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Sunday, December 29, 2002
Books

Rationale behind remedies
M. Rajivlochan

Honey, Mud, Maggots and Other Medical Marvels: the Science Behind Folk Remedies and Old Wives Tales
by Robert and Michele Root-Bernstein. Macmillan. Distributed in India by Rupa. Pages 279. £ 7.80

Honey, Mud, Maggots and Other Medical MarvelsA pure honey and sugar solution is said to cure burns and ulcers much faster than any other known medication and without side effects. Some kinds of clay are eaten as nutritional supplements, while ingesting others can do wonders to rid the body of a number of toxins. Licking wounds is said to cure them faster. Medicinal baths have had a long history of curing dropsy cases, while bleeding provides some relief to those suffering from persistent headaches. Drinking one’s own urine is supposed to enhance one’s immunity. Washing the face with urine is said to soften the skin and rid it of wrinkles. Where clean water is not available, urine is said to be a good substitute for cleaning wounds. Each instance of snakebite is accompanied with stories of snake charmers who have saved lives from snakebites without the use of antivenin. Many of us know of the Baba who cured infantile hydrocele by merely piercing an ear lobe.

Newspapers routinely carry advertisements about setting right diseases relating to the head, heart, etc. by providing an oil-massage, a herbal decoction, a water bath, an exercise or even an exorcise. Some spring waters are known to have curative properties. Some commonplace compounds such as DNCB (dinitrochlorobenzene) found in the photographic developer solution are even claimed to alleviate problems caused by the destruction of the immune system by HIV, the virus that causes AIDS.

 


Is there a science at all underpinning such claims? Or do such claims survive solely on the desperation of those who are ill and are mere indicators of hope that if not that then this magical remedy that would restore them back to health? What can such claims contribute to medical science and is there any way to put them to good use? This issue is of utmost importance since along with the development of modern medicine there has also been an upsurge in quackery that does not always stand sustained tests. Many kings and noblemen, among them Charles II of England and George Washington of the USA, have died consequent to the bleeding caused by their doctors. The use of contaminated honey and sugar has resulted in gangrene in many cases. Licking wounds is not always safe since the saliva might contain unknown pathogens. Snakes, it turns out, inject a killing dose of venom only in about one-third of bite cases. Infantile hydrocele, it is known, clears up on its own after a while even without the intervention of the Babaji. And yet, many times we prefer alternate therapy. Sometimes it works and sometimes it does not.

Ironically, while people are ever eager to sue their doctor for not providing adequate cure, they are just as willing to be guinea pigs for herbal and other alternate untested medicines and seldom insist upon the same degree of care for their cure. As a result, some do-gooders have even opened up extensively visited Websites to warn the gullible about fraudulent panaceas (see www.quackwatch.com).

Actually charlatans as well as the best of scientists fill the history of science with claims and counter-claims. For a layperson, to determine the veracity of the one or the other becomes very difficult. When the science is as inexact as medicine dealing routinely with matters of suffering often gravitating close to the line dividing life and death, there is a great desire to suspend reason altogether in the hope of a miracle cure for a life-threatening or a lingering illness. To make things more complicated, many times the alternative to standard medical practise does seem to work and much of standard medical practise has actually been derived from folk remedies that have existed for many centuries. So what is going on?

The Root-Bernstein couple bring to bear the combined skills of a doctor and a historian to delve into the history of medicine to inform us on these issues. He has had a MacArthur Fellowship to write a book on medicine and she has won prizes for her books on history. Between them they have been able to martial a number of details from the past, relate them to contemporary, more scientific understanding and provide a most readable book that would interest both doctors and laypersons.