Aztec medicine
Aztec medicine concerns the body of knowledge, belief and ritual surrounding human health and sickness, as observed among the Nahuatl-speaking people in the Aztec realm of central Mexico. The Aztecs knew of and used an extensive inventory consisting of hundreds of different medicinal herbs and plants. A variety of indigenous Nahua and Novohispanic written works survived from the conquest and later colonial periods that describe aspects of the Aztec system and practice of medicine and its remedies, incantations, practical administration, and cultural underpinnings. Elements of traditional medicinal practices and beliefs are still found among modern-day Nahua communities, often intermixed with European or other later influences.
Spiritual influences
As with many other Mesoamerican cultures the Aztecs believed that the body contained a balance ofthree separate entities or souls: the tonalli, the teyolia, and the ihiyotl. This balance affected the health and life of a person. The tonalli, which was commonly attributed with the disease of "soul loss", was located in the upper part of the head. They believed that this life force was connected to a higher power, and the Aztec people had to make sure their tonalli was not lost or did not stray from the head. The teyolia was located in the heart. This entity has been described to be specific to the individual and stood for a person’s intelligence and memory. The ihiyotl, which resided in the liver, was strongly attached to witchcraft and the supernatural. It could also leave the body but was always connected through the wind or an individual's breath, “...thus, each individual could affect other people and things by breathing on them.”
The Aztecs practiced magic to avoid illnesses. They often wore amulets as protection. An amulet is a small ornament worn to keep away harm and evil.
Illness from the gods
The Aztecs believed in a life after death, and a life heavily influenced by the gods. They believed in Tonatiuh on the sun reserved for the strong and the heroes after death, and another heaven on earth. The Tonalamatl had an impactful role on the Aztec belief system. They believed that the Tonalamatl determined everything about the individual except their profession. A person’s longevity, luck, sickness, and even their name was determined by the month and day they were born. The Tonalamatl was split into 13 months, each month representing a different god. The Codex Vaticanus depicts the relationship between human organs and calendar signs, illustrating the magical significance certain organs or body parts held.Because the calendar had so much authority over a person's life, the day on which someone was born or got sick had great importance and usually gave reference to which god the individual had to pay respect to. It was believed that when you were sick, you were being punished by the gods for your sins in some cases. Specific sicknesses were linked to individual gods and their punishments. Tlaloc, the water god, was responsible for sickness related to wet and cold, such as rheumatic ailments. Tlaloc also was responsible for tremor, delirium and other symptoms of alcoholism for those who abused consuming pulque. To relieve these symptoms, people would travel to mountains and rivers of significance to present the god with offerings.
The flayed god, Xipe Totec, was responsible for skin eruptions and rashes. Common ailments included scabies, boils, and eye diseases. The way to treat this disease was to march in front of others wearing the skins from human sacrifices during the second month. After they did this, Xipe Totec would cure them of their ailments. When people broke vows such as fasting or celibacy, Tezcatlipoca would induce incurable disease. Macuilxochitl, would send hemorrhoids, boils, and other similar diseases. There were many other gods as well, each connected to their own set of sicknesses.
Understanding the reason for the ailments was a primary way of knowing which god sent the punishment. The ailments themselves were often not enough as multiple gods such as the god of pleasure and the god of love used similar punishments. Both would send venereal diseases.
The mother of gods was worshiped and followed by those in the medical field. As the goddess of medicine and herbs, her image was always kept in view of medical practitioners
Ticitl
The word ticitl means "Aztec physician". Ticitl is translated by Molina not only as the medical practitioner but also as the witch doctor dealing with horoscopes and fortune tellers. In the Aztec medical profession- practiced by both men and women alike- did not have the social standing that could be expected as a result of their special training and their religious and astrological associations.While the Aztec priest often tended to the sick, if the illness was serious the ticitl was called in. The good Aztec physician a diagnostician, experienced a knower of herbs, of stones, of trees, of roots. He has examinations, experience, prudence. moderate in his acts. He provides heath, restores people, provides them splits, sets bones for them, purges them, gives emetics, gives them potions; he lances, he makes incisions in them, stitches them, revives them, envelopes them in ashes.
Ticitl were also skilled surgeons. They used knives made of volcanic glass to perform surgeries. After a tumor was surgically removed the ticitl would use crushed plants to cover the wound to speed its healing.
Diagnosis and treatment
The Aztec system recognized three main causes of illness and injury: supernatural causes, magical causes involving malevolent curses and sorcerers, and natural or practical causes.The procedures used by the ticitl were empirical and practical. The Ticitl would often rub the body of the patient to remove the "magic dart". The magic dart was an object that they believed entered the body and caused an illness.
The Aztecs had several misconceptions on the contributing factors of illness and health. Aztecs understood there was a balance between hot and cold in medical practice, bearing resemblance to Humorism. For example, fever was thought to be caused by internal heat and was cured by using a purgative, digestive or diuretic to remove the heat from the body. In spite of their misconceptions of contributing factors, the medicine they used was highly effective for Aztec standards.
Religious treatments were varied based on which god issued the punishment and the ailment itself. When seeking reprieve from the ailments imposed by the god of waters, one would make offerings at rivers and mountains. During the second month of the Aztec calendar, there is a festival called Tlacaxipehualiztl, a festival honoring "the flayed one". This festival was an important event for those wishing to be cured from the ailments sent by the god. Those wishing to be cured would cover themselves in the skin of human sacrifices.
Medical practices and treatment consisted of a combination of medical botany and an understanding of the supernatural. Establishing a treatment for any given ailment depended first upon determining the nature of its cause, which could be the result of the supernatural. The presence of a disease could often indicate the existence of a communion with the supernatural world.
Ticitl, or Aztec healers, used plants, roots, herbs, and barks to make medicines. Most of the plants used were sacred to Tlaloc, the Aztec rain god. The two plants used more often were yauhtli and iztauhyatl. These plants were used to cure fevers, epilepsy, stiffness, swelling, colds, and coughs. The Aztecs also believed plants had magical powers to cure love sickness.
Patients would have been told to inhale, smoke, or rub upon certain plants. Ticitl would ground dried plants or combine them with liquids to create medicines. Sap from the maguey plant was used by the tictil to treat battle wounds and other injuries. The adjacent table shows only the well agreed upon herbs in the list of hundreds that were used.