Tales from the Archives — A Plant for the End of the World

As I sift through materials for my own research on manuals and strategies for famine prevention, I’ve had to spend a lot of time thinking about plants. The near-obsession with the healing properties of plants pervades premodern East Asia, not just in the pharmacological sense but in nourishing one’s moral character.

When recording a book of recipes to stave off starvation, at least in the Japanese case, authors resorted to ingredients at the edge of edibility: fibrous stalks and wild roots, pulped tree bark, the scum from the bottom of your neighbor’s used rice pot. Yet they were equally concerned with spiritual upkeep as they were with bodily preservation.

Why?

So, I went digging through our own archives here at The Recipes Project and, to my great delight, discovered Michael Stanley-Baker’s contribution on botanicals for sustenance and salvation in premodern China: “A Plant for the End of the World.” I hope it sates your appetite for pondering plants too, or at least whets it.


By Michael Stanley-Baker

Atractylodes chinensis (DC.) 蒼朮, from the Jiuhuang bencao 救荒本草 (Materia Medica for Surviving Famine) 1.101a
Atractylodes chinensis (DC.) 蒼朮, from the Jiuhuang bencao 救荒本草 (Materia Medica for Surviving Famine, pub. 1525) 1.101a

Located in his mountain retreat near the Floriate Sunlight Cavern on Mount Mao, China’s earliest recorded pharmacologist, Tao Hongjing, is deep in his studies. He is editing the earliest known recension of the Chinese Pharmacopoeia, the Divine Husbandman’s Pharmacopoeia (Shennong bencao jing 神農本草經). It is about the year 500, and Tao is also compiling a collection of manuscripts, sacred revelations to a local family, the Xus 許 of Jurong, revealed to them over 130 years earlier. Collectively titled the Declarations of the Perfected (Zhen’gao 真誥), they cover all manner of topics that interested the Xus, from personal salvation, bodily cure, the contours of the underworld, to the political careers of their friends who had died and passed over into the bureaucracies of the afterlife. One manuscript in this collection celebrates a plant native to the Mao mountains, the herb atractylodes, cangzhu 蒼朮.  It describes not only the medical properties of the plant but an entire array of health-related and salvific practices. It is revealed by the Goddess, the Lady of Purple Tenuity, Ziwei Wang furen 紫微王夫人, whose title refers to the canopy of heaven surrounding the pole star. This manuscript, copied in the hand of the younger of the two Xu brothers, Xu Hui 許翽, is titled Discourse on Eating Atractylodes (Fu zhu xu 服朮序).  It begins at the end of time, with the apocalypse that was predicted for the year 392. In succeeding layers, the Lady of Purple Tenuity describes different practices for dealing with the disease, warfare and famine to come.

Excerpt from reconstructed Mawangdui Daoyin tu, excavated from tomb dated to 168 BCE. Wellcome Images
Excerpt from reconstructed Mawangdui Daoyin tu, excavated from tomb dated to 168 BCE.
Wellcome Images

There are massage and breathing exercises which nourish vitality (yangsheng 養生) to ensure robust health while drawing meditative awareness to the interior of the body.  These circulate qi and activate divine beings in the body.1 Other similar repertoires from this period further included daoyin 導引 stretching like those pictured here, sexual cultivation, and diet.

Visualisation of the dipper stars descending into the adept's body, and returning, bringing the adept with them.
Visualisation of the dipper stars descending into the adept’s body, and returning, bringing the adept with them. 上 清金闕帝君五斗三一圖訣.

The Lady of Purple Tenuity goes on to describe the next phase of practice, in which the adept visualizes starry gods of the dipper and other asterisms as celestial bureaucrats, inviting them to take up residence in the body. These visualizations anthropomorphize the bodily awareness of earlier breathing meditations, and match the body with the movements of the stars, of the seasons, of the five phases.  Then come fantastic alchemicals, beyond material making or financial access, which stretch the imagination and aspiration:

Tiger spittle, phoenix brain, white cornelian, jade frost, lunar liquor of the Grand Bourne, thrice-cycled numinous steel.  If you offer up a knife-point’s worth, your divine feathery wings will spread wide. Opening up the supreme writs of the void-like cavern, you will blaze in glory in the chamber of the primordial beginning…2

Visualisation of Cranial Gods. 上清金書玉字上經
Visualisation of Cranial Gods. 上清金書玉字上經

Finally, Lady Wang lays out the highest levels of practice: oration of the Great Cavern Scripture (Dadong zhenjing 大洞真經), and the other supreme texts of the tradition. These install supreme deities throughout the body, grant immortality and ascension to the highest layers of heaven. They will cause the 5 organs to flourish and thrive and guard and close the mysterious portal [between the eyes]. Visualize the nine perfected [beings] within the brain and the three qi will transport fluids [through the body] and irrigate the elixir field.3

Only then, Lady Wang begins to discuss plants:

One can add [to one’s lifespan] with the five micas, water cassia, atractylodes root, polygonatum, Lyonia Ovalifolia, sunflower, eastern stone, malachite, oily pine nuts, sesame, poria. These are all tools for cultivating life; using them can lengthen your years. I have completely investigated the successes and failures of trees and herbs. There are those which quickly benefit to oneself, but none equal the many proofs of the power of Atractylodes.4

It is here where she reveals that atractylodes, alone among all others, can dispel ghost-borne diseases at the millennial climax. The plant among plants, it is the key to survival in the end times.

Eat this potent herb to care for your health, swallow the floriate springs of clear rivers; study the secret instructions concerning mysterious wonders, and intone hidden texts of the most high. If you do this nesting high in mountain caves, you’ll be able to talk of your years in the same terms as metal and stone.5

This is not just a recipe for making a drug, it is a recipe for life, for salvation. Three recipes using atractylodes appear elsewhere in the Declarations as separate documents. They each describe technical details of boiling, sieving and pulping the root, frying it with wine or mixing it with honey, jujubes or pine nuts.  Other passages in Tao’s collection show that the Xu family were taking atractylodes for different reasons: Xu Mi 許謐 the father, was taking it for his semi-paralysed arm. the youngest of his three sons, Xu Hui 許翽 was taking it to prepare his digestive system for austere ascetic diets where he would give up food entirely to live on herbs or just qi. But why articulate atractylodes into this larger program?  Giving it this special meaning bound up the Xus with the sacredness of the mountains on which it grew. During the cataclysm the Mao mountains were to be the site where the Lord of the Dao from on High would descend to save the worthy. The Xus chances of being saved depended on two kinds of merit.  Firstly, the merit gained from persevering in their spiritual practices and achieving bio-spiritual transformation .  However, their access to these practices was due to the merits of their ancestor, Xu Ah, who compassionately dispensed drugs and food in the region during epidemic and famine.  The salvific qualities of Atractylodes brought these two together, binding their elite heritage, and their spiritual practice, their past and their future, into a direct relationship with the land, the mountains and the local ecology of medicinal herbs. The very mountain where the Xus were destined to be saved was the same site Tao Hongjing had chosen for his own editorial efforts, both of the Declarations, and the Pharmacopoeia.  

What of the Lady of Purple Tenuity’s knowledge of actractyldoes travelled into Tao’s Pharmacopoeia, written for the emperor, and intended for exoteric transmission outside? The eschatology, the other practices, the Xus disappear in that work. The pharmacopoeic format is regular and predictable, each entry proceeding with the drug’s name, flavours, temperature, toxicity, major functions and so on. Atractylodes is reported useful here for blockage syndrome in the limbs, which was Xu Mi’s condition, and for digestive problems, which correlates to Xu Lian’s fasting. Furthermore, Tao’s annotations report that “Transcendent Scriptures say” that it can suppress epidemic poxes and disperse evil qi, codewords for ghostly diseases, echoing the claims of the Discourse. Do these separate collections indicate broader cultural distinctions between religion and medicine, between recipes and pharmacopoeias, between local and centralized, or esoteric and exoteric knowledge?

1 On Shangqing massage techniques and their relationship to self-divinization see Michael Stanley-Baker, “Palpable Access to the Divine: Daoist Medieval Massage, Visualisation and Internal Sensation” Asian Medicine 7 (2012): 101-127. On the broader project, see here.

2 虎沫鳳腦,雲琅玉霜,太極月醴,三環靈剛。若以刀圭奏矣,神羽翼張,乃披空同之上文,煒燁元始之室。Declarations of the Perfected (Zhen’gao 真誥), Tao Honging ed.,DZ DZ 1016,  6.2b.

3 使五藏生華,守閉元關內存九真,三氣運液,而灌溉丹田。 Ibid., 6.3a-b.

4 乃可加以五雲   、水桂,朮根,黄精,南燭,陽草,東石,空青,松柏,脂實,巨勝,茯苓。竝養生之具。將可以長年矣。吾   又倶察草木之勝負。有速益於己者,竝未及朮勢之多驗乎。 Ibid., 6.3b. 5 餌靈朮以頤生,漱華泉於清川;研玄妙之祕   訣,誦太上之隱篇。於是高栖于峯岫,竝金石   而論年耶。  Ibid., 6.5b.

Tales from the Archives: Human Milk as Medicine in Imperial China: Practice or Fantasy?

The Recipes Project has over 500 posts in our archives and over 120 pages for readers to sift through. That’s a lot of material! With so much excellent material on the site, it’s easy for earlier pieces to be forgotten. This Tales from the Archive post ties into this month’s theme on TEXTURES and also reminds us of some of our wonderful past content.

This month we’re sharing a 2016 post by He Bian.  It offers a rich, revealing look into the ways that human milk – like and yet unlike milk from other animals – was imagined as a medicine in Imperial China.  We hope that you enjoy this latest installment from our Recipes Project archives, and if you have any posts that you’d like for us to revisit, please send in your nominations
Amanda & Marissa (editors)

By He Bian

What does milk have in common with blood? According to Kou Zongshi (fl. 1110-1117), author of Bencao yanyi (Extended Interpretations on Materia Medica), they are basically the same vital fluid produced by the female body at two critical moments in a woman’s life. While the first menstrual period signifies the maturation of reproductive power, motherhood is the consummation of that power–miraculously causing the vital fluid to flow upward as milk. After nursing ends, the flow of milk again reverses back to blood, as evident from the return of the menses.

“Human milk.” Anon. Buyi Leigong paozhi bianlan (n.p, 1591), Book 8.

However, Kou’s original aim was to make sense of medical recipes. In particular, he was trying to figure out why do so many recipes for eye medicine use human milk to mix up powdered mineral drugs: a practice that has parallels in different cultural contexts. Since blood is essential for the five senses to function and human milk is essentially blood, Kou reasoned, this makes it an excellent medicine for eye diseases. Another recipe that may have been on his mind is the recommendation to drink “three portions of human milk” to help with obstructed menses. It makes sense if they were considered of the same origin. Like cures like.

Let’s pause here to consider what this means. Working with Chinese materia medica texts often means untangling different strands of thought, modes of compilation and miscellaneous quotations. The entry on each substance (e.g. human milk, renru or ruzhi) often begins with a learned survey of previous literature, including passages from classical literature and histories, and ends with a large (and often unwieldy) body of recipes. The problem is that the prescribed uses of the substances in the first part do not always sit well with the recipes, which are messy, opaque, and often outright strange.

In fact, Kou Zongshi’s work could be understood as a scholar-physician’s attempt to impose order and coherence on the unruly recipes, which were becoming increasingly available in print. [2] The incongruities and tension between theory and recipes, however, allows us to follow the intricate dance between empiricism and rationalism in such texts: when did authors equate recipes with real-life experiences, and when did they treat them as exemplars of theory and formulaic principles? When did book culture begin to shape the ways in which medicines were prepared, consumed, and invented?

Back to Kou Zongshi’s ingenious, if somewhat contrived, speculation over the nature of lactation. It did not seem to have caught much attention immediately. The twelfth and thirteenth centuries witnessed a growing suspicion among medical experts to discipline and curb wet nurses’ sway over childcare, and pediatric treatises abound with warnings against drunken, naughty wet nurses whose milk turns unwholesome to the infant.[3] Again, the female body’s power to nourish but also intoxicate with her transformed milk resonates with similar discourses discussed elsewhere on this blog; notably, alcoholic drinks were seen to be a bad thing that excites her passions, in contrast to ancient Roman recommendations.

In addition, the conquest of Mongols brought about increased consumption of cow and goat’s milk.[4] A leading physician active in the fourteenth century advised consuming those over human milk, which is easily “tainted with poisonous passions.” It looks like the arrival of more abundant dairy products would transform the existing pharmacopeia once and for all.

But not so simple. By the sixteenth century in China, human milk had become a “super food” of sorts, especially among elite families. Kou Zongshi’s dusty theory became a dominant trope, fanning the imagination of the female body as a machine of alchemical wonders, and her milk a sort of elixir that revitalizes the frail and depleted bodies. In the sixteenth-century encyclopedia Systematic Materia Medica (Bencao gangmu), Li Shizhen, the erudite naturalist and capable physician, criticized the excessive fetishizing of human milk. The prudent Li nevertheless included twelve “new recipes” that involve human milk as medicine. Li’s encyclopedia was first printed in 1596; soon after the turn of the century, dietary manuals began to teach people how to prepare dried milk powder at home, after collecting fresh milk from “strong women who just gave birth to boys”. Presumably, women sold their milk not as wet nurses, but directly to pharmacists (as depicted in the picture above).

So did people in imperial China consume human milk as medicine? Quite likely. But was it ubiquitous? Probably not. Recipes can be practical and fantastic, and theorists can explain and inspire. What matters is that human milk as medicine gradually came to be taken out of the context of nursing and acquired a more abstract quality as commodity.

[1] Charlotte Furth, A Flourishing Yin: Gender in China’s Medical History: 960–1665 (Berkeley, CA: University of California Press, 1999).

[2] Asaf Goldschmidt, The Evolution of Chinese Medicine: Song Dynasty, 960-1200 (London ; New York: Routledge, 2009).

[3] Ping-Chen Hsiung, “To Nurse the Young: Breastfeeding and Infant Feeding in Late Imperial China,” Journal of Family History, 20, 3 (1995), pp. 217-38.

[4] Paul D. Buell, E.N. Anderson, and Charles Perry, A Soup for the Qan : Chinese Dietary Medicine of the Mongol Era as Seen in Hu Sihui’s Yinshan Zhengyao, 2nd Rev. and Expanded ed. (Leiden, The Netherlands: Brill, 2010).

 

Making Mr. Song’s Cheeses

By Miranda Brown

The subject of this post may strike readers as odd. The combination of “Chinese” and “cheese” brings little to mind: neither memorable textures, nor fragrant flavors. Nothing, not even a single name like Parmesan or cheddar. The reason for the dearth of associations is obvious enough. Cheese is largely absent from the Chinese diet, nowadays found only in the periphery of the Chinese world, in places like Yunnan and Mongolia, where it is regarded as ethnic food for Tibetans and other minorities.

Yet things were different several hundred years ago. Chinese gastronomes once waxed poetic about the taste and texture of cheese, professing their preference for it over elaborate delicacies. One poet, living in the thirteenth century, extolled the flavor of cheese, saying, “No need for fancy morsels when there is cheese!”[1] Another, living a century later, asserted the superiority of dairy to bean curd. “While this old fellow is content with his tofu,” he wrote, “The delight gotten from cheese is double.”[2]  These early foodies related recipes for manufacturing fresh, non-melting cheeses like paneer and the secrets for creating stretched curds like mozzarella.

Over the last several years, I have experimented with recipes for Chinese cheese, attempting to recapture the flavors and textures of centuries past. One recipe, for stretched-curd “milk threads,” proved tricky. Preserved in a 16thc-cookbook, Song’s Instructions for Preserving Life (Songshi yangsheng bu 宋氏養生部), the recipe can be summarized like this:

  1. Heat cow’s milk until hot.
  2. Pour in a souring agent (akin to diluted vinegar), dripping it into the milk gradually.
  3. Once a curd forms, collect it with a cotton wrap and shape into a disc.
  4. Take the curd and place inside of a pot of scalding water.
  5. In a separate vessel of scalding water, press it into the shape of a thin sheet of coarse silk.
  6. Place the curd onto a stick, rolling and pulling.
  7. Put the curd inside the scalding water in the pot, rolling and pulling three to five more times while in the water.
  8. Roll out the resulting thread, placing it on a rack to dry in the sun (oil can be added to make the product smoother).[3]

This recipe assumes a working knowledge of the cheesemaking process. Hence, the omission of precise measurements. Readers must know beforehand the quantities of milk or souring agent, and the temperature of the milk or scalding water. Needless to say, this presents a challenge to a modern cook who is unfamiliar with cheesemaking.

My first attempts to produce the cheese failed, even with un-homogenized milk. The resulting curds, small and grainy, refused to stretch after being immersed in hot water. I sought help from Youtube, watching videos of Indian housewives making kalari, a non-rennet string cheese that was similar to Song’s stretched curd in terms of ingredients (cow’s milk, vinegar, hot water). I noticed that when coagulating the milk, the home cooks would test the temperature of the milk with their fingers, stopping the heating process once they could no longer keep their fingers in the liquid, rather than waiting for the milk to come to a soft boil as one would when making ricotta or paneer. This made me think that control of temperature was key to success, something hinted by Song’s own directions: heat the milk until hot, not boiling. Still, my subsequent efforts to make the cheese failed despite the care taken during the initial curdling process. I wondered if the pasteurization process, which requires that the milk be heated to at least 165° Fahrenheit, had something to do with my lack of success.

My breakthrough came during a trip to California, where I was able to purchase raw or unpasteurized milk. I heated a quart of the raw milk gently until hot (110° F), then poured in a little diluted vinegar and shut off the heat, all the while continuously stirring the milk. Within minutes, the milk transformed into one large curd.

Figure 1: Raw milk coagulated with diluted vinegar. Image courtesy of the author.
Figure 1: Raw milk coagulated with diluted vinegar . Image courtesy of the author.

I removed the curd and heated a pot of water to simmering, and immersed the curd into the scalding water for a few moments, removing it from the pot and kneading, repeating the process three times. Voilà, an elastic curd that stretched easily.

Figure 2: The stretched curd with the author, made with a quart of milk. Image courtesy of the author.
Figure 2: The stretched curd with the author, made with a quart of milk. Image courtesy of the author.

Looking back at the experience with Chinese cheesemaking, I can say that the success of my experiment depended on a variety of factors: knowledge of arcane texts, watching other cheesemakers at work, and many failed experiments in the kitchen.

Miranda Brown teaches the history of Chinese science and food in the Department of Asian Languages and Cultures at the University of Michigan. Fascinated with recipes of all kinds, she is the author of the Art of Medicine in Early China (2015) and with Yang Yong, “The Wuwei Medical Manuscripts” (2017). She is currently writing a book about the premodern history of dairy in China.


[1] Zhu Xi  朱熹, Zhuzi wenji 朱子文集 (Taipei: Defu wenjiao jijinhui, 2000), 3/110.

[2] Yang, Lian 楊鐮 (chief editor), Quan Yuan shi 全元詩 (Beijing: Zhonghua shuju, 2013), 109.

[3] For a translation of the whole recipe, see Miranda Brown, “Mr. Song’s Cheeses, South China, 1368-1644.” Gastronomica: The Journal of Critical Food Studies (Forthcoming). 

Cold Wombs and Cold Semen: Explaining Sonlessness in Sixteenth-century China

By Yi-Li Wu

Figure 1. Depictions of boys at play were a popular Chinese decorative motif during the sixteenth century, imbued with auspicious meaning and conveying hopes for male offspring. This porcelain bowl was made in Jindezhen during the Jiajing reign period (1522–66). From the collection of the Metropolitan Museum of Art, New York, NY. Gift of Denise and Andrew Saul, 2001. Accession number 2001.738. On-line at https://www.metmuseum.org/art/collection/search/64484

Throughout imperial China, a family’s well-being and longevity required the birth of sons. [Fig. 1]  Sons performed the ancestral rites, inherited land, and were responsible for supporting aged parents. And only men could take the examinations for government office which conferred elite socio-economic status. But at age 40, Liu Xiaoting was still sonless (wu zi). He appealed to the physician Gong Tingxian (15`38-1635), promising him rich recompense if he could help. As Gong recorded in his influential treatise, Curing the Myriad Diseases (Wanbing huichun, preface dated 1587), Liu’s “male member was weak, and his semen was icy cold.” Furthermore, his pulses were flooding when felt at the first position (cun) at the wrist, but deep and faint at the third position (chi). Gong’s diagnosis: a profound deficiency of primordial qi (yuan qi), the source of all the body’s vitalities and material manifestations. This was caused, he explained, by excessive drinking and sexual indulgence.

Depletion from debauchery was a common diagnosis for upper-class men of the time, those who had the means to own concubines and patronize courtesans. Doctors agreed that such carousing exhausted the body’s vitalities, not least because male semen was produced from “essence” (jing), the vitality that enabled growth, generation, and reproduction. Besides depleting the body, excessive outflows of semen harmed the kidneys, the organs that produced, stored, and transformed essence.  To cure Liu, Gong prescribed a 16-ingredient formula called “Elixir to Solidify the Root and Strengthen Yang” (Guben jianyang dan) (see below).  After taking one recipe’s worth, Liu felt that his nether parts were warm again.  After an additional half-recipe, he felt recovered. To his great joy, he then begat a son. Liu subsequently shared the formula with a Liu Boting and a Liu Min’an (probably kinsmen) who also used it successfully. [Figs. 2 and 3]

Figs. 2 and 3: The recto and verso of a page from a seventeenth-century edition of Gong Tingxian’s Curing the Myriad Diseases, showing his recipe for Elixir to Solidify the Root and Strengthen Yang (Fig. 2, recto) and explaining how he used it to cure Liu Xiaoting (Fig. 3, verso). Note that Chinese books were read from right to left. From Expanded edition of “A Collection on Curing the Myriad Diseases” by Mr. Gong Yunlin, Confucian doctor (Zengbu ruyi Gong Yunlin xianshen Wanbing huichun ji), Renren shushe woodblock edition, 1641. Yulin was Gong Tingxian’s sobriquet (hao). In the collection of the Berlin State Library, Germany. Digitized and on-line at the Staatsbibliothek zu Berlin-PK digitalisierte Sammlungen, permanent URL: http://resolver.staatsbibliothek-berlin.de/SBB000160F000000000.

Gong Tingxian placed Liu Xiaoting’s case in his discussion of “seeking descendants” (qiu si), which was part of a larger section on “women’s diseases” (fu ke).  “Descendants” here referred specifically to sons.  Although Chinese medical writings on childbearing focused primarily on the female body, people had also long recognized that male ailments could impede conception. These concerns were especially salient in Gong and Liu’s time, when population pressure, urbanization, and commercialization were creating new forms of socio-economic mobility and instability.  As Charlotte Furth has shown, this inspired a proliferation of writings on male self-cultivation and producing sons. Such material appeared in various textual genres, and it was not uncommon to find the reproductive illnesses of men discussed in chapters on women. These discussions assumed, furthermore, that a deficient man might still be able to father daughters, but that only a properly regulated male body would create sons. The question was how best to achieve that regulation.

In medical discussions of infertility, cold could refer to somatic sensations of chillness, as well as to a sense of deficiency and absence of vitality.  Writings on women were primarily concerned with ensuring the ample and free flow of female blood, which constituted the female seed, nourished the fetus, and later transformed into breast milk.  But doctors also worried about coldness in the womb, whether from an invading wind, or arising from internal depletion. Cold would cause female blood to stagnate and become corrupt.  But concerns about female cold were also expressed in terms of agricultural metaphors which portrayed the womb as a field that needed to be warm and nurturing to receive the male seed.

Women with cold wombs would simply not produce children. But when couples produced only girls, this suggested deficiencies in the man, who played a key role in determining the child’s sex. The various theories of sex selection might differ as to details, but they agreed that a man could produce boys by shooting (she) his seed into the woman on certain days, in a certain manner, at a certain point in the copulatory act.  Particularly important was the belief that both men and women released reproductive seed during orgasm, and that the fetus’ sex was determined by the seed that came last.  A man who wanted sons thus needed to bring his female partner to climax before releasing his own seminal essence. His semen also needed to be sufficiently “dense” (mi), lest it dribble uselessly out of the womb.

Coldness in men was thus associated with impaired copulatory function, manifesting as cold and watery seed and as a weak penis unable to control its emissions. Gong Tingxian’s fertility formula echoed this understanding, relying heavily on substances that were classified as “principal drugs for treating spermatorrhea” and/or as “principal drugs for treating impotence” in Li Shizhen’s authoritative  and encyclopedic Compendium of Materia Medica (Bencao gangmu,preface dated 1590).  At the same time, Gong’s formula implicitly rebuked those who would treat male coldness with heating drugs.  This objection was rooted in a particular understanding of how cosmological yin and yang forces expressed themselves in the male body.

To simplify enormously: yang referred to things that were external, active, and hot, while yin was internal, receptive, and cool. Men were the yang of humankind, and male potency and fertility were understood as expressions of bodily yang. As a result, people routinely tried to treat sonlessness with heating drugs. But some doctors warned that too much heat would damage and consume yin, harming the kidneys (yin) and consuming its essence (yin). Excessive heat would sicken the man, and even if he managed to conceive a son, the heat would remain as a latent poison in the fetal body and the boy would die young. Instead, they argued that the proper way to regulate yang was to address the underlying deficiency of yin.  Gong Tingxian shared this viewpoint, and the key drugs in his prescription acted by nourishing bodily yin and the kidneys.  As Liu Xiaoting swallowed the dozens of pills that Gong prescribed, he may have had initial doubts about their efficacy. But the birth of his son would have convinced him that, at least in this instance, Gong’s approach to male coldness was the correct one.

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Elixir to Solidify the Root and Build Yang (Guben jianyang dan)
Dodder seed (tu si zi) cooked in wine, one and a half taels[1]

White poria, root end (bai fu shen), skin and woody bits removed
Dioscorea (shan yao), steamed with wine
Achyranthes root (niu xi), stems removed, washed in wine
Eucommia bark (du zhong), washed in wine, skin removed, roasted until crisp
Angelica root, main body (dang gui shen), washed in wine
Cistanche (rou cong rong), soaked in wine
Schisandra fruit (wu wei zi), washed in wine
Black cardamom (yi zhi ren), stir-fried in salt water
Tender deer antler (nen lu rong), roasted until crisp
One tael each of the above

Prepared rehmannia (shu di), steamed in wine
Dogwood fruit (shan zhu yu), steamed in wine, the pit removed
Three taels each of the above

Sichuanese morinda (chuan ba ji), soaked in wine, the heart removed, two taels

Teasel (xu duan), soaked in wine
Milkwort (yuan zhi), processed
Cnidium seeds (she chuang zi), stir fried, the husks removed
One and a half taels each of the above

Add:
Ginseng (ren shen), two taels
Goji berries (go ji zi), two taels

Grind the above into a fine powder, and mix with honey to form pills as large as the seeds of the parasol tree. For each dose, take 50 to 70 pills on an empty stomach, washed down with salt water. With wine is also fine. Before bedtime, take another dose. If the woman’s monthly affair is already concluded, then this is the time for planting sons, and if one takes three doses a day, that is no problem.  If essence is not stable, then add dragon bone (long gu) and oyster shell (mu li), heated in fire and quenched in salted wine three to five times. Use one tael, three mace of each. Moreover, add five taels of tender deer horn.

[1] The weight of the tael (Ch. liang) has varied over time, but during Gong Tingxian’s lifetime would have been equivalent to approximately 37 grams.  A mace (Ch. qian) is one-tenth of a tael.

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Yi-Li Wu is a Center Associate of the Lieberthal-Rogel Center for Chinese Studies at the University of Michigan, Ann Arbor (US).  She earned a Ph.D. in history from Yale University and was previously a history professor at Albion College (USA) for 13 years.  Her publications include Reproducing Women: Medicine, Metaphor, and Childbirth in Late Imperial China (University of California Press, 2010) and articles on gender and the body; medical illustration; forensic medicine, and Chinese views of Western anatomical science.  She is currently completing a book manuscript on the history of wound medicine in China.