Recently, I have been reading a small book, Mr. Chen Cunren’s A Social History of the Silver Dollar Era, which details the author’s personal experience organizing resistance against the abolition of traditional Chinese medicine (TCM). The reading is magnificent and from it, I see many parallels with current realities.
Here is the full excerpt, as the text is lengthy, it will be sent in chapters. Please be patient while reading.
https://weread.qq.com/book-detail?type=1&senderVid=387006699&v=94b32f607157004f94b7947
Table of Contents
A Great Stir Over Abolishing TCM
All of Shanghai Suspends Treatment, Meetings Convened
Responses from Various Places Gathered in Shanghai
March 17, Grand Assembly Held
Five Representatives Petitioned in Nanjing
Arrival in Nanjing, Massive Demonstration
Interviews and Visits, Positive Reactions
Minister of Health Sends Letter of Invitation
Victorious Return to Shanghai, Commemorative Photography
1 A Great Stir Over Abolishing TCM
We must trace back to the 17th year of the Republic of China (1928). The movement to abolish TCM began just after the Northern Expedition succeeded and the government relocated to Nanjing. At that time, Wang Jingwei was most prominent in Hankou; he preached everywhere about Japan’s Meiji Restoration, stating that the first step was to abolish Han medicine. He regarded himself as a leader of the reformists and repeatedly expressed this view in speeches. Newspapers often carried such scattered news.
Our TCM community strongly resented him, believing that TCM and Chinese herbal medicine were the cornerstone of the nation’s health and had a long history. At that time, Western medicine practitioners numbered only about six to seven hundred in all of Shanghai, and only dozens in other metropolitan areas. In smaller counties, cities, towns, and villages, there might be none at all. Therefore, we considered his proposals mere empty talk on paper and never expected them to be realized. However, they were not just empty words. Initially, Chu Minyi took the lead in promoting this action. Under the Ministry of Health of the Nanjing National Government, a central health conference was convened, inviting health bureau chiefs of various cities, hospital directors of provinces, directors of national and provincial medical schools, and over 120 notable Western medicine doctors from across the country to participate in a three-day meeting.
Chu Minyi was very active in campaigning and publicizing the cause. The conference passed a resolution to gradually phase out TCM. The original proposal was drafted by the Japanese-trained doctor Yu Yan (Yunxiu). Their plan was thorough and, fearing nationwide opposition, the key point was to issue licenses to current practicing TCM doctors once. After that, no new TCM doctors would be allowed to emerge. The original proposal excerpt is as follows:
Proposer: Yu Yan.
(Topic) Abolish old medicine to remove obstacles in medical affairs.
(Reason) … Human medicine targets individuals with the purpose of curing disease. Today’s health administration is purely based on modern scientific medicine, infused with contemporary political ideas. The theories used by old medicine are all baseless constructs, obstructing scientific progress. As long as old medicine is not removed, public thinking will not change, and health administration cannot advance… etc.
(Methods)
- Handling existing old medicine practitioners - as they are many, survival depends on them, and societal habits must be considered, abolition policy should not be abrupt, a gradual approach is proposed with six points:
a. Old medicine registration by the Ministry of Health, with licenses granted to practice.
b. The government sets up a medical and health training office; registered old medicine doctors must receive supplementary education in health administration knowledge, with certificates issued upon completion. Only with the certificate can they continue to operate; without it, they must cease business.
c. Registration of old medicine is limited to the end of the 19th year of the Republic.
d. Supplementary education for old medicine is limited to five years, ending in the 22nd year of the Republic, after which no further training will be given. This marks the end of certificate issuance.
e. Old medicine research societies are free to assemble and are government-supported but solely for academic research, not for professional practice.
f. From the 18th year of the Republic, old medicine practitioners over fifty years old and with over twenty years of domestic practice are exempt from supplementary education and granted special licenses, but prohibited from diagnosing certain legally designated infectious diseases or issuing death certificates. The validity of such special licenses is limited to fifteen years and cannot be renewed afterward.- Reforming ideology, avoiding excessive measures, starting with the major points, three measures:
a. Prohibit advertisements introducing old medicine in newspapers.
b. Examine newspapers and magazines to prohibit the promotion of unscientific ancient knowledge.
c. Ban the establishment of old medicine schools.
The “old medicine” mentioned here refers to TCM because at that time, traditional Chinese medicine was called “national medicine” (Guoyi), signifying China’s indigenous state medical practice like national language, national literature, national flag, national emblem, national arts, and national opera. Western medicine was very dissatisfied with this term but since it was in common use, they could do nothing. As a result, they resolved to change the name of TCM to “old medicine,” calling themselves “new medicine.” This implied TCM was an old-fashioned medical practice about to be eliminated, while their Western medicine was modernized and newly born, destined to replace the old.
Western medicine doctors also disliked being called “Western medicine” because the term “Western” highlighted their origins from the West and implicitly compared TCM as China’s national medicine. Therefore, all official and private documents uniformly avoided the term “Western medicine” and for TCM, they absolutely refused to use “national medicine,” calling it solely “old medicine.” The entire proposal carries profound implications.
Once this proposal was published by various newspapers, it met strong criticism from public opinion, stating that TCM and herbal medicine must not be abolished as it would not work if implemented. At that time, most in the TCM community didn’t take this matter seriously, only venting frustrations here and there, blaming the National Government for mishandling it, otherwise just waiting and watching.
One point in this proposal referred to inspecting newspapers and magazines — directly targeting the Kangjian Newspaper I published. I was mulling over how to deal with it when my classmate Zhang Zancheng called me: “Old Chen, have you seen this news?” I said, “I have.” He asked, “What’s your stance?” I replied, “Of course I oppose it, but I want to know what your esteemed father thinks.” He said, “My father is old now and doesn’t understand this proposal. He thinks those already practicing should be allowed to continue, and that’s enough.” I said, “This matter isn’t to be taken lightly. We young TCM doctors must come up with a strategy.” He agreed repeatedly. We then arranged to meet after clinic hours at the second floor of Wufangzhai on Nanjing Road for discussion. (Note: Zhang Zancheng’s father was Zhang Boxi, a well-known elder doctor from Changzhou, and it was him who introduced me to Master Yao Gonghe.)
After the phone arrangement, while seeing patients, I kept thinking. I believed the older generation of TCM doctors, due to habits, kept to themselves and did not intervene much. Therefore, it was impossible for them to lead the resistance. However, these elderly TCM doctors had broad social connections and respected reputations, so their prestige must be drawn upon for rallying. The practical work had to be done by our younger generation.
At 5:00 p.m. that day, the two of us arrived at Wufangzhai one after another. As soon as we met, we talked nonstop. Finally, I proposed gathering representatives from across the country to Shanghai for a large-scale protest meeting.
Wufangzhai is a famous dim sum shop in Shanghai, mainly selling tangyuan, cakes, sugar-glazed sweet potatoes, sticky rice lotus root, and other snacks and dishes. We casually ordered some snacks, eating and talking with great enthusiasm. Before we knew it, it was six o’clock. We decided to invite Teacher Xie Liheng for further discussion and to hear his opinion before setting the course of action. Then we dialed a phone (Note: at that time in Shanghai, calls had to be made by hand crank, calling out numbers and being connected manually) to invite him to Wufangzhai for a meal. Teacher Xie accepted immediately and took a tram there.
Teacher Xie, known as “Meirang Gong” (the “Bearded Gentleman”), stepped lightly upstairs. He was very witty and started by asking, “What are you going to feed me?” We said, “We know you like ‘Shanhu Pass Bridge Noodles’ (a type of noodle dish served with sauce in a separate bowl), so we invited you here.” He smiled and said, “Why don’t we have some wine?” We all said, “Good.” So, we ate and drank while returning to our main topic.
Teacher Xie was also aware that the National Government planned to gradually abolish TCM. He said, “The older generation like us is not affected yet, but you young ones, what do you plan to do?” We then explained our plan to convene a nationwide TCM protest meeting in detail. He was pleased but said, “There has been no coordination among TCM doctors nationwide, and it is not even known how many TCM organizations exist. It may be difficult to gather them.” The two of us were silent, realizing this was indeed a tough problem.
While pondering, I suddenly recalled my Kangjian Newspaper. We had TCM subscribers from provinces, counties, and cities. Zhang’s Medical World Chronicle magazine also had TCM subscribers. Based on all subscriber addresses from across provinces, cities, and counties, we selected two persons per place and sent the protest telegram to them to relay to their local TCM associations. Teacher Xie said, “Good, now there is a clear direction.”