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Traditional Medicine & Pharmacology: Huangdi Neijing to Tu Youyou

Encyclopedia/1. The Cosmos & The Natural World/6. Medicine & Human Biology/01. Global History of Medicine  •  Curated by Admin Timeline.sg

This timeline traces the global evolution of traditional medicine and pharmacology, from the foundational Huangdi Neijing to Tu Youyou's Nobel Prize-winning discovery of artemisinin. It highlights key milestones in Chinese medicine, including Hua Tuo's anesthesia, Sun Simiao's pharmacopoeia, Song Ci's forensic text, and modern breakthroughs in drug development.

Chronological Storyline (44 Milestones)

400 BCE

Huangdi Neijing Compiled

The Huangdi Neijing, or Yellow Emperor's Inner Canon, is compiled, becoming the foundational text of traditional Chinese medicine. It establishes theories of yin-yang, five phases, and meridian system, influencing East Asian medicine for millennia. #TCM #history #medicine

Huangdi Neijing Compiled
Huangdi Neijing Compiled
By Unknown author - [1], Public domain, https://commons.wikimedia.org/w/index.php?curid=11662446
200 BCE

Shennong Bencao Jing Compiled

The Shennong Bencao Jing, one of the earliest Chinese pharmacopoeias, is compiled, listing 365 medicinal substances. It categorizes herbs by toxicity and efficacy, laying groundwork for herbal medicine. #TCM #herbalism #pharmacology

150 CE

Zhang Zhongjing Writes Shanghan Lun

Zhang Zhongjing compiles the Shanghan Lun (Treatise on Cold Damage Disorders), a seminal work on febrile diseases. It introduces systematic diagnosis and herbal formulas, remaining a core TCM text. #TCM #history #medicine

Zhang Zhongjing Writes Shanghan Lun
Zhang Zhongjing Writes Shanghan Lun
By Unknown author, Public domain, https://commons.wikimedia.org/w/index.php?curid=127556257
200 CE

Hua Tuo Uses Mafeisan Anesthesia

Chinese physician Hua Tuo develops mafeisan, an herbal anesthetic using cannabis and wine, for surgical procedures. He performs abdominal surgeries, pioneering surgical anesthesia centuries before the West. #TCM #surgery #anesthesia

Hua Tuo Uses Mafeisan Anesthesia
Hua Tuo Uses Mafeisan Anesthesia
By Unknown author - http://members.shaw.ca/jiuwan4/HuaTuo.jpg, Public domain, https://commons.wikimedia.org/w/index.php?curid=1250948
220 CE

Hua Tuo's Death and Legacy

Hua Tuo is executed by Cao Cao, leading to loss of his medical texts. His techniques, including mafeisan, are preserved in historical records, influencing later Chinese surgery. #TCM #history #surgery

610 CE

Sun Simiao Writes Qianjin Yaofang

Sun Simiao compiles the Qianjin Yaofang (Essential Formulas for Emergencies), a comprehensive pharmacopoeia with 5,300 prescriptions. It includes treatments for beriberi using thiamine-rich foods, anticipating vitamin deficiency cures. #TCM #pharmacology #nutrition

652 CE

Sun Simiao's Qianjin Yifang Published

Sun Simiao publishes the Qianjin Yifang (Supplement to Essential Formulas), expanding his earlier work. It covers gynecology, pediatrics, and acupuncture, solidifying his reputation as the King of Medicine. #TCM #medicine #history

Sun Simiao's Qianjin Yifang Published
Sun Simiao's Qianjin Yifang Published
By Gan Bozong (Tang period, 618-907) - https://wellcomeimages.org/indexplus/obf_images/f7/9e/94a41d43ae53679850a89cc8e340.jpg (hi-res image) Gallery: https://wellcomeimages.org/indexplus/image/L0039324.html Wellcome Collection gallery (2018-03-28): https://wellcomecollection.org/works/v4exceyg CC-BY-4.0, CC BY 4.0, https://commons.wikimedia.org/w/index.php?curid=33926776
1025 CE

Wang Weiyi Casts Bronze Acupuncture Figure

Wang Weiyi creates two life-sized bronze acupuncture figures for teaching and examination. The figures are marked with meridians and points, standardizing acupuncture education in China. #TCM #acupuncture #history

1247 CE

Song Ci Publishes Xiyuan Jilu

Song Ci writes the Xiyuan Jilu (Collected Cases of Injustice Rectified), the world's first forensic medicine text. It describes autopsy techniques, poison detection, and bone analysis, influencing legal medicine globally. #forensics #medicine #history

Song Ci Publishes Xiyuan Jilu
Song Ci Publishes Xiyuan Jilu
By Wolfgang Michel - Xǐ-yuān lù jí-zhèng,, Public domain, https://commons.wikimedia.org/w/index.php?curid=36614386
1400 CE

Zhu Zhenheng Promotes Nourishing Yin

Zhu Zhenheng, a leading physician of the Jin-Yuan period, advocates nourishing yin and reducing fire in medical theory. His works influence later TCM approaches to chronic diseases. #TCM #history #medicine

1578 CE

Li Shizhen Completes Bencao Gangmu

Li Shizhen finishes the Bencao Gangmu (Compendium of Materia Medica), detailing 1,892 medicinal substances. It becomes the most comprehensive Chinese pharmacopoeia, used for centuries. #TCM #pharmacology #herbalism

Li Shizhen Completes Bencao Gangmu
Li Shizhen Completes Bencao Gangmu
By Unknown author - http://huntbot.andrew.cmu.edu/hibd/departments/Library/ChineseHerbal.shtml, Public domain, https://commons.wikimedia.org/w/index.php?curid=19570678
1596 CE

Bencao Gangmu Published

Li Shizhen's Bencao Gangmu is published posthumously, revolutionizing Chinese medicine. It classifies herbs, animals, and minerals, and includes illustrations, influencing global botany and medicine. #TCM #pharmacology #history

1600 CE

Zhang Jiebin Writes Jingyue Quanshu

Zhang Jiebin compiles the Jingyue Quanshu (Complete Works of Jingyue), integrating earlier medical theories. He emphasizes the importance of kidney and spleen, shaping Ming dynasty medicine. #TCM #medicine #history

1642 CE

Wu Youke Proposes Pestilential Qi Theory

Wu Youke publishes Wenyi Lun (Treatise on Pestilence), proposing that epidemic diseases are caused by external 'pestilential qi'. This theory anticipates germ theory and influences infectious disease management. #TCM #epidemiology #history

1742 CE

Yizong Jinjian Published

The Yizong Jinjian (Golden Mirror of Medicine) is published as an official Qing dynasty medical text. It standardizes TCM knowledge, including pediatrics and ophthalmology, for imperial exams. #TCM #medicine #history

1757 CE

Xu Dachun Critiques TCM

Xu Dachun writes critical essays on TCM, advocating for evidence-based practice. He emphasizes the importance of classical texts and warns against superstitious remedies. #TCM #history #medicine

1800 CE

Wang Qingren Studies Anatomy

Wang Qingren publishes Yilin Gaicuo (Corrections of Errors in Medicine), correcting anatomical misconceptions in TCM. He dissects cadavers and describes blood circulation, bridging TCM and modern anatomy. #TCM #anatomy #history

1830 CE

Ye Tianshi Develops Warm Disease Theory

Ye Tianshi establishes the Warm Disease (Wen Bing) theory, focusing on febrile illnesses. His work influences TCM treatment of infectious diseases and is compiled in the Wenre Lun. #TCM #medicine #history

Ye Tianshi Develops Warm Disease Theory
Ye Tianshi Develops Warm Disease Theory
By Unknown author - 中華醫術二 明代溫補學派Wen Re Lun (On Epidemic Febrile Diseases), a photo-set copy, collected in the Zhou Shi Yi Xue Cong Shu( Zhou’s Medical Works), Public domain, https://commons.wikimedia.org/w/index.php?curid=74126451
1900 CE

Western Medicine Introduced to China

Western medicine is increasingly introduced through missionary hospitals and medical schools. This leads to integration and tension with TCM, prompting modernization efforts. #TCM #history #medicine

Western Medicine Introduced to China
Western Medicine Introduced to China
By Félix An - Own work, CC BY 4.0, https://commons.wikimedia.org/w/index.php?curid=119997838
1915 CE

Peking Union Medical College Founded

The Peking Union Medical College (PUMC) is established, becoming a leading institution for Western medicine in China. It trains many physicians and promotes biomedical research. #medicine #education #history

Peking Union Medical College Founded
Peking Union Medical College Founded
By Ivan Walsh - https://www.flickr.com/photos/ivanwalsh/4650148478/, CC BY 2.0, https://commons.wikimedia.org/w/index.php?curid=12471682
1929 CE

TCM Suppression Attempt by Nationalist Government

The Nationalist government proposes abolishing TCM, sparking widespread protests. The proposal fails, but TCM is marginalized in favor of Western medicine, leading to a decline in formal TCM education. #TCM #history #politics

1950 CE

Mao Zedong Endorses TCM Integration

Mao Zedong calls for integrating TCM with Western medicine, leading to the establishment of TCM hospitals and colleges. This policy revitalizes TCM and promotes research. #TCM #history #politics

1955 CE

Academy of Traditional Chinese Medicine Founded

The Academy of Traditional Chinese Medicine (now China Academy of Chinese Medical Sciences) is founded in Beijing. It becomes a leading research institute for TCM modernization. #TCM #research #history

Academy of Traditional Chinese Medicine Founded
Academy of Traditional Chinese Medicine Founded
By N509FZ - Own work, CC BY-SA 4.0, https://commons.wikimedia.org/w/index.php?curid=119643418
1967 CE

Project 523 Launched for Malaria Drug

China launches Project 523, a secret military project to find new antimalarial drugs. Tu Youyou joins the effort, screening traditional Chinese herbs for active compounds. #malaria #pharmacology #history

1972 CE

Tu Youyou Discovers Artemisinin

Tu Youyou extracts artemisinin (qinghaosu) from Artemisia annua, showing high efficacy against malaria. The compound is isolated and tested, becoming a frontline antimalarial drug. #malaria #pharmacology #Nobel

Tu Youyou Discovers Artemisinin
Tu Youyou Discovers Artemisinin
By Fvasconcellos 23:05, 12 April 2007 (UTC) - Own work, Public domain, https://commons.wikimedia.org/w/index.php?curid=1935607
1979 CE

Artemisinin Clinical Trials Successful

Clinical trials confirm artemisinin's safety and efficacy for malaria. The drug is approved for use in China, saving millions of lives globally. #malaria #medicine #clinical

1981 CE

Artemisinin Derivatives Developed

Derivatives like artemether and artesunate are synthesized, improving solubility and efficacy. These become essential components of artemisinin combination therapy (ACT). #malaria #pharmacology #drug

1986 CE

TCM Research Center Established in WHO

The World Health Organization (WHO) establishes a Collaborating Centre for Traditional Medicine in China. This recognizes TCM's global importance and promotes international research. #TCM #WHO #global

TCM Research Center Established in WHO
TCM Research Center Established in WHO
By Guilhem Vellut from Annecy, France - World Health Organization @ Pregny-Chambésy, CC BY 2.0, https://commons.wikimedia.org/w/index.php?curid=105949300
1991 CE

State Administration of TCM Established

China establishes the State Administration of Traditional Chinese Medicine to regulate and promote TCM. It standardizes education, practice, and research nationwide. #TCM #policy #history

State Administration of TCM Established
State Administration of TCM Established
By N509FZ - Own work, CC BY-SA 4.0, https://commons.wikimedia.org/w/index.php?curid=116888215
1996 CE

Artemisinin Recommended by WHO

The WHO recommends artemisinin-based combination therapies (ACTs) as first-line treatment for malaria. This global endorsement accelerates adoption and reduces malaria mortality. #malaria #WHO #global

2000 CE

TCM Acupuncture Recognized by NIH

The U.S. National Institutes of Health (NIH) issues a consensus statement acknowledging acupuncture's efficacy for certain conditions. This boosts TCM acceptance in Western medicine. #acupuncture #TCM #NIH

TCM Acupuncture Recognized by NIH
TCM Acupuncture Recognized by NIH
By Kyle Hunter (= original uploader Kphunter at en.wikipedia) - Own work. I took the photograph and have released it to the world at http://www.bhupendratechniques.com/ Originally from en.wikipedia; description page is/was here., Public domain, https://commons.wikimedia.org/w/index.php?curid=2036294
2003 CE

TCM Used in SARS Outbreak

During the SARS epidemic, TCM is integrated into treatment protocols in China. Herbal formulas are used to alleviate symptoms and reduce steroid side effects, gaining international attention. #TCM #SARS #epidemic

TCM Used in SARS Outbreak
TCM Used in SARS Outbreak
By Photo Credit: Content Providers(s): CDC/C.S. Goldsmith - https://www.cdc.gov/sars/lab/images.html, Public domain, https://commons.wikimedia.org/w/index.php?curid=86419462
2004 CE

First TCM Hospital Opens in Europe

The first TCM hospital in Europe opens in Bad Kötzting, Germany, offering acupuncture and herbal medicine. This marks a milestone in TCM's global expansion. #TCM #global #health

2006 CE

TCM Listed as Intangible Cultural Heritage

UNESCO lists TCM as an Intangible Cultural Heritage of Humanity, recognizing its cultural significance. This boosts preservation and international interest. #TCM #UNESCO #heritage

2009 CE

Tu Youyou Awarded Lasker Prize

Tu Youyou receives the Lasker-DeBakey Clinical Medical Research Award for her discovery of artemisinin. This prestigious award highlights her contribution to global health. #malaria #Nobel #pharmacology

Tu Youyou Awarded Lasker Prize
Tu Youyou Awarded Lasker Prize
By Bengt Nyman from Vaxholm, Sweden - 810_4987 Tu Youyou, medicine, CC BY 2.0, https://commons.wikimedia.org/w/index.php?curid=123803054
2011 CE

Artemisinin Resistance Detected

Resistance to artemisinin is reported in Southeast Asia, prompting research into combination therapies and new drugs. This poses a challenge to malaria control. #malaria #resistance #global

2015 CE

Tu Youyou Wins Nobel Prize in Physiology or Medicine

Tu Youyou is awarded the Nobel Prize for her discovery of artemisinin, the first Chinese Nobel in medicine. This brings global recognition to TCM-based drug discovery. #Nobel #malaria #TCM

2016 CE

TCM Included in WHO International Classification of Diseases

The WHO includes TCM in the International Classification of Diseases (ICD-11), standardizing TCM diagnoses globally. This facilitates integration into global health systems. #TCM #WHO #global

TCM Included in WHO International Classification of Diseases
TCM Included in WHO International Classification of Diseases
By Our World In Data - https://ourworldindata.org/grapher/icd-code-version-used-to-classify-causes-of-death, CC BY 4.0, https://commons.wikimedia.org/w/index.php?curid=183857745
2018 CE

China Approves First TCM Drug for Diabetes

China's drug regulator approves a TCM-based drug for type 2 diabetes, developed from herbal formula. This marks progress in TCM modernization and evidence-based approval. #TCM #diabetes #drug

2019 CE

TCM Used in COVID-19 Pandemic

TCM is widely used in China for COVID-19 treatment, with official protocols including herbal formulas. Studies suggest symptom relief, though efficacy remains debated internationally. #TCM #COVID19 #pandemic

TCM Used in COVID-19 Pandemic
TCM Used in COVID-19 Pandemic
By Gustavo Basso - https://www.flickr.com/photos/gustavocb/49913440386, CC BY-SA 4.0, https://commons.wikimedia.org/w/index.php?curid=112916636
2020 CE

WHO Endorses TCM for COVID-19

The WHO acknowledges TCM's potential role in COVID-19 management, encouraging further research. This boosts TCM's global credibility during the pandemic. #TCM #COVID19 #WHO

2021 CE

Artemisinin-Based Combination Therapy Saves Millions

ACTs have saved millions of lives since introduction, reducing malaria mortality by over 60% globally. Artemisinin remains a cornerstone of malaria treatment. #malaria #global #health

2022 CE

TCM Research on Gut Microbiome Advances

Studies show TCM herbs modulate gut microbiota, linking to therapeutic effects. This opens new avenues for understanding TCM mechanisms in modern science. #TCM #microbiome #research

2023 CE

China Promotes TCM Belt and Road Initiative

China expands TCM cooperation with Belt and Road countries, establishing clinics and research centers. This enhances TCM's global reach and cultural exchange. #TCM #global #BRI

China Promotes TCM Belt and Road Initiative
China Promotes TCM Belt and Road Initiative
By 未来智者 - Own work, CC BY-SA 4.0, https://commons.wikimedia.org/w/index.php?curid=139119606