A Historia da Medicina (1ª parte) - Do Pajé aos Cirurgiões-barbeiros
Autor: Fabi Bertazzo | Publicado: 2011-09-07T21:04:00-03:00

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Enquanto que no “Velho Mundo” o ensino médico começou a ser institucionalizado na Idade Moderna (1453-1789), no Brasil é fundada a primeira “Escola de Cirurgia” em 1808, contemporânea a estada da Corte Portuguesa em nosso país. Mas, bem antes disso, já se praticava a medicina em terras “tupiniquins”.
  Anterior a chegada dos jesuítas, o cuidado à saúde dos índios estava entregue ao pajé, uma mistura de sacerdote e feiticeiro. Era a figura mais respeitada da tribo e por seus serviços, recebia objetos e alimentos. Sua terapêutica envolvia aspectos místicos, como aspirar o hálito do enfermo e soprar para o mais longe possível e usar de gestual para afugentar os maus espíritos. O pajé realizava sangrias, massagens (com saliva ou em caldos de ervas), amputações (suturadas com cipó) e escarificação (friccionando folha de urtiga na região doente e depois esfregando uma pedra afiada até sangrar). Pontuam Helito e Kauffman (2008, p.xxii):
A terapêutica indígena era mística, contribuindo para a sua eficácia o espírito sugestionável dos silvícolas. Baseava-se nas virtudes medicinais das plantas, sendo ainda empregados como medicamentos: sangue humano ou dos animais (fortificante), saliva (cicatrizante), urina (excitante e vomitiva), a cabeça ou cauda de ofídios, gordura de onça ou de outros animais, garras, chifres, ossos e cabelos, sapo queimado e pulverizado, etc. As plantas eram colhidas frescas e mastigadas previamente pelo curador (pajé) que rotineiramente mantinha em segredo o nome do espécime usado. Os únicos que conseguiram saber dos aborígenes, os espécimes vegetais utilizados terapeuticamente, foram os jesuítas.
O povo indígena considerava a doença um castigo ou provação advinda de uma entidade sobrenatural ou mesmo da ação dos astros. Daí a crença de que o pajé mantinha contato com os espíritos dos animais da floresta. Segundo Helito e Kauffman, as doenças indígenas se resumiam a bouba, bócio endêmico, malária, parasitoses e dermatoses, disenterias, febres inespecíficas, acidentes, envenenamento, mordedura de animais venenosos e ferimentos de guerra. Além dos indígenas serem muito mais fortes do que o europeu, eram pouco sujeitos a doenças. Porém junto com os homens brancos, vieram diversos tipos de doenças e os Índios, sem imunidade, adoeciam e morriam, até mesmo comunidades inteiras foram exterminadas (FUNAI). A mortandade foi tanta que dos mais de um milhão de índios do século XVI, foram reduzidos para menos de 300 mil no início do século XVIII, vitimados pelas doenças e também pela crueldade dos exploradores. 
Com a vinda dos jesuítas (1549) o domínio dos pajés foi perdendo força, pois os religiosos além de tratarem as doenças ainda forneciam remédios, alimentos e esmolas.
  A assistência médica era uma das estratégias para catequizar os nativos. Poucos padres eram formados em medicina, os outros, durante a preparação na Europa, receberam treinamento para tratar a doentes. Realizavam atendimentos a qualquer hora do dia e em qualquer localidade e, apesar de serem proibidos de fixarem-se em hospitais, organizaram enfermarias em seus colégios, visto a inexistência de locais apropriados na nova terra. Nelas atendiam a todos da colônia, desde índios e colonos até o governador geral.Aos poucos os jesuítas foram ganhando a confiança dos índios e estes lhes ensinaram os segredos da terapêutica das plantas, que foram incluídas na terapêutica jesuítica, inclusive, sendo exportada para a Europa.
  Sobre a ação dos jesuítas, descrevem Helito e Kauffman (2008 p.xxiv):
Os jesuítas faziam partos, forneciam condições mais adequadas de trabalho e alimentação para as indígenas grávidas, melhoravam a qualidade do ar nas aldeias derrubando matas e secando pântanos, combatiam o alcoolismo, recomendavam exercícios físicos diários, registravam óbitos e nascimentos. Sua atuação foi particularmente decisiva na assistência médica durante as epidemias de varíola.
No Brasil Colonial os raros médicos, ou físicos, como eram chamados na época, que por aqui aportaram se formaram na Europa e, no geral, eram novos cristãos que estavam fugindo da inquisição. Como a remuneração era baixa, e a infra-estrutura do país era precária, um cenário pouco convidativo, os melhores profissionais não se interessavam por vir, nem mesmo quando a coroa portuguesa resolveu criar os cargos de Físico-mor e Cirurgião-Mor, uma tentativa de organizar os trabalhadores da área da saúde que por aqui se estabeleceram, como médicos formados eram poucos, proliferavam profissionais menos qualificados como os Cirurgiões-barbeiros e os Curandeiros.
Os cirurgiões-barbeiros permaneceram desenvolvendo atividades médicas até o final do Século XIX.&nbsp; Segundo Figueiredo (1999):  
&nbsp;Os barbeiros foram considerados os precursores dos cirurgiões. Detinham a habilidade de intervir com seus instrumentos no corpo ulcerado, com pústulas. Além de aplicarem ventosas e deitarem as chamadas "bichas" — sanguessugas — ocupavam-se com a estética dos cabelos e das barbas, cortando e aparando. O trabalho desses homens — não encontramos nenhuma referência à presença de mulheres nesse ofício — era basicamente manual. Talvez o que aproximasse as três idéias apresentadas pelos dicionários do início do século passado seja, exatamente, a habilidade de desempenhar trabalhos a partir da utilização das navalhas.
Ainda sobre este profissional discorrem Helito e Kauffman (2009 p. xxv):
O barbeiro era o individuo leigo ou “examinado” que, além de exercitar sua profissão cortando cabelos e fazendo barbas, também praticava a medicina, sendo o mais humilde dos profissionais nessa área. Realizava sangrias, aplicava ventosas, sanguessugas e clisteres, lancetava abscessos, fazia curativos, tratava mordedura de cobras, arrancava dentes, etc. Era muito solicitado pela faixa mais pobre da população.   [...] A loja do barbeiro era um verdadeiro consultório, onde não somente aplicavam ungüentos e pomadas, como também eram vendidas drogas, água de colônia, pós para dentes, etc.
O barbeiro “examinado” era aquele que recebia a Carta de Examinação expedida pelo Cirurgião-Mor, após ser avaliado e aprovado, era a sua licença para praticar a medicina, porém era a minoria. A maioria era leiga, aprendera o ofício com outros profissionais e boa parte era da raça negra ou mesmo mulatos, realizavam suas técnicas sem o conhecimento de cirurgiões e contra a legislação vigente da época.&nbsp;&nbsp;
  Outra figura atuante na área médica foi o Curandeiro, sem formação e nem amparo legal, exercia a medicina como “um curioso”, geralmente era um padre jesuíta, um senhor de engenho ou a sua esposa. Aprendiam a medicina através dos manuais de saúde para leigos e do “conhecimento popular”. Na terapêutica do curandeiro estavam presentes aspectos da medicina indígena, como o uso das plantas.
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 <![endif]-->  FIGUEIREDO, Betânia Gonçalves. Barbeiros e cirurgiões: atuação dos práticos ao longo do século XIX. Hist. Cienc. Saude-Manguinhos,&nbsp; Rio de Janeiro,&nbsp; v. 6,&nbsp; n. 2,&nbsp;Oct.&nbsp; 1999 . &nbsp; Disponível em: . Acesso em 11&nbsp; Set.&nbsp; 2010.&nbsp; <!--[if gte mso 9]>     800x600   <![endif]--><!--[if gte mso 9]>     Normal   0         21         false   false   false      PT-BR   X-NONE   X-NONE                                             MicrosoftInternetExplorer4                                                   <![endif]--><!--[if gte mso 9]>  <w:LatentStyles DefLockedState="false" DefUnhideWhenUsed="true"
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 <![endif]-->  FUNAI. Os Índios. Disponível em: . Acesso em 10 set. 2010.
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 <![endif]-->  HELITO, Alfredo Salim; KAUFFMAN, Paulo (org.). História, cultura e práticas correntes da medicina. São Paulo: Nobel, 2010, p. xiii – li e 1 - 6