TRADI T IONAL CHINESE MEDICINE HERITAGE AND ADAPTATION PAUL U. UNSCHULD TRADITIONAL CHINESE MEDICINE TRADITIONAL CHINESE MEDICINE Heritage and Adaptation PAUL U. UNSCHULD Translated by Bridie J. Andrews Columbia University Press New York Columbia University Press gratefully acknowledges the generous support for this book provided by Publisher’s Circle member Josephine Chiu-Duke. Columbia University Press Publishers Since 1893 New York Chichester, West Sussex cup .columbia .edu Copyright © Verlag C.H. Beck oHG, München 2013 Translation copyright © 2018 Columbia University Press All rights reserved Library of Congress Cataloging-in-Publication Data Names: Unschuld, Paul U. (Paul Ulrich), 1943- author. Title: Traditional Chinese medicine : heritage and adaptation / Paul U. Unschuld ; translated by Bridie J. Andrews. Other titles: Traditionelle Chinesische Medizin. English Description: New York : Columbia University Press, [2018] | Includes bibliographical references and index. Identifiers: LCCN 2017021548 (print) | LCCN 2017022197 (ebook) | ISBN 9780231546263 (electronic) | ISBN 9780231175005 (cloth : alk. paper) | ISBN 9780231175012 (pbk. : alk. paper) Subjects: | MESH: Medicine, Chinese Traditional Classification: LCC R127.1 (ebook) | LCC R127.1 (print) | NLM WB 55.C4 | DDC 10.951—dc23 LC record available at https:/ /lccn. loc .gov / 2017021548 Columbia University Press books are printed on permanent and durable acid-free paper. Printed in the United States of America Cover design: Milenda Nan Ok Lee Cover art: Chave / Jennings © Getty Images CONTENTS Preface to the English Edition ix Introduction 1 PART I: THE HISTORICAL FOUNDATIONS 1 Origins and Characteristics of Chinese Medicine 9 2 The Lack of Existential Autonomy 12 3 The Longing for Existential Autonomy 16 4 Quotations from the Medical Classics 20 5 The Banality of Violence 24 v 6 The Mawangdui Texts 27 7 Anatomy, Physiology, and Pathology in the New Medicine 30 8 Deficiencies in the Credibility of the New Medicine 38 9 The Alternative Model: The View from Illness 41 10 Radical Healing: Life as a Form of Disease 48 11 Between Antiquity and the Modern Age 54 12 Two Medical Authors of the Ming and Qing Dynasties 65 PART II: MODERN AND CONTEMPORARY TIMES 13 The Confrontation with the Western Way of Life 87 14 The Persuasiveness of Western Medicine 93 15 The Opinions of Intellectuals and Politicians 99 vi CONTENTS 16 The Selection 106 17 The Surprise 115 18 The Creative Reception of Chinese Medicine in the West 118 19 The Objectification of the Discussion: Opportunity and Challenge 132 Epilogue 142 Notes 153 Index 161 CONTENTS vii PREFACE TO THE ENGLISH EDITION This little book was first published in German in 2013 on request by C. H. Beck. Information on Chinese medicine has been avail- able to interested Westerners since the seventeenth century. It was only in the wake of Henry Kissinger’s visit to China in 1971 that the modernized version of historical Chinese medicine, so-called Tra- ditional Chinese Medicine (TCM), gained worldwide attention. Since then, there is hardly a small town, not to speak of major cities, in Europe or the United States where no TCM is offered. Clinics have been opened by a most heterogeneous group of practitioners. These may be Chinese citizens with or without prior health care ex- perience in their own country; Korean, Vietnamese, and Japanese migrants; Europeans; or U.S. citizens. They all claim to practice TCM, and yet their educational backgrounds and their competence in acupuncture and Chinese pharmaceutics, massage, dietetics, and other therapeutic approaches differ considerably. Germany, for ex- ample, has had a rather multicultural therapy system for centuries. Modern biomedicine may dominate, but Germany’s own histori- cal therapeutic heritage has remained lively and sought after by many. Hence it is not a clear-cut antagonism between Western and Chinese medicine that has emerged since the opening of China. ix
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