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Thursday, June 6, 2019

The Medical Buddha

Sangye Menla or Buddha of Medicine

Perhaps no other religion put so much emphasis on providing medical care as Buddhism did. Buddha himself nursed individuals on the deathbed or suffering from serious diseases and instructed all his disciples to always provide medical help and care to every individual even if they do not know the sufferer personally. Four noble truths (there is sorrow, there is reason for it, there is cessation of sorrow, and there are paths leading to the cessation of sorrow) of Buddhism have appeared to many as fundamental principles of a medical system. In fact, Buddhist monks were part of wandering ascetics with deep knowledge of herbs and other natural medicines. Traders–the most important class of patrons for the early Buddhists–were also frequent travellers and as such they must have also added to the wealth of medical knowledge at monasteries. Long-distance exchange of medicinal plants and herbs had always been a lucrative trade as well.

Recent research suggests that Ayurveda developed in Buddhist monasteries. Not only Buddha himself placed great significance on it, but medicine was made part of Vinaya Pitaka or Monastic Rules early on. Contrary to popular belief, it has now been clearly established that the Vedic system of healing was magico-religious (1700-800 BCE) and there was no serious link between Atharvaveda and later day empirico-rational traditions of Ayurveda (developed between 800 BCE and 100 CE). This knowledge of Ayurveda came from close observation of wandering monks and their knowledge of plants, herbs, roots, etc. gathered in the course of their wandering careers. This was systematically developed in monasteries.

Though initially this knowledge was utilised only to treat monks but from the third century BCE onward, it was extended to lay disciples as well. There was mention of a separate hall for sick near a forest in Vaishali. Faxian saw hospitals funded by rich citizens of Pataliputra and run by Buddhist monks. One such centre might have been the place next to Kumrahar in Patna, where seals containing the name of Sri Arogya Vihara Bhikshusanghasya, have been unearthed. Similarly, a separate structure resembling a hospital has been found at Nagarjunikonda. Various objects commonly associated with the preparation of Ayurvedic medicine have been found from almost all the Buddhist monasteries including those at Sarnath and Sirpur.

Padmapani Vihar Sirpur, utensils for preparing medicine

Buddhism was perhaps the single biggest factor in crystallisation of early medical knowledge in India. Integration of medical doctrines in monastic traditions and emergence of monk-healers immensely helped in the spread of Buddhism. It also led to the inclusion of medical sciences in the curriculum of monasteries and then eventually in large Buddhist universities such as Nalanda. Realising the importance of medicine, Hindu traditions assimilated this knowledge in the form of Charak (in fact, there are strong reasons to believe that the Charak Samhita was the work of a school of wandering doctors as the name itself is likely to have come from ‘char’ or to wander) and Sushrut Samhitas. Hindu temples also started having hospices and infirmaries from the tenth century onward–various inscriptions found in Bengal, Andhra, Tamil Nadu mention establishment of arogyashala, prasutishala (hall for pregnant women) and employment of doctors, surgeons, nurses, etc. An inscription dated 1493 CE from the famous Srirangam temple in Tamil Nadu mentions restoration of an arogyashala there, which was originally set up in either the eleventh or twelfth century.

Knowledge of Ayurveda travelled with Buddhism to Sri Lanka, Burma, and Southeast Asia, where for centuries and even now Buddhist monks have been providing medical care to local communities. It did not find much acceptance there, but even in China (Yaoshifo) and Japan (Yakushi), the concept of Bhaisajyaguru or the Buddha of healing and medicine was well known. In Tibetan Buddhism (and by extension in Ladakh, Nepal, Bhutan, and other areas, which follow the Tibetan traditions), medicine has always been accorded supreme importance. Sangye Menla or medical Buddha is a common form of worship in Tibetan Buddhism. A number of Sanskrit medical classics were translated in Tibetan by tenth and eleventh centuries and the basic principles of Ayurveda are well preserved in the present tradition of Tibetan medicine or Sowa Rigpa (also accepted officially in India as one of the traditional medical systems along with Ayurveda, Unani, etc).


For more such stories related to Indian business history, see Laxminama: Monks, Merchants, Money and Mantra by Anshuman Tiwari and Anindya Sengupta Bloomsbury 2018


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