The splenic enlargement is treated by applying a number of small circular blisters (xacal) containing chichem juice to the skin, over the affected organ, which seem to be remarkably efficacious in reducing the swelling.
In the winter when the nights are cold the Indians often lie out all night in the wet, a practice which frequently results in pneumonia and death. Hookworms and many other varieties of intestinal parasites are prevalent, owing to the earth-eating habits of the children, the earth being taken usually from the immediate vicinity of the house, where pigs and other domestic animals have their quarters. This disgusting habit no doubt accounts in part for the swollen bellies and earthy color of many of the children.
Smallpox (ǩak) invading an Indian village is a terrible scourge, far worse than in a more civilized community of the same size, where partial immunity has been acquired. Sometimes the whole unaffected population depart en masse, leaving the dead unburied and the stricken lying in their hammocks, with a supply of food and water, to do the best they can for themselves. The Indians employ the same mode of treatment for this disease as for malarial fever—sweating followed by immersion in cold water, treatment which, it need hardly be said, is not infrequently followed by disastrous results.
Venereal diseases of all kinds are remarkably rare among all the Indian tribes. Among the Santa Cruz and Icaichè such diseases were practically unknown. Even among the mixed breeds of British Honduras they are comparatively rare, notwithstanding the fact that these natives have come much in contact with people of many other races, especially of late years with Mexican Chicleros, nearly all of whom are affected with venereal disease in one form or another.
Simple fractures of the long bones are set very neatly and skillfully in the following way: The fractured limb is pulled away from the body with considerable force in order to overcome the displacement; over the fractured bone is wound a thick layer of cotton wool, and over this are applied a number of small round, straight sticks, completely surrounding the limb, their centers corresponding nearly to the seat of fracture; these are kept in place by a firm binding of henequen cord. The limb, if an arm, is supported in a sling; if a leg, the patient is confined to his hammock till the fracture is firmly knit. Excellent results are secured by this method, the union being firm, and the limb nearly always uniting in good position.
Bleeding, a favorite remedy for all complaints, is especially resorted to in cases of headache and malarial fever. Usually the temporal vein, less frequently one of the veins in the front of the forearm, is opened, having been first distended with blood by tying a ligature around the upper arm. A chip of obsidian, a sharp splinter of bone, or a snake's tooth, serves as a crude lancet; the use of the last causes considerable pain, but is believed to have some esoteric virtue connected with it.
Decoctions made from the charred carcasses of animals at one time were much employed, certain animals being regarded as specifics for certain diseases. Thus, during an epidemic of whooping cough (xinki sen) a decoction from the charred remains of the cane rat was almost exclusively given to the children to relieve the cough, though in this case it is difficult to trace the connection between the remedy and the disease.
Many eye troubles are treated by placing a small rough seed beneath the lower lid of the affected eye, where it remains for a day; when the seed is withdrawn it is covered with mucus, to which the doctor points as the injurious matter, the cause of all the trouble, which he has removed.
Massage is practiced chiefly for uterine and ovarian pains by the older women, who also act as midwives; it is used also in conjunction with kneading and manual manipulation in the cure of neuralgic pains, strains, stiffness, and rheumatism.
In confinements, which usually take place either in the hammock or on the floor, the dorsal position is invariably assumed. In such cases also massage over the uterus is performed by the midwife. If the desired results are not secured, the patient is made to vomit by thrusting a long coil of hair down her throat, while a woman of exceptional lung power is sent for to blow into her mouth, with the object of hastening delivery.