嚴壽逸墓誌銘所反映元代地方醫者仕宦

This paper discusses the life of local medical officer Yan Shouyi, his study of medicine, and his career advancement during the Yuan dynasty. While previous studies of Yuan dynasty medical history emphasise the institutional level by analysing the local medical educational system, this paper focuses on the example of one southern medical officer as a reflection of certain key aspects of the Yuan dynasty medical education system. Though Yan was not famous and there is not much recorded about his life, he had personal connections with famous scholars such as Wu Cheng, Jie Xisi, and Hu Changru. Based on their writings, as well as Yan’s epitaph written by Wei Su, this paper explores five aspects of the Yuan medical system, including the incidence of scholars changing their career to learn medicine, local medical education, the physicians visiting the Yuan capital, the management of local medical systems, and Yan’s interaction with Confucian scholars. These aspects are closely related to the promotion of local medical education by the Yuan court. Finally, this paper compares the lives of three southern physicians, namely Yan, Ge Yinglei and Zhu Zhenheng, to understand how the medical writings of famous medical physicians Liu Wansu, Li Gao, etc., spread to the south from the north during Jin-Yuan transition period, and how their writings became important texts for medical education in the south.