During the months of January and February, when the great mon-lam (or prayer-meeting) fair takes place at Lhasa, the city is occasionally visited by a highly infectious disease which causes great havoc among the people when the crowd is great. When the disease is not properly treated the patient generally dies before the tenth day, but those cases which have passed the thirteenth day are considered hopeful. Tibetan physicians, by watching this disease in its different phases, have achieved remarkable success in treating it with their indigenous drugs.

In Lhasa, Shigatse, and other towns and monasteries of Tibet, the principal disease from which people suffer and die is paralysis.[18] Five different kinds of this disease are recognized by Tibetan physicians, who also profess to have observed that the first symptoms generally show themselves on the 4th, 8th, 11th, 15th, 18th, 22nd, 25th, or 29th day of the lunar month. Persons who have passed their sixtieth year seldom survive a paralytic stroke of any kind. All other cases in their milder forms are curable by proper and regular medical treatment.

Leprosy is prevalent in most of the countries of High Asia. It is variously called glud-nad, “the nag’s (serpent’s) disease,” and mje-nad,[19] the “corroding malady,” and is believed to originate from various causes, fanciful and real. By digging in pestilential soil where snakes live, turning up stones under which these reptiles lurk, felling poisonous trees, throwing tea, water, or cooked food and other refuse on the blazing hearth, men are said to excite the wrath of the Nagas and mischievous spirits of the upper and nether worlds, who delight in working the ruin of the human race. They spread this hateful malady by the exhalation of their breath, by their poisonous touch or malignant glance, or even by the power of their malignant wish. The “charmed banner”[20] is a great preventive of these evils. The people of High Asia generally fix banners with printed charms thereon near to or on their houses, as they are believed to prevent the Nagas entering them. Leprosy is likewise assumed to be the [[260]]consequence of the sins of former lives.[21] It also originates from disorders produced by irregularity and intemperance in food and habits, whereby the black and yellow fluids of the body are increased, and give rise to this distressing malady. Eighteen different kinds of leprosy are recognized. The chanting of charms and mantras of Vajrapani Buddha by the patient or the physician is resorted to, that wrathful deity being a mighty subduer of all malevolent demons and Nagas, and various native drugs are also administered in the form of pills.

Dropsy, though rare in High Asia, prevails in the southern and eastern districts in Tibet, and is caused by drinking much water after exercise, lying down in damp places, taking cold, or by light unsubstantial food, by which the digestive powers are deranged. Twelve varieties of this disease are recognized, which are divided into two main groups, characterized as “the hot” and “the cold fluid” respectively. Bone-ash is believed to be the best remedy; but other medicines, consisting of grapes, cinnamon, oxide of iron, pomegranate (rind?), lime, and other ingredients, are also prescribed.[22]

Dyspepsia (pad-kau) is one of the commonest diseases in Tibet, and forty-three different varieties of this malady have been observed by native physicians.

Toothache is also a very general complaint of the people of Tibet, due to the extreme rigour of the climate and the coldness of the water. The inhabitants of the remote province of Chang-tang usually lose their teeth before reaching the age of thirty.

Among the games played by the Tibetans, there are some such as mig-mang, or “many eyes,” resembling chess; srid-pai khorlo, or “the circle of life,”[23] and dice, which even the clergy are permitted to amuse themselves with. Others, as, for instance, wrestling, archery, polo, foot and pony races, are confined to the people; nor are the lamas allowed to amuse themselves with singing and dancing except at stated times, as, for example, during the New Year holidays. [[261]]

At midsummer the people and nobility dress tents, and for several days amuse themselves under them, picnicking, dancing, and singing.

In the 8th moon the jon-gyu festival takes place, lasting for seven or fourteen or even twenty-one days. On this occasion the lamas and people amuse themselves with sports, games, dancing, and feasting. This festival is observed in all northern Buddhist countries.[24]

Again, in the latter part of the 12th moon, there is a lama dance in every monastery, after which the evil spirits are exorcised.[25] Sometimes the 4th of the 6th and the 22nd of the 9th moons are observed as feast days; the latter as the anniversary of the Buddha’s descent from the Tushita heaven.[26]