Table of Contents
Acknowledgements
List of Maps and Tables
Glossary
Introduction
Regional scope
Significance of the period
Motives
The historical context of medicine in the Tibetan world
Sources; primary and secondary
Missionaries
The Indian Medical Service and the Subordinate
Medical Service
Frontier medicine
Environment
1. Missionary Medicine and the Rise of Kalimpong
Early missionary approaches to Tibet through the western Himalayas
Darjeeling and the development of Kalimpong
The Church of Scotland Mission
Dr. Shelton and the eastern Tibetan frontier
Conclusions
2. Sikkim: Imperial Stepping-stone to Tibet
Sikkimese traditional medicine
Missionary medicine in Sikkim
State development of biomedicine
Health conditions in Sikkim
The post-colonial generation
The modern Sikkimese medical world
Conclusions
3. Biomedicine and Buddhist Medicine in Tibet
Missionary beginnings
Early Western medicine in Tibet
Medical work on the Younghusband mission (1903-04)
The Gyantse dispensary
Issues of race and class
Smallpox vaccination in Tibet
4. Medical myths and Tibetan trends
The myth of veneral disease in Tibet
Accepting biomedicine in Tibet
Biomedicine at Lhasa
Biomedicine from other nations
Cultural perspectives and concessions
Post-colonial developments
5. Bhutan: A Later Development
Visits by IMS officers
Maharajas and missionaries
The colonial period: Some conclusions
Post-colonial developments
Structures and diseases in Bhutanese public health
Medical ethics: A shared belief?
Bhutanese traditional medicine
6. The Choice of Systems
An absence of hegemony
Availability and cost as factors in medical resort
Nationalist factors in resort
Monastic competition and the rise of a new elite class
The importance of education
World views, process, and biomedicine
Patient choice
Conclusions
Process, policy, and resort
“Enclavism” and “resistance”
Intermediaries and patrons
Nationalism
Ethics and standards
Appendix: Attendance at Gyantse and Yatung IMS dispensaries
Civil Dispensary: Gyantse
Yatung
Notes
Bibliography
