Abstract
This article explores a debate that emerged within the Chinese medical community in the late 1920s and early 1930s. The debate, which centered on the respective roles played by the heart and brain in functions related to thinking, movement, and the onset of psychiatric disorders, concluded that neuropsychiatry’s overriding emphasis on the brain was shortsighted. Instead, participants resolved that the brain and heart, alongside other organs and systems, were inextricably entwined, with many thought processes being governed by the heart. Although the discussion only lasted a few years, the insights it generated offer valuable theoretical contributions to contemporary conceptualizations of the mind/body duality. By highlighting alternative ways of understanding “mental” malfunction – theories that go beyond a narrow focus on the brain itself – Chinese medicine might provide a model for rethinking the relationships among the brain, the body, and different organs, systems, and physiological processes. The article ends by drawing a parallel between the heart vs. brain debate and recent research that seeks to show how gut health and heart health affect psychological and emotional wellbeing.
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References
Andrews, B. (2014). The making of modern Chinese medicine, 1850–1960. Honolulu: University of Hawaii Press
Braslow, J. (1997). Mental ills and bodily cures: psychiatric treatment in the first half of the twentieth century. Berkeley: University of California Press
Baum, E. (2018). The invention of madness: state, society, and the insane in modern China. Chicago: University of Chicago Press
Brown, E. (2008). Neurology’s influence on American psychiatry, 1865–1915. In E. Wallace and J. Gach (Eds.), History of Psychiatry and Medical Psychology (pp. 519–532). New York: Springer
Carabotti, M., et al. (2015). The gut-brain axis. Annals of Gastroenterology, 28(2), 203–209.
Chen, H.-F. (2003). Medicine, society, and the making of madness in imperial China. PhD Dissertation: University of London.
Chen, H.-F. (2014). Emotional therapy and talking cures in late imperial China. In H. Chiang (Ed.), Psychiatry in Chinese History (pp. 37–54). London: Pickering & Chatto.
Croizier, R. (1968). Traditional medicine in modern China: science, nationalism, and the tensions of cultural change. Cambridge: Harvard University Press.
Ding, G. (1928). Lun xin yu nao zhi guanxi [on the relationship between heart and brain]. Weisheng bao, 18, 138
Ding, G. (2013). Ding Ganren Yi’an [Medical cases of Ding Ganren] [Medical cases of Ding Ganren]. Shanxi: Shanxi kexue jishu chubanshe.
Engstrom, E. (2003). Clinical psychiatry in imperial Germany: a history of psychiatric practice. Ithaca: Cornell University Press.
Farquhar, J. (1994). Knowing practice: the clinical encounter of Chinese medicine. Boulder: Westview Press.
Farquhar, J. (2020). A way of life: things, thought, and action in Chinese medicine. New Haven: Yale University Press.
Gershon, M. (1998). The second brain. New York: HarperCollins.
Gross, C. (1995). Aristotle on the brain. The Neuroscientist, 1(4), 245–250.
He, D. (1935). Diankuangxian zhi zhengzhuang yu zhifa gailun [Symptoms and treatment of dian, kuang, and xian]. Zhongyi shijie, 9(1), 6–8
Hsu, E. (2000). Spirit (shen), styles of knowing, and authority in contemporary Chinese medicine. Culture, Medicine and Psychiatry, 24, 197–229.
Hsü, F. L. K. (1939). A brief report on the police cooperation in connection with mental cases in Peiping. In R. Lyman, V. Maeker, & P. Liang (Eds.), Social and psychological studies in neuropsychiatry in China (pp. 199–230). Peking: Henri Vetch.
Kerr, G. J, Refuge for the Insane. (1925). Annual report. Canton: Wai Hing Printing
Kitanaka, J. (2012). Depression in Japan: psychiatric cures for a society in distress. Princeton, NJ: Princeton University Press
Lei, S.H.-L. (2014). Neither donkey nor horse: medicine in the struggle over China’s modernity. Chicago: University of Chicago Press.
Li, J. (1932). Diankuang bing [Madness]. Zhongyi shijie, 4(24), 25–27
Ma, S. (1929). Xin yu nao [Heart and brain]. Jiankang zazhi, 1(2), 17–19.
Ma, Z. (2014). An iron cage of civilization? Missionary psychiatry, the Chinese family, and a colonial dialectic of enlightenment. In H. Chiang (Ed.), Psychiatry in Chinese History (pp. 91–110). London: Pickering & Chatto.
Manev, H. (2009). The heart-brain connection begets cardiovascular psychiatry and neurology. Cardiovascular Psychiatry and Neurology, 1, 1–2.
Peking Union Medical College. (1928). Annual report. Peking: PUMC Press
Scheid, V. (2007). Currents of tradition in Chinese medicine, 1626–2006. Seattle: Eastland.
Selden, C. (1905). Work among the Chinese insane and some of its results. China Medical Missionary Journal, 19(1), 1–17.
Simonis, F. (2010). Mad acts, mad speech, and mad people in late imperial Chinese law and medicine. PhD dissertation, Princeton University.
Unschuld, P. (2003). Huangdi neijing suwen. Berkeley: University of California Press.
Wang, Q. (1934). Nao zhi shengli: xin yu nao zhi yanjiu [Physiology of the brain: research on the heart and brain]. Dazhong yixue yuekan, 1(9–10), 4–5
Williams, E. A. (2007). Neuroses of the stomach: eating, gender, and psychopathology in French medicine, 1800–1870. Isis, 98(1), 54–79.
Williams, E. A. (2010). Stomach and psyche: eating, digestion, and mental illness in the medicine of Philippe Pinel. Bulletin of the History of Medicine, 84(3), 358–386.
Yang, H. (1933). Kuangdianxian zhi yanjiu [Research on kuang, dian, and xian]. Dazhong yixue yuekan, 1(9), 64–69.
Yu, N. (2009). The Chinese HEART in a cognitive perspective: culture, body, and language. Berlin: Mouton de Gruyter.
Yu, S. (1933). Diankuang bing zhi yanjiu [Research on madness]. Dazhong yixue yuekan, 1(2), 14–16.
Zhang, Y. (2007). Transforming emotions with Chinese medicine: an ethnographic account. Buffalo: SUNY Press.
Zong, Z. (1933). Shuo nao [Speaking of the brain]. Dazhong yixue yuekan, 1(7), 22–23.
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Baum, E. Embodied Minds: Hearts and Brains in Psychiatry and Chinese Medicine. Integr. psych. behav. 56, 343–354 (2022). https://doi.org/10.1007/s12124-021-09605-z
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DOI: https://doi.org/10.1007/s12124-021-09605-z