In the 1870s, European and American medical missionaries and pharmaceutical companies introduced morphine into China as an anti-opium medicine. The proliferation and abuse of morphine fueled a discussion on the harms of this drug. After the Sino-Japanese War, the governor of Shanghai and other local officials proclaimed the control of morphine at the request of the local elites. However, since morphine came from abroad and was traded by foreigners, its prohibition became a diplomatic issue. After the Boxer Rebellion of 1900, morphine import control was included in the revised commercial treaties between China and the foreign powers at the behest of the Qing government. However, the restrictions imposed by the foreign powers prevented the Qing government from enforcing the prohibition. The importation of morphine by foreigners was a source of controversy, so there was an urgent need to negotiate on the terms of morphine import control. After tortuous negotiations, the Qing government and the British and other powers agreed on a new control policy, which came into effect in 1909. The proliferation of morphine during the Qing era was the combined result of the medical missions, the commercial expansion by Western pharmaceutical companies, and the Qing government’s anti-opium campaign. The twists and turns of the morphine import control policy and the negotiations between China and other countries highlight the struggle of the Qing government under the hegemony of the imperialist powers and the power asymmetry between China and the West.
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