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46     EASTERN HORIZON  |  FEATURES









           Medicine In Early Buddhism


           By Dr Pierce Salguero




                                             Although never its primary concern,   Buddhist Medicine In
                                             the Pāli Buddhist Canon (first written   Transnational Context
                                             down in first century BCE Sri Lanka)
                                                                               The spread of Buddhism to
                                             contains a great amount of material
                                                                               other parts of Asia in the first
                                             pertinent to the history of Indian
                                                                               millennium CE was one of the
                                             medicine. Medical ideas appearing in
                                                                               most significant examples of
                                             the Pāli Canon include the doctrines
                                                                               sustained cross-cultural exchange
                                             of the Four Elements (Earth, Water,
                                                                               in world history. This transmission
                                             Fire, and Wind) and the associated
                                                                               included the introduction of a
                                             doṣa (defects or humors). These
                                                                               large amount of medical material
                                             became foundational to both
                                                                               that was embedded within
                                             Buddhist and Āyurvedic medicine,   Buddhist writings. Influential
           Pierce is a transdisciplinary     and are also similar to concepts from
                                                                               aspects of Buddhist medicine
           scholar of health humanities      Greco-Roman and Islamic medicine,   included doctrines such as the Four
           who is fascinated by historical   although each tradition would     Elements and tridoṣa, Indian and
           and contemporary intersections    interpret these doctrines in unique   Southeast Asian pharmaceuticals,
           between Buddhism, medicine,       ways.                             Buddhist medical deities (including
           and cross cultural exchange.                                        their hagiographies, rituals, and
           He holds a Ph.D. in History of    There is every indication that    iconography), medical spaces such
           Medicine from the Johns Hopkins   medicine, nursing, and hospice    as dispensaries and hospices within
           School of Medicine (2010), and    was practiced among the early     monastic complexes, the ideal of
                                             Indian monastic communities.
           teach Asian history, medicine,                                      monks as efficacious healers, and
                                             The monastic codes, or Vinaya,
           and religion at Penn State                                          several core medical metaphors
                                             of the various Buddhist schools   that structured Buddhist medical
           University’s Abington College,
                                             contain guidelines and narrative   thought in places as far away as
           located near Philadelphia.
                                             descriptions of medical procedures
                                                                               Tibet, China, Japan, Mongolia, and
                                             such as herbal and mineral        Southeast Asia.
           The major theme in his            treatments, dietary regulation,
           scholarship is discovering        and even surgery. Additionally,
                                                                               Medical knowledge explicitly
           the role of Buddhism in the       the accounts of Chinese pilgrims   associated with Buddhism
           global transmission and local     written in the mid-first millennium   lost favor in India, replaced by
           reception of knowledge about      CE tell us that medicine was an   Āyurvedic and Tantric healing
           health, disease, and the body.    important part of the training of   traditions associated with
           He approaches this topic using    monks at the Indian mahāvihāras,   Hinduism, and other parts
           methodologies from history,       the great monastic “universities.”   of the Buddhist world—like
           religious studies, translation    Nālandā, for example, was famed as   northwestern India, Pakistan,
           studies, literary studies, and    an international center for medical   Afghanistan, Central Asia, and
                                             training, and monastics from all over
           ethnography.                                                        Indonesia—lost the tradition when
                                             Asia came to study in the seventh
                                                                               converting to Islam. Nevertheless,
                                             and eighth centuries.
                                                                               Buddhist medicine remains vitally
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