Research Article

Comparability of Traditional Persian Medicine with the New Concepts of Personal and Precision Medicine: A Qualitative Study

Abstract

Traditional Persian Medicine (TPM) has a thousand-year history and a holistic approach that respects personal characteristics in its diagnosis and management. The objective of this study was to explore the concepts of personal and precision medicine in traditional Persian and modern medicine. A qualitative study design with a content analysis approach was conducted. Purposive and snowball sampling approaches were used to select participants. Then, we approached experts in various fields, including TPM, genetics, epidemiology, physiology, pharmacy, and general medicine. In the beginning, we summarized the concept of personalized medicine (PM) and asked them how many similarities and differences they might find between TPM and PM. A semi-structured questionnaire with six parts was used to collect data. The duration of each interview varied from 30 to 65 min. The interviews and experts’ viewpoints were recorded via an online platform and transcribed verbatim. The data analysis process involved several sequential steps: initial familiarization, coding, theme generation, theme review, theme definition and naming, and final writing.  After coding all texts and extracting issues, categories and conceptual frameworks were created by interpreting the content. To analyze the data, the content analysis approach assisted by MAXQDA 2018 software was used. More than 70% of participants showed a favorable attitude in all evaluated parts. Approximately 80% of participants agreed that there are parallels between TPM and precision medicine; for example, in TPM and precision medicine, patients are treated with respect to their characteristics. More than 80% of participants thought temperamentology may help with patient diagnosis and treatment. They also suggested that TPM concepts could be used to improve and accelerate the implementation of precision medicine. The majority of participants acknowledged the use of phenotypes to reduce the reliance on genetics in precision medicine. However, several participants expressed skepticism. According to the participants, these concepts will not be beneficial unless TPM aligns with modern medicine. In addition, there must be scientific evidence confirming the association between different genes and temperaments. The advent of precision medicine does not mean disregarding TPM; rather, the concepts of TPM can be used in precision medicine. For example, phenotype can assist in reducing the reliance on genetics in precision medicine. Because phenotype, as an important concept in TPM, is the external manifestation of the genotype. In addition, like precision medicine, TPM can help to provide personalized medical treatment based on people's temperament.

Mojahedi M, Naseri M, Majdzadeh R, Keshavarz M, Ebadini M, et al. Reliability and validity assessment of Mizaj questionnaire: a novel self-report scale in Iranian traditional medicine. Iran Red Crescent Med J 2014;16:e15924.

Carver RB, Castéra J, Gericke N, Evangelista NA, El-Hani CN. Young adults' belief in genetic determinism, and knowledge and attitudes towards modern genetics and genomics: the PUGGS questionnaire. PloS One 2017;12:e0169808.

Marcon AR, Bieber M, Caulfield T. Representing a "revolution": how the popular press has portrayed personalized medicine. Genet Med 2018;20:950-956.

Elemento O. The future of precision medicine: towards a more predictive personalized medicine. Emerg Top Life Sci 2020;4:175-177.

König IR, Fuchs O, Hansen G, von Mutius E, Kopp MV. What is precision medicine? Eur Respir J 2017;50:25.

Collins SC. Precision reproductive medicine: multigene panel testing for infertility risk assessment. J Assist Reprod Genet 2017;34:967-973.

Wu X-Z. Traditional Chinese medicine should not be ignored during the development of precision medicine with Chinese characteristics. Trad Med Res 2016;1:105.

Zhou X, Li Y, Peng Y, Hu J, Zhang R, et al. Clinical phenotype network: the underlying mechanism for personalized diagnosis and treatment of traditional Chinese medicine. Front Med 2014;8:337-346.

Pirmohamed M. Personalized pharmacogenomics: predicting efficacy and adverse drug reactions. Annu Rev Genomics Hum Genet 2014;15:349-370.

Schmidt KT, Chau CH, Price DK, Figg WD. Precision oncology medicine: the clinical relevance of patient‐specific biomarkers used to optimize cancer treatment. J Clin Pharmacol 2016;56:1484-1499.

Scheinfeldt LB, Schmidlen TJ, Gerry NP, Christman MF. Challenges in translating GWAS results to clinical care. Int J Mol Sci 2016;17:1267.

Reardon S. Precision-medicine plan raises hopes: US initiative highlights growing focus on targeted therapies. Nature 2015;517:540-541.

Zeinalian M, Eshaghi M, Naji H, Marandi SMM, Sharbafchi MR, et al. Iranian-Islamic traditional medicine: An ancient comprehensive personalized medicine. Adv Biomed Res 2015;4:12.

Akhtari M, Moeini R, Mojahedi M, Gorji N. Assessment the studies on the concept of Mizaj (temperament) in Persian Medicine. J Complement Integr Med 2020;17:14.

Yousefifard M, Parviz M, Hosseini M, Ebadiani M, Keshavarz M. Mizaj past, present and future. Physiol Pharmacol 2013;16:328-339.

Jafari S, Abdollahi M, Saeidnia S. Personalized medicine: a confluence of traditional and contemporary medicine. Altern Ther Health Med 2014;20:31-40.

Nimrouzi M, Zare M. Principles of nutrition in Islamic and traditional Persian medicine. J Evid Based Complement Altern Med 2014;19:267-270.

Shirbeigi L, Zarei A, Naghizadeh A, Alizadeh Vaghasloo M. The concept of temperaments in traditional Persian medicine. Trad Integr Med 2017;5:143-156.

Rezaeizadeh H, Nikfar S, Rahimi R. Perspectives of personalized medicine in traditional Persian medicine. J Semnan Univ Med Sci 2022;7(3):12-25.

Jafari M, Rezadoost H, Karimi M, Mirzaie M, Rezaie-Tavirani M, et al. Proteomics and traditional medicine: new aspect in explanation of temperaments. Res Complement Med 2014;21:250-253.

Te Pas MF, Madsen O, Calus MP, Smits MA. The importance of endophenotypes to evaluate the relationship between genotype and external phenotype. Int J Mol Sci 2017;18:472.

Naseri M, Rezaeiazdeh H, Taheripanah T, Naseri V. Temperament theory in the iranian traditional medicine and variation in therapeutic responsiveness, based on pharmacogenetics. J Islam Iran Trad Med 2010;1:237-242.

Shahabi S, Hassan ZM, Mahdavi M, Dezfouli M, Rahvar MT, et al. Hot and cold natures and some parameters of neuroendocrine and immune systems in traditional Iranian medicine: a preliminary study. J Altern Complement Med 2008;14:147-156.

Farsani GM, Naseri M, Hosseini S, Saboor-Yaraghi AA, Kamalinejad M, et al. The evaluation of basic and neurohormonal parameters in hot or cold temperament person proposed in iranian traditional medicine: an observational study. J Contemp Med Sci 2020;6:213.

Rezadoost H, Karimi M, Jafari M. Proteomics of hot-wet and cold-dry temperaments proposed in Iranian traditional medicine: a Network-based Study. Sci Rep 2016;6:30133.

Ho D, Quake SR, McCabe ER, Chng WJ, Chow EK, et al. Enabling technologies for personalized and precision medicine. Trend Biotechnol 2020;38:497-518.

Grossoehme DH. Overview of qualitative research. J Health Care Chaplain 2014;20:109-122.

Valerio MA, Rodriguez N, Winkler P, Lopez J, Dennison M, et al. Comparing two sampling methods to engage hard-to-reach communities in research priority setting. BMC Med Res Method 2016;16:1-11.

Nowell LS, Norris JM, White DE, Moules NJ. Thematic analysis: Striving to meet the trustworthiness criteria. Int J Qual Methods 2017;16:160.

Gana S, Serpieri V, Valente EM. Genotype–phenotype correlates in Joubert syndrome: A review. Am J Med Genet C Semin Med Genet 2022;4:72-88.

Vasko A, Drivas TG, Schrier Vergano SA. Genotype-phenotype correlations in 208 individuals with coffin-siris syndrome. Genes 2021;12:937.

Yang L, Shu X, Mao S, Wang Y, Du X, et al. Genotype–phenotype correlations in Angelman syndrome. Genes 2021;12:987.

Casini A, De Moerloose P. Can the phenotype of inherited fibrinogen disorders be predicted? Haemophilia 2016;22:667-675.

Zhang A, Sun H, Wang P, Han Y, Wang X. Future perspectives of personalized medicine in traditional Chinese medicine: a systems biology approach. Complement Ther Med 2012;20:93-99.

Kamali MA, Khodadoost M, Tavakoli H, Kamalinejad M, Gachkar L, et al. The role of syndrome differentiation in the clinical efficacy of Punica granatum on patients with ulcerative colitis. Iran J Med Sci 2016;41:S15.

Kőrӧsi B, Gyӧngyӧsi H, Batta D, Laszlo A, Kovacs I, et al. Evaluation of affective temperaments and arterial stiffness in different hypertension phenotypes. Hypertens Res 2021;44:47-54.

MacArtney JI, Wahlberg A. The problem of complementary and alternative medicine use today: eyes half closed? Qual Health Res 2014;24:114-123.

Shirafkan H, Taghavi M, Mirzapor M. Investigating the difference between principals of Iranian traditional medicine and modern medicine for providing a model for integrated medicine. Islam Health J 2014;1:10-15.

World Health Orgenization. WHO global report on traditional and complementary medicine 2019. Geneva: World Health Organization; 2019. https://apps.who.int/iris/handle/10665/312342

Yuan H, Ma Q, Ye L, Piao G. The traditional medicine and modern medicine from natural products. Molecules 2016;21:559.

Ghodke Y, Joshi K, Patwardhan B. Traditional medicine to modern pharmacogenomics: Ayurveda Prakriti type and CYP2C19 gene polymorphism associated with the metabolic variability. Evid Based Complement Altern Med 2011;2:4.

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IssueVol 9, No 2, 2024 QRcode
SectionResearch Article(s)
DOI https://doi.org/10.18502/tim.v9i2.15866
Keywords
Traditional persian medicine Precision medicine Experts

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How to Cite
1.
Norouzi M, Haghdoost AA, Karimiafshar M, Setayesh M. Comparability of Traditional Persian Medicine with the New Concepts of Personal and Precision Medicine: A Qualitative Study. Trad Integr Med. 2024;9(2):128-135.