‘National Essence’ vs ‘Science’: Chinese Native Physicians' Fight for Legitimacy, 1912–37

The medical profession in modern China comprised two radically different schools—modern (Western) medicine and native medicine. The difference in philosophy, theory, and technique made a conflict between the two schools almost inevitable, and the conflict was intensified by the modernization process that was quickened during the Republican period. Western-trained or modern doctors advocated national salvation through science and denounced native medicine as superstitious, unscientific, and an impediment to the development of medical science in China. On the other hand, native medical practitioners insisted that what they learned and practiced was part of the national essence ( guocui ) and should be protected against the cultural invasion of imperialism ( diguo zhuyi wenhua qinlue ) including Western medicine. To be sure, both sides used such rhetoric to camouflage the business competition between them, but this rivalry and its implications did point to a profound cultural conflict between Chinese tradition and Western influence in China's modernization. It epitomized a burning issue of the day: whether or not China's modernization meant Westernization and whether a respectable position for China in the modern world was to be achieved through Westernization or preservation of what was regarded or claimed as national heritage.