HinduMedicalPractice inSixteenth-Century Western India:Evidence from Portuguese Sources M. N. PEARSON Therearemany studies ofayurvedic medical practice inIndiaintheperiod before thearrival ofEuropeans, butmostofthesearebasedon normative texts, suchas thoseofSusruta andCaraka.1Thesetellusquitea lotabout whathealersintheayurvedic system weremeantto do, and thesortsof information theyreceivedfromtheirtexts,but theygive almostno information onactualpractice; inother words, didhealers follow thetexts, or was thererathera mixture of information fromthetextsand folk knowledge, withthesetwointurnbeinginfluenced byempirical observation ?A. L. Bashamprovides a cautioussummary ofthis:'The instructions ofthetextbooks can onlybe takenas normative, and notas having been universally applied'.2 Turning towestern India,weknowvery little abouthealth careinGoa beforethePortuguese conquest.Figueiredo claimsthatlong beforethe Portuguese all branches ofknowledge, including medicine, weretaught in institutions of higherlearning, and in settlements of brahmins. These attracted students from farand wide.3His information is so fragmentary as tobeoflittle use,forwecannotdistinguish between medicine andother scholarly disciplines. We can assume thathealersin Goa were often brahmins, andtheir morebook-based practice wassupplemented bylocally proven recipes andnostrums dispensed byvillagewomenhealers. Wehave almostno evidenceof hospitals, or of stateinvolvement in healthcare, before thecoming ofthePortuguese. Allwehaveisonereference (from the eleventh century) toa houseofmercy, whichprovided relief forthepoor, 1 See, for example, O. P. Jaggi's numerousworks in the series 'History of Science and TechnologyinIndia',especiallyMedicineinMedievalIndia (Delhi:AtmaRam, 1977),on yunani medicine, and IndianSystemofMedicine(Delhi: AtmaRam, 1974),on ayurvedicmedicine.The bestmodernsummary is byA. L. Basham,'The PracticeofMedicine in Ancientand Medieval India', in Asian Medical Systems:A Comparative Study,ed. by Charles Leslie (Berkeley: University of CaliforniaPress, 1976), pp. 18-43. Two older, classic, accounts of ayurvedic medicineby westernorientalistsstillhave detail of greatvalue: Jean Filliozat, The Classical DoctrineofIndianMedicine:ItsOriginsand itsGreekParallels(Delhi: MunshiramManoharlal, 1964); HeinrichRobertZimmer,Hindu Medicine (Baltimore: JohnsHopkins University Press, 1948). For the state of researchtoday on traditionalIndian medicinesee Studies on Indian Medical History, ed. byG. JanMeulenbeldand DominikWujastyk(Groningen: Forsten,1987); most relevantto thisstudyis T. J. S. Patterson,'The Relationshipof Indian and European Practitioners ofMedicinefrom theSixteenth Century', pp. 119-29. Basham,p. 25. JohnM. de Figueiredo,Ayurvedic Medicine in Goa accordingto huropeansources in the Sixteenth and Seventeenth Centuries',Bulletinof theHistoryof Medicine,58 (1984), 225- 32 (p. 226). HINDU MEDICAL PRACTICE IN i6TH WESTERN INDIA IOI sickand pilgrims, established bya chiefminister of a local kingin Goa Velha.4 We do have considerable information about practiceas opposed to theory as regards yunanior Muslimmedicine. Suchinformation is quite copiousintheMemoirsofbothBaburandJahangir, inAbulFazl'sAin-i Akbari,and in manyotherPersiantextssuch as the Tibbi-Sikandari, written underthepatronage of SikandarLodi. Our concernhoweveris withHindupractice, and hereitseemsthatPortuguese records from the sixteenth century provide uswithaccounts whicharecomparable tothose from theMughalemperors andother Mughalsources, butwhichrelateto Hindupractice. So farthesePortuguese sourceshavebeenlittlestudied, butitis mycontention, whichI hopewillbe confirmed bythematerial later inthisarticle, that they areextremely valuableas eyewitness accounts ofactualmedical practice. ThisisnottosaythatPortuguese sourcescanbeusedas 'objective' and 'neutral'accounts.Thereis first theobviousandgenerally acknowledged difficulty ofusingtherecords ofa colonialpowerto describe thesociety whichitdominated. Inparticular, NormanOwenhasreminded us ofthe difficulties of historical accountsof illness.All of theseare of course transmitted throughculture,in our case Portuguese.Also, diseases themselves aremutable, sothat thesources might bedescribing a syndrome whichno longerexists,suchas themysterious Englishsweating sickness whichcameand wentinthesixteenth century.5 Further, each accountis basedon assumptions aboutwhatillnessmeant, something very different insixteenth-century Goa as comparedwithtoday.Finally, somediseases are moredramatic(choleraespecially)thanothers.Owen distinguishes betweencrisismortality and backgroundmortality. The former, the dramaticand much describedcauses of mortality, include cholera, smallpox,influenza and various'fevers',such as malariaand typhoid. However, perhaps three-quarters ofdeathswereinfactcausedbytheless glamorous background category ofailments, suchas tuberculosis, dysentery andinfantile diarrhoea.6 Thereis anotherwholecategory of minefields in thearea of medical history ingeneral. Itis tooeasyto be overly influenced bywhatwe think aremodern medicalmethods, andtotestthepastinaccordance withwhat we, social historians withonlya spotty expertise in medicine anyway, 4 JoãoManuelPacheco Figueiredo, 'Goa Pré-Portuguesa', Studia, 12(1963),139-259; and13/ ia (1965), 105-225(p. 160). remanaorauaei,1nestructures ofeveryday Life,1neLimns ofwerosswie, civilization ana Capitalism, I5th-i8th Century, 1(London: Collins, 1981), pp.78-88;E. L.Jones, TheEuropean Miracle (Cambridge: Cambridge University Press, 1981), pp.140-41. introduction , inueatnandDiseaseinòoutheast Asta:explorations in¿octal, Medicaland Demographic History, ed. byNorman G. Owen (Singapore: Oxford University Press,1987), pp.4and12. IO2 M. N. PEARSON think is 'correct' and 'scientific' practice today.Andrew Wearclaimsthat inhisedited collection ofstudies: Thenineteenthandtwentieth -century valuesofthemedical profession which inpast history ofmedicine hadbeenapplied toearlier periods tocondemn empirics, quacks, magical andreligious practitioners havebeendiscarded. Intheprocess a much richer medical world hasbeenuncovered.7 All thissaid, itis stillmycontentionthatseveralPortugueseaccountsof Hindu medicineinwesternIndia inthesixteenth century have considerable value.I am not,ofcourse,venturing to write a history ofHindumedical practice atthistime...
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