Lucinda L. Combs
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Lucinda L. Combs-Stritmatter (October 10, 1849April 23, 1919) was an American
physician A physician (American English), medical practitioner (Commonwealth English), medical doctor, or simply doctor, is a health professional who practices medicine, which is concerned with promoting, maintaining or restoring health through th ...
who was the first female
medical missionary Medical missions is the term used for Christian missionary endeavors that involve the administration of medical treatment. As has been common among missionary efforts from the 18th to 20th centuries, medical missions often involves residents of th ...
to provide medical care in China. She is credited with establishing the first women's hospital in
Beijing } Beijing ( ; ; ), alternatively romanized as Peking ( ), is the capital of the People's Republic of China. It is the center of power and development of the country. Beijing is the world's most populous national capital city, with over 21 ...
. Combs was a pioneer in women's medical care while serving the Women's Foreign Ministry Society's North China Mission for seven years.


Early life

Lucinda Combs, known by her friends and family as "Lucy", was born on October 10, 1849, in
Cazenovia, New York Cazenovia is an incorporated Administrative divisions of New York#Town, town in Madison County, New York. The population was 6,740 at the time of the 2020 census. The town is named after Theophilus Cazenove , Theophile Cazenove, the ''Agent Gener ...
. She is not known to have had any siblings. Combs parents died leaving her orphaned at a young age. It is unknown through which means specifically, but she supported and educated herself following the tragedy. After converting to
Christianity Christianity is an Abrahamic monotheistic religion based on the life and teachings of Jesus of Nazareth. It is the world's largest and most widespread religion with roughly 2.38 billion followers representing one-third of the global pop ...
, she became a teacher. Combs learned about the
Methodist Episcopal Church The Methodist Episcopal Church (MEC) was the oldest and largest Methodist denomination in the United States from its founding in 1784 until 1939. It was also the first religious denomination in the US to organize itself on a national basis. In ...
's work commissioned in India and felt called to that line of work herself. She ultimately decided to further educate herself in order to be prepared for an appointment as a missionary in India.


Education

Combs enrolled in the
Cazenovia Seminary Cazenovia College is a private college in Cazenovia, New York. Founded as the Genesee Seminary in 1824 and sponsored by the Methodist Church, in 1894 the college adopted the name of Cazenovia Seminary. It was reorganized in 1942 after church spon ...
in Cazenovia, New York in 1866. The Cazenovia Seminary, though not
theological Theology is the systematic study of the nature of the divine and, more broadly, of religious belief. It is taught as an academic discipline, typically in universities and seminaries. It occupies itself with the unique content of analyzing the ...
in its purpose, was a three-year program associated with the Methodist Episcopal Church. In 1869, Combs graduated with honors at the top of her class. To finance her medical school education, Combs looked for domestic employment. She soon found a wealthy family that was willing to employ her. Combs worked as a domestic laborer while attending medical school. In 1870, Combs enrolled at the Women's Medical College in
Philadelphia Philadelphia, often called Philly, is the largest city in the Commonwealth of Pennsylvania, the sixth-largest city in the U.S., the second-largest city in both the Northeast megalopolis and Mid-Atlantic regions after New York City. Sinc ...
, Pennsylvania.Ancestry.com. ''U.S., School Catalogs, 1765–1935'' atabase on-line Provo, UT, US: Ancestry.com Operations, Inc., 2012. She drew the attention of a group of
Methodist Methodism, also called the Methodist movement, is a group of historically related denominations of Protestant Christianity whose origins, doctrine and practice derive from the life and teachings of John Wesley. George Whitefield and John's b ...
women in Philadelphia who helped her continue her studies. Combs earned her degree from the Women's Medical College on March 12, 1873.


Career


Missionary work

Almost immediately upon receiving her medical degree, Combs was commissioned by the Women's Foreign Ministry Society (WFMS). Although she intended to serve in India, she boarded a ship for
Beijing } Beijing ( ; ; ), alternatively romanized as Peking ( ), is the capital of the People's Republic of China. It is the center of power and development of the country. Beijing is the world's most populous national capital city, with over 21 ...
, China on June 5, 1873. Among the other passengers on the ship was Andrew Stritmatter who had been commissioned to work in
Jiujiang Jiujiang (), formerly transliterated Kiukiang or Kew Keang, is a prefecture-level city located on the southern shores of the Yangtze River in northwest Jiangxi Province, People's Republic of China. It is the second-largest prefecture-level city ...
. Stritmatter and Combs grew close during their voyage and would eventually marry. Combs departed from
San Francisco San Francisco (; Spanish language, Spanish for "Francis of Assisi, Saint Francis"), officially the City and County of San Francisco, is the commercial, financial, and cultural center of Northern California. The city proper is the List of Ca ...
, but her journey was delayed due to an illness. Her illness held her in Japan for several weeks before she was well enough to continue travel. She arrived in Beijing in late August or early September, almost three months after her original departure and quickly began her work. She is noted for being the first female medical missionary to provide medical care in China.


Establishing the first women's hospital

Although medical attention had arrived in Beijing about ten years prior, through the London Missionary Society's appointment of William Lockhart, for the most part, medical services were not extended to women. Sex segregation restricted women from seeking medical care from men. After writing a letter expressing her desire to open a hospital to serve Chinese women, the Philadelphia branch of the WFMS congregated at the General Executive Committee meeting in May 1874. During their meeting, they agreed to set aside a $2000 fund toward the establishment of a hospital for women and children in Beijing. The land for the hospital and residence building was procured in December 1874. The first patient treated in the Peking Woman's Hospital was a Chinese woman who had fallen and sustained a foot injury. After treating her, Combs recalled that the family was very grateful to her. In the five months following its completion in November 1875, the hospital treated 18 patients. Founding the first women's hospital in China gave Combs a platform to advocate for medical training and education for women and for the improvement of sanitary and hygiene practiced in relevant medical facilities. Although hesitant at first, the Chinese population in Beijing soon came to appreciate the medical help provided by a female physician.


Community care

During the building of the hospital, Combs treated Chinese women in their homes while learning the language. She made 198 home visits and treated 37 patients during throughout her first year in Beijing. In her first year, she prescribed for 314 cases. In addition to providing medical care, Combs made an effort to
convert Conversion or convert may refer to: Arts, entertainment, and media * "Conversion" (''Doctor Who'' audio), an episode of the audio drama ''Cyberman'' * "Conversion" (''Stargate Atlantis''), an episode of the television series * "The Conversion" ...
her patients to Christianity. Combs' marriage to Andrew Strittmater in 1877 led to her relocation to
Jiujiang Jiujiang (), formerly transliterated Kiukiang or Kew Keang, is a prefecture-level city located on the southern shores of the Yangtze River in northwest Jiangxi Province, People's Republic of China. It is the second-largest prefecture-level city ...
. There, she took on the work of the physician and missionary, Miss Mason, who was leading the medical work in Jiujiang but had returned to the United States after becoming very ill. Combs treated many patients in Jiujiang and the surrounding area. Combs's medical experience and skill helped ease the transition of leadership following Miss Mason's quick illness.


Later life and death

Combs met Andrew Stritmatter aboard a ship of missionaries that departed for China in 1873. As her five-year contract with the WFMS came to a close, Combs and Stritmatter were married in
Shanghai Shanghai (; , , Standard Mandarin pronunciation: ) is one of the four direct-administered municipalities of the People's Republic of China (PRC). The city is located on the southern estuary of the Yangtze River, with the Huangpu River flow ...
on November 19, 1877, by Bishop I. W. Wiley. Soon after their marriage, the couple moved to Jiujiang in southern China. Although her marriage resulted in the end of her commission to the WFMS, Combs continued to practice medicine in her new location. The couple had two sons named Edward and Albert, both born in China. About two years after their relocation, Stritmatter contracted
tuberculosis Tuberculosis (TB) is an infectious disease usually caused by '' Mycobacterium tuberculosis'' (MTB) bacteria. Tuberculosis generally affects the lungs, but it can also affect other parts of the body. Most infections show no symptoms, in ...
, which led the couple to leave China for the United States in October 1880. The long journey resulted in Stritmatter's death one month later in
Denver Denver () is a consolidated city and county, the capital, and most populous city of the U.S. state of Colorado. Its population was 715,522 at the 2020 census, a 19.22% increase since 2010. It is the 19th-most populous city in the Unit ...
, Colorado. He died before arriving at his family home in
Ohio Ohio () is a state in the Midwestern region of the United States. Of the fifty U.S. states, it is the 34th-largest by area, and with a population of nearly 11.8 million, is the seventh-most populous and tenth-most densely populated. The sta ...
. Combs remained in Colorado following her husband's death to raise her two children and continue practicing medicine. She never remarried. After practicing medicine in Denver for six years, Combs moved to
Columbus, Ohio Columbus () is the state capital and the most populous city in the U.S. state of Ohio. With a 2020 census population of 905,748, it is the 14th-most populous city in the U.S., the second-most populous city in the Midwest, after Chicago, and t ...
to be close to her late husband's family and to spend the remainder of her days. She died in her son's home on April 23, 1919, in Franklin County, Ohio at the age of 68 years old. She was buried at Union Cemetery in Columbus, Ohio.


Legacy

Three months prior to her marriage, Combs was joined at her mission station by
Leonora King Leonora Howard King (April 17, 1851 – June 30, 1925) was a Canadian physician and medical missionary who spent 47 years practising medicine in China. She was the first Canadian doctor to work in China, where she died in 1925. Early life and ...
. The pair of physicians worked alongside each other for three months before Combs relocated to Jiujiang with her husband. King consequently took over her responsibilities as the primary physician at the Woman's hospital. In 1879, Leonora King successfully treated the wife of Li Hongzhang, Viceroy of Zhili. The connection between King and the powerful family of the Viceroy resulted in the funding and construction of a surgery unit and medical dispensary.


Publications

Combs published many works during her studies and throughout her medical career. During her time at Women's Medical College of Pennsylvania, she published a 22-page handwritten
thesis A thesis ( : theses), or dissertation (abbreviated diss.), is a document submitted in support of candidature for an academic degree or professional qualification presenting the author's research and findings.International Standard ISO 7144: ...
on the study of medical
hysteria Hysteria is a term used colloquially to mean ungovernable emotional excess and can refer to a temporary state of mind or emotion. In the nineteenth century, hysteria was considered a diagnosable physical illness in women. It is assumed that ...
. Additionally, she wrote several pieces for the Women's Missionary Methodist Episcopal Church monthly newspaper called ''
The Heathen Woman's Friend ''The Heathen Woman's Friend'' (1869-1896; renamed ''Woman's Missionary Friend'', 1896–1940) was a Christian women's monthly newspaper. Established in May 1869, it was published by the Woman's Foreign Missionary Society of the Methodist Episcopal ...
''. In this, Combs published three distinct works describing her life as a missionary titled: "A Bright Day at the Peking Hospital", "The Peking Hospital", and "A Morning's Visit at the Peking Hospital".


References

{{DEFAULTSORT:Combs, Lucinda L. 1849 births 1919 deaths People from Cazenovia, New York Cazenovia College alumni Methodists from New York (state) 19th-century American women physicians 19th-century American physicians 20th-century American women physicians 20th-century American physicians American physicians Physicians from New York (state) Woman's Medical College of Pennsylvania alumni American Methodist missionaries Female Christian missionaries Christian medical missionaries Methodist missionaries in China American expatriates in China Woman's Foreign Missionary Society of the Methodist Episcopal Church