The dogma that rules his practice is that in all cases of disease in which no blood is showing, the patient is suffering from something wrong in the soul. In order to lay this dogma fairly before you, I should here discourse on the nature of spirits unallied to the human soul—non-human spirits—and the nature of the human spirit itself; but as on the one hand, I cannot be hasty on such an important group of subjects, and, on the other, I cannot expect you to be anything else in such a matter, I forbear, and merely beg to remark that the African does not believe in anything being soulless, he regards even matter itself as a form of soul, low, because not lively, a thing other spirit forms use as they please—practically as the cloth of the spirit that uses it. This conception is, as far as I know, constant in both Negro and Bantu. I will therefore here deal only with what the African regards as merely one class of spirits—an important class truly, but above it there are at least two more important classes, while beneath it in grade there are, I think, about eleven, and equal to it, but differing in nature, several classes—I don’t exactly know how many. This class of spirits is the human soul—the Kla of the true Negro, the Manu of the Bantu. These human souls are also of different grades, for one sort is believed to be existent before birth, as well as during life and after death, while other classes are not. There is more interesting stuff here, but I am determined to stick to my main point now—the medical. Well, the number of souls possessed by each individual we call a human being is usually held to be four—(1) the soul that survives, (2) the soul that lives in an animal away wild in the bush, (3) the shadow cast by the body, (4) the soul that acts in dreams. I believe that the more profound black thinkers hold that these last-named souls are only functions of the true soul, but from the witch doctor’s point of view there are four, and he acts on this opinion when doctoring the diseases that afflict these souls of a man.
The dream-soul is the cause of woes unnumbered to our African friend, and the thing that most frequently converts him into that desirable state, from a witch doctor’s point of view of a patient. It is this way. The dream-soul is, to put it very mildly, a silly flighty thing. Off it goes when its owner is taking a nap, and gets so taken up with sky-larking, fighting, or gossiping with other dream-souls that sometimes it does not come home to its owner when he is waking up. So, if any one has to wake a man up great care must always be taken that it is done softly—softly, namely gradually and quietly, so as to give the dream-soul time to come home. For if either of the four souls of a man have their intercommunication broken, the human being possessing them gets very ill. We will take an example. A man has been suddenly roused by some cause or other before that dream-soul has had time to get into quarters. That human being feels very ill, and sends for the Witch Doctor. The medical man diagnoses the case as one of absence of dream-soul, instantly claps a cloth over the mouth and nose, and gets his assistant to hold it there until the patient gets hard on suffocated; but no matter, it’s the proper course of treatment to pursue. The witch doctor himself gets ready as rapidly as possible another dream-soul, which if he is a careful medical man, he has brought with him in a basket. Then the patient is laid on his back and the cloths removed from the mouth and nose, and the witch doctor holds over them his hands containing the fresh soul, blowing hard at it so as to get it well into the patient. If this is successfully accomplished, the patient recovers. Occasionally, however, this fresh soul slips through the medical man’s fingers, and before you can say “Knife” is on top of some 100-feet-high or more silk cotton tree, where it chirrups gaily and distinctly. This is a great nuisance. The patient has to be promptly covered up again. If the doctor has an assistant with him, that unfortunate individual has to go up the tree and catch the dream-soul. If he has no assistant, he has to send his power up the tree after the truant; doctors who are in full practice have generally passed the time of life when climbing up trees personally is agreeable. When, however, the thing has been re-captured and a second attempt to insert it is about to be made, it is held advisable to get the patient’s friends and relatives to stand round him in a ring and howl lustily, while your assistant also howling lustily, but in a professional manner, beats a drum. This prevents the soul from bolting again, and tends to frighten it into the patient.
In some obstinate cases of loss of dream-soul, however, the most experienced medical man will fail to get the fresh soul inserted. It clings to his fingers, it whisks back into the basket or into his hair or clothes, and it chirrups dismally, and the patient becomes convulsed. This is a grave symptom, but the diagnosis is quite clear. The patient has got a sisa in him, so there is no room for the fresh soul.
Now, a sisa is a dreadful bad thing for a man to have in him, and an expensive thing to get out. It is the surviving soul of a person who has not been properly buried—not had his devil made, in fact. And as every human surviving soul has a certain allotted time of existence in a human body before it can learn the dark and difficult way down to Srahmandazi, if by mischance the body gets killed off before the time is up, that soul, unless properly buried and sent on the way to Srahmandazi, or any other Hades, under expert instruction given as to the path for the dead, becomes a sisa, and has to hang about for the remaining years of its term of bodily life.
These ensisa are held to be so wretchedly uncomfortable in this state that their tempers become perfect wrecks, and they grow utterly malignant, continually trying to get into a human body, so as to finish their term more comfortably. Now, a sisa’s chief chance of getting into a body is in whipping in when there is a hole in a man’s soul chamber, from the absence of his own dream-soul. If a sisa were a quiet, respectable soul that would settle down, it would not matter much, for the dream-soul it supplants is not of much account. But a sisa is not. At the best, it would only live out its remaining term, and then go off the moment that term was up, and most likely kill the souls it had been sheltering with by bolting at an inconvenient moment. This was the verdict given on the death of a man I knew who, from what you would call faintness, fell down in a swamp and was suffocated. Inconvenient as this is, the far greater danger you are exposed to by having a sisa in you lies in the chances being 10 to 1 that it is stained with blood, for, without being hard on these unfortunate unburied souls, I may remark that respectable souls usually get respectably buried, and so don’t become ensisa. This blood which is upon it the devils that are around smell and go for, as is the nature of devils; and these devils whip in after the sisa soul into his host in squads, and the man with such a set inside him is naturally very ill—convulsions, delirium, high temperature, &c., and the indications to your true witch doctor are that that sisa must be extracted before a new dream-soul can be inserted and the man recover.
But getting out a sisa is a most trying operation. Not only does it necessitate a witch doctor sending in his power to fetch it vi et armis, it also places the medical man in a position of grave responsibility regarding its disposal when secured. The methods he employs to meet this may be regarded as akin to those of antiseptic surgery. All the people in the village, particularly babies and old people—people whose souls are delicate—must be kept awake during the operation, and have a piece of cloth over the nose and mouth, and every one must howl so as to scare the sisa off them, if by mischance it should escape from the witch doctor. An efficient practitioner, I may remark, thinks it a great disgrace to allow a sisa to escape from him; and such an accident would be a grave blow to his practice, for people would not care to call in a man who was liable to have this occur. However, our present medical man having got the sisa out, he has still to deal with the question of its disposal before he can do anything more. The assistant blows a new dream soul into the patient, and his women see to him; but the witch doctor just holds on to the sisa like a bulldog.
Sometimes the disposal of the sisa has been decided on prior to its extraction. If the patient’s family are sufficiently well off, they agree to pay the doctor enough to enable him to teach the sisa the way to Hades. Indeed, this is the course respectable medical men always insist on although it is expensive to the patient’s family. But there are, I regret to say, a good many unprincipled witch doctors about who will undertake a case cheap.
They will carry off with them the extracted sisa for a small fee, then shortly afterwards a baby in the village goes off in tetanic convulsions. No one takes much notice of that, because it’s a way babies have. Soon another baby is born in the same family—polygamy being prevalent, the event may occur after a short interval—well, after giving the usual anxiety and expense, that baby goes off in convulsions. Suspicion is aroused. Presently yet another baby appears in the family, keeps all right for a week may be, and then also goes off in convulsions. Suspicions are confirmed. The worm—the father, I mean—turns, and he takes the body of that third baby and smashes one of its leg bones before it is thrown away into the bush; for he knows he has got a wanderer soul—namely, a sisa, which some unprincipled practitioner has sent into his family. He just breaks the leg so as to warn the soul he is not a man to be trifled with, and will not have his family kept in a state of perpetual uproar and expense. It sometimes happens, however, in spite of this that, when his fourth baby arrives, that too goes off in convulsions. Thoroughly roused now, paterfamilias sternly takes a chopper and chops that infant’s remains up extremely small, and it is scattered broadcast. Then he holds he has eliminated that sisa from his family finally.
I am informed, however, that the fourth baby to arrive in a family afflicted by a sisa does not usually go off in convulsions, but that fairly frequently it is born lame, which shows that it is that wanderer soul back with its damaged leg. It is not treated unkindly but not taken much care of, and so rarely lives many years—from the fetish point of view, of course, only those years remaining of its term of bodily life out of which some witchcraft of man or some vengeance of a god cheated it.
If I mention the facts that when a man wakes up in the morning feeling very stiff and with “that tired feeling” you see mentioned in advertisements in the newspapers, he holds that it arises from his own dream-soul having been out fighting and got itself bruised; and that if he wakes up in a fright, he will jump up and fire off his gun, holding that a pack of rag tag devils have been chasing his soul home and wishing to scare them off, I think I may leave the complaints of the dream-soul connected with physic and pass on to those connected with surgery.