Tuesday, January 21, 2020

Sri Ramakrishna and Physicians


(Sri Ramakrishna was a Purnavatara. There was no aspect of human existence that his divinity did not touch and illumine. No wonder he was an exemplar both as patient and as physician. Because of his long arduous Sadhanas, his naturally robust physical frame got damaged and he suffered from a number of ailments including terminal cancer. Swami Brahmeshananda of Ramakrishna Mission Home of Service, Varanasi, himself an eminent physician, examines in this article the marvellous relationship between Sri Guru Maharaj and the numerous doctors who attended on him. He shows how it was the doctors who stood to gain in human and spiritual values. The relationship has produced for us a number of sayings by the Great Master which have more than medical significance.)

            During his life span of fifty years, Sri Rama­krishna met thousands of men and women belonging to all walks of life. This was neces­sary for the propagation of his message of universal peace and harmony, which was not meant only for a selected group of disciples belonging to a city or a community. While the main task of spreading broadcast the message of Sri Ramakrishna was done by Swami Vivekananda, who travelled extensively all over India and abroad, Sri Ramakrishna too, while leading a life mostly confined to the city of Calcutta, took great pains himself to meet people of all socio-economic and intellectual status so that he might do the greatest good to the greatest number. And those who in some way or the other came in direct contact with him during his life-time, were indeed blessed. Among these fortunate ones were a number of physicians also.

        But while the members of other professions— students, teachers, lawyers, thinkers, and pre­achers—went to Sri Ramakrishna looking upon him as a saint or a prophet, the men of the medical profession paid him visits as their patient also; and with reference to Sri Rama­krishna, the prophet of the age, this doctor-patient relationship has a special significance.

Sri Ramakrishna's Health and Disease

         Although the available pictures of Sri Ramakrishna depict him as a frail little man, the fact is that he was an unusually healthy person. Spiritual practices entail tremendous strain upon the nervous, the cardiovascular and the respiratory systems, and unless these are extraordinarily strong, the body breaks down under the strain of Sadhana. Sri Ramakrishna himself used to say that when spiritual emotions manifest in a body, they shatter it just as an elephant shatters a hut made of bamboo and straw. "When Kundalini rises to the Sahasrara and the mind goes into Samadhi, the aspirant loses all consciousness of the outer world. He can no longer retain his physical body. In that state the life breath lingers for twenty one days and then passes out."1

        Disease, decay and death are, however, inevitable in a physical body in which the processes of anabolism and catabolism are constantly going on. Sri Ramakrishna's body was no exception to this natural law. Once he fell down and broke his arm. At the end of his long period of Sadhana he suffered from severe blood-dysentery for six months which permanently damaged his digestion. And during the last days of his life he suffered from cancer of the larynx.

        Apart from these physical ailments, Sri Ramakrishna underwent many bodily changes and physiological manifestations due to high spiritual states. These were mistaken as signs and symptoms of internal physical illnesses and doctors were consulted. In his childhood, he was active, energetic and enjoyed a robust health. He became "unconscious" thrice during boyhood because of high spiritual states. This was naturally thought to be due to serious organic illness and his parents must have consulted whatever healers were available in that interior village of Kamarpukur. During the period of Sadhana, Mathurnath Biswas, his caretaker, spared no pains to have him examined by renowned physicians for his bodily symptoms. It was however during the terminal illness that he came in contact with a maximum number of physicians.

The Physicians who met Sri Ramakrishna

       The physicians who met Sri Ramakrishna belonged to all the disciplines of the medical science. There were homeopaths, Ayurvedic Kavirajas, men trained in modern western medicine, and even exorcists. Not all exorcists are cheats; some of them are very effective psychotherapists. By their weird antics, they draw the attention of the patient, making him receptive to their suggestions. A good exorcist can bring to the surface repressed conflicts and thus bring about a cure. The divine inebriation of Sri Ramakrishna was so unusual that it was thought he was possessed by an 'evil spirit'. He was therefore shown to a few exorcists who invoked a "Chanda," who 'certified' that Sri Ramakrishna was not suffering from any mental disease.

         On the basis of the nature and durations of their relationship with Sri Ramakrishna, the physicians can be divided into three classes. The first class of physicians met Sri Ramakrishna only in their capacity of doctor, the contact being restricted to the professional visit only. But, however short the contact might have been, Sri Ramakrishna never missed the least opportunity to instil spirituality into them by general talk on spiritual matters or by specific instructions.

         The second class consists of those physicians who approached Sri Ramakrishna as spiritual aspirants and sooner or later gave up the medical profession to become his ardent dis­ciples. This group includes those physicians also who may have visited him earlier in the capacity of a doctor, but being impressed by his spirituality, later visited him only for spiritual purposes. Swami Saradananda, the great monastic disciple of Sri Ramakrishna, had entered the medical school but renounced the world and became a monk without completing the medical studies. Durgacharan Nag, the great householder disciple, was a qualified homeopath. One day he heard Sri Rama­krishna denounce physicians. He immediately threw away his medical books and box of medicines into the Ganga and gave up the profession for ever. Another disciple of Sri Ramakrishna, Dr. Ramachandra Dutta, was a graduate of the Campbell Medical School, Calcutta, but hardly ever practised medicine. He became instead a renowned and successful chemist-pharmacologist. During the early part of his professional career he was an atheist, but the sudden death of his beloved daughter awoke him to the grim reality of death. He finally found solace at the feet of Sri Rama­krishna. 

         The case of Dr. Mahendralal Sarkar is different from the two cases of physicians described above, and forms a class in itself. Dr. Sarkar visited Sri Ramakrishna in the capacity of a physician, but his contact was neither short nor restricted to a doctor-patient relationship only. He treated Sri Ramakrishna for months during his last illness and visited him almost every day. While maintaining the privileged position of the treating physician, he cleverly used this opportunity to derive spiri­tual benefit from the holy company of Sri Ramakrishna. On the pretext of professional visits he spent hours in his blissful company, engaged him in philosophical discussions and enjoyed the singing of devotional songs. Both the patient and the doctor enjoyed each other's company. Although he differed from Sri Ramakrishna on certain philosophical issues, especially on the theory of God incarnating as man, and never professed himself a disciple of Sri Ramakrishna, it was obvious that he was deeply influenced by him] spiritually. He also had the unique opportunity of examining Sri Ramakrishna during Samadhi—probably the first ever medical examination of a high Yogic state   by a qualified physician.

Sri Ramakrishna as a patient

        Sri Ramakrishna was a good patient and considered the treating physician a 'Narayana' whose instructions must be followed to the letter. Once, for example, when [he was asked to abstain from water as a part of diet restriction, he wanted the Holy Mother Sri Sarada Devi to give him even pomegranate seeds free from the least trace of water! At the same time, he had his likes and dislikes regarding physicians. He did not like a physician in particular who pressed his tongue rather too hard while conducting the examina­tion of his throat. When, however, it was told that the doctor did not mean to hurt him, he conceded that the doctor might have done so to make a thorough examination of the throat. He appreciated the quality of humility and a quiet nature in doctors and liked a phy­sician who had these.2

        At times, Sri Ramakrishna would be impa­tient like a child regarding his illness. He would eagerly ask everyone who visited him about the nature of his illness and how long it would take to be well. He would feel highly consoled if he got a favourable answer. Again, like a child he would pull at the sleeve of the doctor and repeatedly implore him to cure him. He honoured the physicians belonging to all the systems of medicine. But if his own state­ments are any indication, he preferred the modern western system of medicine.

Sri Ramakrishna's Attitude towards the Medical Profession !

         Personal likes and dislikes apart, how did Sri Ramakrishna look upon physicians in general? Some of his utterances convey the impression that he had a poor opinion about physicians.    He  has said,   for   example,   on different occasions, "I cannot eat the food offered by doctors and lawyers."3  "It is difficult for a doctor, a broker, a lawyer to attain to true spirituality. How can the mind (of the doctor) preoccupied with the thought of mere medicine comprehend the Infinite?"4  "I haven't very much faith in your Calcutta physicians. When Sambhu became delirious, Dr. Sarvadhikari said, 'Oh, it is nothing. It is grogginess from the medicine', and a little while after, Sambhu breathed his last."5

          The medical profession is considered one of the best professions. Writes : Harrison "No greater opportunity, responsibility or obligation can fall to the lot of a human being than to become a physician. In the care of the suffering he needs technical skill, scientific knowledge and human understanding. He who uses these with courage, with humility, and with wisdom will provide a unique service for his fellowmen and will build an enduring edifice of character within himself. The phy­sician should ask for his destiny no more than this; he should be content with no less."6

        Why was Sri Ramakrishna so critical of such a noble profession? This question was dis­cussed by Latu Maharaj (SwamiAdbhutananda), a monastic disciple of Sri Ramakrishna, with three physician devotees.

         Latu Maharaj, (to the physicians): Can anyone hate your profession? How much good you do to patients! You save them from a lot of suffering. He (Sri Ramakrishna) used to say, "Now indigenous drugs don't work.    Now fever mixture is needed."

       One of the physicians: But he also said that doctors earn money by examining stool and urine. We have heard that he could not eat   food   offered   by   physicians.

        Latu Maharaj: Listen! Consider why he said so. Ram Babu (Dr. Ramachandra Dutta) was a miser in his youth. To cure him of his stinginess he one day told him this. So Ram Babu thought it was useless to earn and hoard money if it could not be used in the service of his Guru. He asked Sri Ramakrishna what he should do. The  Master said, "Serve   the devotees. That would amount to serving me." He used to accept things offered by Ram Babu, and even ate the food brought by him. He spoke in that way so that Ram Babu might not have attachment for money. He never spoke out of hatred towards anybody.7

        Sri Ramakrishna himself has explained his attitude towards the medical profession thus: "Many think that the duty of a physician is a very noble one. The physician is undoubtedly a noble man if he treats his patients free, out of compassion and moved by their suffering. Then his work may be called very uplifting. But a physician becomes cruel and callous if he carries on his profession for money. It is very mean to do such things as examine urine and stool in order to earn money, like the business man carrying on his trade." "But the medical profession is certainly very noble if the physician devotes himself to the welfare of others in an unselfish spirit."8

             Every  profession  is   liable   to   abuse   and corruption, and nobler the profession, greater are the possibilities of its degradation.   For example, earning money with a certain amount of profit is an integral part of trade and com­merce, and is not considered bad. But in medical  profession  asking  money  for  one's services cannot be considered an ethical norm. According to medical ethics in ancient India, a physician was not supposed to demand fees. Even in the present age of general moral degra­dation, physicians are not wanting who never ask a fee, and accept whatever is offered will­ingly and who even spend from their own pocket, if need be, to treat their poor patients. As has been pointed out, the aim of the profes­sion must be service to ^humanity and building of character, and   if done with the spirit of dedication and humility, seeing God Himself in the patient as preached by Swami Vivekananda, this profession can become one of the highest forms of spiritual practice.

Physicians in the Teachings of Sri Ramakrishna

           Physicians have figured in several teachings of Sri Ramakrishna. While most of these teachings are of general interest and the illustrations of physicians have been used to explain spiritual truths, they have a special significance for the physicians who, by following them, can become better physicians.

            Sri Ramakrishna divided physicians into three classes: "Superior, mediocre and inferior. The inferior physician feels the patient's pulse, merely asks him to take medicine and then goes away. He does not bother to find out whether the patient has followed his directions. The mediocre physician gently tries to persuade the patient to take the medicine. He says, 'Look here. How can you get well without medicine? Take the medicine, my dear. I am preparing it with my own hands.' But the superior physician follows a different method. If he finds the patient stubbornly refusing to swallow the medicine, he presses the patient's chest with his knee and forces the medicine down his throat." "There is no fear if a good physician presses the patient's chest with his knee."9

         While this illustration has been given to explain the three classes of religious teachers, physicians will do well to take greater interest in the welfare of the patient. Such an approach has become imperative in present times when human relationships in general are becom­ing more and more formal and superficial.

       Everything depends upon the will of God. This applies, like everything else, to health, disease and death also. Says Sri Ramakrishna, "God laughs on two occasions. He laughs when two brothers divide land between them.... God laughs again when the physician says to the mother weeping bitterly because of her child's desperate illness, 'Don't be afraid, mother, I shall cure your child.' The physician does  not  know  that no one can save the child if God wills that he should die."'10  Miraculous cures in patients pronounced as hopeless and incurable, and sudden deaths in apparently healthy individuals are not uncommon experi­ences in every physician's professional career. "O Mother, all is done after Thine own sweet will. Thou workest Thine own work; men only call it theirs."   None can appreciate this truth better than an humble, thoughtful physician.

        Renunciation of the world is essential for those who would be the teachers of men. To con­vey this truth, Sri Ramakrishna used to narrate the story  of a physician who removed the jars of molasses from his room  before  asking the patient not to eat molasses."11  Although it is not  essential  for physicians  to practise what they preach, they would be able to elicit greater compliance to health rules from their patients if they themselves followed them.
                   
Physicians' opinion about Sri Ramakrishna

        Apart from those physicians who recognised Sri Ramakrishna's spiritual excellence and accepted him as their spiritual guide or Guru, most of the other physicians were impressed by his childlike simplicity, absolute reliance on the physician and his gentlemanliness. Dr. Mahendralal Sarkar who was so charmed by the human aspect of Sri Ramakrishna's personality that he sincerely believed that devotees were 'spoiling' such a guileless person by touching his feet and addressing him as an incarnation!

         What did the physicians think of Sri Rama­krishna's spiritual states and their effects as manifested in his body? As has been told earlier, some physicians had seen him during his period of Sadhana when he used to get excruciating burning sensation in the body. Some others had witnessed his ecstatic dance, and a rare few were fortunate enough to exa­mine him during Samadhi and to find all the vital functions suspended. Sri Ramakrishna himself was keen to know the expert opinion of medical scientists regarding the physiological changes produced in him. For instance, he had asked Dr. Bhagwan Rudra what he thought of the twisting of his hand and stopping of the breath when he touched a coin. He actually demonstrated this to the doctor by holding a coin in his hand.

The first reaction of most physicians was that of amazement. Some Ayurvedic specia­lists tried to find an explanation of his 'malady' with the help of their science, but failed. One of them recognised it to be due to Yoga. Dr. Rudra thought it was due to the action of nerves. But none of the physicians was able to explain clearly the physiological phenomenon as manifested in Sri Ramakrishna.

         The least wish arising in the pure mind of a prophet of Sri Ramakrishna's eminence can never remain unfulfilled. Motivated by the silent wish of Sri Ramakrishna to know the physiological process behind the changes occur­ring in his body, lot of researches are being carried out in modern times in the field of neuro-psychology. Although some experi­ments have been conducted on Yogis, the results are still inconclusive and the physiology of spiritual practices continues to remain a mystery.

         None of the utterances and actions of an incarnation are insignificant. Even though Sri Ramakrishna's relationship with physicians was short, and his sayings about them few, they have great significance for physicians as well as patients, who can enrich their life by the lessons derived from them.

References:

1.       The Gospel of Sri Ramakrishna, Sri Rama­krishna Math, Madras-4, 1981 p. 500.
2.       Ibid,  p.  845.
3.       Swami Gambhirananda Sri Ramakrishna Bhaktamalika, Vol. II (Bengali) Udbodhan Karyalaya, Calcutta, (I Edn) p. 290.
4.       Ibid, pp.  163-64.
5.       'The Gospel', p. 386.
6.       Harrison,, T.R., Adams, R.D.,Resnik, W.H., Thorn,G.W.and Winthrobe, M.M.—Principles of Internal Medicine, 1962, McGraw-Hill, New York, p. 3.
7.       Sri Sri Latu Maharajer Smrithi Katha (Bengali) Udbodhan Karyalaya, II Edition, p. 431-32.
8.       'The Gospel', p. 883.
9.       Ibid., p. 885-66.
10.   Ibid., p. 323-24.
11.   Ibid., p. 580.