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The Development of Scientific Medicine and its Impact on Society in Taiwan, 1865 to 1945

Even with the overlay of Japanese culture during years of imperial rule ( the "Japanese Era") ending in 1945, the people were basically Chinese in their ethos and culture. Traditional medicine is entwined within Chinese culture and therefore considering the greatness of that culture, has inherent value and appeals to the people. The pharmacological actions of medical agents – herbal, animal, and mineral - do not depend upon laboratory experimentation but on the subjective response of the human animal. A patient drinks a decoction of herbs and roots and says, "its good" or it works. Traditional medicine in every country is based upon empirical observation.

The two systems of thought , traditional and scientific, regarding the cause of disease, differ deeply, the former conception being, in Taiwan for instance, a disturbance in the balance between the Ying and the Yang of the body. In the latter it is the morbid change in the structure or function of the cells of the body. The concept of Chinese herbal doctors is Philosophic rather than scientific ( Chen - Yuan Lee ).

So in 1865, scientific medicine came as a completely new thing to the people of Taiwan. My lecture is a review of the 30 years before the Japanese came ( the "Chinese Era") and the 50 years of the Japanese era.

Introduction

May I briefly remind you that Taiwan lies about 100 miles from the coast of Fukien (Fujian) province in South China. The Dutch Occupied it from 1624 to 1661. A supporter of the Ming dynasty (1368- 1643), a powerful sea pirate drove out the Dutch in 1661. His name was Kuo Hsing- Yeh or Koxinga. His real name was Cheng Cheng Kung.

From then onwards steady emigration of Chinese took place in South Fukien , bringing their South Fukien dialect and culture with them, to the whole west side of Taiwan, including north and south. However, 10- 15% of the immigrants were Hakka Chinese, from the Kwang – Tung province.

In the mid 19th century the Chinese population was about 2,000,000. Taiwan was regarded as a raw frontier area, administered as a prefecture of Fukien. Much of the mountianous interior was the home of unsubjugated Malayan aboriginal outside of Chinese control (though some had been assimilated into Chinese society).



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