Traditional Healing or Risky Practice?
Hilot, a traditional Filipino healing art, remains deeply woven into the country’s cultural fabric. While it offers a holistic approach to health, its effectiveness sparks debate among healthcare professionals and patients alike.
For centuries, this technique has provided an accessible option for many Filipinos, particularly in rural areas. But in a modern healthcare landscape that values evidence-based medicine, questions arise: Can Hilot coexist with modern practices, or does it risk causing more harm than good?
What is Hilot?
Hilot is a traditional Filipino healing practice rooted in the country’s indigenous culture. It is best known for its holistic approach, which combines physical therapies, natural remedies, and spiritual elements to address health concerns.
At the centre of this practice is the manghihilot, a traditional healer who performs Hilot treatments. In an interview with Medical Channel Asia, Rev. Roland Gomez Comon aka Apu Adman Aghama, a lead advocate of Philippine Indigenous Traditional Medicine Hilot and Executive Director of the Hilot Academy, shared more about manghihilot:
“The knowledge, skills, abilities, and attitude of a manghihilot are taught through observation and experience, either through apprenticeship from a Hilot Master or out of compassion—just like a mother who applies cures to her sick child.”
They are regarded as both physical and spiritual healers, as their work often involves not just the body, but also the patient’s energy or spiritual well-being.
The most recognisable aspect of Hilot is its massage therapy. Manghihilots use their hands to assess the body, identify imbalances, and apply various techniques to relieve pain, improve circulation, and align bones.
This diagnostic touch is sometimes combined with herbal remedies, like medicinal oils or compresses, to enhance the healing process.
Hilot practitioners also incorporate rituals, prayers, or chants, which reflect the spiritual foundations of this practice.
Hilot’s Role in Filipino Culture
Rev. Comon was featured on One Ph, a Philippine Television Chanel of Cignal TV Doctor Next Door programme, to talk about the fundamental practices of Hilot
Hilot is more than just a healthcare practice; it is a cultural tradition deeply embedded in Filipino identity. For centuries, it has been a primary form of care in rural communities, passed down through generations of manghihilots. In many cases, it has provided an accessible alternative to modern medicine, particularly in areas where hospitals and clinics remain scarce.
As Rev. Comon explains, “Traditionally, Hilot could even be obtained from family members, like mothers or grandmothers, often without requiring monetary payment.”
“Its foundation is the principle of loving care, making it accessible to everyone regardless of their financial status.”
Yet, its continued relevance raises questions. With modern healthcare systems becoming more accessible and evidence-based practices gaining importance, how does Hilot fit into this evolving landscape?
Perspectives on Hilot
The debate over Hilot’s relevance in modern healthcare reveals a mix of admiration and scepticism. Supporters praise its accessibility, cultural significance, and the personal care it offers. For some, it has provided relief where modern medicine seemed ineffective.
Reddit user u/abcGG shared their experience:
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On the other hand, sceptics argue that Hilot can sometimes do more harm than good. Medical professionals highlight the risks of unregulated practices, particularly in acute cases. Some patients report worsened conditions after undergoing Hilot, which raises about its safety when used as a substitute for professional medical care.
Reddit user u/JustCreepyEnough reflected:
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Dr AJ Pareja, a medical doctor, warns about the dangers of improper Hilot practices.
He shared his perspective: “A lot of people resort to Hilot before consulting a doctor whenever they have an injury. What happens is, the Hilot manipulates the area where the injury has occurred, and when they come to us because of complications, it’s already too late.”
However, manghihilots like Rev. Comon argue that Hilot practitioners are guided by strict principles to ensure safety.
“As manghihilot, we do not treat patients with conditions that are beyond our understanding. We refer them to proper healthcare professionals as necessary. Our work revolves around treating traditional Filipino ailments, such as pilay, within the limits of our knowledge,” he explains.
Hilot and Modern Healthcare
Hilot’s role in the healthcare system is evolving. In 1997, the Philippines government recognised its significance through the Traditional and Alternative Medicine Act (TAMA). This law acknowledges Hilot as a legitimate practice, promoting its integration alongside modern medical approaches.
Today, Hilot is sometimes offered in complementary and alternative medicine clinics in urban centres, bridging traditional and modern healing systems.
While Hilot practitioners highlight its holistic approach, some doctors argue that without scientific validation, it should not replace conventional treatments. For many, Hilot works best as a complementary therapy, rather than a standalone solution.
Rev. Comon believes Hilot has the potential to complement mainstream medicine effectively, provided it is recognised for its unique role.
He explains, “We can bridge the gap by educating people to trust modern medical practitioners while also respecting the practice of Hilot. Traditional medicine and modern medicine can work together hand-in-hand to care for the health of the people.”
Globally, there is growing interest in integrative healthcare, where traditional practices align with modern medicine. This model recognises the value of cultural healing methods while ensuring safety and efficacy through regulation. For Hilot to fully integrate, more research can be done to validate its methods.
The Future of Hilot
As healthcare evolves, Hilot finds itself at a crossroads. Its cultural significance and holistic nature resonate with many Filipinos, but the need for safety and scientific validation has never been more critical.
One pathway forward could involve formalising the training of manghihilots. Standardised education and certification would ensure that practitioners have a deeper understanding of anatomy, physiology, and the risks associated with their treatments.
Rev. Comon advocates for elevating Hilot beyond its current perception. He suggests, “Hilot should be included in public healthcare services, not treated as a hospitality service under the spa industry. Trained manghihilots can work as field researchers, documenting medicinal plants in their communities.”
“This collaboration between traditional and modern healthcare can foster a deeper understanding of our natural resources while ensuring safe and effective treatments.”
To this end, Rev. Comon shares the Hilot Binabaylan Training Program, carefully curated to train individuals intensively over multiple days the practice of Hilot over a mixture of modalities. For the general public, he also holds free webinars that are available for playback on their YouTube channel.
Additionally, research is vital. Scientific studies that examine Hilot’s efficacy could provide the validation it needs to gain wider acceptance. Documenting its benefits and limitations would help patients and healthcare providers make informed decisions about its use.
Despite these challenges, the practice continues to hold a special place in Filipino healthcare. Its personalised approach and cultural roots make it more than just a treatment—it is a symbol of heritage and resilience.
Read more traditional medicine:
- Traditional Chinese Medicine: Ancient Remedies and Techniques for Modern Times
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- Traditional Pregnancy Confinement Practices in SEA
Disclaimer: The information provided in this article is for educational purposes only, and should not be considered medical advice. Please consult with a healthcare professional for more personalised guidance and various treatment options that may be available to you.