India has long occupied an important place in Tibetan medicine's history and development. However, Indian Himalayan practitioners of Tibetan medicine, or amchi, have largely remained overlooked at the Tibetan medical periphery, despite playing a central social and medical role in their communities. Power and legitimacy, religion and economic development, biomedical encounters and Indian geopolitics all intersect in the work and identities of contemporary Himalayan amchi. This volume examines the crucial moment of crisis and transformation that occurred in the early 2000s to offer insights into the beginnings of Tibetan medicine's professionalization, industrialization, and official recognition in India and elsewhere. Based on fine-grained ethnographic studies in Ladakh, Zangskar, Sikkim, and the Darjeeling Hills, Healing at the Periphery asks how the dynamics of capitalism, social change, and the encounter with biomedicine affect small communities on the fringes of modern India, and, conversely, what local transformations of Tibetan medicine tell us about contemporary society and health care in the Himalayas and the Tibetan world.

Contributors. Florian Besch, Calum Blaikie, Sienna R. Craig, Barbara Gerke, Isabelle Guérin, Kim Gutschow, Pascale Hancart Petitet, Stephan Kloos, Fernanda Pirie, Laurent Pordié

The collision of the Indian and Eurasian plates around fifty million years ago profoundly altered earth’s geography and regional climates. The rise of the Himalaya led to intensification of the monsoon, the birth of massive glaciers and turbulent rivers, and an efflorescence of ecosystems along the most extreme elevational gradient on Earth. When the Ice Age ended, humans became part of this mix, and today nearly one quarter of the world’s population inhabits its river basins, from Afghanistan to Myanmar. Life in the Himalaya examines the region’s geophysical and biological systems and explores the past and future of human sustainability in the mountain’s shadow.

Maharaj Pandit divides the Himalaya’s history into four phases. During the first, the mountain and its ecosystems formed. In the second, humans altered the landscape, beginning with nomadic pastoralism, continuing to commercial deforestation, and culminating in pockets of resistance to forest exploitation. The third phase saw a human population explosion, accompanied by road and dam building and other large-scale infrastructure that degraded ecosystems and caused species extinctions. Pandit outlines a future networking phase which holds the promise of sustainable living within the mountain’s carrying capacity.

Today, the Himalaya is threatened by recurrent natural disasters and is at risk of catastrophic loss of life. If humans are to have a sustainable future there, Pandit argues, they will need to better understand the region’s geological vulnerability, ecological fragility, and sociocultural sensitivity. Life in the Himalaya outlines the mountain’s past in order to map a way forward.

The societies in the Himalayan borderlands have undergone wide-ranging transformations, as the territorial reconfiguration of modern nation-states since the mid-twentieth century and the presently increasing trans-Himalayan movements of people, goods and capital, reshape the livelihoods of communities, pulling them into global trends of modernisation and regional discourses of national belonging.This book explores the changes to native senses of place, the conception of border - simultaneously as limitations and opportunities - and what the authors call "affective boundaries," "livelihood reconstruction," and "trans-Himalayan modernities." It addresses changing social, political, and environmental conditions that acknowledge growing external connectivity even as it emphasises the importance of place.