Introduction of Western medicine to Sri Lanka resulted in the marginalization of Ayurveda which was the mainstay of traditional empirical medicine among the Sinhalese. In spite of the emergence of a vibrant Sinhalese-Buddhist nationalist movement in the late 19th century in opposition to the erosion of traditional values and institutions such as Buddhism and Ayurvedic medicine, the dominance of the Westernized, propertied and professional elite could not 'be checked. Introduction of democratic institutions and subsequent political independence, however allowed marginalized native groups such as Ayurvedic physicians to come forward and win certain privileges which were hitherto denied to them. Even though the events have not reversed the ,historical trend, they have nevertheless been significant ,developments with implications for rhe present and future position of Ayurveda within the healthcare system of Sri Lanka.
