Hilot (/HEE-lot/) is an ancient Filipino art of healing. It uses manipulation and massage to achieve the treatment outcome, although techniques differ from one practitioner to another. It emerged from the shamanic tradition of the ancient Filipinos with healers considering their practice as derived from their calling from visions or from having been born by breech. Overview Hilot incorporates supernatural aspects, particularly in cases of practitioners who claim that their ability is given by a supernatural source such as the case of manghihilot who embarks on pilgrimage to a mountain called Banahaw to satisfy the spiritual component of their healing practice. A Hilot practitioner or albularyo (herbalist) are usually cheaper alternatives to medical doctors in the Philippines, especially in very deep rural areas. A Manghihilot employs chiropractic-like manipulation and massage for the diagnosis and treatment of musculoskeletal ailments. They also have been known to reset dislocated and sprained joints such as the knee, ankle, fingers and metacarpal bones. An Albularyo use herbs in addition to massage. The term hilot is also applied to traditional midwives, licensed or otherwise (Panday in Meranaw). Spiritual and physical components The spiritual component of Hilot treats the relationship between the body's attitude and universal energy. In other words, the goal is to bring the body back to harmony. This focuses on inner change. One way this can be achieved is through the Banahaw Devotional Technique. Tracing its origins to the fifteenth century, this technique requires the performance of orations and sacrificial rituals to influence the body's spirit. The goal of this is to ask for forgiveness from God. Depending where the manghihilot and their patient are located, the popular location to perform this technique is in the active volcano of Mt. Banahaw, located in Luzon. Following the Banahaw Devotional Technique is the Pagpapahalaga, or the Valuing Process in which the goal is to direct inner change to outer change with the use of inner understandings. These inner understandings is presented within the following three modules: mabuti (self-honesty), makabubuti (sincerity), makapagpapabuti (consequential goodness). The Banahaw Devotional Technique and Valuing Process are treatments for inner conflicts within the body such as stress which causes the imbalance of the four elements. The physical material component of Hilot is addressed through four modalities and this time focuses on external forces in order to restore balance between the four elements. The bio-chemical modality promotes chemical component changes through the process