Mane Singh holding a leaf that is supposed to aid digestion
The
indigenous tribes of the state of Chhattisgarh in central India have
had their share of natural challenges when they lived largely
self-sufficient lives, relying on forests for most of their needs.
But they look at that period as one of peace and prosperity compared
to the current set of manmade difficulties. These troubles
first sprung up when the State and private companies were charmed by
the rich mineral reserve in the area and started
development projects like roads, railways and mines on a war footing.
These interested parties then started having violent confrontations
with Maoists, the rebel guerrillas in the forests whose stated aim is
to fight the violent exploitation and forced displacement of tribals
done by the government and the corporations. In all these, the tribes
often get slotted as victims who need saving or Palaeolithic forest
dwellers in need of civilizing. This piece recalls the knowledge, the
respect for ecology and the learning from ancestors that has enabled
the Indigenous
Peoples
of Chhattisgarh to practice medicine since the time when there were
no health centres to the present day, when people still place immense
faith in these homegrown systems.
The
bone doctor
Sundar Singh
In
Khamdongdi village situated in Kanker district, a well known spot is
the house of the vaidyaraj, venerable for his patients as the
bone-setting doctor. His clientele includes not just villagers but
officials and city dwellers from the state capital Raipur and beyond.
Sundays are the busiest at his clinic-house, I am informed, full of
patients from morning till midnight. But even on a weekday, when I am
visiting, there is news that a patient from Raipur is on his way.
Eighty-five-year
old Sundar Singh Kavde, the village’s own orthopaedic, had stopped
his practice after his son died, and patients had slowly started
moving to other doctors. The son is spoken of as a legend. Bone
surgeons from hospitals were said to visit him when he was alive, and
to ask their own patients to come here if the case was complicated. I
am shown a chart hung on the wall, naming the various bones in the
human body. “The doctor would use this chart to explain to the
doctors. The only difficulty came in fixing an injury to the spine,
because you cannot bandage it properly, and the ointment doesn’t
seep into the wound as well.” So how many people ended up getting
cured? “The people who complained of not having recovered did not
have restraint, and would have alcohol though they had been asked to
abstain.” Within the campus of the house and the clinic, there is a
half-constructed structure. The current doctor’s son had started
building it so the patients and their relatives could stay there.
Sundar Singh applies medicine on the patient's injury
But
one day Sundar Singh, the father, had a dream in which his ancestors
advised him to resume his practice, and he did. In the hut that is
his clinic, there are some roots and leaves brought from the jungle.
He grinds the roots using a mortar and a pestle. With the advent of a
mixer, he started putting the ground medicines into it so it could
turn out as fine paste. A makeshift switchboard for the electric
grinder is tied to one of the wooden poles that holds the thatched
roof in place. A partition creates another room, which has an earthen
choolha,
so if a patient or their family needs to stay overnight they can cook
their food.
After
he has bandaged the patient’s leg, Sundar Singh comes to this other
room and sits on a plastic chair, “My father, grandfather, everyone
did this work. It is in our DNA. Earlier we were treating animals
more frequently. Now with motors on the road, it’s people.” He
gets herbs and roots from the mountains. I had heard that at some
places, despite Forest Rights Act protecting the rights of indigenous
people over forest produce, forest officials had been preventing
villagers from accessing them. Singh hasn’t faced that problem so
far: “People in the government come here to get treated. If they
stop me, who will cure them?” Precious medicines do get lost, Singh
adds, when there are forest fires due to people’s recklessness.
Local reporter Tameshwar Sinha speaks with awe of a deputy forest
ranger, quite an exception compared to corrupt government officials,
according to Sinha, who had got burnt himself while trying to quell a
forest fire.
After applying the ointment, the injured area is bandaged
Doctor
Sundar Singh also reads books on Ayurveda to aid his learning. “At
times our gods enter our dreams and guide us when we are not treating
a problem in the required way.” He also gets some medicinal leaves,
etc., from the market. “First we used to quickly get what we were
looking for in the forests. Now we have to find them.” Since
construction and militarisation on a big scale started in the state,
it has lost
a lot of its
forest cover.
What
about the fee? “We never ask for money. What people are required to
get are some gauze (earlier leaves and bark were used) and some oil
that we recommend. Besides that sometimes people come with an
offering, say, a coconut. Even if they don’t have anything it’s
fine.”
The
vaidya nods when I ask if he ever has to visit a doctor. “Yes, we
also get fever, typhoid . . . Then we have to go. But because they
know me, often they come here and see me. But this one time I did not
feel better even after injections. So I just went into the forest and
got the medicinal plants I needed and they worked.”
When
local doctors like Singh go to the forest, they take what they need
for the time being and leave the rest, saving the rest for others and
for the generations to come. They agree that people, including some
of their own, have now been lured to sell for greed, which depletes
the resources without replenishing them.
I
ask Brijesh Sahu, the patient, why he came to the village all the way
from the city of Raipur. He says, “Hospitals are expensive and
there are no guarantees. Here one is almost completely sure of
results if they also eat, drink and abstain as prescribed by the
doctor.”
The
vaidyaraj shrugs, “Sure, if someone has extra money, like
thirty-forty thousand rupees, they can go for an operation. Here we
have had some people come here even after they had surgeries but
still could not recover completely.”
A
farmer and a healer
Doctor-farmer Mane Singh looking up at the garud tree, whose leaves are an antidote to snakebites
The
second visit I make is to Mane Singh Kavde’s farm in Kanker’s
Bewarti village, another herbal doctor. Before we meet him, we are
asked to wait outside a closed poultry shop. A while later we head to
his farm, which has vegetables, fruits and trees growing. We find
Kavde in the greenhouse and start talking to him but the heat pushes
us out where we spread a gunny sack on the ground and begin the
conversation.
Unravelling
the story of how he became the accidental doctor, Kavde says that
while DNA is definitely responsible for the transfer of medicinal
knowledge within the family, it usually skips a generation. But in
any case, he says, this way each village ends up having its own
surgeon. “Apart from that knowledge and what is communicated by my
ancestors in dreams, I started doing my own research. Our body is a
part of nature and therefore when we take in something natural the
body readily accepts it. Illness is nothing but a lack of natural
elements.”
He
talks of disease caused by eating what we like, not what we need. “We
realize the extent of the damage only after it is done. Our
resistance is going down and the size of the capsules we swallow is
growing. Our ancestors ate naturally grown greens. But our government
is interested in metals, not food.” He is referring to the growing
number of mining sites in the state. He calls vikas,
or development, a synonym of materialism, condemning the sort of food
“development” sells to its buyers, “The kind of food we are
putting into our body these days is like putting iron into a grinder
that is made to crush pulses.”
Kavde
was a trader running a profitable business, until he fell sick and
had to find and prepare his own medicines for his recovery. “In
modern medicine, they give you fifty medicines for one disease.
Nature is such that one thing here can treat fifty ills.” The
medicines he gives are supposed to do a speedy job of killing the
virus, while the discomfort caused by the malady takes a few days to
end.
To
introduce us to some of the medicinal properties of the vegetation
growing around him, he first offers us some tendu
(Diospyros melanoxylon Roxb.) fruits, saying having them once is
supposed to boost immunity for the next six months. He plucks a few
leaves off the garud
tree, named after the mythological bird, supposed to be an antidote
to snakebites. “But the patient has to be brought within an hour.
It becomes a challenge if the heart shuts down.” Talking of the
tree’s potency, he states that if a snake rests under the tree for
too long, it would die. Around another tree is a creeper called
giloy,
or
Tinospora cardifalia (Wild.),
used
for tying the bandage in case of a bone injury. Mane Singh
distinguishes trees by their sex and uses their products accordingly.
“If a tree has a thick bark, it is male. Women’s hearts are full
of kindness, and so the bark of female trees would be soft, and can
be chewed.”
Tendu fruits
With
government subsidies and his own knowledge and hard work, Kavde’s
farming practice has been flourishing. It did receive a slight
setback though at a time when he was inundated with requests for
appointments from patients. He recalls an obese, ill young man who
was too sick to walk. “I prayed to my ancestral pen
(god) powers and gave him twenty millilitres of a plant juice. By the
time his family took out a stretcher to take him back after the
treatment, he was fit enough to walk.” Others sitting around, my
young guides in the village, discuss the case of the two-year-old who
had holes in her heart, and was getting better with Kavde’s
treatment. “But then,” Kavde recollects regretfully, “the
family discovered that I knew about their same gotra
(clan) marriage, and were embarrassed to visit me any more, as such
marriages are against the rules of our community. It was a pity that
feeling uncomfortable about it they stopped the child’s treatment.”
The
biggest challenge for the “natural” doctor came when he had his
first HIV patient. The nurse who came to see him about it had to get
over her sense of shame, because of societal stigma around the
affliction, before she could tell the vaidya that she had been
diagnosed as HIV positive. It was Kavde’s first case and he did not
know much about it. The woman kept asking him if she would get well.
“I prayed for guidance and the medicines I was able to give her
transformed her. Her pale face looked radiant on the next visit.”
Mane Singh's farm
With
his popularity growing, Kavde has had to allot fixed dates and time
for his practice, which he sees as knowledge sharing and not a
commercial enterprise. Then he was able to have time once again to
devote to his crops. But as a farmer some of his concerns continue.
“Farmers are forced to sell some crops to traders at rates even
lower than the minimum support price. Subsidies are not there for
everything. It was better earlier when we could barter goods amongst
ourselves. Now it is more difficult to afford because to buy
something our neighbour is producing we have to approach the trader
and pay him a higher rate. That’s why the development song rings
hollow. Let the delegates visiting from other countries come to the
villages, not the big cities, to see the ground realities. We were
more developed earlier because there was more prosperity amongst
people. Now the only thing actually getting developed is capitalism.”
Sundar
Singh and Mane Singh, both the doctors adhere to the pledge which
says a doctor’s first duty is to treat and heal the patients. Today
hospitals in bigger cities and the fraudulent work done by quacks
have also made sections of the population suspicious about indigenous
medicines. Yet when this knowledge is appropriated, patented and
packaged by pharmaceuticals and sold at high prices, the public puts
its trust in the drugs. While the healers I met were concerned about
this development as it limits access and corrupts the natural
composition of the herbs, personally they have no urge to be
competitive because healing is not a commercial enterprise for them.
“Here,” Mane Singh says, “we share our knowledge with the
community. It has been transferred to us from our elders to benefit
people, not for profit making.” Perhaps this is why youth groups
like KBKS, Koya
Bhoomkal Kranti Sena, receive higher education as well as local
trainings, and attend inter-state tribal meets, to educate themselves
and fellow tribals about their rights, so that they both preserve
their own traditions and resist vested interest groups from taking
advantage of their knowledge and resources.