Incurability as ‘disability’ in classical Āyurveda: The case of vision disorders
Tulika Singh (University of Alberta)
In classical Āyurveda, disorders become disabilities, marked by inauspiciousness and social stigma, only when they are entirely incurable. The medical literature considers all treatable conditions as ‘normal,’ and it is primarily the incurability of a condition that renders it ‘disabling’ for the body. This perspective stands in contrast to prevailing legal and normative discourses, which often perceive disorders as socially and legally disabling simply due to their existence. However, the early Indian medical perception of normality and disability is not centered on disorders or the body that possess them but rather on the potential for curability or incurability of the condition in the body.
To illustrate this point, this paper will discuss curable and incurable vision disorders and their connection to the perception of blindness in the literature. The first section will examine the causes and treatments of curable vision disorders, ranging from partial blindness (timira) to mature cataract (liṅganāśa), to demonstrate that even severe vision loss that can be cured is regarded similarly to any other eye ailment, and therefore is not considered a ‘disability.’ The second section will place importance on incurable vision disorders, highlighting that the physician is advised to neglect curing these conditions primarily because they are deemed incurable. Attempting to treat an inherently incurable condition may incur a bad reputation to the physician. Thus the incurability of a condition contributes to the stigma associated with it. This perspective provides us context for understanding occasional references to the inauspiciousness of blindness, viewing it as a disability in Āyurveda. It is not the disorder itself or the body possessing it but rather the intrinsic incurability of the condition that makes it a disability in medical thought.
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