The Contest between Life-Oriented and Specialization : A Study on the Self-treatment Phenomenon in Ming and Qing Dynasties in China
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It is natural for people to think that the increasing popularity of seeking medical treatment and the continuous development of medicine are the important embodiment of the progress of human civilization. Generally speaking, the progress of medical technology and the abundance of medical resources mean that the phenomenon of self-treatment is reduced. However, this study of Chinese medical history found that it had always been a common choice to seek self-treatment for people in all social classes, from literati and bureaucrats to ordinary people in remote mountainous areas, especially during the Ming and Qing Dynasties in China. Such records can be seen especially when looking through historical materials such as medical books, local chronicles, genealogies, notes, and anthologies. Although medical skills in Ming-Qing era were more developed than previous eras and the local medical resources were more abundant, from ordinary people in remote areas to elite groups such as literati and officials, people often regarded self-treatment as a basic choice when they or their family members fell ill, no matter whether they had the ability or the opportunity to delay medical treatment. This article aims to explore the logic and root behind this seemingly contradictory phenomenon. Therefore, this research first raises the question: what accounted for this seemingly contradictory phenomenon? In response to this question, this study confirms the following: Firstly, low barriers to entry and high rewards drove people of varying qualifications into the medical profession, and good doctors were hard to find; thus, self-treatment was no worse than the alternatives. Secondly, in the Ming-Qing dynasties, Confucian physicians tended to write more practical prescriptions, which gave many people the opportunity to improve their own medical knowledge and provided great convenience for self-treatment. Thirdly, since the mid-Ming Dynasty, the high medical cost had caused serious difficulties for ordinary people to seek professional medical care, so they tried their best to save themselves when they fell ill. On this basis, this study further found that the deeper reason for this phenomenon lies in the incoordination between the high degree of daily life style of traditional medical treatment and the corresponding low degree of medical specialization and professionalism. Then, this leads to another question: is this incongruity a historical norm or a product of a certain historical stage? This article argues that during the Ming-Qing era, in the macro trend, the two showed a competitive relationship. However, in the context of a broader and more microscopic time and space, is this competitive relationship valid? Especially at present, chronic non-communicable diseases are becoming the biggest threat to human health. With the professional development of medical technology, the trend of medical life-style has also become a reasonable way to fill the gap from highly authoritative medical treatment and take on the responsibilities of their own health. This kind of medical specialization and life-style seems to be developing in parallel. Therefore, it can be concluded that the dissonance between the two is only the product of a certain historical period. Finally, this study raises another relevant question: what are the social and cultural implications behind the parallel development of medical life and specialization? This is a question to be answered in future research on the topic.
Abstract
It is natural for people to think that the increasing popularity of seeking medical treatment and the continuous development of medicine are the important embodiment of the progress of human civilization. Generally speaking, the progress of medical technology and the abundance of medical resources mean that the phenomenon of self-treatment is reduced. However, this study of Chinese medical history found that it had always been a common choice to seek self-treatment for people in all social classes, from literati and bureaucrats to ordinary people in remote mountainous areas, especially during the Ming and Qing Dynasties in China. Such records can be seen especially when looking through historical materials such as medical books, local chronicles, genealogies, notes, and anthologies. Although medical skills in Ming-Qing era were more developed than previous eras and the local medical resources were more abundant, from ordinary people in remote areas to elite groups such as literati and officials, people often regarded self-treatment as a basic choice when they or their family members fell ill, no matter whether they had the ability or the opportunity to delay medical treatment. This article aims to explore the logic and root behind this seemingly contradictory phenomenon. Therefore, this research first raises the question: what accounted for this seemingly contradictory phenomenon? In response to this question, this study confirms the following: Firstly, low barriers to entry and high rewards drove people of varying qualifications into the medical profession, and good doctors were hard to find; thus, self-treatment was no worse than the alternatives. Secondly, in the Ming-Qing dynasties, Confucian physicians tended to write more practical prescriptions, which gave many people the opportunity to improve their own medical knowledge and provided great convenience for self-treatment. Thirdly, since the mid-Ming Dynasty, the high medical cost had caused serious difficulties for ordinary people to seek professional medical care, so they tried their best to save themselves when they fell ill. On this basis, this study further found that the deeper reason for this phenomenon lies in the incoordination between the high degree of daily life style of traditional medical treatment and the corresponding low degree of medical specialization and professionalism. Then, this leads to another question: is this incongruity a historical norm or a product of a certain historical stage? This article argues that during the Ming-Qing era, in the macro trend, the two showed a competitive relationship. However, in the context of a broader and more microscopic time and space, is this competitive relationship valid? Especially at present, chronic non-communicable diseases are becoming the biggest threat to human health. With the professional development of medical technology, the trend of medical life-style has also become a reasonable way to fill the gap from highly authoritative medical treatment and take on the responsibilities of their own health. This kind of medical specialization and life-style seems to be developing in parallel. Therefore, it can be concluded that the dissonance between the two is only the product of a certain historical period. Finally, this study raises another relevant question: what are the social and cultural implications behind the parallel development of medical life and specialization? This is a question to be answered in future research on the topic.
참고문헌 (64)
- Cao, bingzhang, "The great achievements of Chinese medicine, vol.11" (1990), Shanghai Science and Technology publishing house
- Cao, bingzhang, "The great achievements of Chinese medicine, vol.9" (1995), China ancient Books of Traditional Chinese medicine Publishing House
- Cao, Tiansheng, "the Writings of the Russian Missionaries in Beijing in the mid-19th Century on China" (2004), Zhonghua Book company
- Edward, HuMei, "An American Doctor’s 30 Years in China" (2011), Zhong hua Book Company
- Fang, Yang, "Collection of Mr. Fang Chu ‘an, Volume 9", Quanshu cunmu congshuben
- Fu, Peifan, "Wan Mizhai Medical Encyclopedia" (1999), China Traditional Chinese Medicine Publishing house
- Jiang, Guan, "Cases of Famous Doctors" (2013), Shanghai Pujiang Education Press
- Li, Boyuan, "Officialdom True Features" (2000), People’s Literature Publishing House
- Qiu, Qingyuan, "Collection of Rare Medical books vol. 4" (1999), China Traditional Chinese Medicine publishing house
- Shen, Hongrui, "The great View of Famous Doctors in Chinese history" (1996), Shanxi Science and Technology Press
- Sun, yanzhi, "Daoguang", 14~15
- Wang, Cuiyuan, "Chronicles of Zhou Xing vol. 2" (1989), Shanghai Ancient Books Publishing house
- Wu, Tang, "Discrimination of Febrile Diseases" (2010), Science and Technology Academic Press
- Xie, Guan, "On the Origin and Flow of Chinese Medicine" (2004), Fujian Science and Technology press
- Xu, Zhuo, "Trivial Matters in Xiuning" (2018), Anhui Normal University Press
- Yao, Tingling, "The Diary of the Qing Dynasty" (1982), Shanghai People’s Publishing House
- Zhang, Han, "Dream talk of Songchuang" (1985), Zhonghua Book Company
- Zhao, Jishi, "Ji yuan ji suo ji" (2008), Huangshan Publishing House
- Leung, Ki Che, "Facing Diseases: Medical Concepts and Organizations in Traditional Chinese Society" (2012), China Renmin University Press
- Bian, He, "Yiliaoshi de xin tansuo dijiujuan (New Exploration of Medical History Vol. 9" (2017), Zhonghua Book Company
- Burnham, John C., "What is Medical History?" (2005), Polity Press
- Chang, Jianhua, "Chinese Social and Historical Review (Vol. 9)" (2009), Tianjin Ancient Books Publishing House
- Chao, Yuan-ling, "Medicine and Society in Late Imperial China : A Study of Physicians in Suzhou" (1995), University of California
- Christopher, Cullen, "Patients and Healers in Late Imperial China: Evidence from the Jinpingmei", History of Science, 31, pp.99~150 (1993)
- Clarke A. ., "Biomedicalization: Technoscientific Transformations of Health, Illness, and U.S. Bimedicine", American Sociological Review, 68, pp.161~ (2003)
- Dai, Maotang, "On the two-level relationship between philosophy and medicine", Hubei daxue xuebao (zhexue shehui kexue ban), 4, pp.60~64 (2011)
- Ding, Guangdi, "Medical review of the Jin and Yuan Dynasties" (1999), People’s Medical Publishing House
- Fan, Xingzhun, "A Brief History of Chinese Medicine" (2016), Beijing Press
- Han, Junhong, "The 21st Century and the Coming of medicalized Society: An Interpretation of Peter Conrad’s “Medicalized Society”", She hui xue yan jiu, 3, pp.219~241 (2011)
- Han, Junhong, "Medical Disintercalation in Society: A review of the Medicalization of Contemporary Western Society (1970-2010))", She hui xue yan jiu, 2, pp.229~242 (2020)
- He, Zhaohui, "Late Ming Scholars and Commercial Publishing" (2019), Shanghai Ancient Books Publishing House
- Ho, Ping-Ti, "Ladder of Success in Imperial China: Aspects of Social Mobility, 1368-1911" (1962), Basic Books
- Jiang, Zhushan, "City, Empire and Prophet Vol.2" (2006), Shanghai Sanlian Bookstore
- Lee, Jen-der, "Women’s Medical History in China: Health Care and Gender between Han and Tang Dynasties" (2008), Sanmin Publishing House
- Lei, Xianglin, "Responsible Doctors and Patients with Faith: Debates on Traditional Chinese and Western Medicine and Transformation of Doctor-Patient Relationship in the Period of the Republic of China", ~
- Li Jianmin, "Life and Medical Treatment" (2005), Encyclopedia of China Publishing House
- Li, Chengwen, "Development history of Traditional Chinese medicine" (2004), People’s Military medical Publishing house
- Li, Jingwei, "The General History of Chinese medicine: ancient volume" (1999), People’s Medical Publishing house
- Liu, Lipeng, "Rambling On medical History" (2011), Huazhong University of Science and Technology Press
- Liu, Xiyang, "A Study on Self-healing and Maintenance in the Daily life of Literati and Officials in Ming Dynasty", Fujian shifan daxue xuebao, 6, pp.131~143 (2016)
- Liu, Xiyang, "Healing body and Mind: Medical Prescriptions and Enlightenment in Late Ming and Qing Dynasties", Zheng zhou da xue xue bao(zhexue shehui kexue ban), 2, pp.127~ (2018)
- Liu, Xiyang, "The dissemination and acceptance of Modern Chinese Mass Medical Reading materials: Based on Yanfangxinbian", Shixue yuekan, 5, pp.85~99 (2020)
- Ma, Boying, "History of Chinese Medical Culture" (2010), Shanghai People’s Publishing House
- Ma, Jinsheng, "A social history survey of medical Ethics in Ming and Qing Dynasties", Shi lin, 3, pp.113~118 (2008)
- Ma, Jinsheng, "Discovering Doctor-patient Disputes: A Study of Social And Cultural History highlighted by Medical Litigation in the Republic of China" (2016), Social Sciences Academic Press
- Qiu, Zhonglin, "Medical, social and cultural reader" (2013), Peking University Press
- Rueschemeyer, D., "The Sociology of the Professions" (1983), Macmillan Press
- Tong, Guangdong, "On the Success of Xin ‘an Doctors and their Commercial Background", Yi xue yu zhe xue, 9, pp.47~49 (1989)
- Tong, Guangdong, "Xin ‘an Drugstore and its Role in Medicine in Ming and Qing dynasties", Zhong hua yi shi za zhi, 1, pp.31~ (1995)
- Tu, Feng’en, "Choosing Doctors and Patients: Power, Responsibility and Trust between Doctors and Patients in Ming and Qing Dynasties", Zhongguo shehui lishi pinglun, 11, pp.149~169 (2010)
- Tu, Feng’en, "Saving Life!——Doctors and Patients in Ming and Qing China" (2017), The Commercial Press
- Volker, Scheid, "On the Origin and Flow of Menghe Medicine" (2016), China Traditional Chinese Medicine Publishing House
- Wang, Letao, "Textual research on medical books in Xin ‘an area" (1999), Anhui Science and Technology Press
- Xiong, Bingzhen, "Preschool doctors and Preschool Education -- the continuous path of modern Chinese society" (2018), Lianjing Publishing Co., LTD
- Xue, Gongchen, "On Confucianism, Taoism and Buddhism in Medicine" (1999), Ancient Books of Traditional Chinese Medicine Publishing House
- Xue, Gongchen, "Ideas on traditional Chinese medicine culture", Nanjing zhongyiyao daxue xuebao(shehui kexue ban), 3, pp.144~ (2014)
- Yan, Ruixue, "The diffusion of medical knowledge in song Dynasty", Ziran kexueshi yanjiu, 4, pp.480~481 (2009)
- Yang, Yong, "Self-healing tradition in the Warring States, Qin and Han Dynasties as seen in bamboo slips", Shehui kexue zhanxian, 6, pp.145~154 (2020)
- Yi, Junqing, "15 lectures on Culture and Philosophy" (2004), Peking University press
- Yu, Xinzhong, "Chinese family History vol. 4" (2007), Guangdong People’s Publishing House
- Yu, Xinzhong, "Plague and Society in Jiangnan in Qing Dynasty: A Study of Medical and Social History" (2014), Beijing Normal University Press
- Zhang, Tiansheng, "Contradiction between doctors and patients in Qing Dynasty and doctors’ response", Fujian shifan daxue xuebao(zhexue shehui kexue ban, 6, pp.144~153 (2015)
- Zhu, Pingyi, "The relationship between medical market, medical knowledge and medical disease in Ming and Qing Dynasties", Zhongyang yanjiuyuan jindaishi yanjiusuo jikan, 68, pp.1~50 (2010)
- Zhu, Shaozu, "Formation and Regional social Changes of Yuzhou “Medicine Capital” from Ming and Qing Dynasties to The Republic of China", PhD, pp.2019