The institutional healing sanctuary is older than Christianity. The cult of Asklepios begins in archaic Greece, reaches Epidauros by the sixth century BC, and spreads with Roman expansion to Kōs, Pergamon, Hierapolis, and eventually a sanctuary on the Tiber island in Rome. The architecture is recognisable across the network: a temple, an abaton for incubation, a theatre, a stadium, and dedicatory inscriptions describing the cures — some plausible, many extraordinary. The Egyptian healing temples at Saqqara and Memphis, and the Roman bath complexes such as Aquae Sulis at Bath, sit in the same broad tradition: the body is brought to a place where the divine is said to act, and waits.
Christian healing pilgrimage develops by overlay and by translation. Tombs of martyrs become incubation sites in late antiquity. Holy wells — St Winefride's in Wales, St Brigid's at Liscannor, Lough Derg's penitential lake — anchor older Celtic water-cults to Christian saints. From the high middle ages onward, Marian sanctuaries become the dominant European form: Walsingham (1061), Guadalupe in Mexico (1531), Lourdes (1858), Fátima (1917), Knock (1879), Banneux (1933). The Counter-Reformation defends and codifies the cult; the modern Church audits it. The Medical Bureau at Lourdes, founded in 1883, is the lineal descendant of the temple priests at Epidauros reading the iamata.
The tradition continues to be plural. Tirta Empul, the holy spring at Manukaya in Bali, has been receiving Balinese Hindu pilgrims for the melukat purification rite since the tenth century and now draws international visitors. Lalish, the central shrine of the Yezidi tradition in northern Iraq, holds healing waters and the tomb of Sheikh Adi. Esquipulas continues to draw Central American pilgrims by the hundred thousand each January. Healing pilgrimage is not a residue of a credulous past; it is a living, audited, multi-faith practice that more than a hundred million people undertake each year.