distinctfrom the Tibetan medical traditions.

DiscussionDespite the ancient, shared literary canons

and recent government centralization and mar-keting, Tibetan medicine is still by no means asingle entity (see also Ghimire, McKey, andAumeeruddy-Thomas 2005). Plants used ingovernment-sponsored Tibetan medicine—astaught and manufactured in Lhasa and practicedthroughout Tibet and China—are distinct fromthose used in Tibetan medicine as practiced byherbalists near sacred Mt Khawa Karpo, whichis again distinct from those which appear in Ti-betan medicinal markets, be they in Lhasa orKhawa Karpo or elsewhere. The government-sponsored medical institutions are the most ho-mogeneous in their plant use. In Lhasa, the in-fluence of state policies has been strongest: it isthere that the main state-approved medical in-stitutions (school, clinics, hospitals, and facto-ries) are located, but approved state institutionsoutside of Lhasa are also comparable. This ho-mogeneity seems to have arisen after the Cul-tural Revolution with the state centralizationand increasing commoditization of Tibetanmedicine. Although little documentation re-mains today, there were reportedly several dis-tinct medical lineages in Lhasa until the middleof the 20th century (Janes 1995).

In more rural areas, homogenizing forceshave been less influential and local Tibetanmedical traditions coexist (although withoutstate support or subsidy) with the officiallystate-sanctioned version of Tibetan medicine astaught in the Mentsikhang school. Conse-quently, more variation in the plant use of med-ical practitioners remains in rural areas.Nonetheless, the plants used by local medicalpractitioners of the Khawa Karpo region areclearly distinct from those used in Lhasa, thosein the government Tibetan medical clinic nearKhawa Karpo, and those of the one Lhasa-trained doctor in the Khawa Karpo area. Thesedifferences can be ascribed partly to locally dif-ferentiated traditions (with differt medical line-ages dominating in different parts of Tibet),partly to environmental variation of locallyavailable plant species, and potentially to varia-

232 ECONOMIC BOTANY [VOL. 60

tion in the most prevalent types of afflictions indifferent areas. There is ample evidence thatlocal flora shapes local medicine; for example,the species of Lagotis that is used medicinallyvery much depends on location with L. alu-tacea dominating in Dechen, while in Lhasaseveral other species of Lagotis are used.

As shown elsewhere (Olsen 2005), com-moditization of Tibetan medicine has reducedthe materia medica and made it relatively uni-form between both Lhasa and Khawa Karpo.Interestingly, two self-trained herbalists whostarted as commercial medicinal collectorsclearly show evidence of their shared back-ground in the medicinal plants they use—typi-cal market fare.

Lhasa Tibetan medicine and commoditizedTibetan medicine support an extensive interna-tional trade with Persian (e.g., saffron), Indian(e.g., Terminalia bellerica and T. chebula), andother tropical medicinal plants (e.g., Cinnamo-mum spp., Elettaria sp. (actually imported fromcultivated stock in Guatemala!), and Zingiberspp. Local doctors in the Khawa Karpo arearely more on local plants that they collect them-selves, many of which are threatened (Law andSalick n.d.). However, local Tibetan doctorspose little apparent threat to medicinal plantsbecause they use very little of any one plantspecies, carefully guarding the plant popula-tions that they do use. Tibetan medicine mar-kets in Lhasa as well as Dechen also support anextensive trade in several threatened medicinals(e.g., Fritillaria spp., Panax spp., Saussureaspp.). In contrast to local doctors, market col-lectors often do not comply with traditionalcustoms or constraints (e.g., sacred sites; seeAnderson et al. 2005 and Salick et al. 2006), es-pecially where global demand has lead to in-crease in prices and required quantities (Olsenand Larsen 2003; Xu and Wilkes 2004; Olsenand Bhattarai 2005).

This commercial collection is of great concernbecause rampant collectors harvest and exportalready limited and stressed populations of valu-able medicinal herbs (Xu and Wilkes 2004; Kala2005). There are no exact figures for the harvestand trade of medicinal plants available fromTibet. In the Tibetan Autonomous Prefecture inNW Yunnan, estimates of income from non-timber forest products ranges between 25% and80% of earned income (Xu and Wilkes 2004;Zhang, Wang, and Geng 2000) with the most lu-

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crative being Matsutake, a medicinal/culinarymushroom (He 2003; Yeh 2000; Yun, Hall, andEvans 1997). In Nepal an estimated 7,000–27,000 tons of medicinal plants are harvested peryear involving around 323,000 households or10% of rural households (Olsen 2005). Most ofthe harvest in Nepal is concentrated on a smallnumber of high value species, which make up ca.50 % of the total value and ca. 40% of the totalamounts collected. Many programs are being de-veloped around the world to cultivate medicinalherbs both for their conservation in natural habi-tats and for sustainable development (e.g., Longet al. 2003 in the eastern Himalayas; Silori andBadola 2000 in the western Himalayas). How-ever, many of these threatened Tibetan medicinalspecies are very difficult if not impossible to cul-tivate, while others take many years to matureand so are not profitable. In situ conservation andmanagement of these threatened species is ofhighest priority.

Tibetan medicine, in all its plurality, is distinctfrom Bai traditional medicine in Dali and fromHan (Chinese) traditional medicine in Kunming.Although trade and exchange of specific medici-nal plants are both historic and current betweenTibetan and other areas (Li et al. 2000), medicaltraditions remain distinct. Analogous to biodiver-sity, diversity of traditional medicine obviouslyexists at many levels: within traditions, amongtraditions, and on larger scales.

Unfortunately, the Chinese government onlyrecognizes and allows Tibetan clinics to be esta-blished by practitioners of Tibetan medicine for-mally trained in Lhasa. Local doctors in theKhawa Karpo and other areas are not recog-nized. Variation in cultural traditions is a sign ofadaptation and change (Pelto and Pelto 1975). Astrength of traditional medicinal systems is theirability to attend to the physical and psychologi-cal needs of people in ways that are culturallymeaningful (Janes 1995, 1999). While incorpo-ration into national health care may afford tradi-tional medical systems greater recognition, itwill also tend to increase regulation, standardi-zation, and the demand for testing according tobiomedical standards. This may lead to the dis-carding of more spiritual and local elements oftraditional medical systems (Janes 1995; Holli-day 2003). Rigid institutionalization may inhibitthe ability of traditional institutions to meet thechanging and locally differing needs of people(Janes 1995, 1999). Even though incorporation

2006] SALICK ET AL.: TIBETAN MEDICINE PLURALITY 233

of traditional medical systems into nationalhealth care has been promoted by the WorldHealth Organization as a means of ensuringgreater access to health care for all, this may notnecessarily be the result, especially when it iscoupled with greater commoditization.

This is the case in Tibet, where increased na-tional as well as foreign demand for Tibetanmedical treatment and medicines has resulted inincreasing prices (Janes 1999; Fischer 2005).Consequently, the inequity in health care accesshas increased during the last decade, both be-cause of government control and because ofmarkets. The most impoverished Tibetans, whohave no access to government-supported Tibetanclinics and/or who cannot afford the increasingcosts of treatment and manufactured Tibetanmedicines, are served only by traditional Ti-betan herbal doctors who collect their own med-icines in places like the Medicine Mountains.However, these highly knowledgeable and re-spected professionals are not recognized by thegovernment and so receive no support or recom-pense for their knowledge, dedication, or labor.Nonetheless, they carry on their ancient tradi-tion with boddhieitta.

AcknowledgmentsThis research was variously funded by the

Missouri Botanical Garden, The Nature Con-servancy, and National Science Foundation(#0408123). In Yunnan we are very grateful forsupport from the Kunming Institute of Botanyand the Shangrila Alpine Botanical Garden, andin Lhasa from the Tibetan Academy of Agricul-tural and Animal Sciences and the Tibetan Insti-tute of Biology. Our most profound apprecia-tion goes to the Tibetan medical experts whogave willingly of their time and expertise ontraditional medicinal plants.

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Page 9: Tibetan Medicine Plurality - Amend Labamendlab.com/files/Library_File/tibetan_medicine.pdf · Tibetan Medicine Plurality. Eco-nomic Botany 60(3):227–253, 2006. Tibetan medicine

2006] SALICK ET AL.: TIBETAN MEDICINE PLURALITY 235A

PP

EN

DIX

.T

ibet

an

med

icin

al

pla

nts

fro

mva

rio

us

inst

itu

tio

ns

inL

ha

sa,

Dec

hen

,D

ali

,a

nd

Ku

nm

ing

.

Fam

ily

Sp

ecie

s

Aca

ntha

ceae

Adh

atod

ava

sica

Nee

s1

12

Aco

race

aeA

coru

sca

lam

usL

.1

11

11

5A

cora

ceae

Aco

rus

gram

ineu

sS

olan

d.1

12

Ali

smat

acea

eA

lism

apl

anta

go-a

quat

ica

L.

11

2A

llia

ceae

All

ium

atro

sang

uine

umS

chre

nk1

1A

llia

ceae

All

ium

caro

lini

anum

DC

.1

1A

llia

ceae

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ium

fasc

icul

atum

Ren

dle

11

All

iace

aeA

lliu

mfis

tulo

sum

L.

11

All

iace

aeA

lliu

mm

acra

nthu

mB

aker

11

All

iace

aeA

lliu

mpr

atti

iC

.H.W

righ

t1

1A

llia

ceae

All

ium

prze

wal

skia

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Reg

el1

1A

llia

ceae

All

ium

sati

vum

L.

11

2A

llia

ceae

All

ium

sikk

imen

seB

aker

11

All

iace

aeA

lliu

msp

.L

.1

1A

mar

anth

acea

eA

chyr

anth

esbi

dent

ata

Blu

me

11

Am

aran

thac

eae

Am

aran

thus

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atus

L.

11

Am

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Am

aran

thus

viri

dis

All

.1

1A

mpe

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ceae

Vit

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tuli

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aD

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&G

ilg

11

Am

peli

dace

aeV

itis

vini

fera

L.

11

Ana

card

iace

aeR

hus

vern

icifl

uaS

toke

s1

12

Ana

card

iace

aeC

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.B

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&A

.W.

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11

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.1

11

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liv.

)D

iels

11

11

11

6A

piac

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.B

ieb.

)K

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1

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eA

ulac

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royl

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indl

.)K

achr

oo,

U.D

har

&N

aqsh

i1

1

Api

acea

eB

uple

urum

long

icau

leW

all.

exD

C.

11

Api

acea

eC

arum

carv

iL

.1

12

Lhasatraineddoctor

Dechendoctor

Dechendoctor

Dechendoctor

Dechendoctor

Self-taughtdoctor

Self-taughtdoctor

Lhasamedicalinstitution

Lhasamedicalinstitution

Lhasamarket

Lhasamedicalinstitution

Dechenmedicalinstitution

Dechenmarket

Dechenmarket

Othermarket

Othermarket

Totals

Page 10: Tibetan Medicine Plurality - Amend Labamendlab.com/files/Library_File/tibetan_medicine.pdf · Tibetan Medicine Plurality. Eco-nomic Botany 60(3):227–253, 2006. Tibetan medicine

236 ECONOMIC BOTANY [VOL. 60A

PP

EN

DIX

.C

on

tin

ued

Fam

ily

Sp

ecie

s

Api

acea

eC

nidi

umm

onni

eri

Cus

son

11

Api

acea

eC

oria

ndru

msa

tivu

mL

.1

11

3A

piac

eae

Cum

inum

cym

inum

L.

11

13

Api

acea

eF

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aas

sa-f

oeti

daL

.1

12

Api

acea

eFo

enic

ulum

vulg

are

Mil

l.1

11

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Wal

l.ex

DC

.1

1A

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usti

cum

pter

idop

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h.ex

Gli

ver

11

2A

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eae

Lig

usti

cum

sine

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Oli

ver

11

Api

acea

eN

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tery

gium

fran

chet

iiH

.de

Boi

ssie

u1

1A

piac

eae

Not

opte

rygi

umin

cisu

mT

ing

exH

o-t.C

hang

11

Api

acea

eP

euce

danu

mvi

olac

eum

R.H

.S

han

&M

.L.

She

h1

1

Api

acea

eP

leur

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rmum

nanu

mF

ranc

het

11

Api

acea

eP

leur

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sp.

Hof

fm.

11

Api

acea

eSi

noli

mpr

icht

iaal

pina

H.W

olff

11

2A

piac

eae

Spha

ller

ocar

pus

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(Bes

ser

exT

revi

r.)K

oso-

Pol

.1

1

Apo

cyna

ceae

Hol

arrh

ena

anti

dyse

nter

ica

(L.)

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l.ex

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DC

.1

12

Ara

ceae

Pin

elli

ate

rnat

a(T

hunb

.)B

reit

enb.

11

Ara

ceae

Ari

saem

aco

nsan

guin

eum

Sch

ott

11

Ara

ceae

Ari

saem

afla

vum

(For

ssk.

)S

chot

t1

1A

rali

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eA

rali

aqu

inqu

efol

iaD

ecne

.&

Pla

nch.

11

Ara

liac

eae

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axgi

nsen

gC

.A.

Mey

.1

12

Ara

liac

eae

Pan

axps

eudo

gins

eng

Wal

l.1

11

14

Are

cace

aeP

hoen

ixda

ctyl

ifer

aL

.1

1A

reca

ceae

Arc

hont

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enix

sp.

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endl

.&

Dru

de1

1A

reca

ceae

Are

caca

tech

uL

.1

11

14

Ari

stol

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eA

rist

oloc

hia

grif

fithi

iH

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f.&

Tho

mso

nex

Duc

h.1

11

3

Lhasatraineddoctor

Dechendoctor

Dechendoctor

Dechendoctor

Dechendoctor

Self-taughtdoctor

Self-taughtdoctor

Lhasamedicalinstitution

Lhasamedicalinstitution

Lhasamarket

Lhasamedicalinstitution

Dechenmedicalinstitution

Dechenmarket

Dechenmarket

Othermarket

Othermarket

Totals

Page 11: Tibetan Medicine Plurality - Amend Labamendlab.com/files/Library_File/tibetan_medicine.pdf · Tibetan Medicine Plurality. Eco-nomic Botany 60(3):227–253, 2006. Tibetan medicine

2006] SALICK ET AL.: TIBETAN MEDICINE PLURALITY 237A

rist

oloc

hiac

eae

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am

acro

carp

aC

.Y.

Wu

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rist

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pine

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Fra

nch.

11

2A

scle

piad

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eC

ynan

chum

vinc

etox

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(L.)

Per

s.1

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scle

piad

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eV

ince

toxi

cum

kom

arov

iiIj

insk

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1A

spar

agac

eae

Asp

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usfil

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usB

uch.

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D.

Don

11

11

4A

spar

agac

eae

Asp

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orus

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nch.

11

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11

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11

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11

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Page 12: Tibetan Medicine Plurality - Amend Labamendlab.com/files/Library_File/tibetan_medicine.pdf · Tibetan Medicine Plurality. Eco-nomic Botany 60(3):227–253, 2006. Tibetan medicine

238 ECONOMIC BOTANY [VOL. 60A

PP

EN

DIX

.C

on

tin

ued

Fam

ily

Sp

ecie

s

Ast

erac

eae

Gna

phal

ium

hypo

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11

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12

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11

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11

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C.

11

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ne.)

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bbin

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1

Lhasatraineddoctor

Dechendoctor

Dechendoctor

Dechendoctor

Dechendoctor

Self-taughtdoctor

Self-taughtdoctor

Lhasamedicalinstitution

Lhasamedicalinstitution

Lhasamarket

Lhasamedicalinstitution

Dechenmedicalinstitution

Dechenmarket

Dechenmarket

Othermarket

Othermarket

Totals

Page 13: Tibetan Medicine Plurality - Amend Labamendlab.com/files/Library_File/tibetan_medicine.pdf · Tibetan Medicine Plurality. Eco-nomic Botany 60(3):227–253, 2006. Tibetan medicine

2006] SALICK ET AL.: TIBETAN MEDICINE PLURALITY 239A

ster

acea

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rose

ris

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rke)

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bbin

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ster

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11

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ssic

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2B

rass

icac

eae

Cap

sell

abu

rsa

(L.)

Med

ik.

11

Page 14: Tibetan Medicine Plurality - Amend Labamendlab.com/files/Library_File/tibetan_medicine.pdf · Tibetan Medicine Plurality. Eco-nomic Botany 60(3):227–253, 2006. Tibetan medicine

240 ECONOMIC BOTANY [VOL. 60A

PP

EN

DIX

.C

on

tin

ued

Fam

ily

Sp

ecie

s

Bra

ssic

acea

eC

arda

min

em

acro

phyl

laA

dam

s1

1B

rass

icac

eae

Des

cura

inia

soph

ia(L

.)W

ebb

exP

rant

l1

1B

rass

icac

eae

Dil

ophi

afo

ntan

aM

axim

.1

1B

rass

icac

eae

Dra

basp

.L

.1

1B

rass

icac

eae

Ery

sim

umbe

ntha

mii

Mon

net

11

Bra

ssic

acea

eL

epid

ium

apet

alum

Wil

ld.

11

Bud

dlej

acea

eB

uddl

eja

cris

paB

enth

.1

1B

uddl

ejac

eae

Bud

dlej

aof

ficin

alis

Max

im.

11

Bur

sera

ceae

Bos

wel

lia

cart

erii

Bir

dw.

11

Bur

sera

ceae

Com

mip

hora

myr

rha

(T.

Nee

s)E

ngl.

11

2C

aesa

lpin

iace

aeC

aesa

lpin

iacr

ista

L.

11

2C

aesa

lpin

iace

aeC

aesa

lpin

iasa

ppan

L.

11

Cae

salp

inia

ceae

Cas

sia

fistu

laL

.1

1C

aesa

lpin

iace

aeC

assi

ato

raL

.1

11

3C

ampa

nula

ceae

Cam

panu

lasp

.L

.1

1C

ampa

nula

ceae

Cod

onop

sis

cane

scen

sN

annf

.1

1C

ampa

nula

ceae

Cod

onop

sis

conv

olvu

lace

aK

urz

11

11

4C

ampa

nula

ceae

Cod

onop

sis

mac

roca

lyx

Die

ls1

1C

ampa

nula

ceae

Cod

onop

sis

nerv

osa

(Chi

pp)

Nan

nf.

11

2C

ampa

nula

ceae

Cya

nant

hus

sher

riffi

iR

.S.

Cow

an1

1C

ampa

nula

ceae

Pla

tyco

don

gran

diflo

rus

(Jac

quin

)A

.D

C.

11

Can

naba

ceae

Can

nabi

ssa

tiva

L.

11

Cap

rifo

liac

eae

Lon

icer

am

aack

iH

erd.

11

Cap

rifo

liac

eae

Lon

icer

am

icro

phyl

laW

illd

.ex

Roe

m.

&S

chul

t.1

1

Cap

rifo

liac

eae

Lon

icer

am

yrti

llus

Hoo

k.f.

&T

hom

son

11

Cap

rifo

liac

eae

Lon

icer

asa

ccat

aR

ehde

r1

1C

aryo

phyl

lace

aeSi

lene

gram

inif

olia

Ott

h.1

1C

aryo

phyl

lace

aeSi

lene

spL

.1

1C

aryo

phyl

lace

aeSi

lene

yeti

iB

ocqu

et1

1

Lhasatraineddoctor

Dechendoctor

Dechendoctor

Dechendoctor

Dechendoctor

Self-taughtdoctor

Self-taughtdoctor

Lhasamedicalinstitution

Lhasamedicalinstitution

Lhasamarket

Lhasamedicalinstitution

Dechenmedicalinstitution

Dechenmarket

Dechenmarket

Othermarket

Othermarket

Totals

Page 15: Tibetan Medicine Plurality - Amend Labamendlab.com/files/Library_File/tibetan_medicine.pdf · Tibetan Medicine Plurality. Eco-nomic Botany 60(3):227–253, 2006. Tibetan medicine

2006] SALICK ET AL.: TIBETAN MEDICINE PLURALITY 241C

aryo

phyl

lace

aeA

rena

ria

fest

ucoi

des

Ben

th.

11

Car

yoph

ylla

ceae

Are

nari

aka

nsue

nsis

Max

im.

11

13

Car

yoph

ylla

ceae

Are

nari

ala

ncan

gens

isL

.H.

Zho

u1

1C

epha

lota

xace

aeC

epha

lota

xus

sine

nsis

(Reh

der

&E

.H.W

ilso

n)H

.L.

Li

11

Che

nopo

diac

eae

Che

nopo

dium

albu

mL

.1

1C

lavi

cipi

tace

aeC

ordy

ceps

sine

nsis

(Ber

k.)

Sac

c.1

11

11

5C

ombr

etac

eae

Qui

squa

lis

indi

caL

.1

1C

ombr

etac

eae

Term

inal

iabe

llir

ica

(Gae

rtn.

)R

oxb.

11

11

4C

ombr

etac

eae

Term

inal

iach

ebul

a(G

aert

n.)

Ret

z.1

11

11

5C

onif

erae

Juni

peru

sre

curv

aB

uch.

-Ham

.ex

D.

Don

11

Con

vall

aria

ceae

Oph

iopo

gon

bodi

nier

iH

.Lev

.1

1C

onva

llar

iace

aeP

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onat

umci

rrhi

foli

um(W

all.)

Roy

le1

11

11

5C

onva

llar

iace

aeP

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onat

umve

rtic

illa

tum

(L.)

All

.1

12

Con

volv

ulac

eae

Cus

cuta

euro

paea

L.

11

Cra

ssul

acea

eR

hodi

ola

cren

ulat

a(H

ook.

f.&

Tho

mso

n)H

.O

hba

11

11

4

Cra

ssul

acea

eR

hodi

ola

dum

ulos

a(F

ranc

h.)

S.H

.F

u1

1C

rass

ulac

eae

Rho

diol

aki

rilo

wii

(Reg

el)

Max

im.

11

2C

rass

ulac

eae

Sedu

mbu

lbif

erum

Mak

ino

11

Cra

ssul

acea

eSe

dum

tata

rino

wii

Max

im.

11

Cuc

urbi

tace

aeH

erpe

tosp

erm

umpe

dunc

ulos

um(S

er.)

C.B

.C

lark

e1

11

3

Cuc

urbi

tace

aeL

agen

aria

sice

rari

a(M

olin

a)S

tand

l.1

1C

ucur

bita

ceae

Luf

facy

lind

rica

(L.)

M.

Roe

m.

11

Cuc

urbi

tace

aeM

omor

dica

coch

inch

inen

sis

(Lou

r.)S

pren

g.1

1C

ucur

bita

ceae

Sira

itia

gros

veno

rii

(Sw

ingl

e)C

.Je

ffre

yex

A.M

.L

u&

Zhi

Y.

Zha

ng1

1

Cuc

urbi

tace

aeB

enin

casa

hisp

ida

(Thu

nb.)

Cog

n.1

1C

yper

acea

eC

yper

usro

tund

usL

.1

1D

icks

onia

ceae

Cib

otiu

mba

rom

etz

(L.)

J.S

m.

11

Dio

scor

eace

aeD

iosc

orea

cirr

hosa

Lou

r.1

1D

ipsa

cace

aeD

ipsa

cus

aspe

rW

all.

11

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saca

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Pte

roce

phal

usho

oker

i(C

.B.

Cla

rke)

L.

Die

ls1

11

14

Dip

saca

ceae

Trip

lost

egia

glan

duli

fera

Wal

l.ex

DC

.1

1E

laea

gnac

eae

Ela

eagn

usvi

ridi

sS

erve

ttaz

11

Eph

edra

ceae

Eph

edra

equi

seti

naB

unge

11

Eph

edra

ceae

Eph

edra

gera

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all.

exC

.A.

Mey

.1

1

Page 16: Tibetan Medicine Plurality - Amend Labamendlab.com/files/Library_File/tibetan_medicine.pdf · Tibetan Medicine Plurality. Eco-nomic Botany 60(3):227–253, 2006. Tibetan medicine

242 ECONOMIC BOTANY [VOL. 60A

PP

EN

DIX

.C

on

tin

ued

Fam

ily

Sp

ecie

s

Eph

edra

ceae

Eph

edra

min

uta

Flo

rin

11

Equ

iset

acea

eE

quis

etum

diff

usum

D.

Don

11

Equ

iset

acea

eE

quis

etum

ram

osis

sim

umD

esf.

11

Eri

cace

aeR

hodo

dend

ron

anth

opog

onoi

des

Max

im.

11

2E

ucom

mia

ceae

Euc

omm

iaul

moi

des

Oli

ver

11

Eup

horb

iace

aeE

upho

rbia

fisch

eria

naS

teud

.1

1E

upho

rbia

ceae

Eup

horb

iam

icra

ctin

aB

oiss

.1

1E

upho

rbia

ceae

Eup

horb

iare

gina

H.

Lev

.1

1E

upho

rbia

ceae

Eup

horb

iast

rach

eyi

Boi

ss.

11

2E

upho

rbia

ceae

Eup

horb

iaw

alli

chii

Hoo

k.f.

11

Eup

horb

iace

aeP

hyll

anth

usem

blic

aL

.1

12

Fab

acea

eA

brus

prec

ator

ius

L.

11

Fab

acea

eA

caci

aca

tech

u(L

.f.)

Wil

ld.

11

Fab

acea

eA

stra

galu

sad

surg

ens

Pal

l.1

1F

abac

eae

Ast

raga

lus

flori

dus

Ben

th.

exB

unge

11

Fab

acea

eA

stra

galu

spa

stor

ius

Tsa

i&

T.T

.Yu

11

Fab

acea

eA

stra

galu

sto

ngol

ensi

sU

lbri

ch1

12

Fab

acea

eA

stra

galu

syu

nnan

ensi

sF

ranc

h.1

12

Fab

acea

eB

utea

mon

ospe

rma

(Lam

.)Ta

ub.

11

Fab

acea

eC

anav

alia

glad

iata

(Jac

q.)

DC

.1

12

Fab

acea

eC

arag

ana

brev

ifol

iaK

om.

11

Fab

acea

eC

arag

ana

juba

ta(P

all.)

Poi

r.1

1F

abac

eae

Car

agan

ati

beti

caK

om.

11

Fab

acea

eE

ntad

aph

aseo

loid

es(L

.)M

err.

11

2F

abac

eae

Gly

cine

max

(L.)

Mer

r.1

1F

abac

eae

Gly

cyrr

hiza

ural

ensi

sF

isch

.ex

DC

.1

11

11

5F

abac

eae

Gue

lden

stae

dtia

him

alai

caB

aker

11

Fab

acea

eH

edys

arum

sikk

imen

seB

enth

.ex

Bak

er1

1F

abac

eae

Lab

lab

purp

ureu

s(L

.)S

wee

t1

1F

abac

eae

Len

scu

lina

ris

Med

ik.

11

Lhasatraineddoctor

Dechendoctor

Dechendoctor

Dechendoctor

Dechendoctor

Self-taughtdoctor

Self-taughtdoctor

Lhasamedicalinstitution

Lhasamedicalinstitution

Lhasamarket

Lhasamedicalinstitution

Dechenmedicalinstitution

Dechenmarket

Dechenmarket

Othermarket

Othermarket

Totals

Page 17: Tibetan Medicine Plurality - Amend Labamendlab.com/files/Library_File/tibetan_medicine.pdf · Tibetan Medicine Plurality. Eco-nomic Botany 60(3):227–253, 2006. Tibetan medicine

2006] SALICK ET AL.: TIBETAN MEDICINE PLURALITY 243F

abac

eae

Med

icag

oar

chid

ucis

-nic

olai

Sir

jaev

11

Fab

acea

eM

elil

otus

offic

inal

is(L

.)P

all.

11

Fab

acea

eM

ille

ttia

sp.

Wig

ht&

Arn

.1

1F

abac

eae

Oxy

trop

isfa

lcat

a(G

reen

e)A

.N

elso

n1

1F

abac

eae

Oxy

trop

isoc

hroc

epha

laB

unge

11

Fab

acea

eO

xytr

opis

reni

form

isP.

C.

Li

11

2F

abac

eae

Oxy

trop

issu

bpod

olob

aP.

C.

Li

11

Fab

acea

eP

hase

olus

luna

tus

L.

11

Fab

acea

eP

hase

olus

vulg

aris

L.

11

2F

abac

eae

Pis

umsa

tivu

mL

.1

1F

abac

eae

Pso

rale

aco

ryli

foli

aL

.1

1F

abac

eae

Pte

roca

rpus

sant

alin

usB

uch.

-Ham

.ex

Wal

l.1

12

Fab

acea

eP

uera

ria

sp.

DC

.1

1F

abac

eae

Soph

ora

tonk

inen

sis

Gag

nep.

11

Fab

acea

eT

herm

opsi

sba

rbat

aB

enth

.1

1F

abac

eae

The

rmop

sis

lanc

eola

taR

.B

r.1

1F

abac

eae

Trig

onel

lafo

enum

-gra

ecum

L.

11

Fab

acea

eTr

igon

ella

ruth

enic

aL

.1

1F

abac

eae

Vic

iafa

baL

.1

1F

agac

eae

Que

rcus

sem

ecar

pifo

lia

Sm

.1

1G

anod

erm

atac

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oder

ma

sp.

11

Gen

tian

acea

eG

enti

ana

algi

daP

all.

11

2G

enti

anac

eae

Gen

tian

acr

assi

caul

isD

uthi

eex

Bur

kill

11

Gen

tian

acea

eG

enti

ana

rige

scen

sF

ranc

h.1

1G

enti

anac

eae

Gen

tian

asp

.L

.1

11

3G

enti

anac

eae

Gen

tian

ast

ipit

ata

Edg

ew.

11

2G

enti

anac

eae

Gen

tian

ast

ram

inea

Max

im.

11

11

4G

enti

anac

eae

Gen

tian

asz

eche

nyii

Kan

itz

11

2G

enti

anac

eae

Gen

tian

aur

nula

Har

ryS

m.

11

11

11

17

Gen

tian

acea

eG

enti

ana

veit

chio

rum

Hem

sl.

11

Gen

tian

acea

eG

enti

anop

sis

gran

dis

(Har

ryS

m.)

Ma

11

2G

enti

anac

eae

Gen

tian

opsi

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sa(M

unro

exH

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f.)

Ma

11

Gen

tian

acea

eH

alen

iael

lipt

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D.

Don

11

2G

enti

anac

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Don

exG

.D

on)

B.L

.B

urtt

11

13

Gen

tian

acea

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all.

exG

.D

on)

C.B

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e1

1

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tian

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eSw

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afr

anch

etia

naH

arry

Sm

.1

1

Page 18: Tibetan Medicine Plurality - Amend Labamendlab.com/files/Library_File/tibetan_medicine.pdf · Tibetan Medicine Plurality. Eco-nomic Botany 60(3):227–253, 2006. Tibetan medicine

244 ECONOMIC BOTANY [VOL. 60A

PP

EN

DIX

.C

on

tin

ued

Fam

ily

Sp

ecie

s

Gen

tian

acea

eSw

erti

am

ulti

caul

isD

.D

on1

1G

enti

anac

eae

Swer

tia

mus

soti

Fra

nch.

11

Gen

tian

acea

eSw

erti

aw

olfg

angi

ana

Gru

ning

11

Ger

ania

ceae

Ger

aniu

mor

ient

ali-

tibe

ticu

mR

.K

nuth

11

2G

eran

iace

aeG

eran

ium

prat

ense

L.

11

Ger

ania

ceae

Ger

aniu

mpy

lzow

ianu

mM

axim

.1

1G

esne

riac

eae

Cor

allo

disc

uski

ngia

nus

(Cra

ib)

B.L

.B

urtt

11

Ges

neri

acea

eC

oral

lodi

scus

lanu

gino

sus

(Wal

lich

exR

.B

row

n)B

.L.

Bur

tt1

12

Gro

ssul

aria

ceae

Rib

eshi

mal

ense

Roy

leex

Dec

ne.

11

Hip

puri

dace

aeH

ippu

ris

vulg

aris

L.

11

Irid

acea

eC

rocu

ssa

tivu

sL

.1

11

14

Irid

acea

eIr

isbu

lley

ana

Dyk

es1

1Ir

idac

eae

Iris

goni

ocar

paB

aker

11

Irid

acea

eIr

isla

ctea

Pal

l.1

1Ir

idac

eae

Iris

pota

nini

iM

axim

.1

1Ju

ncag

inac

eae

Trig

loch

inm

arit

imum

L.

11

Lam

iace

aeA

juga

lupu

lina

Max

im.

11

2L

amia

ceae

Aju

gaov

alif

olia

Bur

eau

etF

ranc

h.1

1L

amia

ceae

Isod

onru

besc

ens

(Hem

sl.)

H.

Har

a1

1L

amia

ceae

Lag

opsi

ssu

pina

(Ste

phan

exW

illd

.)Ik

onn.

-G

al.

exK

norr

ing

11

Lam

iace

aeL

amio

phlo

mis

rota

ta(B

enth

.ex

Hoo

k.f.

)K

udo

11

2

Lam

iace

aeL

amiu

mam

plex

icau

leL

.1

1L

amia

ceae

Mar

mor

itis

com

plan

atum

(Dun

n)A

.L.

Bu-

dant

zev

11

Lam

iace

aeM

icro

mer

iaeu

osm

a(W

.W.

Sm

.)C

.Y.

Wu

11

Lam

iace

aeN

epet

aco

erul

esce

nsM

axim

.1

1L

amia

ceae

Phl

omis

beto

nico

ides

Die

ls1

12

Lhasatraineddoctor

Dechendoctor

Dechendoctor

Dechendoctor

Dechendoctor

Self-taughtdoctor

Self-taughtdoctor

Lhasamedicalinstitution

Lhasamedicalinstitution

Lhasamarket

Lhasamedicalinstitution

Dechenmedicalinstitution

Dechenmarket

Dechenmarket

Othermarket

Othermarket

Totals

Page 19: Tibetan Medicine Plurality - Amend Labamendlab.com/files/Library_File/tibetan_medicine.pdf · Tibetan Medicine Plurality. Eco-nomic Botany 60(3):227–253, 2006. Tibetan medicine

2006] SALICK ET AL.: TIBETAN MEDICINE PLURALITY 245L

amia

ceae

Phl

omis

youn

ghus

hand

iiM

uker

jee

11

2L

amia

ceae

Salv

iapr

atti

iH

emsl

.1

1L

amia

ceae

Salv

iaro

boro

wsk

iiM

axim

.1

1L

amia

ceae

Salv

iaw

ardi

iE

.P

eter

11

Lam

iace

aeSc

utel

lari

aam

oena

C.H

.W

righ

t1

1L

amia

ceae

Stac

hys

kouy

ange

nsis

(Van

oit)

Dun

n1

1L

amia

ceae

Stac

hys

sp.

L.

11

Lam

iace

aeC

aryo

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isfo

etid

a(D

on)

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ll1

1L

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yopt

eris

tric

hosp

haer

aW

.W.

Sm

.1

1L

amia

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llat

umF

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ls1

12

Lam

iace

aeD

raco

ceph

alum

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roph

yllu

mB

enth

.1

1L

amia

ceae

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coce

phal

umta

ngut

icum

Max

im.

11

11

11

6L

amia

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holt

zia

cili

ata

(Thu

nb.)

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ande

r1

1L

amia

ceae

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holt

zia

dens

aB

enth

.1

1L

amia

ceae

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zia

erio

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hya

(Ben

th.)

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th.

11

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iace

aeE

riop

hyto

nw

alli

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num

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th.

11

Lam

iace

aeG

aleo

psis

bifid

aB

oenn

.1

1L

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phor

apa

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noxy

lon

(Jac

k)N

ees

11

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race

aeC

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ssia

(L.)

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sl1

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14

Lau

race

aeC

inna

mom

umw

ilso

nii

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ble

11

2L

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.)A

ch.

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icul

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(Sw

.)S

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r.1

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l1

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epp.

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rn.

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saD

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on1

11

11

11

18

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iace

aeF

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iade

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yiF

ranc

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11

3L

ilia

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ium

brow

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row

nex

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llez

11

Lin

acea

eL

inum

usit

atis

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umL

.1

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ania

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chno

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mic

aL

.1

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oper

dace

aeC

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cyat

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rmis

(Bos

c)M

orga

n1

1L

ythr

acea

eP

unic

agr

anat

umL

.1

11

11

5M

agno

liac

eae

Mag

noli

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stra

taW

.W.S

m.

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2M

alva

ceae

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chat

us(L

.)M

edik

.1

11

14

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sea

(L.)

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11

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elia

ceae

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iasp

.L

.1

1

Page 20: Tibetan Medicine Plurality - Amend Labamendlab.com/files/Library_File/tibetan_medicine.pdf · Tibetan Medicine Plurality. Eco-nomic Botany 60(3):227–253, 2006. Tibetan medicine

246 ECONOMIC BOTANY [VOL. 60A

PP

EN

DIX

.C

on

tin

ued

Fam

ily

Sp

ecie

s

Men

ispe

rmac

eae

Step

hani

ade

lava

yiD

iels

11

2M

enis

perm

acea

eTi

nosp

ora

cord

ifol

ia(W

illd

.)M

iers

11

Men

ispe

rmac

eae

Tino

spor

asi

nens

is(L

our.)

Mer

r.1

12

Mor

acea

eM

orus

alba

L.

11

Mor

inac

eae

Mor

ina

alba

Han

d.-M

azz.

11

Mor

inac

eae

Mor

ina

koko

nori

caK

.S.

Hao

11

Myr

isti

cace

aeM

yris

tica

frag

rans

Hou

tt.

11

Myr

sina

ceae

Em

beli

ala

eta

(L.)

Mez

11

13

Myr

tace

aeE

ugen

iaar

omat

ica

O.B

erg

11

2M

yrta

ceae

Syzy

gium

cum

ini

(L.)

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els

11

2N

elum

bona

ceae

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umbo

nuci

fera

Gae

rtn.

11

Nyc

tagi

nace

aeO

xyba

phus

him

alai

cus

Edg

ew.

11

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acea

eFo

rsyt

hia

susp

ensa

(Thu

nb.)

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l1

1O

leac

eae

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xinu

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ensi

s(L

inge

lshe

im)

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del-

Maz

zett

i1

12

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grac

eae

Epi

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uman

gust

ifol

ium

L.

11

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hida

ceae

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till

ast

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a(T

hunb

.ex

Mur

ray)

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b.f.

11

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hida

ceae

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ripe

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ticu

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ing

exR

olfe

11

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hida

ceae

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drob

ium

hook

eria

num

Lin

dl.

11

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hida

ceae

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drob

ium

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rum

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ish

&R

chb.

f.1

1O

rchi

dace

aeD

endr

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Lin

dl.

11

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hida

ceae

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iael

ata

Blu

me

11

11

11

6O

rchi

dace

aeG

ymna

deni

aor

chid

isL

indl

.1

11

3O

rchi

dace

aeH

aben

aria

sp.

Wil

ld.

11

Orc

hida

ceae

Orc

his

lati

foli

aL

.(?

)1

1P

aeon

iace

aeP

aeon

iave

itch

iiL

ynch

11

Pap

aver

acea

eC

oryd

alis

adun

caM

axim

.1

1P

apav

erac

eae

Cor

ydal

isbo

wer

iH

emsl

.1

1P

apav

erac

eae

Cor

ydal

isbu

lbif

era

C.Y

.W

u1

1P

apav

erac

eae

Cor

ydal

isca

lcic

ola

W.W

.S

m.

11

Lhasatraineddoctor

Dechendoctor

Dechendoctor

Dechendoctor

Dechendoctor

Self-taughtdoctor

Self-taughtdoctor

Lhasamedicalinstitution

Lhasamedicalinstitution

Lhasamarket

Lhasamedicalinstitution

Dechenmedicalinstitution

Dechenmarket

Dechenmarket

Othermarket

Othermarket

Totals

Page 21: Tibetan Medicine Plurality - Amend Labamendlab.com/files/Library_File/tibetan_medicine.pdf · Tibetan Medicine Plurality. Eco-nomic Botany 60(3):227–253, 2006. Tibetan medicine

2006] SALICK ET AL.: TIBETAN MEDICINE PLURALITY 247P

apav

erac

eae

Cor

ydal

isco

nspe

rsa

Max

im.

11

2P

apav

erac

eae

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ydal

isda

sypt

era

Max

im.

11

Pap

aver

acea

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alis

hend

erso

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Fed

de1

12

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aver

acea

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s(P

all.)

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ch.

exD

C.

11

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aver

acea

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line

aris

C.Y

.W

u1

1P

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ydal

ism

elan

ochl

ora

Max

im.

11

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aver

acea

eC

oryd

alis

muc

roni

fera

Max

im.

11

Pap

aver

acea

eC

oryd

alis

nigr

o-ap

icul

ata

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.W

u1

1P

apav

erac

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Cor

ydal

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oda

(Fra

nch.

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and.

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z.1

1P

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ydal

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.D

C.

11

13

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acea

eC

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olen

sis

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nch.

11

Pap

aver

acea

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trac

hyca

rpa

Max

im.

11

Pap

aver

acea

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yanh

usuo

W.T

.W

ang

exZ

.Y.

Su

&C

.Y.

Wu

11

13

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aver

acea

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ocar

pum

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k.f.

&T

hom

son

11

13

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nch.

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&T

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son

11

13

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aver

acea

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sin

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ifol

ia(M

axim

.)F

ranc

h.1

11

3P

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Mec

onop

sis

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im.

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aver

acea

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squ

intu

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egel

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rain

11

13

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11

13

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all.)

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.1

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eP

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.1

11

3P

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eP

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.1

12

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ago

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ago

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ld.

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13

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11

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.)P.

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ans

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ud.)

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son

11

Page 22: Tibetan Medicine Plurality - Amend Labamendlab.com/files/Library_File/tibetan_medicine.pdf · Tibetan Medicine Plurality. Eco-nomic Botany 60(3):227–253, 2006. Tibetan medicine

248 ECONOMIC BOTANY [VOL. 60A

PP

EN

DIX

.C

on

tin

ued

Fam

ily

Sp

ecie

s

Poa

ceae

Hor

deum

vulg

are

L.

11

2P

oace

aeIm

pera

tacy

lind

rica

(L.)

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usch

.1

1P

oace

aeO

ryza

sati

vaL

.1

1P

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aeP

anic

umm

ilia

ceum

L.

11

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ceae

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nise

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flacc

idum

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seb.

11

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ceae

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agm

ites

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rali

s(C

av.)

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ud.

11

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ceae

Phr

agm

ites

aust

rali

s(C

avan

ille

s)S

teud

el1

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aeP

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chys

nigr

a(L

odd.

exL

indl

.)M

unro

11

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ceae

Schi

zost

achy

umch

inen

seR

endl

e1

12

Poa

ceae

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ria

ital

ica

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eauv

.1

1P

oace

aeTr

itic

umae

stiv

umL

.1

12

Pol

ygon

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onum

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rica

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L.

11

Pol

ygon

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eP

olyg

onum

hook

eri

Mei

sn.

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roph

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mD

.D

on1

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.1

1P

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1P

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ygon

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.1

1P

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eae

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umsi

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cum

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11

2P

olyg

onac

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Pol

ygon

umsi

nom

onta

num

Sam

uels

son

11

Pol

ygon

acea

eP

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L.

11

Pol

ygon

acea

eP

olyg

onum

spha

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tach

yum

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sn.

11

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ygon

acea

eP

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onum

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paru

mL

.1

1P

olyg

onac

eae

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umde

ntat

umM

art.

11

Pol

ygon

acea

eR

heum

liki

ange

nse

Sam

uels

son

11

Pol

ygon

acea

eR

heum

offic

inal

eB

aill

.1

11

3P

olyg

onac

eae

Rhe

umpu

mil

umM

axim

.1

1P

olyg

onac

eae

Rhe

umsp

icif

orm

eR

oyle

11

2P

olyg

onac

eae

Rhe

umta

ngut

icum

(Max

im.

exR

egel

)M

axim

.ex

Bal

f.1

1

Pol

ygon

acea

eR

umex

cris

pus

L.

11

Lhasatraineddoctor

Dechendoctor

Dechendoctor

Dechendoctor

Dechendoctor

Self-taughtdoctor

Self-taughtdoctor

Lhasamedicalinstitution

Lhasamedicalinstitution

Lhasamarket

Lhasamedicalinstitution

Dechenmedicalinstitution

Dechenmarket

Dechenmarket

Othermarket

Othermarket

Totals

Page 23: Tibetan Medicine Plurality - Amend Labamendlab.com/files/Library_File/tibetan_medicine.pdf · Tibetan Medicine Plurality. Eco-nomic Botany 60(3):227–253, 2006. Tibetan medicine

2006] SALICK ET AL.: TIBETAN MEDICINE PLURALITY 249P

olyg

onac

eae

Rum

exne

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nsis

Spr

eng.

11

2P

olyg

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Fag

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.D

on)

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a1

1P

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ntum

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11

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mul

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ima

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11

Pri

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f.f.

&F

arre

r1

1P

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ulac

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Pri

mul

afa

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ulat

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alf.

f.&

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ulac

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ula

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11

2P

rim

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ook.

11

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sh1

1

Page 24: Tibetan Medicine Plurality - Amend Labamendlab.com/files/Library_File/tibetan_medicine.pdf · Tibetan Medicine Plurality. Eco-nomic Botany 60(3):227–253, 2006. Tibetan medicine

250 ECONOMIC BOTANY [VOL. 60A

PP

EN

DIX

.C

on

tin

ued

Fam

ily

Sp

ecie

s

Ran

uncu

lace

aeN

igel

lagl

andu

life

raF

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int

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reyn

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4R

anun

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.&

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11

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1

Lhasatraineddoctor

Dechendoctor

Dechendoctor

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Self-taughtdoctor

Self-taughtdoctor

Lhasamedicalinstitution

Lhasamedicalinstitution

Lhasamarket

Lhasamedicalinstitution

Dechenmedicalinstitution

Dechenmarket

Dechenmarket

Othermarket

Othermarket

Totals

Page 25: Tibetan Medicine Plurality - Amend Labamendlab.com/files/Library_File/tibetan_medicine.pdf · Tibetan Medicine Plurality. Eco-nomic Botany 60(3):227–253, 2006. Tibetan medicine

2006] SALICK ET AL.: TIBETAN MEDICINE PLURALITY 251R

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252 ECONOMIC BOTANY [VOL. 60A

PP

EN

DIX

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Lhasamedicalinstitution

Lhasamedicalinstitution

Lhasamarket

Lhasamedicalinstitution

Dechenmedicalinstitution

Dechenmarket

Dechenmarket

Othermarket

Othermarket

Totals

Page 27: Tibetan Medicine Plurality - Amend Labamendlab.com/files/Library_File/tibetan_medicine.pdf · Tibetan Medicine Plurality. Eco-nomic Botany 60(3):227–253, 2006. Tibetan medicine

2006] SALICK ET AL.: TIBETAN MEDICINE PLURALITY 253V

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