Article
ID: CBB383918351

Vulnerable Parts (2017)

unapi
Medicine Medicine, Tibetan traditional Anatomy China Tibet

In Tibetan medicine, ‘vulnerable parts’ (gnyan pa gnad) are bodily structures which should not be damaged. Most of these anatomical locations are important in terms of surgical care and the management of wounds. They are described in the primary classical text of the Tibetan medical tradition, the Four Treatises (Rgyud bzhi), and in far more detail in its respective commentaries. A list of these more than three hundred delicate spots is included in at least two sixteenth-century commentaries, but its origin remains unclear. With the help of the medical ‘scroll paintings’ (thang ka) accompanying the seventeenth-century Blue Beryl (Vaiḍūrya sngon po) commentary to the Four Treatises, we can identify the locations of many of these vulnerable anatomical structures. However, it is uncertain if these identifications have remained consistent over time. With increasing integration of Tibetan medical practices into the Chinese health care system, it became necessary to find and define new terms. A veritable revolution in Tibetan medical terminology has taken place over the past several decades. Through a careful examination of these ‘vulnerable parts’ of the body, including an exploration of three examples, this article examines the shift of anatomical designations and the coining of new terms for anatomical details in classical and modern publications. Correctly identifying the vulnerable parts matters a great deal, especially with regard to patient safety.

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Authors & Contributors
Hofer, Theresia
Adams, Vincanne
Asen, Daniel
Canavan, Barbara C.
Chan, Man Sing
Craig, Sienna R.
Journals
Asian Medicine: Tradition and Modernity
Ziran Kexueshi Yanjiu (Studies in the History of Natural Sciences)
British Journal for the History of Science
East Asian Science, Technology, and Medicine
Gesnerus
Notes and Records: The Royal Society Journal of the History of Science
Publishers
University of Washington Press
Harvard University
Columbia University
University of California Press
Concepts
Medicine
East Asia, civilization and culture
Medicine, Chinese traditional
Anatomy
Pharmacy
Medicine, traditional
People
Forrest, George
Hobson, Benjamin
Mouat, Frederic J.
Rock, Joseph F.
Vesalius, Andreas
Time Periods
17th century
20th century
20th century, early
20th century, late
21st century
Qing dynasty (China, 1644-1912)
Places
Tibet
China
Mongolia
United States
Scotland
Sichuan Sheng (China)
Institutions
Jesuits (Society of Jesus)
Royal Society of London
Chinese Academy of Sciences
Qinghai-Tibet Railway
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