| Book Review | The American Historical Review, 112.3

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| Book Review | The American Historical Review, 112.3 | The History Cooperative

Book Review

Asia

Ellen Gardner Nakamura. Practical Pursuits: Takano ChÎei, Takahashi Keisaku, and Western Medicine in Nineteenth-Century Japan. (Harvard East Asian Monographs.) Cambridge, Mass.: Harvard University Press. 2005. Pp. xiv, 236. $40.00.

Takahashi Keisaku was a wealthy farmer and town physician in nineteenth-century NakanojÎ, in central KÎzuke province. When not doting over colonies of silkworms, Keisaku bode his time with a steady stream of patients, who complained of an assortment of gruesome ailments. His diary spans thirty-six years (from 1838 to 1874) and offers a rare window onto the everyday practice of a talented rural physician. House calls proved the bedside manner of the day: Keisaku traveled to examine patients with gastrointestinal disorders, syphilis, scabies, eye disease, urinary problems, cracked nipples, worms, hemorrhoids, and just about everything else imaginable. A rural physician in early-nineteenth-century Japan hardly knew what to expect when he hung a shingle from his door. Presumably, it was not that different from rural medicine today.

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