Promoting free flow in the networks: reimagining the body in early modern Suzhou

The history of Chinese medicine is still widely imagined in terms dictated by the discourse of modernity, that is as ‘traditional’ and ‘Chinese.’ And yet, so as to be intelligible to us moderns, it must simultaneously be framed through categories that make it comparable somehow to the ‘West’ and the ‘modern’ from it is said to be essentially different. This is accomplished, for instance, by viewing Chinese medicine as fundamentally shaped by cosmological thinking, as focusing on process rather than matter, and as forever hampered by attachments to the past even when it tries to innovate. At the same time, it is described to pursue its objectives in ways that make sense in ‘our’ terms, too, such as the goal of creating physiological homeostasis through methods of supplementation and drainage. In this paper, I seek to move beyond this kind of analysis through a two-pronged approach. First, by focusing on the concept of tong - a character that calls forth images of free flow, connectivity, relatedness and understanding - I foreground an important aspect of Chinese medical thinking and practice that has virtually been ignored by Western historians of medicine and science. Second, by exploring how the influential physician Ye Tianshi 葉天士 (1664-1746) employed tong to advance medical thinking and practice at a crucial moment of change in the history of Chinese medicine, I demonstrate that physicians in early modern China moved towards new understandings of the body readily intelligible by modern biomedical anatomy. I argue that this mode of analysis allows us to transcend the limitations inherent in the current historiography of Chinese medicine: for it allows for comparison to emerge from our subject matter rather than imposing our imaginaries onto it in advance

Depression, constraint and the liver: (dis)assembling the treatment of emotion-related disorders in Chinese medicine

Traditional Chinese medicine (TCM) is today practiced worldwide, rivaling biomedicine in terms of its globalization. One of the most common TCM diagnoses is “Liver qi constraint,” which, in turn, is commonly treated by an herbal formula dating back to the 10th century. In everyday TCM practice, biomedical disease categories such as depression or anxiety and popular disease categories such as stress are often conflated with the Chinese medical notion of constraint. Medical anthropologists, meanwhile, argue that constraint reveals to us a distinctive aesthetics of constructing body/persons in Chinese culture, while psychologists seek to define constraint as a distinctive psychiatric disorder distinctive from depression and anxiety. All of these actors agree in defining constraint as a concept dating back two thousand years to the very origins of Chinese medicine. This article disassembles the articulations by means of which these different facts about constraint are constructed. It shows how ideas about constraint as a disorder caused by the penetration of external pathogens into the body were gradually transformed from the eleventh century onward into constraint as an emotion-related disorder, while treatment strategies were adjusted to match perceptions about body/self that developed among the gentry elite of southeast China in late imperial China

Chinese herbal medicine for treating menopausal symptoms in London women: developing a good practice protocol via the factor analysis of prescribing patterns in a clinical study

The objective of the study described in this paper was to define Chinese medicine formula patterns for the treatment of menopausal women in London. These formula patterns are intended to become best practice guidelines for a future pragmatic randomised controlled trial with the ultimate goal of evaluating the possibility of integrating Chinese medicine treatment strategies for menopausal symptoms into the UK National Health Service. Data from a clinical study that had demonstrated the effectiveness and safety of Chinese medicine in treating 117 perimenopausal women at the Westminster University Polyclinic in London was analysed for symptom occurrence and herb use. The frequency of occurrence of different presenting symptoms and the frequency of use of individual herbs is described, and the patterns of combined herb use and the correlations between these patterns and the presenting symptoms is analysed by means of factor analysis. Treating these use patterns as Chinese herbal medicine formulas, five distinctive formula patterns emerged in the course of this study. While there is some overlap between these formulas and their associated symptom patterns and those described in Chinese medicine textbooks, some formula patterns appear to be unique to London women. This indicates that best practice guidelines for the Chinese medicine treatment of menopausal symptoms, which have been shown to vary cross-culturally, need to be derived from local clinical practice. We discuss the advantages and limitations of the methods – action based clinical study plus factor analysis – we employed to this end

Threshold energy for sub-barrier fusion hindrance phenomenon

The relationship between the threshold energy for a deep sub-barrier fusion hindrance phenomenon and the energy at which the regime of interaction changes (the turning-off of the nuclear forces and friction) in the sub-barrier capture process, is studied within the quantum diffusion approach. The quasielastic barrier distribution is shown to be a useful tool to clarify whether the slope of capture cross section changes at sub-barrier energies.Comment: 4 pages, 4 figures (accepted in Eur. Phys. J. A

Sub-barrier capture reactions with 16,18^{16,18}O and 40,48^{40,48}Ca beams

Various sub-barrier capture reactions with beams $^{16,18}$O and $^{40,48}$Ca are treated within the quantum diffusion approach. The role of neutron transfer in these capture reactions is discussed. The quasielastic and capture barrier distributions are analyzed and compared with the recent experimental data.Comment: 8 pages, 9 figures, will be published in EPJA. arXiv admin note: substantial text overlap with arXiv:1211.433

Sub-barrier capture reactions with 16,18^{16,18}O beams

Various sub-barrier capture reactions with beams $^{16,18}$O are treated within the quantum diffusion approach. The role of neutron transfer in these capture reactions is discussed.Comment: 3 pages, 4 figure

Derivation of breakup probabilities from experimental elastic backscattering data

We suggest simple and useful method to extract breakup probabilities from the experimental elastic backscattering probabilities in the reactions with toughly and weakly bound nuclei.Comment: 4 page