<![CDATA[Pampapu is a ritual healing practice deeply rooted in Andean spirituality, based on the belief that certain illnesses originate from the earth and must be treated through acts of ritual reciprocity. Despite advances in conventional medicine and processes of cultural globalization, this practice remains active in various Andean communities as an expression of cultural memory and collective identity. The study was conducted using a qualitative ethnographic approach in communities of Ayacucho, Peru, through in-depth interviews, oral testimonies, and participant observation, with particular attention to traditional healers (yachaq) and residents who turn to pampapu as a therapeutic alternative. Findings indicate that pampapu integrates ancestral knowledge transmitted orally, rituals associated with Pachamama, and elements of popular Catholicism, forming a therapeutic system that transcends the physical dimension. In conclusion, pampapu constitutes a living manifestation of Andean spirituality and cultural memory, underscoring the need to promote intercultural health approaches that recognize the complementarity between traditional knowledge and modern medicine.]]>
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