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them. A famous example
was Su Nu素女(Plain
Girl); the two classics of Pulse Diagnosis of Su Nu素女脉诀
and Classic of Su Nu素女经
were known under her name, the latter being a book on chamber technique
(sexology).1
Many stories passed from dynasty to dynasty with approbation for the successful treatment of queens by female doctors who were then conferred with titles of honor. A certain Madam Feng in the Song dynasty, for instance, was conferred the title of An Guo Lady 安国夫人 (the Lady Who Brought Relief to the Nation ) after she cured the suffering of the Empress Dowager. Her descendants used to boast of their skills by citing this story.2 Also recorded in history were clinics and drugstores owner by female doctors. One of the reasons that competent female doctors earned respect was simply because they were female." How could a female be working as unless she had some unique life-saving skill?" Taking advantage of such psychology, two famous families in the Ming dynasty ,the Jins 金 and the Tangs 汤, fabricated myths of prominent female physicians in their families. Among their ancestors, "two girls were born capable of writing such books as Gynecological Prescriptions (NuKe yifang 女科医方)," they said ,and this easily won them respect.3
As indicated by many historical documents, outstanding female doctors enjoyed respect equal to their male counterparts. For example, a detailed account was engraved on a stone tablet of a certain Madam Han 韩医妇 in the Ming dynasty who cured cases of dysphagia.4 Theories based on the treatment of three cases of gynecological disorders by the famous female doctor, Li Guiyuan 李闺媛 ,were recorded in detail in literary sketches of the Qing dynasty.5 Despite all these, however, the female doctors were far less represented compared with their male counterparts.
The cause of this exclusion should be sought in the social institution prevailing at that time assigning women a certain social role. The "three obediences and four virtues"(三从四德) were the standards expected of women in ancient China .In the past, the labor was divided in such a way that "men are in charge of external affairs while women are in charge of internal affairs." As a result, the social roles of the female were always supporting ones, roles subordinate to the male roles. And that is why women were never able to give full play to their talents in the fields of science and technology, with medicine being no exception.
Nevertheless, unlike astronomy and geography, medicine has a much greater social dimension and, owing to social demand , female doctors have always been indispensable. To protect the integrity of the imperial harem, specialized female doctors were appointed at least as early as the Han dynasty .6 As decreed by the Ming government , "(male) doctors are not allowed to enter the palace of imperial concubines and, in case of disease, the concubines shall be given herbs as considered appropriate based on their complaints." 7 In view of cases of adultery between imperial concubines and external officals in late Yuan dynasty, the first emperor of the Ming dynasty issued thisdecree, prohibiting male doctors to edter the palace of the imperial concubines . From then on, Selected maids and eunuchs were trained to take care of the concubines and, sometimes, midwives were called in from outside as the need arose.
Feucal ethics came to their peak during the Song dynasty, when the apologists went so far as to say :"A woman should rather die of Hunger than lose her chastity." Male doctors found it more and more Difficult dealing with female patients. According to the Bencao yanyi 本草衍义,a book written during the Song dynasty, female patients were required to wrap their wrists with cloth so that male doctors might not make contact with their skin while feeling their pulse." 8 Later a myth was made up in novels that an able doctor could feel a pulse by putting his fingers at one end of a thread while the other end was connected to the wrist of the female patient, The feudal shackles, however , fell more heavily on widows, who were expected to be
faithful to their dead husbands to their own end. In Yuan dynasty, for example, a widow had a "mammary sore"( rutong 乳痛,mastitis or more probably carcinoma) and others advised her to go to see doctors. " I am a widow. How can I let males see me," she replied. Finally she died of the illness . 9 Another example was a certain Madam Hu, who was paised as a "chaste widow." Sticken with disease and when her family was about to send for a doctor, she said to her father "A widow's hand should not be inspected by males." Again she died without taking any treatment.10 They would not even let themselves be examined, let alone have their babies born with male's assistance. Such being the case, the presence of female doctors was a blessing for
The average woman at the time . Thirty one cases were recorded in Medical Cases with Annotation by a Female Doctor (Nuyi zayan 女医杂言), a book written by Tan Yunxian 谈允贤 in the Ming dynasty. All the patients were females and, according to Tan, most of them were "her acquaintances who were unwilling to be treated by male doctors."11 It is thus clear that social demand was the primary cause for the Continual existence of female doctors.
Professional Specialties of Female Doctors
As revealed by the statistics on female doctors I have collected, most of them were concentrated in obstetrics, gynecology, pediatrics and minor surgery. Being females themselves, they were privileged in obstetrical, gynecological and pediatric practice. Just as Zhu En 朱恩 said in his preface to Medical Cases with Annotation by a Female Doctor,
As I heard from male doctors, they would rather treat ten men than a woman. It is not because they can learn very little from women as a result of the ethical barrier between men and women, but rather because the nature differs between the two sexes. The female doctor, based on her understanding of her own nature, can easily understand the female patient's nature, and they are bound to succeed.12
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