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neously, usually letting the owner <strong>of</strong> the house take<br />

the lead by allowing his voice to be heard over the<br />

others. It is not unusual that rivalries will occur at<br />

this point, when somebody tries to show more<br />

power than others through the icaros. When a<br />

vegetalista has disciples, it may happen that they<br />

will follow the icaro <strong>of</strong> the teacher. It is believed<br />

that an icaro sung by several people will have a<br />

stronger effect.<br />

Many people report hearing marvellous music.<br />

The spirits come singing, and in fact the singing <strong>of</strong><br />

the vegetalista is orchestrated by the music and<br />

chorus <strong>of</strong> the spirits. From time to time there are<br />

breaks in the singing, and the vegetalista and other<br />

people are in deep concentration contemplating<br />

their visions. People <strong>of</strong>ten have periods <strong>of</strong> heavy<br />

vomiting and diarrhoea. When the vegetalista is<br />

`bien mareado' [very dizzy] he will call the patients<br />

one by one and cure them, usually by blowing<br />

smoke on their bodies to restore their lost spirits, by<br />

rubbing them with special stones called encantos<br />

[enchanted objects], or by sucking the inflicted<br />

part. If the matter in question is love magic, a<br />

photograph <strong>of</strong> the person is brought so that the<br />

vegetalista will act on it. Sometimes only the name<br />

and address will suffice for the vegetalista to<br />

perform some action over the distant person.<br />

Shamanic fights are not infrequent. The vegetalista<br />

may realize that he is under attack by the witch<br />

or the forces that caused illness. He will then sing<br />

special songs which will bring his arcanas (defences)<br />

and tingunas to his defence. It may happen<br />

that a person is frightened by the visions, and the<br />

vegetalista has to `take out his visions' with an<br />

icaro, or by blowing smoke on the top <strong>of</strong> the<br />

person's head, rubbing his body, and such. When<br />

everything seems to be at peace, and there are<br />

beautiful visions, it may happen that the persons<br />

taking part in the session will dance. Musical<br />

instruments are sometimes used in sessions.<br />

After several hours the vegetalista finally keeps<br />

silent, and people may sleep on the spot or tell<br />

stories in the dark. Patients may stay there until the<br />

morning, or leave the place after they have been<br />

healed.<br />

Vegetalismo and Healing<br />

We have already seen that vegetalismo is still a very<br />

active practice in the Peruvian Amazon. Wils<br />

(1967:131) found that over 25 per cent <strong>of</strong> the people<br />

he questioned in Bele n, Iquitos, preferred empõÂricos<br />

(folk healers) to Western doctors. Dobkin de Rios<br />

(1984:67) sees this as a conservative figure. I went to<br />

several healing sessions with my informants in various<br />

parts <strong>of</strong> Iquitos and the RõÂ o Napo area, and found<br />

many people attending these ceremonies. In one<br />

ceremony with Don Herman, on the outskirts <strong>of</strong><br />

Iquitos, there were twenty-two people in attendance.<br />

Most <strong>of</strong> my informants in the RõÂo Napo area, as<br />

previously stated, had an average <strong>of</strong> ten patients per<br />

week, and in Iquitos, up to ten patients per day.<br />

Dobkin de Rios (1984:82) found that the destitute<br />

who live in Bele n, find the ayahuasca healer far more<br />

effective than the indifferent medical services available<br />

to them. Vegetalistas, due to their possession <strong>of</strong> an<br />

intimate understanding <strong>of</strong> the social community in<br />

which they are immersed, and their pr<strong>of</strong>iciency in the<br />

use <strong>of</strong> medicinal plants and healing metaphors,<br />

contribute significantly to the physical and mental<br />

health <strong>of</strong> the people <strong>of</strong> rural areas and the urban poor<br />

(Luna 1991:13). While the ayahuasquero gears his<br />

prices to the ability <strong>of</strong> his patient to pay, the large city<br />

hospital's public wards provide no medical service<br />

inexpensive enough for the empty pockets <strong>of</strong> the<br />

poor. Formal medical consultations are generally far<br />

too costly for poor people, and the city hospital has<br />

the reputation <strong>of</strong> being a place that the poor go to in<br />

order to die (Dobkin de Rios 1984:78±82).<br />

The medical clinics and <strong>of</strong>fices are totally foreign<br />

and even sometimes terrifyingly alien, especially to the<br />

rural mestizos. The Western doctors usually have very<br />

little time and charge too much. The vegetalista <strong>of</strong>ten<br />

opens his home to the patients, even for long periods<br />

<strong>of</strong> time, provides counselling, shows interest in the<br />

financial and emotional problems <strong>of</strong> his patients,<br />

amuses them with his stories, even <strong>of</strong>fers them what<br />

we would call forms <strong>of</strong> family therapy (Luna<br />

1986:161).<br />

Don Fernando, one <strong>of</strong> my informants, went for a<br />

week to a village close to Iquitos, where he treated<br />

two <strong>of</strong> his patients. He stayed there all the time giving<br />

plant remedies, emotional and spiritual support, only<br />

in exchange for the cost <strong>of</strong> his transport by colectivo<br />

(river boat) and free accommodation and food. In<br />

other healing ceremonies, I have noticed that some<br />

patients will give the vegetalista fish, yucca, mapachos<br />

(native cigarettes) or other kind <strong>of</strong> produce, in<br />

exchange for their consultation. In most cases the<br />

patients were too poor to <strong>of</strong>fer any payment, which<br />

the vegetalista accepted without any complaints. I<br />

have found that vegetalistas very seldom expect any<br />

kind <strong>of</strong> payment, but will always welcome any gifts.<br />

The vegetalistas prepare special tonics, herb baths,<br />

and diets for their patients. As well as employing an<br />

immense number <strong>of</strong> plants and vegetable substances<br />

in their treatments, they will also make use <strong>of</strong><br />

proprietary medicines (Dobkin de Rios 1984:82).<br />

The system <strong>of</strong> ethno medicine practised by the<br />

mestizo healer can in some sense be regarded as an<br />

alternative health care system. The urban mestizo who<br />

is poor, barred by economic factors from all but the<br />

barest access to health care based on Western<br />

medicine, looks to the ayahuasquero and his magical<br />

and botanical remedies for medical, psychiatric, and<br />

56 ISSN 0256±6060±Unisa Lat. Am. Rep. 16(2) 2000

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