Maya medicine
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Maya medicine concerns
health Health, according to the World Health Organization, is "a state of complete physical, mental and social well-being and not merely the absence of disease and infirmity".World Health Organization. (2006)''Constitution of the World Health Organiza ...
and
medicine Medicine is the science and practice of caring for a patient, managing the diagnosis, prognosis, prevention, treatment, palliation of their injury or disease, and promoting their health. Medicine encompasses a variety of health care pr ...
among the ancient
Maya civilization The Maya civilization () of the Mesoamerican people is known by its ancient temples and glyphs. Its Maya script is the most sophisticated and highly developed writing system in the pre-Columbian Americas. It is also noted for its art, a ...
. It was a complex blend of mind, body,
religion Religion is usually defined as a social- cultural system of designated behaviors and practices, morals, beliefs, worldviews, texts, sanctified places, prophecies, ethics, or organizations, that generally relates humanity to supernatural, ...
,
ritual A ritual is a sequence of activities involving gestures, words, actions, or objects, performed according to a set sequence. Rituals may be prescribed by the traditions of a community, including a religious community. Rituals are characterized ...
and
science Science is a systematic endeavor that Scientific method, builds and organizes knowledge in the form of Testability, testable explanations and predictions about the universe. Science may be as old as the human species, and some of the earli ...
. Important to all, medicine was practiced only by a select few, who generally inherited their positions and received extensive
education Education is a purposeful activity directed at achieving certain aims, such as transmitting knowledge or fostering skills and character traits. These aims may include the development of understanding, rationality, kindness, and honesty ...
. These shamans acted as a medium between the physical world and spirit world. They practiced sorcery for the purpose of healing, foresight, and control over natural events. Since medicine was so closely related to religion, it was essential that Maya medicine men had vast medical knowledge and skill. In understanding Maya medicine, it is important to recognize that the Maya equated sickness with the captivity of one's soul by supernatural beings, angered by some perceived misbehavior. For this reason, curing a sickness involved elements of ritual, cleansing and herbal remedy. Research of Maya ethno-medicine shows that though supernatural causes are related to illness, a large percentage of Maya medical texts are devoted to the treatment of symptoms based upon objective observations of the effects of certain plants on the human system. Herbal remedies were ingested, smoked, snorted, rubbed on the skin, and even used in the form of enemas to force rapid absorption of a substance into the
blood Blood is a body fluid in the circulatory system of humans and other vertebrates that delivers necessary substances such as nutrients and oxygen to the cells, and transports metabolic waste products away from those same cells. Blood in the cir ...
stream. Cleansing techniques included
fasting Fasting is the abstention from eating and sometimes drinking. From a purely physiological context, "fasting" may refer to the metabolic status of a person who has not eaten overnight (see " Breakfast"), or to the metabolic state achieved after ...
, sweating and purging flushed substances out of the body.


Medicine

Medicine men, known to the ancient Maya as ''ah-men'', held the special ability to alter consciousness to determine causes for events not understood, such as reasons for illness or misfortune. Since it was perceived by the Maya that sickness was a punishment for a mistake or transgression, it was important that the healer inquire about details of the past of the sick person. This was done in a methodological fashion, first inquiring about ascriptive attributes, followed by specific events of the person's life, and lastly about circumstantial or acquired attributes. This aspect of the medicine man's job would be similar to a modern-day
therapy A therapy or medical treatment (often abbreviated tx, Tx, or Tx) is the attempted remediation of a health problem, usually following a medical diagnosis. As a rule, each therapy has indications and contraindications. There are many different ...
session. In addition to ritualistic and spiritual elements, the medicine man had extensive knowledge of medicinal plants and how they should be used. After studying the symptoms of a sickness, a medicine man may prescribe a remedy to his patient. The number of times or days that the remedy should be ingested or applied depended on an individual's gender; typically the number thirteen was associated with men, and the number nine with women. The Maya had a broad range of vocabulary to describe internal human anatomy, such as ''hobnel'' for intestines and ''kah'' for bile, as well as knowledge of general functions of body systems, in particular the female reproductive system. In pathology, over two hundred terms described organic conditions, such as ''thuhuzen'' meaning a deep bronchial cough, ''zen'' meaning largyneal cough, and ''tiptec'' meaning intestinal pain with pulsation'','' speculated to have been appendicitis. The Maya acknowledged mental afflictions such as melancholia and hallucinations, were capable of understanding the grouping of symptoms relating to contagious diseases, and identified several diseases including pinta and leishmaniasis. The medicine men of ancient
Maya society Maya society concerns the social organization of the Pre-Hispanic Maya, its political structures, and social classes. The Maya people were indigenous to Mexico and Central America and the most dominant people groups of Central America up until the ...
provided many services to their communities and were held in high regard. Known for their extensive knowledge and spirituality, medicine men were called upon for many reasons, but most often for their healing capabilities. These Maya doctors often employed specialists for specific healing techniques such as bone-setting and
childbirth Childbirth, also known as labour and delivery, is the ending of pregnancy where one or more babies exits the internal environment of the mother via vaginal delivery or caesarean section. In 2019, there were about 140.11 million births glob ...
, similar to the method of modern doctors. Bone setting was done by a designated bone-binder, or ''kax-bac''. In addition to his duties as a doctor and sorcerer, a medicine man not only cured diseases, but also sporadically accepted compensation to cause them. The ''ah-man'' was also called ''ah-pul-yaah'', the "disease thrower". New evidence indicates dental modification, widely established as an aesthetic practice, was also practiced for medical purposes; skeletal remains recovered at the Piedras Negras S-Sector site indicated dental extractions on teeth affected by caries among other methods of dental modification. Dental surgeons made jade and turquoise prostheses and filled teeth with iron pyrite for practical use past the well-documented aesthetic use of dental inlays for status display. Surgical practices included wound suturing with human hair and fish bones and fracture reduction. Although a large number of Mesoamerican civilizations around the Classic period practiced
trepanation Trepanning, also known as trepanation, trephination, trephining or making a burr hole (the verb ''trepan'' derives from Old French from Medieval Latin from Greek , literally "borer, auger"), is a surgical intervention in which a hole is drill ...
with great dexterity and success, such as the Zapotec in Oaxaca, little evidence of drilling trepanation is found in the Maya region outside of skull impressions surmised to have more to do with cranioplasty than medical relief.


Ritual practices

Maya rituals differ from region to region, but many similar patterns in ceremonies, whether being performed for individual or group need, have been noted. First, all rituals are preceded by foresight of a medicine man, who determines the day of the ceremony through calendrical divination. The medicine men of the Ixil Maya of Guatemala, who kept track of days in their heads, would lay out red seeds from the coral tree onto the
pre-Columbian In the history of the Americas, the pre-Columbian era spans from the original settlement of North and South America in the Upper Paleolithic period through European colonization, which began with Christopher Columbus's voyage of 1492. Usually, ...
calendar to count them and figure out what day best suited the specific ritual. As a symbol of a spiritual purification, the individual or individuals would observe a fasting and abstinence period before the ritual day. Consistent patterns are shown throughout the Maya world as to the happenings of the day of the ritual as well. During the ceremony, elements including expulsion of the evil spirit from the participant, incensing of the idols, prayers, offerings, and sacrifices were all practiced. If the ritual was used to cure a disease, the offering may be in the form of food or ornaments, and sacrifice in the form of human bloodletting. Following the ceremony would be
dancing Dance is a performing art form consisting of sequences of movement, either improvised or purposefully selected. This movement has aesthetic and often symbolic value. Dance can be categorized and described by its choreography, by its reperto ...
, feasting, and ritual drinking by all, characterized by the
Spaniards Spaniards, or Spanish people, are a Romance ethnic group native to Spain. Within Spain, there are a number of national and regional ethnic identities that reflect the country's complex history, including a number of different languages, both in ...
as a general drunkenness. Today the Maya keep many of the ritualistic traditions of their ancestors. Elements of prayer, offerings, blood sacrifice (replacing human blood with that of sacrificed chickens), burning of
copal Copal is tree resin, particularly the aromatic resins from the copal tree ''Protium copal'' (Burseraceae) used by the cultures of pre-Columbian Mesoamerica as ceremonially burned incense and for other purposes. More generally, copal includes re ...
incense, dancing, and ritual drinking continue in traditional ceremonies. It is noted that even ritualistic practice can have real effects on neurotransmitters and immunological functioning.


Sweat baths

An important purification element to the ancient Maya was the sweat bath, ''temezcal''. Similar to a modern-day
sauna A sauna (, ), or sudatory, is a small room or building designed as a place to experience dry or wet heat sessions, or an establishment with one or more of these facilities. The steam and high heat make the bathers perspire. A thermometer in a ...
, sweat baths were constructed of stone walls and ceilings, with a small opening in the top of the ceiling. Water poured onto the hot rocks in the room created steam, offering a setting in which to sweat out impurities. Sweat baths were used for a range of conditions and situations. New mothers who had recently conceived a child would seek revitalization in them, while people who were sick could find healing power in sweating.
Maya rulers Maya kings were the centers of power for the Maya civilization. Each Maya city-state was controlled by a dynasty of kings. The position of king was usually inherited by the oldest son. Symbols of power Maya kings felt the need to legitimize thei ...
made a habit out of visiting the sweat baths as well because it left them feeling refreshed and, as they believed, cleaner. In addition, Maya rulers performed ritual purification ceremonies to appease the gods and secure the well-being of their communities. It is hypothesized that kings popularized this method of healing because of their regular use of sweat baths. Archeologists have uncovered sweat baths at sites including
Tikal Tikal () (''Tik’al'' in modern Mayan orthography) is the ruin of an ancient city, which was likely to have been called Yax Mutal, found in a rainforest in Guatemala. It is one of the largest archeological sites and urban centers of the pre-C ...
, Aguateca and
Nakbe Nakbe is one of the largest early Maya civilization, Maya archaeological sites. Nakbe is located in the Mirador Basin, in the Petén (department), Petén region of Guatemala, approximately 13 kilometers south of the largest Maya city of El Mirador ...
, but the most impressive find to date is in
Piedras Negras Piedras Negras may refer to: * Piedras Negras, Coahuila, a city in the state of Coahuila, Mexico ** Piedras Negras Municipality, a municipality in Mexico, with the center in the eponymous city * Piedras Negras (Maya site) Piedras Negras is the ...
, a Classic Maya city in Guatemala. In addition to the recognizable
palaces A palace is a grand residence, especially a royal residence, or the home of a head of state or some other high-ranking dignitary, such as a bishop or archbishop. The word is derived from the Latin name palātium, for Palatine Hill in Rome whic ...
,
temples A temple (from the Latin ) is a building reserved for spiritual rituals and activities such as prayer and sacrifice. Religions which erect temples include Christianity (whose temples are typically called churches), Hinduism (whose temples ...
and ball courts, archaeologists have uncovered eight stone buildings that served as sweat baths to the Maya royalty. Steambaths are still in use among the contemporary Tzotzil and Tzeltal Maya of highland Chiapas, and are associated with a wide range of medicinal plants and postpartum therapies.


Plant and herbal medicine

The study and observation of
plant Plants are predominantly photosynthetic eukaryotes of the kingdom Plantae. Historically, the plant kingdom encompassed all living things that were not animals, and included algae and fungi; however, all current definitions of Plantae exclu ...
s has been of high importance to the Maya for centuries. However, the study of medicinal plants was limited to the
priest A priest is a religious leader authorized to perform the sacred rituals of a religion, especially as a mediatory agent between humans and one or more deities. They also have the authority or power to administer religious rites; in partic ...
ly class. Plants and
herbal remedies Herbal medicine (also herbalism) is the study of pharmacognosy and the use of medicinal plants, which are a basis of traditional medicine. With worldwide research into pharmacology, some herbal medicines have been translated into modern remedies ...
were often used in collaboration with other techniques to cure disease. Knowledge of the effects of certain plants on human beings was often used to prescribe an antidote to a particular ailment, but it is also important to note that medicine men also frequently relied on the color of a plant or other remedy in certain situations. For instance, yellow plants and fruits were used in curing jaundice; red for problems characterized by blood; and burned feathers of red birds in curing
yellow fever Yellow fever is a viral disease of typically short duration. In most cases, symptoms include fever, chills, loss of appetite, nausea, muscle pains – particularly in the back – and headaches. Symptoms typically improve within five days. ...
. In cases of skin irritation, wounds and headaches, fresh vegetation was often used in the form of plasters applied directly to the skin. Plasters were also rubbed on the skin to shield spirits. Depending on the ailment, plants were boiled and used in herbal drinks and/or baths, eaten raw, snorted, smoked, or inserted into one of the body's orifices. Common plants used for medicine include, but are not limited to,
chili pepper Chili peppers (also chile, chile pepper, chilli pepper, or chilli), from Nahuatl '' chīlli'' (), are varieties of the berry-fruit of plants from the genus ''Capsicum'', which are members of the nightshade family Solanaceae, cultivated for ...
s, cacao,
tobacco Tobacco is the common name of several plants in the genus '' Nicotiana'' of the family Solanaceae, and the general term for any product prepared from the cured leaves of these plants. More than 70 species of tobacco are known, but the ...
,
agave ''Agave'' (; ; ) is a genus of monocots native to the hot and arid regions of the Americas and the Caribbean, although some ''Agave'' species are also native to tropical areas of North America, such as Mexico. The genus is primarily known for ...
, and the pitarilla tree. In addition, animal parts, such as those from the crocodile, insects,
fish Fish are aquatic, craniate, gill-bearing animals that lack limbs with digits. Included in this definition are the living hagfish, lampreys, and cartilaginous and bony fish as well as various extinct related groups. Approximately 95% of ...
and birds were combined into the herbal concoctions. In most cases, a mixture of plant and animal product was prepared to cure a specific ailment.


Entheogens

For the most part, mind-altering substances were used in rituals by medicine men to achieve a higher state of
consciousness Consciousness, at its simplest, is sentience and awareness of internal and external existence. However, the lack of definitions has led to millennia of analyses, explanations and debates by philosophers, theologians, linguisticians, and scien ...
or
trance Trance is a state of semi-consciousness in which a person is not self-aware and is either altogether unresponsive to external stimuli (but nevertheless capable of pursuing and realizing an aim) or is selectively responsive in following the dir ...
-like state. These substances were used for mental and spiritual health purposes. Flora such as '' peyote'', the
morning glory Morning glory (also written as morning-glory) is the common name for over 1,000 species of flowering plants in the family Convolvulaceae, whose current taxonomy and systematics are in flux. Morning glory species belong to many genera, some of ...
, certain
mushrooms A mushroom or toadstool is the fleshy, spore-bearing fruiting body of a fungus, typically produced above ground, on soil, or on its food source. ''Toadstool'' generally denotes one poisonous to humans. The standard for the name "mushroom" is ...
,
tobacco Tobacco is the common name of several plants in the genus '' Nicotiana'' of the family Solanaceae, and the general term for any product prepared from the cured leaves of these plants. More than 70 species of tobacco are known, but the ...
, and plants used to make alcoholic substances, were commonly used. The smoking of tobacco mixed with other plants produced a trance-like state. Alcoholic substances were used at rituals and were extremely strong.
Hallucinogen Hallucinogens are a large, diverse class of psychoactive drugs that can produce altered states of consciousness characterized by major alterations in thought, mood, and perception as well as other changes. Most hallucinogens can be categorize ...
s were used to communicate with the spirit world. A number of these substances were used not to cure sickness, but instead for pain relief. In addition, as depicted in Maya pottery and
carvings Carving is the act of using tools to shape something from a material by scraping away portions of that material. The technique can be applied to any material that is solid enough to hold a form even when pieces have been removed from it, and ...
, ritual
enema An enema, also known as a clyster, is an injection of fluid into the lower bowel by way of the rectum.Cullingworth, ''A Manual of Nursing, Medical and Surgical'':155 The word enema can also refer to the liquid injected, as well as to a device ...
s were used for a more rapid absorption and effect of the substance. In contrast to modern culture, these remedies were used to restore balance and harmony to the body.


Notes


References

* Anderson, E.N. (2005) ''Political Ecology in a Yucatec Maya Community''. University of Arizona Press. * Benjamin, Patricia. (2006) ''Massage and Sweat baths Among the Ancient Maya''. Massage Therapy Journal. Spring 2004:144-148. * Colby, Benjamin N. (2004) ''Calendrical Divination by the Ixil Maya of Guatemala''. In Divination and Healing: University of Arizona Press. * Groark, Kevin P. (1997). "To Warm the Blood, to Warm the Flesh: The Role of the Steambath in Highland Maya (Tzeltal-Tzotzil) Ethnomedicine." Journal of Latin American Lore 20(1):3-96. * Groark, Kevin P. (2005). "Vital Warmth and Well-being: Steambathing as Household Therapy among the Tzeltal and Tzotzil Maya of highland Chiapas, Mexico." Social Science & Medicine 61:785-795. * Groark, Kevin P. (2010). "The Angel in the Gourd: Ritual, Therapeutic, and Protective Uses of Tobacco (Nicotiana tabacum) among the Tzeltal and Tzotzil Maya of Chiapas, Mexico." Journal of Ethnobiology 30(1):5-30. * Houston, Stephen, David Stuart, and Karl Taube. (2006) ''The Memory of Bones''. University of Texas Press. * Kunow, Marianna. (2003) ''Maya Medicine''. University of New Mexico Press. * Roys, Ralph L. (1931) ''The Ethno-Botany of the Maya''. Tulane University. * Sharer, Robert. (2006) ''The Ancient Maya''. Stanford.


See also

* Aztec medicine *
Curandero A ''curandero'' (, healer; f. , also spelled , , f. ) is a traditional native healer or shaman found primarily in Latin America and also in the United States. A curandero is a specialist in traditional medicine whose practice can either contr ...


External links


Screening of plants used in Mayan traditional medicine to treat cancer-like symptoms.
{{Traditional Medicine Maya society Mesoamerican medicine Traditional medicine