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Many have attempted to explain the manifestation of the Vision Serpent in association with Maya bloodletting.
One conclusion is " that massive blood loss causes the brain to release an abundance of natural endorphins, which are chemically related to opiates.
As the body goes into shock, a hallucinatory vision occurs.
" Once the actual bloodletting was over, the blood soaked ceremonial papers were burned, releasing a column of smoke.
The smoke provided the perfect medium for the Vision Serpent to appear.
Every major political or religious event involved bloodletting because it provided a medium by which the gods could be called upon to witness and actually participate in the ceremony.
Sometimes the spirits of ancestors were also called upon to give guidance.
The Hauberg Stela ( A. D. 199 ) from the Maya Lowlands " is one of the first dated monuments that depict the Vision Serpent's connection to bloodletting ".

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