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The book is a by-product of a major project supported under this contract entitled: 'Military Implications of Change - Communist China'. In this book the author describes the traditional Chinese medical system; traces the spread of modern medicine in China and its effects on the theories and practice of Chinese medicine; and discusses the socio-political implications of the issue in Communist China. The Chinese struggle over adoption of modern medicine is shown to reflect those tensions engendered by the often conflicting claims of cultural nationalism and reverence for modern science. (Author).
Neither Donkey nor Horse tells the story of how Chinese medicine was transformed from the antithesis of modernity in the early twentieth century into a potent symbol of and vehicle for China’s exploration of its own modernity half a century later. Instead of viewing this transition as derivative of the political history of modern China, Sean Hsiang-lin Lei argues that China’s medical history had a life of its own, one that at times directly influenced the ideological struggle over the meaning of China’s modernity and the Chinese state. Far from being a remnant of China’s premodern past, Chinese medicine in the twentieth century coevolved with Western medicine and the Nationalist state, undergoing a profound transformation—institutionally, epistemologically, and materially—that resulted in the creation of a modern Chinese medicine. This new medicine was derided as “neither donkey nor horse” because it necessarily betrayed both of the parental traditions and therefore was doomed to fail. Yet this hybrid medicine survived, through self-innovation and negotiation, thus challenging the conception of modernity that rejected the possibility of productive crossbreeding between the modern and the traditional. By exploring the production of modern Chinese medicine and China’s modernity in tandem, Lei offers both a political history of medicine and a medical history of the Chinese state.
Diseases are everyday, ordinary occurrences intimately related to people’s daily lives. However, as the metaphor of the “Sick Man of East Asia” emerged against the backdrop of a weak modern China, health care and the curing of diseases were turned into grand state politics with far-reaching implications. This book, starting with the argument for diseases being metaphors, describes and interprets such incidents in China’s history as the Abolishment of Traditional Chinese Medicine, the Patriotic Hygiene Campaign and the Cooperative Medical Services. In an effort to reveal the internal logic of disease politics in the transformation of the state-people relationship, the book analyzes key aspects including the politicization and inclusion of diseases in state governance, the double disciplining of hygiene, legitimacy construction of the state, the remaking of the nationals, and the expansion of the “publicness” of the state. The book argues that disease politics in modern China has developed following the path from nationals to the people, and then to citizens, or from crisis politics and mobilization politics to life politics. In addition, a marked change has occurred in China’s state building: increasingly standard, rationalized and institutionalized means have been employed while the non-standard means, such as large-scale mobilization and ideological coercion, had been historically used in China.
"Neither Donkey Nor Horse "tells the story of how Chinese medicine was transformed from the antithesis of modernity in the early twentieth century into a potent symbol and vehicle for China s struggle with it half a century later. Instead of viewing this transition as derivative of the political history of modern China, Sean Hsiang-lin Lei argues that China s medical history had a life of its own and at times directly influenced the ideological struggle over the meaning of China s modernity and the Chinese state. Far from being a remnant of China s pre-modern past, Chinese medicine in the twentieth century co-evolved with Western medicine and the Nationalist state, undergoing a profound transformationinstitutionally, epistemologically, and materiallythat justifies our recognizing it as modern Chinese medicine. This new medicine was derided as neither donkey nor horse, because it attempted to integrate modern Western medicine into what its opponents considered the pre-modern and un-scientific practices of Chinese medicine. Its historic rise is of crucial importance for the general history of modernity in China, fundamentally challenging the conception of modernity that rejected the possibility of productive crossbreeding between the modern and the traditional. By exploring the co-production of modern Chinese medicine and China s modernity, Lei offers both a political history of medicine and a medical history of the Chinese state. "Neither Donkey Nor Horse "synthesizes into a single historical narrative what was previously separated into three independent histories: the history of Western medicine in China, the history of Chinese medicine, and the political history of the state. "
Medical care in nineteenth-century China was spectacularly pluralistic: herbalists, shamans, bone-setters, midwives, priests, and a few medical missionaries from the West all competed for patients. In the century that followed, pressure to reform traditional medicine in China came not only from this small clutch of Westerners, but from within the country itself, as governments set on modernization aligned themselves against the traditions of the past, and individuals saw in the Western system the potential for new wealth and power. Out of this struggle emerged a newly systematized Chinese medicine that had much in common with the institutionalized learning and practices of the West. Yet at the same time, Western missionaries on Chinese shores continued to modify their own practices in the traditional style, hoping to appear more approachable to Chinese clients. This book examines the dichotomy between "Western" and "Chinese" medicine, showing how it has been greatly exaggerated. As missionaries went to lengths to make their medicine more acceptable to Chinese patients, modernizers of Chinese medicine worked to become more "scientific" by eradicating superstition and creating modern institutions. Andrews challenges the supposed superiority of Western medicine in China while showing how "traditional" Chinese medicine was deliberately created in the image of a modern scientific practice.
“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.
A leading authority explains the ideas and practice of Chinese medicine from its beginnings in antiquity to today. Paul U. Unschuld describes medicine's close connection with culture and politics throughout Chinese history. He brings together texts, techniques, and worldviews to understand changing Chinese attitudes toward healing and the significance of traditional Chinese medicine in both China and the Western world. Unschuld reveals the emergence of a Chinese medical tradition built around a new understanding of the human being, considering beliefs in the influence of cosmology, numerology, and the supernatural on the health of the living. He describes the variety of therapeutic approaches in Chinese culture, the history of pharmacology and techniques such as acupuncture, and the global exchange of medical knowledge. Insights are offered into the twentieth-century decline of traditional medicine, as military defeats caused reformers and revolutionaries to import medical knowledge as part of the construction of a new China. Unschuld also recounts the reception of traditional Chinese medicine in the West since the 1970s, where it is often considered an alternative to Western medicine at the same time as China seeks to incorporate elements of its medical traditions into a scientific framework. This concise and compelling introduction to medical thought and history suggests that Chinese medicine is also a guide to Chinese civilization.
This book discusses the history of conflict between Chinese and Western medicine, and reflects on historical aspect of China's social change, and shows the complex interactive relationship between modern political evolution and traditional medical factors.