Macbeth Symbolism Essay Example For Students

Macbeth Symbolism Essay In Shakespeares Macbeth the image of blood is utilized to speak to respect, grit, conspiracy, murder and blame The image of blood is consistently evolved until it turns into the ruling topic of the play. The word blood, or various types of it seem forty-two times, all through the play. Maybe the most ideal approach to show how the image of blood changes during the advancement of the play, is to follow the character changes in Macbeth. From the outset, Macbeth is assumed as a valiant and good individual, yet as the play advances, he turns into a deceptive individual who is related to death and slaughter, and shows his blame in a wide range of structures. The main reference of blood is one of respect, and happens when Duncan sees the harmed sergeant and says: What grisly man is that? Act I, Scene II, - 1 This statement is representative of the bold contender who had been harmed during the fight for his nation. In the following entry the Captain says: . . . Which smokd with ridiculous execution. Act I, Scene II, - 20 He is alluding to Macbeths braveness in which his blade is canvassed in the hot blood of the foe. After these couple of references to respect, the image of blood presently changes to show a subject of foul play and treachery. Woman Macbeth begins this off when she requests that the spirits make her blood thick. What she is asking by this is, she needs to make herself uncaring and callous for the deeds which she is going to submit. Woman Macbeth realizes that the proof of blood is a deceptive image, and realizes it will make the workers and not Macbeth and herself look blameworthy when she says: . . . smear the lethargic grooms with blood. Act II, Scene II, - 64-65 . . . On the off chance that he do drain, Ill group the essences of the men of the hour withal, for it must appear their blame. Act II, Scene II 81-83 When Banquo states . . . what's more, question this most grisly bit of work. Act II, Scene III - 149 and afterward Ross says . . . ist realized who carried out this more than ridiculous thing? Act II, Scene IV, - 28 they are both inquisitive with regards to who played out the deceptive follows up on Duncan. At the point when Macbeth is talking about Malcolm and Donalbain, he alludes to them as grisly cousins. The other way, and maybe the more striking utilization of the image blood, is for the subject of blame. First Macbeth indicates his blame when he says Will every single incredible Neptune sea wash this blood clean from my hand? Act II, Scene II, - 79-80 implying that he thought about whether he could ever have the option to overlook the sickening deed that he had submitted. At that point the apparition of Banquo, all shocking, and grisly frequents Macbeth at the feast. Seeing specters speaks to his blame for the homicide of Banquo which he arranged. Macbeth shows a bitf his blame when he says It is the bleeding business which illuminates in this manner. Act II, Scene I, - 58-59 he was unable to get together the mental fortitude to state murder after he had executed Duncan, so he utilizes this line. Woman Macbeth shows the most distinctive case of blame utilizing the image of blood in the scene where she strolls in her rest. She says Out cursed spot Out I state One: two: why then tis time to speck: damnation is dim .Fie, my ruler, fie, a trooper, and afeard? What need we dread who knows it when none can reprimand out force? However who might have thought the elderly person to have had such a great amount of blood in him? . .ueed8631c8a8f5cb7f547385eb30b3d74 , .ueed8631c8a8f5cb7f547385eb30b3d74 .postImageUrl , .ueed8631c8a8f5cb7f547385eb30b3d74 .focused content zone { min-stature: 80px; position: relative; } .ueed8631c8a8f5cb7f547385eb30b3d74 , .ueed8631c8a8f5cb7f547385eb30b3d74:hover , .ueed8631c8a8f5cb7f547385eb30b3d74:visited , .ueed8631c8a8f5cb7f547385eb30b3d74:active { border:0!important; } .ueed8631c8a8f5cb7f547385eb30b3d74 .clearfix:after { content: ; show: table; clear: both; } .ueed8631c8a8f5cb7f547385eb30b3d74 { show: square; change: foundation shading 250ms; webkit-progress: foundation shading 250ms; width: 100%; obscurity: 1; change: haziness 250ms; webkit-progress: darkness 250ms; foundation shading: #95A5A6; } .ueed8631c8a8f5cb7f547385eb30b3d74:active , .ueed8631c8a8f5cb7f547385eb30b3d74:hover { mistiness: 1; progress: murkiness 250ms; webkit-change: darkness 250ms; foundation shading: #2C3E50; } .ueed8631c8a8f5cb7f547385eb30b3d74 .focused content region { width: 100%; position: relative; } .ueed8631c8a8f5cb7f547385eb30b3d74 .ctaText { outskirt base: 0 strong #fff; shading: #2980B9; text dimension: 16px; textual style weight: striking; edge: 0; cushioning: 0; content embellishment: underline; } .ueed8631c8a8f5cb7f547385eb30b3d74 .postTitle { shading: #FFFFFF; text dimension: 16px; textual style weight: 600; edge: 0; cushioning: 0; width: 100%; } .ueed8631c8a8f5cb7f547385eb30b3d74 .ctaButton { foundation shading: #7F8C8D!important; shading: #2980B9; fringe: none; outskirt range: 3px; box-shadow: none; text dimension: 14px; textual style weight: intense; line-tallness: 26px; moz-fringe span: 3px; content adjust: focus; content design: none; content shadow: none; width: 80px; min-tallness: 80px; foundation: url(https://artscolumbia.org/wp-content/modules/intelly-related-posts/resources/pictures/straightforward arrow.png)no-rehash; position: outright; right: 0; top: 0; } .ueed8631c8a8f5cb7f547385eb30b3d74:hover .ctaButton { foundation shading: #34495E!important; } .ueed8 631c8a8f5cb7f547385eb30b3d74 .focused content { show: table; tallness: 80px; cushioning left: 18px; top: 0; } .ueed8631c8a8f5cb7f547385eb30b3d74-content { show: table-cell; edge: 0; cushioning: 0; cushioning right: 108px; position: relative; vertical-adjust: center; width: 100%; } .ueed8631c8a8f5cb7f547385eb30b3d74:after { content: ; show: square; clear: both; } READ: Macbeth Essay PaperAct V, Scene I, - 31-36, This discourse speaks to the way that she can't wipe the blood recolors off of her mind. It is unexpected, that she says this, since directly after the homicide, while Macbeth is feeling regretful, she said A little water frees us from this deed. Act V, Scene III,- 44-45 At the point when the specialist of the manor gets some answers concerning her sleepwalking, he tells Macbeth As she is bothered with thick-coming dreams, Act II, Scene II ,- 85 What this implies, is that Lady Macbeth is having dreams or dreams that manage blood. Macbeth knows in his brain that she is experiencing difficulties with her blame, however won't utter a word about it. Not long before the consummation of the play, Macbeth shows Macduff at his benevolence, and releases him, due to his blame. He shows that he is liable, when he says But get thee back, my spirit is a lot of chargd with blood of thine as of now. Act V , Scene VIII - 6-7 Of which, Macduff answers, I have no words, my voice is in my blade, thou more crimson scoundrel than terms can give thee out. Act V, Scene VIII, - 8-10. He is stating that his activities with his blade will do his representing him and that Macbeth is the most noticeably terrible all things considered. After the passing of Macbeth because of Macduff, the emblematic subject of blood swings back to what it was toward the start of the play. It is the image of respect to Malcolm this time. The demise of Macbeth is a respected accomplishment that Macduff is saluted for. So as we have seen significance of the image of blood change all through the play from respect to injustice, and afterward to blame, after this, it returns back to the representative importance of respect by and by. This could just happen after the reprobate that changed the importance from respect to injustice is murdered. As a result of these numerous changes, it has been demonstrated that the image of blood has a wide range of implications which can be credited to it, and the topic of the novel over the span of this noteworthy play.

Character analysis Essay Example | Topics and Well Written Essays - 1500 words

Character investigation - Essay Example â€Å"Never overlook what you are. The remainder of the world won't. Wear it like shield and it can never be utilized to hurt you† (Martin, 56). The exchange is from George R.R Martin’s arrangement, A ‘Song of Ice and Fire’, spoken by Tyrion Lannister, one of the most captivating characters who convey an astounding cleverness and perplexing character in the book. Evidently, his words show the extraordinary expectations and solid confidence that he had in spite of being a diminutive person and accepted that his physical incapacity doesn't suggest his failure to convey throughout everyday life. Through his moving and cherished method of speaking, Tyrion shows exceptional capacity of reasonability and instinct. â€Å"As the most stupendous creation† of the creator Tyrion’s aspirations vitalizes on his interesting point of view and open the new page of history on the incredible execution of a midget in media. Excellently, Tyrion stays on to valida te that to be sure the enemies connected to his dwarfism can be survived (Ben, 01). Besides, to completely understand the intricacy and uniqueness of the attributes of Tyrion, one must recognize his youth foundation. As a â€Å"high conceived dwarf† in an incredibly honorable and presumptuous family who had controlled their administration more than seven realms, Tyrion was not a child with wearisome style and affection. Despite what might be expected, he has been portrayed as a â€Å"midget† or â€Å"imp† who has been made an outsider by different characters in his family (Abraham et al., 116). Among various purposes for people’s contempt towards Tyrion incorporates the demise of his mom while she was bringing forth him. Tyrion Lannister doesn't impart a solid cling to his solitary sister named Cersei Lannister. In any case, his sibling Jamie Lannister has a great deal of sympathy for Tyrion for which he has helped him all through the novel. Also, the network of the Lannisters gigantically alienated Tyrion since he was relied upon to be

Advantages and Disadvantages of Online Therapy

Advantages and Disadvantages of Online Therapy September 19, 2019 More in Psychotherapy Online Therapy Are you considering online therapy? The internet has opened up new avenues for mental health treatment, but there are some pros and cons you should consider before you decide if e-therapy, also known as teletherapy,?? is right for you. Advantages of Online Therapy Let’s explore some of the biggest advantages of online therapy.?? A Good Option for Remote Areas Online therapy offers access to mental health information to people in rural or remote areas. Those who live in such areas simply might not have access to any other form of mental health treatment because there are limited or no mental health practices in their geographic area. E-therapy?? gives these individuals access to treatment that they might not have otherwise. Accessibility for Those With Physical Limitations Online therapy provides accessibility to individuals who are disabled or housebound. Mobility can be a big issue when it comes to accessing mental health care. Individuals who are unable to leave their home for various reasons, such as physical or mental illness, may find online therapy a useful alternative to traditional psychotherapy settings. Convenience and Affordability Online therapy is usually fairly affordable and convenient. Since you will be attending therapy sessions online in the comfort of your own home, you can often schedule your therapy sessions for times that are the most convenient for you. Today, many states require insurance providers to cover online therapy just as they would traditional therapy sessions. Contact your insurance company to learn more about how e-therapy treatments will be covered by your policy. Online therapists often offer affordable treatment options for those who are not covered by health insurance. Online Therapy Makes Information More Accessible The Internet makes mental health information more accessible.?? People may feel comfortable talking to friends and family about health care issues but may not feel the same discussing mental health concerns. It Can Also Be an Educational Tool E-therapy can be an important tool to help people learn more about psychological health. Even if you feel like your mental well-being is strong, online therapy can help you become psychologically stronger.?? You can learn more about health behaviors and coping strategies that will lead to better psychological health. The 8 Best Online Therapy Programs Disadvantages of Online Therapy While online therapy can potentially be very helpful for people in certain situations, at this point in time it does not come without some risks or disadvantages over traditional therapy options. Some Insurance Companies Will Not Cover E-Therapy Insurance coverage for e-therapy can depend upon the state where you live and the insurance that you have. Some insurance policies do not cover online therapy. Paying for psychotherapy services out-of-pocket can add up quickly. Some States Do Not Allow Out-of-State Providers Many states do not allow out-of-state psychologists to provide services. In such cases, your provider would need to be licensed in both their home state as well as your home state. In an article for the APAs Monitor on Psychology,?? Deborah Baker, a legal expert for the American Psychological Association, explained that some states allow psychologists to provide out-of-state mental health services for a limited amount of time. This usually consists of only 10 to 30 days per year. However psychologists can practice online therapy with clients in their own state, which can be a great option for those who live at a distance, are housebound, or who need access to conventional treatment options. Concerns About Confidentiality, Privacy, and Unreliable Technology Keeping your personal information private is a major concern in psychotherapy, but online treatment adds a layer of complexity. Confidentiality is just as important in online therapy as it is in more traditional forms of treatment delivery. Since information is being transmitted online, the situation makes privacy leaks and hacks more of a concern. Technology problems can also make it difficult to access treatment when you really need it. Online Therapists Cannot Respond to Crisis Situations Since online therapists are distant from the client, it is difficult to respond quickly and effectively when a crisis happens. If a client is experiencing suicidal thoughts or has suffered a personal tragedy, it can be difficult or even impossible for the therapist to provide direct assistance. Online Therapy Is Not Appropriate for Those With Serious Psychiatric Illnesses E-therapy can be useful for a variety of situations,?? but not when it comes to more serious psychiatric illnesses that require close and direct treatment. It is also not appropriate for people with complicated or detailed problems. The scope of therapy tends to be limited, so it is rarely effective in more complex situations. Online Therapy Sometimes Lacks Important Information In many cases, online therapists cannot see facial expressions, vocal signals, or body language. These signals can often be quite telling and give the therapist a clearer picture of your feelings, thoughts, moods, and behaviors. Some delivery methods such as voice-over-Internet technology and video chats can provide a clearer picture of the situation, but they often lack the intimacy and intricacy that real-world interactions possess. Ethical and Legal Concerns Pose Potential Problems Online therapy eliminates geographic restraints, making the enforcement of legal and ethical codes difficult.?? Therapists can treat clients from anywhere in the world, and many states have different licensing requirements and treatment guidelines. It is important to understand your therapists qualifications and experience before you begin the treatment process. What to Know About Psychotherapy

analysis of poem - 1342 Words

To analyze a poem stylistically, we can analyze the poetic device, which is usually deviation and foregrounding, that the poet used in the poem. The term foregrounding refers to an effect brought about in the reader by linguistic or other forms of deviation in the literary text (Leech, 1985).In poem, devices of foregrounding and deviation are always used to draw reader’s attention and impress the readers. In the aspect of deviation and foregrounding, there are some perspectives on the nature of poetic language. The first one is on the phonological level (phonological deviation). It is the sound system of a given language and the formal rules of pronunciation. (Aslam, Mukhtar Sarfaraz, 2014) The second one is on the graphlogical level†¦show more content†¦These repeated phrases also make the poem informal and sound like close to over spoken language. It also make the meaning of the poem straight forward. Readers may put less effort to understand the meaning. On the ot her hand, the sound of all repeated phrase are exactly the same and produce a full rhyme to them. If you read aloud, you may found that the repeated phrases play a role that make the poem rhythmic. Besides, alliterations are used in line 5 ‘quick get’ and line 7 ‘quick quick get’. Both these groups of alliteration have the same starting sound /k/. Alliteration in poetry can give an alternative rhythm or meter to the poem. (Wise GEEK, 2010) Alliteration does not affect the meaning of the poem but like repetition, it helps the readers to remember the poem in an easier way because it gives both a visual and an aural function. This make the literary more beautiful and grand. For Myers’s poem, she used alliteration to embellish her words and emphasize the meaning of ‘being quick’ because the main character (or the author) is being late. Thirdly, Myers also used some assonance in her poem. 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The Unexpected Downside of Science Explored in Aldous...

The Unexpected Downside of Science Explored in Aldous Huxleys Brave New World Since the first day that humans were put on this earth, they have been curious and have searched for ways to become more efficient. Throughout the years they have created tools to better serve them, created clothing to keep them warm, built homes to protect them from the elements, and produced transportation methods to transport them across the world. In Aldous Huxleys Brave New World (1932), the human race has evolved to being extremely efficient in everything that they do. This efficiency includes producing new human beings. Science has taken over and altered the society. Imagine not having a family to care for you or you for them. In Huxleys book,†¦show more content†¦Each class is specified in Greek letters. The upper class is the Alpha class, followed by the Beta class and so on. One would think that a person of a lower class would prefer to be an Alpha, but in Huxleys book the well conditioning of humans since birth allows the lower class to be thankful that they are not a part of any other class. Most of the mental conditioning occurs during the sleeping hours of the children. While the children sleep, speakers that are scattered throughout the room repeat a phrase over and over. The children then repeat the exact phrase over and over in their sleep. A conditioning phrase giving to the Beta class would state, Alpha children wear grey. They work much harder than we do, because theyre so frightfully clever. Im really glad Im a Beta, because I dont work so hard. And then we are much better than the Gammas and Deltas. Gammas are stupid. They all wear green, and Delta children wear khaki. Oh no, I dont want to play with Delta children. And Epsilons are still worse. Theyre too stupid to be able to read or write. Besides they wear black, which is such a beastly colour. Im so glad Im a Beta (18). The director running the conditioning of the new humans stated that, Theyll have that repeated [. . .] A hundred and twenty times three times a week for thirty months. After which they go on to a more advanced lesson. Till at last the childs mind is these suggestions, and the sum of the

Essay of Ancient China Free Essays

Ancient China In ancient Chinese cosmology, the universe was created not by divinities but self-generated from the interplay of nature’s basic duality: the active, light, dry, warm, positive, masculine yang and the passive, dark, cold, moist, negative yin. All things, animate and inanimate, and all circumstances were a combination of these fundamentals. The ultimate principle of the universe was the tao, â€Å"the way,† and it determined the proper proportions of yin and yang in everything. We will write a custom essay sample on Essay of Ancient China or any similar topic only for you Order Now Anything that altered the natural relation of yin to yang was considered bad, and right living consisted of carefully following the tao. If one observed the tao by moderation, equanimity, and morality, as taught in the Tao-te Ching, by Lao-tzu (sixth century B. C. ), one would be impervious to disease and resistant to the ravages of aging; disregard of the tao led to illness, which was not so much a punishment for sin as the inevitable result of acting contrary to natural laws. However, illness also could be caused by forces beyond one’s control: â€Å"Wind is the cause of a hundred diseases,† and atmospheric conditions could upset the harmonious inner balance of the yang and yin. One had to be alert to this possibility and combat its effects as well as modify internal imbalances of the vital forces. Longevity and health were the rewards. Chinese medicine, in league with Taoism, was focused on the prevention of illness; for, as the legendary Huang Ti, father of Chinese medicine, observed, â€Å"the superior physician helps before the early budding of disease. † Although Taoist hygiene called for temperance and simplicity in most things, sexual mores were governed by the yin-yang aspect of Chinese philosophy. Ejaculation in intercourse led to diminution of a man’s yang, which, of course, upset the inner balance of his nature. On the other hand, one was strengthened by absorption of the yin released by the orgasm of one’s female partner—unless she was over thirty, the point where female essence lost its efficacy. The tao was important in Confucianism also, as the path of virtuous conduct, and for centuries the precepts of Confucius (K’ung Fu-tzu, 550-479 B. C. ) set the most prevalent standards of behavior. In early Chinese philosophy, there was a tendency to accept and combine aspects of all religions and to make way for new ideas. Nevertheless, the ancient Chinese were profoundly conservative once an institution, custom, philosophy, mode of dress, or even a furniture style was firmly established, and it remained relatively unchanged over centuries. As Confucius said: â€Å"Gather in the same places where our fathers before us have gathered; perform the same ceremonies which they before us have performed; play the same music which they before us have played; pay respect to those whom they honored; love those who were dear to them. † Although ancient China’s development was relatively isolated, there was early contact with India and Tibet. Buddhism came to China from India, and medical concepts and practices were an important part of its teachings. The gymnastic and breathing exercises in Chinese medical methodology also came from India and were closely related to the principles of Yoga and to aspects of Ayurvedic medicine. There were also contacts with Southeast Asia, Persia, and the Arabic world. In the second century B. C. , the Chinese ambassador Chang Chien spent more than a decade in Mesopotamia, Syria, and Egypt, bringing back information on drugs, viticulture, and other subjects. Over the centuries, knowledge of humoral medicine and of numerous new medicaments filtered into China. The introduction of the wisdom of the Mediterranean world was greatly facilitated in the fifth century by the expulsion and wide dispersion from Constantinople of the heretical Nestorian Christians. The mother of Kublai Khan (1216-94), founder of the Mongol dynasty, was a Nestorian and asked the Pope to send European doctors to China. Early Medical Writings Classical Chinese medicine was based primarily on works ascribed to three legendary emperors. The most ancient was Fu Hsi (c. 2900 B. C. , who was said to have originated the pa kua, a symbol composed of yang lines and yin lines combined in eight (pa) separate trigrams (kua) which could represent all yin-yang conditions. This system is followed even today in the I Ching (Book of Changes), though as a game or superstition in the West. Shen Nung, the Red Emperor (Hung Ti), compiled the first medical herbal, the Pen-tsao (c. 2800 B. C. ), in which he reported the effects of 365 drugs, all of them personally tested. One legend explains that a magic drug made his abdominal skin transparent, so he could observe the action of the many plants he evaluated. Another story tells that he cut open his abdomen and stitched in a window. Shen Nung is also said to have drawn up the first charts on acupuncture, a medical procedure presumably even older than the legendary emperors. The fame of Yu Hsiung (c. 2600 B. C. ), the Yellow Emperor (Huang Ti), rests on his great medical compendium, the Nei Ching (Canon of Medicine). Transmitted orally for many centuries, this seminal work was possibly committed to writing by the third century B. C. Its present form dates from the eighth century A. D. when the last extensive revision was done by Wang Ping. The major portion of the Nei Ching, the Sun-Wen (Simple Questions), records the discourse of the Yellow Emperor with Ch’i Po, his prime minister, on virtually all phases of health and illness, including prevention and treatment. The section called Ling-Hsu (Spiritual Nucleus), deals entirely with acupuncture. Yu Hsiung also was said to be responsible for another great compendium, The Discourses of the Yellow Emperor and the Plain Girl, which thoroughly covered the subject of sex from the Taoist point of view. Among other notable sources for ancient medical lore, one might mention the Shih Ching (Book of Odes), which perhaps predates Homer’s epics, and the Lun-yu, discourses of Confucius probably written down shortly after his death, which affected patterns of behavior for many generations. During the long Chou dynasty (c. 1050-255 B. C. ), a lengthy compilation of medical works, Institutions of Chou, was completed and became the criterion for subsequent dynasties on the duties and organization of physicians. In the Han dynasty (206 B. C. -A. D. 20), there was a noted clinical author named Tsang Kung, who pioneered in the description of many diseases, including cancer of the stomach, aneurysm, and rheumatism. Chang Chung-ching, the Chinese Hippocrates, in the third century A. D. , wrote the classic treatise Typhoid and Other Fevers. Ko Hung, a famed alchemist and a careful observer, wrote treatises describing beriberi (a vitamin B deficiency), hepatitis, and plague, and gave one of the earliest reports on smallpox: â€Å"As the New Year approached there was a seasonal affection in which pustules appeared on the face and spread rapidly all over the body. They looked like burns covered with white starch and reformed as soon as they were broken. The majority died if not treated. After recovery purplish black scars remained. † Sun Szu-miao (A. D. 581-682) wrote Ch’ien Chin Yao Fang (A Thousand Golden Remedies), which summarized in thirty volumes much of the known medical learning, and he headed a committee which produced a fifty-volume collection on pathology. An extensive codification of forensic medicine, Hsi Yuan Lu, was done in the Sung dynasty and became the prime source for knowledge of medical jurisprudence. Anatomy and Physiology Ideas of anatomy in ancient China were reached by reasoning and. by assumption rather than dissection or direct observation. Since the doctrines of Confucius forbade violation of the body, it was not until the eighteenth century, long after Vesalius, that the Chinese began systematic, direct anatomical studies. Even as late as the nineteenth century, in the Viceroy’s Hospital Medical School, anatomy was taught by diagrams and artificial models rather than dissection. Physiological functions were constructed into a humoral system much like Greek concepts of the sixth century B. C. and Galenic views of the second century A. D. , except that there were five instead of four essential humors. (The number five had mystical value for the Chinese and was used for most classifications: five elements, five tastes, five qualities, five kinds of drugs, five treatments, five solid organs, five seasons, five emotions, five colors, etc. ) The medical compendium Nei Ching stated that each emotion had its seat in a particular organ. Happiness dwelt in the heart, thought in the spleen, sorrow in the lungs, and the liver housed anger as well as the soul. Ideas in the Nei Ching concerning movement of the blood (â€Å"All the blood is under control of the heart. † â€Å"The blood current flows continuously in a circle and never stops. â€Å") have been thought to approach an understanding of its circulation antedating Harvey by thousands of years; however, some body vessels were believed to convey air, and there is little evidence that commentators perceived the blood-carrying vessels as a contained system. Diagnosis The Chinese methods of diagnosis included questioning, feeling the pulse, observing the voice and body, and in some circumstances touching the affected parts. In almost all times and cultures physicians have used a similar approach, for all healers have sought to know as much as possible about a patient in order to understand his or her illness and advise treatment. However, in some respects ancient physicians saw each patient more completely as a reflection of his surroundings (indeed, the entire universe) than does the doctor of today. The Chinese doctor wanted to learn ow the patient had violated the tao, and to do this he took into account the patient’s rank; changes in his or her social status, household, economic position, sense of well-being, or appetite; the weather; and the dreams of the patient and his or her family. Perhaps the most important diagnostic technique of the ancient Chinese was examination of the pulse. The physician felt the right wrist and then the lef t. He compared the beats with his own, noting precise time as well as day and season since each hour affected the nature of the pulsations. Each pulse had three distinct divisions, each associated with a specific organ, and each division had a separate quality, of which there were dozens of varieties. Moreover, each division or zone of the pulse had a superficial and deep projection. Thus literally hundreds of possible characteristics were obtainable. In one treatise, Muo-Ching, ten volumes were necessary to cover all the intricacies of the pulse. A patient had only to extend his or her arm through drawn bed curtains for the physician to determine the symptoms, diagnosis, prognosis, and proper treatment by intensive palpation of the pulse. Whenever possible the examiner also felt the skin of the ill person. However, it was considered bad form for a man to intimately examine a woman, so special ceramic, ivory, and wooden dolls were pointed to by the invalid to indicate where discomfort was felt. Treatment According to the Nei Ching, there were five methods of treatment: cure the spirit, nourish the body, give medications, treat the whole body, and use acupuncture and moxibustion. The physician had to put the patient back on the right path, the tao. Assuming that specific mental states caused changes in specific organs, the healer linked certain objectionable behavioral and constitutional factors with illness and attempted to have the patient rectify these. For instance, dissolute and licentious ideas led to diseases of the lungs, but acting out such thoughts brought on heart trouble. A doctor had to determine the cause of disharmony in the body and act accordingly. Exercises were developed to keep the body fit and to restore well-being. Hua T’o, the great surgeon, worked out an ingenious system of physical therapy by advising mimicry of the natural movements of animals. Massage—kneading, tapping, pinching, and chafing—was also a regular method of treatment, as were the application of plasters and evacuation of the intestinal tract by cathartics. In nourishing a patient’s body, the physician resorted to complex combinations of foods according to their potential amounts of yang and yin. Foods also had to fit the seasons, and each of the five tastes had benefits for a particular element of the body: sour for the bones, pungent for the tendons, salty for the blood, bitter for respiration, and sweet for muscle. Medications The Chinese pharmacopoeia was always rich, from the time of the Pen-tsao, the first medical herbal, to the later dynasties when two thousand items and sixteen thousand prescriptions made up the armamentarium. Drugs were considered more likely to be good if they tasted bad. As one would expect, they were classified into five categories: herbs, trees, insects, stones, and grains. The therapeutic minerals and metals included compounds of mercury (calomel was employed for venereal diseases), arsenic, and magnetic stones. Animal-derived remedies, in addition to â€Å"dragon teeth† (powdered fossilized bones), included virtually anything obtainable from living creatures: whole parts, segments of organs, urine, dung. Two plant substances especially associated with China may be singled out. One is ephedra (ma huang), the â€Å"horsetail† plant described by the Red Emperor, which was used for thousands of years as a stimulant, as a remedy for respiratory -diseases, to induce fevers and perspiration, and to depress coughs. Ephedra entered the Greek pharmacopoeia and eventually was disseminated throughout most of the world. It only became a factor in Western medicine in the late nineteenth century after Japanese investigators isolated and purified the active principle, ephedrine, and established its pharmacologic action. A second medicinal herb, always highly popular among the Chinese, is ginseng (â€Å"man-shaped root†). To the Chinese, preparations containing ginseng were almost miraculous in delaying old age, restoring sexual powers, stimulating the debilitated, and sedating the overwrought. In addition it improved diabetes and stabilized blood pressure. In recent years this root has been under scrutiny by Western pharmacologists attempting to evaluate its true benefits. Multitudes in Asia, and even some Westerners, are so convinced of its effectiveness that high-grade wild roots have brought fabulous prices (even reaching thousands of dollars apiece). Although many items in the Chinese materia medica have either faded into bscurity or been labeled fanciful, others subsequently have been found to possess sound pharmacologic bases: seaweed, which contains iodine, was used in treating enlargement of the thyroid; the willow plant, containing salicylic acid, was a remedy for rheumatism; the Siberian wort has antispasmodics for menstrual discomfort; and mulberry flowers contain rutin, a treatment for elevated blood pressure. Whether opium was used as a drug before quite late in Chinese history is still in dispute. Acupuncture and Moxibustion These modalities have been an inte gral part of Chinese medical therapy for thousands of years. The Yellow Emperor is said to have invented them, but they may well have existed long before his time. The aim of these treatments was to drain off excess yang or yin and thus establish a proper balance, but external energy also could be introduced into the body. In acupuncture the skin is pierced by long needles to varying prescribed depths. Needles are inserted into any of 365 points along the twelve meridians that traverse the body and transmit an active life force called ch’i. Each of these points is related to a particular organ. For instance, puncture of a certain spot on the ear lobe might be the proper way to treat an abdominal ailment. Virtually every illness, weakness, and symptom is thought to be amenable to correction by acupuncture. Acupuncture spread to Korea and Japan by the end of the tenth century A. D. , to Europe about the seventeenth century, and recent years have seen a wider interest in this Chinese medical practice in the West. Individual paramedical healers and even some medical practitioners have been swamped with requests for acupuncture, especially for problems apparently little benefited by conventional practices. The eventual acceptability of this practice in standard Western medicine remains to be seen. Moxibustion is as old as acupuncture, and the same meridians and points govern placement of the moxa. However, in this treatment a powdered plant substance, usually mugwort, is fashioned into a small mound on the patient’s skin and burned, usually raising a blister. Dentistry The treatment of tooth disorders was confined mainly to applying or ingesting drugs—pomegranate, aconite, ginseng, garlic, rhubarb, and arsenic, as well as animal products such as dung and urine. The Nei Ching classified nine types of toothaches, which included some obviously due to infections and tooth decay. Like the Mesopotamians and Egyptians, the ancient Chinese believed that worms were often responsible for dental problems. Toothpicks and tooth whiteners were used, and loose teeth were stabilized with bamboo splints. Gold was sometimes used to cover teeth, but the purpose was decorative rather than protective. Surgery Although surgery was not one of the five methods of treatment listed in the Nei Ching, the knife was known and used. Hua T’o, one of the few names mentioned in connection with surgery, treated an arm wound of the famous general Kuan Yu by cutting his flesh and scraping the bone. Physicians knew how to deal with wounds, and at least two classics were devoted entirely to their treatment. The proper attitude toward pain was to bear it without a sign of emotion, and much was made of the insouciance of the general treated by Hua T’o; he played chess while the surgeon operated. Nevertheless, apparently some kind of anesthesia was often used. Wine and drugs like hyoscyamus were probably mainstays, but the use of opium and Indian hemp is still in question. Eunuchs and Footbinding Another surgical procedure, though hardly therapeutic, was the frequent castration of certain males seeking advancement at court. Though originally a severe punishment, the total removal of penis and testicles came to be a pledge of absolute allegiance to the monarch, since it released the eunuch from conflict with Confucian admonitions of first loyalty to family and the obligation of siring a son for posterity. Footbinding is also of medical interest, for it caused the development of artificially clubbed feet. Over a period of one thousand years, every young girl of proper family willingly permitted herself to be crippled by her mother and aunts to achieve the tiny foot of ideal feminine beauty. Her toes were gradually folded under the sole, and by increasingly tight bandaging her heelbone and forefoot were brought closer together. Without Golden Lotuses, as the best-shaped bound feet were called, a girl was unmarriageable, nor was the life of a courtesan open to her, for tiny feet were a woman’s most desirable feature. For a man, a bound-foot wife had profound sexual significance, but she was also a status symbol inasmuch as her helplessness indicated that he was wealthy enough to support a woman, or women, in idleness. There was also an advantage to him in her restricted mobility, for it kept her home and made illicit amorous adventures difficult. Although China’s Manchu conquerors forbade the practice in the nineteenth century, it was not until the early twentieth that footbinding was completely abandoned. Diseases Some epidemic diseases were understood well enough to allow the development of protective measures. In the eleventh century, inoculation against smallpox was effected by putting scabs from smallpox pustules into the nostrils, a method which may have come from India. Wearing the clothing of someone who had the disease was another means of prevention. The relationship of cowpox (as a protective) to smallpox may have been perceived, since ingesting powdered fleas from infected cows was also recommended to stave off smallpox. But other devastating pestilences were neither understood nor held in check. During the Han dynasty an epidemic of what appears to have been typhoid fever killed two-thirds of the population of one region. Precise descriptions of leprosy in the Nei Ching and later works attest to the diagnostic accuracy of the early Chinese healers, but their explanation of the disease’s causes and their treatment follow preconceived notions of the time. â€Å"The wind and chills lodge in the blood vessels and cannot be got rid of. This is called li-feng. For the treatment prick the swollen parts with a sharp needle to let the foul air out. † Fourteenth-century writings referred to chaulmoogra oil, a pressing from seeds of an East Indian tree, as a specific for leprosy, and this oil remained the principal antileprous drug even in the West until recent decades. An illness that may have been tuberculosis was recognized as contagious: â€Å"Generally the disease gives rise to high fever, sweating, asthenia, unlocalized pains making all positions difficult and slowly bringing about consumption and death, after which the disease is transmitted to the relations until the whole family has been wiped out. † Venereal diseases, although not well differentiated, received a variety of therapies, including the use of metallic substances for internal medication. In the Secret Therapy for the Treatment of Venereal Disease, the seventeenth-century physician Chun Szi-sung reported using arsenic, which, until the development of penicillin, was the modern medication for venereal disease, in the form of Salvarsan and derivatives synthesized by Paul Ehrlich. There seem always to have been places in China where the sick poor could go for medical care. With the advance of Buddhism in the Han and T’ang dynasties, in-patient hospitals staffed by physician-priests became common. However, in the ninth century, when anti-Buddhists were in control, hospitals as well as 4,600 temples were destroyed or emptied. Nevertheless, by the twelfth century hospitals had again become so numerous that virtually every district had at least one tax-supported institution. The upper classes preferred to be treated and cared for in their homes, thus leaving public hospitals to the poor and lower classes. The Practitioners In the Institutions of Chou, compiled hundreds of years before Christ, the hierarchy of physicians in the kingdom was delineated. The five categories were: chief physician (who collected drugs, examined other physicians, and assigned them); food physicians (who prescribed six kinds of food and drink); physicians for simple diseases (such as headaches, colds, minor wounds); ulcer physicians (who may have been the surgeons); and physicians for animals (evidently veterinarians). Physicians were also rated according to their results, and as early as the Chou and T’ang dynasties each doctor had to report both successes and failures—to control his movement up or down in the ranks. In the seventh century A. D. examinations were required for one to qualify as a physician, some four centuries earlier than the first licensing system in the West. Medical knowledge was thought of as a secret power that belonged to each practitioner. Whereas in other societies, both advanced and primitive, closely knit guilds might control the spread of medical lore, the Chinese physician kept his secrets to himself—passing them on only to sons or, sometimes, specially selected qualifiers. In early times, a physician gave his services out of philanthropy, for since the original healers were rulers, sages, nobles, and, perhaps, priests, economic and social incentives were absent. Later, direct fees or salaries were instituted, and the court and certain prosperous households kept physicians on retainer. Formal schools may have existed as early as the tenth century, and in the eleventh century an organization for medical education was set up under imperial auspices. Under the Ming dynasty in the fourteenth century, the school system became fixed. It changed little over the next centuries, xcept for a gradual decline, and by 1800 there was only one medical school left in Peking. Teachers were held strictly accountable for the performance of their students, and fines were imposed if the professor failed to enforce attendance or if his pupils did poorly on exams. The examination system was complex: a pyramidal structure provided a process of elimination which continued until those with the highest scores emerged. The top students could be heart doctors, the next level were assistant examiners, and lower scores could mean limited assignment in teaching. Specialization may have occurred early. While physicians and apothecaries were separate for a long time, they were both regarded as healers. In the Chou dynasty there were nine specialties, and they grew to thirteen by the Mongol period, early in the fourteenth century. The subdivisions became even more complex, with doctors for the great blood vessels, small vessels, fevers, smallpox, eyes, skin, bones, larynx, and mouth and teeth. There were also gynecologists, pediatricians, and pulsologists for internal diseases, external medicine, the nose and throat, and for children’s illnesses. Some healers specialized in moxibustion, acupuncture, or massage. Even the experts in incantation and dietetics were considered medical specialists and were often held in higher regard than other doctors; surgeons were generally of low rank. Furthermore, each of the practitioners in each category had assistants and students—all of whom had to qualify by examination. Obstetrics was in the hands of midwives for many centuries; it is not known when the first women doctors were in practice. One female physician is mentioned by name in documents from the Han dynasty (206 B. C. -A. D. 220), but women may have been doctors at an earlier date. By the fourteenth century women were officially recognized as physicians. Throughout the Ming dynasty (1368-1644), the practicing medical theorists could be divided into six main philosophic schools. The Yin-yang group focused on insufficiencies of one of these forces. The Wen-pou doctors attributed illnesses to a preponderance of yang and frequently prescribed ginseng and aconite. The Radical group used drastic medication. The Conservatives relied entirely on the authorities of the past, reedited the classic works, and made no deviations from strict authoritarianism. The Eclectic physicians, as their name implies, used a variety of principles from the other sects. The sixth school based all therapy on bringing the five elements and six vapors into harmony. Spread of Chinese Medicine to Korea, Japan, And Tibet Ancient Chinese medicine was well-developed long before the beginning of the Christian era, and its influence appears to have spread into adjacent Korea by the sixth century A. D. At that time, after a severe epidemic had ravaged Japan, Korean doctors who were invited to counsel Japanese physicians introduced them to Chinese medical classics and commentaries. By the seventh century, Japanese scholars and doctors were going directly to China for their information and experience. In the eighth century, a Chinese Buddhist monk named Chien Chen came to Japan and achieved a prominent position in the imperial court at Nara, where, given the Japanese name Kanjin, he taught, practiced medicine, and translated Chinese materia medica. Late in that century, Chinese medicine was well-established in Japan, and a medical school based on its methodology was founded by the Japanese physician Wake Hiroya. Early in the next century (806–10), the Emperor Heijo vainly attempted to combat foreign influence and restore traditional Japanese medical practice, but the methods of Chinese healing were too firmly entrenched. In the tenth century, acupuncture reached Japan, followed by moxibusti on (the word moxa is Japanese), and the full complement of Chinese medicine was accepted in Japan. With medical training closely based on Chinese systems, the Japanese exacted exceptionally intensive and prolonged study before permitting entrance into the profession by governmental examination. As in ancient China, high social standing was a requirement for admission to medical school, but separate instruction by assigned teachers was apparently also arranged to accommodate the more lowly. The authority of Chinese medicine, not to mention Chinese culture and philosophy, moved east as well as west by the seventh and eighth centuries. However, Arabic and Indian missionaries of Islam and Buddhism made influence a two-way exchange as they traveled to China seeking converts. Since their missions necessitated the translation of Sanskrit and Arabic writings into Chinese and vice versa, medical knowledge inevitably was passed back and forth. Consequently, the crossroads areas of Southeast Asia and Tibet developed a medical system combining aspects of Chinese, Indian, and Arabic practice. Arabic influence, which stemmed in part from Greek teachings, was evident in the doctrine of four humors (phlegm, blood, bile, and wind), whereas Indian deas were seen in the Yogic placement of the soul in the core of the spinal column and reliance on breathing exercises. Traveling Buddhist priests, who were quite successful in spreading their faith, for a long time also practiced medicine. During this early period, the two wives (one Chinese) of a Tibetan king converted him to Buddhism, and thereafter scholars were invited to bring Chi nese writings into Tibet, which resulted in collections in Tibetan called Kanjur and Tanjur, the latter containing medical information. In the thirteenth century, the Mongol conqueror Kublai Khan wanted this body of knowledge available again in Chinese but was unable to carry through the translation. Nevertheless, his grandson in the next century arranged for scholars from Tibet, Mongolia, and Central Asia to accomplish the task. Ironically, while the Mongols were in control they allied themselves with non-Chinese such as Uighars, Jews, Christians, and Moslems, and they preferred Arabic medicine to Chinese. How to cite Essay of Ancient China, Essay examples

Essay of Ancient China Free Essays

Ancient China In ancient Chinese cosmology, the universe was created not by divinities but self-generated from the interplay of nature’s basic duality: the active, light, dry, warm, positive, masculine yang and the passive, dark, cold, moist, negative yin. All things, animate and inanimate, and all circumstances were a combination of these fundamentals. The ultimate principle of the universe was the tao, â€Å"the way,† and it determined the proper proportions of yin and yang in everything. We will write a custom essay sample on Essay of Ancient China or any similar topic only for you Order Now Anything that altered the natural relation of yin to yang was considered bad, and right living consisted of carefully following the tao. If one observed the tao by moderation, equanimity, and morality, as taught in the Tao-te Ching, by Lao-tzu (sixth century B. C. ), one would be impervious to disease and resistant to the ravages of aging; disregard of the tao led to illness, which was not so much a punishment for sin as the inevitable result of acting contrary to natural laws. However, illness also could be caused by forces beyond one’s control: â€Å"Wind is the cause of a hundred diseases,† and atmospheric conditions could upset the harmonious inner balance of the yang and yin. One had to be alert to this possibility and combat its effects as well as modify internal imbalances of the vital forces. Longevity and health were the rewards. Chinese medicine, in league with Taoism, was focused on the prevention of illness; for, as the legendary Huang Ti, father of Chinese medicine, observed, â€Å"the superior physician helps before the early budding of disease. † Although Taoist hygiene called for temperance and simplicity in most things, sexual mores were governed by the yin-yang aspect of Chinese philosophy. Ejaculation in intercourse led to diminution of a man’s yang, which, of course, upset the inner balance of his nature. On the other hand, one was strengthened by absorption of the yin released by the orgasm of one’s female partner—unless she was over thirty, the point where female essence lost its efficacy. The tao was important in Confucianism also, as the path of virtuous conduct, and for centuries the precepts of Confucius (K’ung Fu-tzu, 550-479 B. C. ) set the most prevalent standards of behavior. In early Chinese philosophy, there was a tendency to accept and combine aspects of all religions and to make way for new ideas. Nevertheless, the ancient Chinese were profoundly conservative once an institution, custom, philosophy, mode of dress, or even a furniture style was firmly established, and it remained relatively unchanged over centuries. As Confucius said: â€Å"Gather in the same places where our fathers before us have gathered; perform the same ceremonies which they before us have performed; play the same music which they before us have played; pay respect to those whom they honored; love those who were dear to them. † Although ancient China’s development was relatively isolated, there was early contact with India and Tibet. Buddhism came to China from India, and medical concepts and practices were an important part of its teachings. The gymnastic and breathing exercises in Chinese medical methodology also came from India and were closely related to the principles of Yoga and to aspects of Ayurvedic medicine. There were also contacts with Southeast Asia, Persia, and the Arabic world. In the second century B. C. , the Chinese ambassador Chang Chien spent more than a decade in Mesopotamia, Syria, and Egypt, bringing back information on drugs, viticulture, and other subjects. Over the centuries, knowledge of humoral medicine and of numerous new medicaments filtered into China. The introduction of the wisdom of the Mediterranean world was greatly facilitated in the fifth century by the expulsion and wide dispersion from Constantinople of the heretical Nestorian Christians. The mother of Kublai Khan (1216-94), founder of the Mongol dynasty, was a Nestorian and asked the Pope to send European doctors to China. Early Medical Writings Classical Chinese medicine was based primarily on works ascribed to three legendary emperors. The most ancient was Fu Hsi (c. 2900 B. C. , who was said to have originated the pa kua, a symbol composed of yang lines and yin lines combined in eight (pa) separate trigrams (kua) which could represent all yin-yang conditions. This system is followed even today in the I Ching (Book of Changes), though as a game or superstition in the West. Shen Nung, the Red Emperor (Hung Ti), compiled the first medical herbal, the Pen-tsao (c. 2800 B. C. ), in which he reported the effects of 365 drugs, all of them personally tested. One legend explains that a magic drug made his abdominal skin transparent, so he could observe the action of the many plants he evaluated. Another story tells that he cut open his abdomen and stitched in a window. Shen Nung is also said to have drawn up the first charts on acupuncture, a medical procedure presumably even older than the legendary emperors. The fame of Yu Hsiung (c. 2600 B. C. ), the Yellow Emperor (Huang Ti), rests on his great medical compendium, the Nei Ching (Canon of Medicine). Transmitted orally for many centuries, this seminal work was possibly committed to writing by the third century B. C. Its present form dates from the eighth century A. D. when the last extensive revision was done by Wang Ping. The major portion of the Nei Ching, the Sun-Wen (Simple Questions), records the discourse of the Yellow Emperor with Ch’i Po, his prime minister, on virtually all phases of health and illness, including prevention and treatment. The section called Ling-Hsu (Spiritual Nucleus), deals entirely with acupuncture. Yu Hsiung also was said to be responsible for another great compendium, The Discourses of the Yellow Emperor and the Plain Girl, which thoroughly covered the subject of sex from the Taoist point of view. Among other notable sources for ancient medical lore, one might mention the Shih Ching (Book of Odes), which perhaps predates Homer’s epics, and the Lun-yu, discourses of Confucius probably written down shortly after his death, which affected patterns of behavior for many generations. During the long Chou dynasty (c. 1050-255 B. C. ), a lengthy compilation of medical works, Institutions of Chou, was completed and became the criterion for subsequent dynasties on the duties and organization of physicians. In the Han dynasty (206 B. C. -A. D. 20), there was a noted clinical author named Tsang Kung, who pioneered in the description of many diseases, including cancer of the stomach, aneurysm, and rheumatism. Chang Chung-ching, the Chinese Hippocrates, in the third century A. D. , wrote the classic treatise Typhoid and Other Fevers. Ko Hung, a famed alchemist and a careful observer, wrote treatises describing beriberi (a vitamin B deficiency), hepatitis, and plague, and gave one of the earliest reports on smallpox: â€Å"As the New Year approached there was a seasonal affection in which pustules appeared on the face and spread rapidly all over the body. They looked like burns covered with white starch and reformed as soon as they were broken. The majority died if not treated. After recovery purplish black scars remained. † Sun Szu-miao (A. D. 581-682) wrote Ch’ien Chin Yao Fang (A Thousand Golden Remedies), which summarized in thirty volumes much of the known medical learning, and he headed a committee which produced a fifty-volume collection on pathology. An extensive codification of forensic medicine, Hsi Yuan Lu, was done in the Sung dynasty and became the prime source for knowledge of medical jurisprudence. Anatomy and Physiology Ideas of anatomy in ancient China were reached by reasoning and. by assumption rather than dissection or direct observation. Since the doctrines of Confucius forbade violation of the body, it was not until the eighteenth century, long after Vesalius, that the Chinese began systematic, direct anatomical studies. Even as late as the nineteenth century, in the Viceroy’s Hospital Medical School, anatomy was taught by diagrams and artificial models rather than dissection. Physiological functions were constructed into a humoral system much like Greek concepts of the sixth century B. C. and Galenic views of the second century A. D. , except that there were five instead of four essential humors. (The number five had mystical value for the Chinese and was used for most classifications: five elements, five tastes, five qualities, five kinds of drugs, five treatments, five solid organs, five seasons, five emotions, five colors, etc. ) The medical compendium Nei Ching stated that each emotion had its seat in a particular organ. Happiness dwelt in the heart, thought in the spleen, sorrow in the lungs, and the liver housed anger as well as the soul. Ideas in the Nei Ching concerning movement of the blood (â€Å"All the blood is under control of the heart. † â€Å"The blood current flows continuously in a circle and never stops. â€Å") have been thought to approach an understanding of its circulation antedating Harvey by thousands of years; however, some body vessels were believed to convey air, and there is little evidence that commentators perceived the blood-carrying vessels as a contained system. Diagnosis The Chinese methods of diagnosis included questioning, feeling the pulse, observing the voice and body, and in some circumstances touching the affected parts. In almost all times and cultures physicians have used a similar approach, for all healers have sought to know as much as possible about a patient in order to understand his or her illness and advise treatment. However, in some respects ancient physicians saw each patient more completely as a reflection of his surroundings (indeed, the entire universe) than does the doctor of today. The Chinese doctor wanted to learn ow the patient had violated the tao, and to do this he took into account the patient’s rank; changes in his or her social status, household, economic position, sense of well-being, or appetite; the weather; and the dreams of the patient and his or her family. Perhaps the most important diagnostic technique of the ancient Chinese was examination of the pulse. The physician felt the right wrist and then the lef t. He compared the beats with his own, noting precise time as well as day and season since each hour affected the nature of the pulsations. Each pulse had three distinct divisions, each associated with a specific organ, and each division had a separate quality, of which there were dozens of varieties. Moreover, each division or zone of the pulse had a superficial and deep projection. Thus literally hundreds of possible characteristics were obtainable. In one treatise, Muo-Ching, ten volumes were necessary to cover all the intricacies of the pulse. A patient had only to extend his or her arm through drawn bed curtains for the physician to determine the symptoms, diagnosis, prognosis, and proper treatment by intensive palpation of the pulse. Whenever possible the examiner also felt the skin of the ill person. However, it was considered bad form for a man to intimately examine a woman, so special ceramic, ivory, and wooden dolls were pointed to by the invalid to indicate where discomfort was felt. Treatment According to the Nei Ching, there were five methods of treatment: cure the spirit, nourish the body, give medications, treat the whole body, and use acupuncture and moxibustion. The physician had to put the patient back on the right path, the tao. Assuming that specific mental states caused changes in specific organs, the healer linked certain objectionable behavioral and constitutional factors with illness and attempted to have the patient rectify these. For instance, dissolute and licentious ideas led to diseases of the lungs, but acting out such thoughts brought on heart trouble. A doctor had to determine the cause of disharmony in the body and act accordingly. Exercises were developed to keep the body fit and to restore well-being. Hua T’o, the great surgeon, worked out an ingenious system of physical therapy by advising mimicry of the natural movements of animals. Massage—kneading, tapping, pinching, and chafing—was also a regular method of treatment, as were the application of plasters and evacuation of the intestinal tract by cathartics. In nourishing a patient’s body, the physician resorted to complex combinations of foods according to their potential amounts of yang and yin. Foods also had to fit the seasons, and each of the five tastes had benefits for a particular element of the body: sour for the bones, pungent for the tendons, salty for the blood, bitter for respiration, and sweet for muscle. Medications The Chinese pharmacopoeia was always rich, from the time of the Pen-tsao, the first medical herbal, to the later dynasties when two thousand items and sixteen thousand prescriptions made up the armamentarium. Drugs were considered more likely to be good if they tasted bad. As one would expect, they were classified into five categories: herbs, trees, insects, stones, and grains. The therapeutic minerals and metals included compounds of mercury (calomel was employed for venereal diseases), arsenic, and magnetic stones. Animal-derived remedies, in addition to â€Å"dragon teeth† (powdered fossilized bones), included virtually anything obtainable from living creatures: whole parts, segments of organs, urine, dung. Two plant substances especially associated with China may be singled out. One is ephedra (ma huang), the â€Å"horsetail† plant described by the Red Emperor, which was used for thousands of years as a stimulant, as a remedy for respiratory -diseases, to induce fevers and perspiration, and to depress coughs. Ephedra entered the Greek pharmacopoeia and eventually was disseminated throughout most of the world. It only became a factor in Western medicine in the late nineteenth century after Japanese investigators isolated and purified the active principle, ephedrine, and established its pharmacologic action. A second medicinal herb, always highly popular among the Chinese, is ginseng (â€Å"man-shaped root†). To the Chinese, preparations containing ginseng were almost miraculous in delaying old age, restoring sexual powers, stimulating the debilitated, and sedating the overwrought. In addition it improved diabetes and stabilized blood pressure. In recent years this root has been under scrutiny by Western pharmacologists attempting to evaluate its true benefits. Multitudes in Asia, and even some Westerners, are so convinced of its effectiveness that high-grade wild roots have brought fabulous prices (even reaching thousands of dollars apiece). Although many items in the Chinese materia medica have either faded into bscurity or been labeled fanciful, others subsequently have been found to possess sound pharmacologic bases: seaweed, which contains iodine, was used in treating enlargement of the thyroid; the willow plant, containing salicylic acid, was a remedy for rheumatism; the Siberian wort has antispasmodics for menstrual discomfort; and mulberry flowers contain rutin, a treatment for elevated blood pressure. Whether opium was used as a drug before quite late in Chinese history is still in dispute. Acupuncture and Moxibustion These modalities have been an inte gral part of Chinese medical therapy for thousands of years. The Yellow Emperor is said to have invented them, but they may well have existed long before his time. The aim of these treatments was to drain off excess yang or yin and thus establish a proper balance, but external energy also could be introduced into the body. In acupuncture the skin is pierced by long needles to varying prescribed depths. Needles are inserted into any of 365 points along the twelve meridians that traverse the body and transmit an active life force called ch’i. Each of these points is related to a particular organ. For instance, puncture of a certain spot on the ear lobe might be the proper way to treat an abdominal ailment. Virtually every illness, weakness, and symptom is thought to be amenable to correction by acupuncture. Acupuncture spread to Korea and Japan by the end of the tenth century A. D. , to Europe about the seventeenth century, and recent years have seen a wider interest in this Chinese medical practice in the West. Individual paramedical healers and even some medical practitioners have been swamped with requests for acupuncture, especially for problems apparently little benefited by conventional practices. The eventual acceptability of this practice in standard Western medicine remains to be seen. Moxibustion is as old as acupuncture, and the same meridians and points govern placement of the moxa. However, in this treatment a powdered plant substance, usually mugwort, is fashioned into a small mound on the patient’s skin and burned, usually raising a blister. Dentistry The treatment of tooth disorders was confined mainly to applying or ingesting drugs—pomegranate, aconite, ginseng, garlic, rhubarb, and arsenic, as well as animal products such as dung and urine. The Nei Ching classified nine types of toothaches, which included some obviously due to infections and tooth decay. Like the Mesopotamians and Egyptians, the ancient Chinese believed that worms were often responsible for dental problems. Toothpicks and tooth whiteners were used, and loose teeth were stabilized with bamboo splints. Gold was sometimes used to cover teeth, but the purpose was decorative rather than protective. Surgery Although surgery was not one of the five methods of treatment listed in the Nei Ching, the knife was known and used. Hua T’o, one of the few names mentioned in connection with surgery, treated an arm wound of the famous general Kuan Yu by cutting his flesh and scraping the bone. Physicians knew how to deal with wounds, and at least two classics were devoted entirely to their treatment. The proper attitude toward pain was to bear it without a sign of emotion, and much was made of the insouciance of the general treated by Hua T’o; he played chess while the surgeon operated. Nevertheless, apparently some kind of anesthesia was often used. Wine and drugs like hyoscyamus were probably mainstays, but the use of opium and Indian hemp is still in question. Eunuchs and Footbinding Another surgical procedure, though hardly therapeutic, was the frequent castration of certain males seeking advancement at court. Though originally a severe punishment, the total removal of penis and testicles came to be a pledge of absolute allegiance to the monarch, since it released the eunuch from conflict with Confucian admonitions of first loyalty to family and the obligation of siring a son for posterity. Footbinding is also of medical interest, for it caused the development of artificially clubbed feet. Over a period of one thousand years, every young girl of proper family willingly permitted herself to be crippled by her mother and aunts to achieve the tiny foot of ideal feminine beauty. Her toes were gradually folded under the sole, and by increasingly tight bandaging her heelbone and forefoot were brought closer together. Without Golden Lotuses, as the best-shaped bound feet were called, a girl was unmarriageable, nor was the life of a courtesan open to her, for tiny feet were a woman’s most desirable feature. For a man, a bound-foot wife had profound sexual significance, but she was also a status symbol inasmuch as her helplessness indicated that he was wealthy enough to support a woman, or women, in idleness. There was also an advantage to him in her restricted mobility, for it kept her home and made illicit amorous adventures difficult. Although China’s Manchu conquerors forbade the practice in the nineteenth century, it was not until the early twentieth that footbinding was completely abandoned. Diseases Some epidemic diseases were understood well enough to allow the development of protective measures. In the eleventh century, inoculation against smallpox was effected by putting scabs from smallpox pustules into the nostrils, a method which may have come from India. Wearing the clothing of someone who had the disease was another means of prevention. The relationship of cowpox (as a protective) to smallpox may have been perceived, since ingesting powdered fleas from infected cows was also recommended to stave off smallpox. But other devastating pestilences were neither understood nor held in check. During the Han dynasty an epidemic of what appears to have been typhoid fever killed two-thirds of the population of one region. Precise descriptions of leprosy in the Nei Ching and later works attest to the diagnostic accuracy of the early Chinese healers, but their explanation of the disease’s causes and their treatment follow preconceived notions of the time. â€Å"The wind and chills lodge in the blood vessels and cannot be got rid of. This is called li-feng. For the treatment prick the swollen parts with a sharp needle to let the foul air out. † Fourteenth-century writings referred to chaulmoogra oil, a pressing from seeds of an East Indian tree, as a specific for leprosy, and this oil remained the principal antileprous drug even in the West until recent decades. An illness that may have been tuberculosis was recognized as contagious: â€Å"Generally the disease gives rise to high fever, sweating, asthenia, unlocalized pains making all positions difficult and slowly bringing about consumption and death, after which the disease is transmitted to the relations until the whole family has been wiped out. † Venereal diseases, although not well differentiated, received a variety of therapies, including the use of metallic substances for internal medication. In the Secret Therapy for the Treatment of Venereal Disease, the seventeenth-century physician Chun Szi-sung reported using arsenic, which, until the development of penicillin, was the modern medication for venereal disease, in the form of Salvarsan and derivatives synthesized by Paul Ehrlich. There seem always to have been places in China where the sick poor could go for medical care. With the advance of Buddhism in the Han and T’ang dynasties, in-patient hospitals staffed by physician-priests became common. However, in the ninth century, when anti-Buddhists were in control, hospitals as well as 4,600 temples were destroyed or emptied. Nevertheless, by the twelfth century hospitals had again become so numerous that virtually every district had at least one tax-supported institution. The upper classes preferred to be treated and cared for in their homes, thus leaving public hospitals to the poor and lower classes. The Practitioners In the Institutions of Chou, compiled hundreds of years before Christ, the hierarchy of physicians in the kingdom was delineated. The five categories were: chief physician (who collected drugs, examined other physicians, and assigned them); food physicians (who prescribed six kinds of food and drink); physicians for simple diseases (such as headaches, colds, minor wounds); ulcer physicians (who may have been the surgeons); and physicians for animals (evidently veterinarians). Physicians were also rated according to their results, and as early as the Chou and T’ang dynasties each doctor had to report both successes and failures—to control his movement up or down in the ranks. In the seventh century A. D. examinations were required for one to qualify as a physician, some four centuries earlier than the first licensing system in the West. Medical knowledge was thought of as a secret power that belonged to each practitioner. Whereas in other societies, both advanced and primitive, closely knit guilds might control the spread of medical lore, the Chinese physician kept his secrets to himself—passing them on only to sons or, sometimes, specially selected qualifiers. In early times, a physician gave his services out of philanthropy, for since the original healers were rulers, sages, nobles, and, perhaps, priests, economic and social incentives were absent. Later, direct fees or salaries were instituted, and the court and certain prosperous households kept physicians on retainer. Formal schools may have existed as early as the tenth century, and in the eleventh century an organization for medical education was set up under imperial auspices. Under the Ming dynasty in the fourteenth century, the school system became fixed. It changed little over the next centuries, xcept for a gradual decline, and by 1800 there was only one medical school left in Peking. Teachers were held strictly accountable for the performance of their students, and fines were imposed if the professor failed to enforce attendance or if his pupils did poorly on exams. The examination system was complex: a pyramidal structure provided a process of elimination which continued until those with the highest scores emerged. The top students could be heart doctors, the next level were assistant examiners, and lower scores could mean limited assignment in teaching. Specialization may have occurred early. While physicians and apothecaries were separate for a long time, they were both regarded as healers. In the Chou dynasty there were nine specialties, and they grew to thirteen by the Mongol period, early in the fourteenth century. The subdivisions became even more complex, with doctors for the great blood vessels, small vessels, fevers, smallpox, eyes, skin, bones, larynx, and mouth and teeth. There were also gynecologists, pediatricians, and pulsologists for internal diseases, external medicine, the nose and throat, and for children’s illnesses. Some healers specialized in moxibustion, acupuncture, or massage. Even the experts in incantation and dietetics were considered medical specialists and were often held in higher regard than other doctors; surgeons were generally of low rank. Furthermore, each of the practitioners in each category had assistants and students—all of whom had to qualify by examination. Obstetrics was in the hands of midwives for many centuries; it is not known when the first women doctors were in practice. One female physician is mentioned by name in documents from the Han dynasty (206 B. C. -A. D. 220), but women may have been doctors at an earlier date. By the fourteenth century women were officially recognized as physicians. Throughout the Ming dynasty (1368-1644), the practicing medical theorists could be divided into six main philosophic schools. The Yin-yang group focused on insufficiencies of one of these forces. The Wen-pou doctors attributed illnesses to a preponderance of yang and frequently prescribed ginseng and aconite. The Radical group used drastic medication. The Conservatives relied entirely on the authorities of the past, reedited the classic works, and made no deviations from strict authoritarianism. The Eclectic physicians, as their name implies, used a variety of principles from the other sects. The sixth school based all therapy on bringing the five elements and six vapors into harmony. Spread of Chinese Medicine to Korea, Japan, And Tibet Ancient Chinese medicine was well-developed long before the beginning of the Christian era, and its influence appears to have spread into adjacent Korea by the sixth century A. D. At that time, after a severe epidemic had ravaged Japan, Korean doctors who were invited to counsel Japanese physicians introduced them to Chinese medical classics and commentaries. By the seventh century, Japanese scholars and doctors were going directly to China for their information and experience. In the eighth century, a Chinese Buddhist monk named Chien Chen came to Japan and achieved a prominent position in the imperial court at Nara, where, given the Japanese name Kanjin, he taught, practiced medicine, and translated Chinese materia medica. Late in that century, Chinese medicine was well-established in Japan, and a medical school based on its methodology was founded by the Japanese physician Wake Hiroya. Early in the next century (806–10), the Emperor Heijo vainly attempted to combat foreign influence and restore traditional Japanese medical practice, but the methods of Chinese healing were too firmly entrenched. In the tenth century, acupuncture reached Japan, followed by moxibusti on (the word moxa is Japanese), and the full complement of Chinese medicine was accepted in Japan. With medical training closely based on Chinese systems, the Japanese exacted exceptionally intensive and prolonged study before permitting entrance into the profession by governmental examination. As in ancient China, high social standing was a requirement for admission to medical school, but separate instruction by assigned teachers was apparently also arranged to accommodate the more lowly. The authority of Chinese medicine, not to mention Chinese culture and philosophy, moved east as well as west by the seventh and eighth centuries. However, Arabic and Indian missionaries of Islam and Buddhism made influence a two-way exchange as they traveled to China seeking converts. Since their missions necessitated the translation of Sanskrit and Arabic writings into Chinese and vice versa, medical knowledge inevitably was passed back and forth. Consequently, the crossroads areas of Southeast Asia and Tibet developed a medical system combining aspects of Chinese, Indian, and Arabic practice. Arabic influence, which stemmed in part from Greek teachings, was evident in the doctrine of four humors (phlegm, blood, bile, and wind), whereas Indian deas were seen in the Yogic placement of the soul in the core of the spinal column and reliance on breathing exercises. Traveling Buddhist priests, who were quite successful in spreading their faith, for a long time also practiced medicine. During this early period, the two wives (one Chinese) of a Tibetan king converted him to Buddhism, and thereafter scholars were invited to bring Chi nese writings into Tibet, which resulted in collections in Tibetan called Kanjur and Tanjur, the latter containing medical information. In the thirteenth century, the Mongol conqueror Kublai Khan wanted this body of knowledge available again in Chinese but was unable to carry through the translation. Nevertheless, his grandson in the next century arranged for scholars from Tibet, Mongolia, and Central Asia to accomplish the task. Ironically, while the Mongols were in control they allied themselves with non-Chinese such as Uighars, Jews, Christians, and Moslems, and they preferred Arabic medicine to Chinese. How to cite Essay of Ancient China, Essay examples