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Hong Kong's hospital system has long been the territory of Western medicine. However, during the Severe Acute Respiratory Syndrome (SARS) outbreak in 2003, an integrative approach, combining Chinese and Western medicines, was used in some hospitals in Hong Kong, suggesting a revival of Chinese medicine in the hospital system of this former British colony. This paper will explain how this could happen, by situating the event in the over 160 years' long history of Chinese medicine in Hong Kong. Specifically, it will focus on the role of ‘Chinese medicine’ and ‘traditional Chinese medicine’ in Tung Wah Hospital, a local charity established in 1870, which grew subsequently into one of the largest voluntary organizations in Hong Kong. It will also show how the fall and revival of Chinese medicine in this hospital were related to two epidemics: the bubonic plague in 1894, and the SARS outbreak in 2003. [ABSTRACT FROM PUBLISHER]