Hua Tuo (also named Yuanhua) was from Pei Guo Jiao, today's Hao County in
Anhui Province. Sought neither rank nor remuneration, he completely devoted
himself to the study of medicine, and achieved outstanding results in many
areas. His eminence in ancient China accorded him the name "miraculous
healer".
Hua Tuo lost his father at the age of seven. Because his family
was quite poor, his mother decided to send him to study medicine with Dr. Cai, a
very close friend of Hua Tuo's father. Hua Tuo went to town and met with Dr.
Cai. After he expressed his wish, Dr. Cai thought to himself, "Hua Tuo's father
was my friend. If I don't take the boy as my intern, the townspeople will think
of me as uncaring and disloyal. I'd better take him. However, I need to test the
boy to see if he is cut out for medicine."
At that moment, Dr. Cai
noticed several of his interns were collecting mulberry leaves outside, but they
were having difficulty reaching the leaves on the highest branch. He decided
that this would be the first test for Hua Tuo. He asked Hua Tuo, "Can you think
of a way to collect the leaves on the highest branch on the tree?" Hua Tuo said,
"That's easy enough," and asked for a rope. He tied a small rock at the end of
the rope and threw the rope over the highest branch pressing it down, and picked
all the leaves on the branch.
Next, Dr. Cai saw two goats engaged in a
fight, their eyes were bloodshot with rage. No one could separate the two goats.
He decided that this would be the second test for Hua Tuo. He asked, "Hua Tuo,
are you able to separate these two goats?" Hua Tuo answered, "Certainly." He
fetched two bundles of fresh grass and put them by the goats. The goats had
gotten hungry from fighting so they were quick to turn their attention to the
grass. The fight was stopped effortlessly. Greatly impressed, Dr. Cai gladly
accepted him as intern.
Hua Tuo studied assiduously, and paid a great
deal of attention to the clinical aspects of the practice. He became a renowned
physician in the Eastern Han Dynasty (25 AD - 220 AD). Nonetheless, the famed
Hua Tuo never differentiated his patients. Regardless of the settings, he
provided his service focusing only on saving lives and treating illnesses,
reflecting his conscientious noble sentiments. He continued to practice medicine
throughout his life. In surgery, internal medicine, gynecology, acupuncture, and
physiotherapy, he attained original insight and masterly expertise.
Hua
Tuo was especially adept in surgery. He was the first surgeon to perform a
laparotomy in Chinese medical history. To alleviate pain for his patients, he
formulated an anesthetic mixture, Ma Fei San or boiled anesthetic powder
preparation, which was used to provide general anesthesia. It was not until
1,600 years later, at the beginning of the 19th century that Europeans began to
use general anesthesia in surgery.
Once, Hua Tuo ran into a vendor
pushing a cart on the street. He had a sallow complexion, and was short of
breath. He looked sick. Hua Tuo learned that he had colicky pain in the abdomen,
and made the diagnosis of appendicle abscess. Hua Tuo gave the man his boiled
anesthetic powder preparation to drink and he was soon anesthetized. Hua Tuo
made the incision with a knife, removed the affected tissues, gave him a
peritoneal lavage, sutured the wound, and applied ointment to reduce
inflammation and promote healing. The patient recovered a few days later and his
wound healed quickly.
In the field of obstetrics, Hua Tuo also had
delved into it deeply. It was recorded in The Book of Late Han dynasty: General
Li's wife was ill and sought treatment from Hua Tuo. After taking her pulse, Hua
Tuo concluded that she suffered from complications of fetal death in utero.
General Li confirmed that she had problems during her pregnancy but that his
wife had already aborted the fetus. Hua Tuo replied, "Her pulse indicates that
she still has a fetus present." General Li felt otherwise.
A hundred
days later, Li's wife's condition deteriorated. Hua Tuo was asked to see her
again. Upon examining her pulse again, Hua Tuo said, "Her pulse is the same as
before. This is what I think happened: She had a twin pregnancy. The first twin
miscarried and caused her to bleed excessively, and prevented the birth of the
second twin, which subsequently died in utero, shriveled up, and got hung up by
her spine." Hua Tuo then performed acupuncture on her and gave her herbal
medicine to drink. Before long, she went into labor, but was unable to effect
delivery of the dead fetus. Hua Tuo explained that since the dead fetus had
shrunk it would be difficult to deliver normally, and would require manual
removal. Hua Tuo gave instructions to the midwife, and the dead fetus was
successfully removed.
In the field of acupuncture and moxibustion
(therapy utilizing moxa, or mugwort herb. The mugwort is aged and ground up to a
fluff; practitioners burn the fluff or process it further into a stick that
resembles a (non-smokable) cigar. They can use it indirectly, with acupuncture
needles, or sometimes burn it on a patient's skin), Hua Tuo also made innovative
discoveries. Once, a man sought medical treatment from Hua Tuo because he had
problems with his feet and he couldn't walk. After checking the man's pulse, Hua
Tuo marked several acupuncture points on his back, and applied moxibustion to
each point seven times. The patient began to walk soon afterwards. Hua Tuo later
summarized his experience in acupuncture and moxibustion, and coined his
discovery the "Intervertebral Acupuncture Points". People later termed these
points the "Hua Tuo Acupuncture Points" and they are still in use
today.
Hua Tuo also devised a set of exercises imitating the movements of
tigers, deer, bears, monkeys, and birds called the "Exercise of the Five
Animals". It became very popular. One of Hua Tuo's students, Wupu, practiced the
Exercise of the Five Animals on a regular basis. Even in his nineties, Wupu
remained very strong and healthy with sharp ears, eyes and good teeth.
Hua Tuo occupies an important place in Chinese medical history for his
superior medical skills, and his spirit of saving the dying and helping the
sick.