ISO/TS 17948:2014 Health information traditional chinese medicine literature metedata

Courtesy: ISO/TS 17948:2014 Health information traditional chinese medicine literature metedata

Scholars in the history of medicine in China distinguish its doctrines and practice from those of present-day TCM. As Ian Johnson notes, the term “Traditional Chinese Medicine” was coined by “party propagandists” and first appeared in English in 1955. Nathan Sivin criticizes attempts to treat medicine and medical practices in traditional China as if they were a single system. Instead, he says, there were 2,000 years of “medical system in turmoil” and speaks of a “myth of an unchanging medical tradition.” He urges that “Traditional medicine translated purely into terms of modern medicine becomes partly nonsensical, partly irrelevant, and partly mistaken; that is also true the other way around, a point easily overlooked.” TJ Hinrichs observes that people in modern Western societies divide healing practices into biomedicine for the body, psychology for the mind, and religion for the spirit, but these distinctions are inadequate to describe medical concepts among Chinese historically and to a considerable degree today.

The medical anthropologist Charles Leslie writes that Chinese, Greco-Arabic, and Indian traditional medicines were all grounded in systems of correspondence that aligned the organization of society, the universe, and the human body and other forms of life into an “all-embracing order of things.” Each of these traditional systems was organized with such qualities as heat and cold, wet and dry, light and darkness, qualities that also align the seasons, compass directions, and the human cycle of birth, growth, and death. They provided, Leslie continued, a “comprehensive way of conceiving patterns that ran through all of nature,” and they “served as a classificatory and mnemonic device to observe health problems and to reflect upon, store, and recover empirical knowledge,” but they were also “subject to stultifying theoretical elaboration, self-deception, and dogmatism.”

The doctrines of Chinese medicine are rooted in books such as the Yellow Emperor’s Inner Canon and the Treatise on Cold Damage, as well as in cosmological notions such as yin–yang and the five phases. The “Documentation of Chinese materia medica” (CMM) dates back to around 1,100 BCE when only a few dozen drugs were described. By the end of the 16th century, the number of drugs documented had reached close to 1,900. And by the end of the last century, published records of CMM had reached 12,800 drugs.” Starting in the 1950s, these precepts were standardized in the People’s Republic of China, including attempts to integrate them with modern notions of anatomy and pathology. In the 1950s, the Chinese government promoted a systematized form of TCM.

Shang dynasty

Traces of therapeutic activities in China date from the Shang dynasty (14th–11th centuries BCE). Though the Shang did not have a concept of “medicine” as distinct from other health practices, their oracular inscriptions on bones and tortoise shells refer to illnesses that affected the Shang royal family: eye disorders, toothaches, bloated abdomen, and such. Shang elites usually attributed them to curses sent by their ancestors. There is currently no evidence that the Shang nobility used herbal remedies.

Stone and bone needles found in ancient tombs led Joseph Needham to speculate that acupuncture might have been carried out in the Shang dynasty. This being said, most historians now make a distinction between medical lancing (or bloodletting) and acupuncture in the narrower sense of using metal needles to attempt to treat illnesses by stimulating points along circulation channels (“meridians”) in accordance with beliefs related to the circulation of “Qi”. The earliest evidence for acupuncture in this sense dates to the second or first century BCE.