Mapuche medicine is the system of medical treatment historically used by the Mapuche people of southern Chile. It is essentially magical-religious in nature, believing disease to be caused by supernatural factors such as spells and curable by treatments based on rituals, thermal waters and herbs. Knowledge of medicinal herbs is one of the best-known elements of Mapuche medicine and is still used today., One of the most striking aspects of historical Mapuche medicine was the use of surgery as a treatment, which was developed to treat wounds and traumas suffered in the frequent battles between tribes. Fractures and dislocations of bones were treated by immobilising and covering the limbs with pastes and ointments made of medicinal herbs. As in Europe, the practice of the bloodletting was also commonplace and used as a treatment for many conditions. In Mapuche culture, it was done by making small cuts with a very sharp stone called a "guincubue" to draw blood, then covering the cut with an astringent or herbal mix. Bloodletting was also used by parents on children to make them lighter, more agile and more capable of working and fighting, as it was thought that their blood was salty and heavy. Hygiene was very important in Mapuche life. They were very clean and tidy, bathing every day in nearby streams or rivers, regardless of weather conditions. The bark of the Quillaja tree, which is very common in the local area, was used as soap.
There were three main categories of doctors or healers in Mapuche medicine: the vileus, the ampiver and the machis.
Vileus:
Ampiver:
Lawentuchefe:
Machi:
If a patient did not recover from any of these methods, the last resort was the performance of a magic ritual called "Machitún". Machis also served as advisors and oracles for their community. ; Machitún If a machi had tried all conventional treatments without success a machitún ceremony would be tried, where the machi communicates with the spiritual world in order to find a diagnosis and a cure. For the machitún, the machi places a bunch of laurel leaves with some canelo tree leaves in the centre in the corner of a small hut called a ruka , and prepares a goat for sacrifice there. Women sang mournful songs while the machi spread tobacco smoke through the room and got ready to sacrifice the animal. The goat’s heart was cut out and placed it in the canelo leaves, and then the machi simulated penetrating the patient’s abdomen in a search of the "magic poison". Finally, the machi played the cultrún and fell in a trance where the spirits would tell him how to treat the patient. On occasion, the three kinds of doctors would meet to solve a problem in a meeting called a "Thauman". Apart from the three kinds of doctors previously mentioned, there were two further kinds of surgeons. The cupove was a pathologist who would examine corpses to determine the disease and cause of death and the gutave was a surgeon expert at treating wounds, ulcers and many kinds of wounds.
Mapuche medicine today
There are several government programs today which aim to integrate traditional mapuche medicine with Western medicine. They look to incorporate the cultural aspects of Mapuche medicine into modern Western techniques and in this way facilitate bringing modern techniques into Mapuche communities. Examples include the "Programa de Salud Mapuche" and the "Mesa Local ". The latter aims specifically to incorporate Mapuche views on health and environmental issues into its work.