Childbirth, Health, and Medicine in Ancient Mesoamerica

For the Mexica, each part of the human body was associated with a different element represented in their calendar. From reproduction of the Vatican Codex. Photo: Carlos rosado van der Gracht / Yucatán Magazine

Maintaining good health in Mesoamerica was understood as a spiritual practice. 

Because infant mortality was high in ancient Mesoamerica, just like in the rest of the world of the time, anxiety surrounded pregnancies and birth.

One of the most common motifs in Olmec art includes depictions of mothers holding their newborn children. Photo: Carlos Rosado van der Gracht / Yucatán Magazine

Pregnancy and childbirth were sometimes linked to death and rebirth. Certain words for pregnancy in Nahuatl (the Aztec language) had roots in death, signifying a transformation and passage. This symbolizes the woman leaving her previous state and emerging into motherhood.

The Maya goddess of childbirth, Ixchel, had her main sanctuary on what today is Isla Mujeres, which became a significant pilgrimage site. Photo: Carlos Rosado van der Gracht / Yucatán Magazine

Though important differences exist between Mesoamerican cultures, pregnancy was seen as a sacred journey guided by deities like the Maya goddess Ixchel or the Aztec Tlazeltéotl.

Tlazeltéotl was the Aztec goddess of life, love, and childbirth and was closely associated with the Mesoamerican ballgame. Photo: Carlos Rosado van der Gracht / Yucatán Magazine

Fundamental to Mesoamerican ideas of health was the hot-cold theory. This belief system held that illness was caused by an imbalance in the body. Different foods, plants, and activities were classified as hot or cold, and treatment involved restoring the balance by consuming or applying substances with the opposite property.

Copal was used in ancient Mesoamerica for both ceremonial and health purposes as it was thought of as a hot element in hot-cold theory. Photo: Carlos Rosado van der Gracht / Yucatán Magazine

Elements of hot-cold theory can still be seen in contemporary Yucatán. For example, even in large cities like Mérida, people often speak of being wary of bad winds known as K’aak’as, which are seen as harbingers of diseases like pneumonia and death. Hadzaha, or dew, can be seen as dangerous, especially when it’s thick enough to make surfaces wet. 

One of the best-documented Mesoamerican medical interventions was trepanation: The surgical practice of drilling holes in the skull was performed to treat headaches, epilepsy, and other ailments. Fortunately, this practice has long fallen out of fashion. Photo: Carlos Rosado van der Gracht / Yucatán Magazine

The temazcal, a sort of sweat lodge, was used for a variety of therapeutic purposes, such as relieving stress, pain, breathing problems, and inflammation. 

The process of taking a temazcal is itself interpreted as a process of birth and rebirth from the earth itself, and in antiquity was also often used by pregnant women. Photo: Carlos Rosado van der Gracht / Yucatán Magazine

Trained midwives, often older women with vast knowledge of herbal remedies and childbirth practices, played a crucial role in ancient Mesoamerica. They assisted in the birthing process, provided herbal medicines, and performed rituals to protect mother and child.

Though practices like traditional midwifery and temazcales for a long time seemed destined to the dustbin of history, in recent years a growing sense of their importance has reemerged. Photo: Carlos Rosado van der Gracht / Yucatán Magazine

Traditional midwives continue to work in many regions of Mesoamerica, including Yucatán where a few years ago the documentary Jats’uts Meyah tells the story of Bacila Tzec Uc, who has successfully brought thousands of children into the world using ancient techniques. 

The Maya were especially adept when it came to anatomy and would even produce art pieces featuring realistic depictions of organs or skeletal structures like the vertebrae. Photo: Carlos Rosado van der Gracht / Yucatán Magazine

One aspect that Mesoamerican peoples gave great importance to human health was clementines and the practice of bathing daily — which oddly enough was described as scandalous by the first Europeans to arrive on the continent. 

Bathing infants and babies was done with great care and the aid of several implements. Photo: Carlos Rosado van der Gracht / Yucatán Magazine

Aside from traditional medicines such as copal, resins, and concautions made of herbs, Mesoamerican people also enjoyed drinking alcohol and taking hallucinogenic drugs.

Far from being considered a vice, alcoholic beverages like pulque were and continue to be seen as essential to healthy living. Just think of all those studies conveniently purporting the benefits of drinking a glass of red wine a day. Photo: Carlos Rosado van der Gracht / Yucatán Magazine

But just like today, illnesses and genetic problems would show up from time to time. However, there are good reasons to believe that “difference” was not seen as a curse but rather as a blessing. 

Figures like the Seven Dolls found inside the temple of the same name in Dzibilchaltún and sculptures of individuals with dwarfism are relatively common in Mesoamerican art. Photo: Carlos Rosado van der Gracht / Yucatán Magazine

If you are interested in learning more about medicine in ancient Mesoamerica, there is a museum dedicated to the topic in Mexico City’s Faculty of Medicine, which is free and open daily. 

Carlos Rosado van der Gracht
Carlos Rosado van der Gracht
Born in Mérida, Carlos Rosado van der Gracht is a Mexican/Canadian blogger, photographer and adventure expedition leader. He holds degrees in multimedia, philosophy, and translation from universities in Mexico, Canada and Norway.
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