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MAPPING THE HISTORY OF
AYURVEDA
K P Girija is an independent scholar based out of Kerala, India. She has a doctor-
ate in cultural studies from the Centre for the Study of Culture and Society from
Manipal University, Karnataka, India. She acquired a fellowship from the Centre for
the Study of Developing Societies, New Delhi to pursue her PhD. She was a fellow
at the Indian Institute of Advanced Study, Shimla (2017–19) and a grantee of the
Kerala Council for Historical Research, Thiruvananthapuram (2019–20). Girija is
interested in questions that explore the politics and history of knowledge formation,
the liminal space of interaction among heterogenous knowledge practices and their
philosophical and psychological foundations. Currently, she is working on a project
that analyses the intersection between knowledge, caste and the subject through the
life narratives of Ayurveda practitioners.
MAPPING THE HISTORY
OF AYURVEDA
Culture, Hegemony and the Rhetoric
of Diversity
K P Girija
First published 2022
by Routledge
2 Park Square, Milton Park, Abingdon, Oxon OX14 4RN
and by Routledge
605 Third Avenue, New York, NY 10158
Routledge is an imprint of the Taylor & Francis Group, an informa business
© 2022 K P Girija
The right of K P Girija to be identified as author of this work has been asserted
by her in accordance with sections 77 and 78 of the Copyright, Designs and
Patents Act 1988.
All rights reserved. No part of this book may be reprinted or reproduced or
utilised in any form or by any electronic, mechanical, or other means, now
known or hereafter invented, including photocopying and recording, or in any
information storage or retrieval system, without permission in writing from the
publishers.
Trademark notice: Product or corporate names may be trademarks or registered
trademarks, and are used only for identification and explanation without intent
to infringe.
British Library Cataloguing-in-Publication Data
A catalogue record for this book is available from the British Library
Library of Congress Cataloging-in-Publication Data
A catalog record has been requested for this book
ISBN: 978-0-367-27223-4 (hbk)
ISBN: 978-0-367-27300-2 (pbk)
ISBN: 978-0-429-29596-6 (ebk)
DOI: 10.4324/9780429295966
Typeset in Bembo
by SPi Technologies India Pvt Ltd (Straive)
CONTENTS
Acknowledgements vi
List of Abbreviations ix
Glossary x
Bibliography 165
Index 175
ACKNOWLEDGEMENTS
This book derives its energy and inspiration from the paths that I traversed over the
years and from the fond memories of many who happened to be there with me on
the journey. The primary research for this book was shaped when I had the fortune
to be supervised by Professor Tejaswini Niranjana at the Centre for the Study of
Culture and Society (CSCS), Bengaluru. Her comments and guidance lent order,
value and clarity to my scattered thoughts and ideas.
To Bindu K C, who always listened to me passionately and boosted my confi-
dence by reassuring me that my ideas were relevant, I owe my thanks. While envi-
sioning the work in 2009, the initial ideas could be brought into sharp focus with
the intricate and challenging comments from Rochelle Pinto. Had she not been
there to give assurance and consistent moral support during the early years of my
academic life, I would have left academics forever. I thank Rochelle for her faith in
my work.
I am extremely grateful to:
Milind Wakankar, Anup Dhar, S V Srinivas and Sitharamam Kakarala for their
insightful comments that urged me to work hard and aspire for more.
Ashish Rajadhyaksha, for all his valuable comments and suggestions, which I
took years to comprehend and to incorporate into my work, and then only to a
certain extent.
Vivek Dhareshwar, for introducing me to a new way of looking at my reference
materials by asking a different set of questions.
Lakshmi Arya, for her detailed comments on one of my chapters.
Prathama Banerjee, for giving me extensive inputs during the first two years of
my research.
Rakesh Pandey, Aditya Nigam, Ravi Vasudevan and Sarada Balagopalan of CSDS
for their inputs at various stages.
Leena Abraham, Madhulika Banerjee, Barbara Ramusack and Waltraud Ernst for
engaging with the work at different stages. To Leena, especially for being an affec-
tionate mentor whenever I needed.
Acknowledgements vii
Sasheej Hegde, Udaya Kumar, Sundar Sarukkai, Raju S., P. Sanal Mohan, Nizar
Ahamed, Rajan Gurukkal, Raghava Varier, M.V. Narayanan, K.N. Ganesh, Sujatha V.
and Yasser Arafath for engaging with the chapters at various stages.
My thanks go to many of my friends for being with me in the difficult stages of
writing, without whom I may not have completed the work, friends who believed
in me when I had stopped believing in myself during the unanticipated journey
through the world of research and writing:
Navaneetha Mokkil, not only for her suggestions at various stages of my work
but also for her hospitality.
Smriti, for her unexpected and invaluable inputs.
Meera Moorkoth, for being vigilant about keeping the mast intact, when the
ship of my research was on the verge of sinking.
Ambika, for her unconditional hospitality, for the wits, jokes and walks that made
life much more bearable in Bengaluru.
Teena, for the long-distance conversations which made the writing much lighter
and easier, and for the extensive editing.
Srija Kammath for the tedious editing work.
Rajesh K. P., for the long conversations that cleared my hazy thoughts.
Amruth M. and Dinesan Vadakkiniyil, for sharing various articles and reports, for
their enriching suggestions whenever I had writer’s block and for showing consis-
tent concern and trust in my work.
Carmel Christy, Shamshad Hussain, Ratheesh Kumar and Ratheesh
Radhakrishnan for taking pains and time to read some of my unfinished chapters,
and for listening to my rambling thoughts patiently.
Haseena, Habeeb and their little cherubs, Shada and Sheza, for being around
during all the turmoil of writing, for being non-judgemental of my dramatic mood
swings, for the food, unyielding care and support, laughter and endurance.
Gowri, for her relentless assurance and conviction.
Hameeda C.K., for her warmth, hospitality and confidence in my work.
Shobhana P.K., for helping me navigate through the rare collections of the State
Central Library.
My immense thanks to all the health practitioners I had interviewed. The pro-
longed conversations, the extensive details and the food and warmth they provided
me with were a humbling experience.
I am indebted to the following archives, libraries and the librarians who
were incredibly helpful in providing materials: Appan Thampuran Library and
Museum, Thrissur; Sahitya Academy, Thrissur; Sri Chithira Thirunal Public Library,
Thiruvananthapuram; Government Ayurveda College, Tripunithura; Government
Ayurveda College, Thiruvananthapuram; Publication Department, Kottakkal
Aryavaidya Sala; Kerala University Library, Thiruvananthapuram; Kerala Council
for Historical Research, Thiruvananthapuram; Centre for Development Studies,
Thiruvananthapuram; Nehru Memorial Museum and Library, New Delhi; National
Institute of Indian Medical Heritage, Hyderabad; United Theological College,
Bengaluru; CSCS library, Bengaluru; Folklore Department, Calicut University;
viii Acknowledgements
AH Ashtanga Hridayam
AMAI Ayurvedic Medical Association of India
AS Ashtanga Samgraha/m
AVP Aryavaidya Pathshala
AVS Aryavaidya Sala
BAM Integ Integrated Degree Course in Ayurveda
CS Charaka Samhita
DAM Integ Integrated Diploma Course in Ayurveda
DAS Diploma in Ayurveda Shastra
DIM Diploma in Indigenous Medicine
DMS Diploma in Medicine and Surgery
HMC Higher Medical Certificate
IKS Indigenous Knowledge System
ISM Indian System of Medicine
KAP Kottakkal Aryavaidya Pathshala
KPAP Kanyaka Parameswari Ayurveda Pathshala
KSA Kerala State Archives
LMC Lower Medical Certificate
SNDP Sree Narayana Dharma Paripalana Sangham
SS Susruta Samhita
SSMC Santhigiri Siddha Medical College
TAP Travancore Ayurveda Pathshala
TSA Tamil Nadu State Archives
TSP Tripunithura Sanskrit Pathshala
VVC Vishavaidya Visarada Certificate
GLOSSARY
Kudilan - wicked
Laaghavam - ease
Lakshana samanwayam - symptom complex, a combination of symptoms
Maathra - second, pill
Madhyama - middle, intermediary
Malas - waste, excreta
Mandali - viper
Mantra/m - incantation, magical spells
Marma/Varma/Marmam - vital points in the body
Marmanivaidyam/
Marmavaidyam - massage and treatment for vital points in the
body
Matha pandithar - religious leaders
Meythozhil/meythari - body art, body exercise
Meyyabhyaasam - body art, body exercise
Meyyu - body
Meyyu Kannavuka - body becomes the eye
Moorkhan - cobra
Muchaan - three chaans, a measurement
Muthassi Vaidyam - grandmother’s/elderly people’s knowledge in
indigenous medicine
Nadi - channel, pulse, nerves
Nattu/Nadu - native, region, country, folk, local
Nattuchikitsa - indigenous treatment
Nattuvaidyam - indigenous healing practices
Nattuvaidyan - indigenous healing practitioner
Nattuvaidyasala - practicing place of indigenous medical
practitioners
Netravaidyam - indigenous treatment for eyes, ophthalmology
Nikshnathar - experts in work, action, knowledge
Nithyabhyaasam - regular and systematic practice
Ottamooli - special medicine for particular diseases, one-
time medication, single ingredient medicine.
Oushadam - medicine
Pacha parishkari - ultra-modern person, one who does not respect
tradition.
Pajanam - internal combustion, digestion
Panchabhutas - air, water, earth, fire and ether (what the human
and the Universe is made up of)
Panchakarma - a combination of five treatment meant for
cleansing and rejuvenation.
Panchendriyas - five senses - eyes, ears, nose, tongue and skin
Pantheeran - a 12 chaan stick used in Kalarippayattu
Paramparya vaidyan - traditionally-trained medical practitioner
xiv Glossary
Note: This glossary is not exhaustive and not a general statement of what the non-
English terms stand for in all situations. It provides a pointer to what the terms mean
in general situations. The specific meaning and the connotations of the terms are
clarified only in the main text.
Introduction
DIALOGIC EPISTEMES
Documenting the liminal space in indigenous
medicine
DOI: 10.4324/9780429295966-1
2 Dialogic epistemes
occurred through a series of processes and within the larger discursive field of bio-
medicine and modern education. This includes interaction among diverse health
practices, selective assimilation, simultaneous exclusion of heterogeneous healing
practices, and weeding out of practitioners who had oral learning and depended on
vernacular texts. Interestingly after a while, during the 1980s some of the obliter-
ated practices popped up again and flourished within the new requirement driven
by the tourism industry.
Until the late twentieth century, the scholarship on indigenous medicine postu-
lated Ayurveda as ‘the classical’ tradition of India, but what constituted this classical
Ayurveda had always been based on certain presumptions (see Leslie & Young 1993,
Leslie 1976; Panikkar 1995, Sujatha 2007). Such scholarship was located within the
muted spaces of the transition of heterogenous ayurvedas into an institutionalised
and standardised ‘classical’ Ayurveda practice of India. The category ‘Ayurveda’ was
more often assumed or taken for granted rather than analysed, interpreted or empir-
ically explained. It was used as an already-known category that existed from the
Vedic period onwards and did not need further examination or explanation. Such
assumptions tend to become normative and taken for the truth to understand par-
ticular historical moments in the history of indigenous medicine. The assumptions
become further complicated by historicising them and foregrounding the ideas of
codification in canonical Sanskrit texts to further strengthen them. This has fig-
ured over the years in the historiographical landscape of India and functions as the
foundational premise to study Ayurveda vis-à-vis indigenous medicine. The basic
question, what constitutes ‘Ayurveda’ had not been asked until the mid-twentieth
century.
The studies range from adopting a comparative framework between biomedicine
and Ayurveda or nattuvaidyam and Ayurveda, to address the internal specificities of the
diverse practices.The proclivity is either to locate indigenous medicine in the margin
of modern knowledge (Kumar & Basu 2013) or to idealise them as the pure essence
and tradition of a particular region and people (Zimmermann 1982). Scholarship
also delves into the internal logic and concepts used within the knowledge practices
and the hierarchical structures within them (Mukharji 2011, Hardiman & Mukharj
2012). However, the interface of incessant sharing among heterogenous practices and
reorganisation within them have rarely been explored even though acknowledged.
Because diversity is a challenging realm to deal with and explain. All over India,
practices that use or are supposed to use Samhita texts or the Brhatrayis (the great
threesome) and their translated versions are identified with classical Ayurveda (Leslie
1976, Panikkar 1995,Wujastyk 1998). Charaka Samhita, Susruta Samhita and Ashtanga
Hridaya (hereafter CS, SS and AH) are the canonical Sanskrit texts known as the
Brhatrayis or Samhitas that become the visible correlation between a codified text
and its corresponding knowledge, Ayurveda.This presumption sees India as a mono-
lithic entity without considering the regional specificities, the herbs that grew in
each region specific to the nature of the soil and climate, the vernacular and oral tra-
ditions of healing and the subsequent resources tapped by the practitioners for thera-
peutic treatment. Many processes constituted the institutionalisation, standardisation
4 Dialogic epistemes
and the subsequent claim of classical Ayurveda as ‘the indigenous medicine of India’.
Miscellaneous practices to which this classical Ayurveda is indebted to in incorporat-
ing medicines and practices are clubbed together and named folk medicine/popular
medicine/nattuvaidyam, during the institutionalisation process of Ayurveda. Prior to
the nineteenth century, the term vaidyam was an umbrella concept to describe all
kinds of assorted practices. During the nineteenth century, the adjective ‘nattu’ (nadu,
place to which one has a belonging or anchoring) was added and the regional term
nattuvaidyam (native medicine) came into existence. It is obvious that the assertion of
nattu happened in the context of the presence of an outsider, the coloniser. By the
mid-twentieth century, the separation of Ayurveda was solidified through selective
rejection of and incorporation from diverse health practices and their categorisation
as nattuvaidyam/folk medicine.
In 1915, the Travancore Ayurveda Pathshala, the first government Ayurveda
school was supervised by the Nattuvaidyasala Superintendent (Mohanlal 2014). By
1917, the designation of Superintendent of Nattuvaidyasala was converted into the
Director of Ayurveda as per the request of the Superintendent. In 1950, the name
of the department was changed to the Department of Indigenous Medicine and
in March 1995, a Department of Indian System of Medicine & Homoeopathy
(ISM&H) was formed to regulate institutionalised and standardised Ayurveda and
Homoeopathy. In November 2003, the department was again reconstituted as
AYUSH by incorporating some of the hitherto excluded practices such as Yoga,
Naturopathy, Unani and Siddha along with Ayurveda and Homoeopathy. On
16 December 2011, Sowa Rigpa, the Tibetan medicine was incorporated. On 9
November 2014, the Ministry of AYUSH was formed to support the above-men-
tioned fields of indigenous medicine. However, many other specialised streams such
as marmavaidyam, ottamooli vaidyam, chintamani vaidyam, etc., are excluded from the
purview of the AYUSH department and are still known as nattuvaidyam. Apart from
Ayurveda, Yoga & Naturopathy, Unani, Siddha, Sowa Rigpa and Homoeopathy,
what else constitutes the Indian System of Medicine is a point of debate. Through
the inclusion of selected practices over time, the department makes it clear that it is
aware of these excluded practices.
Normative premises
This work discerns two major perspectives in the theories that set the norms to study
indigenous medicine. The first one is the idea of a centre-periphery relationship
between classical Ayurveda and the assorted practices/nattuvaidyam. The second one
is the idea of a vertical flow of knowledge from the classical tradition to the ‘lower’
health practices. These standpoints function as the normative foundational premise
of the larger scholarship on indigenous medicine and limit a nuanced understand-
ing of the field of practice on its own terms.The realm of practice, in fact, questions
the flimsiness of the hegemonic perspective in the theories on indigenous medicine.
In an established centre-periphery model, what was undermined is that the centre
is always shaped and reorganised by the very presence of the periphery and the
Dialogic epistemes 5
roles of the centre/periphery often change, if at all the model sustains. The centre-
periphery model conceives of a spatial metaphor to describe the structural relation-
ship between the advanced metropolitan centre and the less-developed periphery.
In this economic model envisaged by Immanuel Wallerstein, under-development is
a necessary condition for the capitalist expansion at the centre. (Wallerstein 1974).
Connell describes the problems of the centre-periphery theory as follows: reading
from the centre is always based on a claim of universality of the centre in which
the periphery is incapable of claiming this universality because of its specific nature.
The premise of this theory is built upon exclusion and hence they suggest remedial
measures for the antinomy seen in the periphery rather than engaging with the
ideas from the periphery. Exclusion invariably leads to grand erasure of the periph-
ery (Connell 2008, 45–47). In the centre-periphery model, the periphery is looked
into or theorised only to understand the issues emerging in the centre and not vice
versa. The norm is the centre, and everything else is a deviation from this norm.
Even though the centre-periphery model is formulated in the context of the eco-
nomic under-development of countries, it is extended to a variety of fields by sociolo-
gists and historians.The centre-periphery model can be equated with the earlier great
and little tradition models of the Orientalist perspective where the Aryanised Sanskrit
traditions or the European tradition always represented the great tradition and assorted
regional and local practices represented the little traditions. Separating traditions into
great and little is premised upon the idea that reformation and learning is a process that
has to trickle down from above, from the literate, elite, and hence from great traditions
to the oral, marginalised and little traditions (Redfield 1961). It has been pointed out
that this differentiation exposes the larger global or civilizational agenda of reforming
the little traditions (Hardiman & Mukharj, 2012, 2). Leslie inaugurated this model in
1976 through his work on indigenous medicine, Asian Medical Systems: A Comparative
Study. It is seen as the pioneering work in this field and quoted consistently by scholars.
Another set of studies show a muted anxiety between ‘tradition’ and ‘modern’ as well
as ‘science’ and ‘religion’ (Gupta 1976). Here science and biomedicine represent the
great tradition. The necessary condition to initiate a dialogue with the little tradition
(nattuvaidyam) was to eradicate the non-scientific elements and ritualistic aspects of
it. Therefore, the institutionalised and modernised Ayurveda occupies an in-between
position in its dialogue with biomedicine and nattuvaidyam. But the status of Ayurveda
often changes from centre to margin depending upon the dialogues with the other.
The folk medicine (nattuvaidyam) hardly gets to the centre from the periphery, but its
marginality acts as a determining force in shaping the centre, i.e. Ayurveda.
The vertical perspective imagines that knowledge flows only from top to bottom
where the upper area is imagined as occupied by the elite/upper-caste/dominant
literate communities.12 There is a close relationship between these two models; both
visualise a solid centre or upper position constituted by the rich, powerful and
educated class who are always seen as an organised group to establish themselves at
the centre/top. The peripheries, semi-peripheries and the bottom supposedly con-
stituted by the scattered, poor and uneducated class look upon the centre or the top
as their ideal role model perpetually.
6 Dialogic epistemes
Assorted practices and their diversity are difficult to grasp and they resist
detailing of standardised and homogenised characteristics even though the basic
principle to view the body and disease remains broadly identical. So, the com-
pulsion of the period to negotiate with a state-sponsored modern medicine and
its supremacy in dealing with the body and disease led to the making of a par-
ticular classical Ayurveda. In other words, the discursive field created through
the grid of colonial modernity sets the conditions to witness some practices as
being more visible, authentic and valuable while obfuscating many other diverse
practices and the live interaction amongst them. The codified and standardised
texts for learning, and a particular kind of literacy, as well as literacy in a spe-
cific dominant language, are preconditions to access institutionalised Ayurveda.
Caste and class become elusive players in setting these conditions of legitimacy
in the institutionalisation of Ayurveda. In this formulation, the existing learning
through mnemonic devices was treated as inferior and equated with illiteracy.
The practitioners who used these devices to recall knowledge in healing were
seen as ignorant and their practice was categorised unscientific compared to the
systematised Ayurveda. These processes of the refashioning of Ayurveda in the
late nineteenth and early twentieth centuries have been elaborated in this work
by specifically looking into some of the predominant practices (ayurvedas) that
existed in South India.
The essential part of any institution – a research institute well equipped and
well managed – should be on modern lines. By this means alone can the
accumulated traditions of the past be tested and freed from all the dross which
inevitably gathers round a system which looks too exclusively to the past.14
in how these systems and practices negotiate with each other and develop their
perspectives towards life, health and death. How are knowledge systems derived,
divided, differentiated and systematised? How do they attain positions of rela-
tive privilege? These questions are central to unravelling the processes that led to
the segregation of practice, knowledge and skill in many indigenous systems. The
term ‘knowledge systems’ is used in this work to indicate a wide range of systems
and practices that generate and transmit knowledge and skill, responding to the
instrumental and institutional needs of various periods. The idea of a system that is
inherent in a set of interacting or interdependent components which form an inte-
grated whole (Parsons 1951) was applied to the study of indigenous practices from
the early twentieth century. This was arguably because of the presence of shared
norms and values as well as a functional relationship. The origin of the concept of
indigenous knowledge systems (IKS) can be traced to the debates over intellectual
property rights among the Australian and Canadian tribes (Lewinski 2008) where
IKS was posited against the hegemonic western knowledge system. In the Indian
scenario, such a conceptualisation is inappropriate because, here, a dominant and
institutionalised practice such as Ayurveda as well as a tribal medicinal practice is
also IKS.When I use the term IKS, I intend to attribute neither a collective margin-
ality nor an assumed collectivity to different IKS. Though knowledge is a modern
concept with connotations of objectivity, rationality and distanciation, by using the
term IKS, I would like to associate it with ‘indigenous health practices’ inclusive of
knowledge, expertise and labour.
In this work, I do not separate ‘practice’ from ‘knowledge’ but see it as inclusive
of knowledge.The concept of ‘knowledge’ that gained prominence in the late eigh-
teenth century did not bear any single definition. Plato’s definition of knowledge
as ‘justified true belief ’ necessitates three conditions for anything to be considered
as knowledge: justification, truth and belief or the justification of belief as truth.
Knowledge is also defined as “a product of social, material and intellectual activity
of people; an ideal reproduction in sign form of objective properties and connec-
tions in the world, of the natural and human” (Frolov 1967, 212). In The Penguin
Dictionary of Philosophy, knowledge is not the same as belief or opinion (Mautner
1997, 328). From the nineteenth century, the buzzword knowledge began to be
considered equivalent to modern education because education is meant for the dis-
semination of modern, western knowledge (Kumar 2004; Seth 2007). By this time,
knowledges position and construct knowers in objective ways and in order to access
knowledge, a subject has to undergo a certain refashioning (Seth 2007). This is not
so in the case of ‘practice’ or rather ‘ways of knowing’ where knowledge, knowing
and the knower/subject are intermingled. I use both knowledge and practice as
interchangeable terms to denote ways of knowing in vaidyam. However, the word
‘practice’ is not sufficient enough to represent vaidyam, as practice merely indicates
the application or acting out of something. In Malayalam, the equivalent term for
practice is prayogam. But in the context of vaidyam, prayogam signifies ‘the composi-
tion of medicines’ in addition to the corresponding terms like action, practice, use,
and application.
10 Dialogic epistemes
The work also lays out an understanding of the processes involved in making
modern education the axis of knowledge production and in the simultaneous era-
sure of other knowledge practices through the observation of select nattuvaidyam
and their texts and internal concepts. Modern education, an important component
of ‘modernity,’ acts as an influential system working through a series of processes,
which include incorporating different and diverse knowledge systems into a cen-
tralised form of knowledge production. It applies its norms to all other systems,
fixing conditions for what qualifies as knowledge and also introducing stipulations
to access that knowledge. More importantly, this assimilation and erasure takes place
not through coercion, but through methods of incorporation, standardisation, cate-
gorisation and simultaneous differentiation (Cohn 1996). It need not amount to the
total extinction of certain practices but can result in significant transformations in
their form and essence. How does education try to assimilate/erase and integrate/
disintegrate other knowledge practices which have specific characteristics and dif-
ferent ethics in terms of their interaction with the world and with itself? How do
other knowledge practices negotiate within themselves and with the development-
oriented world? Does modern education reshape our understanding of other diverse
systems of practices? Does an awareness of knowledge in indigenous practices rede-
sign one’s relation with modern education? These are some questions that the book
attempts to address circuitously in the following chapters while elaborating on some
of the specific debates that happened between the institutions of the state and the
vaidyas. The attempt here is not to compare and contrast indigenous knowledge
practices with modern education or medicine. The emphasis is to understand their
different modes of operation as well as their approach to life and health. The work
moves away from a comparative study framework because such a framework tends
to posit certain practices or aspects within those practices as superior to certain oth-
ers. Instead, it tries to identify the changes that happened within a chain of events
we name ‘development’ or ‘industrial and scientific revolution’ that lead to changes
in the attitudes towards life and health. In other words, the transformations within
nattuvaidyam render visible the ways through which these practices negotiate with
new ideas of progress, health and disease.This book seeks to arrive at a closer under-
standing of these processes in relation to the transformations in indigenous practices
like kalari and vishavaidyam, their norms and ethics, the play of power within them
and their negotiation with other similar practices. These processes in turn unravel
the enhancement of Ayurveda as the classical tradition of a region.
This work does not deal with adivasi vaidyam (tribal medicine as it is known
popularly and in official documents) even though it is also one of the indigenous
healing traditions. Adivasi vaidyam and nattuvaidyam are distinct and similar in many
ways. The medicines used in both practices are different though both use herbs in
their treatment. Nattuvaidyam is practised all over Kerala and in many parts of India
(under different names) and is largely based on the tridosha principle or the principle
of bodily humours.15 Adivasi vaidyam is never called Ayurveda despite its herb-based
treatment. In other words, Ayurveda differentiates itself not only from nattuvaidyam
but also from Adivasi vaidyam, in its practice and theory. The practice is popular
Dialogic epistemes 11
among the Adivasi community. People living in other locations utilise this treatment
by approaching the practitioners in their settlements. The distinction between the
practitioners is not merely geographical but also cultural.
What makes this book significant is that instead of reiterating the rhetoric of
diversity of indigenous medicine, it sketches the processes through which the
production of Ayurveda as the indigenous medical practice of a region had happened
at the cost of assorted healing traditions/ ayurvedas existing in the region. The
institutionalisation and systematisation of Ayurveda are shaped by the contribution
of heterogeneous healing traditions and are underscored by scholars. The process
delegitimised non-institutionalised assorted practices (to which Ayurveda owes)
as nattuvaidyam, folk medicine and popular medicine by categorising them as
unscientific, uncodified and non-textual. The work further states that the processes
also evoke an imagination of Kerala through the contours of vaidyam, even before the
formation of a geographically bounded united Kerala. While negotiating with the
notion of a new scientific rationality, the vaidyas united and formed an association,
the Ayurveda Samajam and published magazines on vaidyam, wrote continuously
to defend their knowledge and efficacy in vaidyam and conducted annual meetings
and exhibitions of medicines and herbs. Their idea of belonging to a region was
envisaged through the contours of their knowledge, nattuvaidyam, and by creating
camaraderie amongst the practitioners, patrons, proponents and beneficiaries. The
bounded nature of the region was determined through diverse indigenous healing
practices and not through a strictly defined geographical space.
The book utilises vernacular texts along with other materials as valid sources of
knowledge to locate the transition in the healing practices. When vernacular texts
are approached as heuristic devices, it enables us to see the limitations of the nar-
ratives and the analysis produced and entrenched around the officially recognised
languages. The study focuses on pinpointing the negotiations of the practitioners
in their survival strategies to cope with the demands of a new scientific conscious-
ness and an emerging market looking for alluring products. My endeavour is to
outline certain moments of rearrangement, re-figuration and transformation or,
rather, ‘productive self-formation’ of nattuvaidyam in the whole process of negotiat-
ing with the state, biomedicine and the newly produced, institutionalized and sys-
tematized Ayurveda.16 Many distinct healing practices that existed in certain parts of
India from the nineteenth century become part of Ayurveda by the mid-twentieth
century. These incorporated elements of knowledge have enhanced the author-
ity and authenticity of Ayurveda as the sole indigenous healing tradition of India.
Instantaneously, the processes erased or devalued many practices by terming them
as quackery and folk practice.
The formation of linguistic identities and subsequent materialisation of
state boundaries have also played their role in the reorganisation of indigenous
medicinal practices like Ayurveda and Siddha. The former acquired the status of
a distinctive indigenous medicine of India and the latter gained eminence as the
Dravidian practice of Tamil regions. The Ayurveda practised in Kerala, the far South
Indian state affirmed an additional distinctiveness with some unique practices like
12 Dialogic epistemes
panchakarma and vital spot massaging. The spatial location of the study is Kerala, a
region that has been studied for its cultural, political and developmental uniqueness.
Nevertheless, it addresses larger concerns – the politics of knowledge formation and
the crevices in the hegemonic theories used to study the Ayurveda of India and the
folk practices in different regions. From a closer, in-depth analysis of local practices
and histories, the study productively engages with global theories and perspectives,
critiquing some of their basic premises. In other words, the book engages with the
history of ideas and asks crucial questions to existing scholarship on the field. It also
presents a novel approach to studying indigenous knowledge by opening up the
subject of the liminal spaces of interaction amongst diverse healing practices, which
has not been explored much in the context of India. The work follows a non-linear
approach for locating certain vantage points from the early nineteenth century to
the contemporary. An investigation into the past will show how the contemporary
is produced, by making interconnections and dissociations with the historical and
the ‘non-historical’.
Organisation of flow
The opening chapter contextualises the research and maps the patterns that emerge
within existing scholarship on indigenous medicine and the significant questions
that are raised in them.Whether the pattern is sufficient enough to locate the inter-
nal nature of nattuvaidyam and the relentless interaction within it is a question that
the book is concerned with. Some of the key terms used in the work are discussed
along with the disciplinary and methodological questions within the project. The
second and third chapters present a genealogical understanding of the health prac-
tices and their transformations, continuities and ruptures. The interface between
print media and indigenous medicine has been analysed in Chapter 2. It elaborates
the way in which the literate practitioners tapped the potential of print media to
ascribe authenticity to their practice. The non-literate and neo-literate practitio-
ners enriched their knowledge in vaidyam through vaidya magazines and vernacular
texts, while also disseminating their knowledge. The function that print technol-
ogy played in the reordering of nattuvaidyas in their negotiation with the state and
with the modernising of Ayurveda is elaborated in which the disruption of existing
hierarchy and the production of new power relations can be seen.While interacting
with the discourse on health and hygiene, indigenous healing practitioners created
their own mechanisms and semi-autonomous, quasi-legal associations located in
between the state and the hegemonic health practices patronised by the state.
Chapter 3 explores the process of the production of the modernised and institu-
tionalised Ayurveda and the simultaneous estrangement of the multifarious healing
practices as nattuvaidyam through the functionalisation of knowledge. Various gov-
ernmental processes institutionalised the protocols while implementing programmes
and plans for an organised vaidyam. The analysis concludes with the elaboration of
the reconfiguration of the Ayurveda as the classical tradition of Kerala as well as
India. I argue that Ayurveda satisfied the conditions for becoming ‘knowledge’ from
Dialogic epistemes 13
being a way of knowing. In other words, ways of knowing are reduced to one way
of knowing a particular practice that partially satisfies the norms set for modern
knowledge. Chapter 4 deals with the multiple ideas of the body, or the bodies in nat-
tuvaidyam.The terms used in describing the body in different contexts are indicators
of the intricate contextual meanings of the body. The body is seen as a site through
which technologies for ‘care of the self ’ are articulated. The chapter also analyses
the notion of classification, standardisation and health in nattuvaidyam, which fore-
ground the functionality of a body.
Chapter 5 has three sections. The first section analyses the role of modern
education in shaping our relationship with the self and with nattuvaidyam. The
idea of vidya (knowledge, skill, craft, art, ability, strategy) in nattuvaidyam has been
explored, looking at the works of a few thinkers and reformers who were born
in the late nineteenth century and lived through the early twentieth century in
Kerala.The thinkers referred to were selected from different castes and communities
and also from different parts of Kerala, to emphasise the distinction in aspirations
around education and the diversity in their approaches within the same aspirations.
The second section of this chapter lays out the anxieties and ambivalence in
classifying practices as purely vishavaidyam or Ayurveda. Vishavaidyam, a specialised
stream in Ayurveda, is doubly monitored through examinations. The third section
elaborates the significant moments in the debates on education in Ayurveda and
the corresponding changes that occurred in the field of Ayurvedic education.
The argument in this chapter is that the changes which took place in the realm
of Ayurvedic education, as well as vishavaidya certification, allude to the gradual
transformation of the existing notion of vidya into an emerging idea of vidyabhyasam
or modern education and the tensions that emerged out of the transition. The
concluding chapter revisits the critical premises and points of departure, and suggests
their relevance to scholarship on indigenous medical practices in South Asia.
Notes
1 The region was territorialised and named as the state of Kerala in 1956.Till 1947, the area
was largely known as Malayala Rajyam and included the two princely states of Travancore
and Cochin along with British Malabar.The first indigenous attempt to imagine Kerala as
a unified geographical and political space came from Chattambi Swamikal as discussed in
his book, Praacheena Malayalam (Ancient Malayalam) in 1914. Other attempts were based
on exogenous parameters such as an area with a significant presence of the Portuguese
merchants, or as a residual part of a macro unit called South India. (See Raju 1999, 1–62).
2 See TCMP Act, 1953, under Registration, Section I, (i) and (ii).
3 Devaswom Boards are trusts meant to supervise the activities and financial transactions
of temples in Kerala. This is a peculiar system in Kerala where there are five boards:
Travancore Devaswom Board, Cochin Devaswom Board, Malabar Devaswom Board,
Gurvayur Devaswom Board and Koodal Manikyam Devaswom Board. The first three
administer the temples of Travancore, Cochin and Malabar and the remaining two boards
supervise and administer two exclusive temples.
4 https://www.newindianexpress.com/states/kerala/2020/sep/19/hastyayurveda-expert-
maheswaran-namboodiripad-passes-away-2198840.html accessed on 12.03.2021.
14 Dialogic epistemes
The chapter delineates the transformations that took place in two indigenous heal-
ing practices or nattuvaidyam of Kerala, namely, kalari and vishavaidyam, in their co-
existence and interaction with Ayurveda. The idea of knowledge that evolved in
relation to these practices is analysed while contextualising the research and dis-
cussing a few key terms used in the book. The tenuousness of the popular and
scholarly perception of nattuvaidyam as folk medicine, which is considered a mar-
ginalised tradition among medical practices in India, in contrast to the institution-
alised and systematised modern Ayurveda has been given special attention. The
study expounds the limitation of using modern taxonomy with strict boundaries to
understand indigenous healing practices because each practice frequently intersects
with other practices and are interconnected with a common underlying philosophy.
The idea of taxonomy was not absent in indigenous medicine, but the philosophi-
cal underpinnings of taxonomy are different from the classificatory norms of a later
period. However, in the early twentieth century, practices acquired authenticity and
legitimisation through their association with linguistic and regional identities and
upheld the norms of a new classificatory system. A majority of the texts used in
Siddhavaidyam are in Sentamil (in the ancient Tamil language). The practice associ-
ated its origin and evolution with the Dravidian movement,Tamil language and the
State of Tamil Nadu although the geographical and linguistic boundaries of the state
were defined only in the twentieth century and the practice was spread across South
India. Similarly, Ayurveda is projected as the health practice of India by interlink-
ing its texts with the Sanskrit language and upper-caste practitioners. The umbrella
concept nattuvaidyam used to describe varied indigenous medicines or ayurvedas
were gradually transformed and divided into a systematised and codified Ayurveda
and a supposedly non-codified and non-scholarly nattuvaidyam.The major norms in
the theories in classifying some practices as scholarly and the other assorted practices
into the realm of non-scholarly folk medicines are deliberated in this chapter. The
DOI: 10.4324/9780429295966-2
The intersecting triad 17
Methodological musings
In order to write about the emerging dominance of the historical, Prathama
Banerjee argues, it is essential to understand the discursive and material processes
through which the non-historical is constituted. She states that in the process of
writing history, there are ways in which the primitive, the indigenous and the other
are situated (Banerjee 2006, 9). Taking a cue from Banerjee, it is suggested here
that to understand the privileging of certain knowledge systems such as modern
Ayurveda over other indigenous healing practices/ayurvedas, one has to look at this
process from the location of the latter, because assorted indigenous healing practices
have been positioned in a particular way as marginalised practices in the history of
the production of knowledge and in the making of modern Ayurveda. This makes
possible the viewing of the discursive field through which the latter is validated as
a significant site of knowledge. The processes not only involve the configuration of
certain norms that endorse authentic knowledge but also function as the necessary
conditions through which that knowledge can be accessed.
Methodological questions reflect the subject position of the researcher within
the data gathered, the people interviewed, and the theories put into use to interpret
these different registers. The success of the researcher lies in combining the three
registers which often move in divergent directions. Dissonances arise between the
theories and the field of research in the course of this work. But the conceptual
tools provide firm support to hold the materials together without erasing their
diversities and diverging character. This study has drawn from a variety of sources
in its writing. These include government reports, correspondence and proceedings
in continuation of the reports, government orders of the earlier princely states of
Travancore and Cochin as well as that of Malabar/Madras Presidency, “Proceedings
of the Committee on Indian System of Medicines”, the first “Committee Report
on Indigenous Systems of Medicine”, etc.1 Vernacular sources such as texts used
for learning vishavaidyam and nattuvaidyam were also utilised. A variety of maga-
zines on vaidyam such as Sukhashamsi (1922), Arogyavilasam (1926), Ayurvedic Gazette
(1932–33), Ayurvedachandrika (1947), Aroghyabandhu (1958–68), Vaidyabharatham
(1971–72), Physician Ayurveda Masika (1978), Ayurvedaratnam (1978), etc., published
in the twentieth century have been examined along with the newspapers of that
time. Dhanwantari, the first vaidya magazine published from British Malabar requires
18 The intersecting triad
special mention. It started publication in 1903 and went on for 23 years initiating
significant discussions on nattuvaidyam. Autobiographies and biographies of vaid-
yas, ballads used in kalari, etc., have also been used, apart from archival materials.
Interviews of practitioners of vishavaidyam, kalari, siddhavaidyam and Ayurveda were
utilised to supplement the textual materials.2 The fieldwork comprised of extensive
interviews, attending workshops and seminars conducted by the practitioners and
protagonists and the observation of practices.
In the attempt to understand the epistemological premise of nattuvaidyam, the
study raises a few questions. In vishavaidyam, the modes of classification (of snakes,
other animals, plants and their poison, medicines administered, etc.) are different
from the methods of modern scientific classification. Yet they follow a logic and
pattern of broad classification which needs to be located in the specificity of the
practice. Both kalari and vishavaidyam do not use written texts as everyday reference
books for practice. However, the practitioners memorise verses through reiteration
during the course of learning and use them as mnemonic devices at the time of
practice. In kalari, the memorisation and reiteration happen at the level of the body
and in bodily actions, through everyday practice. The vaythari or verbal codes have
only a secondary role in practice.3 No texts are used in kalari as a ready-reckoner
or as a reference book, either for doing kalarippayattu or for treating muscle injuries
and bone fractures to date. But after the mid-twentieth century, a proliferation of
texts can be seen, written by practitioners on marmavaidyam and published through
both well-known and less-known publishers.4 Kalarippayattu and related healing
traditions still do the learning through everyday practice and not by referring to any
texts, especially written texts.
In vishavaidyam, the reiterated and memorised verses act as a code for treating
the person affected by poison. The vaidya may refer to a text in case of doubt, but
generally s/he uses her/his memory to recall the series of medicines required for
treating each case. A variety of medicines are prescribed in the texts for specific
diseases and individual cases of poisoning. Forgetting one compound of medicine
is not a matter of great concern, as the vaidya can easily recall another group of
medicines. This was a common practice in indigenous medicine. In contrast, in the
modern Ayurvedic educational institutions, learning takes place based on texts and
thereafter in practical classes at hospitals. All this leads to the question of locating
the diverse outlook and the congruence among the text, content and author in the
different contexts of indigenous as well as modern Ayurveda practices. How does
one approach practices which have a set of norms and codes in an oral textual form?
This is a question that I encountered during this research and one which has not
yet been resolved completely. The challenge was to situate indigenous practices that
followed a unique set of techniques of learning and had a different approach to the
body and health, within their internal logic and strategies.
Kalari and vishavaidyam, the two distinct knowledge practices, have been juxta-
posed here to understand the specific and varied processes of transformation they
have undergone over the years. One is ‘successful and organised’ if we posit a linear
way of understanding progress, and the other is not ‘successful and organised’ but
The intersecting triad 19
still has not become extinct. The transformation of the practices and their negotia-
tions with the state as well as other practices, amidst their survival history is stud-
ied in the light of the increasing influence of modern education. ‘Education’ here
refers to ‘modern’ educational practices that proliferated from the nineteenth cen-
tury through various formal and informal systems. These included formal schools,
colleges and universities that imparted education to students who enrolled in these
institutions, as well as civil society systems such as the film societies, the library
movement, the literacy movement and various programmes of non-governmental
organisations meant to conscientise the masses.
Ayurveda did not emerge, as represented today, as a textual, erudite and systematic
tradition of Kerala until the mid-nineteenth century. It existed as a composite group
of heterogeneous elements, interchangeably called ayurvedas or nattuvaidyam.The het-
erogeneous group consisted of practitioners with different pedagogical backgrounds
and social status. The marginalised practices also negotiated with the changing order
of their status in interesting ways. For instance, healing practices such as kalari, which
usually did not follow the humoural base of bodily disposition began to appropriate
this idea from the late nineteenth century and empowered itself as part of the more
accepted Ayurveda.11 A mere taxonomical approach to understand any of the practices
as an exclusive one, including modern Ayurveda, reduces the possibility of locating the
complexities with which they function and their ceaseless overlapping and sharing.
was generally considered as a martial art and the healing tradition inherent in it was
subsumed and described in the late nineteenth century as a common feature that
existed in other martial arts like wrestling. The bone-setting aspects in kalari which
require precision have not been analysed seriously as a treatment method because
it is frequently counterpoised against the surgical part of modern medicine.17 The
healing element in kalari follows not merely the humoural theory of nattuvaidyam
vis-à-vis Ayurveda (Zarrilli 1998, 163); it is based on the 96 principles of the body,
an entirely different approach from the humoural perspective (Asan 2010).18 The
idea of the body varies across practices even though they follow the larger humoural
principle. Later, the attributes of this principle were integrated into many practices
that did not follow the humoural idea of the body (Langford 2002). This study
focuses on the healing tradition in kalari without reducing it to kalarippayattu, the
physical exercise, which is inclusive of the idea of ‘the care of the self ’ through
bodily manifestation.
Similarly, vishavaidyam remains less studied and is seen as an area that is
deficient in sources for historical or sociological research. The irresistible reli-
ance of history on textual sources (Mukharji 2011) also places the tradition of
vishavaidyam outside the corpus of the history of indigenous medicine. Available
studies approach the subject from the perspective of modern science.19 It was
seen as a branch of Ayurveda and a chapter in AH. However, there are diverse
methods and medicines used in vishavaidyam for the treatment of poison, which
are not part of Ayurveda (Varier 1980). The texts for study (both oral and writ-
ten) of vishavaidyam are in verse form. They consist of an array of descriptions
of the variety of snakes, animals and plants; food that causes poisoning; symp-
toms in each case of poisoning; different kinds of medicines to be used in each
case; dietary regimen, the signs to be elicited from the messengers who come
to inform about cases of poisoning (especially for snake poisoning), etc. These
texts are a repository of descriptive and prescriptive aphorisms and often differ
from the classical text, AH. At the level of practice, the practitioner is entrusted
with the responsibility of deciphering their meaning through experience and
expertise. Texts function as a handbook for the practitioners as well as a reposi-
tory of information for laypersons who are interested in the subject. These
texts were not meant for people outside the realm of the particular knowl-
edge and practice that the texts represented. One needs to acquire certain
a priori knowledge and capacities not only to read a text but also to understand
its intricacies and nuances. Knowledge of the contextually differing meanings
of the terms used in the texts becomes decisive in their application.
Until the early decades of the twentieth century, vishavaidyam was well-established
all over Kerala with the patronage of kings and landlords and there were plenty of
grant-in-aid vishavaidyasalas.20 In the contemporary era, however, the practice has
lost its mooring and has become scattered and isolated across Kerala as it had/has
no support from the state or society for its sustenance. Being an area that has not
been studied in detail so far, vishavaidyam invites our special attention in delineating
its internal logic and the transformations it has undergone over time.21 The pres-
ent study attempts to stretch the internal descriptive and prescriptive nature of the
24 The intersecting triad
practices to some extent and allows them to speak for themselves rather than analys-
ing the meaning and scientific validity of every aspect of this research object. This
study thus challenges the application of hegemonic reasoning to locate and under-
stand practices that function within a different mode of reasoning. The outcome of
this strategy would be to lay out the specificity of the practices to some extent and
the nature of yukthi (rationale) and a different ‘reason’ applied at different levels.
Nattuvaidyam to Ayurveda
Until the late nineteenth century, all vaidyas were known as nattuvaidyas. But they
became demarcated as nattuvaidyas and Ayurveda vaidyas after this period. Until the
early twentieth century, the documents pertaining to nattuvaidyam in the Madras
Presidency were classified under the category of Indian System of Medicine. By
the second decade of the twentieth century, the Department of Ayurveda was con-
stituted in the Travancore state and all files on nattuvaidyam began to be managed
by this department. Inspection Reports of the Superintendent of Nattuvaidyasalas
(indigenous pharmacies) in the 1920s and different government documents show
this shift. By the mid-twentieth century, the practitioners who graduated from the
Ayurveda educational institutions were designated as Ayurveda doctors by elimi-
nating the diverse titles awarded for vaidyas from different educational institutions
(Mohanlal 2014). This change in designation and its subsequent standardisation
reflects not merely a disparity in formally and informally qualified practitioners
but also indicates a corresponding change in their social status. It implies a process
of separation of the qualified from the seemingly unqualified practitioner which
was premised upon tangible elements such as literacy, proficiency in specific lan-
guages like Sanskrit and English, knowledge in modern science like physiology
and anatomy. It was also based on the norms of the titles awarded after gradu-
ation and specialisation acquired from modern educational institutions. This dif-
ferentiation added a new layer of meaning to the term ‘quack’ by branding many
of the non-institutionally trained practitioners as quacks.22 In the late nineteenth
century, the term quack was used generally to label biomedical practitioners and
indigenous practitioners who lacked formal training, or students who had dropped
out of medical institutions but had resorted to practising medicine (Carter 1993,
89–97). By the early twentieth century, biomedical practitioners viewed nattuvaidyas
as quacks and by the mid-twentieth century, both biomedical and modern Ayurveda
practitioners started regarding nattuvaidyas as quacks. Cleetus succinctly points out,
“In a caste-ridden society with a distinct and different socio-cultural hierarchy,
any one in a low social position was likely to be called a quack and discarded”
(Cleetus 2007b, 147–172). This differentiation portrayed practitioners who were
trained through non-institutional modes as non-qualified practitioners. What does
this notion of formal qualification mean to the practice? This important question
is yet to be thought through, as many Ayurvedic graduates of non-vaidya families
often approach nattuvaidyas to learn ‘more’, not only in the twentieth century but
even in the contemporary.23
The intersecting triad 25
………out of all this medical pluralism, only one set of medical ideas and
practices clearly emerged as a unified body of doctrine, embodied in learned
treatises written in Sanskrit language, and adopted as the basic curriculum for
the organized teaching of medicine in scholarly families and schools. This
system was called Ayurveda, and by the time Fa Hsien reached Pataliputra, it
was already almost a thousand years old.
(1998, 2)
The idea of this separation is flawed since many practices such as siddhavaidyam,
marmavaidyam and vishavaidyam also have a textual basis. If we categorise them as
separate realms of erudite or non-erudite practices as in the above-mentioned stud-
ies, both do not necessarily follow texts in the realm of practice. The texts may
function as reference material at crucial times during practice. Hence, this study
departs from the neat division between a scholarly textual tradition and a non-
scholarly, non-textual tradition by prioritising shared elements in the practices and
highlighting their continuous, overlapping nature. The challenge here is to avoid
duality and to situate the relentless sharing and negotiating nature of the ‘erudite’
and ‘marginalised’ heterogeneous practices. Moreover, it is extremely difficult to
differentiate them neatly as erudite or non-erudite; the propensity to view them so
26 The intersecting triad
stems from the writings of colonial administrator-scholars and Indologists like Wise
T.A, Muthu, etc., which had functioned as a base model for further theorisation and
scholarship produced in the area.
reach out to the wider population with vaccination and other measures to control
contagious diseases (Pati & Harrison 2009).The British medical policy also encour-
aged Indian drugs and allocated funds for purchasing bazaar medicine (Ramanna
2006, 3221–3226). But by the late nineteenth century, this co-operation and utili-
sation of indigenous medical knowledge ceased due to the increasing profession-
alisation of biomedicine (Bala 1991). Subsequently, interventions by biomedicine
extended to the area of reproductive health through a simultaneous invalidation
of the indigenous epistemology of birthing and knowledge of the dais (traditional
midwives).27 In the contemporary context, the role of the dais in birthing aid has
been eliminated. Their role was later reintroduced as caretakers who provide post-
delivery care to the mother and the baby (Sujatha 2012, 9). In effect, modern dis-
course on public health almost completely erased the role of indigenous medicine,
despite it being widely utilised by people, either alone or along with biomedicine,
for preserving or regaining health. Especially in the case of childbirth, people use
their discretion in choosing a biomedical institution for birthing and indigenous
medicines for post-delivery recuperation. The contribution of indigenous medi-
cine in the fields of reproductive health and prevention of contagious diseases has
not been counted as significant since the second decade of the twentieth century.
Both these fields were identified as spaces needing the exclusive intervention of
state/missionary institutions and their ‘valid’ knowledge. Nevertheless, there were
instances of indigenous healing practices attempting to intervene in the area of
public health which was invariably met with massive protests.
In 1934, the Ayurveda Pathshala of the Travancore state conducted a Malaria
camp in Edakode, with the consent of the king, Sree Chithira Thirunal. The
Resident Surgeon General met the king to express his protest (Sarma 1977, 52–54;
Mohanlal 2014, 18–19). Their attempt was meant to prevent the functioning of the
camp through the raja’s intervention, as they could not intervene directly in the
matters of a princely state. However, the king refused to heed their request to close
the camp. They decided to show a documentary film at Kuzhithura, a place adja-
cent to Edakode. The documentary depicted the inadequacy of indigenous medi-
cal practitioners in treating diseases. With the timely intervention of the king, the
documentary show was banned twenty-four hours before the planned screening.
The Malaria camp lasted for six months and it was highly successful in curing the
people (Mohanlal 2014, 18–19).28 Despite such instances, the role of indigenous
medicine in treating malaria, plague, cholera, etc., has not been assessed seriously
to date. Many practitioners continue to advertise their medicines as being highly
effective for the treatment and/or prevention of such diseases (through newspa-
pers and health magazines). The contemporary health indices also fail to count the
contribution of ayurvedas/nattuvaidyam in maintaining the high health status of the
people in Kerala.
In the early twentieth century, the study on medical practices gave prominence
to western medicine and accelerated the subsequent progress of the drug industry
in both Europe and India. Medicine preparation by indigenous practitioners can
be classified under non-modern capitalistic production, as very few of them had
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depend on the proportion of the power to the resistance; in short,
they had no clear idea of accelerating force. This defect runs through
all their mechanical speculations, and renders them entirely
valueless.
6 Essai, p. 33.
12 Civ. D. xvi. 9.
16 Mont. i. 502.
17 Ib. i. 503.
“And here,” says the French historian of mathematics, whom I
have followed in the preceding relation, “it is impossible not to reflect
that all those men who, if they did not augment the treasure of the
sciences, at least served to transmit it, were monks, or had been
such originally. Convents were, during these stormy ages, the
asylum of sciences and letters. Without these religious men, who, in
the silence of their monasteries, occupied themselves in transcribing,
in studying, and in imitating the works of the ancients, well or ill,
those works would have perished; perhaps not one of them would
have come down to us. The thread which connects us with the
Greeks and Romans would have been snapt asunder; the precious
productions of 199 ancient literature would no more exist for us, than
the works, if any there were, published before the catastrophe that
annihilated that highly scientific nation, which, according to Bailly,
existed in remote ages in the centre of Tartary, or at the roots of
Caucasus. In the sciences we should have had all to create; and at
the moment when the human mind should have emerged from its
stupor and shaken off its slumbers, we should have been no more
advanced than the Greeks were after the taking of Troy.” He adds,
that this consideration inspires feelings towards the religious orders
very different from those which, when he wrote, were prevalent
among his countrymen.
and of Jupiter, “who goes to the ocean to feast with the blameless
Ethiopians;” Strabo is satisfied from these passages that Homer
knew the dry land to be surrounded with water: and he reasons in
like manner with respect to other points of geography.
21 Strabo, i. p. 5.