The global context for traditional medicine has undergone a fundamental shift. The dialogue is no longer limited to cultural preservation; it has escalated into a high-stakes discussion of evidence-based integration, technological modernization, and stringent legal frameworks. This shift is most clearly articulated by the World Health Organization (WHO. The previous WHO Traditional Medicine Strategy (2014-2023) established foundational goals: harnessing the potential of Traditional and Complementary Medicine (T and CM), promoting its safe and effective use, and integrating T and CM into national health systems.1 This framework built global awareness and encouraged policy development. However, the new Global Traditional Medicine Strategy (WHO-TMS) 2025-2034 is a significant step.2 Responding to growing global use and demand from Member States, the new strategy is built upon four objectives: 1. Strengthen the evidence base for Traditional, Complementary and Integrative Medicine (TCIM); 2. Support the provision of safe and effective TCIM through appropriate regulatory mechanisms; 3. Integrate safe and effective TCIM into health systems. 4. Optimize the cross-sector value of TCIM and empower communities. Crucially, the WHO-TMS 2025-2034 formally introduces “Integrative Medicine” (IM) into its core terminology, defining it as “an interdisciplinary and evidence-based approach to health and well-being by using a combination of biomedical and traditional sciences or complementary medical knowledge, skills, and practices.”2 This new framework is “techno-legal” in nature, with specific directions on leveraging “technological advancements” like AI and big data (WHO-TMS 2025-2034, Direction 1.2) and establishing a strong mandate for the “protection of and access to traditional medical knowledge (TMK)” and “fair and equitable sharing of the benefits” (WHO-TMS 2025-2034, Direction 4.2).2 This strategic shift creates a new imperative. The global goalposts have shifted from acceptance to evidence-based, technologically integrated, and legally compliant participation in global health. Bridging Ancient Epistemology and Modern Science The first mandate of the new WHO strategy—strengthening the evidence base—addresses the primary barrier to integration: a fundamental “epistemological gap.”3 Ayurveda’s holistic, patient-centric concepts (Prakriti, Tridosha) have often been perceived as “metaphysical” by biomedicine. Today, this gap is being bridged by high-throughput science. “Omics” and systems biology are creating a lingua franca—a shared language to translate Ayurveda’s principles into the vernacular of modern medicine. Some of the key use cases to demonstrate this are as follows: (1) The Omics Revolution and Ayurgenomics: The “omics” developments—genomics, proteomics, and metabolomics—have provided a data-rich impetus for traditional medicine research.4 This has given rise to Ayurgenomics, a field integrating Ayurveda’s concept of Prakriti (individual constitution) with modern genomics.5 (2) Systems Biology as Holistic Validation: Systems Biology can offer a scientific and evidence-based framework as a validation tool for integrating Ayurveda on a global platform. Ayurveda emphasizes the balance between multiple fundamental factors, such as Dosha, Dhatu, and Mala, for overall well-being, which is akin to a dynamic network of interconnected systems. This view is similar to the concept of Systems Biology, which studies how different parts of the body work together. Similarly, Ayurveda focuses on balance between the body, mind, and nature. Using modern tools like genomics and other “omics,” Systems Biology can help explain scientific reasons behind Ayurvedic ideas such as prakriti and personalized healing. Integrating multi-level biological data enables researchers to understand how Ayurvedic interventions influence cellular pathways and systemic responses. Such evidence strengthens the credibility of Ayurveda in global healthcare dialogues. Such integration can enhance cross-disciplinary collaboration between traditional and modern medicine. (3) Technological Transformation at the Point of Care: This new scientific foundation is being operationalized through a new “techno-policy” ecosystem, fulfilling the WHO’s mandate to “optimize the utilization of technological advancements.”2 A. AI-Driven Diagnostics (The New PoC): Technology is being deployed to objectify Ayurveda’s traditionally subjective diagnostic methods, enhancing accuracy and reducing practitioner bias6 e.g. Nadi Pariksha (Pulse Diagnosis) can be done with devices that utilizes high-sensitivity pressure sensors and AI algorithms to capture and analyze subtle pulse waveforms, providing an objective, replicable assessment of the Tridosha balance;7Prakriti Assessment by Machine learning (ML) models which are being developed to provide data-driven Prakriti classification from standardized inputs, supporting both practitioners and personal wellness apps.8 B. The Digital Practice Ecosystem (The Software Layer): This hardware is supported by a growing software ecosystem in the following manner: for practitioners, cloud-based Electronic Medical Record (EMR) and clinic management systems like A-HMIS allow them to maintain digital patient records and track progress.9 E-learning platforms can facilitate interactive simulations for scalable clinical education.10 For citizens and patients, digital applications such as AyuGericon,11 using AI to track Dosha imbalances and provide personalized wellness guidance are bringing Ayurveda directly to the consumer. C. National Digital Infrastructure (The Master Plan): The most critical component is a top-down national digital strategy. The “Ayush Grid” is a comprehensive suite of digital platforms,12 including hospital management systems (A-HMIS) and standardized terminology portals (NAMASTE), Ayush Research Portal (ARP), Ayush e-Learning Management System (e-LMS), AyuSoft Portal, etc.13 The strategic requirement is defined as the full integration of the Ayush Grid with the Ayushman Bharat Digital Mission (ABDM),14 the backbone of India’s digital health infrastructure.15 Through this integration, a central techno-policy support is created to address all four WHO objectives, as Ayurvedic data is enabled to flow into a unified national health record, generating an extensive repository of real-world data. As a result, population-scale research is made possible to strengthen evidence (WHO-TMS-2024-2035, Obj. 1); national-level pharmacovigilance is supported to track adverse events and monitor product quality (Obj. 2); a technical data layer for seamless cross-referrals is established to enable integration (Obj. 3); and macro-level data is provided to demonstrate cost-effectiveness and optimize value (Obj. 4).14 Forging Competency Integrating Ayurveda into national healthcare strategies can help in developing national-level competency. Ayurveda principles emphasis prevention, wellness, and affordable care that can support public health systems and reduce disease burden. When modern medicine with traditional knowledge are combined in the global landscape, a more resilient and adaptable healthcare framework can be generated. Disseminating Ayurveda principles in a globally comprehendible form can enhance community-level health services in foreign countries. Encouraging and supporting herbal industries and Ayurveda practices for involvement at international platforms can help achieve the goal “Globalization and mainstreaming of Ayurveda.” A country that values both modern and traditional medicine becomes more self-reliant. Initiatives such as offering high-quality international training programs and certifications, creating collaborative research projects with global universities, sharing standardized, evidence-based Ayurvedic knowledge to help foreign professionals understand and apply it correctly, and establishing global wellness centers and exchange programs that provide hands-on experience can significantly enhance foreign competency. Challenges and Barriers There are several challenges ahead for Ayurveda in integrating scientific advances and modern technology to achieve a global future. One major barrier is the need for robust scientific evidence that aligns with modern research methodologies, as Ayurveda employs a personalized and holistic approach, which is challenging to study using traditional clinical trial parameters and methods. Regarding therapeutic interventions, the differences in formulations, quality of raw materials, methods of preparation, and dosage make standardization and quality control difficult, which affects global acceptance. Regulatory and legal issues also create obstacles, as international drug laws and patent systems do not easily support traditional medical systems, such as Ayurveda. Overcoming these barriers requires combining scientific validation and technology with traditional Ayurvedic principles in a balanced manner, without compromising the foundational principles of Ayurveda, and establishing interdisciplinary research guidelines for exploring Ayurvedic principles using modern methods and technologies. The Way Forward, Actionable Insights Integrating scientific advances and technological developments with Ayurvedic principles offers a significant opportunity to boost its global acceptance, credibility, and applicability. Modern tools, including molecular biology, genomics, pharmacology, artificial intelligence, and digital health platforms, can help explore the mechanisms, safety, and efficacy of Ayurvedic interventions without compromising their holistic philosophy. The way forward involves identifying strong national and international networks that link Ayurvedic institutions, research centres, universities, and healthcare systems. Establishing interdisciplinary collaborations between Ayurveda research organizations, practitioners, biomedical scientists, technologists, and policymakers is crucial for knowledge exchange and capacity building. Such collaborations can help generate core competencies in areas such as drug development, formulation standardization, quality control, clinical research, and integrative healthcare delivery. Developing clear, evidence-based guidelines for integrating Ayurveda with conventional medicine will ensure consistency, safety, and ethical practice. These guidelines should address diagnosis, treatment protocols, referral systems, and regulatory considerations. Systematic steps to generate evidence, such as well-designed clinical trials, observational studies, pharmacoeconomic research, and real-world evidence, are essential. Strengthening documentation, data management, and publication in peer-reviewed journals will further support global acceptance. Through a balanced and scientific approach, Ayurveda can emerge as a vital contributor to integrative and sustainable healthcare worldwide. Declaration of patient consent Not applicable. Acknowledgement Nil. Author contributions Not applicable. Data availability statement Not applicable Ethical policy and Institutional Review board statement Not applicable. Financial support and sponsorship Nil. Conflicts of interest There are no conflicts of interest.
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Narayanam Srikanth
Journal of Research in Ayurvedic Sciences
Government of India
Central Council for Research in Ayurvedic Science
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Narayanam Srikanth (Wed,) studied this question.
www.synapsesocial.com/papers/69d9e4d578050d08c1b75326 — DOI: https://doi.org/10.4103/jras.jras_447_25