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Hunter-gatherers didn't have our diseases of comfort (I prefer the term above diseases of civilisation). But they did have medical problems. Mostly of the kind where our modern doctors are good at (trauma, infections, ...).

Although I've read quite a lot of anthropological literature, I'm not at all a specialist, but it seems that among all hunter-gatherer societies, there was some kind of doctor. Call it a whitch-doctor, a shaman, a medicine man, ...

The fact that it seems to be universal, probably means that shamanistic practices work, at least for some problems. It would also imply that we are susceptible for these treatments.

Hunter-gatherers have great knowledge of medicinal properties of plants. That probably explains some of the treatment effects.

On the other hand, there was most probably a major contribution from the more psychological effects of the treatment. Modern terms we would apply: psychosomatic, placebo, hypnosis, ...

Do the latter effects have consequences for us? Is our firm 'believe' in our 'diet' possible for a placebo response. Do you think that this could have any other implications for us?

Let me know what you think...

Thanks

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FWIW -- shamans are still around today -- we just call them doctors. – Patrik Dec 6 2010 at 22:26
Ironically, I consider paleo more comfortable and easier than my previous life. I eat foods that taste great and I eat as much as I please! I sleep great too and have tons more energy. Very luxurious if you ask me! – Eva Dec 7 2010 at 3:40
You had a previous life? Did the shaman tell you that? – Kamal Dec 7 2010 at 6:34
@ Patrick, yeah, that's what I was also thinking about and what my question is for. – Pieter D Dec 7 2010 at 7:53
We learn that nature can cure us, free of charge and with no side effects ;) sorry, had to say it – Flavio M. Dec 7 2010 at 15:29
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7 Answers

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Humans are pattern-finders. I believe that over our paleo- and neo-lithic history it's been a positive trait overall. The patterns we find are sometimes - often? - coincidence. Our reasoning about why the pattern exists and works - or seems to work - may be right or wrong; close to the mark or way off base. Nevertheless, we refine, refine, refine, winnow out the superstition and reinforce the reliably successful practices.

When we made the jump (actually, we are still making the jump) from the Success Method (repeat what seems to work) to the Scientific Method we've been able to winnow and refine more reliably.

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@Scott, I don't know if you have read the book 'Make prayers to the raven' from RK Nelson. The Alaskan Koyukon are a really good example of what you say. I couldn't help thinking what Nassim Taleb would think about this. A lot of it indeed is being fooled by randomness – Pieter D Dec 7 2010 at 8:46
Thanks for the book suggestion, Pieter. I wouldn't say fooled so much as just being part of the process of discernment: Trial(s) and error(s) - lots of both! – ScottMGS Dec 7 2010 at 16:21
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"The fact that it seems to be universal, probably means that shamanistic practices work"

Oh boy, this logical error is too juicy to pass up! Religion is universal, yet healing prayer has been repeatedly shown to not work. My sister is a naturopathic doctor out in Seattle, and after some research, I've concluded it is 87% bullshit. Plants do not exist to heal us, and 99% of them did not co-evolve with us in a symbiotic fashion. In fact, some want to hurt us!!!

The most effective part of natural (shamanistic?) medicine is the eating healthier part! Next up is the positive thinking part, followed closely by avoiding side effects from allopathic medicine part.

That being said, there are more and more trials being done on alternative and complementary medicine, funded by the federal government (NCCAM). Certain herbs do have pharmaceutical-type effects, but there are no panaceas that I'm aware of yet. Some things that I've partaken in that have limited effects are saw palmetto (prostate), acupuncture (pain), meditation (pain), biofeedback (pain), and valerian root (sleep). One thing to keep in mind is that older trials often lack experimental rigor, and should be interpreted with caution.

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No its 87.43% ;) – maddy Dec 6 2010 at 22:46
How does your sister feel about your opinion of her profession? – JJ Dec 7 2010 at 4:40
She's not really down to talk about it. While visiting her school, I got the impression that it's not an environment that favors incisive questioning. Imagine a paleohack asking about the biological mechanism behind homeopathy...there wouldn't be much to learn. Diluting something down until there are no molecules of it left? At that point it is converted to a 100% placebo solution. – Kamal Dec 7 2010 at 4:46
You forgot one: turmeric and inflammation. – Paul Dec 7 2010 at 6:01
That's funny, because I just popped a turmeric pill for inflammation. I often wonder though if the inflammation game is so simple. Turmeric is about as powerful as medium level NSAIDs, and people probably never took capsules daily for long periods of time. It seems like the two reliable things that you can consume large daily quantities of without any adverse effects are meat and water. – Kamal Dec 7 2010 at 6:33
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Given typical HG infant mortality rates, that we're better off consulting paediatricians?

That being said, I think that there's probably all sorts of fascinating work to be done in terms of cross-cultural studies of shamanism.

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I have tried other diets which I believed in. THe most obvious is the 'eat less food diet' promulgated by the mainstream 'experts' of the world. I believed in that diet so much that I tried it over and over again for most of my life. And for many years I worked very hard to follow the 'eat more fiber and less fat diet.' The one thing all these diets have in common is they all made me feel hungry and weak and obsessed with food all day long. This may sound silly, but when I tried low carb/atkins and after about 7 days, when the hunger to overeat that I had experienced for MY ENTIRE LIFE was 'magically' gone, it was a huge epiphany. At that point, I had no clue of the biology behind it, but I knew this lowcarb thing was something totally different from everything else. It was also the first time in my life when I did not have to fight hunger every single day. The ironic part was that I was actually rather skeptical when I first started the lowcarb diet. It just didn't seem possible that I could lose weight while eating as much as I pleased. But it worked! Of course, I now realize it works at least because you no longer desire to eat so much. You will still be eating less but the trick is, you will eat less because you want to eat less, not because you are forcing yourself to eat less.

So believe me when I say, I am quite positive that the lowcarb effect is not just placebo effect. As for paleo, I guess the paleo 'upgrade' from lowcarb could concievably be written off as placebo. Certainly, I did not feel as huge a change from lowcarb to paleo as there was from SAD to lowcarb, but a lot of that could be because even when only eating lowcarb, my favorite foods were always lots of steak and butter. I was not a huge PUFA eater and lowcarb Atkins types really have not, IME, had any major issues with saturated fat. Whole natural foods, meat, and bacon are IME, already favored greatly in the Atkins community. So really, it was not a huge switch for me to go from lowcarb to paleo. In fact, it seemed the most natural obvious logical next step.

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One area in which shamanistic practice has actual, measured benefits that are only now being explored by science is the use of entheogenic plants (or synthetic versions) for treating psychological disorders - depression and addiction, primarily.

A recent pilot study of terminal cancer patients found that a single dose of psilocybin - the active substance in "magic mushrooms" - wrought numerous subjective benefits: reduced depression and anxiety, reduced need for pain medication, improved "acceptance" of death.

Ibogaine (a plant used in some Central West African groups as a traditional medicine) is effective at reducing amphetamine, opiate, alcohol and cocaine cravings in addicts, and it actually can reduce or prevent relapse after treatment.

Similar work is underway with ayahuasca, the Amazonian vine brew, but nothing concrete - just pubmed stuff about the neural effects of administration, the safety (it's physically safe), and lots of positive anecdotes.

This stuff has to be approached with caution and treated with respect, but there's definite clinical potential.

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I'd also like to add that there are "entheogens" such as Amanita Muscaria that can actually physically heal as well. People have cured athritis and gained lost eyesight back with the use of Amanita Muscaria. – justanotherhunt Feb 12 2011 at 18:02
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from a review of: "Michael Winkelman, Shamanism: A biosocial paradigm of consciousness and healing." that appeared in the journal Evolutionary Psychology:

[...] despite its prehistoric origins, shamanic consciousness holds great relevance for dealing with modern-day psychosocial problems. In the chapter on ―Shamanistic Therapies‖, he reviews how the various aspects of shamanism—the social rituals, mystical experiences created by psychedelic drugs and other parasympathetic means, and invocation of spirits—all contribute to its healing effectiveness. To varying extents, the therapeutic benefits of shamanic rituals are tied to its ―psycholytic‖ (mind-dissolving) aspects, associated with the universal shamanistic theme of ―death-and-rebirth.

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There's a branch of modern science that studies medicines used by traditional cultures. These scientists analyze and test old drugs to figure out whether they really work.

Some modern prescription drugs were discovered this way. This branch of science is called ethnopharmacology and its has its own journals. For example:

Journal of Ethnopharmacology

If you google "ethnopharmacology" you can track down dozens or hundreds of modern drugs that derive from traditional ones. Vincristinem, reserpine, and Artemisinin are examples.

I'll give one example of a paleo drug that is in this category. Until recently it was widely used in hospitals, but in the last few years it has been replaced by better drugs.

It's a drug that everyone here has probably heard of, curare. It was discovered by South American hunter gatherers. They used it as poison on their arrows. In 1596 a European explorer mentioned it for the first time in a book; in 1780 a European scientist studied it for the first time; in 1850 an English doctor discovered that it was a good treatment for tetanus.

In 1870, Burroughs Wellcome (a pharmaceutical company which is now part of GlaxoSmithKline) began selling curare tablets. The hunter-gatherers' arrow poison had become something Europeans bought in a drugstore.

In 1935 a scientist isolated the active component, d-tubocurarine. Starting in the early 1940s, it was routinely used by anesthesiologists to paralyze patients during surgery. Recently it has been replaced by better drugs.

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