Professional Documents
Culture Documents
MARTA HANSON
Universityof California, San Diego
* I thank Catherine
Jami for suggesting that I write this article and for her
recommendations to improve it. I am also grateful to Benjamin Elman, Hugh
Shapiro, Nathan Sivin, Robert Westman and the journals' anonymous reader for
their excellent suggestions. Chinese characters are given in the glossary only for
primary texts, their authors, and technical terms or phrases used in this article.
'
Gujin tushu jicheng, ed. Chen Menglei, presented to throne by Jiang Tingxi
in 1725. The medical section was recently published separately as Gujin tushu
?6/M'Mg, yijia lei (Medical Section of the Synthesis of Books and Illustrations, Past
and Present), 11 vols. (Beijing, 1987). Also known as the Imperial Encyclopedia.
2
Yizong jinjian,eds. Wu Qian- al., 2 vols. (Beijing, 1990). Referred to as the
GoldenMirror.
3 The
catalogue for this library is the Siku quan.shu zongmu, eds. Yongrong
(1744-1790) et al., 2 vols. (Beijing, 1983). The 97 titles with abstracts listed in vol.
l, j. 103-104, of the catalogue were reprinted in the library. The remaining 100
medical titles listed in j. 105 have only abstracts. The library is referred to as the
Four Treasuries (siku).
112
4 For its
significance among Qing imperial publications, see Gugong Museum
Library et al. (eds.), Qingdai neifu ke.shumulu jieti (Annotated catalogue of the
printed books in the Imperial Household of the Qing Dynasty, Peking, 1995), 308-
309. Also cited in Qingshigao (The Draft History of the Qing Dynasty), eds. Zhao
Erxun et al. (Beijing, 1977), vol. 15, 4336.
5 Lu Gwei-djen and Joseph Needham, CelestialLancets:A History & Rationale of
Acupunctureand Moxa, (Cambridge, 1980), 130. Also Asaf Goldschmidt, The Trans-
formations of ChineseMedicineduring the NorthernSongDynasty (A.D. 960-1127): I he
Integration of ThreePast Medical Approachesinto a ComprehensiveMedical SystemFol-
lowing a Waveof Epidemics(Ph.D. dissertation, University of Pennsylvania, 1999),
201-204.
6 Gao
Mingming, "Yizongjinjian de bianxuan ji qi chengjiu" (The editing of
the GoldenMirror of the OrthodoxLineage of Medicineand its achievements), Zhong-
hua yishi zazhi, 22.2 (1992), 81b. The Museum at the Shanghai College of Tradi-
tional Chinese Medicine has on display one of the original models.
' Fu
Weikang, "Yizong jinjianzhi bianxuan yLiQingting banjiang" (The editing
of the GoldenMirror of the OrthodoxLineage of Medicineand the bestowal of a Qing
imperial award), Yishiwenxian 3 (1997), 32.
113
" Yu
Yongmin, "Zhongguo Manwen yixue yizhu kaoshu" ("Annotated Bibli-
ography of Manchu Medical Texts in China"), Manzu yanjiu 2 (1993), 54-60;
Hartmut Walravens, "Medical Knowledge of the Manchus and the Manchu Ana-
tomy,"tudes mongoleset sibiriennes,cahier 27 (1996), 359-374; and Marta Hanson,
"Manchu Medical Manuscripts and Texts from the Qing Dynasty:A Bibliographic
Survey," Saksaha: a Reviezuof Manchu Studies, forthcoming.
12For the transmission of western medicine
by the Jesuits, see "Late Ming-Mid
Qing: Themes, 4.2.7 Medicine," in Handbookof Christianityin China, Vol. 1: 1635-
1800, ed. Nicolas Standaert (= Handbookof Oriental Studies,Section 4: China, gen.
ed. N. Standaert) (Leiden, 2001), 786-802.
There was another Chinese publication on the medicinal qualities of mate-
ria medica (Bencaopinhui jingyao xuji) during the Kangxi reign dated to 1720, but
it is not clear which office compiled it within the palace. Ma Jixing, Zhongyi
wenxian xue (Studies in Chinese Medical Literature) (Shanghai, 1990), 384.
For the politics of this publication and an introduction to its contents, see
Lionel Giles, Index to the ChineseEncyclopedia(British Museum, 1911; rep., Taipei,
1969). Also Endymion Wilkinson, ChineseHistory:A Manual, rev. and enlarged ed.
(Cambridge, Mass., 2000), 605-607.
15
Ma Jixing, Zhongyiwenxian xue, 384.
116
" On the
emergence of evidential scholarship, see Elman, From Philosophyto
Philology, 38-49. On these points about the textualist movement, see Guy, The
Em?eror'.sFour Treasuries,38-40. For an early overview of evidential scholarship in
history, see Tu Wei-yun, Xue.shuyu shibian (Scholarship and Epochal Change)
(Taipei, 1971).
ls Elman, A Cultural History of Civil Examinations, 448.
'9 yizong jinjian, vol. 1, 3, line 3.
2 Chen Keji (ed.), Qinggong yianyanjiu (Research on the Medical Cases of the
Imperial Palace) (Beijing, 1990), 2203-4. The Qing followed the Ming system of
using nine ranks (#1-9) of two degrees each (a-b) to grade officials and offices
into eighteen categories from the highest rank la to the lowest 9b. Charles O.
Hucker, A Dictionary of Official Tilles in Imperial China (Stanford, 1985), #1315.
?1
"Qualifying Examinations," in Joseph Needham and Lu Gwei-djen, Science
and Civilizationin China, vol. 6: Biologyand BiologicalTechnology,Part VI: Medicine,,
ed. Nathan Sivin (Cambridge, 2000), 109-110. Also Ma Boying, Zhongguoyixue
wenhua shi (A History of Medicine in Chinese Culture) (Shanghai, 1994), 505-508.
118
22 Chen
Keji (ed.), Qinggongyian yanjiu, 2204.
23 Hucker,
Official Titles, #6184.
Concurrently the Chief Minister of the Court of Imperial Entertainments,
Qian Doubao was also in charge of all matters related to catering in the Imperial
Household Department, for court officials, and during special imperial banquets.
Hucker, Official Titles, #3348.
yizong jinjian, vol. 1, 3, lines 14-15.
119
cessive cold any time year that cause the combination of a fever,
aversion to cold, and body aches; and all feverish symptoms due
to external climatic factors, such as wind stroke (zhongfieng) , damp-
ness and warmth (shiwen), hot (re) and warm (zM) disorders, as
well as cold.26 The issue in the Golden Mirror regarding the choice
of Zhang Ji's writings, however, rested not on singling out cold
among the other climatic factors, but rather on the distinction
attributed to him between "methods" ( fa)-the diagnostic criteria
for differentiating between types of syndromes-and "formulas"
gang) , namely the standard for the basic ingredients in a prescrip-
tion for each syndrome. To support this decision, Qian argued:
All of the texts before Zhang Ji's works have methodsbut have no formulas
(youfa mufang). The Treatiseon ColdDamage (Shanghan lun) and the Treatise
of the Essentialsof the GoldenCasketand MiscellaneousOrders(Jinkui yaoluezabing
established the norms for formulas and methods; they were [thus] the
first to have methodsand have formulas (youfa youfang). Being the only true
current of thought of the orthodox lineage of medicine, they initiated the
models practiced for generations, and thus truly are works of the sages
(shengshu).28
This argument was an integral dimension of efforts by southern
physicians at the end of the Ming and beginning of the Qing dy-
nasty to raise their own status as physicians vis-a-vis the greater
social prestige of scholar-elites and officials. They did this, for ex-
ample, by presenting Zhang Ji as the sage in the medical tradition
comparable with Confucius and Mencius in the Confucian tradi-
tion.`9 Held among late-Ming and early-Qing adherents of the
Cold-Damage current of thought, Qian used the distinction that
earlier medical canons from antiquity were repositories of meth-
ods for determining syndromes, whereas Zhang Ji's later medical
writings were the first to link these specific types of syndromes to
standard medical formulas.
26 China
Academy of Traditional Chinese Medicine et al. (cds.), Zhongyidaci-
dian (Dictionary of Chinese Medicine) (Beijing, 1998), 565.
In the first imperial publications of Zhang Ji's writings during the North-
ern Song dynasty, the earliest extant edition titled Treatiseon ColdDamageand Mis-
cellaneousDisorders(Shanghayazabing lun) was divided into two texts in 1065 and
1066, and reprinted again in 1088: the first on Cold Damage disorders called the
Treatiseon Cold Damageand the second on miscellaneous disorders titled the Es-
.sentiaLsof the GoldenCasket.For textual history of Zhang Ji's works, see Ma f ixing,
Zhongyiwenxian xue, 110-135.
28 Yizong jinjian,vol. 1, 3, lines 21-24.
29 See Chao
Yuan-ling, "I,ineages and Schools: Zhang Zhongjing and Sidajia
in Ming and Qing," paper presented at The Tenth International Conference on
the History of Science in East Asia, Shanghai, August 20-24, 2002.
120
3 Yu
Chang, Chapters on the EsteemedTreatise (Shanglun pian, 1648), j. 1; and
the Recordo fMethodsAmongPhysicians ( Yimenfalu, 1658), j. 4.
See list in Ma Boying, Zhongguoyixue wenhua shi, 508-514.
32
Although citations to the Divine Husbandman's Materia Medica (Shennong
bencao)date to the first century C.E., the earliest extant edition was not compiled
until the sixth century by the scholar Tao Hongjing (456-536), who added ')I.nl'
canon to the end of the title. With the NewlyRevisedMateria Medica (Xinxiu beru:ao)
of the Tang dynasty completed in 659, it became the foundation for imperial
materia medica. Tamba no Mototane, Zhongguoyiji kao (Studies of Chinese Medi-
cal Books) (Beijing, 1983), 86-110.
:\3
Although the third-century physician Huangfu Mi (215-282) was the first to
synthesize and standardize acupuncture texts in his 'A-B' Canon of the YellowEm-
peror (Huangdi jia yi jing) published in 282 C.E., attribution of original authorship
remained to the legendary Yellow Emperor. See Coldschmidt, "The Transforma-
tions of Chinese Medicine," 180-206.
34The Inner Canon was based on
writings by several anonymous authors, com-
piled sometime during the first century R.C.E. when it was attributed to the leg-
endary Yellow Emperor, and thereaftcr became the theoretical foundation of
classical Chinese medicine. Nathan Sivin, "Huangdi neijing," in Early Chinese7'exts:
A BibliographicalGuide, ed. Michael Loewe (Berkeley, 1993), 196-215.
121
4
Yizong jinjian,vol. 1, 3, lines 24-25.
Yizong jinjian,vol. 1, 4, lines 9-10.
42 "O-er-t'ai," in Arthur W. Hummel, Eminent Chinese the
of Ch'ing Period (Tai-
pei, 1991), 601-603.
43 Liu Yuduo was one of the two most
important Muslims to serve in the Im-
perial Academy of Medicine during the Qing dynasty. Yang Daye, "Qinggong
Huizu yuyi Zhao Shiying he Liu Yuduo" ("The Muslim Physicians Zhao Shiying
and Liu Yuduo in the Imperial Palace") Li.shidang'an 4 (1995), 126.
44
yizong jinjian, vol. 1, 5, lines 22-24.
123
The salaries of the officials and functionaries, the monthly expenses, meals
at work, support staff, and silver bullion should be determined according to
the standards for the History of the Eight Banners (Baqi tongzhi) project in the
Imperial Printing Office. They should also use tables, chairs, miscellaneous
paper, brushes, and inks according to this precedent.45
While Ortai was organizing these initial arrangements for the me-
dical project, he was simultaneously involved in at least five other
imperial publishing projects, including the History of the Eight Ban-
ners mentioned in his memorial, which was completed in 1741.46
He was the main editor for an illustrated treatise on agriculture
(Shoushi tongkao, 1742) as well as one of two main editors for a set
of three commentaries on classical texts about ritual in Chinese
antiquity (Sanli yishu, 1745) Y Beyond the projects initiated within
the first four years of Qianlong's reign, he would also edit a text
on the laws governing the military affairs of the empire (Zhongshu
zhengkao, 1746)4s as well as two other treatises on Manchu history-
a genealogy of the Manchu clans and family (Baqi manzhou shi zu
tongpu, 1745) and a study on the laws governing bannermen
(Baqi zeli, 1746) .'
Ortai's broader editorial responsibilities within the first decade
of the Qianlong reign clearly place the medical project within a
much larger imperial publishing initiative. In the first five years of
Qianlong's reign, his style of governance was not yet fully formed
and the meaning of his Manchu ethnic origins were still being
defined. He patronized publishing projects that projected him as
a rightful heir of the classical Chinese heritage in disciplines of
knowledge required to rule, while simultaneously ordering histo-
ries of the Manchu people themselves. Although overlooked in
most histories of this pivotal period, medicine, agriculture, as-
tronomy, and mathematics were integral dimensions of this mani-
fold imperial enterprise.'
45
yizong jinjian, vol. 1, 5-6, lines 24-26.
On this source, see Mark Elliott, The Manchu Way: The Eight Banners and
Ethnic Identity in I,at,- ImfJerialChina (Stanford, 2001).
" For a list of nine
publications Ortai supervised, see Hummel, Eminent Chi-
602a. Also Qingshi gao vol. 15: for Shoushi tongkao, 4335; and for the three
titles of the Sanli yishu, 4233-34, 4236.
48 Hummel, Eminent Chinese,602a.
49
Qingsh.igao, vol. 15, 4281.
50 Hummel, Eminent Chinese,602a. For the two Manchu treatises, see Pamela
Crossley, A Translucent Mirror: History and Identity in Imyerial Ideology(Ber-
keley, 1999) and The Manchus (Cambridge, Mass., 1997). On laws governing
banncrmen, see Elliott, The Manchu Way.
Although Ortai was not directly involved, the Imperial Printing Office also
124
The Prince
The Staff
Just barely half of the participants (39) were members of the Im-
perial Academy of Medicine hierarchy; the remaining half was
drawn from other sectors of the largely unranked imperial bu-
reaucracy. Of the top ten officials, only Prince Hongzhou, Grand
Secretary Ortai, and Commissioner Qian Doubao were above the
middle rank. The remaining seven-the Administrative Assistant
(rank 5a), the four Manchu officials serving as Supervisors (ranks
5 to 6), and the two Editors-in-chief (rank 5b)-were all in the
middle ranks. Most of those involved were below the official lad-
der. The officials assigned to the Imperial Academy of Medicine
dominated the middle-rank positions of Compilers (#3), Assistant
Compilers (#4), Editorial Assistants (#5), and Archivists (#6). To
ensure good calligraphy and literary quality for this imperial pub-
lication, nearly all of the twenty-three copyists and sub-copyists
were selected from the unranked officials of the National Univer-
sity and Government Students. 15 Four of the nine Work Superin-
tendents also came from the Imperial Household Department: a
Director of the Southern Park in the system of imperial parks in
and near the capital (rank 4b), a Director of the Office of the
Paymaster (rank 5a) responsible for issuing pay and rations to
members of the Inner Banners,76 a Vice-Director of the Office of
Palace Justice who was responsible for the judicial discipline of
personnel (rank 5b), and a Warehouseman from the Storage Of-
fice (rank 6a to sub-official status)."
The far fewer high-level officials and Imperial Household De-
partment personnel compared to the middle-rank to below-rank
officials suggest that the Golden Mirror was not one of the imperial
publishing projects of highest priority during the early Qianlong
reign. The delays and complications during the three-year process,
82 For an
analysis of Fang Bao's editorial projects that focuses on this project,
see R. Kent Guy, "Fang Pao and the Ch'in-tingSsu-shu-wen,"in Benjamin A. Elman
and Alexander Woodside (eds.), Education and Societyin Late Imperial China, 1600-
1900 (Berkeley, 1994), 150-182.
83 See
"Fang Pao," in Hummel, I, 235-237. Fang had two high points in his
literary career from 1690-1'702under the Kangxi emperor and again from 1736-
1740 in the early Qianlong reign. See Guy, "Fang Pao," 151-162.
H4The same
year he also had commissioned the compilation on rituals (Ri-
jiang liji jieyi), for which Prince Hongzhou was a Supervisor. See Qingshi gao vol.
15 (Beijing, 1986), 4236, 4325, 4405.
" Hummel, I, 370. As a source for the
emperor's self image, see Harold Kahn
"Some Mid-Ch'ing Views of the Monarchy," JAS 24/2 (1965), 230-231. For the
history and quality of these sources, see Kahn, Monarchyin the Emperor'sEyes,168-
172.
86This
point is made in Guy, The Emperor'sFour Treasuries,27.
131
8i
Qingshi gao, vol. 15, 4311, 4335, 4341.
88 See
89 Guy (1987), 27.
9 Qingshi gao, vol. 15, 4267, 4350.
Qingshi gao, vol. 15, 4278, 4311.
Wilkinson (2000), 547.
132
92 Fan
Xingzhun, Z-hongyllishi xue lue (Summary of Studies on the History of
Chinese Medicine, Shanghai, 1986), 436-8.
" For the book's content, Gao
Mingming, "Yizongjinjian de bianxuan _ji qi
chengjiu," 80-83. For just the awards, Fu Weikang, " Yizong jinjianzhi bianxuan yu
Qingting banjiang," 32.
94 See a
compilation of mnemonic rhymes for Chinese medicine, Dong Lian-
rong et al. (eds.), Lidai zhongyige fu jingxuan (Best Selection of Songs and Rhymes
in Chinese Medicine from Past Dynasties, Beijing, 1991).
Standaert, "Late Ming-Mid Qing: Themes, 4.2.7 Medicine," 78'7-790.
96 For the
Kangxi reference to the use of Mongolian jorhai roots for aching
joints, see Tingxun geyan (Aphorisms from Palace Lectures, Yongzheng preface,
1730), 36a. For Kangxi account of the use of the dried fruit of yenggeamong the
Manchus and Mongolians for stomach and bowl problems, see Qing Siaengzuyuzhi
(Edicts of the Kangxi emperor of the Qing), in Zhanggu congbian (Taipei, 1964),
18b. Cited in Jonathan D. Spence, Emperorof China: Self-Portraitof K'ang-hsi, (New
York, 1988 ), 99.
9i
Guy, The Emperor'sFour Treasurie.s,38-66.
133
104Ren
Yingqiu, Zhongyigejia xueshuo, 101. Also Paul Unschuld, Medicine in
China: A Historyof Ideas (Berkeley, 1985), 209; and Chao Yiian-ling, "Lineages and
Schools," 4-5.
Table 2-3-6, Zhongyiwenxian yanjiu, 122.
106Introduction, Ma Jixing,
'' He Shixi, _Jinkui yaolue, Yizong jinjian,vol. 1, 451.
7.hon?gr?olidai yijia zhuanlu, vol. 3, 63-64.
108
Biography of Yu Chang, with a section on his disciple Xu Bin, Qingshigao,
j. 502, 13868-9.
136
114
Biography of Wu Qian, Qingshigao, j. 502, 13879-80.
Biography of Zhang Zhicong, Qingshi gao, j. 502, 13871-2.
138
Chang Chia-feng, "Disease and Its Impact on Politics, Diplomacy and the
Military: The Case of Smallpox and the Manchus (1613-1795)," Journal of the His-
tory of Social Medicineand Allied Sciences57 (2002), 177-197.
In 1747, Qianlong also appointed the Muslim doctor who worked on the
GoldenMirror, Liu Yuduo, as the smallpox specialist in charge of variolation in the
palace. Yang Daye, "Qinggong Huizu," 126.
120One modern scholar notes that
although one can find rhymes in medical
texts from the Song and Yuan dynasties, the GoldenMirror had the greatest quan-
tity. Gan Zuwang, Gan Zuzuang yihua(Medical Anecdotes of Gan Zuwang, Beijing,
1996), 367. Medical rhymes from the GoldenMirror for cold-damage disorders,
gynecology, pediatrics, and ophthalmology are reprinted in Dong Lianrong (ed.),
Lidai ziaongyigefujingxuan, 42-46, 123-150, 294-322, and 393-405.
121Foreword in
Yizong jinjian,vol. 1, 16.
Yizong jinjian,vol. 2 (Taipei edition, 1993), 1248.
140
When pox marks appeared from the body's center, it was an in-
dication of death. The essay following the drawing used the ver-
nacular style of chants written in seven-character phrases. Four
phrases of seven characters each summarized in a pithy rhyme
141
what the pattern indicated and what formulas were most appro-
priate to treat it. A commentary followed to flesh out important
points, along with a list of the most important ingredients for the
appropriate formula. The explanation ended with a "rhyming for-
mula" (jangge) written in the same literary style of the previous
four phrases of seven characters each. Although "rhyming for-
mula" was not always given in the forty-two other cases, the ingre-
dients of the remaining formulas were always listed. The chapter
on smallpox patterns concluded with an illustration showing how
a physician should pick a sample from a smallpox scab and with
what kind of needle (see figure 3) .
Following precedent, the instructions were given in four seven-
character phrases, followed by a commentary, and a list of the
substances required to clean the needle. The compilers of the
imperial Golden Mirror intended their version of medical orthodoxy
not only to represent the trends of textual scholarship in the
south, but also to be a popular medical manual to be read, me-
morized, and put into practice by the widest possible audience
throughout the empire. Its continued presence today attests both
to their success as well as the persistence of imperial prestige.
CONCLUSION
The memorials to the emperor about the Golden Mirror used ge-
nealogical discourse and an appeal to the lost Way of medicine to
justify the project as a means to restore the "orthodox current of
thought" (xaz) of medicine.'24 The metaphor of the "Golden
Mirror" emphasized the role of the editors as an extension of the
discerning mind of the emperor, distinguishing without error the
true from the false, the authentic canonical passages from later
interpolations, the efficacious from the ineffective. The Golden
Mirror was intended to clarify order out of chaos and restore the
genuine medical lineage from antiquity.
Yet, there was a hitch. The memorials argued that Zhang Ji's
Treatise on Cold Damage and Essentials of the Golden Casket were the
first of the early Han medical texts "to have methods and have
Ibid., 1274-5.
For a comparable case in the Confucian tradition, see Thomas A. Wilson,
Genealogyof the Way: The Construction and Usesof the Confucian Tradition in Late
Imperial China (Stanford, 1995).
142
143
ABSTRACT
In the last month of 1739, the third of the Manchu rulers, the Qianlong
emperor (r. 1736-1795), ordered the compilation of a treatise on medi-
cine "to rectify medical knowledge" throughout the empire. By the end
of 1742, eighty participants chosen from several offices within the palace
bureaucracy based in Beijing completed the Golden Mirror of the Orthodox
Lineage of Medicine, the only imperially commissioned medical text the
Qing government's Imperial Printing Office published. The Golden Mir-
ror represents both the limitations in the power of the Qianlong emperor
and the dominance in the Manchu court of Chinese scholarship from the
Jiangnan region during the first decade of his reign. Chinese scholars
participating in the compilation of the Golden Mirror fashioned a medical
orthodoxy for the empire in the mid-eighteenth century from regional
trends in scholarship on history and the classics centered in the Jiangnan
region since the sixteenth century. The Golden Mirror is an illuminating
example of how medical scholars participated in the formation of evi-
dential scholarship in early-modern China and why Manchu patronage,
southern Chinese scholarship, and medical orthodoxy coalesced in the
imperial court of the Qianlong emperor.
GLOSSARY
J rt. "methods"
fang 11 "formulas"
Fang Bao (1668-1749)
145