In my previous article, I noted medicine was among the skills acquired by Monkey while training under the Buddho-Daoist sage, Master Subodhi. In chapter 69, Monkey works to diagnose the long-standing malady of the Scarlet-Purple Kingdom emperor. But due to the immortal’s monstrous appearance, Sun is forced to analyze the ruler from afar, using three magic hairs-turned-golden strings to measure the vibrations of the pulse from three locations of each forearm. He deduces the illness is caused by fear and anxiety over the loss of the monarch’s queen, who had been kidnapped by a demon. Monkey then concocts three pills from a secret recipe and administers the elixir with dragon king saliva. The medicine causes the emperor to pass an obstruction in his bowels, thus restoring the natural qi flow in his body and curing him of his sickness.
Fig. 1 – Monkey uses golden threads to analyze the emperor’s pulse (larger version). From Mr. Li Zhuowu’s Literary Criticism of Journey to the West (late 16th-century).
I. Analyzing the pulse
We were telling you about the Great Sage Sun, who went with the palace attendant to the interior division of the royal palace. He stood still only after he had reached the door of the royal bedchamber. Then he told the attendant to take the three golden threads inside along with the instruction: “Ask one of the palace ladies or eunuchs to tie these three threads to the inch, the pass, and the foot sections of His Majesty’s left hand where the radial pulse are felt. Then pass the other ends of the threads out to me through the window shutters” [fig. 1].
The attendant followed his instruction. The king was asked to sit up on the dragon bed, while the three sections of his pulse were tied by the golden threads, and their other ends were then passed out to Pilgrim. Using the thumb and the index finger of his right hand to pick up one of the threads, Pilgrim first examined the pulse of the inch section; next, he used his middle finger and his thumb to pick up the second thread and examine the pulse of the pass section; finally, he used the thumb and his fourth finger to pick up the third thread and examine the pulse of the foot section.
Thereafter Pilgrim made his own breathing regular and proceeded to determine which of the Four Heteropathic Pneumatics, the Five Stases, the Seven External Images of the Pulse, the Eight Internal Images of the Pulse, and the Nine Pulse Indications were present.  His pressure on the threads went from light to medium to heavy, and from heavy to medium to light, until he could clearly perceive whether the condition of the patient was repletion or depletion of energy and its cause. Then he made the request that the threads be untied from the king’s left wrist and be attached as before to the positions on his right wrist. Using now the fingers on his left hand, he then examined the pulse on the right wrist section by section. When he had completed his examination, he shook his body once and retrieved his hairs (Wu & Yu, 2012, p. 270).
Baring the strings, Monkey’s method of reading the pulse aligns with real Chinese medicinal practice. The area of the forearm analyzed by traditional Chinese doctors is known as Cunkou (寸口, the “inch opening”), and this is broken up into the three spots Cun (寸, “inch”), Guan (關, “pass”), and Chi (尺, “foot”) (fig. 2). The mirrored spots on each arm are believed to correspond to specific internal organs. For example, the Cun spot (nearest the wrist) on the right hand corresponds to the lung, while that of the left hand corresponds to the heart (Liao, 2011, pp. 55-56). Therefore, analyzing the pulse at these spots is believed to reveal the health of the corresponding organs.
Fig. 2 – The spots analyzed during pulse diagnosis. Picture originally found here.
II. The Elixir of Black Gold and its historical origins
Wukong selects his ingredients from among 808 requested substances in order to keep the recipe a secret from the foreign kingdom’s doctors. It is made from an ounce of powderized dahuang (大黃), which is said to “loosen phlegm and facilitate respiration [and] sweep out the chill and heat congealed in one’s stomach” (Wu & Yu, 2012, pp. 273-274); an ounce of shelled, powerderized badou (巴豆), which is said to “break up congestion and drain the intestines [and] take care of swellings at the heart and dropsy in the abdomen (Wu & Yu, 2012, p. 274); half a flask of “‘Hundred-Grass Frost” (baicao shuang, 百草霜), or frying pan soot, which is said to “soothe a hundred ailments” (Wu & Yu, 2012, p. 274); and half a flask of dragon (horse) urine, which is said to “cure any kind of disease a human may have when it is ingested” (Wu & Yu, 2012, p. 274). The resulting paste is rolled into three pills and presented to the emperor as the “Elixir of Black Gold” (Wujin dan, 烏金丹) (video 1) (Wu & Yu, 2012, p. 276).
Video 1 – Episode 20 of the 1986 Journey to the West series portrays this story. See minute 19:19 for the preparation of the Elixir of Black Gold.
Andrew Schonebaum’s (2016) fascinating book Novel Medicine: Healing, Literature, and Popular Knowledge in Early Modern China explains the historical significance of the real world ingredients used in this elixir. He introduces the first two ingredients to us by way of their anthropomorphization as Badou Dahuang, the ruler of the fictional Hujiao (胡椒, black pepper) kingdom from the vernacular novel Annals of Herbs and Trees (Caomu chunqiu yanyi, 草木春秋演義, c. 17th/18th-century), a work that gives human form to Chinese medicines, pitting armies of mortal, immortal, and demonic characters/remedies against one another. Badou is depicted as having the mandate of heaven (the right to rule) in his own country but wanting to invade the Han empire. This dual nature can be explained by the properties of the ingredients making up his name. Schonebaum (2016) writes:
[B]adou (croton) and dahuang (rhubarb), are two of the most common drugs in Chinese medicine. Badou is toxic and a strong purgative, and it was used to treat stagnation in the viscera and bowels, as well as to facilitate urination, eliminate malignant flesh, and purge vicious agents such as invading ghosts or worms. Dahuang is nontoxic and is sometimes referred to by the name “military general” because “the drug pushes away the old and brings in the new, like a military general putting down a riot and bringing peace” (pp. 99-100).
Regarding the “Elixir of Black Gold,” Schonebaum (2016) explains “black gold” was the name of a common prescription and that badou and dahuang were part of its core, while other ingredients could be replaced with those of similar properties:
One commentator had never heard of this medicine, saying that it had a strange name, but this only reveals his own highbrow background (or general ignorance), since “black gold” was the name of various prescriptions common among hereditary doctors. In fact, it was mentioned in the Systematic Materia Medica repeatedly, and Xu Dachun recommends it in Medical Cases of Huixi, so it was not exclusively the purview of nonelite healers.
“Black gold pills” (wujin wan) was a name and a concoction similar to “elixir surpassing [the value of] gold” (shengjin dan) and “black spirit pills” (heishen wan). All of them were core formulas that could be modified in their effects by ingesting them with different liquids. These “black gold” medicines, along with the likes of “the prescription offering Guanyin’s all-encompassing help” (Guanyin puji fang) and “pills prepared with old ink” (gumo wan), treated a wide variety of ailments (in one medical manuscript, twenty-nine, forty, and seventy-one ailments, respectively), and were extremely common formula in the Qing. The “black gold” formulas had at their core the drugs dahuang and badou. One medical manuscript from the Republican period states in its introduction, “Black gold powder [wujin san] cures all ailments, just as the wind bends the grasses. Other names [of this prescription] are ‘pine smoke elixir’ [songyan dan] and ‘black spirit pills’ [heishen wan]. It cures thousands of illnesses, just as the sun melts the frost.”
Black gold pills (wan), powder (san), paste (gao), and elixir (dan) were commonly employed to cure gynecological issues. A prescription named “black gold powder” was first recorded in the Song work A Spring of Recipes in the Magic Park (Lingyuan fangquan) and was followed by references in the Southern Song prescription collection “Complete Collection of Effective Prescriptions for Women” (Furen daquan liangfang, 1237), Formulas for Universal Benefit (Puji fang, 1390), and other works. Over the centuries, numerous formulas, each with different ingredients, became known under the names “black gold powder,” “black gold pills,” and “black gold elixir.” The three designations of this formula result from the use of pitch (mo), a vernacular name for which is the “black gold” of these prescriptions.
Monkey’s prescription reflects a historical reality, namely that the advent of the imperial pharmacy (huimin yaoju) in the Song required doctors who had previously relied on simple medicines with one or two ingredients to employ formulas with numerous substances whose composition followed theories of systematic correspondences. From this conflict between empirical and theory-based recipes arose a new type of prescription eventually consisting of a nuclear formula that could be adapted to the requirements of a given patient’s disease by omitting or adding individual constituents in accordance with his pathological condition. Monkey is preparing simple, trusted medicine at the core, namely badou and dahuang, and adding to it many exotic, unobtainable ingredients (pp. 103-104).
As noted above, black gold medicines were sometimes used to treat gynecological issues. This makes Monkey’s prescription all the more comical as he had partly attributed the foreign emperor’s ails to a “cessation of the menses” (Wu & Yu, 2012, p. 271), obviously a woman’s problem. Schonebaum (2016) comments: “To understand this aspect of the carnivalesque comedy, or to realize that it was a mistake in the incorporation of medical materials into the novel, readers would have had to be quite familiar with medicine, at least enough to know that the medicine Monkey is preparing is consistent with his diagnosis” (p. 104).
III. Archive link
Chapter three of Novel Medicine (2016) is archived here.
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1) Yu (Wu & Yu, 2012) provides explanations for these terms in the end notes of his wonderful translation (pp. 448-449. n. 3-7).
Liao, Y. (2011). Traditional Chinese medicine. Cambridge: Cambridge University Press.
Schonebaum, A. (2016). Novel Medicine: Healing, Literature, and Popular Knowledge in Early Modern China. Seattle: University of Washington Press
Wu, C., & Yu, A. C. (2012). The Journey to the West (Vol. 3) (Rev. ed.). Chicago, Illinois: University of Chicago Press.