Doctoring Traditions

There is considerable interest now in the contemporary lives of the so-called traditional medicines of South Asia and beyond. "Doctoring Traditions, "which examines Ayurveda in British India, particularly Bengal, roughly from the 1860s to the 1930s, is a welcome departure even within the available work in the area. For in it the author subtly interrogates the therapeutic changes that created modern Ayurveda. He does so by exploring how Ayurvedic ideas about the body changed dramatically in the modern period and by breaking with the oft-repeated but scantily examined belief that changes in Ayurvedic understandings of the body were due to the introduction of cadaveric dissections and Western anatomical knowledge. "Doctoring Traditions" argues that the actual motor of change were a number of small technologies that were absorbed into Ayurvedic practice at the time, including thermometers and microscopes. In each of its five core chapters the book details how the adoption of a small technology set in motion a dramatic refiguration of the body. This book will be required reading for historians both of medicine and South Asia.

Like many of the traditional medicines of South Asia, Ayurvedic practice transformed dramatically in the later nineteenth and early twentieth centuries. With Doctoring Tradition, Projit Bihari Mukharji offers a close look at that recasting, upending the widely held yet little-examined belief that it was the result of the introduction of Western anatomical knowledge and cadaveric dissection. Rather, Mukharji reveals, what instigated those changes were a number of small technologies that were introduced in the period by Ayurvedic physicians, men who were simultaneously Victorian gentlemen and members of a particular Bengali caste. The introduction of these devices, including thermometers, watches, and microscopes, Mukharji shows, ultimately led to a dramatic reimagining of the body. By the 1930s, there emerged a new Ayurvedic body that was marked as distinct from a biomedical body. Despite the protestations of difference, this new Ayurvedic body was largely compatible with it. The more irreconcilable elements of the old Ayurvedic body were then rendered therapeutically indefensible and impossible to imagine in practice. The new Ayurvedic medicine was the product not of an embrace of Western approaches, but of a creative attempt to develop a viable alternative to the Western tradition by braiding together elements drawn from internally diverse traditions of the West and the East.

"Patients and doctors alike are keenly aware that the medical world is in the midst of great change. We live in an era of continuous healthcare reforms, many of which focus on high volume, efficiency, and cost-effectiveness. This compelling, thoughtful book is the response of a practicing physician who explains how population-based reforms are diminishing the relationship between doctor and patients, to the detriment of both. As an antidote to stubbornly held traditions, Dr. Abraham M. Nussbaum suggests ways that doctors and patients can learn what it means to be ill and to seek medical assistance. Drawing on personal stories, validated studies, and neglected history, the author develops a series of metaphors to explore a doctor's role in different healthcare reform scenarios: scientist, technician, author, gardener, teacher, servant, and witness. Each role shapes what physicians see when they encounter a patient. Dr. Nussbaum cautions that true healthcare reform can happen only when those who practice medicine can see, and be seen by, their patients as fellow creatures. His memoir makes a hopeful appeal for change, and his insights reveal the direction that change must take."--Jacket flap.

The Black Death of the late Middle Ages is often described as the greatest natural disaster in the history of humankind. More than fifty million people, half of Europe’s population, died during the first outbreak alone from 1347 to 1353. Plague then returned fifteen more times through to the end of the medieval period in 1500, posing the greatest challenge to physicians ever recorded in the history of the medical profession. This engrossing book provides the only comprehensive history of the medical response to the Black Death over time. Leading historian John Aberth has translated many unknown plague treatises from nine different languages that vividly illustrate the human dimensions of the horrific scourge. He includes doctors’ remarkable personal anecdotes, showing how their battles to combat the disease (which often afflicted them personally) and the scale and scope of the plague led many to question ancient authorities. Dispelling many myths and misconceptions about medicine during the Middle Ages, Aberth shows that plague doctors formulated a unique and far-reaching response as they began to treat plague as a poison, a conception that had far-reaching implications, both in terms of medical treatment and social and cultural responses to the disease in society as a whole.

However much the three great traditions of medicine - Galenic, Chinese and Ayurvedic - differed from each other, they had one thing in common: scholarship. The foundational knowledge of each could only be acquired by careful study under teachers relying on ancient texts. Such medical knowledge is special, operating as it does in the realm of the most fundamental human experiences - health, disease, suffering, birth and death - and the credibility of healers is of crucial importance. Because of this, scholarly medical knowledge offers a rich field for the study of different cultural practices in the legitimation of knowledge generally. The contributors to this volume are all specialists in the history or anthropology of these traditions, and their essays range from historical investigations to studies of present-day practices.

In the early 2000s, the central government of China encouraged all of the nation’s registered minorities to “salvage, sort, synthesize, and elevate” folk medical knowledges in an effort to create local health care systems comparable to the nationally supported institutions of traditional Chinese medicine. Gathering Medicines bears witness to this remarkable moment of knowledge development while sympathetically introducing the myriad therapeutic traditions of southern China. Over a period of six years, Judith Farquhar and Lili Lai worked with seven minority nationality groups in China’s southern mountains, observing how medicines were gathered and local healing systems codified. Gathering Medicines shares their intimate view of how people understand ethnicity, locality, the body, and nature. This ethnography of knowledge diversities in multiethnic China is a testament to the rural wisdom of mountain healers, one that theorizes, from the ground up, the dynamic encounters between formal statist knowledge and the popular authority of the wild.

Examining the emerging figure of the woman doctor and her relationship to empire in Victorian culture, Narin Hassan traces both amateur and professional 'doctoring' by British women travelers in colonial India and the Middle East. Hassan sets the scene by offering examples from Victorian novels that reveal the rise of the woman doctor as a fictional trope. Similarly, medical advice manuals by Victorian doctors aimed at families traveling overseas emphasized how women should maintain and manage healthy bodies in colonial locales. For Lucie Duff Gordon, Isabel Burton, Anna Leonowens, among others, doctoring natives secured them access to their private lives and cultural traditions. Medical texts and travel guides produced by practicing women doctors like Mary Scharlieb illustrate the relationship between medical progress and colonialism. They also helped support women's medical education in Britain and the colonies of India and the Middle East. Colonial subjects themselves produced texts in response to colonial and medical reform, and Hassan shows that a number of "New" Indian women, including Krupabai Satthianadhan, participated actively in the public sphere through their involvement in health reform. In her epilogue, Hassan considers the continuing tradition of women's autobiographical narrative inspired by travel and medical knowledge, showing that in the twentieth- and twenty-first century memoirs of South Asian and Middle Eastern women doctors, the problem of the "Woman Question" as shaped by medical discourses endures.

Medical traditions encapsulate the knowledge of life, health, nutrition, diseases and their treatment patiently assembled by populations over a long period of time in the past, carefully handed down through generations, and subsequently recorded in writing and preserved in books now scattered in libraries across the world. Rarely the object of a specific study, they are approached here as a field in its own right. The present essay explores such key topics as the impact of tradition approach on medical historiography, the relation between written documents and practice, and the transmission of knowledge across time and cultures with its possible modifications and their processes and causes. Though based on a decade-long close scrutiny of the Greek medical tradition, it establishes parallels with other traditions, and invites not only to do comparative study, but also to apply to other traditions the approach proposed here. By laying down the foundations for a fresh analysis of ancient medical knowledge as a discipline, Medical Traditions - Exploring the Field will be a reference for any scholar interested in the medical record of the past, be it for the sake of history or for renewed applications in present day.