This original state developed to what we see today in many traditional cultures. The shaman takes care of healing the wounds of the spirit while the medicine man or woman heals the ills of the body. The two often work in tandem for their patients.
In our post-tribal world, we see that the shaman is re-emerging in response to a need that is not being met by the mainstream religions or modern psychology. This need is the soul's hunger for connection – with the earth, our ancestors, the divine and our own selves.
This is the work of the shaman in our current western culture: To bring the pieces of the whole Self back together, realigning mind, body and spirit into Human Being.