Medical Encounters, Practice, and Archives in China

Tel Aviv University-Max Planck Institute for the History of Science
Joint Workshop in Honor of Charlotte Furth and Nathan Sivin

Tuesday, September 20

Theme III Medical Archives continued (Panel 7-8, 7 papers)

9:30-10:00 gather for coffee and tea

10:00-11:30 Panel 7 Singular Archives (3 papers)

This research argues that Chinese medicine doctors played a central role in maintaining the rule of frail Qing monarchs. The Qing Palace archives comprise a rich resource that tells us much about medicine and palace politics, yet no book-length studies of the Palace records have been published. Chen Keji’s edited volumes, Research on Medical Cases in the Qing Palace (Qing Gong Yian Yanjiu, 2006), include thousands of cases spanning the duration of the dynasty from 1644-1911. The patients range from emperors and the royal family, including concubines, to eunuchs and servants. Since the cases are neither hagiographic nor designed for a public audience, they reveal raw and often fractious discussion of difficult decisions in medical practice. The records providing rich material on nuances in doctor-patient encounters, also revealing change over time in Manchu attitudes towards Chinese medicine. They also provide rich evidence of how doctors understood women patients, since many records survive of consorts, concubines, and women servants in the palace. In addition, they provide evidence of how doctors understood eunuchs as patients. The records also provide rich materials, that historians have mostly ignored, that tell us much about Chinese history. For example, the records include documentation of Cixi’s relationships with the royal relatives and with officials in the Palace. Hitherto, many historians have focused on Qing emperors’ interest in Jesuit science. However, this research focuses on how the Manchu rulers engaged with and relied on Chinese medicine.

Ida Kahn (1873-1931) was a missionary and doctor who participated in global Christian women’s movements and who advocated for women’s education. Throughout her life, Ida Kahn stood at the intersection of a number of cultural, linguistic, and political spheres: as a Chinese baby who was adopted by a single American Methodist missionary woman, as a student of medicine in the US, and as a medical administrator and ‘exemplar’ of the modern woman in China. This paper considers perceptions of Chinese medicine from Ida Kahn’s perspective, against the backdrop of the rise of biomedicine and the redefinition of the place of Chinese medicine in China.

The pursuit of kalyāṇ is pivotal for many Hindus. The Hindi kalyāṇ is close, yet not equivalent, to the English term “well-being.” It is a desirable, utopian, holistic state of being that facilitates a range of pursuits: worldly and extra worldly, secular and religious, mundane and soteriological, material and spiritual. In other words, kalyāṇ is the aim of their lives as Hindus. This paper aims to trace the spread of the term kalyāṇ in the Hindi-Hindu public spheres and the changes in its meaning(s) during the 20th century, mainly through close reading of the Kalyāṇ magazine published by Gita Press since 1926. I argue that kalyāṇ, as it is rooted in urban and modern ideas of “the good life,” synthesizes the classic Hindu theories of well-being (puruṣārthas) and broadens their meanings. Thus, kalyāṇ is an individual, self-achieved state that does not have much to do, at least in theory, with predetermined conditions such as caste, gender, destiny, and karma.

11:30-13:00 Lunch Break

13:00-15:00 Panel 8 Theorizing Archives (4 papers)

During the Ming and Qing dynasties, the number of medical writings increased dramatically in every corner of China. While the rise of commercial printing from the late Ming dynasty definitely led to a better preservation of the medical texts produced then compared to older texts, Ming and Qing medical books that have survived in libraries are a tiny part of what was produced. These figures will suffice to illustrate this point: among some 277 medical writings produced in the provinces of Yunnan, Guangxi and Guangdong, during the Qing dynasty, only 36 are extant in libraries. In this talk, after a social analysis of the types of medical works produced in the southernmost provinces of China, I will highlight, on the one hand, the conditions that allow an archive to pass to posterity and, on the other hand, how, in the course of its life, the original archive is transformed. Finally, I will highlight the implications that can be drawn from this historical analysis of the medical archive produced in the southernmost regions of China for a history of medicine in China and especially for the history of treatment.

In the course of the past two or three decades, recipes and recipe books have become a hot topic in the fields of the history of science and knowledge. Researchers have not only drawn attention to the crucial importance of the recipe as an ‘epistemic genre’ for the production, exchange and transmission of knowledge. They have also begun to acknowledge the research value of recipe books – collections of individual recipes – as physical manifestations of these practices. Especially recent research on early modern English recipe manuscripts has provided some stimulating results regarding the socio-cultural history of recipe collecting and exchange as well as the role manuscripts played in this context. In comparison, the study of Chinese recipe manuscripts is almost uncharted territory. This is especially true for all non-textual aspects (palaeography, codicology, visual organization, etc.) and manuscripts from the 19th and early 20th century. This paper aims to shed light on the socio-cultural history of recipe collecting and exchange in that period through an in-depth study of the recipe book Slg. Unschuld 8051 from the Berlin collections of Chinese medical manuscripts. Focusing on recipe attributions, paper inserts as well as on the temporal ‘layers’ of this recipe manuscript from late imperial Canton, the paper will illuminate long-term processes of recipe collecting and exchange and describe the various actors involved in this. In doing so, it aims to uncover the role this recipe book played as personal ‘medical archive’, contributing to the overall aim of writing a microhistory of Slg. Unschuld 8051 in its immediate context.

How do historians of Asian medicine bridge the technical components of our subject and offer theoretical contributions to social theory and political theory? In this paper, I offer a brief analysis of the emergence of suihai 隨海 in clinical research related to Alzheimer’s and dementia. I argue that a close reading of suihai 隨海 offers science studies scholars new ways of conceptualizing the elements of an experimental study. I suggest that suihai 隨海 does not follow the relational definition of what Hans-Jörg Rheinberger put forth over two decades ago. While epistemic objects are made through experimental practice and can turn into technical objects as a means for investigating other epistemic objects, objects like suihai 隨海 do not fit this model. Across many of the clinical investigations of neurological disorders, physician researchers in China were not committed to using their findings to stabilize suihai 隨海. Instead, they used what they already knew about suihai 隨海 from classical medical texts to stabilize the nature of dementia. In other words, suihai 隨海 made clear how dementia served as an epistemic object, not the other way around. In making this argument, I further engage with elements of research and analysis using publicly-accessible information. I take on an intellectual history of suihai 隨海 by joining methods in the social sciences and humanities to expand on critical approaches in STS.

It is now well known that a certain percentage of people will experience psychotic breaks or other serious adverse mental and physical side-effects from practicing meditation. While contemporary scientific literature has recently documented this phenomenon, writings from medieval China not only describe the adverse mental and physical symptoms that can arise in the course of meditation practice, but also explain why these pathologies arise and how they can be effectively treated. Might our historical archives contain untapped therapeutic information that is highly relevant for an emergent mental health crisis in the present day? And if they do, is historical objectivity an ethical position to take toward such materials? Are we historians even allowed to ask these questions, given the norms and structures of our profession?

15:00-15:30 Coffee Break

15:30-17:00 Concluding Remarks (Asaf Goldschmidt and Marta Hanson)
and Group Roundtable discussion