In Aztec mythology, Tlazolteotl (or Tlaçolteotl,) is a goddess of purification, steam bath, midwives, filth, and a patroness of adulterers. In Nahuatl, the word tlazolli can refer to vice and diseases. Thus, Tlazolteotl was a goddess of filth (sin), vice, and sexual misdeeds. However, she was a purification goddess as well, who forgave the sins and disease of those caused by misdeeds, particularly sexual misdeeds. Her dual nature is seen in her epithets; Tlaelquani ('she who eats filth [sin]') and Tlazolmiquiztli ('the death caused by lust'), and Ixcuina or Ixcuinan ('she of two faces'). Under the designation of Ixcuinan she was thought to be plural in number and four sisters of different ages by the names; Tiacapan (the first born), Teicu (the younger sister), Tlaco (the middle sister) an