Concussion treatment through Baria zasal: An exploration of Traditional Mongolian Medicine
DOI:
https://doi.org/10.31117/neuroscirn.v4i4.112Keywords:
Traditional Mongolian Medicine, baria zasal, concussion, bariachiAbstract
There is no specific treatment for concussion in modern medicine; existing treatments are limited to resting and restoring cognition. For Mongolians, seeking concussion treatment from a bariachi, an advanced practitioner of the baria zasal traditional massage therapy, is very common. The baria zasal technique has been passed down the generations for millions of years, keeping with the Mongolian nomadic culture and way of life. However, this Mongolian treatment is little known or researched internationally. Due to the lack of literature on this subject, conducting a meta-analysis or systematic review was impossible. We reviewed the literature published in Mongolian about this technique. We also searched articles published from 1 January 1921 to 20 June 2021 in PubMed using "concussion", "baria zasal", and "Bariachi" keywords. Although informal observation indicates this is a commonly sought treatment among patients, there are very few published scientific articles about the practice outside the realm of cultural anthropology. This may be due to a few reasons: the informal, semi-religious setting in which the treatment takes place makes it difficult to conduct scientific field research; concussion is a mild traumatic brain injury, making it impossible to identify changes in the brain as a result of the treatment using imaging methods and therefore difficult to verify; and lastly, baria zasal is generally uncontested as a treatment even by Mongolian medical professionals, therefore it has not been the subject of empirical debate. Moreover, it is not classified under a specific system, each bariachi having its technique. As bariachis do not receive formal training, their treatments often depend on instincts, natural talents, and personal abilities. Therefore, it is recommended to study the techniques of baria zasal of concussion to explain its enduring popularity in Mongolia and to ascertain how it interacts with standard western medical treatment.
References
Bernstein, J. A., Stibich, M. A., & LeBaron, S. (2002). Use of traditional medicine in Mongolia: a survey. Complementary Therapies in Medicine, 10(1), 42–45. https://doi.org/10.1054/CTIM.2002.0508
Bold, S. (1989). Brief history and development of traditional Mongolian medicine. ., (25), 5-16. Tibetan Medicine, 25, 5–16. https://www.wipo.int/
Brown, N. J., Mannix, R. C., O'Brien, M. J., Gostine, D., Collins, M. W., & Meehan, W. P. (2014). Effect of cognitive activity level on duration of post-concussion symptoms. Pediatrics, 133(2). https://doi.org/10.1542/PEDS.2013-2125
Dagvatseren, B. (1989). Treatment for concussion through "baria zasal" method. Scientific Journal of Mongolia, 1, 22–29.
Dolgormaa, K. (1990). Treatment of head and brain injury through "baria zasal" treatment. Scientific Journal of Mongolia, 2, 11–15.
Eisenberg, M. A., Meehan, W. P., & Mannix, R. (2014). Duration and course of post-concussive symptoms. Pediatrics, 133(6), 999–1006. https://doi.org/10.1542/PEDS.2014-0158
Ganbat, O., Dalkh, T., & Dagvajantsan, B. (2021). Concussion in children and Baria zasal of Mongolian traditional medicine. Mongolian Journal of Neurology, 1(12), 34–37.
Gerke, B. (2004). Tradition and modernity in Mongolian medicine. Journal of Alternative and Complementary Medicine (New York, N.Y.), 10(5), 743–749. https://doi.org/10.1089/ACM.2004.10.743
Goldin, A. S. (2012). Bariachi of Ulaanbaatar. In undefined. https://digitalcollections.sit.edu/isp_collection/1292/
Howell, D. R., O'Brien, M. J., Beasley, M. A., Mannix, R. C., & Meehan, W. P. (2016). Initial somatic symptoms are associated with prolonged symptom duration following concussion in adolescents. Acta Paediatrica (Oslo, Norway : 1992), 105(9), e426–e432. https://doi.org/10.1111/APA.13486
Jagan, S., Park, T., & Papathanassoglou, E. (2019). Effects of massage on outcomes of adult intensive care unit patients: a systematic review. Nursing in Critical Care, 24(6), 414–429. https://doi.org/10.1111/NICC.12417
Li, J., Li, X. Y., Feng, D. F., & Pan, D. C. (2010). Biomarkers associated with diffuse traumatic axonal injury: exploring pathogenesis, early diagnosis, and prognosis. The Journal of Trauma, 69(6), 1610–1618. https://doi.org/10.1097/TA.0B013E3181F5A9ED
Rose, S. C., Weber, K. D., Collen, J. B., & Heyer, G. L. (2015). The Diagnosis and Management of Concussion in Children and Adolescents. Pediatric Neurology, 53(2), 108–118. https://doi.org/10.1016/J.PEDIATRNEUROL.2015.04.003
Schneider, K. J., Leddy, J. J., Guskiewicz, K. M., Seifert, T., McCrea, M., Silverberg, N. D., Feddermann-Demont, N., Iverson, G. L., Hayden, A., & Makdissi, M. (2017). Rest and treatment/rehabilitation following sport-related concussion: a systematic review. British Journal of Sports Medicine, 51(12), 930–934. https://doi.org/10.1136/BJSPORTS-2016-097475
Sodnompilova, M., & Bashkuev, V. (2015). Diseases and their origins in the traditional worldview of Buryats : folk medicine methods. Études Mongoles Et Sibériennes, Centrasiatiques Et Tibétaines, 46, 1–23. https://doi.org/10.4000/EMSCAT.2510
Tsybikova, B., Dampilova, L., & Chimitdorzhieva, G. (2019). National methods of treatment of the Buryats in Inner Mongolia (the People's Republic of China). The Bulletin of Irkutsk State University. «Geoarchaeology, Ethnology, and Anthropology Series», 27, 79–85.
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Copyright (c) 2021 Orgilbayar Ganbat, Oyuntugs Byambasukh, Tserendagva Dalkh, Byambasuren Dagvajantsan
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