Tuesday, May 12, 2020

Midwifery (งานหมอตำแย)




Midwifery (งานหมอตำแย) is one of the specializations of Traditional medicine of Thailand which is sometimes even considered to be the 6th aspect of medicine. It is exclusive to women as holders of this tradition. This knowledge and these skills are usually transmitted from mother to daughter throughout a lifetime. In the West these women are usually known as „Doula“ – someone who’s assisting a delivery of a child. However, midwife in Thailand is much more than a midwife in the West. She is a doctor of Traditional medicine. These are the women who are giving medical, psychological and emotional support to other women in one of the most difficult and challenging experiences a woman can go through, that is – giving new life. Midwives are next to mothers from the moment of conception, throughout pregnancy, childbirth, and postpartum recovery. Literally, they are healers and caregivers helping human beings to come to this world. If we look at the vast scope of Thai medical knowledge, midwives are probably the ones who have to encompass the most of it. First, they have to administer complete prenatal care – to give proper dietary instructions to mother, according to her constitution and condition, to observe the growth of the baby, to know how to move the baby in the womb, how to treat the mother if she catches up a disease, to know how to prepare different kind of herbal remedies and how to give massage in the middle and late pregnancy. Then they’re assisting in actual childbirth – taking all the precautions to avoid any risk of infection, helping the delivery and knowing how to react if the delivery goes wrong, following all the procedures which would make the newborn safe. Immediately after childbirth, comes postpartum recovery, which consists of numerous physical therapies and herbal remedies. The midwife checks if the whole placenta is delivered. She instructs mother how to breastfeed. Mothers are usually treated with different kind of warming therapies, to dry the body of excess water. These therapies, together with massage in the following months, help the organs to recover and regain their original shape and location, especially the womb. The midwife also takes care of the baby’s health until the mother fully recovers.

This process requires a midwife to master an enormous body of knowledge and have a lot of experience in almost all aspects of Traditional medicine. She has to be skilled in physical therapies, herbal medicine, spirit medicine, astrology, psychology and so on... All this makes midwifery one of the most demanding specializations one can dedicate to in Traditional medicine of Thailand.

Friday, April 24, 2020

THE THEORY OF ELEMENTS - 6 Hour One-On-One Online Lecture




Since ancient times, different civilizations were questioning reality and what it means to be a human being. The sages from India, China, Tibet, Greece, Babylon and other parts of the world ended up with a conclusion that the best possible way to try to explain reality to the human mind are Elements. Although the Element theories differ in structure in various traditions, they all share the common role of to this day unsurpassed way to describe what everything is. The theory of Elements helps us to understand how natural forces define human life from the moment of birth, through growing, maturing and aging to the moment of death. It also helps us to understand that each of us is born with a specific quality, or better say „natural signature“ - Element constitution, a fact widely unknown or denied throughout the Western civilization, the one which takes us all to be equal, like machines. We are not. Given this natural constitution by birth, our life begins to unfold affected by numerous natural phenomena like seasons, weather, food we eat, other people, plants and animals and to all these influences we react according to our constitution. This constitution, together with our interaction with the world, as time passes, shapes our character, life tendencies, types of activities we choose, the way we react to the environment and other people, and for the therapist the most important aspect - it affects our health. For every body-mind oriented therapist, it is crucial to understand these deepest laws of nature, that is, every human has specific needs and is prone to most likely develop specific diseases. If we want to effectively counter the disease, we need the knowledge of what type of therapies and activities are recommended for each Element constitution, and how to match them. Not all people should eat the same food, what is healthy for someone,  is unhealthy for someone else. Same goes for all other activities, like type of work we should do, length of sleep, type of exercises and so on. Each of us is unique. The knowledge of these natural processes which shape our existence is really a requirement  if you want to evolve your practice to a higher level. This lecture is meant for all bodywork professionals regardless of their background, and is specifically adjusted to match attendant’s experience and current level of knowledge and understanding.

The lecture is divided into 3 two-hour parts in 3 days

For more information, please write to tttbelgrade@gmail.com


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Tuesday, April 21, 2020

How Did Thai Massage Become What It Is Today ?




Recently I was inspired by a student of mine to clarify certain facts regarding Thai massage practice and how it became what it is today. Many people don’t know it, but Traditional Thai medicine had been banned in Thailand for most of the 20th century. 

The ban had begun in 1923. when Western medicine overtook the throne as official medicine in Thailand, and Traditional one became illegal. It had remained illegal to practice by mid 80s, when Thai government, by suggestion of the WHO, started the so called “revival” project. The idea behind this project was to bring back the practice of Traditional medicine into the system of public health care. In order to do that, it was necessary to corrupt traditional medical practice by standardization, as it had to fit the Western academic standards which were the ruling paradigm at the time. What does the corruption mean? It means that many aspects of Traditional medicine, as it was transmitted and practiced for centuries, like the medical knowledge of anatomy and physiology, teacher- student relationship, Divination and Magical sciences, a number of physical therapies and all techniques which are difficult to learn or require a long time to master, have been removed in the process of creation of this “new” curriculum of Traditional Thai medicine. In this process, Traditional medicine was literally massacred and the “new” Traditional medicine was born. This new medicine, to this day, is heavily promoted and regulated by Thai Ministry of Health and Ministry of Education. This is the reason why we can witness such widespread confusion about what Traditional Thai Medicine is. What we have in fact, are two completely different and incompatible traditions which are commonly called by the same name. Thai massage, as an aspect of Thai medicine, has shared the same destiny. The best parallel that can help us to understand this phenomenon is the one which compares Thai massage with popular Yoga. That is because most of ancient Asian traditions underwent similar process of corruption. In the same way in which Yoga asanas were torn off from the complex body of authentic Yoga practice, resulting in “new” Yoga which looks more like fitness than spiritual practice, the same way the techniques of Thai massage have been torn off from the immense body of Thai medicine, and Thai massage created this way looks more like a wellness service than spiritual practice. This is why in all schools of Thai massage in Thailand you can learn nothing but massage techniques. For many years Westerners had thought that learning Thai massage was learning techniques – the greater your arsenal of techniques is, the better therapist you are. And it wasn’t our fault, as there was no one to tell us that there is so much more to learn out there. Even if one has mastered hundreds of techniques something was still missing. There was a huge gap in understanding the practice, and everyone who was truly honest with themselves, would admit it. That gap was either covered by artificial merge of Thai massage techniques with other, more accessible medical systems like Chinese medicine or Ayurveda for example, or with fancy massage settings, relaxing music, candles, incense, Buddha head, essential oils and many other new age props with purpose to highlight the aesthetics. This is how we ended with “style over substance” Thai massage. When our practice looks amazing but the gap is still obvious. What is this gap? The gap was created by removal of everything which has been removed in the process of creation of “new” Thai medicine and Thai massage. How this gap reflects in one’s practice? Well, one knows many techniques, but what to do with them? How to apply them? When? Should we follow a sequence? Or we shouldn’t? Is this technique indicated for this client and his/her condition? What to do? It is extremely difficult for a Westerner to find the answer to this question in Thailand. Ten years ago, it was literally impossible. In order to know, and I mean to really know - how, when and which technique to apply, to begin with, we have to know what is human body, what it consist of and how does it function? What makes it functioning? How it is affected by the lifestyle and environment? If someone is in pain, what can be the cause of it? Are we able to diagnose it? Do we know what kind of therapy is indicated in given situation and which one is not? What is the exact effect of a particular technique when applied to our complex body-mind system? The answer to these questions can’t be a vague sense of „intuition“, or a „feeling“, as we can frequently hear from Thai teachers in schools. The answer is - the medical knowledge of Traditional medicine of Thailand. The knowledge many Thais know nothing about, or have only heard of (it has been removed 40 years ago, remember?), and the rare ones who know, usually old masters, have language and cultural barrier which makes them incapable to share it with non-Thais. 



                                    Ajahn Dao, 1916-2013.

Human being is too fragile for us to apply often very intense and potentially dangerous techniques, the ones Thai massage is well known for, based only on our „intuition“. Intuition can be very blurred and questionable. If Thai massage would consist of soft, gentle, non-invasive techniques like effleurage, it could be imagined that we play guided by our intuition; however, Thai massage is probably best known for its extensive and intensive stretches, and strong pressure techniques frequently administered by elbows, knees or feet. The nature and structure of these techniques, if we ponder on, show us that the origin of this therapy had highly therapeutic purpose. If one applies the technique by exceeding the safe limit just by few inches, Thai massage turns into martial art, thus it can be very dangerous and a skill one should not easily play with.

As a conclusion - medical knowledge of Traditional medicine of Thailand is the foundation of physical therapy practice, regardless of what kind of therapy, out of many, one applies. I would paraphrase my teacher: „For the practice of Thai massage it is essential that one acts according to the medical knowledge of Thai medicine; as long as one does so, it is absolutely irrelevant if massage is performed on the floor, on the table, on the chair, in the moving train, it can be on the roof ... it doesn’t matter if oils are used or not, and it is insignificant if the client is clothed, half-clothed, or naked. The purpose of Thai massage is to solve the problem, and whenever as a therapy it might do it, one has to know how; everything else is secondary“.

Sunday, April 19, 2020

Individual Online 8 Hour Lecture on Traditional Medicine of Thailand



This individual (one-on-one) in-depth introduction into the magnificent world of Thai medicine can currently be an ideal way to improve your knowledge and skill during this time of no-contact. As a practitioner, you will gain a greater understanding of your practice and massage in general; by learning the basics of Thai anatomy and physiology you will understand what the body consist of and how it functions; the theory of Elements will help you to understand what causes sickness and how it can be treated; different diagnostic tools for bodywork would help you to acquire a real perspective on your bodywork practice - is massage a solution for the particular health issue or not ? Which is the Elemental constitution of the client ? What is the structure of the treatment that should be applied to the specific constitution with specific health problem ? If you have been trained just to apply numerous massage techniques, this lecture will give you a deeper understanding of when, how and why each massage technique should be applied or not. Regardless of what type of bodywork were you trained in, this knowledge will give you a lifetime insight into how natural processes shape health and disease. The lecture is specifically adjusted to match attendant’s background, experience and current level of knowledge and understanding. 

The lecture is divided into 4 two-hour parts in 4 days

For more information, please write to inbox or tttbelgrade@gmail.com

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Saturday, April 6, 2019

One-on-One Training for Advanced Thai Massage Practitioners


This specific type of training was created for practitioners who have already studied Thai massage and have had several years of professional experience. It is meant for all those who still have doubts or questions regarding their practice, feel that something is missing, do not know with whom to study more or simply want to take their skill to the next level.
The main purpose of training is to introduce the wide spectrum of Traditional Medicine of Thailand which, until recently, wasn't available to the international Thai massage community and is still not available in massage schools across Thailand. The training teaches the spiritual foundation of Traditional medicine of Thailand, Traditional Thai Anatomy and Physiology and therapeutic procedures. It covers the following topics:
Wai Khru, Buddhism, the five roots of Traditional medicine of Thailand, the Theory of the Elements, manifestations of the Elements in the human being, Types of imbalances of the Elements, Khwan, Sen, Wind Gates, Points, Treatment of Layers, Bodywork pulse diagnosis, Abdominal massage, Oil Massage, Advanced massage techniques and more ... A profound knowledge of these subjects is necessary for the practitioner to be able to understand how the body-mind functions from the perspective of Traditional medicine of Thailand, how to make an accurate diagnosis and which specific therapy should be applied for healing. Without a deep understanding of this medical theory, one can face many difficulties in applying massage or any other therapy beyond the confines of simple spa/wellness service.
In addition, the practitioner is introduced to and trained in basic Reusi Dat Ton exercises. These exercises represent the primary and most important aspect of physical therapy. They form the foundation from which all other physical therapies have evolved. Reusi Dat Ton is the only system used to experience and understand the Thai medical theory in the practitioner’s own body-mind, before applying it to others.
The more technical aspects of the training are adjusted to suit the trainee’s current knowledge, constitution, abilities and needs. The teaching program is tailored to suit the practitioner’s current level of practice. Any ineffective techniques used by the practitioner are gradually replaced by techniques that match Thai anatomy and physiology and better suit his or her constitution and abilities. The aim is for each trainee to develop his or her own style of work and to practice with maximum efficacy and safety.
The trainee will develop an insight into the complex interconnection of different aspects of Traditional medicine of Thailand and how massage, as only one of the numerous physical therapies, was artificially torn from a wider medical structure, with the sole purpose of serving the wellness industry.
The teaching program also includes a demonstration of other physical therapies such as Tok Sen, Fire Cupping, Luk Bpra Kop and Scraping in order for the practitioner to understand how massage integrates these other therapies, the difference between the therapies, and which aspect of the body and mind each therapy affects. Overall, trainees will come to appreciate why these skills should be referred to as Thai Traditional Therapy and not simply Thai massage. Massage is but one single approach which belongs to the ocean of Traditional medicine of Thailand. All the information taught stems directly from the following Buddhist, Thai and Lanna medical texts: Dhatuvibhanga Sutta, Kalama Sutta, Maha Hatthipadopama Sutta, Kayagatasati Sutta, Maha Rahulovada Sutta, Girimananda Sutta, Vimuttimagga, Kam Phi Chanta Saht, Kam Phi Thaht Wiwawn, Kam Phi Thaht Wiphang, Kam Phi Roknithan, Kam Phi Samutthan Winichai, Tamra Nuad Meung Chiang Mai, Tamra Yah Lanna and other ...
All trainees are provided with an English language training Manual.
The training is held at Traditional Thai Therapy center in Belgrade, Serbia, or at other location, including abroad, by request. Center is located in the very heart of the city in a nice and quiet neighbourhood, about a 15 minute walk away from all the city’s major sights. In recent years, the city of Belgrade became a popular European tourist destination that is easily accessible from all major European cities. Belgrade has a rich history, offers a wide variety of interesting sights, and is also very well known for its charming inhabitants.
There are numerous affordable accommodation options which can be booked for the duration of the program, like Airbnb, hotels and hostels. 
The schedule for the one-on-one training program includes four hours of training per day, for a period of no less than three days.
For more details about the teacher and the training curriculum please visit


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Tuesday, October 30, 2018

CERTIFICATE



Certificate.
In this modern era, most of the people when inquiring about my teaching first come up with two common questions: „How much does it cost ?“ and „Do you give a certificate ?“ Rarely one asks the question which is, by my opinion, the crucial one: „What exactly do you teach ?“
Over the 20 years which I have spent in the world of bodywork I went through a typical evolution of a bodywork therapist. I was learning and learning, traveling, going from one training to the other one, from one workshop to the other one, and I was practicing, practicing, practicing ...Then one day I started to teach and share my experience, and during those times I have acquired all these certificates shown on the picture above. All that was only to one day realize that they don't matter at all. That for the real teaching you would never be granted certificate. When it comes to bodywork, to become a true, mature practitioner, it requires a talent to begin with. If you don't have a natural talent for touch, no amount of training and no certificate would make you a good practitioner. Further on, it requires practice, and we are talking here about serious practice. What is a serious practice ? Well, it is at least between 5 to 10 years of continuous practice; thousands of people going through your hands. Remember, every human being is different, and this is why it is the experience which makes you a great practitioner and not the technical knowledge. It is the way it has always been, and will always be, at least when it comes to bodywork. This makes very clear why a weekend, two weeks, or a month of training wouldn't make you a practitioner. You can just acquire a good foundation, assuming you are lucky enough to learn from a knowledgeable and experienced teacher. Afterwards, it's upon you to put what you have learned in practice, otherwise you'll forget it all. Certificate is just a piece of paper and if it holds a title, it is often a false one. Throughout my life I met many „certified“ practitioners of various disciplines, many of them maintaining practice which doesn't fit their certificate title at all.
Certificate didn't exist in ancient times. It is a modern phenomenon, invented in the process of standardization of knowledge; a product of our market oriented society, with purpose to introduce „instant reputation“ within the business environment. It leaves no space for questioning. It exploits our basic ego longing for recognition and feeling of importance. Certificate is gradually becoming a motif by itself, making this certification business to become much more prone to corruption. Today, it most likely doesn't reflect the actual knowledge and experience of its holder.
I never show my certificates to anyone. Got them out of a dusty box specifically to make this picture, and I immediately put them back to rest in darkness  It is this attitude people unconsciously recognize with me so they never ask about my qualifications. However, sometimes it happens, and it is usually someone from far away, who comes with a question: „Are you certified ?“
And I just kind of keep silent, not knowing what to say ... 

Tuesday, October 11, 2016

THE HEART OF THAILAND - Journey into the Unknown


by Danko Lara Radic


It’s been twenty years now since I travelled to Thailand for the first time. Back then, in the mid 1990s, when the Internet was still young, there wasn’t much information about Thailand that you could get your hands on before you go there. It used to be a distant, mysterious country barely heard of from scarce stories and rare books. After the initial shock, which the traveler experiences on his first encounter with any Asian country, it was evident pretty soon that the people who came there from other parts of the world were not like your average neighbors, but rather real globetrotters, mostly young people with adventurous spirit, brave enough to set off into the unknown, to step into another culture, another language, and to mingle with different people. The village on the island that I went to was accessible only on foot, through a forest, because a large section of the road leading there was not paved yet.

Today, 20 years later, not only is the road  paved and the beautiful, once deserted beaches packed with ugly-looking massive bungalows, but even an airport is being built on the island, while it is slowly turning into a top tourist destination ready to receive flocks of travelers every year. Today you will find Wi-Fi on every palm tree, while the visitors staying in the bungalow next to you will most likely look exactly like your average neighbors. New times also bring new values, so the old Thailand progressively gives way to inexorable globalization and the philosophy of pure profit.


Receiving Thai massage back in 1996.

I have been practicing Thai massage for 15 years now. Just like most people, the first time I went to Chiang Mai I aspired to learn this mysterious art that seemed intriguing to me, making a step further on the path toward mastering the discipline of massage that I was already practicing at the time. Back then, fifteen years ago, Chiang Mai was a small, charming, delightful provincial town. For its particular geographic position, the town has been under huge influence of the surrounding civilizations for centuries, and bearing in mind its size, the wide range of its offers can be matched by few other places around the world. It charms and captivates you as soon as you step into the shade of the street vendor´s canopy. At that time, there used to be several schools and a number of teachers who could introduce you to Thai massage.

“I acquired knowledge from many teachers, but every time I came back, I felt something was missing …”

For the past 15 years, Chiang Mai has grown and developed incredibly, it has become noisy and hectic, turning into the major tourist center in the North, where you can now find schools of massage on every corner. Tens of thousands of people have become skilled in Thai massage and spread it across the world, so nowadays almost everyone knows about it. Add to this the Internet, and all the mystery is gone. But is it really so? Not long ago, a student of mine, who travelled to Chiang Mai on several occasions, said to me: “I acquired knowledge from many teachers, but every time I came back, I felt something was missing …” The thing that is missing is that which is not meant for tourists. Most of us tend to forget that we come to a country that has never been conquered, and we all know what a farang likes most when he goes to other countries – to seize and grab and take whatever he wants, whatever he needs, usually without asking whether he may, and throughout history, it was mostly by force. That’s how it was for centuries, and that’s how it is today. In order to prevent that, Thai people wisely set an obstacle in our way – language. It is spoken only there and nowhere else in the world, and it is very difficult to learn.


Tens of thousands of people have become skilled in Thai massage and spread it across the world, so nowadays almost everyone knows about it.

Over the course of approximately ten years, I learned from many teachers, both Thai and Westerners, and just like that student of mine, I always had the feeling that something was lacking in my practice. Although I have managed to master how to do it perfectly, I haven’t mastered the knowledge of what I am doing actually. So I went further on in my quest, with perseverance, until one day I eventually found the piece that was missing. The teacher who made me immerse so profoundly into Thai culture and Thai medicine, into this vast universe of whose existence I hadn’t been aware of, or only faintly imagined, that I simply forsook everything I had done up to that moment, throwing it away as dead weight, and started from scratch. With his blessing and support, I set out on a road not trodden by tourists. I embraced the local culture, spirituality, language and customs. And then, right before my eyes, a parallel universe opened up for me, a universe of traditional medicine, in which there are doctors no one knows of, who live right next to those known to everyone, and practices that are familiar to all, yet no one knows the proper way of performing them. A universe stretching throughout the country, not only in tourist centers such as Chiang Mai, Bangkok or Phuket.

"The teacher who made me immerse so profoundly into Thai culture and Thai medicine, into this vast universe of whose existence I hadn’t been aware of, or only faintly imagined, that I simply forsook everything I had done up to that moment, throwing it away as dead weight, and started from scratch."

Once you become initiated in traditional medicine, once you get to know its foundations, and learn to carry it out in practice, then you begin to search for a place where you can realize this practice. Once you go deeper into it, once you go beyond the confines of wellness and spa centers, once you acquire skill and courage to apply your knowledge as medicine, then you start searching for people who are in the need of it. The moment arrived for me to go to a place that I had heard of many years before, so I asked my teacher if I could go there and I was granted with permission. I set off into the heart of Thailand.


Traditional Lanna medical text on palm leaves

Being a lifelong backpacker, I got on one of those buses to Northeast in which you get all stiff after bumping for 15 hours or more, and eventually I got off in one of those transit towns, from where I headed to my new destination, far away from any tourist route. I got on a local bus, ramshackle and dirty, looking like it came from the early 20th century. I was riding the bus together with some 20 Thais. From that moment on, throughout the whole adventure which followed, there wasn’t ANYONE who spoke English, and EVERYTHING around me was written only in Thai language. Fortunately, I was well-prepared and already conversant with the basics of Thai, otherwise the whole action would have been absolutely impossible to achieve. I would have gotten lost just around the first corner. During the bus ride, a soldier explained to me that there was a hotel right next to the bus station at my destination.

After an hour and a half or so, we arrived to a small town. I was soon to understand that I was the only white person around within radius of hundreds of kilometers, and it was the first time in my life that I found myself completely alone, in the midst of a civilization that was in a way distant and foreign to me, among people that I didn’t know well, who didn’t understand any language that I speak, except for that rudimental Thai in which I could communicate on a basic level. And when they spoke in their mother tongue, I either had difficulties in understanding them or did not understand them at all. That feeling of communicational isolation is one of the most intense experiences that I have ever had.

"After a two-day trip, I finally reached the end of my journey, my final destination – clinic for traditional medicine. It is part of a Buddhist temple and it specializes in paralysis-related conditions."

Although I found the hotel in no time, the room was too expensive for my shoestring budget, and since there was no guesthouse in town, I had to find some cheap room to rent. I will never forget the moment when I was walking down the dusty road in that far-off provincial town, in the middle of nowhere, carrying my whole life in my backpack, and it was getting dark fast, while packs of stray dogs were eyeing me … and I thought to myself that it was a perfect setting in which I could just vanish without a trace, and if something would happen to me, if I were to disappear off the face of the earth, no one would ever find me. Scary. Finally I found what I was looking for in a narrow side street – a dilapidated, creepy, dirty concrete building that had the appearance of something from Japanese horror movies from the 1960s. I asked the receptionist for a room, so she took me upstairs to show it to me. On the door, there was a padlock the size of a corkscrew placed on a rickety lock, and it crossed my mind that the next day, when I come back, I would find the room completely empty, with all my personal belongings gone. The thought probably occurred to me because of my memories of India ... The room was spacious, but without windows, there was a big mattress, a wardrobe and a TV set, and that frustrating neon light. It was a total dump, like a hideout for a heroin smuggler.

At the break of day, I felt relieved because last night’s horror movies scenes quickly turned into idyllic scenery of a small provincial town in Thailand. I realized that my location was excellent, close to the market and the main street with the inevitable 7-Eleven convenience store. At the market, I bought some fruits for breakfast, flowers, incense and candles. I went for a short walk through town and inquired about the way to get to my destination point. Soon I was sitting comfortably in a three-wheeled cart (there are no tuk-tuks there), enjoying the sight of rice fields passing by during the 30-minute ride.


Sala Nuat

After a two-day trip, I finally reached the end of my journey, my final destination – clinic for traditional medicine. It is part of a Buddhist temple and it specializes in paralysis-related conditions. Patients from all over Thailand, as well as surrounding countries, come there looking for help. I came there wishing to do volunteer work and to learn. I was received by the Abbot of the temple, and I explained who I am and what  my motives for coming were, whereupon he approved my engagement. I was taken to the room for physical therapy, where I was introduced to the doctors and showed a mat that was to be my working space. Half an hour later, I attended my first patient, followed by many patients who poured in until 6 p.m., when I called the man with the three-wheeled cart to take me back to town. My heart has never been so full as that day.


Monks on treatment

I was the only white person who ever came to this place, so every time someone entered the room they would ask: “Who is this guy?”, and the whole day through I heard the answer: “farang, Slbia (Serbia), farang, Slbia” over and over again … Likewise, when I walked around town, I constantly felt people’s stare, often followed by their murmur. However, when I returned to my room, I saw all my belongings neatly in their place, and moreover during my entire stay there, I didn’t experience the slightest inconvenience (apart from the time when a pack of stray dogs attacked me when, in the middle of the night, I went out to get something at 7-Eleven; luckily I managed to frighten them away, scaring off the leader). On the contrary, once the word spread around town about who I was and why I was there, all the people were very polite to me, including vendors, grocers, and cart drivers. They smiled at me candidly, with all their heart, and not because they wanted to sell something.


Residential building for patients

I went to the clinic every day and worked from 8 in the morning till 6 in the afternoon. I worked in the Sala Nuat together with 5-6 doctors. As part of the physical therapy, techniques of massage, Luk Pra Kob and Yam Khang were applied simultaneously. The clinic also has an herbal steam bath where 108 different herbs are applied, and patients are also administered herbal medicine. At the clinic, there were some 20 patients admitted for inpatient treatments, while others came to be treated therapeutically on a daily basis.

"Luk Pra Kob and Yam Khang are applied all the time. There is no music, possibly the TV might be on showing some Muay Thai fight, while doctors often talk to each other and the patients alike."

Massage which is applied there has very little in common with Thai massage taught at schools and the way it is usually represented in the West. In this place, massage has solely therapeutic purpose, it implies a high degree of intensity and pain, and to a large extent it is applied by means of stepping (therapists hold on to a handrail placed all around the mats), lots of squeezing and acupressure and very little stretching is applied. Luk Pra Kob and Yam Khang are applied all the time. There is no music, possibly the TV might be on showing some Muay Thai fight, while doctors often talk to each other and the patients alike. This is constantly punctuated with strident sound of heel against the hot tin plate. During therapy I also used Tok Sen, which was welcomed approvingly, while the doctors were eager to see the tools, some of which I had personally assembled.


Luk Pra Kop


Patients were mostly people suffering from paralysis, ranging from completely paralyzed people in wheelchairs to those paralyzed in half of their body or a limb. The causes of their paralyses were various, including cases of stroke or traffic accidents. Some of them fully recovered, others only partially, and others yet never. Paralysis often goes paired with other serious conditions; therefore, treating such patients requires great skillfulness, knowledge and experience – knowledge of Thai anatomy and physiology and an understanding of the bodily functions from the perspective of traditional medicine and the way it is applied for healing purposes. There is no room for any kind of abstraction or fantasizing.  Treating such patients, the therapist is ushered into a specific spiritual state of mind; his work is a great karmic lesson which is best summarized in the question posed to me during treatment of an officer; a young man barely 27 years old, who suffered an accident which left him completely paralyzed in the left part of his body: “Please sir, tell me would I be able to walk ever again?” And then you have to reply something ...

"Doctors that I worked with and spent my days with, quickly grew very fond of me, and constantly made jokes with me, which I could not grasp, but I did understand that they were kind-hearted. "

Paralysis itself has a rather specific nature of its own. It usually affects a person all of a sudden, turning his/her life totally upside down. One wrong move at the steering wheel can change the course of your life forever. You are still alive, you are not in constant pain, yet you are incapable of having a normal life, at least the kind that you used to have up to that moment. What does that message, sent to you by the universe, mean?  One is inevitably faced with the question: “why did it happen to me?” which remains weighing on every patient, and which leads to a deeper contemplation on the karma phenomenon embedded into the philosophy of life of Thai people. I remember the peculiar atmosphere of certain peacefulness during my stay with these people, people who suffered such a heavy blow in their life, a knockout so to say, after which there is no room for any anger, arrogance or intolerance. People suffering from paralysis are mostly quiet, likeable and good-tempered.


With the five Mo

Doctors that I worked with and spent my days with, quickly grew very fond of me, and constantly made jokes with me, which I could not grasp, but I did understand that they were kind-hearted. Like the time they sent me to the store to buy one thing, but I got all confused before a vendor and brought something completely different. I treated each and every one of them and they were all pleased, which meant so much to me. If you want real feedback in you practice, there’s no better person than a Thai doctor. Their appearance was utterly charming to me, because when you see them in town or on the market, you’d take them to be members of a street gang rather than doctors at the clinic. Every day we had a half an hour lunch-break, when we went to the temple where I was dumbfounded at the marvelous sight of a variety of meals. I am a food-lover, but the food that I ate there was a real treat that I had nowhere else in Thailand. We would sit down on the floor and fifteen different plates would be served to us, plates like I have never been served in any restaurant. In their tradition of hospitality, they would be constantly pouring more food into my plate, and I’d be stuffing myself, and eventually, when the lunch was over, we’d just move a few meters to savor fifteen types of dessert that were out of this world. Jaw-dropping! The intimate and friendly relationship that I struck up with those doctors is the most humane and most beautiful thing that I have experienced in so many years.


"We would sit down on the floor and fifteen different plates would be served to us, plates like I have never been served in any restaurant" 


Mo Puu Ying

Only few days afterwards, someone mentioned Mo Puu Ying, and then I realized that there were also women doctors at the clinic, who were working in another building. Once they explained to me where it was, I went to see the place and, much to my surprise, I discovered there was a huge room, approximately three times bigger than ours, where female doctors worked. There were maybe ten to fifteen of them, and as soon as I entered their room, the place went nuts! When they saw me, their reaction was so sweet, they giggled and it was very funny ... I was personally delighted with my discovery. Although I realized that there was a gender-based segregation among doctors, since female doctors, for example, did not apply Yam Khang, there were patients of both sexes in each Sala.

At one moment, I went to find a steam bath. In front of it, I saw a beautiful set consisting of a dozen Reusi sculptures, all in positions of Reusi Dat Ton exercises. The steam bath had several small cabins filled with hot steam saturated with vapor from 108 herbs. The temperature inside is around 80'C, and when you go outside into the scorching hot Thai air of 37'C, it feels like light summer breeze.


Steam Bath

At the end of each working day, I was offered supper, and then I sat together with the patients. In the evening, everyone gathers on a small porch in front of the room with a TV set and a table, like some sort of extended family. I was deeply touched by the affection that the personnel showed to the patients. They were gentle and kind, there was not a tinge of arrogance or aloofness that often characterizes physicians in the West.

I spent some ten days there and then I had to leave to catch a flight to go back home. We made our farewells wholeheartedly, and it was not an easy leave-taking, because I grew to love them all, just as they did me. It was one of the most beautiful and moving experiences in my entire life, and I left the place with firm promise that one day I will return. The greatest lesson for a therapist, which I learnt there, is this:  “Before you is a person who genuinely suffers, and you can feel this suffering everywhere, in her eyes, in her voice, in her body, in the air between you and her, it is so strong that it pervades your entire being. It is up to you to do your utmost to reduce the suffering of this other being, as much as you can. And at that moment, everything else in this world is absolutely insignificant.”


Reusi Dat Ton statue 

Once, when I spoke with one of my teachers about Chiang Mai, about the ways in which the city is changing more and more, she told me: “Everything is changing so fast. Everything has become much more expensive. All these changes are aimed at satisfying the desires of thousands of tourists who come here. Hotels, restaurants and bars are constructed, instead of schools and hospitals. And we, the local population, are somehow left out of account in all of this.”

The place that I went to remains untouched by such changes. No one is making profit there, and no one is famous.  It still represents Thailand as it once was. Warm, humane and compassionate.