The Mercury Puzzle

Abstract

In the last decades, Tibetan medicine has spread around the globe. From a Western point of view, Tibetan medicine is part of Complementary and Alternative Medicine (cam). In many Asian medicines, mercury sulphide is considered an important ingredient. Tibetan medicine is famous for its precious pills, many of which contain mercury sulphide in the form of an ash called tsotel (btso thal). In the Western, specifically in the European context, such ingredients are not accepted for human consumption. These legalities are discussed from the perspective of today’s pharmaceutical practice in Europe. Neither the law of medicinal products nor the food law allow such ingredients and place strict limits on residues of heavy metals. The cam community is also very cautious about any use of heavy metals. This article advocates that on the global level, the production and distribution of Tibetan medicines has to consider today’s modern pharmaceutical and biomedical environment. The formulas of Tibetan medicine based solely on herbs and certain minerals could be the foundation stone for a modern pharmacopoeia of Tibetan medicine. Tibetan medicines are always a carefully blended mixture of many ingredients. This multi-compound principle could then serve as a basic concept for a modernised Tibetan medicine. Such medicines have to be investigated in their entirety, without reducing the formula to its active ingredients. This article suggests that such a herbal mixture could be understood as a new ‘man-made herb’, where the scientific tools specifically developed to investigate individual herbal constituents would be applied to the entire formula. Tibetan medicine and its products based on pharmaceutical-grade clean herbs and minerals can offer important therapeutic options for humankind on a global level.