Abstract To study the significance of ethnic medicine, specifically the current influence and sustainability of Yi medicine, this research was conducted in Liangshan Yi Autonomous Prefecture, an important Yi-populated area in southwestern China. Data collection involved 698 households across 13 townships, focusing on their diagnostic and treatment choices when ill, with particular attention to their use and trust in the two branches of Yi medicine, Bimo and Suni. The results indicate that Yi medicine remains a crucial complement to contemporary medical practices, with 87.4% of Yi households having conducted Bimo rituals in the past year. Although higher education levels correlate with reduced trust, the overall trust in Bimo remains high. The Bimo system shows potential for sustainable development due to its structured inheritance, reasonable age distribution, and sufficient income levels. In contrast, the Suni system faces decline due to older practitioners and lack of systematic transmission. The recorded ritual, which combines ceremony and herbal medicine, performed by the Bimo to treat a young girl's knee infection, has been acknowledged as effective through a reinterview. Policy analysis reveals that support for traditional medicine has grown, especially at the provincial level, with a focus on platform construction, scientific research, and education dissemination. However, more emphasis is needed on funding and raw material protection. The study concludes that integrating valuable aspects of Yi medicine into modern practices and increasing support for research and education in ethnic areas can enhance the sustainability of ethnic medicine and improve health contributions to economically underdeveloped regions.
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