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March 1, 2017 by Peter T Young 1 Comment

Blending Traditional and Modern Medicine

In the Islands, “Medicine is generally practiced by the priests (kahuna la‘au lapa‘au,) whose contemplative way of life has led them to acquirement of some knowledge of botany …”

“… they understand the use and application of vomits and clysters, which are drawn from the vegetable reign, and sometimes exhibited with success.”

“Topical bleedings is also in use, but a larger share of priestcraft and mummery enters into their practice. Fortunately the good constitutions and temperance of these islanders prevents their having often occasion for the skill of their physicians.” (Shaler, 1804)

The medical practice in the 1820s and 1830s was not as advanced as many people might assume. The end result of treatments by Western doctors and Hawaiian doctors were the same: purging, vomiting, sweating or managing pain.

Disease was not well understood and was attributed to a mixture of outside influences and physical influences of the afflicted person. Climate, age, temperament, gender, lifestyle, and “constitution” (a subjective idea of how susceptible to disease people were) were thought to cause disease.

Remedies included changes of climate, cupping or bloodletting (in order to weaken the disease you had to weaken the patient), changes in diet, herb or plant based ingestible medications, external topical plasters, and chemicals were all part of the Western pharmacology.

Dr Gerrit P Judd was one of the very few Western doctors in Hawai‘i that was interested in learning about Hawaiian medical practices and remedies. He hired Native Hawaiian assistants and apprentices. (Mission Houses)

Judd’s fairness would not let him condemn everything about the native materia medica. No doubt other haole physicians had indulged a curiosity about kahuna medications, might even have tested or used some of them.

But Dr. Judd was the only haole physician of the 19th century who has left evidence that he knew from personal experience the properties of at least some of the native medicines.

Always inquisitive, always sympathetic to the good things his adopted people could offer, and genuinely fond of them as individuals, Judd investigated their pharmacopoeia very early in his career as a physician among them. (Bushnell)

“It has been an object with me not to oppose the practice of the native physicians in mass, but to endeavor by the best means in my power to correct and modify their practice so that it shall save, not kill, the people.”

“It is my intention, if possible, the coming year to make Ho‘ohano (his assistant) acquainted with the native practices as it now exists and make him the agent for collecting facts on the subject.”

“It is out of the question for us to think of putting down the native practice unless we will attend all the sick ourselves, since it is not human nature to be sick & die without seeking some means of alleviation.”

“The idea of improving the native doctors has therefore suggested itself to me as an exceedingly important one demanding immediate attention.” (Judd, Report to Sandwich Islands Mission, 1839)

“At the commencement of the year (1839) I took a young man who had been at the Seminary six years, with a view to giving him instruction in the Medical art.”

“I commenced the investigation of the native practice and by the aid of these two assistants (Ho‘ohano & Kalili) obtained from several native Drs the various doctrines and practices of the art which have come down through the legalized channels mai ka wa kahiko mai (from ancient times.)”

“These investigations occupied several weeks in the early part of the year and have been continued as opportunity afforded.”

“We also instituted a series of experiments on native medicines which resulted pretty much as all experiments of the kind usually do.”

“We found we could prepare from the native Gourd alone, or combined with Koali (morning glory) or Pipa (Japanese plum) and extract which would physic most delightfully & like Brandreths Pills to any amount which might be desirable.” (Judd, Report to Sandwich Islands Mission, 1839)

Over the years Dr Judd modified his practice to include Native Hawaiian ingredients in his treatments. He also published the first medical textbook in 1838, Anatomia, and founded the first medical school in the Kingdom of Hawai‘i in 1870. (Mission Houses)

Anatomia is the only medical textbook written in the Hawaiian language. Dr Judd, for a time the only medical missionary in the Islands, wrote the text in 1838 to teach basic anatomy to Hawaiians enrolled at the Mission Seminary (Lahainaluna.)

Working from a standard elementary textbook of the time, Judd provided his students with more than a simple, straight translation. He devised a new vocabulary and explained medical functions and practices in words that would be understood by a Hawaiian.

Judd’s use of Hawaiian terms and descriptions gives us insights into native cultural and healing practices in the early decades of the nineteenth century.

Anatomia is a valuable addition to the growing collection of translations on native health and will be greatly appreciated by linguists, historians, and students of Hawaiian language and culture. (Mission Houses) The image shows the Judd Dispensatory at Mission Houses.

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Judd_Dispensatory-MissionHouses
Judd_Dispensatory-MissionHouses

Filed Under: General, Missionaries / Churches / Religious Buildings, Hawaiian Traditions, Prominent People Tagged With: Kahuna, Medicine, Laau Lapaau, Hawaii, Gerrit Judd

September 11, 2016 by Peter T Young 1 Comment

Ho‘ohano

“Farewell to the beautiful flower of the doctor’s garden;
It has fallen and vanished away;
The flower that budded first and blossomed fair.
Its splendor was seen; its fragrance exhaled;
But the burning sun came and it withered.
And that beautiful blossom has fallen!
The occupant of the garden then wondered
That a certain flower should have fallen. …
How beautifully did the plant flourish;
Great compassion for the tenant resident;
Mourning and searching with great lamentation;
Whither, O Gerrit, hast thou gone?
When wilt thou return to thy birthmates?
Alone hast thou gone in the way that is lonely;
Thou hast gone a stranger in an unknown path.”

Gerrit Parmele and Laura Fish Judd’s first child, Gerrit Parmele Judd II, was born March 8, 1829; he died November 13, 1839. Ho‘ohano an assistant of Dr Judd was much attached to the boy. The night after he died he watched by the body, and composed the above poem in Hawaiian. (Owen)

The Judd’s were part of the 3rd Company of missionaries from the American Board of Commissioners for Foreign Mission (ABCFM,) arriving in the Islands in 1828.

Judd, a medical missionary, had originally come to the islands to serve as the missionary physician, intending to treat native Hawaiians for the growing number of diseases introduced by foreigners. He immersed himself in the Hawaiian community, becoming a fluent speaker of Hawaiian.

Ho‘ohano, a graduate of Lahainaluna, was a medical student, of whom Mrs Judd said, “He was a valuable assistant both in the preparation of medicines and prescribing for office patients.” (Judd)

Dr Judd sought to learn of Hawaiian traditional medicine and incorporate it with his Western practice. Western medicine in the 1820s and 1830s was not as advanced as many people assume it to be. There were few endemic diseases before Western contact. The physical treatments of Western doctors and Kahana Lā‘au Lapa‘au were actually very similar. (Mission Houses)

“It has been an object with me not to oppose the practice of the native physicians in mass, but to endeavor by the best means in my power to correct and modify their practice so that it shall save, not kill, the people.”

“It is my intention, if possible, the coming year to make Ho‘ohano acquainted with the native practice as it now exists and make him the agent for collecting facts upon the subject.”

“It is out of the question for us to think of putting down the native practice unless we will attend to all the sick ourselves, since it is not in human nature to be sick and die without seeking some means of alleviation”

“The idea of improving the native doctors has therefore suggested itself to me as an exceedingly important on demanding immediate attention.”

“These investigations occupied several weeks of the year and have been continued as opportunity afforded. We also instituted a series of experiments on native medicines which resulted pretty much as all experiments of the kind usually do.” (Judd, 1839 Medical Report)

“The names of Medicines and diseases so far as we have proceeded are in the Hawaiian language. … Ho‘ohano is competent to do what in our common language is called giving out medicine, bleed, cup, dress wounds, open abscesses &c &c.” (Judd, 1839)

The student rooster of Lāhaināluna Seminary has a Ho‘okano listed for the class of 1833 who attended for four years from Honolulu on the island of O‘ahu. Ho‘okano would have graduated by 1837 and then could have returned to Honolulu to be employed by Dr. Judd. (Mission Houses)

“Some attention has been likewise been bestowed in teaching him to read proof sheets, which he is now qualified to do with tolerable correctness, for which he is paid a small sum out of the appropriation for the Printing Department.”

“His board I have furnished at my own expense & have drawn about 25$ for his clothing from the Department. Whether this experiment will prove a successful one is yet quite uncertain, although thus far appearances are favorable.” (Judd)

“It has been my object to place the common Office practice as much as possible into the hands of native assistants, and this has been attended with much encouraging success.”

“Hoohano & Kalili (another medical assistant) have both rendered themselves useful the former however much the most so as his previous acquirements and habits of mental application render him much the best qualified for the profession.” (Judd, 1839 Medical Report)

“Ho‘ohano died the last of June (1840) … his death must therefore be regretted as a loss to his people.” (Judd) He “followed his little friend along his ‘lonely pathway,’ both leaving some evidence of having been reconciled to God through the death of his Son.” (Bingham) (Judd’s assistant has been referred to as Ho‘ohano and Ho‘okano.)

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Judd_Dispensatory-MissionHouses
Judd_Dispensatory-MissionHouses

Filed Under: General, Missionaries / Churches / Religious Buildings, Hawaiian Traditions Tagged With: Hawaii, Gerrit Judd, Medicine, Hoohano, Hookano

April 13, 2015 by Peter T Young Leave a Comment

For the Sake of Public Health

Hawaiian Mission Houses Historic Site and Archives presents it’s highly popular Cemetery Pupu Theatre series with a new set of historical characters.

These programs are waaay cool.

Actors are dressed in period costume, telling the life events of select individuals buried at O‘ahu Cemetery, at their respective grave sites.

Each ‘stage’ is at the respective subject’s gravesite at Oʻahu Cemetery in Nuʻuanu. There was nothing ghoulish about it; rather, it was very effective storytelling.

Cemetery Pupu Theatre takes us back to our shared history and allows us to “meet” people who have influenced Hawaiian history and hear their stories.

The scripts are researched and documented, making Cemetery Pupu Theatre a unique presentation of real history.

“For the Sake of the Public Health” presents a series of people who were intimately involved with the health, care and welfare of the people of Hawaiʻi.

Hawaiʻi faced many public health crises and had many healthcare needs during the days of the Kingdom, the Republic and the Territory.

Each person has an interesting and important story to share that sheds light on the challenges faced by doctors and victims of disease.

They are: the first licensed female physician in the islands tending to the needs of women and children; a dentist turned politician; a doctor who dedicated his life to fight against the Great White Plague of Tuberculosis; a doctor who did leprosy research at Kalihi Leper Hospital; and a victim of the 1853 smallpox epidemic.

These people who shaped health care in our islands today, help us remember those who have gone before us were public servants, and witnessed history.

Dr Archibald Sinclair (portrayed by Richard Valasek,) the founding director of Lēʻahi Hospital and an important pioneer in immunology who sought a cure for Tuberculosis.

Haliʻa is a composite character (portrayed by Karen Kualana) who was a victim of the 1853 smallpox epidemic in which 6,000 people died, 8% of the Kingdom’s population.

Dr John Mott-Smith (portrayed by Adam LeFebvre,) Hawaiʻi’s first royal dentist, who also negotiated both Reciprocity Treaties and was the Kingdom’s last ambassador to the United States.

Dr Sarah Eliza Pierce Emerson (portrayed by Karen Valasek,) Hawaiʻi’s first licensed female doctor, who was on the Board of Examiners for the Oʻahu Insane Asylum.

Dr William L. Moore (portrayed by Dezmond Gilla,) a member of the board of Health and superintendent of the Hilo Hospital, and was involved in searching for a cure for Leprosy.

Mike Smola and others at Hawaiian Mission Houses Historic Site and Archives researched the scripts.

William Haʻo directed “For the Sake of the Public Health.” He has performed in Hawaiian Mission Houses’ A Midsummer Night’s Dream, as well as all four Cemetery Pupu Theatre shows.

Carlyon Wolfe was the costume designer. She is currently the staff designer for Mānoa Valley Theatre. She has earned four Hawaiʻi State Theatre Council Poʻokela design awards for her efforts.

This sold out program was presented in June 2014 (with an encore in 2015.) If you weren’t one of the fortunate ones to see it live, the links will take you to the respective performances.

Click HERE for a link to the Mission Houses Calendar.

Don’t miss the Cemetery Pupu Theatre, or any of the other great programs at Mission Houses. (Lots of info here from Mission Houses.)

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OahuCemeteryEntrance
OahuCemeteryEntrance
Oahu-cemetery-crematorium&chapel
Oahu-cemetery-crematorium&chapel
Dr Archibald Sinclair (portrayed by Richard Valasek)
Dr Archibald Sinclair (portrayed by Richard Valasek)
Haliʻa a composite character (portrayed by Karen Kualana)
Haliʻa a composite character (portrayed by Karen Kualana)
Dr John Mott-Smith (portrayed by Adam LeFebvre)
Dr John Mott-Smith (portrayed by Adam LeFebvre)
Dr Sarah Eliza Pierce Emerson (portrayed by Karen Valasek)
Dr Sarah Eliza Pierce Emerson (portrayed by Karen Valasek)
Dr William L. Moore (portrayed by Dezmond Gilla)
Dr William L. Moore (portrayed by Dezmond Gilla)

Filed Under: General, Prominent People Tagged With: Hawaiian Mission Houses Historic Site and Archives, Oahu Cemetery, Medicine, Archibald Sinclair, John Mott-Smith, Sarah Eliza Pierce Emerson, William L Moore, Hawaii

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Images of Old Hawaiʻi

People, places, and events in Hawaiʻi’s past come alive through text and media in “Images of Old Hawaiʻi.” These posts are informal historic summaries presented for personal, non-commercial, and educational purposes.

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