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BACKGROUND
Nepal, a small country, lies in the central Himalayas, wedged between
India and China. The flat Terai plains in the south, the central hills and
the high Himalayas in the north define the countrys three geographical
areas. The history of medicine in Nepal may be considered to be fairly
long. From the Ramayana one learns that Hanuman was told to bring
the Sanjeebani from the mountains in the Himalayas. Without arguing
whether the actual mountain transported to Lanka was from India or
Nepal one can say that many herbal medicines were in use then in these
lands (1).
Lord Buddha (563-477 BC), who was born in Nepal, is said to have
attended regularly to all the sick disciples in his camps. His teachings
said to be born is to suffer, to die is to suffer, and to fall sick is to suffer
motivated his followers to look after the sick. Buddhist hospitals in Nepal
and India existed before the invasion of Alexander the Great in India. It
is to Gautam and his followers who emerged apparently the hospital
idea (2). It is the Ayurved or the science of life system of medicine that
is found in this part of the world. It has been recorded that Arogyashala
or ayurvedic hospital existed in Nepal during the reign of Amshu Verma
(605-620 AD) of the Lichchhavi period (3). These facilities were
extended in the reigns of subsequent rulers. Mention of these health
institutions is not found again till the time of Pratap Malla (1641-1674)
who established an ayurvedic dispensary in the Hanuman Dhoka
complex. This can be considered as the start of pharmacy service in
Nepal.
The first introduction of the modern medicine or allopathic system of
medicine in Nepal was done by the Christian Missionaries working in
Peking, China and Lhasa, Tibet. In those days one of the TransHimalayan trade route was via Kathmandu and the Christian
Missionaries have used the road and have felt health needs of the then
Nepal but the organized practice of modern medicine or in fact modern
pharmacy stated with the establishment of Prithivi Bir Hospital, the first
hospital of the country in Kathmandu in the year 1889 AD. In the same
year Cholera Hospital was established in Teku, Kathmandu near rope