Chinese Medicine in Hong Kong, 1842–1941

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Abstract This article examines the complex interplay between Chinese medical and pharmaceutical practices and the introduction of Western medicine and pharmacy in China, with a particular focus on the British administration’s efforts to marginalizing Chinese medicine in Hong Kong from 1842 to 1941. Soon after the British occupation of Hong Kong in 1841, the Hong Kong government promulgated laws and regulations governing the sale, supply, distribution, and manufacture of opium and potent medicines (aka “poisons”). These laws, based on parliamentary acts passed in Westminster, marginalized Chinese medicine and pharmacy and empowered Western medical doctors, chemists, and druggists as the sole providers of these services. Despite this, Chinese medicine and pharmacy remained the preferred therapeutic system of the local Chinese population. However, minimal resources were allocated to the sector or support for practitioners of Chinese medicine and pharmacy, even though they served most of the population. The British Hong Kong administration seized two key opportunities which shifted the balance in favor of Western medicine and pharmacy. The first was during the 1894 bubonic plague, when the British Hong Kong administration funded a Western medicine clinic at the Tung Wah Hospital in Sheung Wan, with a short-lived effect. The second, with lasting impact, was the mass influx of refugees fleeing Kwangtung (now Guangdong) to Hong Kong in 1938, which led to the three independently managed Tung Wah hospitals (the Hospitals) merging into one Hospital Group at the urging of the British Hong Kong administration, due to funding issues by local philanthropists. Western medicine thus became the mainstream therapeutic system for in-patients at the Hospital Group.

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  • Apr 1, 2024
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  • 민서 김

This paper examines the supply and utilization of traditional Chinese medicine (TCM) in Hong Kong during the influenza epidemics of the 1950s and 1960s. Existing narratives of TCM in Hong Kong have predominantly framed with within the dichotomy of Western medicine “Xiyi” and Chinese medicine “Zhongyi,” portraying TCM as marginalized and nearly wiped out by colonial power. Departing from this binary opposition, this study views TCM as an autonomous space that had never been subjugated by the colonial power which opted for minimal interventionist approach toward TCM. By adopting diachronic and synchronic perspectives on Hong Kong's unique environment shaped by its colonial history and the geopolitics of the Cold War in East Asia, particularly its relationships with “China,” this research seeks to reassess the role and status of TCM in post-World War II Hong Kong.In Hong Kong, along with other countries in East Asia, traditional medicine has ceded its position as mainstream medicine to Western medicine. Faced with the crisis of “extinction,” Chinese medical professionals, including medical practitioners and merchant groups, persistently sought solidarity and “self-renewal.” In the 1950s and 1960s, the colonial authorities heavily relied on private entities, including charity hospitals and clinics; furthermore, there was a lack of provision of public healthcare and official prevention measures against the epidemic influenza. As such, it is not surprising that the Chinese utilized TCM, along with Western medicine, to contain the epidemics which brought about an explosive surge in the number of patients from novel influenza viruses. TCM was significantly consumed during these explosive outbreaks of influenza in 1957 and 1968.In making this argument, this paper firstly provides an overview of the associations of Chinese medical practitioners and merchants who were crucial to the development of TCM in Hong Kong. Secondly, it analyzes one level of active provision and consumption of Chinese medicine during the two flu epidemics, focusing on the medical practices of TCM practitioners in the 1957 epidemic. While recognizing the etiologic agent or agents of the disease as influenza viruses, the group of Chinese medical practitioners of the Chinese Medical Society in Hong Kong adopted the basic principles of traditional medicine regarding influenza, such as Shanghanlun and Wenbingxue, to distinguish the disease status among patients and prescribe medicine according to correct diagnoses, which were effective. Thirdly, this paper examines the level of folk culture among the people, who utilized famous prescriptions of Chinese herbal medicine and alimentotherapy, in addition to Chinese patent medicines imported from mainland China. In the context of regional commercial network, this section also demonstrates how Hong Kong served as a sole exporting port of medicinal materials (e.g., Chinese herbs) and Chinese patent medicines from the People’s Republic of China to capitalist markets, including Hong Kong, under the socialist planned or controlled economy in the 1950s and 1960s.It was not only the efficacy of TCM in restoring immunity and alleviating symptoms of the human body, but also the voluntary efforts of these Chinese medical practitioners who sought to defend national medicine “Guoyi,” positioning it as complementary and alternative medicine to scientific medicine. Additionally, merchants who imported and distributed Chinese medicinal materials and national “Guochan” Chinese patent medicine played a crucial role, as did the people who utilized Chinese medicine, all of which contributed to making TCM thrive in colonial Hong Kong.

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Herbal Medicine in Stroke
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  • Valery L Feigin

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  • Nov 1, 2023
  • European review for medical and pharmacological sciences
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The objective of this study was to systematically evaluate the application of Chinese medicine in the treatment of neck and low back pain. The goal was to assess the efficacy, analgesic effect, and safety of Chinese medicine using Cochrane system evaluation standards and conduct a meta-analysis to provide high-quality, evidence-based medical data for clinical practice decision-making. A comprehensive search was conducted in Chinese and English databases, including CBM, CNKI, Wanfang Data Knowledge Service Platform, VIP Chinese Science and Technology Periodical Database, Pubmed, Embase, and the Cochrane Library. The search encompassed randomized controlled trials on the use of Chinese medicine for pain treatment, with a time range from the establishment of each database to October 1, 2021. We have added the referred literature from the online databases for this research. Two researchers independently reviewed the literature, gathered data, and assessed the methodological quality of the included studies using the Cochrane Assistance Network risk of bias tool. Safety, reaction rate, and VAS pain score were of interest. To evaluate Chinese medicine's curative and analgesic benefits for pain illnesses, RevMan 5.4 and Stata 15.1 were used to analyze selected literature using forest plots, funnel plots, Egger and HarbORd linear regression plots, and star charts. Chinese medicine treated pain in 57 investigations. The analysis yielded (1) a curative effect: Chinese medicine outperformed Western medicine, with no publication bias. The sensitivity analysis matched the meta-analysis that has been performed in this work, and it shows that Chinese medicine treated low back pain better than Western medicine. (2) Analgesic effect: Chinese medicine outperformed Western medicine in analgesia, although the literature is limited for such a claim. Chinese medicine was also more analgesic than Western medicine. (3) Safety: No major side effects were reported in 20 investigations on Chinese medicine's safety. This study provides evidence that Chinese medicine can achieve better clinical efficacy and analgesic effects when comparing Chinese and Western medicine in the treatment of neck and low back pain. Furthermore, Chinese medicine demonstrated a favorable safety profile. However, further research is required to explore the use of Chinese medicine specifically for neck pain and to enhance the evidence base for clinical decision-making in pain management.

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Meta analysis of clinical research on the treatment of epidemic keratoconjunctivitis with combination of Chinese and western medicine
  • Jun 28, 2017
  • Li He

Objective System evaluation about the clinical efficacyof combining traditional Chinese and western medicine for epidemic keratoconjunctivitispublished at home and abroad by the method of Meta analysis, and provide reference for clinicaltreatment of EKC. Methods Through the collection of PubMed, MEDLINE, China retrieval CNKI, Wanfang database, VIP database and China biomedical literature database of Chinese medicine combined with western medicine in the treatment of EKC related Chinese and English literature. According to the inclusion and exclusion criteria, the literature was extracted, and the data of the study were extracted. The combination of Chinese medicine and Western medicine was used as the treatment group, and Western medicine treatment as the control group. According to the requirement of the Meta analysis to evaluate the quality of the literature retrieved, and use the RevMan5.3 for researching according to the Meta analysis, evaluation of the clinical curative effect of EKC. The revised Jadad quality scoring method was used to evaluate the included literature. The chi square test was used to test the heterogeneity of the study. If the P>0.05 indicated the homogeneity was better, the fixed effect model was used; otherwise, the random effect model was used to calculate the combined effect. The total effective rate was expressed by relative risk (OR) and 95% confidence interval. Results 7 trials including 520 patients were included. There were 553 eyes in the treatment group and 469 eyes in the control group. 7 articles are the combination of traditional Chinese and Western medicine treatment group and the control group, the total effective rate of treating EKC, after heterogeneity test, the difference was statistically significant (I2=15%, P>0.05), suggesting good homogeneity, so we use the fixed effect model of Meta analysis. The results showed that the difference between the two groups was statistically significant(OR=9.00, 95% confidence interval: 4.53~17.89, Z=6.27, P<0.05). It shows that the combination of traditional Chinese medicine and Western medicine is better than western medicine in the treatment of traditional Chinese medicine and Western medicine. Conclusion The overall effective rate of combining traditional Chinese and western medicine for EKC is significantly superior to control group. Key words: Epidemic keratoconjunctivitis; Combination of Chinese traditional and Western medicine; Meta-analysis

  • Research Article
  • Cite Count Icon 2
  • 10.15302/j-sscae-2021.01.022
Development Strategy of Integrative Pharmacy
  • Jan 1, 2021
  • Chinese Journal of Engineering Science
  • Zhang Yong + 2 more

Integrative pharmacy is proposed owing to the increasingly profound understanding in complex diseases. It involves new drug research and development, innovation of traditional Chinese medicine, clinical practice of drugs, construction of the pharmacy discipline, cultivation of pharmaceutical professionals, and many other fields. To promote the practice of integrative pharmacy in China, this study clarifies the concept and connotation of integrative pharmacy and proposes future development strategies for integrative pharmacy. The research methods we used in this study includes literature research, academic exchange, and expert consultation. To integrate modern and traditional pharmacy, we suggest that clinical practice guidelines for integrative medication should be established and improved, innovative research of traditional Chinese medicine based on integrative thinking should be encouraged, and clinical application of Chinese and western medicine should be integrated and standardized. To promote the new drug research and development based on integrative pharmacy, the design idea of integrative drugs should be innovated, a drug evaluation system that adapts to integrative pharmacy should be developed,and a new drug development system should be established for integrative drugs. To promote the clinical application of integrative pharmacy, patient-centered clinical medication guidance should be further improved, individualized treatment should be encouraged, the clinical practice content of integrative pharmacy should be enriched, and the rational application of integrative drugs should be emphasized. To promote the construction of the integrative pharmacy discipline, the theoretical and practice curricula for undergraduate education should be enriched based on integrative pharmacy, and educational training and professional collaboration should be strengthened. Integrative pharmacy develops based on the theories and practices of modern pharmacy and integrates the theories and practices of all related disciplines of pharmacy. It is a new pharmacy theory and practice system that can promote human health and improve the existing medical system in China.

  • Book Chapter
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  • Advanced Clinical Therapies in Cardiovascular Chinese Medicine
  • Anika Niambi Al-Shura

Chapter 11 - Integrative Treatments for Vascular Disorders

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