Forgotten Disease This page intentionally left blank StudieS of the Weatherhead eaSt aSian inStitute, Columbia u niverS ity The Studies of the Weatherhead East Asian Institute of Columbia University were inaugurated in 1962 to bring to a wider public the results of significant new research on modern and contemporary East Asia. A complete list of titles is available online at weai.columbia.edu/ publications/studies-weai/. This page intentionally left blank Forgotten Disease illneSSeS tranS formed in ChineS e mediC ine Hilary A. Smith Stanford univerS ity preSS Stanford, California Stanford University Press Stanford, California © 2017 by the Board of Trustees of the Leland Stanford Junior University. All rights reserved. No part of this book may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopying and recording, or in any information storage or retrieval system without the prior written permission of Stanford University Press. Printed in the United States of America on acid-free, archival- quality paper Library of Congress Cataloging-in-Publication Data Names: Smith, Hilary A., author. Title: Forgotten disease : illnesses transformed in Chinese medicine / Hilary A. Smith. Other titles: Studies of the Weatherhead East Asian Institute, Columbia University. Description: Stanford, California : Stanford University Press, 2017. | Series: Studies of the Weatherhead East Asian Institute, Columbia University | Includes bibliographical references and index. Identifiers: LCCN 2017000968 | ISBN 9781503602090 (cloth : alk. paper) | ISBN 9781503603448 (pbk. : alk. paper) | ISBN 9781503603509 (epub) Subjects: LCSH: Beri-beri—China—History. | Medicine— China—History. | Foot—Diseases—China—History. | Medical literature—China—History. Classification: LCC RC627.B45 S45 2017 | DDC 610.951—dc23 LC record available at https://lccn.loc.gov/2017000968 Typeset by Thompson Type in 11/14 Adobe Garamond Contents Acknowledgments ix Introduction 1 1. Foot Qi in Early Chinese Medicine 25 2. Competing for Medical Authority over Disease 43 3. Simplifying and Standardizing Disease 67 4. The Northerner’s Dietary Disorder 85 5. Getting Rich and Getting Sick 99 6. Creating Beriberi in Meiji Japan 115 7. Foot Qi’s Multiple Meanings in Modern East Asia 139 Conclusion 161 Glossary of Chinese Characters 169 Notes 173 Bibliography 199 Index 223 This page intentionally left blank Acknowledgments It is a pleasure to thank some of those who made this book possible, even though these acknowledgments can’t do justice to their generos- ity. My mentor Nathan Sivin has inspired my curiosity, modeled a scholarly life, and balanced critique with encouragement and humor. He has commented promptly and thoughtfully on draft after draft of my work. Everyone deserves such a mentor, but few are lucky enough to find one. David Barnes, Francesca Bray, and Victor Mair also pro- vided insightful early feedback and crucial early-career support. During a research stay in Beijing, I benefited from the expertise and guidance of Liao Yuqun, Zhang Daqing, Wang Shumin, and Sun Xiaochun, as well as the camaraderie and helpful suggestions of April Hongying Yin, Hu Yingchong, Zhou Libo, Ji Zhenghan, Sare Aricanli, and Priscilla Song. In Taiwan, Angela Leung and Chang Che-chia made my visit productive. My shixiong and shijie, Asaf Goldschmidt, Philip Cho, and Marta Hanson, led the way with encouragement, ad- vice, and in Marta’s case a binder full of relevant primary sources she had collected. Friends at Penn made drafts better and kept me going. I’m especially grateful to Emily Pawley, Babi Hammond, Eli Alberts, Paul Burnett, Josh Capitanio, Sungshin Kim, Cortney Chaffin, Rika Saito, Si Jia, Roger Turner, Erin McLeary, Sejal Patel, Tom Radice, Joy Rohde, Corinna Schlombs, Dominique Tobbell, Jeremy Vetter, and Ching-Jen Wang. At the Needham Research Institute, John Moffett
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