Medical missionaries in China: John Glasgow Kerr (1824-1901) and cutting for the stone.

With the introduction of Western medicine into China by Anglo-American medical missionaries in the early 19th century, Reverend Dr Peter Parker at the Canton Ophthalmic Hospital pioneered surgical operations in Chinese patients. The subsequent development of surgery for bladder stones at this institute by Parker's successor Dr John Kerr and colleagues is described.

Medical missionaries to China and the reformation of anatomy.

The earliest record of human anatomy in chapters of the Yellow Emperor's Inner Classic is likely to be based upon proper dissections. The first incident of human dissection for medical purpose documented in the History of Han Dynasty occurred in AD 13. During the Sung dynasty, a physician prepared illustrations of internal organs of executed criminals, published in 1113 as the Images of Truth Successive Chinese medical treatises have plagiarized but preserved the anatomical diagrams without improvements or modifications. China had to wait till the mid-19th century for Anglo-American Protestant medical missionaries to bring about a complete and permanent reformation of anatomical science.

Healing bodies or saving souls? Reverend Dr Peter Parker (1804-1888) as medical missionary.

The important role played by medical services in the preaching of the Gospel in China was undeniable. Anglo-American missionaries entered Canton in the early 18th century and introduced modern Western medicine to China. Reverend Dr Peter Parker, founder of medical missionaries to China, was more than that, far more advanced than his predecessors including Drs Pearson, Livingstone and Colledge. He was an enthusiastic missionary of exceptional ability and vigour as witnessed his labours at the Canton Ophthalmic Hospital. His 20 years in the medical field unexpectedly paved the way for his future career as a diplomat in the American Legation.

Medical missionaries to China: the antecedents.

Notwithstanding the traditional belief that disciples of Jesus Christ introduced Christianity into China, conclusive evidence showed that it was the Nestorian missionaries who entered China in AD 635. Alongside commercial contacts between the West and China during the prosperous T'ang dynasty (618-906), trepanation, bloodletting and the universal antidote theriac were introduced from the Byzantium Empire. Nestorian Christians built churches throughout China and offered some form of medical services. During the Yuan (Mongol) dynasty (1260-1368), foreign physicians were present in the Royal Court; the most famous was the astronomer, linguist and physician Ai-hsieh (Isaiah), Head of the Imperial Medical Bureau. With the fall of this dynasty, Christianity, being primarily the faith of a foreign community, naturally fell into oblivion. It was not until the sixteenth-century's Age of Discovery when a safe sea route to China was found that a new phase of Christian missionaries began.

The Protestant medical missions to China: the introduction of Western medicine with vaccination.

Modern medicine in China began with the arrival of Anglo-American Protestant missionaries in the early 19th century. Conditions were vastly different from the times of the Jesuits in Peking during the 17th and 18th centuries, when the priests enjoyed the endorsement of the Court and high officials. Faced with hostile and xenophobic officialdom and populace, surgeons of the British East India Company in collaboration with missionaries took the initiative. In 1805 Dr Alexander Pearson (1780-1874) introduced smallpox vaccination in Macao and Canton. Reverend Dr Robert Morrison (1782-1834) of the London Missionary Society with another East India Company Surgeon, Dr John Livingstone (1829) opened a dispensary for the poor in Macao in 1820. These pioneers paved the way for later Anglo-American medical missionaries who revolutionized medical practice in China.

The protestant medical missions to China: Dr Thomas Richardson Colledge (1796-1879) and the founding of the Macao Ophthalmic Hospital.

A surgeon of the British East India Company, Dr Thomas Richardson Colledge, founded the Macao Ophthalmic Hospital in 1827. This was not only the first Western hospital ever opened in China for the purpose of bringing modern medicine to the Chinese but also the precursor of similar efforts of later medical missions in China. The gratifying results of this institute proved that employing Western medicine was an effective way to introduce Christianity to China and to open her door to the outside world. Though not a missionary himself, Colledge is rightfully regarded as the originator of medical missionaries to China.

Medical missionaries to China: the Jesuits.

The 15th and 16th centuries saw a religious revival in Europe and an increased interest in church missions. With geographical discoveries supported by strong monarchies in Spain, Portugal and later France, Catholic missions and in particular the Society of Jesus resumed the spread of Christianity to China. Convinced that it was wise policy to address themselves to the most influential upper classes, the Jesuits under the leadership of Father Matteo Ricci became friendly with the aristocrats and the intelligentsia. The Jesuits introduced Western scientific ideas into China and even practised medicine. Between periods of adversity and persecutions, Chinese emperors who valued them for their scientific expertise generally tolerated their missionary activities. Any lasting influence on Chinese culture was limited.

Medicine and music: a note on John Hunter (1728-93) and Joseph Haydn (1732-1809).

Joseph Haydn was a central figure in the development and growth of the European classical musical tradition in its transition from the Baroque period. John Hunter as the Founder of Scientific Surgery was a dominant figure in 18th-century British medical science. Anne Hunter née Home (1742-1821) was in her own right a figure of some eminence in the literary circles of 18th-century London. Attracted to the burgeoning medical and musical scenes of London, John Hunter married Anne Home and became a famous surgeon; Haydn became acquainted with the Hunters. The people, the opportunities and the circumstances had coincided.

Surgical history of ancient China: Part 2.

In this second part of ancient Chinese surgical history, the practice of bone setting in China began around 3000 years ago. Throughout this period, significant progress was made, some highlights of which are cited. These methods, comparable with Western orthopaedic technique, are still being practised today. In conclusion, the possible reasons for the lack of advancement in operative surgery are discussed, within context of the cultural, social and religious background of ancient China.

Surgical history of ancient China: part 1.

Although surgery was an accepted and quite proficient craft very early on in Chinese history, it has deteriorated through the ages. Despite the fact that anaesthetic agents in major surgery were employed during the third century, Chinese surgery is conspicuous by its stagnation. Reverence for the dead, filial piety, abhorrence of shedding blood and other conservative attitudes make it impossible for any accurate knowledge of the human anatomy and physiology, without which surgery cannot progress. This article surveys some highlights in the history of surgery in ancient China and examines the factors responsible for its decline. The second concluding part deals with orthopaedics.

Sung Tz'u (1186-1249) and medical jurisprudence in ancient China.

The evolution of medical jurisprudence in ancient China is discussed in relation to Sung Tz'u (1186-1249), a district judge in the Southern Sung Dynasty. His work represents some of the earliest on the subject.