Korean J Med Hist.  2024 Aug;33(2):371-429. 10.13081/kjmh.2024.33.371.

Types and Treatments of Surgical Diseases in Ancient China Found in Bamboo and Silk Texts: Focusing on External Injuries, Burns and Scalds, Intestines, Anus Diseases

• MIN H

• KMID: 2559120
• DOI: http://doi.org/10.13081/kjmh.2024.33.371

Abstract

This article aims to analyze the types of surgical diseases and treatments in ancient China as documented in bamboo and silk texts, with a particular focus on (external) injury, tetanus, burns, rectal and anal diseases, and inguinal hernias. For this analysis, I gathered 85 instances of disease and treatments recorded in these texts. The 85 cases were further categorized into 13 (external) injuries, 13 metal wounds, 6 tetanus, 22 burns, 16 rectal and anal diseases, and 15 inguinal hernias.
The analysis revealed that the treatment of (external) injury and burns focused primarily on the wound site, while the treatment of metal wounds and tetanus centered on addressing the internal body. Internal treatments were mainly prescribed through the use of medicine and food. Surgical intervention was recommended primarily for diseases of the rectum and anus, with medications applied to the woundspost-surgery. For inguinal hernias, a high-protein diet was typically prescribed.
As we’ve seen, in ancient China, surgical diseases were mainly treated with medication, surgery, and dietary prescriptions. And among these prescriptions, drug prescriptions were utilized not only by medical doctors but also by witch–doctors[巫醫] treating diseases in civilian society and soldiers stationed at frontline military posts. In the absence of medical doctors in both civilian society and frontline units, witch–doctors and frontline units purchased or stockpiled prescription drugs and used them to treat patients according to prescription.

Keyword

bamboo and silk texts; external injuries; burns; rectal and anal diseases; 간백(簡帛); 외상; 화상; 장(腸) 질환; 항문 질환