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The Rise of Western “Scientific Medicine” in Japan: Bacteriology and Beriberi

  • Christian Oberländer

Abstract

The adoption of Western medicine was an integral part of Japan’s modernization from its very beginning,1 leading ultimately to the introduction of “scientific medicine,” a defining characteristic of the modern world. Scientific medicine started as a development in Western Europe, and after considerable conflict, came to be recognized as producing “true medical knowledge.” This, in turn, was made universal through exportation.2 Scientific medicine is based on two distinctive institutions, the hospital and the laboratory, which still prevail today. In hospital medicine, clinical investigation searches for correlations between symptoms and signs of disease, and internal changes of the body. Research focuses on anatomical pathology, and post-mortems are routinely performed. In laboratory medicine, causes of diseases are identified by experiments in order to create cures for them. Laboratory research concentrates on living processes like bacteriology, uses living animals for experiments, and depends strongly on scientific instruments like microscopes.3

Keywords

Western Medicine Hospital Medicine Scientific Medicine Germ Theory Japanese Physician 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Notes

  1. 1.
    Christian Oberländer, Zwischen Tradition und Moderne: Die Bewegung für den Fortbestand der Kanpō-Medizin in Japan (Stuttgart: Franz Steiner [Medizin, Gesellschaft und Geschichte, Beiheft 7], 1995), pp. 51–65.Google Scholar
  2. 2.
    Andrew Cunningham and Bridie Andrews, “Introduction: Western Medicine as Contested Knowledge,” in Western Medicine as Contested Knowledge, ed. Andrew Cunningham and Bridie Andrews (Manchester: Manchester University Press, 1997), pp. 1–23; here pp. 8–9, 12.Google Scholar
  3. 3.
    Andrew Cunningham and Perry Williams, “Introduction,” in The Laboratory Revolution in Medicine, ed. Andrew Cunningham and Perry Williams (Cambridge: Cambridge University Press, 1992), pp. 1–13; here pp. 2–5.Google Scholar
  4. 5.
    See, e.g., Yamashita Seizō, Meijiki ni okeru kakke no rekishi (History of the Beriberi Disease in the Meiji Period) (Tokyo: Tōkyō Daigaku Shuppankai, 1988), p. 295;Google Scholar
  5. Itakura Kiyonobu, Mohō no jidai (The Age of Imitation) (Tokyo: Kasetsusha, 1988), p. 299.Google Scholar
  6. 6.
    Fujino Tsunezaburō, Tujino, Nihon saikingaku-shi (Fujino’s History of Japanese Bacteriology) (Tokyo: Kindai Shuppan, 1984), pp. 105–114.Google Scholar
  7. 7.
    James Bartholomew, The Formation of Science in Japan (New Haven: Yale University Press, 1989), p. 81.Google Scholar
  8. 8.
    K. Cordell Carter, “The Germ Theory, Beriberi, and the Deficiency Theory of Disease,” Medical History 1977, 21: 119–136.CrossRefGoogle Scholar
  9. 10.
    Yamashita Seizō, Kakke no rekishi: bitamin hakken izen (History of Beriberi: Before the Discovery of the Vitamin) (Tokyo: Tōkyō Daigaku Shuppankai, 1983), pp. 183, 191, 220, 356–358.Google Scholar
  10. 11.
    Heinrich Botho Scheube, “Die japanische Kak-ke (Beri-beri),” Deutsches Archiv für klinische Medizin 1882, 31, 1 and 2 (May 30): 141–202; 3 and 4 (July 13): 307–348; 32, 1 and 2 (November 8): 83–119; here pp. 148–149.Google Scholar
  11. 14.
    Kōseishō Imukyoku, Isei hyakunenshi shiryōhen (Hundred Year History of the Medical Law: Sources) (Tokyo: Gyōsei, 1976), pp. 52–53.Google Scholar
  12. 17.
    William Johnston, The Modern Epidemic: A History of Tuberculosis in Japan (Cambridge, Mass.: Council on East Asian Studies, Harvard University, 1995), p. 188.Google Scholar
  13. 19.
    Kashimura Seitoku, “Kakke-ron” (On Beriberi), Tōkyō iji shinshi (Tokyo Medical Journal) April 10, 1878, 16: 5–13; here pp. 5, 10.Google Scholar
  14. 20.
    Hashimoto Tsunatsune, “Kakke shinsetsu” (New Theory of Beriberi), Iji shinbun May 11, 1878, 1: 1–13; here pp. 2–4.Google Scholar
  15. 21.
    In addition to the term “bacteria,” other expressions were frequently used in Japan. For example, the term “fungus” (pirutsu) was common. Hashimoto Tsunatsune described the pathogen of diphteria as a “fungus” that enters the mouth from the atmosphere (Hashimoto Tsunatsune, “Kōtō ‘Jihrterichisu’ no setsu” [On “Diphteria” of the Throat], Tōkyō iji shinshi February 22, 1879, 48: 1–13; here pp. 4–12).Google Scholar
  16. 22.
    Ishiguro Tadanori, Kakke-ron (Theory of Beriberi) (Tokyo: Eirandō, 1878), pp. 3, 5, 21.Google Scholar
  17. 23.
    For a more complete overview of the theories of beriberi’s causation that Japanese and foreign physicians of the Meiji period proposed, see Christian Oberländer, “The Rise of Scientific Medicine in Japan,” Historia Scientiarum 2004, 13 (3): 176–199; here pp. 177–180.Google Scholar
  18. 25.
    Kakke Byōin, Kakke byōin daiichi hōkoku (First Report of the Beriberi Hospital) (Tokyo: Kakke Byōin, 1879).Google Scholar
  19. 27.
    Heinrich Botho Scheube, “Die japanische Kak-ke (Beri-beri),” Deutsches Archiv für klinische Medizin 1882, 31, 1 and 2 (May 30): 141–202; 3 and 4 (July 13): 307–348; 32, 1 and 2 (November 8): 83–119; here p. 147.Google Scholar
  20. 32.
    Satomi Giichirō, “Miasma shobyō” (Miasmatic Diseases), Iji shinbun September 15, 1880, 30: 1–3.Google Scholar
  21. 33.
    Kakke Byōin, Kakke byōin daini hōkoku (Second Report of the Beriberi Hospital) (Tokyo: Kakke Byōin, 1881), p. 77.Google Scholar
  22. 36.
    Heinrich Vianden, Die Einführung der deutschen Medizin im Japan der Meiji-Zeit (Düsseldorf: Triltsch Verlag [= Düsseldorfer Arbeiten zur Geschichte der Medizin 59], 1985), p. 134.Google Scholar
  23. 45.
    Takagi Kanehiro, “Kakke-byō yobō-setsu” (About the Prevention of the Beriberi Disease), Dai-Nihon shiritsu eiseikai zasshi (Journal of the Great-Japan Private Society for Hygiene) 1885, 22: 1–20.Google Scholar
  24. 48.
    Ōsawa Kenji, “Bakuhan no setsu” (About the Barley-Rice-Mix), Dai-Nihon shiritsu eiseikai zasshi, July 18, 1885, 26: 1–13 and August 18, 27: 1–16.Google Scholar
  25. 49.
    William Anderson, “Kak’ké,” Transactions of the Asiatic Society of Japan October 27, 1878, 6 (1): 155–178; here pp. 155, 169–170, 175. An overview is given by Carter, “The Germ Theory,” pp. 126–127.Google Scholar
  26. 50.
    Ishiguro Tadanori, Kakke-dan (About Beriberi) (Tokyo: Eirandō, 1885).Google Scholar
  27. 51.
    Erwin von Baelz, “Ueber die in Japan vorkommenden Infectionskrankheiten,” Mittheilungen der OAG August 1882, 27: 295–319; here pp. 304–307, 315.Google Scholar
  28. 54.
    Felix Victor Birch-Hirschfeld, Lehrbuch der pathologischen Anatomie (Leipzig: F.C.W. Vogel, 1877).Google Scholar
  29. 55.
    K. Cordeil Carter, “Koch’s Postulates in Relation to the Work of Jacob Henle and Edwin Klebs,” Medical History 1985, 29: 353–374; here p. 365.CrossRefGoogle Scholar
  30. 58.
    Sakaki Junjirō, “Kekkakusho ha hatashite densenbyō nari” (Is Tuberculosis really an Infectious Disease?), Tōkyō iji shinshi May 5, 1883, 266: 12–16; here p. 13.Google Scholar
  31. 62.
    Wallace Taylor, “Kakke ichimei beri-beri no gen’in” (The Cause of Kakke or Beriberi), Tōkyō iji shinshi August 8, 1885, 384: 998–1001.Google Scholar
  32. 64.
    Watanabe Kanae, “Kakke byōdoku hatsumei-ron” (About the Discovery of the Beriberi Agent), Tōkyō iji shinshi September 27, 1884, 339: 1207–1211 and October 4, 340: 1241–1247; here pp. 1208–1211; 1242–1246.Google Scholar
  33. 65.
    Hiroi Komaji et al., “Kakke gen’in-ron” (About the Cause of Beriberi), Chūgai iji shinpō (International Medical Review) January 10, 1885, 115: 15–19; January 25, 116: 23–25; February 10, 117: 20–22; February 25, 118: 19–22.Google Scholar
  34. 70.
    Ōgata Masanori, “Kakke byōdoku hakken” (Discovery of the Beriberi Disease Poison), Tōkyō iji shinshi April 11, 1885, 367: 454–457; April 18, 368: 492–497; April 25, 369: 517–522; here p. 454.Google Scholar
  35. 78.
    For the use of different methods of representation in bacteriology, see e.g., Thomas Schlich, “Linking Cause and Disease in the Laboratory: Robert Koch’s Method of Superimposing Visual and ‘Functional’ Representations of Bacteria,” History and Philosophy of the Life Sciences 2000, 22: 43–58.Google Scholar
  36. 80.
    Erwin von Baelz, “Kakkebyō-ron” (About the Beriberi Disease), Chūgai iji shinpō March 25, 1881, 26: 1–8 and April 10, 27: 1–10.Google Scholar
  37. 88.
    Yamazaki Motomichi, “Kakkebyō ōtō” (Answers concerning the Beriberi Disease), Dai-Nihon shiritsu eiseikai zasshi July 25, 1885, 26: 53–58; here p. 53.Google Scholar
  38. 90.
    For details concerning the debate about specificity during the early development of bacteriology, see Pauline Mazumdar, Species and Specificity. An Interpretation of the History of Immunology (Cambridge: Cambridge University Press, 1995).Google Scholar
  39. 91.
    Ilana Löwy, “Yellow Fever in Rio de Janeiro and the Pasteur Institute Mission (1901–1905): The Transfer of Science to the Periphery,” Medical History 1990, 34: 144–163; here p. 162.CrossRefGoogle Scholar
  40. 94.
    K. Cordell Carter, “The Development of Pasteur’s Concept of Disease Causation and the Emergence of Specific Causes in Nineteenth-Century Medicine,” Bulletin for the History of Medicine 1991, 65: 528–548; here p. 544.Google Scholar
  41. See also Thomas Schlich, “Die Konstruktion der notwendigen Krankheitsursache: Wie die Medizin Krankheit beherrschen will,” in Anatomien medizinischen Wissens. Medizin, Macht, Moleküle, ed. Cornelius Borck (Fischer: Frankfurt a.M., 1996), pp. 201–229.Google Scholar
  42. 97.
    Nancy J. Tomes and John Harley Warner, “Introduction to the Special Issue on Rethinking the Reception of the Germ Theory of Disease: Comparative Perspectives,” Journal of the History of Medicine 1997, 52: 7–16.Google Scholar

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© Christian Oberländer 2005

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  • Christian Oberländer

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