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Although Chinese medicine is assumed to be a timeless healing
tradition, the encounter with modern biomedicine threatened its
very existence and led to many radical changes. Prescriptions for
Virtuosity tells the story of how doctors of Chinese medicine have
responded to the global dominance of biomedicine and developed new
forms of virtuosity to keep their clinical practice relevant in
contemporary Chinese society. Based on extensive ethnographic and
historical research, the book documents the strategies of Chinese
medicine doctors to navigate postcolonial power inequalities.
Doctors have followed two seemingly contradictory courses of
action. First, they have emphasized the unique "Chinese"
characteristics of their practice, defining them against the
perceived strengths of biomedicine, and producing an ontological
divide between the two medical systems. These oppositions have
inadvertently marginalized Chinese medicine, making it seem
appropriate for clinical use only when biomedical solutions are
lacking. Second, doctors have found points of convergence to
facilitate the blending of the two medical practices, producing
innovative solutions to difficult clinical problems. Prescriptions
for Virtuosity examines how the postcolonial condition can generate
not only domination but hybridity. Karchmer shows, for example, how
the clinical methodology of "pattern discrimination and treatment
determination" bianzheng lunzhi, which is today celebrated as the
quintessential characteristic of Chinese medicine, is a
twentieth-century invention. When subjected to the institutional
standardizations of hospital practice, bianzheng lunzhi can lead to
an impoverished form of medicine. But in the hands of a virtuoso
physicians, it becomes a dynamic tool for moving between
biomedicine and Chinese medicine to create innovative new
therapies.
Although Chinese medicine is assumed to be a timeless healing
tradition, the encounter with modern biomedicine threatened its
very existence and led to many radical changes. Prescriptions for
Virtuosity tells the story of how doctors of Chinese medicine have
responded to the global dominance of biomedicine and developed new
forms of virtuosity to keep their clinical practice relevant in
contemporary Chinese society. Based on extensive ethnographic and
historical research, the book documents the strategies of Chinese
medicine doctors to navigate postcolonial power inequalities.
Doctors have followed two seemingly contradictory courses of
action. First, they have emphasized the unique "Chinese"
characteristics of their practice, defining them against the
perceived strengths of biomedicine, and producing an ontological
divide between the two medical systems. These oppositions have
inadvertently marginalized Chinese medicine, making it seem
appropriate for clinical use only when biomedical solutions are
lacking. Second, doctors have found points of convergence to
facilitate the blending of the two medical practices, producing
innovative solutions to difficult clinical problems. Prescriptions
for Virtuosity examines how the postcolonial condition can generate
not only domination but hybridity. Karchmer shows, for example, how
the clinical methodology of "pattern discrimination and treatment
determination" bianzheng lunzhi, which is today celebrated as the
quintessential characteristic of Chinese medicine, is a
twentieth-century invention. When subjected to the institutional
standardizations of hospital practice, bianzheng lunzhi can lead to
an impoverished form of medicine. But in the hands of a virtuoso
physicians, it becomes a dynamic tool for moving between
biomedicine and Chinese medicine to create innovative new
therapies.
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