History of Medicine: Read 4 Articles and answer 5 questions about the article - Humanities
Read the attached articles and then answer each one of the 5 questions based on the articles. DO NOT use any outside sources. All you need is right in the articles.Please answer every part of the question separately and specifically. Each question consists of few questions.The final length of all answers should be about 3 pages.Questions are in file attached named Worksheet 1
andrews_wang_qingren_and_the_history_of_chinese_anatomy_1991.pdf
harvey_anatomical_examination_of_the_body_of_thomas_parr.pdf
shin_korean_anatomical_charts_in_the_context_of_the_east_asian_medical_tradition_2018.pdf
vesalius_illustrations_1950.pdf
worksheet_1.pdf
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Brill
Chapter Title: Korean Anatomical Charts in the Context of the East Asian Medical
Tradition
Chapter Author(s): Shin Dongwon and 신동원
Book Title: Imagining Chinese Medicine
Book Editor(s): Vivienne Lo, 羅維前, Penelope Barrett, David Dear, Lu Di, 蘆笛, Lois
Reynolds, Dolly Yang, 楊德秀
Published by: Brill. (2018)
Stable URL: https://www.jstor.org/stable/10.1163/j.ctvbqs6ph.29
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23 Korean Anatomical Charts in the Context of the East Asian Medical Tradition
Shin Dongwon 신동원
Translated by Kim Yuseok 김유석
To the best of current knowledge, traditional Korean medical literature contains only three sets of images showing
the internal organs of the human body. All three are highly
significant in various ways for our understanding of East
Asian traditions of anatomical representation.
The earliest set, in Ui’bang’ryuchui 醫方類聚 (Classified
Collection of Medical Remedies) 1477 ce, reflects a Daoist
vision of the internal landscape of the human body. It comprises six separate images illustrating the five zang organs
(heart, spleen, liver, lungs and kidney) and the gallbladder,
one of the six fu organs (the others are the stomach, large
intestine, small intestine, urinary bladder and ‘Triple
Burner’). They are in fact integral reproductions of the images from Hu Yins 胡愔 Huangting neijing wuzang-liufu tu 黃
庭內景五臟 六腑圖 (Yellow Court Atlas of the Inner View
of the Five Zang Organs and the Six Fu Organs), a Chinese
Daoist work dating from the Tang dynasty c. 848 ce (Fig.
1). These images are no longer extant in China, although
the text that originally accompanied them is included in
the Ming Daoist Canon of 1445 (Zhengtong Daozang 正統
道藏). By transmitting the images together with the text,
the Classified Collection of Medical Remedies sheds a unique
light on 9th-century East Asian anatomy.
The second set, in Chi’mkuyokyel 鍼灸要訣 (Essential
Formulas for Acupuncture and Moxibustion) 1600 ce, by
the Confucian scholar-physician Yu Seongnyong 柳成龍,
consists of one illustration of the zang and fu organs, and
two channel charts (Fig. 2). They are reproductions of the
identically named illustrations in Yixue rumen 醫學入門
(An Introduction to Medicine) 1575 ce, by the Ming dynasty
physician Li Chan 李梴.
The third set, in Heo Jun’s Dong’ui’bo’gam (Treasured
Collections of an Eastern Physician, hereafter Treasured
Collections) 1613 ce, comprises Sinhyeng jangbudo 身形
Figure 23.1 P’yejangdo 肺臟圖, Image of the lung. Kim Yemong et al.
1477, Ui’bang’ryuchui 醫方類聚, vol. 5, p. 51, (original edition in Kyoto Palace, Japan; micro-film copy in National
Library, Korea)
Figure 23.2 Changbu naegwando 臟腑內觀圖, Image of the organs in
the body. Yu Seongnyong 1600 p. 12, ed. 1994, p. 340
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328
shin dongwon 신동원
Figure 23.3 Sinhyŏng changbudo 身形臟腑圖, Image of the form of
the body and the zang and fu organs. From Heo Jun 1630,
ed. 1994, p. 227
Figure 23.4 Ch’ŭksinindo 側身人圖, Lateral view of the body. Gong
Tingxian (Ming), ed. 1999, p. 43
臟腑圖 ‘Image of the form of the body and the zang and
fu organs’, as well as illustrations of five of the internal
organs’ (Fig. 3). At first sight, ‘Image of the form of the
body and the zang and fu organs’ appears almost identical to an image of the body in Wanbing huichun 萬病回
春 (Recovery from Ten Thousand Diseases) 1585 ce, by
the Ming-dynasty Chinese physician Gong Tingxian 龔
廷賢, while the illustrations of the organs seem to differ
but little from Chinese illustrations of the Song and Ming
Dynasties (Fig. 4). On closer scrutiny however, significant
differences become apparent.
The illustrations in Treasured Collections are the sole pictorial representations we possess that reflect the approach
and sensibility specific to Korean physicians of the Joseon
dynasty (1392–1910 ce). Studying the text over the years, I
have been constantly intrigued by these images.1 Similar to
anatomical charts in early Ming-dynasty Chinese medical
texts, yet in some ways strikingly different from them, what
do they actually represent? And what function do they
perform within the medical text Treasured Collections?
Where do they come from? What place do they occupy in
the East Asian tradition of anatomical charts? The present
paper is an attempt to answer these questions. In my view,
in the process it also provides clues to understanding the
unique character of traditional Korean medicine in the
17th century and thereafter.
1
Shin 2001, pp. 172–90.
A Short Biography of Heo Jun
Heo Jun remains the most famous physician in Korean
history. A royal doctor by his early 30s, he served the Royal
Hospital for more than 40 years and wrote at least seven
medical treatises, including the internationally-known
Treasured Collections. After its first publication in 1613, the
book saw more than 10 reprints in Korea, more than 30 in
China, and at least two in Japan.
Heo Jun’s mother was a concubine, and his father was
legally barred from taking off ice in the civil service or
military. Thus the only professions open to a boy of Heo
Jun’s birth were astronomy, the law, the interpretation of
Chinese and Japanese texts, and medicine.
Nothing is known about Heo Jun’s medical training. In
1581, while working at the Royal Hospital, he was ordered
by King Seonjo 宣祖 (r. 1567–1608) to revise an important
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korean anatomical charts in the context of the east asian medical tradition
book on diagnosis, which medical students had been using
as a basic text for at least a century.
Heo Jun became famous in 1590 for curing thousands
of smallpox patients, among them the Crown Prince,
Goang’haegun 光海君. At that time he was the only royal physician to ignore the religious prohibition against
treating people for the disease. He refused to accept the
contemporary belief that the god who brought smallpox
would kill any patient who sought medical treatment. This
success encouraged him to write a medical text aimed at
putting an end to the practice of not treating smallpox
patients, Oenhaedu’chang’jip’yo 諺解痘瘡集要 (Essentials
of Smallpox with Korean Translation).
Treasured Collections, completed in 1610, brought Heo
Jun long-lasting fame. After the first Japanese invasion
of Korea in 1592, King Seonjo ordered him to compile a
medical book to expose the effect of war upon medicine.
Work began with a team of six doctors, five of them Royal
doctors, but after the second Japanese invasion in 1597,
his colleagues scattered and he had to finish the treatise
alone. It took Heo Jun 10 years to complete this 25-volume work. Meanwhile, as the first Royal doctor, he was
impeached for King Seonjo’s death and exiled between
1608 and 1609 to Uiju, at the northern frontier of Korea.
Although the exile was painful, it gave Heo Jun the time
that he needed to complete most of the book, which was
finally published in 1613.
Treasured Collections consists of five sections: inner
body physiology and symptoms, outer body symptoms,
common diseases, pharmacology, and acupuncture and
moxibustion. This book had three distinctive features.
First, it attached more importance to cultivation of the
mind and body than to external medical treatment. The
popularity of Neo-Confucian and Daoist self-cultivation
techniques among the ruling yangban 兩班 class in Korea
was influential in this trend. Secondly, it made an attempt
to resolve apparent contradictions in traditional East Asian
medical discourse such as the tension between knowledge
and practice highlighted by the four great doctors of the Jin
and Yuan. Between the Han and Ming dynasties Chinese
medical texts and remedy collections were widely disseminated throughout the territory equivalent to modern day
Korea. Thirdly, it emphasised the benefits of using locally
produced drugs, according to Korean tradition.
During 1601, while working on Treasured Collections,
Heo Jun also wrote manuals on obstetrics, emergency
treatments, and smallpox. All of these books, originally
written in Chinese script, as was conventional in Korean
literature, were also translated into vernacular Korean to
allow easy access for a popular audience. Heo Jun spent
his last days studying the prevention of typhus and scar-
329
let fever. As the leading doctor in Korea he championed
preventive health, writing two short books on infectious
diseases. His book on scarlet fever, Byuk’yeok’sinbang 辟
疫神方 (Divine Remedies for Treating Contagious Illness)
attracted serious attention from medical historians for his
unique and original observations unprecedented either
in China or Korea. The Japanese medical historian Sakae
Miki insists that Heo Jun was the first person to study the
disease in East Asian countries. His descriptions of the
symptomatology including fever, headache, sore throat,
dropsy, rash, and desquamation seem so accurate that they
have been compared to Daniel Sennert’s 1627 European
treatise on fever.
Heo Jun died in 1615. In an honour unprecedented in
Korean history the king conferred upon him posthumously
the highest court rank.
The Nature of ‘Form’ in ‘Image of the Form of the
Body and the Zang and Fu Organs’
To return to Treasured Collections, under the rubric ‘Image
of the form of the body and the zang and fu organs’, we find
the anatomical chart in question and two passages of textual commentary relating to it. To understand the nature of
the image, we need to begin with the material data afforded
by the text: the title; the chart itself; the commentary; and
the physical position of the chart within the text.
To begin with, the title itself brings together two conceptually distinct categories: the outward form of the body
(形, Chinese xing) and its inward substance (臟腑, Chinese
zangfu). It announces the author’s intention to represent
the body both externally and internally; to convey both
observational knowledge of the body and the experience
and imagination of its inner workings.
The image itself consists of an outline of the body,
shown laterally from the right, with the internal organs as
well as various external features drawn and labelled. The
external contour of the body is confined to the head and
the trunk, with the limbs entirely omitted. The eyebrows,
eyes, ears, nose, mouth and chin are drawn on the head;
the neck, chest, waist and abdomen are indicated on the
trunk; and the navel is drawn protruding. The names of
external bodily landmarks all appear outside the outline.
As regards the internal organs: the brain and the spine
are shown running continuously down the full length of
the body; the pharynx and the larynx begin at the same
height as the mouth; the larynx connects with the lungs,
directly below which sits the heart. The diaphragm – the
frontier between the organs of the upper and lower body
– is clearly marked and labelled. The downward passage
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330
shin dongwon 신동원
from the pharynx divides into three. One branch leads to
the diaphragm, the second branch leads to the kidneys,
and the middle branch continues on, to bifurcate further
down with one path leading to the spleen and stomach,
and the other to the liver and the gallbladder. Underneath
the stomach is the small intestine, and underneath that
is the large intestine, shown with many folds. Depicted
below the small and large intestines is the urinary bladder.
Below the gallbladder and to the left of the intestines, we
see the rectum and urethra, the paths through which food
waste and urine make their way to the exterior. Although
there is no textual explanation of the relations between
the internal organs, the image compellingly suggests how
they are organically connected with one another.
The organs drawn inside the body all have distinctive
and evocative visual forms. The brain resembles the bough
of a tree, the spine is a long chain of interlinked bones,
the pharynx and the larynx look like holes, the lungs are
depicted like many layers of leaves, the spleen and the
stomach resemble drooping sacks, the liver looks like a long
flower bud, the kidneys resemble beans, and the urinary
bladder is like an inverted heart.
Heo Jun’s Explanation of ‘Image of the Form of the
Body and the Zang and Fu Organs’
The text accompanying this image is particularly detailed
and provides a clear guide to the way in which the author,
Heo Jun, intended the image to be read. It consists of two
parts, which begin, ‘Sun Zhenren 孫眞人)2 says…’ and
‘Zhu Danxi 朱丹溪3 says…’ respectively. The first part is
as follows:
Sun Zhenren states: the human head is round in emulation
of the roundness of heaven, and the human foot is square in
emulation of the square shape of the earth. Just as heaven
has the four seasons, man possesses the four limbs. Just as
heaven has the five agents [also translated as elements or
phases], man possesses the five organs; just as heaven has
the six directions, man possesses the six viscera. Because
there are winds from the eight directions in heaven, man
possesses the eight joints; and just as there are the nine
stars in heaven, humans have the nine orifices. The 12
human channels emulate the 12 hours of heaven; and the
24 human points emulate the 24 solar terms of heaven.
In addition, because there are 365 degrees in heaven,
man likewise possesses 365 joints. Just as there are the
sun and the moon in heaven, man possesses the eyes and
the ears. Just as there are day and night in heaven, man
sleeps and wakes. Just as there are thunder and lightning
2
3
Sun Zhenren, or Sun Simiao, 孫思邈 (581–682 ce).
Zhu Danxi, or Zhu Zhenheng 朱震亨 (1281–1358 ce).
in heaven, man feels joy and anger. Just as there are rain
and dew in heaven, man possesses tears and nasal mucus.
Just as there are Yin and Yang in heaven, man possesses
cold and body heat. Just as there are fountains on earth,
man possesses blood vessels; and just as trees and grass
grow on earth, man possesses hair both on the body and
on the head. Just as there are metals and rocks in earth,
man possesses teeth. Everything takes form through the
four great agents and the five agents.4
This passage gives us a sense of the range of constituents
(body parts, physiological phenomena, affects) that are
regarded as making up human bodily form. With detailed
examples, it presents the human body as a homologue of
heaven and earth, or the cosmos and natural phenomena,
structured according to universal numerological schemes.
It asserts the belief that the various parts and aspects of
the body are formed not coincidentally and independently
of one another but in accordance with cosmic patterns.
In essence, all parts of the body are formed according to
the order of the four great agents of earth, water, fire and
wind, a Buddhist concept, and the five agents, an idea
from Chinese natural philosophy. The second part states:
Zhu Danxi says: when human form is examined, the tallness and shortness of height are unequal, the largeness
and smallness of build are unequal, and the fatness and
thinness of flesh are unequal. The fairness and darkness
of skin tone are unequal, lightness and bluishness are
unequal, and thinness and thickness are unequal. Those
who are fat abound in the wet vital breath, those who are
thin abound in the fiery vital breath, those who are fair
are deficient in the vital breath in the lungs, and those
who are dark are sufficient in vital breath in the kidneys.
Because shapes, colors, the organs, and the viscera thus
differ, treatment methods vastly differ even when the
outward symptoms are similar.5
Whereas the first passage, from Sun Simiao, describes characteristics universal to human bodies, the quotation from
Zhu Danxi discusses individual differences in height,
build and skin tone. These differences in bodily form are
the outward manifestation of disparities in vital breath in
the internal organs. In light of this, Zhu Danxi establishes
the principle that even where the presenting symptoms
are identical, medical treatment must be differentiated
and personalised on the basis of the disparities among
individual bodies. By citing this passage, Heo Jun sought
to demonstrate that a discussion of bodily form is germane
to the correct treatment of diseases.
4
5
Heo 1994, p. 278.
Ibid., p. 278.
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korean anatomical charts in the context of the east asian medical tradition
four great agents of Shakyamuni Buddha all indicate this.
The Classic of the Yellow Court includes the section ‘internal
view’, and the medical text also includes mirror images. The
basis of Daoism lies in clear and peaceful selfcultivation,
and medicine cures with medication, food, acupuncture,
and moxibustion, which is how Daoism has acquired its
finesse and medicine, has acquired its roughness. Now,
this book first presents ‘Inner Chapter’, including in it
essential matter, vital breath, spirit, organs, and viscera in
the internal view, then presents ‘Outer Chapter’, including
in it the head, face, hands, feet, muscles, pulse, bones, and
flesh of the external realm… .66
The View of the Human Body of ‘Treasured
Collections of an Eastern Physician’
What ‘Image of the Form of the Body and the Zang
and Fu Organs’ Represents
‘Image of the form of the body and the zang and fu organs’
is placed close to the beginning of Treasured Collections.
Because this position in the material text is important in
relation to our overall understanding of the image, it needs
to be examined more closely:
Preface;
General catalogue (2 fascicles);
Chapter on internal view (4 fascicles): ‘collection of cases’;
‘successive medical formula examinations’; ‘image of the
form of the body and the zang and fu organs’; 26 categories
including ‘bodily form’;
Chapter on outward form (4 fascicles): 26 categories including ‘head’;
Chapter on miscellaneous diseases (11 fascicles): 38 categories
including ‘celestially and terrestrially determined fate’;
Chapter on brews and decoctions (3 fascicles): 17 categories
including ‘prefatory material to brews and decoctions’;
Chapter on acupuncture and moxibustion (1 fascicle):
‘acupuncture and moxibustion’.
Although ‘Image of the form of the body and the zang and
fu organs’ is included in ‘Chapter on the internal view’, on
examination it differs from the other individual categories
in this chapter, with their discrete contents. Apparently, it
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Losinski forwarded the article on a priority basis to Mary Scott
Losinksi wanted details on use of the ED at CGH. He asked the administrative resident