DOCSLIB.ORG

What Is Past Is Prologue the Challenges of Integrating A

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
What Is Past Is Prologue the Challenges of Integrating A Journal of Ethnopharmacology ∎ (∎∎∎∎) ∎∎∎–∎∎∎ 1 Contents lists available at ScienceDirect 2 3 4 Journal of Ethnopharmacology 5 6 journal homepage: www.elsevier.com/locate/jep 7 8 9 10 11 12 What is past is prologue: The challenges of integrating a historical 13 perspective of Chinese medicine and the treatment of recurrent 14 15 urinary tract infections 16 a b a,n 17 Q1 Vivienne Lo , Andrew Flower , Penelope Barrett 18 a China Centre for Health and Humanity, Department of History, UCL, Gower Street, London WC1E 6BT, United Kingdom 19 b Complementary and Integrated Medicine Research Unit, Faculty of Medicine, University of Southampton, Aldermoor Health Centre, Aldermoor Close, 20 Southampton SO16 5ST, United Kingdom 21 22 23 article info abstract 24 25 Article history: Ethnopharmacological relevance: Chinese herbal medicine (CHM) has a recorded history of over 2000 26 Received 7 August 2014 years that may be used to authenticate and guide modern treatments for disease, and also identify 27 Received in revised form neglected but potentially useful treatment strategies. However this process is often based on over- 7 November 2014 simplistic conceptions of tradition and history that fail to take into account the dynamic nature of these 28 Accepted 7 November 2014 29 ‘traditions’ and underestimate the importance of contextual factors in their interpretation. fi 30 Materials and methods: As part of a process of de ning good practice for a clinical trial of CHM for Q2 Keywords: recurrent urinary tract infections, a selective review of classical Chinese medical texts was undertaken to 31 Chinese herbal medicine investigate the historical treatment of urinary diseases specified by the traditional category of Lin 32 Historical review diseases. Clinical trial 33 Results: The historical review provided interesting insights into the evolution and meaning of Lin 34 Urinary tract diseases Bioprospecting diseases and how pertinent data may be found, precisely, outside the boundaries of the categories on 35 Historical ethnopharmacology which the original investigation was premised. Although there were interesting parallels and continuities 36 History in the classical and modern understandings of the aetiology, pathophysiology and treatment of urinary 37 Pre-modern diseases, there were also important divergences. 38 Food Conclusions: It became apparent, in the search for ‘traditional’ herbs to treat a particular modern 39 syndrome it is essential to contextualise remedies, including as far as possible the intertextual, social, 40 cultural, and gender context, and conditions of practice. Historical ethnopharmacology adds a level of 41 subtlety and complexity to over-simplistic attempts at bioprospecting. Some insights that emerged from this historical review could inform the proposed clinical trial but these had to be filtered through the 42 constraints of modern regulatory procedures. Further research is required on how best to integrate the 43 wealth of data that exists in historical texts with the desire to produce effective herbal products for the 44 modern world. 45 & 2014 Published by Elsevier Ireland Ltd. 46 47 67 48 68 1. Introduction entity, carrying with it thousands of years of empirical knowledge 49 69 (Heinrich et al., 2006). Thus in tailoring traditions to modern clinical 50 70 One of the assumptions of any ‘traditional’ medicine is that it has research, it is essential first to interrogate the imagined long history 51 71 a long history. That history is often conceived as unchanging over the of the therapeutic use of any particular substance. 52 72 millennia. In contraposition, modern attention to the history of both Equally essential is to understand the relationship between mod- 53 73 ‘medicine’ and ‘tradition’ showsusthatbothareconstantlytrans- ern disease terminology and the ancient naming of diseases. We must 54 74 forming, making and remaking themselves in order to survive and be be extremely wary of the presumption that pre-modern people were 55 75 Q3 successful in a changing world (Lo and Renton, 2011; Taylor, 2005). treating the same signs and symptoms of disease that we treat today, 56 76 This fact potentially presents a challenge to any modern randomised evenifthediseasessharethesamename.Ancientphysiological 57 77 controlled trial that assumes a traditional medicine to be a static theories, inasmuch as they mediated disease and therapy, may now 58 78 be lost in contemporary traditional medicines (intentionally or not). 59 79 Equally, modern treatment protocols may be very different from those 60 80 n in the past and be delivered in vastly different ways. 61 Corresponding author. Tel.: þ44 7961911811. 81 Conversely, there may be strong parallels between ancient and 62 E-mail addresses: [email protected] (V. Lo), [email protected] (A. Flower), 82 [email protected] (P. Barrett). modern practices. To a modern clinician, an historical investigation 63 83 64 http://dx.doi.org/10.1016/j.jep.2014.11.014 84 65 0378-8741/& 2014 Published by Elsevier Ireland Ltd. 85 66 Please cite this article as: Lo, V., et al., What is past is prologue: The challenges of integrating a historical perspective of Chinese medicine and the treatment of recurrent.... Journal of Ethnopharmacology (2014), http://dx.doi.org/10.1016/j.jep.2014.11.014i 2 V. Lo et al. / Journal of Ethnopharmacology ∎ (∎∎∎∎) ∎∎∎–∎∎∎ 1 like the present study not only serves to train the eye on the and severity of recurrent UTIs and to establish the feasibility of 67 2 nature and value of a tradition and relevant aspects of its authen- administering CHM via GP practices. 68 3 ticity, but also has the potential to identify innovations of the past An essential prelude to this kind of trial is a process of trying to 69 4 that have been lost along the way and to underline the creative establish what constitutes ‘good’ practice of CHM. We define ‘good 70 5 nature of productive traditions (Hsu, 2001). practice’ as being logical within the framework of CHM, consistent 71 6 This complex interplay of past and present has become appar- with at least one thread of traditional practice, having some evidence 72 7 ent in the project described in this paper where medical historians of clinical effectiveness, being biologically plausible, and perceived as 73 8 were commissioned by clinical researchers investigating the a reasonable approach by a peer group of experienced practitioners. 74 9 possible role of Chinese herbal medicine (CHM) in the treatment The practitioner-researcher (AF) who is co-ordinating this trial 75 10 of recurrent urinary tract infections (RUTIs) to explore historical contacted two experienced Chinese medicine historians (VL and 76 11 treatments of disorders related to the term lin淋, a key term in the PB) with the aim of investigating traditional practices that may have 77 12 classical Chinese conceptualisation of urinary disorders. The aim been used to treat RUTIs. 78 13 of this collaboration was to provide an account of good practices The initial purpose of this historical review was to provide material 79 14 that could be important in optimising clinical effectiveness for a on the treatment of urinary disorders in the past, specified by the key 80 15 clinical trial. term ‘lin’ 淋, and thereby identify a range of substances relevant to the 81 16 As has been noted, in exploring ethnobotany and ethnophar- symptoms and problems suffered by the women in this trial. During 82 17 macology as tools for drug discovery, ‘surprisingly little attention the preparatory research, it became evident that there was much more 83 18 has been paid to the historical development of… orally trans- to be learned from this process regardingunderlyingassumptions 84 19 mitted, indigenous knowledge systems’ (Heinrich et al., 2006). about the potencies of foods-herbs-medicines and about disease 85 20 This paper aims to make a small contribution to redress this categories. 86 21 deficit. We hope that the findings of this interdisciplinary project In conducting the review, we set out to trace the disease categories, 87 22 will be of significance to the design of future initiatives in clinical the substances, and their linkages both back from current categories 88 23 research, bioprospecting and bioinformatics. With regard to the and forward from the earliest relevant historical texts. 89 24 themes of this special issue, the present article is obviously con- Any historical enquiry into Chinese medicine presents unique 90 25 cerned with new uses for old traditions. It also encounters regulatory opportunities and challenges inasmuch as there is an unparalleled 91 26 issues that come to bear on the food-herbs-minerals continuum, and written tradition to prospect. The library of China Academy of 92 27 the ownership and authenticity of medical knowledge. Foods and Chinese Medical Sciences alone holds more than 5000 ancient 93 28 medicines are not substances for which we can assume stable medical texts, containing hundreds of thousands of prescriptions 94 29 qualities, but are, rather, the outcome and nexus of processes of (IITCM: www.cintcm.ac.cn/opencms/opencms/xxfw/dzzn/intro.html, 95 30 trade, transformation, appropriation, and use, which require careful accessed 10/07/2014). Most of that material survives in printed books 96 31 and, above all, locally situated historical and cultural studies, espe- dating to the Song period (960–1279) and after. However, in the last 97 32 cially when being translated into modern scientificprotocols. 30 years or so, large quantities of silk and bamboo manuscripts
Load more

Recommended publications
  • Downloaded from Brill.Com09/28/2021 09:41:18AM Via Free Access 102 M
    Asian Medicine 7 (2012) 101–127 brill.com/asme Palpable Access to the Divine: Daoist Medieval Massage, Visualisation and Internal Sensation1 Michael Stanley-Baker Abstract This paper examines convergent discourses of cure, health and transcendence in fourth century Daoist scriptures. The therapeutic massages, inner awareness and visualisation practices described here are from a collection of revelations which became the founding documents for Shangqing (Upper Clarity) Daoism, one of the most influential sects of its time. Although formal theories organised these practices so that salvation superseded curing, in practice they were used together. This blending was achieved through a series of textual features and synæsthesic practices intended to address existential and bodily crises simultaneously. This paper shows how therapeutic inter- ests were fundamental to soteriology, and how salvation informed therapy, thus drawing atten- tion to the entanglements of religion and medicine in early medieval China. Keywords Massage, synæsthesia, visualisation, Daoism, body gods, soteriology The primary sources for this paper are the scriptures of the Shangqing 上清 (Upper Clarity), an early Daoist school which rose to prominence as the fam- ily religion of the imperial family. The soteriological goal was to join an elite class of divine being in the Shangqing heaven, the Perfected (zhen 真), who were superior to Transcendents (xianren 仙). Their teachings emerged at a watershed point in the development of Daoism, the indigenous religion of 1 I am grateful for the insightful criticisms and comments on draughts of this paper from Robert Campany, Jennifer Cash, Charles Chase, Terry Kleeman, Vivienne Lo, Johnathan Pettit, Pierce Salguero, and Nathan Sivin.
    [Show full text]
  • REVIEW ESSAY Situating the History of Medicine Within Chinese History
    REVIEW ESSAY Situating the History of Medicine within Chinese History Marta Hanson, John Hopkins University Andrew Schonebaum. Novel Medicine: Healing, Literature, and Popular Knowledge in Early Modern China. Seattle: University of Washington Press, 2016. 296 pp. $50 (cloth); $30 (paper). Hilary A. Smith. Forgotten Disease: Illnesses Transformed in Chinese Medicine. Stanford, CA: Stanford University Press, 2017. 248 pp. $85 (cloth); $25 (paper/e-book). The past ten years have seen the publication of more than seventy English-language monographs, edited books, translations, dictionaries, and even a three-volume catalogue, related to the history of medicine in China. Such substantive, varied, and often ground-breaking scholarship is finally starting to do justice to the complexity of the subject and the richness of the sources vis-à-vis the better known, and thus more widely taught, history of European and Anglo-American medicine from antiquity to the modern world. Collectively bringing the field of the history of medicine in China to a new level of synthesis, these works not only demonstrate how integral the history of medicine and public health is to Chinese history but also should help facilitate the integration of East Asian medical history into more broadly conceived global histories of medicine and public health. This major boon in publications on the medical history of China over the past decade also reveals the wide-ranging methods and diverse approaches scholars have chosen to frame, and thereby exert heuristic control over, what arguably has become newly visible as the contours of a vast, complex, and essential subject of not just Chinese but human history.
    [Show full text]
  • [Re]Viewing the Chinese Landscape: Imaging the Body [In]Visible in Shanshuihua 山水畫
    [Re]viewing the Chinese Landscape: Imaging the Body [In]visible in Shanshuihua 山水畫 Lim Chye Hong 林彩鳳 A thesis submitted to the University of New South Wales in fulfilment of the requirements for the degree of Doctor of Philosophy Chinese Studies School of Languages and Linguistics Faculty of Arts and Social Sciences The University of New South Wales Australia abstract This thesis, titled '[Re]viewing the Chinese Landscape: Imaging the Body [In]visible in Shanshuihua 山水畫,' examines shanshuihua as a 'theoretical object' through the intervention of the present. In doing so, the study uses the body as an emblem for going beyond the surface appearance of a shanshuihua. This new strategy for interpreting shanshuihua proposes a 'Chinese' way of situating bodily consciousness. Thus, this study is not about shanshuihua in a general sense. Instead, it focuses on the emergence and codification of shanshuihua in the tenth and eleventh centuries with particular emphasis on the cultural construction of landscape via the agency of the body. On one level the thesis is a comprehensive study of the ideas of the body in shanshuihua, and on another it is a review of shanshuihua through situating bodily consciousness. The approach is not an abstract search for meaning but, rather, is empirically anchored within a heuristic and phenomenological framework. This framework utilises primary and secondary sources on art history and theory, sinology, medical and intellectual history, ii Chinese philosophy, phenomenology, human geography, cultural studies, and selected landscape texts. This study argues that shanshuihua needs to be understood and read not just as an image but also as a creative transformative process that is inevitably bound up with the body.
    [Show full text]
  • UC GAIA Chen Schaberg CS5.5-Text.Indd
    Idle Talk New PersPectives oN chiNese culture aNd society A series sponsored by the American Council of Learned Societies and made possible through a grant from the Chiang Ching-kuo Foundation for International Scholarly Exchange 1. Joan Judge and Hu Ying, eds., Beyond Exemplar Tales: Women’s Biography in Chinese History 2. David A. Palmer and Xun Liu, eds., Daoism in the Twentieth Century: Between Eternity and Modernity 3. Joshua A. Fogel, ed., The Role of Japan in Modern Chinese Art 4. Thomas S. Mullaney, James Leibold, Stéphane Gros, and Eric Vanden Bussche, eds., Critical Han Studies: The History, Representation, and Identity of China’s Majority 5. Jack W. Chen and David Schaberg, eds., Idle Talk: Gossip and Anecdote in Traditional China Idle Talk Gossip and Anecdote in Traditional China edited by Jack w. cheN aNd david schaberg Global, Area, and International Archive University of California Press berkeley los Angeles loNdoN The Global, Area, and International Archive (GAIA) is an initiative of the Institute of International Studies, University of California, Berkeley, in partnership with the University of California Press, the California Digital Library, and international research programs across the University of California system. University of California Press, one of the most distinguished university presses in the United States, enriches lives around the world by advancing scholarship in the humanities, social sciences, and natural sciences. Its activities are supported by the UC Press Foundation and by philanthropic contributions from individuals and institutions. For more information, visit www.ucpress.edu. University of California Press Berkeley and Los Angeles, California University of California Press, Ltd.
    [Show full text]
  • The Book of Chinese Medicine, Volume 1
    The Book of Chinese Medicine, Volume 1 The Book of Chinese Medicine, Volume 1: The Timeless Science of Balance and Harmony for Modern Life Edited by Henry H. Sun, Jingyan Meng and Kaijing Yan Translated by Translating Group of CTI of Sichuan International Studies University Proofread by Longquan Li, Chaowei Zhu and Xiushi Chen The Book of Chinese Medicine, Volume 1: The Timeless Science of Balance and Harmony for Modern Life Edited by Henry H. Sun, Jingyan Meng and Kaijing Yan This book first published 2020 Cambridge Scholars Publishing Lady Stephenson Library, Newcastle upon Tyne, NE6 2PA, UK British Library Cataloguing in Publication Data A catalogue record for this book is available from the British Library Copyright © 2020 by Henry H. Sun, Jingyan Meng, Kaijing Yan and contributors All rights for this book reserved. No part of this book may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, without the prior permission of the copyright owner. ISBN (10): 1-5275-5886-X ISBN (13): 978-1-5275-5886-1 TABLE OF CONTENTS Preface ...................................................................................................... xii Contributors .............................................................................................. xv Chapter One ................................................................................................ 1 An Overview of Chinese Medicine 1.1 Overview of the Theoretical System of CM ................................... 1 1.1.1 What is CM? ........................................................................... 1 1.1.2 What is the Theoretical System of CM? ................................. 2 1.2 The Formation and Development of the Theoretical System of CM .............................................................................................. 2 1.2.1 The Pre-Qin Period and the Qin and Han Dynasties .............. 2 1.2.2 The Two Jins, Sui, and Tang Dynasties ................................
    [Show full text]
  • Chinese Massage and the Introduction of Massage Into China Before the 8Th Century
    Ancient Science of Life, Vol No. VI No. 1 July 1986, Pages 24 - 29 CHINESE MASSAGE AND THE INTRODUCTION OF MASSAGE INTO CHINA BEFORE THE 8TH CENTURY LI JINGWEI China Academy of Traditional, Chinese Medicine, Dongzhinen Nei, Beijing, China. Received: 19 March 1986 Accepted: 28 April, 1986 ABSTRACT: This article deals with history of Chinese massage and the introduction of Indian massage into China. INTRODUCTION Massage, as a treatment, though carries different names in health care of various Chinese massage has a long history which nations, is perhaps one of the most age – old can be traced back to the primitive society. methods for removing fatigue and curing Lushi Chunqui Guyepian said : “At the trauma in the health work of mankind. beginning of Tao Tang Dynasty, due to the excessiveness and accumulation of the Yin There are different titles for massage in principle, the water way was blocked up and different period in China, viz: Jiaoyin, didn’t go to the right way and thus effected Anwu, Jiaomo, Daoyin, Zhezhi, Anjiao, the people who then suffered from Mosha, Tuina, Anmo etc. Since the stagnation of Qi (vital energy) and spasm of pronunciation “massage” in western the tendons, pain and stiffness of the joints. language is quite similar to the Mosha of the Dancing was thus proposed and applied for Chinese, some scholars believe that the eliminating these diseases”. This indicated massage of the western world might be that as early as the Tao Dynasty 5000 years originated from China. Although the terms ago, the Chinese people were aware of the mentioned above and the therapeutic fact that wet surroundings causes widely modalities are varied, they all share common spread disease of joints, and that dancing, a contents and theories.
    [Show full text]
  • Medical History Hare-Lip Surgery in the History Of
    Medical History http://journals.cambridge.org/MDH Additional services for Medical History: Email alerts: Click here Subscriptions: Click here Commercial reprints: Click here Terms of use : Click here Hare-lip surgery in the history of traditional Chinese medicine Kan-Wen Ma Medical History / Volume 44 / Issue 04 / October 2000, pp 489 - 512 DOI: 10.1017/S0025727300067090, Published online: 16 November 2012 Link to this article: http://journals.cambridge.org/abstract_S0025727300067090 How to cite this article: Kan-Wen Ma (2000). Hare-lip surgery in the history of traditional Chinese medicine. Medical History, 44, pp 489-512 doi:10.1017/S0025727300067090 Request Permissions : Click here Downloaded from http://journals.cambridge.org/MDH, IP address: 144.82.107.82 on 08 Nov 2013 Medical History, 2000, 44: 489-512 Hare-Lip Surgery in the History of Traditional Chinese Medicine KAN-WEN MA* There have been a few articles published in Chinese and English on hare-lip surgery in the history of traditional Chinese medicine. They are brief and some of them are inaccurate, although two recent English articles on this subject have presented an adequate picture on some aspects.' This article offers unreported information and evidence of both congenital and traumatic hare-lip surgery in the history of traditional Chinese medicine and also clarifies and corrects some of the facts and mistakes that have appeared in works previously published either in Chinese or English. Descriptions of Hare-Lip and its Treatment in Non-Medical Literature The earliest record of hare-lip in ancient China with an imaginary explanation for its cause is found in jtk Huainan Zi, a book attributed to Liu An (179-122 BC).
    [Show full text]
  • Plurality in Qing Imperial Medicine: Examining Institutional Formations
    Asia Pacific Perspectives ∙ Fall/Winter 2013–14 Plurality in Qing Imperial Medicine: Examining Institutional Formations Beyond the Imperial Medical Bureau Sare Aricanli, Princeton University Abstract This article illustrates the value of using the lens of institutional history to study imperial medicine. Identifying and incorporating a range of organizations and posts into the narrative of imperial medicine in eighteenth-century China shows the breadth of medical activity during this time. The most familiar institution of imperial medicine is the Imperial Medical Bureau, and this study argues that we can greatly benefit from including the history of other formations such as the Imperial Pharmacy and the Ministry of Imperial Stables, Herds, and Carriages. Such an outlook reveals the overlapping spheres of institutions, practitioners, and medicinals between human and equine medicine, implies that ethnicity may have been a factor in the organization of medicine, and points to a wider range of medical practitioners and patients within the imperial realm. Furthermore, multiplicity did not only exist among institutions and practitioners, but also on the linguistic level, as evidenced by the divergence in the meaning of some Manchu and Chinese terminology. Finally, these pluralities suggest that an understanding of imperial medicine as being limited to the Imperial Medical Bureau greatly underestimates the diversity of institutions, posts, ethnicities, and languages within the eighteenth-century Chinese imperial medical world. Keywords: imperial medicine, Imperial Medical Bureau, Imperial Pharmacy, equine care Introduction The history of Chinese medicine has benefited greatly from narratives that rest http://www.usfca.edu/pacificrim/perspectives/ on the textual tradition. Chinese medicine is, however, reflected quite differently through the lenses of textual and institutional history.
    [Show full text]
  • Fabrizio Pregadio CV
    FABRIZIO PREGADIO Research Fellow (Wissenschaftliche Mitarbeiter) Friedrich-Alexander-Universität Erlangen-Nürnberg, Germany [email protected] RESEARCH SUBJECTS Daoism: thought, religion, and traditions of self-cultivation. — Chinese alchemy: Neidan (Internal Alchemy) and Waidan (External Alchemy).— Chinese views of human nature (xing 性) and destiny/ existence (ming 命). Main current research project: “Human Nature and Destiny in the Thought of the Daoist Master Liu Yiming (1734-1821)”, supported by the Deutsche Forschungsgemeinschaft (DFG), 2020-2023. EDUCATION Degrees • Ph.D. (Civilizations of East Asia), Ca’ Foscari University of Venice, 1990 • M.A. (Chinese Language and Literature), Ca’ Foscari University of Venice, 1983 Other graduate study • University of Kyoto, Institute for Research in Humanities, 1985-90 • Italian School of East Asian Studies, Kyoto, 1985 Other undergraduate study • University of Leiden, Sinologisch Instituut (Linguistics of Classical Chinese), 1980-81 PROFESSIONAL APPOINTMENTS Teaching • Erlangen University, Institute of Sinology: Guest Professor of Daoist Anthropology, from 2014-15 to 2017-18 • McGill University, Montreal, Department of East Asian Studies: Course Lecturer, 2009-2010 Fabrizio Pregadio — CV [Updated May 17, 2021] 1 • Stanford University, Department of Religious Studies: Visiting Professor, 2001-2002; Acting Associate Professor, 2002-2008 • Technische Universität Berlin, Institute of Philosophy: Visiting Professor, 1998 and 1999-2001 • Ca’ Foscari University of Venice, Department of East
    [Show full text]
  • Understanding the Jiao Qi Experience: the Medical Approach to Illness In
    the jiaoqi experience hilary a. smith Understanding the jiao qi Experience: The Medical Approach to Illness in Seventh-century China oday, it is possible to consider disease separately from the indi- T viduals who suffer it. We wage wars against cancer, AIDS, and malaria. The many bioscientists who work to support clinical medicine investigate the causes and mechanisms of such diseases, hoping to find the keys to conquering them in all sufferers, and not just in particu- lar individuals. Sometimes, this ontological understanding of disease spills over into historical work and allows us to think that what the old disease names indicate has remained constant over time. It is easy to imagine, for example, that the handful of old Chinese disease names that found their way into modern biomedicine — such as nüe 瘧, now translated as “malaria,” huoluan 霍亂, now “cholera,” or shanghan 傷寒, now “typhoid” — retained some essential identity across the centuries of their use. Premodern Chinese doctors may not have known about the microbes that cause these disorders, or treated them as biomedical doc- tors do, but we assume that what they called nüe, huoluan, and shanghan at least corresponded to what we recognize as discrete diseases. That, in any case, is the impression given by the existing literature on jiaoqi 腳氣.1 Like the names mentioned above, this one long predates the advent of modern medicine — having appeared in medical docu- ments at least by 500 ad, and having been used continuously since. By the early-twentieth century jiaoqi had become the translation for the vitamin B1 deficiency disorder beriberi, and when scholars in the 1930s wrote about jiaoqi ’s history, they wrote about it as a history of a 1 I use the Romanized version of the modern Mandarin pronunciation of the characters for jiao qi.
    [Show full text]
  • Tongues on Fire: on the Origins and Transmission of a System of Tongue Diagnosis
    Tongues on Fire: On the Origins and Transmission of a System of Tongue Diagnosis Nancy Holroyde-Downing University College London A Dissertation Submitted to the Faculty of University College London In Partial Fulflment of the Requirements for the Degree of Doctor of Philosophy in History in the Department of History 2017 I, Nancy Holroyde-Downing, confrm that the work presented in this thesis is my own. Where information has been derived from other sources, I confrm that this has been indicated in the thesis. Abstract Tongues on Fire: Te Origins and Development of a System of Tongue Diagnosis Tis dissertation explores the origins and development of a Chinese diagnostic system based on the inspection of the tongue, and the transmission of this practice to Europe in the late 17th century. Drawing on the rich textual history of China, I will show that the tongue is cited as an indicator of illness or a portent of death in the classic texts of the Han dynasty, but these references do not amount to a system of diagnosis. I will argue that the privileging of the tongue as a diagnostic tool is a relatively recent occurrence in the history of Chinese medicine. Paying particular attention to case records kept by physicians from the Han dynasty (206 bce–220 ce) to the Qing dynasty (1644–1911), I will show that an increasing interest in the appearance of the tongue was specifcally due to its ability to refect the presence and intensity of heat in the body. Tongue inspection’s growing pervasiveness coincided with an emerging discourse among Chinese physicians concerning the relative usefulness of shang- han 傷寒 (Cold Damage) or wenbing 溫病 (Warm Disease) theories of disease progression.
    [Show full text]
  • Medical Writings on Childbirth in Imperial China
    Male Brushstrokes and Female Touch: Medical Writings on Childbirth in Imperial China Margaret Wee Siang Ng Department of History, Faculty of Arts McGill University, Montreal May, 2013 A thesis submitted to McGill University in partial fulfillment of the requirements of the degree of Doctorate of Philosophy in History © Margaret Wee Siang Ng, 2013 TABLE OF CONTENTS Abstract i Résumé ii Acknowledgements iii INTRODUCTION 1 Writing about Birth 3 Methods 8 Sources 10 Contemporary Scholarship 11 The Life of Shichan lun 14 CHAPTER ONE 20 Female Hands and Male Brushstrokes: A Translation and Analysis of Shichan lun 十產論 (Ten Topics on Birth) Part One: Introduction 20 Authorship, Structure, Language and Tone 21 Part Two: The Pain of Childbirth 29 Topic One: Zhengchan 正產 29 The quality of pain in Shichan lun 30 Topic Two: Shangchan 傷產 35 Talking About Pain 42 Pain in Medicine 48 Painful Birth in Chinese Culture 58 Topic Three: Cuichan 催產 66 A Season to Birth: Topics Four and Five: Season and Climate 67 Part Three: Female Hands: Shoufa 手法 (Hand Techniques) 72 Fa 法 – Method, Technique and Skill 73 Topic Six: Hengchan 橫產 74 Topic Seven: Daochan 倒產 77 Topic Eight: Pianchan 偏產 78 Topic Nine: Aichan 礙產 81 Touch of the Practitioner 82 Healing Hands in Chinese Medicine 84 Part Four: 93 Topic Ten: Zuochan 坐產 93 Topic Eleven: Panchang chan 盤腸產 95 Conclusion 96 CHAPTER TWO Male Brushstrokes: The Life of a Text: 101 The Transmission of Shichan lun from Song to the Qing Introduction 101 The Northern Song (960-1126) 104 The Intellectual Milieu 107 Yang Zijian,
    [Show full text]