Following the tumultuous events in China in the first two decades of the twentieth century, there was an urgent need for a reliable reference work surveying all aspects of contemporary China, given that existing reference works and scholarly monographs became rapidly obsolete. Couling’s work, published in 1917, covered so much ground with such accuracy and consistency that it has become established as an essential tool for scholars wishing to understand how the new China was seen and interpreted at the time.

This in-depth comparative study demonstrates that the hospital established in China - its planning and architecture, financing, and all aspects of day-to-day operation - differed from its counterpart at home. These differences were never due to a single, or even dominant cause. They were a result of a complex process involving accommodation, appreciation, negotiation, opportunism and pragmatism.

Challenging the stereotype of premodern China as an agricultural nation, this book examines the development of the maritime sector, maritime institutions, and sea power in the premodern era. Initially discussing topics related to China's exports, such as ship design and construction, goods produced solely for export, capital accumulation and investment in the maritime sector, and trade networking, the volume goes on to consider the impact of maritime institutions, governmental trade and non-trade policies, and Confucian attitudes toward maritime activities. Finally, the book shows how China obtained technological, economic, and naval supremacy in Asian waters until the 18th century and goes on to discuss the reasons for the decline of the maritime sector in the 19th century.