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

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:

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.


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

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.


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.

Searching for Something Special in Northeastern China’s Cuisine

By Loretta E. Kim

Mixed noodles with broth and sauce. Credit: Loretta Kim.

The “eight major cuisines” (ba da caixi) of China, a culinary taxonomy sometimes reduced to four types and at most expanded to sixteen, reflects Chinese pride in the diversity of ingredients and flavor palettes that are associated with historical variations in material culture developed from differences in topography, climate, and biota. However, the Chinese word caixi, which translates to the English term “cuisine”, generally refers to foods that are attributed to the Han people who constitute the ethnic majority group in the past and present. Foods of non-Han peoples are also consumed by Han people, but are often considered part of “food and beverage culture” (yinshi wenhua) or “folk customs” (minjian xisu). The exclusion of non-Han foods from the cuisine classification and attribution of them instead to geographical regions and culture serves to reinforce the conception of non-Han peoples as marginal members of Chinese society.

Natives of Northeastern China, customarily defined as Jilin, Liaoning, and Heilongjiang provinces, are proud of their food, but people in other parts of the country often remark that Northeastern food (Dongbei cai) is not an authentic type of “cuisine” because it is “simple” (lacking complex flavors), “tasteless” (or “too salty”), and “monotonous” (most dishes are made of the same ingredients). Most of these uncomplimentary stereotypes of Northeastern China’s food are based on the staples and homemade favorites of Han households in the region, such as “three fresh flavors of the earth” (di san xian), a dish made by sautéing potatoes, eggplants, and green peppers with garlic, green onions, and peanut oil, and dishes cooked by stewing an assortment of ingredients (dun cai).

Although they are generally not explicitly cited in criticisms of Northeastern food, several attributes of the region influence how Chinese in other areas develop these prejudices. Northeastern China is a borderland and socio-cultural frontier between China and neighboring countries, so it is not considered as a distinct culinary region like other borderlands such as the Xinjiang Uighur Autonomous Region and Yunnan and Guizhou provinces.

Another characteristic of Northeastern China is that its ethnic minority (non-Han) populations are not well-known to people in other areas of China, either by group name or distinguishing characteristics. Chinese in central and eastern China may know of Manchus and Mongols, two of China’s largest ethnic minority groups, but struggle to name or describe any others. So unlike Xinjiang, Yunnan, and Guizhou, which are known as the homes of ethnic minorities that produce food which is very different from Han food and therefore quite appealing to Chinese consumers who seek epicurean novelty, the culinary reputation of Northeastern China does not benefit from its ethnic diversity.

Most ethnic minority people in contemporary Northeastern China are fluent and literate in Mandarin Chinese (Putonghua) but do not actively translate or otherwise bridge knowledge from their heritage languages into China’s Sinophone mainstream society. Moreover, most ethnic minority recipes in Northeastern China are not documented and standardized, and few people can read or write texts produced in these languages so there is no substantial audience for such records.

Despite these disadvantages to changing popular attitudes towards Northeastern China’s cuisines, pre-twentieth century sources reveal that non-Northeastern people formerly associated certain foodways with places and peoples of the Northeast. One such source is the section about food in the Classified Anecdotes of the Qing Dynasty (Qingbai leichao). The author, Xu Ke (1869-1928), was a native of Hangzhou in Zhejiang province and a member of the literati class who earned an official examination degree.

Unlike many of his fellow southern-born cultural doyens, Xu included references to the north, including the northeast, in his writings. About the people of Ningguta, a place now known as Ning’an, in Heilongjiang province, he observed “The da gao [a cake usually made of glutinous rice (nuomi 糯米), honey and/or white sugar] is made of glutinous millet (huangmi 黃米) in Ningguta (emphasis mine).”[1] Xu Ke  also observed that Ningguta people like “yellow pickled vegetables” (huangji). “Yellow pickled vegetables” are ubiquitous throughout China to the southernmost region of Guangdong, where huangji is pronounced  wong zai) and the vegetable in question is a cucumber that is served minced. How the Ningguta pickle was eaten, and in fact what is, goes unexplained, but Xu’s reference to it piques the imagination about what made it unique.

Xu also discusses the foods of non-Han peoples in Northeastern China in his miscellany, such as the two ways in which Mongols eat meat: “(Mongols) boil beef and lamb slightly in plain water, or roast (these meats) directly over bovine manure. When the pieces (of meat) are roasted, the left hand is used to hold the meat, while the right hand holds a small knife to cut (the meat), a little salt is added and the meat is eaten without being chewed.”[2] Roast meat is not a sophisticated dish, if sophistication is appraised by the number of ingredients or required steps to cook it. But the mental image of a Mongol diner holding and cutting his meat inspires us to think about how culinary sophistication and tradition as only defined by Han people or by ethnic minorities who are commonly known for being “exotic” inhibits a more inclusive and potentially more interesting interpretation of “cuisine” in China.

[1] Xu, Qingbai leichao, 6248.
[2] Xu Ke, Qingbai leichao (Classified anecdotes of the Qing dynasty)(Shanghai: Shangwu yinshuguan, 1917, reprint, Beijing: Zhonghua shuju, 2010), 6247.

How Best to Treat the Heat in 1793 Beijing

By Marta Hanson

Translating traditional Chinese medical terms into modern English forces one to consider dramatic changes in medicine over the past two centuries. Take, for example, the modern Chinese phrase fa re for “fever,” which literally means “to produce (fa) heat (re).” Although today it refers to elevated body temperature, traditionally it referred to the preternatural heat that patients experienced dispersed throughout their bodies and only sometimes referred to elevated skin temperature.[1] In fact, before the late 19th-century, the English term “fever” also contained multivalent meanings and multifarious patterns of excessive heat.[2] Fever in the sense of having a temperature above the 97.3 to 99.5 °F human range was not even defined in western medicine, nor a convenient clinical thermometer invented to measure it, until the late 1860s.[3] Although many of the febrile-related symptoms that fall under the Chinese disease concept “Hot diseases” (rebing) could fit under the biomedical umbrella of acute-infectious diseases, in classical Chinese medicine they were originally conceptualized as caused by climatic configurations of qi (i.e., vital energy/matter).[4]

The Yellow Emperor’s Inner Canon: Basic Questions (ca. 1st c. BCE) originally distinguished two types of Hot diseases related to different types of climatic qi. The first included an acute-onset febrile disorders caused by external pathogenic qi related to changing seasons or local weather. The second was a type of “Cold Damage” (shanghan) acquired in the winter but which went dormant until the heat of the spring or summer manifested it as excessive heat and internally impairing dryness. The first Inner-Canon definition that Hot diseases could be due to other types of pathogenic climatic qi also facilitated conceptualizing epidemics as due to pathogenic environmental qi unrelated to the winter cold or local climate.[5] Nonetheless, no matter the original cause when excessive heat was the result, it had to be expelled.

An interesting case of disagreement on how best to “treat the heat” occurred in Beijing during a febrile epidemic (wenyi) in the spring and summer of 1793. The Qing official, Ji Yun (1724–1805) unusually responded to this epidemic by comparing the success rate of three therapeutic drug strategies. The first, associated with Zhang Jiebin (1563-1640), resulted in 80–90% mortality. The second, promoted by Wu Youxing (1582?-1652), was no more effective. But a third formula created by the living doctor, Yu Lin (ca. late 18th cent.), had successfully cured the concubine of the Chief Minister of the Court of State Ceremonies, Feng Yingliu (1741–1801) with a strong gypsum-based formula.[6] Ji noted that those who witnessed this were shocked but those who followed his method ended up saving countless lives.[7]

The three competing cures in Ji’s short anecdote illustrate well how Cold and Heat were the main metaphors used to understand the cause of epidemics and legitimate drug choices for treating them. Zhang’s “warming and tonifying” (wenbu) tonics were based on what the Cold Damage Treatise (Shanghan lun, ca. 220 CE) recommended for treating Hot diseases (believed to have their origin in winter Cold manifested in the summer). These included warming herbs such as Cassia twig (guizhi) and Ephedra (mahuang) to release cold via the exterior and Aconite (fuzi) to warm the exterior and expel cold.  [See rebing entry to far left in Figure 1]

Medication chart from the Gold-Dusted Cold Damage [Treatise] (Shanghan diandian jin, completed 1341, date of this printing unknown). Image credit: Wellcome Collection.
 Wu’s “purgative” (gongxia) formulas contained Rhubarb root and rhizome (dahuang) to purge downward, and even Betel Nut (binglang) to expel pathogenic qi.  Wu termed this anomalous qi (yiqi), deviant qi (liqi), or pestilential qi (liqi) in his Treatise on Febrile Epidemics (Wenyi lun, 1642). [See figure 2] As He Bian has written on this blog, Chinese rhubarb had its heyday in the eighteenth century, yet not all physicians were in accord with its suitability during epidemics.


Rhubarb from Li Shizhen’s Systematic Materia Medica (Bencao Gangmu) printed in 1596.

The third author named in this story, Yu Lin, later became famous for his recipe titled: “Epidemic-Clearing and Toxin-Dispersing Beverage” (Qing wen bai du yin). [8]  The fourteen-ingredient recipe was based on a combination of the White Tiger Decoction (baihu tang) that cleared out heat on the exterior with two other formulas.[9]  Yu’s recipe, however, featured crude gypsum (i.e., the “White Tiger”) in quantities at least three times the other main ingredients (raw foxglove root, rhinoceros horn, and coptis root). This made it an extremely Cold formula, and potentially life-threatening for those who thought Cold was the underlying cause and so used Zhang’s formulas. For Yu, however, Gypsum’s cold-cooling quality cleared excessive heat accumulated in the stomach system. [Figure 3 depicts this heat-clearing function of gypsum at the center of the man’s chest).

Depiction for White Tiger Decoction in Illustrations and Explanation of the Major Formulas of the Cold Damage Treatise (Shanghan lun dafang tu jie, 1833). Image credit: Wellcome Collection.

Expelling pathogenic Cold qi and warming the interior with aconite and cassia twigs, purging pestilential qi through the bowls with rhubarb, and clearing out the pathogenic Heat from the stomach with gypsum were thus all therapeutic strategies at play during the 1793 epidemic in the capital. The first framed the cause of the epidemic in latent winter cold that had to be dispersed. The second saw it as externally contracted pestilential qi that needed to be purged. Finally, the third considered it excessive heat that had to be cleared. Despite these major differences all three approaches nonetheless treated the febrile symptoms subsumed under fa re or, in the modern term, “fevers” as something that drugs could manage by adjusting the internal balance of Hot and Cold.


Translations for Figures 1 and 3

Figure 1: From right to left are listed three disease concepts – Cold Damage, Wind Damage, and Hot Diseases. Their commonly used formulas are written below. The six formulas listed under rebing are from right going down and then to left going down: With sweat cassia twig decoction (han guizhi tang), Cassia twig and gypsum decoction (guizhi jia shigao), Cassia twig decoction together with gypsum, anemarrhena, cohosh, and ephedra (guizhi jia shigao zhimu sheng[ma] ma[huang], Without sweat ephedra decoction (wuhan mahuang tang), Evening produced (i.e., heat) gardenia, cohosh, and ephedra decoction (wan fa zhizi sheng[ma] ma[huang]), and Cassia twig decoction with ephedra and gypsum (guizhitang jia mahuang shigao).

Figure 3: From the right to left across the top is written. 1) “The assistant [drug] Amemarrhena (zhima) disperses dryness [and] produces jin [fluids].” 2) the space below the chin reads “protects the lungs.” 3) and to the left is written “licorice (gancao) harmonizes the stomach and rice (gengmi) assists the stomach qi.” 4) The 5-character phrases on either side of the oblong circle together state the therapeutic strategy “[When] the pathogenic [qi] has already changed into Fire, then clear, cool, and make it disperse.5)  In the long oval at the center of the body, the phrase instructs: “When it [i.e., the Fire} enters the stomach, use gypsum.”

[1] Nathan Sivin, Traditional Medicine in Contemporary China, Science, Medicine, & Technology in East Asia 2 (Ann Arbor: The University of Michigan Center for Chinese Studies, 1987), xxiv-xxv, 86, 108.

[2] Christopher Hamlin, More Than Hot: A Short History of Fever, Johns Hopkins Biographies of Disease (Baltimore: John Hopkins University Press, 2014).

[3] J.M.S. Pearce, “A brief history of the clinical thermometer,” QJM: An International Journal of Medicine 95.4 (1 April 2002): 251-52. Thomas Clifford Allbutt (1836-1925) invented the 6-inch thermometer that was first able to record a temperature in 5 minutes in 1866 and in 1868 Carl Wunderlich, using a foot-long thermometer put in the axilla (i.e., armpit), established the normal range from 36.3 to 37.5 °C or 97.3 to 99.5 °F.

[4] Shigehisa Kuriyama, “Epidemics, Weather, and Contagion in Traditional Chinese Medicine,” in Lawrence I. Conrad and Dominik Wujastyk, eds., Contagion: Perspectives from Pre-Modern Societies, (Aldershot, Hampshire: Ashgate Publishing Limited, 2000), 3-22.

[5] Marta Hanson, Speaking of Epidemics in Chinese Medicine: Disease and the geographic imagination in late imperial China (London: Routledge, 2011), 16-17.

[6] Gypsum is monoclinic calcium sulfate. See discussion of this episode in Hanson, Speaking of Epidemics, 2011, 126-27.

[7] Ji Yun 紀昀, Yuewei caotang biji 閱微草堂筆記(Jottings from Yuewei Hall), printed 1800. Repr. Shanghai: Shanghai guji chubanshe, 1980. Passage in juan 18, jotting #24, 458-9. Online access

[8] Jian Min Wen and Garry Seifert, translators, Warm Disease Theory, Wēn bing xúe (Brookline, Mass.: Paradigm Publications, 2000), 141.

[9] White Tiger Decoction is used to treat an illness pattern with great heat, thirst, and sweating and a surging and large pulse. For analysis of the logic of the formula see Craig Mitchel, Feng Ye, Nigel Wiseman, Shang Han Lun: On Cold Damage: Translations & Commentaries (Brookline, Mass.: Paradigm Publications, 1999), 316-24