Abstract:
There is a great variety in the practice of indigenous medicine. As previous writers
have observed apart from the other forms such as the different types of religious medicine,
ritual medicine, only empirical medicine has two traditions as modem Ayurveda
(institutionally trained) and traditional medical practice {parampara vedakama). The latter is
under-estimated in accounts of Sri Lankan health system. However some of the descendant
practitioners of traditional Ayurvedic families have received institutional training too without
loosing their traditional identity. Yet, the traditional medical practice or parampara vedakama
is still neglected as observed by the previous writers. Not only the general opinion but also the
view of scholarly tradition is that the colonial administration neglected the Sri Lankan
Ayurvedic system. Then the question is if the British administration neglected Indigenous
Medical system, why was it not rectified by the postcolonial administration in the last fifty
years. The primary observations and the basic investigation of this study point out the above
problem still remaining without any remedial action.
From two administrative Districts twenty practitioners whose families continued
the practice throughout the 20th century were selected for collecting field data. The great
volume of qualitative data collected from the literature survey was very much helpful to
establish a comparative understanding of these thematic issues. The quantitative data
collected from the official records, though there is no unanimity, were useful to clear out
some problems. As a result of this attempt, it could be arrived at some important conclusions
to be addressed, some major issues of parampara vedakama from a sociological point of view
as follows.
The colonial administration has not adversely affected the practice of empirical
medicine though the Portuguese had attacked Buddhist temples and along with that some
valuable Ayurvedic texts too were destroyed. The Dutch have appointed Ayurvedic medical
practitioners to their hospitals. The British, in the first part of their administration had entirely
ignored the practice of indigenous medicine but not taken any action against Ayurveda
including religious and ritual medicine as they did in Rhodesia. In the latter part of the British
rule (the first part of the 20 century) they extended their cooperation to develop Ayurveda on
the request of National Elite who considered Ayurveda as a rich national heritage. The
national elite who had little knowledge of the medicinal values of traditional medicine (parampara vedakama) laid the foundation with untiring effort for the development of
Ayurveda within the framework of Western thought as they were brought up in Western
culture and handed over this task to their sub-group bureaucrats .to continue. They too
followed suit strictly adhering to the colonial administration frame even in the postcolonial
period maintaining and developing the institutional structure and preserving the cultural
heritage of Ayurveda. Traditional medical practitioners who mostly belong to the Local Elite
were helpless.
Apart from the above findings, to a certain extent, a new face of medical pluralism,
impact of urbanization and modernization and extinct branches of Ayurveda were also
explored in this study.