Abstract

      Investigating these beliefs reveals a connection to astrology. Traditional remedies, including medicinal plants and wearing malas, reflect cultural significance. However, jaundice carries social stigma, hindering prompt medical help. To bridge the gap, cultural sensitivity in healthcare and integrating traditional practices with modern medicine is essential. Fostering open dialogue and respecting traditions can build an effective and culturally sensitive healthcare approach.

Introduction

        Jaundice in Assam is more than a medical issue; it's a fusion of cultural beliefs. This article explores how these beliefs impact attitudes, occasionally resulting in malpractices.Additionally, we'll propose strategies to bridge the gap between cultural practices and evidence-based medical guidelines.

Narrative

• Investigating Cultural Beliefs:

            In Assamese society, people have special beliefs about jaundice. They think it's not just a health issue but also connected to their culture and beliefs. The belief system often extends to astrological considerations, where jaundice is sometimes seen as a result of celestial alignments.¹This means that when someone gets jaundice, they might consider these cultural and astrological aspects while deciding how to get medical help. So, in Assam, dealing with jaundice is not just about health – it's also about respecting their unique cultural traditions and beliefs.

• Malpractices Stemming from Cultural Beliefs:

            The traditional remedies for jaundice include the use of various medicinal plants and household items. Some of the commonly used medicinal plants for the treatment of jaundice in Assam include Kardoi, Simolu, Bar Jamu, Jam Lakhuti, Dhan, Anarash, and Bala. These plants are believed to have hepatoprotective properties and are used to treat jaundice.² Sugarcane juice is also used as a traditional remedy for jaundice in Assam, as it is believed to help control bilirubin levels and improve liver function.³

                Wearing a mala or necklace as a remedy for jaundice is another cultural practice deeply rooted in traditional beliefs. While such practices may lack scientific validation, they hold significance within cultural contexts. The mala, often crafted with specific beads or materials, is believed to possess properties that can aid in the relief of jaundice symptoms or ward off negative influences.⁴

• The Stigma Surrounding Jaundice:

          Jaundice often comes with social stigma, affecting individuals' willingness to seek medical assistance promptly. People may hide symptoms due to community expectations, fearing societal judgment.⁵

• Proposing Cultural Sensitivity in Medical Practices:

              Collaborative efforts involving healthcare professionals and community leaders can foster open dialogues about jaundice, reducing stigma. Implementing culturally sensitive health education campaigns can clarify myths, providing accurate information.

• Integrating Traditional Practices with Modern Medicine:

               Recognizing the significance of cultural practices fosters trust, encouraging individuals to embrace both traditional and modern approaches. Integrating traditional healers into the healthcare system promotes a holistic approach, ensuring safer practices.

Conclusion

               Navigating the rich framework of jaundice-related cultural beliefs in Assamese society is crucial for effective healthcare. By respecting traditions, fostering open dialogue, and integrating traditional wisdom with modern insights, we can build a culturally sensitive and effective healthcare approach.

References

1.         Barbhuiya PA, Laskar AM, Mazumdar H, et al. Ethnomedicinal Practices and Traditional Medicinal Plants of Barak Valley, Assam: a systematic review. J Pharmacopuncture. 2022;25(3):149-185. doi:10.3831/KPI.2022.25.3.149

2.         Bora A, Devi P, Borthakur S. Phyto-remedies of jaundice, A traditional approach on Majuli, Special reference to Satra culture people, Assam. Asian J Plant Sci Res. 2012;2:664-669.

3.         Gupta DS. Home Remedies For Jaundice By Dr. Siddharth Gupta. PharmEasy Blog. Published September 9, 2022. Accessed February 6, 2024. https://pharmeasy.in/blog/home-remedies-for-jaundice-by-dr-siddharth-gupta/

4.         Shrestha P. Benefits of Wearing Mala Beads. Accessed February 6, 2024. https://www.himalayasshop.com/blogs/blogs/benefits-of-wearing-malas

5.         Talukdar R, Goswami B, Chakravarty B. Perceptions about jaundice in Assam: A preliminary study. Indian J Gastroenterol Off J Indian Soc Gastroenterol. 2008;27:210-211.