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Showing posts with label ayurveda. Show all posts
Showing posts with label ayurveda. Show all posts

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


Wednesday, January 19, 2011

Medicine Men of Ancient India

 One day one of my friends – a truly argumentative North Indian – went on fighting with me on Bengal caste system, more specifically about the Baidya caste. I felt the main problem in bridging our respective understanding of non-Brahmin literary castes (like Kayasth) was the absence of a specialized caste for doctors in North India. Perhaps – my knowledge of Indian caste system is limited – there is no equivalent of Baidyas in the rest of India. Outside Bengal, it was mainly the Brahmins, who practiced Ayurveda. On another occasion, recently my wife (another North Indian) was really surprised to know that my gotra is Dhanvantari. Again I do not know whether most Baidyas in Bengal have this particular gotra but any one remotely interested in Indian myths would recall Dhanvantari was the person, who received the knowledge of medicine from Brahma and was deified as the God of medicine.
Ayurveda – literally the knowledge of long life was known to Indians from around the second millennium BC. For the first time we find mention of a separate branch of knowledge to deal with medicine in the Atharvaveda, which was compiled sometime between 1500 and 1000 BC. It is believed that the great text of Sushruta Samhita was written sometime around 700-800 BC and the great surgeon performed his miraculous surgeries before 800 BC! The earliest dated manuscript – Bower Manuscript is however from the third or fourth century AD. We have a tendency to gush over hoary heritage but even a cursory look at the Sushruta Samhita would confirm the tremendous progress made by ancient Indians in medicine. The book was organized in 184 chapters and gave details of more than 1100 diseases. Details given about human anatomy confirms that there was no taboo on dissection. The book contains details of more than 700 medicinal plants but more than that it provides details of mineral and animal preparations – in the 16th century, the
great pioneer Paracelsus (after his extensive tour of Asia) became the first doctor in Europe to use minerals in medicine.

Sushruta, more than anything else is known as the father of surgery – I find it simply mindboggling that he knew about most of the regular surgical methods used by allopathic doctors till around 1950. These include all types of fracture management, caesarian section, plastic surgery and hold your breath, cataract surgery.  He used a special curved needle – called Jabamukhi shalaka to push cataract out and then used to soak the operated eye in warm butter! A British surgeon Joseph Constantine Carpue spent 20 years in India at the beginning of the 19th century to learn plastic surgery methods described by Sushruta. Among the methods he leant was a procedure called rhinoplasty - how to use a flap of skin taken from forehead (or other part) to reconstruct a nose. In the western world, Carpue performed this surgery for the first time in 1815 – since then it is known as Carpue’s operation. Rhinopasty across the world is still done in the same method as described in Sushruta Samhita. This is just about Sushruta Samhita, equally if not more impressive is Charaka Samhita (written during the Maurya period) and various other texts.
At least for 3500 years, Vaidyas have served the society across the sub-continent. They tried to find locally available cure for every deadly disease and tried to treat every individual patient differently – something allopathy is trying to do now at much higher level through gene profiling and tracking family medical history. Arab conquest of Sind (712 AD) facilitated transfer of Indian knowledge to the Middle East. Both the physicians at the court of Khalifa Harun Al Rashid in Bagdad were Hindu doctors from Sindh. Sushruta and Charaka Samhita were translated into Arabic by 8th century AD, travelled to Spain and Sicily – two entrepots of knowledge for Christian Europe – and put to practice by Italian doctors.
In the last two hundred years, allopathic medicine has progressively reduced the role of Ayurvedic doctors. Till my great grandfather, all the men in my family practiced Ayurveda. None of his sons or grandsons showed any interest in his vocation. My great grandfather used to practice in Murshidabad and Barddhaman. I used to be a regular visitor to a house at Sealdah in central Calcutta, where my friend’s great grandfather used to earn his living as an Ayurvedic doctor. None in his family also showed any interest to preserve his knowledge.
But the greatest contribution of generations of Ayurvedic doctors has been to instill a sense of well being in our daily routine and in our kitchen. When we eat or avoid a particular substance at a given season or time, we silently pay respect to all those progeny of Dev Dhanvantari, even if we never visit any Vishagacharya any more or disagree on the origin of Baidya sub-caste.

PS: Well, I must admit I know nothing about Ayurveda, my purpose was to tell an interesting story about this great tradition. I am really happy that so many of you felt interested about the subject. Ayurveda Unravelled by Sharadini Dahanukar and Urmila Thatte (National Book Trust) is a good book to begin with. For my Bengali friends, there is a whole series called Chironjib Banausodhi by Kabiraj Shibkali Bhattacharya (Ananda Publishers) - I have just flipped through some of the volumes, it is rich in information but to what extent tested in a modern lab I have no idea. There are also a number of books now in English mainly from Kerala on pharmaceutical side of Ayurveda.
Central Council for Ayurveda and Siddha is the official research body for sarkari research effort in India, even though their output seems quite limited so far  http://www.ccras.nic.in/
Important texts are supposed to be preserved in National Instt of Medical Heritage in Hyderabad- http://iihm.ap.nic.in/
another decent site (at least looks to me) - http://www.ancientayurved.co.in/
In recent years people have become more interested in Ayurveda - but unfortunately more emphasis has been on the wellness side (Ayurvedic spa etc) of it. In comparison, Chinese traditional medicine has received far more serious research interest. The World Health Organization (WHO) accredits Ayurveda as a medical science, even adapting its definition of health as “a state of complete physical, mental and social well-being" - therefore it would be in the interest of the entire mankind if doctors/pharmacists/researchers take it up more seriously.