Health Care In Eleventh Century China

By examining all the prevalent varieties of therapy from self-care to religious ritual, this book explores health care practices in China, before modern times. In ancient China most people were unable to afford a doctor, even in the unlikely case that one lived near their village and was willing to treat peasants. What did they do when their children got sick? The answer is to be found in this book, which goes far beyond the history of medicine. The author uses methods of medical anthropology to explain the curative roles of popular religion, Daoism, Buddhism and the therapeutic rites performed by imperial officials. Readers will discover the steady interaction of religious healing and classical medicine in this culture. This highly readable book builds on over forty years of study and analysis of early liturgical and medical writings and a wide variety of other sources. Its focus on the eleventh century throws new light on a period of rapid transition in many aspects of therapy and it will appeal to scholars and general readers alike.

“Rich insights into how one country has dealt with perhaps the most central issue for any human society: the health and wellbeing of its citizens.” —The Lancet This volume examines important aspects of China’s century-long search to provide appropriate and effective health care for its people. Four subjects—disease and healing, encounters and accommodations, institutions and professions, and people’s health—organize discussions across case studies of schistosomiasis, tuberculosis, mental health, and tobacco and health. Among the book’s significant conclusions are the importance of barefoot doctors in disseminating western medicine; the improvements in medical health and services during the long Sino-Japanese war; and the important role of the Chinese consumer. This is a thought-provoking read for health practitioners, historians, and others interested in the history of medicine and health in China.

This book is an annotated translation of Xu Shuwei’s (1080–1154) collection of 90 medical case records – Ninety Discussions of Cold Damage Disorders (shanghan jiushi lun 傷寒九十論) – which was the first such collection in China. The translation reveals patterns of social as well as medical history. This book provides the readers with a distinctive first hand perspective on twelfth-century medical practice, including medical aspects, such as nosology, diagnosis, treatment, and doctrinal reasoning supporting them. It also presents the social aspect of medical practice, detailing the various participants in the medical encounter, their role, the power relations within the encounter, and the location where the encounter occurred. Reading the translation of Xu’s cases allows the readers high-resolution snapshots of medicine and medical practice as reflected from the case records documented by this leading twelfth-century physician. The detailed introduction to the translation contextualizes Xu’s life and medical practice in the broader changes of this transformative era.

The Huang Di nei jing su wen, known familiarly as the Su wen, is a seminal text of ancient Chinese medicine, yet until now there has been no comprehensive, detailed analysis of its development and contents. At last Paul U. Unschuld offers entry into this still-vital artifact of China’s cultural and intellectual past. Unschuld traces the history of the Su wen to its origins in the final centuries B.C.E., when numerous authors wrote short medical essays to explain the foundations of human health and illness on the basis of the newly developed vessel theory. He examines the meaning of the title and the way the work has been received throughout Chinese medical history, both before and after the eleventh century when the text as it is known today emerged. Unschuld’s survey of the contents includes illuminating discussions of the yin-yang and five-agents doctrines, the perception of the human body and its organs, qi and blood, pathogenic agents, concepts of disease and diagnosis, and a variety of therapies, including the new technique of acupuncture. An extensive appendix, furthermore, offers a detailed introduction to the complicated climatological theories of Wu yun liu qi ("five periods and six qi"), which were added to the Su wen by Wang Bing in the Tang era. In an epilogue, Unschuld writes about the break with tradition and innovative style of thought represented by the Su wen. For the first time, health care took the form of "medicine," in that it focused on environmental conditions, climatic agents, and behavior as causal in the emergence of disease and on the importance of natural laws in explaining illness. Unschuld points out that much of what we surmise about the human organism is simply a projection, reflecting dominant values and social goals, and he constructs a hypothesis to explain the formation and acceptance of basic notions of health and disease in a given society. Reading the Su wen, he says, not only offers a better understanding of the roots of Chinese medicine as an integrated aspect of Chinese civilization; it also provides a much needed starting point for discussions of the differences and parallels between European and Chinese ways of dealing with illness and the risk of early death.

This volume examines important aspects of China's century-long search to provide appropriate and effective health care for its people. Four subjects—disease and healing, encounters and accommodations, institutions and professions, and people's health—organize discussions across case studies of schistosomiasis, tuberculosis, mental health, and tobacco and health. Among the book's significant conclusions are the importance of barefoot doctors in disseminating western medicine, the improvements in medical health and services during the long Sino-Japanese war, and the important role of the Chinese consumer. Intended for an audience of health practitioners, historians, and others interested in the history of medicine and health in China, the book is one of three commissioned by the China Medical Board to mark its centennial in 2014.

The history of Chinese medicine hinges on three major turning points: the formation of canonical theory in the Han dynasty; the transformation of medicine via the integration of earlier medical theories and practices in the Song dynasty; and the impact of Western medicine from the nineteenth century onwards. This book offers a comprehensive overview of the crucial second stage in the evolution of Chinese medicine by examining the changes in Chinese medicine during the pivotal era of the Song dynasty. Scholars often characterize the Song era as a time of change in every aspect of political, social, intellectual or economic life. More specifically it focuses on three narratives of change: the emperor's interest in medicine elevated the status of medicine in the eyes of the elite, leading to an increased involvement of intellectuals and the literary elite in medicine government officials systematically revised, printed, and promulgated earlier heterogeneous medical manuscripts belonging to various traditions the government established unique imperially sponsored medical institutions to handle public health and other aspects of medicine. As the first book to study the transformation medicine underwent during the Song period this volume will appeal to Sinologists and scholars of the history of medicine alike.

This volume provides a history of how “the human” has been constituted as a subject of scientific inquiry in China from the seventeenth century to the present.

The Routledge Handbook of Chinese Medicine is an extensive, interdisciplinary guide to the nature of traditional medicine and healing in the Chinese cultural region, and its plural epistemologies. Established experts and the next generation of scholars interpret the ways in which Chinese medicine has been understood and portrayed from the beginning of the empire (third century BCE) to the globalisation of Chinese products and practices in the present day, taking in subjects from ancient medical writings to therapeutic movement, to talismans for healing and traditional medicines that have inspired global solutions to contemporary epidemics. The volume is divided into seven parts: Longue Durée and Formation of Institutions and Traditions Sickness and Healing Food and Sex Spiritual and Orthodox Religious Practices The World of Sinographic Medicine Wider Diasporas Negotiating Modernity This handbook therefore introduces the broad range of ideas and techniques that comprise pre-modern medicine in China, and the historiographical and ethnographic approaches that have illuminated them. It will prove a useful resource to students and scholars of Chinese studies, and the history of medicine and anthropology. It will also be of interest to practitioners, patients and specialists wishing to refresh their knowledge with the latest developments in the field. The Open Access version of this book, available at http://www.taylorfrancis.com, has been made available under a Creative Commons Attribution-Non Commercial-No Derivatives 4.0 license