The subject is not of general interest, and a man would need to be not only a perfect Sanskrit scholar, but a physician as well, who should attempt such a task as the translation of these treatises in any useful manner. Although ancient India has little to show us in the way of actual written documents and inscriptions, it must not be supposed for a moment that she is deficient in ancient poetry and other works which have been preserved through the ages by the marvellously developed memory of her Brahmins and religious teachers. The ancient Vedic hymns, the Brâhmanas, and probably the Sutras, were handed down from before 1000 B.C. by oral tradition. Every, the minutest precaution was taken that not a word, not a letter, not an accent even should be omitted or altered; and Max Müller tells us “this was a sacred duty, the neglect of which entailed social degradation, and the most minute rules were laid down as to the mnemonic system that had to be followed.”
The people of India believe that small-pox is under the control of “the goddess Mata,” in whose honour temples abound and fairs are held, where thousands of women and children attend with offerings. The declivities of most of the numerous conical hills present either a reddened stone or temple devoted to “Mata,” with most probably an attendant Brahmin priest. Nearly every village has its goddess of small-pox in the immediate locality, and in many places a large piece of ground is esteemed holy and dedicated to “Mata.” The people do not pray to escape the affliction, unless in seasons when it occurs with more than ordinary violence. They do, however, petition for a mild visitation. But even the loss of an eye does not appear to be viewed as a very serious calamity! “Is there not another eye sufficient for all our purposes?” questioned one of these stoical philosophers. “If it were the leg or hand, it would be different, but an eye is immaterial.”[281]
“The small-pox goddess stands with two uplifted crooked daggers, threatening to strike on the right and left. Before her are a band of executors of her vengeance. Two of them wear red grinning masks, carry black shields, and brandish naked scimitars. White lines, like rays, issue from the bodies of the others, to indicate infection. On the right there is a group of men with spotted bodies, afflicted with the malady; bells are hung at their cinctures, and a few of them wave in their hands black feathers. They are preceded by musicians with drums, who are supplicating the pity of the furious deity. Behind the goddess, on the right, there advances a bevy of smiling young women, who are carrying gracefully on their heads baskets with thanksgiving-offerings, in gratitude for their lives and their beauty having been spared. There is, besides, a little boy with a bell at his girdle, who seems to be conveying something from the right arm of the goddess. This action may possibly be emblematic of inoculation.”[282]
Another small-pox deity of India described by Mr. Dubois, a missionary,[283] is Mah-ry-Umma, who is supposed to incarnate herself in the disease. The natives, when vaccination was first introduced, objected to the practice for fear lest the goddess should be offended, as to prevent the small-pox would imply an objection to her becoming incarnate amongst them. The difficulty was overcome by the suggestion that the vaccination was a mild form of disease by which the goddess had chosen to visit her votaries, so that she might be worshipped with equal respect.
“Even Siva is worshipped as a stone, especially that Siva who will afflict a child with epileptic fits, and then, speaking by its voice, will announce that he is Parchânana, the Five-faced, and is punishing the child for insulting his image.”[284]
Surgeon-General Sir W. J. Moore, in an article on “The Origin and Progress of Hospitals in India,”[285] says that we may form a very good opinion of the condition of the whole of India in ancient times by recalling what was the state of medical relief in most of the native States previous to the institution of medical relief and sanitation in British districts.
“Recently, in the Native States, there might be witnessed disease proceeding unchecked and uninterfered with, to a degree which certainly would not be allowed at present in civilized Europe. And especially was this evident in surgical disease, as illustrated by the following extract from an official document:[286]—
“‘In former reports I have mentioned the extreme ignorance displayed by native “hukeems” or “vaids” of surgical principles. As a rule, all surgical disease is either wrongly treated, or let alone until treatment is unavailable by these uneducated practitioners. Their errors of omission and commission are not so easily ascertained in their medical, as in their surgical, practice. But in the latter, there is a glaring ignorance, not only from things requisite not being attempted, but from things unnecessary being performed, leading to the serious injury and often to the death of the patient. Thus, during my last tour, I saw at one village, an open scrofulous sore of the neck with the carotid artery isolated, and apparently on the point of giving way. At another village I witnessed an advanced cancer rapidly killing a man. In another place a woman had remained for days with a dislocated jaw, which was easily put in situ. Other forms of dislocation and fracture neglected are almost daily sights. At Bikaneer I amputated the leg of a man who eight months before fell from a camel; the bones of the leg protruding through the skin of the heel, and the foot being driven half-way up the front of the leg, in which position it had been permitted to heal! At the same place a woman was rapidly sinking from the results of extensive sinus of the breast, following abscess, and which only required free incisions for the restoration of health. I also saw a man dying of strangulated hernia, without the slightest idea of or attempt at relief on the part of the native practitioners. And so on, throughout almost the whole range of surgery, I have from time to time witnessed the most lamentable results from the malpractices, or from the absence of practice on the part of the Native Doctors.’
“As mentioned in the above extract, the errors of omission and commission are not so easily ascertained in medical as in surgical cases. But the great majority of those stricken by disease, such as inflammations and fevers, derived as little benefit from medicine as did the Romans when, according to Pliny, physicians were banished from the Imperial City during many years. For few indeed of the higher class and comparatively better educated ‘hukeems’ or ‘vaids’ would minister to the poor who were unable to pay their fees; and of the populations of India the great majority are and always were poor. Steeped in continually augmenting superstition and ignorance, if the poor received medical aid at all, it was from the hands of the equally ignorant and superstitious village ‘Kabiraj,’ who, unlike their more noble Aryan predecessors, did not even ‘draw physic from the fields,’ although they may have used a charm, such as a peacock’s feather tied round the affected part! If the poor got well, they got well; and as most diseases have a tendency to terminate in health, many did recover. If a fatal termination resulted, it was attributed to nusseeb or destiny, or the gods were blamed. Insane persons, if harmless, were allowed to ramble about the streets; if violent, they were chained in the most convenient place. The jails of the Native States were also in an unparalleled unsanitary condition, for no medical aid whatever was provided; as Coleridge said of Coldbath Fields, these jails might have given His Satanic Majesty a hint for improving Hades. Fatalism combined with ignorance, and a consequent utter unbelief in any measures of sanitation, resulted in the absence of all measures of precaution during epidemics of contagious disease. During the prevalence of small-pox, children might be seen by scores, in every stage of the disease, playing or lying about the streets. During an epidemic of cholera, not one precautionary measure was ever adopted—except by the wild Bheels, who invariably moved, leaving their villages for a time for the open jungle; thus forestalling the most approved method of preventing cholera adopted for British troops, viz., marching away from the infected area.
“Not only were there no hospitals proper, or contagious hospitals, or asylums for the insane, but neither were there any asylums for lepers. Regarding the latter, difference of opinion would appear to have existed among scientific investigators, then as now, as to whether leprosy is a contagious disease or not. Then as now, in some parts of the country, lepers were permitted to live among the people; in other localities they were thrust out from the towns or villages, generally forming a little colony on the adjoining plain. This expulsion of lepers from the towns and villages, then as now, was not so much the result of fear of contagion, as the Brahminical dread of contact with impurity. Then as now, these outcasts lived miserably in mud or grass huts, obtaining food by begging. When tired of life, or when being old or disabled their relatives were tired of keeping them, they often submitted to ‘sumajh’ or burial alive. But they more frequently threatened to perform ‘sumajh’ with the view of extracting alms from the charitable, who were induced to believe that the death of the leper would be credited to them, unless they bought off the sacrifice. ‘Sumajh,’ or leper burial alive, has been practised comparatively recently in more than one of the Native States.