Skin Diseases
Skin Diseases
Skin Diseases
97
Every society may not recognise all these five categories. In deed, marry groups are selective in the emphasis placed upon a combination of causes. For example, Eskimos most frequently trace the origin of a disease to soul loss and breach of a taboo. The malevolence of sorcerer or witches is especially emphasised In many of the world cultures However these categories of
Clements are meet useful in analytically characterizing the etiological beiiefes of a particular group than describing the content of an entire belief system.
Bhnomedlclnal practices refer to the measurers relating to preventive health care, diseases and its curatives, which are being used by the people as medical therapy. It Is proposed in this chapter to discus the cultural factors of the Koyas of Boddugudem which influence their health and their traditional medicinal practices linked to a set of relationships in the social structure. The medicinal systems of the Koyas centers on their perceptions of health, and Illness, and classification of diseases, diagnosis. treatment of diseases, etc. According to the Reader's Digest Dictionary the term 'III' refers poor health, physically or mentally sick. Sickness is nothing but the constant ill health. Illness at times may require a diagnosis and treatment. All of a sudden any individual may be taken ill with any ailment. Generally the term 'ailing' refers the weak a unsound condition of the people's health which persists for some time .Sick people suffer constantly from illhealth and this Illness may be caused due to some disease (i.e. tuberculosis An illness though not may be severe is a persistent one.
Aches and pains (eg Backache) are a few tiresome ailments An ailment is the answer for the question or old fashioned phrases, i.e. what is troubling you? What ails you? Disease refers to an illness or an unhealthy condition of the people. Koyas concept of health Is functional and is also associated with of
Boddugudem suffer from scables, Itches and ringworm and these are related It to their normal daily work. An occasional headache, stomachache or body pain or weakness is not taken seriously as symptoms of disease or illhealth Even these problems may
not be noticed by self or by the members of family, or friends, if one takes them seriously that person may be ridiculed The Koyas ate familiar with the nutritional value of items of food, and drinks, wellbeing and afflictions In the Koyas concept of health, the individual may "commit or omit" certain acts which may bring some affliction upon him or his household Further, an Individual's action may also
cause some harmful affliction to the whole village, dan or a large group This is very dear in the context of beliefs related to the occurrence of chickenpox or any other epidemic in the family, and in the village as a whole This kind of conceptualization is not mediated through an intervening variable like sanitation The Koyas do not associate diseases or epidemics with luck of sanitary conditions of community living as their maintain the houses neatly plastered with coloured mud and clean their utensils every day Another peculiar belief among the Koyas is the phenomenon of "soul loss" and the "soul" of a man may play traunt, quite whimsically, or may be
enticed by a sorcerer or by some malevolent spirit, resulting In sickness and If the soul can not be recalled and reinstated with in a short time, the soul loss may result in death. The Koyas believe that the infringement of some moral rules or voilation of taboos may effect their health and bring about serious diseases Incestuous
relationships among the people of the Koya community Invariably cause serious diseases in the family, or in the community, apart from disrupting the social life Acts of personal hygiene or keeping the settlement clean or drinking of dean water or washing clothes regularly, and other food habits of the Koyas represent their personal and community health to some extent. The Koyas believe that the voilation of taboos is responsible fa disease occurrence and they are not aware of the fact that how the violation of taboos is responsible for the occurrence of disease. The Koyas belief in some benevolent and malevolent spirits of their dead ancestors Pretalu that blow as evil and harmful winds, Gallsudulu cause
diseases. Such beliefs play an important rote in ensuring health, prosperity and protection to their families The Koyas think that the affliction of diseases is due to the non-honouring or not worshiping of their ancestral spirits. The Koyas
worship the goddess Mutyalamma as their supreme being for the well being of the people in physical, mental and social aspects and she is always bengin and compassionate. According to the Koyas conception epidemics like chicken pox are mostly caused by the goddess Mutyalamma and other diseases by the Konda Devaralu {Konda : hill, mountain; devarulu deities) It is believed by them that their health
Is threatened not only by the spirits, but also by persons emanating evil, evil eye, evil mouth and evil touch, or witchcraft. Health, among the Koyas is also explained in the symbolic relationships with the nature as they co-exist with animals, birds, reptiles and plants There are many situations In which not only their health is affected but also they are is harmed, resulting in general calamity. One of the aspects of their perception is that human health and fertility go along with health and fertility of animals and plants. When a Koya goes into in the forest, he has to depend on streams and ponds tor water, which may be contaminated and may bring diseases to him Hence the Koya etiology of diseases is attributed not to pathological factors but more the violation of certain socio-cultural norms in their life As the Koyas of Boddugudem are engaged in Kondapodu ( slash and burn cultivation) they ignore common ailments that will not affect their economic activities. They take treatment at the Initial appearance of symptoms
personalistic
beliefs
IV.2 (a)
(V.2 (a) (I):
Ailments are due to natural forces or conditions as cold, heat, winds and above all by an upset in the balance of the basic body elements. Health confirms to an equilibrium model when a balance is maintained appropriate to the age and condition of the individual in his natural and social environment Koyas explain
the upsets in this balance that trigger illness through the causality concert hot and cold "dichotomy illness as due to excessive heat a cold entering the body. Treatment logically attempts to restore paper balance through "hot and cold" foods and the treatment alms at neutralising either excess heat or cold from the body Emotional etiologies are explained in the naturalistic sence rather than the personalistic sence Naturalistic explanations of the Koyas in describing the
causes of disease are largely restricted It is believed that diseases are caused due to an imbalance of certain elements within the body like "Gali'(air);Neeru(water),'Aakesanf(space),
"Nippu'(fire), "Bhoomi (earth) etc , It is also believed that the body is made up of these elements as they take food and water regularly within certain proportions, within certain limits of health. The elements in the body at times produce useful products and some waste which influence the health system of the body Waste products in the body are "Chali Gali (cold air), " Vedi Gali (hot air) etc, and these may cause some ailments and lead to the in balance of the health Koyas also classified certain of
their foods in to cold causing and hot causing elements, which represent some disease Koyas who have balanced constitution of hot and cold are not liable to ailments and diseases. In order to restore the balance between the cold and hot, the Koyas take the foods or medicine which has the opposite characteristics For example if a person has an ailment due to consumption of too much hot foods, cold foods should be taken Similarly if a person has an ailment due to cold foods, hot foods should be taken in the cold season the Koyas believe that one should eat hot foods and vice-versa A few people also say that they don't bother about this and eat the same thing all the year round As a common practice the Koyas, in their dietary behaviour try to maintain a balance between hot and cold foods Table.1: Classification of foods according to the Koya conception of cold and hot.
103
Odd Foods Tomato Pumpkin Lady's fingers Vippa Sara Bottle gourd Ridge gourd Garlic Snake gourd Onion Palakura (Greens) Totakura (Greens) Gongore (Greens) Sukkakura(Greens) Cabbage Potato Beans Gataka ambali Toddv Sonti Turmeric Bellam Sara Chiguru Dried fish Red Chillies Brinijal Mango
Hot Foods,
Buffalow Ox Goat
Sheep
Pigs etc
The best-known cold aliments are 'edekku' (headache) and 'chalijvaramu' cold fever).
Table: IV.3.
S No 1. 2 3.
4
Raktaverechonalu(diarrhoea)
kandiakalaka (conjunctivitis)
5.
Chekkurupulu
(boils)
6 7. 8.
Keellanoppulu Vendu
(joint
pains)
Nadumunoppulu (backache)
9 10
Telakallu Chulanoppulu
11 12.
Kamerlu (Jaundice) is quote common and it is caused according to the Koyas, due to weakness and deficiency of food Koyas identify the following four types of Jaundice: (a) Patcha Kamerlu, (b) Telia Kamerlu, (c) Yerra Kamerlu and (d) Ubbu Kamerlu Koyas are familiar with the cold fever (chali javaram) (malaria fever) which is attributed to the consumption of certain cold foods and due to mosquito bite. Skin diseases such as Duradalu (Itching), Gajji (scabies), Pokkulu (boils), Tamara (ringworm), Soben (skin disease), cheidi (boils) etc are common among the Koyas. These are thought to be due to some "Crimi"and consumption of
certain foods Vankaya (Brinjal-Solanum Melongama), Gongura (Hibiscus) etc., These diseases are believed to be transmitted from infected persons to others. According to some, infectious skin disease are caught through sexual Intercourse, and women are blamed fa these diseases Men also admit that
woman can also get sane infectious diseases like "Korukudujabbu"(sexual disease) etc., from men In the koyas belief system, sexual intercourse with menstruating woman is prohibited, and she should not come in contact with other family members, as It 107
effects the health of the other people in the house. Since she is in a ritually polluted state a menstruated woman has to Keep away from regular household activities till the pollution is cleansed i.e. upto six days. During this period she lives at a corner at the outer portion of the house and she is not allowed to cook food in the house. Diseases like Chulanoppulu, Vantulu/ Kakku (vomitings),etc are common among women There was no single delivery death In the village; at
the difficult delivery cases are sent to the Primary Health Centre (PHC) Edugurallapalli
The diet is restricted severely after delivery since it is thought An elderly woman of
that the mother may get any cold or hot related diseases
the village generally acts as the Mantrasani (midwife) to attend to the pregnant woman at the village Most of the diseases relate to men are attributed to intercourse with a mensturating women Among the children the most common ailment is fever
Ammatelli (Chickenpox) and neonatal (soon after birth) deaths are common Verechanalu( Diarrhoea) and Vanthulu (vomitings; are common ailments among the children It is believed that most of these lead to the death of the Infants
Ailments like Rompa (Cold), Jvaramu (fever) are thought to be transmitted to the baby through mother's milk when the mother eats certain cold foods, which should be avoided during lactation
108
Some of the Koyas expressed the belief that the strength and weakness of the body depends on the nature and functions of the blood. According to the Koyas the life of living creature is dependent on blood. They say that the blood must be protected from bleeding due to minor ailments like cuts, wounds and fractures In the Koya behaviour, there are certain foods which improve the blood condition There is also the fear of loosing blood by bleeding due to seasonal ailments, animal bites, wounds, sores, cuts, burns, dog bites snakebites, scorpion bites, etc.. Loss of blood due to bleeding, is same as loosing ones own strength The Koyas Identified Verrijebbu ( rabies) due to dog bites.
Most of the disturbing illnesses i.e emotional disturbance such as fright, jealously, enemity, shame, anger or grief can be caused by a ghost or a spirit or an encounter with a devil Thus the agent intends to harm the victim
109
Personalistic etiologies among the Koyas are parts of either more comprehensive or a general explanatory systems. The Koyas have adapted the " personalistic idiom" as the basis of their attempt to understand the world to account for almost everything that happens in the world around them The deities, ghosts, witches, and sorcerers are the main causes of illness, in the Koya belief system which produces misfortunes. Disease like Sompidi (atrophy), Ammavaru (chickenpox)
Devarasattu (paralysis), Kshayarogam (tuberculosis) etc. are believed to be due to possession by the Pretam (ghost or spirit) of some one who died unnatural death or committed suicide. Ammatalli (chickenpox) is very common among the Koyas. Ammatalli is believed to be due to a visitation of the goddess Mutyalamma Chickenpox is considered to be caused due to anger of the goddess Mutyalamma, the Kuladevata (the deity) of the Koyas. Now, some of the Koyas have come to realise that it is an infectious disease or caused by dirt or crimi (insects/ germs). Gamamu, a place where the Koyas worship their Kuladevata (the goddess Mutyalamma) is most often propitiated and her ritual is celebrated by all the villagers It is believed that the whooping cough is also caused by the supernatural elements. Sompidi/Endurogam( emaciation) is attributed to supernatural elements. Narikurupu (threadworm) for which they have no cure is ?!so attributed to some supernatural beliefs. The most dangerous disease among the koyas is Devarasattu (paralysis). The Koyas believe that this is also due to the anger or cause of their Kuladevata.
Diseases Ammatalli (chickenpox) Peddadaggu (whooping cough) Mondikurupulu (sores) Sompidi (amaciation, which restricts the growth)
2 3
4
Devarasattu (paraylsis)
The Koya diagnostic patterns are centered in their worldview without any overt expression. The foremost consideration in the diagnosis is based on their experience (and common sense) and the symptoms. The Koyas do make a distinction between illnesses, personalistic or naturalistic. The great majority of personalistic illnesses are attributed to Vejjollu (sorcerers). Similarly naturalistic illnesses are attributed to the vicious creatures, visha purugulu (krimi). The outward manifestation of the disease is considered to be its symptoms. Disease may be disable a person in performing his day-to-day a activities. In identifying various diseases, symptoms of the respective diseases play a crucial role . A curer identifies the exact nature of the disease through his diagnostic technique.
Table: IV.5. Common ailments and diseases in accordance with the conception of the Koyas
(A) Naturalistic diseases based on the concept of 'cold' (E)Skin diseases (F) Ailments (G) Animal bites
1) Tummulu 2) Rompa 3) Daggu 4) Edekku 5) Varagoba 6) Kanchuka 7) Dokkaubbu 8) Dokkavoduchu 9) Vantulu 10) Chalijvaram 11) Vantapunoppulu (B) Naturalistic disease based on the concept of hot 1) Jvaramu 2) Bankaverechonalu 3) Raktaverechonalu 4) Kalluerupu 5) Chekkurupu 6) Kellanoppulu 7) Nadumunoppulu 8) Vendu 9) Telahandlu 10) Chulanoppulu 11) Rommujabbu 12) Endadebba (C)Disesaesdueto supuernatural causes 1) Ammatalli 2) Peddadaggu 3) Mondikurupulu 4) Sompidi 5) Devarasattu D) Diseases due to weakness and deficiency of food 1) Kamerulu a) Patchakamerlu b) Tellakamerlu c) Yerrakamerlu d) Ubbukamerlu
1) 2) 3) 4) 5) 6) 7)
1) 2) 3) 4)
IV 5
Thummulu is commonly linked to the cold whether. It is believed that those who exposed themselves to bad whether conditions get this problem, out bursts of air through the nose and mouth (i.e. sneezing)
IV.5(3)
Daggu (cough)
Causes of cough are believed to be due to either to eating of cold foods or exposure to bad whether. Cough is common among Koyas and they say it is associated with lungs and also a respiratory disorders.
IV.5(4)
Edukku (headache)
Headache is also one of the common disorders among the Koyas and the causes are attributed to cold-related phenomena and also stress and strain.
IV.5(5)
Varagoba (migraine)
This is a paroxysmal headache confined to one side of the head and is often accompanied by nausea, and occurs mostly in the mornings and lasts till
afternoon
The Koyas identify this with severe pain in the stomach (abodmen). diarrhoea and vomiting They are aware that it is infections, but they do not know that it is epidemic. This is attributed to the curse of the goddess
This is
attributed to the consumption of certain of foods such as a variety roots, nuts and
liquor like 'old toddy' (which means too much fermented), etc Foods taken by the individual and which cannot be digested are also thrown out causing "vomiting".
IV.5 (10)
Challijvaram (Malaria)
This fever is quite common among the Koyas of Boddugudem. People experience severe cold and shivering when they get this fever. This fever may even lead to death in some cases. It is believed that this is due to mosquito
IV. 6. Symptoms of Different Diseases Based on the Koya Concept of Hot IV.6. (1) Jvaram (fever)
Fever is very common among the Koyas. They say that when the body temperature of the body exceeds the normal temperature, This also causes body pains, and headache etc. If the fever is high.
when a person works continuously in the podu fields in hot sun with out taking proper rest If one does not consume adequate quantity of toddy that person get these pains general belief.
IV. 6 (7)
urinate. Vendu is caused due to consumption of hot foods. Exposer to weather during summer also creates excessive heat in the body.
IV. 6(8)
Nadumnoppulu (backache)
This is common in adults when they walk continuously to the near by
places like shandies. Theses pains generally start at first in the waist and spreads to all other part of the body. The main reason for this is attributed to strainful walking in the hot mid-day.
IV.7(1)
Ammatalli(chikenpox
Ammatalli is a common disease among the people and the reason for its occurrence is attributed to the anger or displeasure of their kula devata the Now a days, due to the impact of various
goddesses Mutyalamma.
governmental and non-governmental programmes on health, the Koyas understand that it is an infectious disease caused by crimi (germs)or dirt.
IV.7(3)
Mondikurupulu (sores)
Mondi kurupulu are considered as dangerous sores and the Koyas do not know the exact reason, but people say that these painful sores are not controlled by their traditional medical knowledge. Hence the reason for these sores are attributed to some evil spirits. It is observed that the people who get effected with this disease have to bare severe pains Some people may even to die.
IV.7(4)
Sompidi (atrophy)
This is among the Koyas of Boddugudem village. The symptoms are it retards the physical growth of a person. The causes are attributed to the
IV.7(5)
Devarasattu (paralysis)
The symptoms are loss of sensation of the affected parts(s) of the body and impairment of the functions of the muscles. This affects the nerves system. The affected body parts become immobile. People consider this as a serious
disease and they are unable to cure this with their traditional medical practices . Hence occurrence of this disease is attributed to some supernatural causes
Kamerlu is one of the common disease that affects all the people in the village and they have identified four categories of Jaundice in accordance with their nature and symptoms. They are (a) Patchakamerlu Yerrakamerlu and (d) Ubbukamerlu (b) Tellakamerlu (c)
IV.8(1 a) Patchakamerlu
The eyes and nails of the person affected with this disease become yellowish. The patient looses his appetite gradually and gets fever. To confirm this a little rice is added to the urine of the patient. It the rice turns yellow it is confirmed that the person has been affected the Patchakamerlu. A few people explained that this disease is due to excessive heat and majority of people said that this occurs due to weakness in the body and deficiency of food
IV.8(1b) Tellakamerlu
It gets manifested in the advanced stages in the form of white patches on the body of the affected person. The eyes become pale white and the nails turn whitish colour. According to koyas this is a dreadful diseases.
IV.8(1c) Yerrakamerlu
The eyes of the person affected with this become blood red The Koyas expressed that this is also one of the dangerous diseases
IV.8(1d)
Ubbukamerlu
This is characterized by swelling in the body especially in legs, eyes, hands and stomach of the effected person. The Koyas, attribute this to the consumption of 'cold foods'.
IV.9 Symptoms of Different Skin Diseases that are Common Among the Koyas
IV.9(1) Dula/Duradalu (Itching)
This causes irritation of the skin and itching, and scratching results in wounds. Koyas consider Itching as a skin disease causes by some crimi (Insects).
IV.9(2)
Gajjipokkulu(scabies)
This is a contagious disease similar to itching and the reason for this is attributed to vendu (overheat) in the body.
IV.9(4)
This is also a common skin disease. People effected with this suffer from itching and it spreads from one part of the body to other parts.
main reason attributed to these white patches is due to over heat in the body or consumption of hot foods.
IV.(11) Animal Bites and Other Ailments 1V.11(1; Kukkakantu / Kukkakatu (Dog Bites;
The Koyas call this as Verriabbu which is a dangerous and harmful. This is caused due to dog bites.
IV. 11 (2)
The Koyas believe that certain snakes are poisonous and if they bite any one , it may lead to death Snake bite is very painful and the person biten by snake will discharge some Nurugu (Froth) from the mouth.
IV.11(6) KATTIGATLU(cuts)
Koyas use kodavallu I Banakattulu (sickles) in their agricultural activities and in collecting toddy from toddy palms. The climbing up and coming down, due to abrasion cause bruises and severe cuts.
IV.12
witch craft. Sorcery refers to the power to manipulate and alter natural and supernatural events with the magical spells and performance of ritual. The sorcerer can and in many instances use his abilities for good as well as bad ends. Sorcerer acquires his powers through apprenticeship. Witchcraft can be an inherited power used only for evil. When there is some enimity with the victim the Vejji / Vejju (sorcerer) performs evil acts against that person (her or she). Some people of the village say that only worthless people in practice sorcery. According to others sorcery is the most forceful mechanism that lies in the hands of a few men or women who know the way to kill others. But individual identity of the sorcerer is not that
important matters is the identity of the village that induced the sorcerer to carry out his act. Most of the severe illnesses among the koyas of Boddugudem are Some illnesses are attributed to poison
IV.12(1)
The Koyas of Boddugudem call their sorcerers as vejjodu / vejju/ vejji in their mother tongue. Vejji (Sorcerer) is a tribal shaman who acts as enchanter. Sorcery refers the natural and supernatural events and is associated with the performance or several rituals. The Vejji (sorcerer) in many instances use his powers for good as well as bad ends. Vejji (sorcerer) acquires his powers through apprenticeship vejji primarily gives treatment to the victim; and the sick person dies he will be blamed. The Koyas resort to sorcery for revenge and some times to weaken the opponents or even to eliminate them (men or women). There are women sorcerer also in the neighbouring Koya villages. Women sorcerers are
believed to have powers of controlling certain forces The Koyas of Boddugudem attribute severe or nagging illnesses to sorcery.
cripple the person for life These diseases are note worthy for the belief that they are inflicted by phantoms or the shades of spirits which are under the control of the sorcerer. Certain disolate places, trees, and mountains are believed to be the haunting places of these spirits. In such places, sometimes people come across bones. These bones are believed to have therapeutic value, particularly in the treatment of convulsions. Sorcerers may also use these bones to induce convulsions or worse, to strike a victim.
IV.12(1b)
Poison Sorcery
This involves magical spells to mutilate or poison the victim. It demands boldness and aggressiveness. It is the way for young men to demonstrate their virility by participating in this type of sorcery. This is used by people of one village in aggression against the people of another tribal village. Pretalu (spirits of the dead ancestors / demonic / beings) monstromous in size. They strike their victims during lightning storms through the medicine of the sorcerer by causing convulsions.
IV.12(2)
Practice of witchcraft among the Koyas centres on mystical and innate powers, which can be used by its possessor to harm the enemies who are in other villages or in their own village. Whichcraft associated with utterance of magical chants (mantramu) to invoke spirits. Achieving the power of witchcraft needs certain observances and secret practices. It can be passed on to
someone by succession. A person possessing witchcraft cannot take it into the neither world; before dying he must pass to either human beings or to some domesticated animal to destroy their lives Witchcraft is used to damage other people's property or Witches per form most of their deeds at night and The witch involved by witchcraft flies about Its cry resembles some night bird, and can be
heard A witch is gifted with second sight, he or she can see things in complete darkness as clearly as in the day time or watch things happening far away and can also see gods, ghosts, or other beings who are invisible to common mortals. They can work all sorts of wonders. The Koyas call their female witchdoctors as Matalu and men Witchdoctors as Devar. People of the Boddugudem village visit their neighboring villagers to consult Matalu. as there are only male witchdoctors in their own village.