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n ancient times, it was a tradi- Hiuen Tsang (CE 629-645), an- However, sometimes the physicians
tion to take care of and treat the other Chinese traveller contempo- were appointed by the king or the
patients in their own homes, and rary with the emperor Harsha, also queen or by some religious institu-
for those who had no one to look after provides a description about the tion or local authority.
them, the state had arranged places hospitals of that time. According to The temple inscriptions of one
where the patients were lodged and him in all the highways of the towns of the temples of the Chola period
treated. and the villages throughout India give a detailed account including a
O.P. Jaggi, the well known his- there were ‘hospices’ (punya-salas). description of a hospital, a medical
torian of medicinal sciences, in a re- These hospices were provided with school and a hostel for the students.
cent article tries to recapitulate the food and drink as well as physicians Veera Rajendra Deva of the Cho-
state of Indian hospitals during the with medicines that provide medi- las issued a commandment in CE
ancient and medieval periods. It is cal facilities to the travellers and 1067 that is inscribed on the walls
remarkable to note that the state in poor people. These institutions that of the inner sanctuary of the temple
India all through its history func- helped the poor and the needy peo- of Venkateshwar at Tirumakudal
tioned as a welfare state and provid- ple were also known by several oth- in the district of Chingelput. There
ed well organised health facilities to er names such as punyasthanas, pu- were fifteen beds in the hospital for
the destitute and the poor. We give nyasalas, dharmasalas, viharas and the treatment of the members of the
a brief glimpse of the ancient Medi- maths. These were the Indian coun- temple, the students and the teach-
care systems based on Jaggi’s com- terparts of the western almshouses, ers of the school. The hospital was
prehensive article. monasteries and infirmaries of those administered by Kodani Ramesh-
times. wathan Bhattar (a physician) who
Ancient Period There are some epigraphical was paid about 90 kalam of paddy
Fa-hien (CE 405-411), a Chinese records that show the existence of per year and there was also a sur-
traveller who visited India during dispensaries in the Deccan dur- geon in the hospital (Calliyakkirivai
the times of Candragupta, provides ing the Pallava period between CE
us details about the charitable dis- 574 and 879. Epigraphical records
pensaries in Pataliputra. According of the Chola period tell us about
to Fa-hien the nobles and house- the allowances given to the physi-
holders of this country founded hos- cians, village dispensaries as well
pitals within the city to which the as the town hospitals. The records
destitute of all countries, the poor, of Chola kings show that words like
the crippled and the diseased could atulasalai or vaidyasalai were used
come. Here, these people were treat- for dispensary, while the words like
ed freely and provided with every atula or vaidya were used for medi-
kind of help. After inspecting their cines. There were a large number
diseases the physicians treated them of dispensaries in the village, most
and when cured, they departed at of which were maintained by a lo-
their convenience. cal physician of hereditary nature. Source: www.consultayogi.com
Pannuvan) who was paid 30 kalam Ayurvedic Global Dissemination). wife of the Prophet was cured by an
of paddy per year. Besides the phy- Indian Jat physician of Medina. It is
sician and the surgeon, there were Contacts with West Asia also recorded that Harith bin Kala-
two persons who fetched medicinal The names of several Indian products da, the trusted Hakim of the Proph-
herbs for preparation of medicines such as Indian sword, Indian spices et, studied in the medical school of
and two attendants who attended and aloes-wood are often found even Jundishapur (in Khuzistan, in South
to the patients and administered in pre-Islamic poetry. Names of the –West Iran) where Indian vaidyas
medicines. The persons who fetched Indian drugs, like Kafur (Karpüra), and philosophers also taught sci-
medicinal herbs were paid 6 kalam Misk (Muska), Zanjabil (Srhgavera) ences including medicine. At the end
of paddy and 2 kasu, while the at- and ud (Aguru) etc. occur even in of his studies and before returning
tendants were paid 30 kalam of the holy Qur’an and Prophet’s tradi- to Mecca, Harith travelled through
paddy and one kasu. Some money tions (Ahadith-i-Nabawi). Probably India in search of more informa-
was spent on some other accounts. A the Arabic words like Faniz, Tütia, tion about different branches of In-
barber was paid 15 kalam of paddy, Narjil, Bish and Sandal have prob- dian Medicine. It is also mentioned
a waterman was paid 15 kalam of ably been derived from Sanskrit that an Indian physician, Birzantin
paddy and there was also a provi- language. Verma (1992) in his de- Hindi had migrated to Yemen and
sion for a lamp to be kept burning in tailed article, “Indo-Arab Relations settled there presumably during
the hospital during the nights. Each In Medical Sciences”, gives several Anusherwan’s reign (530-580 CE).
patient was provided with a nail of well-documented instances of such A Chinese monarch sent a gift in
rice per day. The names of twenty contacts. the form of a book to the first Um-
different medicines that were kept Several Indian tribes like Jats mayyad Caliph (660-680 CE). The
in the store of the hospital were also (Zutt) had settled down in Arabia book contained some secrets and
mentioned in that inscription. even before the beginning of Islam wisdom regarding Indian medicine,
Another inscription dated CE and they were well-versed in differ- alchemy and astronomy. The same
1226, found on a stone pillar of ent branches of ancient Indian tradi- book was received by his grandson,
Malakapur in Andhra, also records tional medicine. Many of them, such Abu Hashim Khalid bin Yazid, who
references of medical interest. Ac- as Tantric medicine, and were using used to take keen interest in the
cording to this inscription Kakatiya their clinical proficiency to cure the acquisition of scientific knowledge
Queen Rudramma and her father patients. Some of the Indians are from different countries. It is there-
Ganapati donated several villages even said to have been in the com- fore believed that he might have ex-
to the south of the river Krisna to pany of the Prophet. The beloved tracted and assimilated considerable
Vishweshwara. The income accruing material on medical sciences and on
from these holdings was divided into other subjects of Indian origin. It is
three parts, one part of which was Several Indian tribes like stated that after conquering Sindh,
used for a maternity home, one part ‘Abdullah bin Sawwar ‘Abdi (667
for a hospital and the last or the re- Jats (Zutt) had settled CE), the Governor of Sind, sent a
maining part for a school. The pros- number of rare gifts to the Caliph on
perous, the princes and the kings down in Arabia even behalf of the Raja Gigan (Qiqan). Al
who built various hospitals and sup- Tabari (c. 850 CE) mentions that the
ported them with money, were con- before the beginning Indian hair dye (al-Khidab ul-Hin-
sidered pious and philanthropic. di) was also exported to Arabia and
of Islam and they were was very popular with the Arabs
Medieval Period due to its peculiar quality allowing
Before we discuss the medieval hos-
well-versed in different for retaining the bright dark texture
pitals in India, it may be useful to of the hair for minimum period of
have a look at the important role the
branches of ancient about a year.
Arab world played in learning Indi- Indian traditional All the ‘Abbasid caliphs from al-
an science as also in disseminating Mansur (754-773 CE) to al-Muta-
it to the West (see our earlier essay, medicine. wakkil (847-886 CE) were patrons
of arts and sciences. Caliph Harun precious gifts. He came to Baghdad well-known minister of Nausherwan
al-Rashid (763-809 CE) is well and cured the royal patient and the (530-580 CE) came to India at the
known for his literary and scientific caliph granted him handsome pen- command of his king to collect more
interest. He established his famous sion and bestowed upon him great information on Indian arts and sci-
Bait-ul-Hikmat (House of Wisdom), wealth. ence. He brought back Indian scien-
a combination of library, academy Manaka was proficient in Ay- tists and experts of Ayurveda along
and translation bureau, which in urveda and other Indian sciences with the books on different subjects.
many respects proved to be the most and had a sound knowledge of Indian Most of them were deputed to im-
important educational centre since and Persian languages. He was de- part Indian medical education. Oth-
the foundation of the Alexandrian puted as Chief of the Royal Hospital er scholars were appointed for ren-
museum in the first half of the third at Baghdad and translated several dering scientific books into Pehlavi
century BC. When the Arabs real- books from Sanskrit into Persian or language in the medical academy
ized the high quality and value of Arabic language. Ibn Dhan (Dhanya and translation bureau of Jundis-
Ayurveda as well as Indian culture, or short form of Dhanvantari?) was hapur. The Arab scholars were also
they got interested in translation of another competent Indian vaidya acquainted with some other Indian
Indian medical and other scientific who lived at Baghdad at the same vaidyas and masters of other allied
works from Sanskrit into Arabic. time when Manaka was there. He sciences. These were:
Thus works like Caraka-samhita was called there by Yahya bin Kha- I. Kanka (Ganga) was one of the
and Susruta -samhita etc. were ren- lid, the Barmecid vizier and was ap- most learned Indian scientists
dered into Arabic. The Arabic trans- pointed as the Director of his (Bar- who also knew the healing art
lation of these samhitas highly im- mecid) hospital at Baghdad. At his and drug sciences. According to
pressed the Arabs. They assimilated behest, Ibn Dhan also rendered a some Arab writers, Kanka was
an enormous material in their Tibbi few Sanskrit texts into Persian or accepted by all the Indian sa-
medical treatises. Arabic Language. Saleh bin Behla vants to be the greatest author-
The Barmecide (Barmaki or was another competent practition- ity in astronomy in ancient In-
Barmak, after the Sanskrit word er of Ayurveda, though he does not dia. He was probably the author
Pramukh, high priest) rose to the seem to have had any official posi- of the following books: (a) Kitab-
most influential position during the tion. He is known to have cured Ib- ul Namudar fil-’Amar (The
‘Abbäsid period, particularly in the rahim bin Saleh of apoplexy, after book of horoscopes of lives); (b)
reign of Caliph Harun al-Rashid. As he was declared dead by the Cal- Kitab-ul Asrãri’l Mawalid (The
a physician Barmak’s claim to fame iph’s own physicians. On the ad- book of the secrets of births): (c)
is the pill which was named after vice of Säleh, the royal patient was Kitab-ul Qiranat (The book of
him (Habb-i-Barmaki). It was rec- taken out of his coffin, bathed and conjuctions); Kabir wa Saghir
ommended by Ibn Sina (980-1037 put in his usual dress. Then the In- (Major and Minor); (d) Kitab fi
CE) and later Hakims, along with a dian vaidya ordered a blowing pipe ‘llm-ul-Tibb (The book on medi-
perfume which was widely used by and blew some snuff prepared of cal science); (e) Kitab fi’lm-Ta-
prostitutes. Yahya bin Khalid, the Kundush (Verartilum album) with wahhum (The book on mania);
Barmecide (c. 805 CE), the vizier the instrument into his nose. After and (f) Kitab fi’l Ahdathi’Alamii
of the Caliph Mahdi and the tutor about ten minutes, all of a sudden, fi l’Qirdn (The book on the inci-
of Harun al-Rashid, sent an Arab the pateint's body quivered and he dents that may happen in the
scholar to India to study and bring sneezed, sat in front of the caliph world under certain conjunc-
the Indian drugs and herbs. Yahya and kissed his hands. The caliph tions of stars).
also invited Indian vaidyas and was much impressed by the clinical II. Sanjhal was a most learned man
philosophers westwards so that he acumen of the Indian doctor and re- of India who wrote a book on
might learn from them. Once Harun warded him handsomely. nativity entitled, Kitab-ul-Ma-
al-Rashid was afflicted with a seri- Duban, the Indian learned vaid- walid (book of nativities).
ous disease and could not be cured ya, was sent by an Indian Raja to the III. Shanaq (Cãnakya) was one of
by his own physicians, he sent for court of Caliph al Ma’mun’ at Bagh- the ablest vaidyas of India. He
Manaka (Mankhaor Minikya) with dad. It seems clear that Burzoe, the had versatile knowledge of vari-
and savants were present in Delhi further stated that there were about providing more medical facilities.
that could not be found in the 52 public rest houses, where travel- During Aurangzeb’s period many
whole world. lers from outside and far off places hospitals were situated in the capi-
could rest in comfort and they were tal and the outlying cities.
Tughluq Dynasty Hospitals very well provided with food and Besides the emperors many
After the death of Ala-ud-din Khilji, other necessities of life. prosperous nobles and citizens
the Khilji dynasty crumbled. Now it In Dar-u-Shifa, the physicians also built hospitals. Nawab Khayr
was the turn of the Tughluqs. Mu- were classified into two categories. Andish Khan Kumbha built such a
hammad bin Tughluq (CE 1325- The first category was of those physi- hospital at Etawah. Nawab Khayr
1352) belonged to this dynasty. Dur- cians who were highly qualified and Andish Khan Kumbha himself had
ing his time there were about 70 expert in the diagnosis of diseases a good knowledge about the sci-
hospitals in Delhi alone and 1200 and who looked after the patients, ence of medicine and also composed
physicians were enrolled as state while the second category was of a book related to medical science
employees. Feroz Shah Tughluq was those who were scholars, learned named, Khayar-ul-Tajrib (The Best
the next ruler after Muhammad bin and well-read in the branches of sci- of Experiences). In the preface of his
Tughluq. He had also great interest ence and medicine. There was an book he has named several physi-
in building hospitals. In Tarikh-i- eminent scholar known as Mir Mo- cians like Abdur Razzaq Naysaburi,
Firuz Shahi composed by Shams- hammad Momin. He was the most Abdul Majid Isphahani, Mirza Mu-
i-Siraj Afif, there is a description distinguished and highly respected hammad Ali Bukhari, Mohammad
that extols his great kindness and personality among the scholar-phy- Adil and Muhammad Azam who
humanity. sicians. Sultan Mohammad Quli were appointed by him in his hospi-
Feroz Shah Tughluq established Qutab Shah and his successor king tal at Etawah.
a hospital for the sick and troubled, Sultan Mohammad Qutab Shah ap- Thus we see that both in ancient
both for natives and strangers, and pointed Mir Mohammad Momin as and medieval India, the state as well
Arab physicians were appointed to a Peshwa, which was a post of great as the rich people provided medical
superintend it. A large sum of 36 honour at that time. Mir Moham- facilities for the poor and the com-
lakh tankas out of the revenues of mad Momin received great respect mon man without any distinction of
the kingdom was provided for the even from the kings and nobles of caste or creed. The state in India by
expenses and 4200 afflicted persons Persia. and large fulfilled its responsibility
received monthly allowances. Medi- to its citizens and functioned as a
cine, food and drinks were supplied Mughal Hospitals welfare state. In contrast, even the
to the needy people and he also do- During Akbar’s period the Unani richest nations today like the USA
nated some richly cultivated villages medicine system spread all the way have made medical facilities a to-
to the hospitals at the expense of the through the greater part of India. tally private enterprise, placing half
treasury. Many renowned hakims and schol- the population out of reach of expen-
ars reached his court from Persia sive medication.
Dar-u-Shifa, the Grand Hospital and other Central Asian countries.
In CE 1595, Sultan Muhammad During his period, there were a good Sources:
Qutab Shah IV built a hospital number of government hospitals, as 1. Jaggi, O.P. 2000. "Hospitals in
known as Dar-u-Shifa (the house well as private clinics run by many India". D.P. Chattopadhyaya (Ed.)
of cure) on the banks of the Mossi physicians. These hospitals as well In Medicine in India: Modern Peri-
River. According to the journal Ma- as clinics were always open to the od, New Delhi: PHISPC. Pp. 70-74.
hanama, Dar-u-Shifa had accomo- deprived people with no distinction
dation for 4000 patients and many of caste and creed. 2. Verma, R.L. 1992. Indian –Arab
physicians were appointed for the Jahangir and Shah Jahan not relations in medical sciences.
treatment of the patients. It was only continued the hospitals built by In P.V.Sharma (Ed.) History of
perhaps the biggest hospital in the Akbar, but also built more hospitals Medicine in India. New Delhi:
world. There were also good facili- for the help of the sick and needy Indian National Science Academy.
ties for a nutritious diet. The journal people. Aurangzeb did the same by Pp. 465-484.