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257 Pages·2016·24.43 MB·English
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UCLA UCLA Electronic Theses and Dissertations Title Relocating Pastorian Medicine: Accommodation and Acclimatization of Medical Practices at the Pasteur Institutes in China, 1899-1951 Permalink https://escholarship.org/uc/item/8n2727vb Author Liu, Chien-Ling Publication Date 2016 Peer reviewed|Thesis/dissertation eScholarship.org Powered by the California Digital Library University of California UNIVERSITY OF CALIFORNIA Los Angeles Relocating Pastorian Medicine: Accommodation and Acclimatization of Medical Practices at the Pasteur Institutes in China, 1899-1951 A dissertation submitted in partial satisfaction of the requirements for the degree Doctor of Philosophy in History by Chien-Ling Liu 2016 © Copyright by Chien-Ling Liu 2016 ABSTRACT OF THE DISSERTATION Relocating Pastorian Medicine: Accommodation and Acclimatization of Medical Practices at the Pasteur Institutes in China, 1899-1951 by Chien-Ling Liu Doctor of Philosophy in History University of California, Los Angeles, 2016 Professor Peter Baldwin, Chair In contrast to the historical assessment of modern medicine as an emanation of hegemonic European domination operating exclusively under its auspices and presumably diffused to the rest of the world, this dissertation offers a new approach to discovering the collision, collaboration, and compromise between the local Chinese and the Pastorians in China, by focusing on medical practices in the network of knowledge circulation and influences of material culture and social beliefs on knowledge formation. Drawing upon evidence from archives both in China and in France and investigating how the practices had been shaped within environmental, political, and socio-cultural constraints, it argues that Pastorism in China functioned as a special style of practice, marked by its emphasis on localism that was unique to China. On the one hand, Pastorians in China validated traditional medical practices, which relied upon the Chinese textual tradition, by providing scientific explanations based on toxicology, immunology, and   ii pharmacology. Moreover, they learned and adapted on the ground, by incorporating local knowledge and accommodating local political circumstances and socio-cultural practices within their vaccination campaigns. On the other hand, they accounted for the acclimatization of local environmental specificities, pertaining to pathogens and animal species, in their vaccine production. These encounters and practices informed the colonial understanding of local meaning of public health, contagion, and immunity. Conversely, the ensuing knowledge reshaped the colonial medical practices and public health measures. The connections among the European Pastorians, Chinese practitioners of traditional medicine, and Chinese practitioners of Western medicine, as well as other colonial and international medical personnel and institutions, enabled multi-directional and transnational mobility that served as a fertile ground for mutual accommodation and created the contemporary medical landscape, which laid the foundation for modern integrative medicine and health care in the present day Chinese state.     iii This dissertation of Chien-Ling Liu is approved. Theodore M. Porter Andrea Sue Goldman Hannah Louise Landecker Peter Baldwin, Committee Chair University of California, Los Angeles 2016   iv I dedicate this work to my parents, Liu Jenho 劉仁和 and Lin Meilien 林美蓮.   v TABLE OF CONTENTS Page DISSERTATION ABSTRACT ii ACKNOWLDEGEMENTS viii CURRICULUM VITAE xi INTRODUCTION 1 CHAPTER I: “Following ‘Science,’ Serving Fatherland”: Pastorian Culture in Republican China 40 CHAPTER II: A Tangled Transition from Variolation to Vaccination in Chengdu, China, 1908-1927 87 CHAPTER III: Microbiological Studies of Rabies Virulence and Treatment at the Pasteur Institutes in Shanghai, 1899-1950 122 CHAPTER IV: International Collaboration on Vaccination and Related Public Health Measures against Smallpox and Blindness in Tianjin, 1922-1942 158 CONCLUSION: Pastorism and the Pastorian Legacy in China 205 APPENDICES: Appendix 1.1: Chinese Pastorians 221 Appendix 2.1: Map of Variolation and Vaccination Transmission Routes, Late Seventeenth Century - Early Nineteenth Century 223 Appendix 2.2: Map of Vaccination Cities and Routes in China, 1805-1900 224 BIBLIOGRAPHY 226   vi FIGURES AND TABLES Figure 2.1: Vaccination Acupunctural Points 99 Figure 2.2: Heifer Vaccination at the Pasteur Institute of Chengdu 112 Figure 3.1: J. H. Jordan’s Observation of the Time at Which Death Took Place in Fatal Cases Treated and Untreated 142 Figure 4.1: Foreign Concessions in Tianjin 161 Figure 4.2: Clinics Directed under the Collaborative Franco-Chinese Control 173 Table 4.1: Statistics of the Clinics for Blindness Prevention 179 Table 4.2: Statistics of the Visits to the Factories and Small Workshops 187 Table 4.3: Materials Sent to the Missionary Posts in the Interior China 190     vii ACKNOWLEDGMENTS The assistance that I have received to complete this dissertation is akin in its cross-cultural nature to the subject of the dissertation itself. I was most fortunate to study at UCLA, to conduct my research at multiple archives in China and in France, and to have constant support from many individuals and institutions both in the United States and abroad. My dissertation chair, Peter Baldwin, was unstinting in his advices dispensed with exemplary patience at every stage of the project, from the commencement of my research to the completion of this dissertation. I am profoundly grateful for his encouragement and ongoing support. I sincerely thank my committee members, Ted Porter, Andrea Goldman, and Hannah Landecker. Much of the conceptual formation on history of medicine for this dissertation was shaped since the early stage of my doctoral work thanks to Ted, who has not only guided me intellectually, but also served as an inexhaustible wellspring of humor and encouragement. Andrea has consistently supported my interest and encouraged my curiosity on the subject of Sino-European contacts that became instrumental in my historiographical understanding. Hannah enabled me to explore unexpected archival materials and guided my development of analytical perspectives. I deeply appreciate their insightful suggestions for improving and revising each individual chapter and the entire dissertation. The remarkable faculty and fellow students at the History Department of UCLA have inspired me and provided constant intellectual support. I thank Mary Terrall, Soraya de Chadarevian, Robert Frank Jr., Lynn Hunt, David Sabean, Ben Madley, Bin Wong, Caroline Ford, Muriel McClenden, and Robin Kelley. I would like to extend a particular thanks to Kapil Raj at the École des Hautes Études en Sciences Sociales (EHESS). He has exerted a significant influence on this project that is felt throughout. Other scholars who have provided me with   viii

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In contrast to the historical assessment of modern medicine as an emanation of hegemonic. European political, and socio-cultural constraints, it argues that Pastorism in China functioned as a special . best companion during all the research trips, taking care of me in more ways that I can count. M
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