This historical document offers a fascinating look into the early days of medical missions in China. The minutes of the two annual meetings provide insight into the challenges faced by medical missionaries, as well as the progress they were making in improving the lives of the Chinese people. The report on the ophthalmic hospital is particularly interesting, as it provides a snapshot of healthcare in mid-19th century China. This is an essential resource for anyone interested in the history of medicine or the history of China. This work has been selected by scholars as being culturally important, and is part of the knowledge base of civilization as we know it. This work is in the "public domain in the United States of America, and possibly other nations. Within the United States, you may freely copy and distribute this work, as no entity (individual or corporate) has a copyright on the body of the work. Scholars believe, and we concur, that this work is important enough to be preserved, reproduced, and made generally available to the public. We appreciate your support of the preservation process, and thank you for being an important part of keeping this knowledge alive and relevant.