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Buddhist Medicine and Its Circulation  

C. Pierce Salguero

“Buddhist medicine” is a convenient term commonly used to refer to the many diverse ideas and practices concerning illness and healing that have emerged in Buddhist contexts, or that have been embraced and carried by that religion as it has spread throughout Asia and beyond. Interest in exploring the relationship between mind and body, understanding the nature of mental and physical suffering, and overcoming the discomforts of illness goes back to the very origins of Buddhism. Throughout history, Buddhism has been one of the most important contexts for the cross-cultural exchange of diverse currents of medicine. Medicine associated with and carried by Buddhism formed the basis for a number of local healing traditions that are still widely practiced in much of East, Southeast, and Central Asia. Despite the fact that there are numerous similarities among these regional forms, however, Buddhist medicine was never a cohesive or fixed system. Rather, it should be thought of as a dynamic, living tradition with a few core features and much local variation. Local traditions of Buddhist medicine represent unique hybrid combinations of cross-culturally transmitted and indigenous knowledge. In the modern period, such traditions were thoroughly transformed by interactions with Western colonialism, scientific ideas, and new biomedical technologies. In recent decades, traditional, modern, and hybrid forms of medicine continue to be circulated by transnational Buddhist organizations and through the global popularization of Buddhist-inspired therapeutic meditation protocols. Consequently, Buddhism continues today to be an important catalyst for cross-cultural medical exchange, and it continues to exert a significant influence on healthcare practices worldwide.

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Health, Development, and HIV in India  

Indrani Gupta and Kanksha Barman

The first HIV (human immunodeficiency virus) case in India was detected in 1986 among female sex workers. The rapid spread in HIV infections subsequently due mainly to high-risk behavior among vulnerable population groups required a sensitive, multisectoral, multipronged response that had to influence risk behavior and alleviate the socioeconomic impact of the epidemic. The journey has been a unique one in many ways in the history of public health in India. The challenges emanated from the economic, social, legal, and cultural contexts in which risk-taking behavior took place, and to be effective, the response required a framework that had to be vastly different from the usual public health approaches adopted in the country. The fairly successful national response was made possible due to the presence and subsequent co-option of a vibrant civil society, which shaped discussions and discourses around sex, sexuality, and gender and could reach out to marginalized and stigmatized groups with messages and interventions. During the course of the thirty years of response to the epidemic, shifts in positions of individuals in the three organs of the government—executive, legislative, and judiciary—on key sensitive issues around sexual behavior and preferences could be discerned to some extent, which was unprecedented and helped strengthen the response. New infections have come down significantly over the years and treatment has scaled up massively. However, the momentum in national HIV programs has slowed down globally and in India, with lower finances and a shift to other national priorities. The sociocultural and economic contexts have yet to change for most of the groups vulnerable to HIV, and they will continue to determine risk behavior, requiring interventions to continue at a fairly high level of intensity.