In the Andes, being a healer is not a career—it is a sacred calling. To become a medicine person in this tradition is to be chosen by the Apus (mountain spirits), initiated by life, and trained through direct communion with Pachamama, not merely through books or titles.
The Andean medicine path is one of service, humility, and energetic alignment. Unlike Western models, it sees healing not as fixing, but as restoring balance and remembering the original harmony of all beings.
What is a Medicine Person in the Andes?
Known as Paqo, Pampamisayoc, or Altomisayoc, the medicine person in the Andean tradition is both healer and bridge. Their task is not only to support individuals, but also to maintain the Ayni—sacred reciprocity—between humans, nature, and the spirit world.
There are different levels:
Paqo – Spiritual practitioner, often initiated through experience and mentorship
Pampamisayoc – “Keeper of the Earth,” one who works closely with Pachamama and the natural elements
Altomisayoc – The highest level, chosen by lightning or spiritual signs, deeply connected to the Apus
“A healer in this tradition is not someone who heals for others, but someone who creates the energetic conditions in which life can rebalance itself.”
(Núñez del Prado, 2009)
The Tools of the Medicine Path
Andean medicine people use natural and energetic tools, including:
These tools are not symbols—they are living allies that carry energy and intention.
The medicine person also develops the three powers of:
“The true mesa is your own body, your own energy. All outer tools are mirrors of your inner terrain.”
(MacLean, 2012)
How Does One Become a Medicine Person?
Contrary to modern assumptions, you do not “decide” to become a healer—you are called. This calling may come through:
- Dreams with Apus or ancestors
- Deep crises or illness that awaken your path
- Spontaneous connection with nature and the spirit world
- Meeting a mentor or lineage unexpectedly
After that, the path unfolds slowly and organically.
“You don’t choose the Apus. The Apus choose you. And when they do, life will never be the same.”
(Wilcox, 2004)
A Path of Responsibility, Not Ego
The Andean medicine path is not about fame, money, or spiritual superiority. It is a responsibility. Medicine people are called to:
- Clear their own hucha (dense energy)
- Live in ethical relation to Pachamama
- Avoid manipulation or ego inflation
- Be servants of harmony, not saviors
In a world flooded with false gurus, the true Paqo is often quiet, humble, and deeply grounded.
“A real healer is not someone with power over others, but someone who reminds you of your own sacred power.”
(Miro-Quesada, 2010)
Bibliography
- Núñez del Prado, J. (2009). The Andean Cosmovision. Cusco: Willka Nina Press.
- Wilcox, J. (2004). Keepers of the Ancient Knowledge: The Q’ero Mystics of Peru. Vermont: Inner Traditions.
- MacLean, K. (2012). The Shape of the Inka Heart: Wisdom from the Q’ero Masters. UK: Heart of the Andes Press.
- Miro-Quesada, O. (2010). Lessons in Courage: Peruvian Shamanic Wisdom for Everyday Life. Boulder: Sounds True.
