The Mongol conquest of the Song dynasty or the Song-Yuan War beginning under Ögedei Khan (r. 1229–1241) and completed under Kublai Khan (r. 1260–1294) was the final step of the Mongol conquest of China. With the conquest the Mongols ruled all of the continental East Asia under the Yuan dynasty (a division of the Mongol Empire). It is also considered the Mongol Empire's last great military achievement.[2] Background See also: Jin–Song Wars and History of the Song dynasty Before the Mongol–Jin War escalated, an envoy from the Song dynasty of China arrived at the court of the Mongols, perhaps to negotiate a united offensive against the Jin dynasty, who the Song had previously fought during the Jin–Song Wars. Although Genghis Khan refused, on his death in 1227 he bequeathed a plan to attack the Jin capital by passing through Song territory. Subsequently, a Mongol ambassador was killed by the Song governor in uncertain circumstances.[3] Before receiving any explanation, the Mongols marched through Song territory to enter the Jin's redoubt in Henan. Emperor Lizong of Song The 1227 incident In the early spring of 1227, Genghis Khan ordered a small fraction of the army to advance into the Song Lizhou Circuit (利州路), in the name of attacking Jin and Western Xia. The five prefectures of Jie (階), Feng (鳳), Cheng (成), He (和) and Tianshui (天水) were ravaged. Then the Mongols moved southward and seized Wenzhou (文州). In July, the Mongols returned to the north. Genghis Khan further realized that to destroy the Jīn dynasty the Mongol army must make its way via the Song. The 1227 incident (丁亥之變) was the first armed conflict between the Mongols and the Song, but it was incidental to the Mongol conflict with the Jin.[4] Battles of Shukou From the winter of 1230 to the autumn of 1231, the Mongols forcibly passed through the Song dynasty. In the region centered on the three passes of Shukou (蜀口), they entered into a series of battles with the Song army. This was the second and largest armed conflict between them before the Mongol conquest of Song officially began.[5] After Mongol conquest of Jin In 1233 the Song dynasty finally became an ally of the Mongols, who agreed to share territories south of the Yellow River with the Song. Song general Meng Gong defeated the Jin general Wu Xian and directed his troops to besiege the city of Caizhou, to which the last emperor of the Jurchen had fled. With the help of the Mongols, the Song armies were finally able to extinguish the Jin dynasty that had occupied northern China for more than a century. A year later, the Song generals fielded their armies to occupy the old capitals of the Song. They advanced as far as Kaifeng but were completely repelled by the Mongol garrisons under Tachir, a descendant of Boorchu, who was a famed companion of Genghis Khan. The Mongol troops, headed by sons of the Ögedei Khan, started their slow but steady invasion of the south. The Song forces resisted fiercely, which resulted in a prolonged set of campaigns; however, the primary obstacles to the prosecution of their campaigns was unfamiliar terrain that was inhospitable to their horses, new diseases, and the need to wage naval battles, a form of warfare completely alien to the masters of the steppe. This combination resulted in one of the most difficult and prolonged wars of the Mongol conquests.[6] The Chinese offered the fiercest resistance among all the Mongols fought, the Mongols required every single advantage they could gain and "every military artifice known at that time" in order to win.[7] A greater amount of "stubborn resistance" was put up by Korea and Song towards the Mongol invasions than the others in Eurasia who were swiftly crushed by the Mongols at a lightning pace.[8] The Mongol force which invaded southern China was far greater than the force they sent to invade the Middle East in 1256.[9] First stage (1235–1248) From 1235 on, the Mongol general Köden started to attack the region of Sichuan through the Chengdu plain. The occupation of this region had often been an important step for the conquest of the south. The important city of Xiangyang, the gateway to the Yangtze plain, which was defended by the Song general Cao Youwen, capitulated in 1236.[10] In the east, meanwhile, Song generals like Meng Gong (孟珙) and Du Gao (杜杲) withstood the pressure of the Mongol armies under Kouwen Buhua because the main Mongol forces were at that time moving towards Europe. In Sichuan, governor Yu Jie adopted the plan of the brothers Ran Jin and Ran Pu to fortify important locations in mountainous areas, like Diaoyucheng (modern Hechuan/Sichuan). From this point, Yu Jie was able to hold Sichuan for a further ten years. In 1239, General Meng defeated the Mongols and retook Xiangyang, contesting Sichuan against the Mongols for years.[11] The only permanent gain was Chengdu for the Mongols in 1241. In the Huai River area, the Mongol Empire's commanders remained on the defensive, taking few major Song cities, although Töregene and Güyük Khan ordered their generals to attack the Song.[12] Mongol warrior on horseback, preparing a mounted archery shot. Many Han Chinese defected to the Mongols to fight against the Jin. There were 4 Han Tumens, with each Tumen consisting of 10,000 troops. The four Han Generals Zhang Rou, Yan Shi, Shi Tianze, and Liu Heima commanded the four Han tumens under Ogödei Khan.[13][14][15][16] The conflicts between the Mongols and the Song troops took place in the area of Chengdu. When Töregene sent her envoys to negotiate peace, the Song imprisoned them.[17] The Mongols invaded Sichuan in 1242. Their commanders ordered Han Chinese tumen general Zhang Rou and Chagaan (Tsagaan) to attack the Song. When they pillaged Song territory, the Song court sent a delegation to negotiate a ceasefire. Chagaan and Zhang Rou returned north after the Mongols accepted the terms.[18] The Mongols made heavy use of indigenous ethnic minority soldiers in southern China rather than Mongols. The Kingdom of Dali's indigenous Cuan-Bo army led by the Duan royal family were the majority of the forces in the Mongol Yuan army sent to attack Song during battles along the Yangtze river. During a Mongol attack against the Song, there were only 3,000 Mongol cavalry at one point under the Mongol commander Uriyangkhadai, the majority of his army were native Cuan-Bo with Duan officers.[19] An account of the Mongol attack on Nanjing was given in a Chinese annal, describing the Chinese defenders use of gunpowder against the Mongols: As the Mongols had dug themselves pits under the earth where they were sheltered from missiles, we decided to bind with iron the machines called zhen tian lei [thunder-shaking-the-sky]... and lowered them into the places[20] where the translation of the term for the device is that of Prof. Partington, who describes it as an iron pot filled with [huo] yao, literally "fire drug", a low-nitrate gunpowder or proto-gunpowder, sometimes lowered on chains, that sent forth "fire... out of every part", with an incendiary effect over many yards that could pierce metal to which it was attached, producing a "noise like thunder" that could be heard for miles, with the result that "the men and the oxhides were all broken into fragments (chieh sui) flying in all directions".[21][22] Second stage (1251–1260) The Mongol attacks on Southern Song intensified with the election of Möngke as Great Khan in 1251. Passing through the Chengdu Plain in Sichuan, the Mongols conquered the Kingdom of Dali in modern Yunnan in 1253. The Mongols besieged Ho-chiou[where?] and lifted the siege very soon in 1254. Möngke's brother Kublai and general Uriyangkhadai pacified Yunnan and Tibet and invaded the Trần dynasty in Vietnam. Uriyangkhadai led successful campaigns in the southwest of China and pacified tribes in Tibet before turning east towards Dai Viet by 1257.[23] In the autumn of 1257, Uriyangkhadai addressed three letters to Dai Viet emperor Trần Thái Tông demanding passage through southern China.[24] After the three successive envoys were imprisoned in the capital Thang Long (modern-day Hanoi) of Dai Viet, Uriyangkhadai invaded Dai Viet in December 1257 with generals Trechecdu and Aju in the rear.[24] In October 1257, Möngke had set out for South China and fixed his camps near Mount Liupan in May 1258.[citation needed] Möngke entered Sichuan in 1258 with two-thirds of the Mongol strength.[citation needed] According to the Đại Việt Sử ký toàn thư, Mongol forces under Uriyangkhadai battled the larger Trần army led by emperor Trần in Bình Lệ steppe (Bạch Hạc) on 17 January 1258, northwest of Thăng Long.[25] On 22 January 1258, Uriyangkhadai successfully captured the Dai Viet capital Thang Long (now known as Hanoi).[23][26][27] While Chinese source material incorrectly stated that Uriyangkhadai withdrew from Vietnam after nine days due to poor climate,[26][27] Uriyangkhadai left Thang Long in 1259 to invade the Song dynasty in modern-day Guangxi as part of a coordinated Mongol attack with armies attacking in Sichuan under Möngke Khan and other Mongol armies attacking in modern-day Shandong and Henan.[27] Around 17 November 1259, Kublai Khan received a messenger while besieging Ezhou in Hubei who described Uriyangkhadai's army advances from Thang Long to Tanzhou (modern-day Changsha) in Hunan via Yongzhou (modern-day Nanning) and Guilin in Guangxi.[27] Uriyangkhada's army subsequently fought its way north to rejoin Kublai Khan's army north of the Yangtze river on their way back to northern China.[27] While conducting the war in China at Diaoyu Fortress in modern-day Chongqing, Möngke died, perhaps of dysentery[28] or cholera, near the site of the siege on 11 August 1259.[29][30][31] The central government of the Southern Song meanwhile was unable to cope with the challenge of the Mongols and new peasant uprisings in the region of modern Fujian led by Yan Mengbiao and Hunan. The court of Emperor Lizong was dominated by consort clans, Yan and Jia, and the eunuchs Dong Songchen and Lu Yunsheng.[citation needed] In 1260, Jia Sidao became chancellor who took control over the new emperor Zhao Qi (posthumous title Song Duzong) and expelled his opponents like Wen Tianxiang and Li Fu. Because the financial revenue of the late Southern Song state was very low, Jia Sidao tried to reform the regulations for the merchandise of lands with his state field law.[citation needed] Gunpowder weapons like the tuhuo gun (突火槍), which fired bullets from bamboo tubes, were deployed by the Chinese against the Mongol forces.[32] The Tusi chieftains and local tribe leaders and kingdoms in Yunnan, Guizhou and Sichuan submitted to Yuan rule and were allowed to keep their titles. The Han Chinese Yang family ruling the Chiefdom of Bozhou which was recognized by the Song dynasty and Tang dynasty also received recognition by the Mongols in the Yuan dynasty and later by the Ming dynasty. The Luo clan in Shuixi led by Ahua were recognized by the Yuan emperors, as they were by the Song emperors when led by Pugui and Tang emperors when led by Apei. They descended from the Shu Han era king Huoji who helped Zhuge Liang against Meng Huo. They were also recognized by the Ming dynasty.[33][34] Prelude, and surrender of Song (1260–1276) See also: Yuan dynasty and Battle of Xiangyang Kublai Khan, the Great Khan of the Mongol Empire and Emperor of the Yuan dynasty. Painting from 1294. This section needs additional citations for verification. Please help improve this article by adding citations to reliable sources in this section. Unsourced material may be challenged and removed. (December 2014) (Learn how and when to remove this message) After Kublai was elected Great Khan of the Mongols in 1260, he was eventually able to conquer the Song to the south, but at great cost. From 1260 to 1264, he first faced civil insurrection within the Mongol empire, led by his younger brother, Ariq Böke, who had been left in command of the north and stationed at the Mongol capital, Karakorum. This led to the Toluid Civil War and was followed by a major confrontation at the Diaoyu Fortress in Sichuan in 1265. The Mongols eventually defeated the Song land and naval armies and captured more than 100 ships.[35] The Yuan dynasty created a "Han Army" (漢軍) out of defected Jin troops and an army of defected Song troops called the "Newly Submitted Army" (新附軍).[36] Southern Song Chinese troops who defected and surrendered to the Mongols were granted Korean women as wives by the Mongols, whom the Mongols earlier took during their invasion of Korea as war booty.[37] The many Song Chinese troops who defected to the Mongols were given oxen, clothes and land.[38] As prizes for battlefield victories, lands sectioned off as appanages were handed by the Yuan dynasty to Chinese military officers who defected to the Mongol side. The Yuan gave defecting Song Chinese soldiers juntun, a type of military farmland.[39] In 1268, the Mongol advance was halted at the city of Xiangyang, situated on the Han River, which controlled access to the Yangtze, the gateway to the important trading centre of Hangzhou.[40] The walls of Xiangyang were approximately 6 to 7 metres (20 to 23 ft) thick and encompassed an area 5 kilometres (3.1 mi) wide. The main entrances in the wall led out to a waterway impossible to ford in the summer, and impassable as a swamp and a series of ponds and mud flats in the winter. Xiangyang was linked to its twin city, Fancheng (樊城), on the opposite riverbank, by a pontoon bridge spanning the river from where the defenders of the twin settlements attempted to break the siege. However, the Mongols under Aju thwarted every attempt and crushed all reinforcements from the Song, each detachment numbering in the thousands.[41] According to Professor Zhang Lianggao of Huazhong University of Science and Technology, in 1269 (咸淳五年), the Mongols invaded the Yangtze River valley but were repulsed.[42] The Wuying Pagoda was rebuilt in 1270 (咸淳六年) in the throes of the overthrow of the Southern Song during the reign of Emperor Duzong.[43] After this defeat, Aju asked Kublai for the powerful siege machines of the Ilkhanate. Ismail and Al-aud-Din, from Mosul, Iraq, arrived in South China to construct a new type of counterweight-driven trebuchet that could use explosive shells. The Mosuli engineers built the new siege trebuchets, and smaller mangonels,[44] and traction trebuchets as well.[citation needed] The design of the critical new counterweight trebuchets were taken from those used by Hulagu to batter down the walls of Baghdad in 1258. The counterweight trebuchets Hulegu used (referred to as "Frankish mangonels" in an official Ilkhanate history) were almost certainly borrowed from his Crusader state vassals, having been sent to the Levant by French crusaders by 1242 at the latest. According to the Ilkhanate historian Rashid Al-Din, the introduction of these weapons in 1268 was decisive and allowed the Mongols to rapidly conquer fortified cities they had previously deemed untakeable.[45][46] Explosive shells had been in use in China for centuries, but the counterweight system of the trebuchet (as opposed to the torsion-type) gave greater range and accuracy while also making it easier to judge the force generated (versus by the torsion from repeated windings).[47] As such, the counterweight trebuchet built by the Persians were, practically speaking, greater in range,[48] and so could assist in destroying the walls at Fancheng with greater safety to the Mongol forces.[citation needed] The Muslim and additional Chinese engineers operated the artillery and siege engines for the Mongol armies.[49] Hence, the Chinese, who were the first to invent the traction trebuchet,[citation needed] now faced Persian-designed counterweight trebuchets on the side of the Mongol army, so by 1273 the Chinese were led to build their own counterweight trebuchets; as a Chinese account states, "In 1273 the frontier cities had all fallen. But Muslim trebuchets were constructed with new and ingenious improvements, and different kinds became available, far better than those used before."[50] During the siege, both the Mongol and Song forces used thunder crash bombs, a type of incendiary gunpowder weapon of cast iron, filled with gunpowder and which was delivered via trebuchet or other means. The effects of these shells on men and natural materials was devastating; the noise was thunderous and resounded for many miles, while the bomb's casing could penetrate iron armor during the explosion.[22] The Mongols also utilized siege crossbows, while the Song used fire arrows and fire lances.[citation needed] Political infighting in the Song also contributed to the fall of Xiangyang and Fancheng, due to the power of the Lü family. Many questioned their allegiance to the Song as morale was collapsing, and the Emperor barred Jia Sidao himself from the command. Li Tingzhi, an enemy of the Lü family, was appointed commander. Jia permitted the Lüs to ignore Li's orders, resulting in a fractious command. Li was then unable to relieve Xiangyang and Fancheng, managing only temporary resupply during several breaks in the siege.[51] Bayan of the Baarin, the Mongol commander, then sent half of his force up-river to wade to the south bank in order to build a bridge across to take the Yang lo fortress; three thousand Song boats came up the Han river and were repulsed, with fifty boats destroyed and 2,000 dead.[citation needed] In the maritime engagements, the Song forces used paddle ships,[52] and on some ships at least, fire lance, siege crossbows, and incendiary devices were deployed against Mongol forces.[50] The Yuan dynasty under Kublai Khan after the conquest of Southern Song dynasty. Xiangyang's commander Lü Wenhuan from the Lü family then surrendered to the Mongol commander and was appointed as governor of Xiangyang. The entire force, now including the yielding commander, sailed down the Yangtze, and the forts along the way surrendered, as this commander - now allied with the Mongols - had also commanded many of the down-river garrisons. Lü Wenhuan persuaded the rest of his family to switch sides.[53] In 1270, Kublai ordered the construction of five thousand ships. Three years later, an additional two thousand ships were ordered built; these would carry about 50,000 troops to give battle to the Song. In 1273, Fancheng capitulated, the Mongols putting the entire population to death by sword to terrorize the inhabitants of Xiangyang. After the surrender of Xiangyang, several thousand ships were deployed. The Song fleet, despite their deployment as a coastal defense fleet or coast guard more than an operational navy, was more than a match for the Mongols. Under his great general Bayan, Khublai unleashed a riverine attack upon the defended city of Xiangyang on the Han River. The Mongols ultimately prevailed, but only after five more years of struggle.[54] Kublai had founded the Yuan dynasty in 1271, and by 1273, the Mongols had emerged victorious on the Han River.[citation needed] The Yangtse River was opened for a large fleet that could conquer the Southern Song empire. A year later, the child-prince Zhao Xian was made emperor. Resistance continued, resulting in Bayan's massacre of the inhabitants of Changzhou in 1275 and mass suicide of the defenders at Changsha in January 1276. When the Yuan Mongol-Chinese troops and fleet advanced and one prefecture after the other submitted to the Yuan, Jia Sidao offered his own submission, but the Yuan chancellor Bayan refused. The last contingents of the Song dynasty were heavily defeated, the old city of Jiankang (Jiangsu) fell, and Jia Sidao was killed. The capital of Song, Lin'an (Hangzhou), was defended by Wen Tianxiang and Zhang Shijie. When Bayan and Dong Wenbing camped outside Lin'an in February 1276, the Song Grand Empress Dowager Xie and Empress Dowager Quan surrendered the underage Emperor Gong of Song along with the imperial seal. Historian Patricia Buckley Ebrey notes that the Mongol Yuan dynasty treated the Jurchen Wanyan royal family harshly, butchering them by the hundreds as well as the Tangut emperor of Western Xia when they defeated him earlier. However, Ebrey also notes the Mongols were comparatively lenient on the Han Chinese Zhao royal family of the Southern Song, sparing both the Southern Song royals in the capital Hangzhou like the Emperor Gong of Song and his mother, as well as the civilians inside it, allowing them to go about their normal business and even rehiring Southern Song officials. The Mongols did not take the southern Song palace women for themselves but instead had Han Chinese artisans in Shangdu marry the palace women.[55] The Mongol emperor Kublai Khan even granted a Mongol princess from his own Borjigin family as a wife to the surrendered Han Chinese Southern Song Emperor Gong of Song and they fathered a son together named Zhao Wanpu.[56][57] Emperor Gong abdicated, but faithful loyalists like Zhang Jue, Wen Tianxiang, Zhang Shijie and Lu Xiufu successively enthroned the emperor's younger brothers Zhao Shi and Zhao Bing. Zhao Shi was enthroned as Emperor Duanzong of Song far from the capital in the region of Fuzhou, but he died soon afterwards on the flight southwards into modern Guangdong. Zhao Bing was enthroned as Emperor Huaizong of Song on Lantau Island, Hong Kong. On 19 March 1279, the Mongols defeated the last of the Song forces at the naval Battle of Yamen. After the battle, as a last defiant act against the invaders, Lu Xiufu embraced the eight-year-old emperor and the pair leapt to their deaths from Mount Ya, thus marking the extinction of the Southern Song. Last stand of the Song loyalists (1276–1279) Main article: Battle of Yamen This section needs additional citations for verification. Please help improve this article by adding citations to reliable sources in this section. Unsourced material may be challenged and removed. (May 2020) (Learn how and when to remove this message) Emperor Bing, the last Song emperor claimant. Empress Dowager Xie had secretly sent the child emperor's two brothers to Fuzhou. The strongholds of the Song loyalists fell one by one: Yangzhou in 1276, Chongqing in 1277 and Hezhou in 1279. The loyalists fought the Mongols in the mountainous Fujian–Guangdong–Jiangxi borderland. In February 1279, Wen Tianxiang, one of the Song loyalists, was captured, transported to and executed at the Yuan capital Khanbaliq (Dadu, modern Beijing). The end of the Mongol-Song war occurred on 19 March 1279, when 1000 Chinese warships faced a fleet of 300 to 700 Yuan Mongol warships at Yamen. The Yuan fleet was commanded by Zhang Hongfan (1238–1280), a northern Chinese, and Li Heng (1236–1285), a Tangut. Catapults as a weapon system were rejected by Kublai's court, for they feared the Song fleet would break out if they used such weapons. Instead, they developed a plan for a maritime siege, in order to starve the Song into submission. From the outset, there was a defect in the Song tactics that would later be exploited by Yuan at the conclusion of the battle. The Song wanted a stronger defensive position, and the Song fleet "roped itself together in a solid mass[,]" in an attempt to create a nautical skirmish line. Results were disastrous for the Song: they could neither attack nor maneuver. Escape was also impossible, for the Song warships lacked any nearby base. On 12 March, a number of Song combatants defected to the Mongol side. On 13 March, a Song squadron attacked some of the Mongols' northern patrol boats, in what may have been an attempted breakout. However, the attempt failed. By 17 March, Li Heng and Zhang Hongfan opted for a decisive battle. Four Mongol fleets moved against the Song: Li Heng attacked from the north and northwest; Zhang would proceed from the southwest; and the last two fleets attacked from the south and west. Weather favored the Mongols that morning; heavy fog and rain obscured the approach of Li Heng's dawn attack. The movement of the tide and the southwestern similarly benefited the movement of the Mongol fleet which, in short order, appeared to the north of the Song. It was an unusual attack in that the Mongol fleet engaged the Song fleet stern first. Prior to the battle, the Mongols constructed archery platforms for their marines. The position enabled the archers to direct a higher, more concentrated rate of missile fire against the enemy. Fire teams of seven or eight archers manned these platforms, and they proved devastatingly effective as the battle commenced at close quarters. Li Heng's first attack cut the Song rope that held the Chinese fleet together. Fighting raged in close quarters combat. Before midday, the Song lost three of their ships to the Mongols. By forenoon, Li's ships broke through the Song's outer line, and two other Mongol squadrons destroyed the Song formation in the northwest corner. Around this time, the tide shifted; Li's ships drifted to the opposite direction, the north. The Mongol dominions, c. 1300. The gray area is the later Timurid Empire. The Song believed that the Mongols were halting the attack and dropped their guard. Zhang Hongfan's fleet, riding the northern current, then attacked the Song ships. Zhang was determined to capture the Song admiral, Zuo Tai. The Yuan flagship was protected by shields to negate the Song missile fire. Later, when Zhang captured the Song flagship, his own vessel was riddled with arrows. Li Heng's fleet also returned to the battle. By late afternoon, the battle was over, and the last of the Song navy surrendered. The Song dynasty elite were unwilling to submit to Mongol rule, and opted for death by suicide. The Song councilor Lu Xiufu, who had been tasked with holding the child-emperor Zhao Bing of the Song in his arms during the battle, also elected to join the Song leaders in death. It is uncertain whether he or others decided that the young Emperor should die as well. In any event, the councilor jumped into the sea, still holding the child in his arms. Tens of thousands of Song officials and women also threw themselves into the sea and drowned. With the death of the last Song emperor, the final remnants of the Song resistance were eliminated. The victory of this naval campaign marked the completion of Kublai's conquest of China, and the onset of the consolidated Mongol Yuan dynasty. Remnants of the Song imperial family continued to live in the Yuan dynasty like Emperor Gong of Song, Zhao Mengfu, and Zhao Yong. Zhao Mengfu spent his time painting at the Yuan court and was personally interviewed by Kublai Khan.[citation needed] The Vietnamese Annals recorded that remnants of the Song imperial family arrived in Thăng Long, the capital of the Đại Việt, in the winter of 1276 aboard thirty ships and eventually settled in the Nhai-Tuân district and opened a market selling medicine and silk.[58] Siege policy James Waterson cautioned against attributing the population drop in northern China to Mongol slaughter since much of the population may have moved to southern China under the Southern Song or died of disease and famine as agricultural and urban city infrastructure were destroyed.[59] The Mongols spared cities from massacre and sacking if they surrendered, such as Kaifeng, which was surrendered to Subetai by Xu Li,[60] Yangzhou, which was surrendered to Bayan by Li Tingzhi's second in command after Li Tingzhi was executed by the Southern Song,[61] and Hangzhou, which was spared from sacking when it surrendered to Kublai Khan.[62] Han Chinese and Khitan soldiers defected en masse to Genghis Khan against the Jurchen Jin dynasty.[63] Towns which surrendered were spared from sacking and massacre by Kublai Khan.[64] The Khitan reluctantly left their homeland in Manchuria as the Jin moved their primary capital from Beijing south to Kaifeng and defected to the Mongols.[65] Capitulation of Nobles and Tusi vassal chiefdoms in southwestern China Many Tusi chiefdoms and kingdoms in southwestern China which existed before the Mongol invasions were allowed to retain their integrity as vassals of the Yuan dynasty after surrendering, including the Kingdom of Dali, the Han Chinese Yang family ruling the Chiefdom of Bozhou with its seat at the castle Hailongtun, Chiefdom of Lijiang, Chiefdom of Shuidong, Chiefdom of Sizhou, Chiefdom of Yao'an, Chiefdom of Yongning and Mu'ege. As were Korea under Mongol rule and the Kingdom of Qocho. The Han Chinese nobles Duke Yansheng and Celestial Masters continued possessing their titles in the Yuan dynasty since the previous dynasties. Chinese exile in Vietnam and Champa helping anti-Mongol resistance Southern Song military officers and civilian officials fled to overseas countries, namely Vietnam and Champa. In Vietnam, they intermarried with the Vietnamese ruling elite, and in Champa, they served the government there as recorded by Zheng Sixiao.[66] Former Song soldiers served in the Vietnamese army prepared by emperor Trần Thánh Tông against the second Mongol invasion.[67] Professor Liam Kelley noted that people from Song like Zhao Zhong and Xu Zongdao escaped to Vietnam (then under the Trần dynasty) after the Mongol invasion of China and helped the Trần fighting against the Mongol invasion. The Daoist Chinese cleric Xu Zongdao, who recorded the Mongol invasion, referred to them as "Northern bandits". He quoted the Đại Việt Sử Ký Toàn Thư which said "When the Song [dynasty] was lost, its people came to us. Nhật Duật took them in. There was Zhao Zhong who served as his personal guard. Therefore, among the accomplishments in defeating the Yuan [i.e., Mongols], Nhật Duật had the most."[68][69]

 The Mongol conquest of the Song dynasty or the Song-Yuan War beginning under Ögedei Khan (r. 1229–1241) and completed under Kublai Khan (r. 1260–1294) was the final step of the Mongol conquest of China. With the conquest the Mongols ruled all of the continental East Asia under the Yuan dynasty (a division of the Mongol Empire). It is also considered the Mongol Empire's last great military achievement.[2]


Background


See also: Jin–Song Wars and History of the Song dynasty

Before the Mongol–Jin War escalated, an envoy from the Song dynasty of China arrived at the court of the Mongols, perhaps to negotiate a united offensive against the Jin dynasty, who the Song had previously fought during the Jin–Song Wars. Although Genghis Khan refused, on his death in 1227 he bequeathed a plan to attack the Jin capital by passing through Song territory. Subsequently, a Mongol ambassador was killed by the Song governor in uncertain circumstances.[3] Before receiving any explanation, the Mongols marched through Song territory to enter the Jin's redoubt in Henan.



Emperor Lizong of Song

The 1227 incident

In the early spring of 1227, Genghis Khan ordered a small fraction of the army to advance into the Song Lizhou Circuit (利州路), in the name of attacking Jin and Western Xia. The five prefectures of Jie (階), Feng (鳳), Cheng (成), He (和) and Tianshui (天水) were ravaged. Then the Mongols moved southward and seized Wenzhou (文州). In July, the Mongols returned to the north. Genghis Khan further realized that to destroy the Jīn dynasty the Mongol army must make its way via the Song. The 1227 incident (丁亥之變) was the first armed conflict between the Mongols and the Song, but it was incidental to the Mongol conflict with the Jin.[4]


Battles of Shukou

From the winter of 1230 to the autumn of 1231, the Mongols forcibly passed through the Song dynasty. In the region centered on the three passes of Shukou (蜀口), they entered into a series of battles with the Song army. This was the second and largest armed conflict between them before the Mongol conquest of Song officially began.[5]


After Mongol conquest of Jin

In 1233 the Song dynasty finally became an ally of the Mongols, who agreed to share territories south of the Yellow River with the Song. Song general Meng Gong defeated the Jin general Wu Xian and directed his troops to besiege the city of Caizhou, to which the last emperor of the Jurchen had fled. With the help of the Mongols, the Song armies were finally able to extinguish the Jin dynasty that had occupied northern China for more than a century. A year later, the Song generals fielded their armies to occupy the old capitals of the Song. They advanced as far as Kaifeng but were completely repelled by the Mongol garrisons under Tachir, a descendant of Boorchu, who was a famed companion of Genghis Khan.


The Mongol troops, headed by sons of the Ögedei Khan, started their slow but steady invasion of the south. The Song forces resisted fiercely, which resulted in a prolonged set of campaigns; however, the primary obstacles to the prosecution of their campaigns was unfamiliar terrain that was inhospitable to their horses, new diseases, and the need to wage naval battles, a form of warfare completely alien to the masters of the steppe. This combination resulted in one of the most difficult and prolonged wars of the Mongol conquests.[6] The Chinese offered the fiercest resistance among all the Mongols fought, the Mongols required every single advantage they could gain and "every military artifice known at that time" in order to win.[7]


A greater amount of "stubborn resistance" was put up by Korea and Song towards the Mongol invasions than the others in Eurasia who were swiftly crushed by the Mongols at a lightning pace.[8]


The Mongol force which invaded southern China was far greater than the force they sent to invade the Middle East in 1256.[9]


First stage (1235–1248)

From 1235 on, the Mongol general Köden started to attack the region of Sichuan through the Chengdu plain. The occupation of this region had often been an important step for the conquest of the south. The important city of Xiangyang, the gateway to the Yangtze plain, which was defended by the Song general Cao Youwen, capitulated in 1236.[10] In the east, meanwhile, Song generals like Meng Gong (孟珙) and Du Gao (杜杲) withstood the pressure of the Mongol armies under Kouwen Buhua because the main Mongol forces were at that time moving towards Europe. In Sichuan, governor Yu Jie adopted the plan of the brothers Ran Jin and Ran Pu to fortify important locations in mountainous areas, like Diaoyucheng (modern Hechuan/Sichuan). From this point, Yu Jie was able to hold Sichuan for a further ten years. In 1239, General Meng defeated the Mongols and retook Xiangyang, contesting Sichuan against the Mongols for years.[11] The only permanent gain was Chengdu for the Mongols in 1241. In the Huai River area, the Mongol Empire's commanders remained on the defensive, taking few major Song cities, although Töregene and Güyük Khan ordered their generals to attack the Song.[12]



Mongol warrior on horseback, preparing a mounted archery shot.

Many Han Chinese defected to the Mongols to fight against the Jin. There were 4 Han Tumens, with each Tumen consisting of 10,000 troops. The four Han Generals Zhang Rou, Yan Shi, Shi Tianze, and Liu Heima commanded the four Han tumens under Ogödei Khan.[13][14][15][16]


The conflicts between the Mongols and the Song troops took place in the area of Chengdu. When Töregene sent her envoys to negotiate peace, the Song imprisoned them.[17] The Mongols invaded Sichuan in 1242. Their commanders ordered Han Chinese tumen general Zhang Rou and Chagaan (Tsagaan) to attack the Song. When they pillaged Song territory, the Song court sent a delegation to negotiate a ceasefire. Chagaan and Zhang Rou returned north after the Mongols accepted the terms.[18]


The Mongols made heavy use of indigenous ethnic minority soldiers in southern China rather than Mongols. The Kingdom of Dali's indigenous Cuan-Bo army led by the Duan royal family were the majority of the forces in the Mongol Yuan army sent to attack Song during battles along the Yangtze river. During a Mongol attack against the Song, there were only 3,000 Mongol cavalry at one point under the Mongol commander Uriyangkhadai, the majority of his army were native Cuan-Bo with Duan officers.[19]


An account of the Mongol attack on Nanjing was given in a Chinese annal, describing the Chinese defenders use of gunpowder against the Mongols:


As the Mongols had dug themselves pits under the earth where they were sheltered from missiles, we decided to bind with iron the machines called zhen tian lei [thunder-shaking-the-sky]... and lowered them into the places[20]


where the translation of the term for the device is that of Prof. Partington, who describes it as an iron pot filled with [huo] yao, literally "fire drug", a low-nitrate gunpowder or proto-gunpowder, sometimes lowered on chains, that sent forth "fire... out of every part", with an incendiary effect over many yards that could pierce metal to which it was attached, producing a "noise like thunder" that could be heard for miles, with the result that "the men and the oxhides were all broken into fragments (chieh sui) flying in all directions".[21][22]


Second stage (1251–1260)

The Mongol attacks on Southern Song intensified with the election of Möngke as Great Khan in 1251. Passing through the Chengdu Plain in Sichuan, the Mongols conquered the Kingdom of Dali in modern Yunnan in 1253. The Mongols besieged Ho-chiou[where?] and lifted the siege very soon in 1254. Möngke's brother Kublai and general Uriyangkhadai pacified Yunnan and Tibet and invaded the Trần dynasty in Vietnam.


Uriyangkhadai led successful campaigns in the southwest of China and pacified tribes in Tibet before turning east towards Dai Viet by 1257.[23] In the autumn of 1257, Uriyangkhadai addressed three letters to Dai Viet emperor Trần Thái Tông demanding passage through southern China.[24] After the three successive envoys were imprisoned in the capital Thang Long (modern-day Hanoi) of Dai Viet, Uriyangkhadai invaded Dai Viet in December 1257 with generals Trechecdu and Aju in the rear.[24] In October 1257, Möngke had set out for South China and fixed his camps near Mount Liupan in May 1258.[citation needed] Möngke entered Sichuan in 1258 with two-thirds of the Mongol strength.[citation needed]


According to the Đại Việt Sử ký toàn thư, Mongol forces under Uriyangkhadai battled the larger Trần army led by emperor Trần in Bình Lệ steppe (Bạch Hạc) on 17 January 1258, northwest of Thăng Long.[25] On 22 January 1258, Uriyangkhadai successfully captured the Dai Viet capital Thang Long (now known as Hanoi).[23][26][27] While Chinese source material incorrectly stated that Uriyangkhadai withdrew from Vietnam after nine days due to poor climate,[26][27] Uriyangkhadai left Thang Long in 1259 to invade the Song dynasty in modern-day Guangxi as part of a coordinated Mongol attack with armies attacking in Sichuan under Möngke Khan and other Mongol armies attacking in modern-day Shandong and Henan.[27] Around 17 November 1259, Kublai Khan received a messenger while besieging Ezhou in Hubei who described Uriyangkhadai's army advances from Thang Long to Tanzhou (modern-day Changsha) in Hunan via Yongzhou (modern-day Nanning) and Guilin in Guangxi.[27] Uriyangkhada's army subsequently fought its way north to rejoin Kublai Khan's army north of the Yangtze river on their way back to northern China.[27] While conducting the war in China at Diaoyu Fortress in modern-day Chongqing, Möngke died, perhaps of dysentery[28] or cholera, near the site of the siege on 11 August 1259.[29][30][31]


The central government of the Southern Song meanwhile was unable to cope with the challenge of the Mongols and new peasant uprisings in the region of modern Fujian led by Yan Mengbiao and Hunan. The court of Emperor Lizong was dominated by consort clans, Yan and Jia, and the eunuchs Dong Songchen and Lu Yunsheng.[citation needed] In 1260, Jia Sidao became chancellor who took control over the new emperor Zhao Qi (posthumous title Song Duzong) and expelled his opponents like Wen Tianxiang and Li Fu. Because the financial revenue of the late Southern Song state was very low, Jia Sidao tried to reform the regulations for the merchandise of lands with his state field law.[citation needed]


Gunpowder weapons like the tuhuo gun (突火槍), which fired bullets from bamboo tubes, were deployed by the Chinese against the Mongol forces.[32]


The Tusi chieftains and local tribe leaders and kingdoms in Yunnan, Guizhou and Sichuan submitted to Yuan rule and were allowed to keep their titles. The Han Chinese Yang family ruling the Chiefdom of Bozhou which was recognized by the Song dynasty and Tang dynasty also received recognition by the Mongols in the Yuan dynasty and later by the Ming dynasty. The Luo clan in Shuixi led by Ahua were recognized by the Yuan emperors, as they were by the Song emperors when led by Pugui and Tang emperors when led by Apei. They descended from the Shu Han era king Huoji who helped Zhuge Liang against Meng Huo. They were also recognized by the Ming dynasty.[33][34]


Prelude, and surrender of Song (1260–1276)

See also: Yuan dynasty and Battle of Xiangyang


Kublai Khan, the Great Khan of the Mongol Empire and Emperor of the Yuan dynasty. Painting from 1294.


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After Kublai was elected Great Khan of the Mongols in 1260, he was eventually able to conquer the Song to the south, but at great cost. From 1260 to 1264, he first faced civil insurrection within the Mongol empire, led by his younger brother, Ariq Böke, who had been left in command of the north and stationed at the Mongol capital, Karakorum. This led to the Toluid Civil War and was followed by a major confrontation at the Diaoyu Fortress in Sichuan in 1265. The Mongols eventually defeated the Song land and naval armies and captured more than 100 ships.[35]


The Yuan dynasty created a "Han Army" (漢軍) out of defected Jin troops and an army of defected Song troops called the "Newly Submitted Army" (新附軍).[36] Southern Song Chinese troops who defected and surrendered to the Mongols were granted Korean women as wives by the Mongols, whom the Mongols earlier took during their invasion of Korea as war booty.[37] The many Song Chinese troops who defected to the Mongols were given oxen, clothes and land.[38] As prizes for battlefield victories, lands sectioned off as appanages were handed by the Yuan dynasty to Chinese military officers who defected to the Mongol side. The Yuan gave defecting Song Chinese soldiers juntun, a type of military farmland.[39]


In 1268, the Mongol advance was halted at the city of Xiangyang, situated on the Han River, which controlled access to the Yangtze, the gateway to the important trading centre of Hangzhou.[40] The walls of Xiangyang were approximately 6 to 7 metres (20 to 23 ft) thick and encompassed an area 5 kilometres (3.1 mi) wide. The main entrances in the wall led out to a waterway impossible to ford in the summer, and impassable as a swamp and a series of ponds and mud flats in the winter. Xiangyang was linked to its twin city, Fancheng (樊城), on the opposite riverbank, by a pontoon bridge spanning the river from where the defenders of the twin settlements attempted to break the siege. However, the Mongols under Aju thwarted every attempt and crushed all reinforcements from the Song, each detachment numbering in the thousands.[41] According to Professor Zhang Lianggao of Huazhong University of Science and Technology, in 1269 (咸淳五年), the Mongols invaded the Yangtze River valley but were repulsed.[42] The Wuying Pagoda was rebuilt in 1270 (咸淳六年) in the throes of the overthrow of the Southern Song during the reign of Emperor Duzong.[43]


After this defeat, Aju asked Kublai for the powerful siege machines of the Ilkhanate. Ismail and Al-aud-Din, from Mosul, Iraq, arrived in South China to construct a new type of counterweight-driven trebuchet that could use explosive shells. The Mosuli engineers built the new siege trebuchets, and smaller mangonels,[44] and traction trebuchets as well.[citation needed] The design of the critical new counterweight trebuchets were taken from those used by Hulagu to batter down the walls of Baghdad in 1258. The counterweight trebuchets Hulegu used (referred to as "Frankish mangonels" in an official Ilkhanate history) were almost certainly borrowed from his Crusader state vassals, having been sent to the Levant by French crusaders by 1242 at the latest. According to the Ilkhanate historian Rashid Al-Din, the introduction of these weapons in 1268 was decisive and allowed the Mongols to rapidly conquer fortified cities they had previously deemed untakeable.[45][46]


Explosive shells had been in use in China for centuries, but the counterweight system of the trebuchet (as opposed to the torsion-type) gave greater range and accuracy while also making it easier to judge the force generated (versus by the torsion from repeated windings).[47] As such, the counterweight trebuchet built by the Persians were, practically speaking, greater in range,[48] and so could assist in destroying the walls at Fancheng with greater safety to the Mongol forces.[citation needed] The Muslim and additional Chinese engineers operated the artillery and siege engines for the Mongol armies.[49] Hence, the Chinese, who were the first to invent the traction trebuchet,[citation needed] now faced Persian-designed counterweight trebuchets on the side of the Mongol army, so by 1273 the Chinese were led to build their own counterweight trebuchets; as a Chinese account states, "In 1273 the frontier cities had all fallen. But Muslim trebuchets were constructed with new and ingenious improvements, and different kinds became available, far better than those used before."[50]


During the siege, both the Mongol and Song forces used thunder crash bombs, a type of incendiary gunpowder weapon of cast iron, filled with gunpowder and which was delivered via trebuchet or other means. The effects of these shells on men and natural materials was devastating; the noise was thunderous and resounded for many miles, while the bomb's casing could penetrate iron armor during the explosion.[22] The Mongols also utilized siege crossbows, while the Song used fire arrows and fire lances.[citation needed]


Political infighting in the Song also contributed to the fall of Xiangyang and Fancheng, due to the power of the Lü family. Many questioned their allegiance to the Song as morale was collapsing, and the Emperor barred Jia Sidao himself from the command. Li Tingzhi, an enemy of the Lü family, was appointed commander. Jia permitted the Lüs to ignore Li's orders, resulting in a fractious command. Li was then unable to relieve Xiangyang and Fancheng, managing only temporary resupply during several breaks in the siege.[51]


Bayan of the Baarin, the Mongol commander, then sent half of his force up-river to wade to the south bank in order to build a bridge across to take the Yang lo fortress; three thousand Song boats came up the Han river and were repulsed, with fifty boats destroyed and 2,000 dead.[citation needed] In the maritime engagements, the Song forces used paddle ships,[52] and on some ships at least, fire lance, siege crossbows, and incendiary devices were deployed against Mongol forces.[50]



The Yuan dynasty under Kublai Khan after the conquest of Southern Song dynasty.

Xiangyang's commander Lü Wenhuan from the Lü family then surrendered to the Mongol commander and was appointed as governor of Xiangyang. The entire force, now including the yielding commander, sailed down the Yangtze, and the forts along the way surrendered, as this commander - now allied with the Mongols - had also commanded many of the down-river garrisons. Lü Wenhuan persuaded the rest of his family to switch sides.[53] In 1270, Kublai ordered the construction of five thousand ships. Three years later, an additional two thousand ships were ordered built; these would carry about 50,000 troops to give battle to the Song.


In 1273, Fancheng capitulated, the Mongols putting the entire population to death by sword to terrorize the inhabitants of Xiangyang. After the surrender of Xiangyang, several thousand ships were deployed. The Song fleet, despite their deployment as a coastal defense fleet or coast guard more than an operational navy, was more than a match for the Mongols. Under his great general Bayan, Khublai unleashed a riverine attack upon the defended city of Xiangyang on the Han River. The Mongols ultimately prevailed, but only after five more years of struggle.[54]


Kublai had founded the Yuan dynasty in 1271, and by 1273, the Mongols had emerged victorious on the Han River.[citation needed] The Yangtse River was opened for a large fleet that could conquer the Southern Song empire. A year later, the child-prince Zhao Xian was made emperor. Resistance continued, resulting in Bayan's massacre of the inhabitants of Changzhou in 1275 and mass suicide of the defenders at Changsha in January 1276. When the Yuan Mongol-Chinese troops and fleet advanced and one prefecture after the other submitted to the Yuan, Jia Sidao offered his own submission, but the Yuan chancellor Bayan refused.


The last contingents of the Song dynasty were heavily defeated, the old city of Jiankang (Jiangsu) fell, and Jia Sidao was killed. The capital of Song, Lin'an (Hangzhou), was defended by Wen Tianxiang and Zhang Shijie.


When Bayan and Dong Wenbing camped outside Lin'an in February 1276, the Song Grand Empress Dowager Xie and Empress Dowager Quan surrendered the underage Emperor Gong of Song along with the imperial seal.


Historian Patricia Buckley Ebrey notes that the Mongol Yuan dynasty treated the Jurchen Wanyan royal family harshly, butchering them by the hundreds as well as the Tangut emperor of Western Xia when they defeated him earlier. However, Ebrey also notes the Mongols were comparatively lenient on the Han Chinese Zhao royal family of the Southern Song, sparing both the Southern Song royals in the capital Hangzhou like the Emperor Gong of Song and his mother, as well as the civilians inside it, allowing them to go about their normal business and even rehiring Southern Song officials. The Mongols did not take the southern Song palace women for themselves but instead had Han Chinese artisans in Shangdu marry the palace women.[55] The Mongol emperor Kublai Khan even granted a Mongol princess from his own Borjigin family as a wife to the surrendered Han Chinese Southern Song Emperor Gong of Song and they fathered a son together named Zhao Wanpu.[56][57]


Emperor Gong abdicated, but faithful loyalists like Zhang Jue, Wen Tianxiang, Zhang Shijie and Lu Xiufu successively enthroned the emperor's younger brothers Zhao Shi and Zhao Bing. Zhao Shi was enthroned as Emperor Duanzong of Song far from the capital in the region of Fuzhou, but he died soon afterwards on the flight southwards into modern Guangdong. Zhao Bing was enthroned as Emperor Huaizong of Song on Lantau Island, Hong Kong. On 19 March 1279, the Mongols defeated the last of the Song forces at the naval Battle of Yamen. After the battle, as a last defiant act against the invaders, Lu Xiufu embraced the eight-year-old emperor and the pair leapt to their deaths from Mount Ya, thus marking the extinction of the Southern Song.


Last stand of the Song loyalists (1276–1279)

Main article: Battle of Yamen


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Emperor Bing, the last Song emperor claimant.

Empress Dowager Xie had secretly sent the child emperor's two brothers to Fuzhou. The strongholds of the Song loyalists fell one by one: Yangzhou in 1276, Chongqing in 1277 and Hezhou in 1279. The loyalists fought the Mongols in the mountainous Fujian–Guangdong–Jiangxi borderland. In February 1279, Wen Tianxiang, one of the Song loyalists, was captured, transported to and executed at the Yuan capital Khanbaliq (Dadu, modern Beijing).


The end of the Mongol-Song war occurred on 19 March 1279, when 1000 Chinese warships faced a fleet of 300 to 700 Yuan Mongol warships at Yamen. The Yuan fleet was commanded by Zhang Hongfan (1238–1280), a northern Chinese, and Li Heng (1236–1285), a Tangut. Catapults as a weapon system were rejected by Kublai's court, for they feared the Song fleet would break out if they used such weapons. Instead, they developed a plan for a maritime siege, in order to starve the Song into submission.


From the outset, there was a defect in the Song tactics that would later be exploited by Yuan at the conclusion of the battle. The Song wanted a stronger defensive position, and the Song fleet "roped itself together in a solid mass[,]" in an attempt to create a nautical skirmish line. Results were disastrous for the Song: they could neither attack nor maneuver. Escape was also impossible, for the Song warships lacked any nearby base. On 12 March, a number of Song combatants defected to the Mongol side. On 13 March, a Song squadron attacked some of the Mongols' northern patrol boats, in what may have been an attempted breakout. However, the attempt failed.


By 17 March, Li Heng and Zhang Hongfan opted for a decisive battle. Four Mongol fleets moved against the Song: Li Heng attacked from the north and northwest; Zhang would proceed from the southwest; and the last two fleets attacked from the south and west. Weather favored the Mongols that morning; heavy fog and rain obscured the approach of Li Heng's dawn attack. The movement of the tide and the southwestern similarly benefited the movement of the Mongol fleet which, in short order, appeared to the north of the Song. It was an unusual attack in that the Mongol fleet engaged the Song fleet stern first.


Prior to the battle, the Mongols constructed archery platforms for their marines. The position enabled the archers to direct a higher, more concentrated rate of missile fire against the enemy. Fire teams of seven or eight archers manned these platforms, and they proved devastatingly effective as the battle commenced at close quarters.


Li Heng's first attack cut the Song rope that held the Chinese fleet together. Fighting raged in close quarters combat. Before midday, the Song lost three of their ships to the Mongols. By forenoon, Li's ships broke through the Song's outer line, and two other Mongol squadrons destroyed the Song formation in the northwest corner. Around this time, the tide shifted; Li's ships drifted to the opposite direction, the north.



The Mongol dominions, c. 1300. The gray area is the later Timurid Empire.

The Song believed that the Mongols were halting the attack and dropped their guard. Zhang Hongfan's fleet, riding the northern current, then attacked the Song ships. Zhang was determined to capture the Song admiral, Zuo Tai. The Yuan flagship was protected by shields to negate the Song missile fire. Later, when Zhang captured the Song flagship, his own vessel was riddled with arrows. Li Heng's fleet also returned to the battle. By late afternoon, the battle was over, and the last of the Song navy surrendered.


The Song dynasty elite were unwilling to submit to Mongol rule, and opted for death by suicide. The Song councilor Lu Xiufu, who had been tasked with holding the child-emperor Zhao Bing of the Song in his arms during the battle, also elected to join the Song leaders in death. It is uncertain whether he or others decided that the young Emperor should die as well. In any event, the councilor jumped into the sea, still holding the child in his arms. Tens of thousands of Song officials and women also threw themselves into the sea and drowned. With the death of the last Song emperor, the final remnants of the Song resistance were eliminated. The victory of this naval campaign marked the completion of Kublai's conquest of China, and the onset of the consolidated Mongol Yuan dynasty.


Remnants of the Song imperial family continued to live in the Yuan dynasty like Emperor Gong of Song, Zhao Mengfu, and Zhao Yong. Zhao Mengfu spent his time painting at the Yuan court and was personally interviewed by Kublai Khan.[citation needed] The Vietnamese Annals recorded that remnants of the Song imperial family arrived in Thăng Long, the capital of the Đại Việt, in the winter of 1276 aboard thirty ships and eventually settled in the Nhai-Tuân district and opened a market selling medicine and silk.[58]


Siege policy

James Waterson cautioned against attributing the population drop in northern China to Mongol slaughter since much of the population may have moved to southern China under the Southern Song or died of disease and famine as agricultural and urban city infrastructure were destroyed.[59] The Mongols spared cities from massacre and sacking if they surrendered, such as Kaifeng, which was surrendered to Subetai by Xu Li,[60] Yangzhou, which was surrendered to Bayan by Li Tingzhi's second in command after Li Tingzhi was executed by the Southern Song,[61] and Hangzhou, which was spared from sacking when it surrendered to Kublai Khan.[62] Han Chinese and Khitan soldiers defected en masse to Genghis Khan against the Jurchen Jin dynasty.[63] Towns which surrendered were spared from sacking and massacre by Kublai Khan.[64] The Khitan reluctantly left their homeland in Manchuria as the Jin moved their primary capital from Beijing south to Kaifeng and defected to the Mongols.[65]


Capitulation of Nobles and Tusi vassal chiefdoms in southwestern China

Many Tusi chiefdoms and kingdoms in southwestern China which existed before the Mongol invasions were allowed to retain their integrity as vassals of the Yuan dynasty after surrendering, including the Kingdom of Dali, the Han Chinese Yang family ruling the Chiefdom of Bozhou with its seat at the castle Hailongtun, Chiefdom of Lijiang, Chiefdom of Shuidong, Chiefdom of Sizhou, Chiefdom of Yao'an, Chiefdom of Yongning and Mu'ege. As were Korea under Mongol rule and the Kingdom of Qocho.


The Han Chinese nobles Duke Yansheng and Celestial Masters continued possessing their titles in the Yuan dynasty since the previous dynasties.


Chinese exile in Vietnam and Champa helping anti-Mongol resistance

Southern Song military officers and civilian officials fled to overseas countries, namely Vietnam and Champa. In Vietnam, they intermarried with the Vietnamese ruling elite, and in Champa, they served the government there as recorded by Zheng Sixiao.[66] Former Song soldiers served in the Vietnamese army prepared by emperor Trần Thánh Tông against the second Mongol invasion.[67]


Professor Liam Kelley noted that people from Song like Zhao Zhong and Xu Zongdao escaped to Vietnam (then under the Trần dynasty) after the Mongol invasion of China and helped the Trần fighting against the Mongol invasion. The Daoist Chinese cleric Xu Zongdao, who recorded the Mongol invasion, referred to them as "Northern bandits". He quoted the Đại Việt Sử Ký Toàn Thư which said "When the Song [dynasty] was lost, its people came to us. Nhật Duật took them in. There was Zhao Zhong who served as his personal guard. Therefore, among the accomplishments in defeating the Yuan [i.e., Mongols], Nhật Duật had the most."[68][69]




















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Illu_vertebral_columnVertebral_linesBlausen_0222_CervicalSpineCervical_vertebrae_-_close-up_-_animation2Cervical_vertebrae_lateral3HWS_seitlich_AnnotationCervical_XRayFlexionExtensionCervical_Spine_Anterior_ViewGray84Gray85Cervical_vertebrae_animation_smallGray86Gray87Gray88Gray89Gray_111-_Vertebral_column-colouredGray305Gray308Gray384위키백과쇄골제작품쇄골성장판쇄골골절타입Clavicle_-_anterior_viewGray200Gray201Clavicle_3d_ModelParts_Of_ClavicleBrachial_PlexusClavicle_-_animation2Left_clavicle_-_close-up_-_animationPectoral_girdle_front_diagramShoulder_jointShoulder_joint_back-enGray386Clavicle_4Cervical_vertebrae_lateral2Cervical_vertebra_englishOkapi_Giraffe_NeckC7_animation_smallX-ray_of_vertebral_linesstock-photo-cervical-spine-structure-vertebral-bones-cervical-bones-anatomy-of-human-bone-system-human-415445710 antibiotics-11-01117-g002ㄲㄳㄵㄶㄸㄺㄻㄼㄽㄾㄿㅀㅃㅄㅆㅉㄱㄴㄷㄹㅁㅂㅅㅇㅈㅊㅋㅌㅍㅎㅏㅑㅓㅕㅗㅛㅜㅠㅡㅣㅐㅒㅔㅖㅘㅙㅚㅝㅞㅟㅢ antibiotics-11-01117-g002AaBbCcDdEeFfGgHhIiJjKkLlMmNnOoPpQqRrSſsTtUuVvWwXxYyZz antibiotics-11-01117-g002AaBbCcDdEeFfGgHhIiJjKkLlMmNnOoPpQqRrSſsTtUuVvWwXxYyZzㄲㄳㄵㄶㄸㄺㄻㄼㄽㄾㄿㅀㅃㅄㅆㅉㄱㄴㄷㄹㅁㅂㅅㅇㅈㅊㅋㅌㅍㅎㅏㅑㅓㅕㅗㅛㅜㅠㅡㅣㅐㅒㅔㅖㅘㅙㅚㅝㅞㅟㅢ Mental breakdown혼백붕괴(정신붕괴) - 살아있는 자는 精神이며, 죽은 자는 魂魄이다. - 양심붕괴,도덕,윤리,책임붕괴, 믿음, 신앙붕괴, 가치붕괴, 문명붕괴 mental disability혼백장애 mental disease혼백질병(정신병) mental health condition mental illness혼백고뇌(정신고뇌)(源業으로부터 오는 고뇌,고통) nervous breakdown魂靈崩壞혼령붕괴(혼령장애-귀신,유령,떠도는 망령, 공포, 두려움,억울함 속에서 학살살인살해재난전쟁재앙등으로 사망한 자들 유체의 파괴,유체의 파손, 정신체의 붕괴와 파괴, 파손,RUIN의 결과로서 공포,두려움,억눌림,억압,참상의 지옥에 갇힌 자들) psychiatric disability心靈障礙(다수의 초과된 자들과의 난잡문란무분별한 섹스,음란 무절제, 통제되지 않는 내적신앙믿음체계의 붕괴파탄, 마약빨고 하루종일 공허함속에 머물기,파탄난 심령에너지, 고갈되어 붕괴된 심령체계들-예시 마거릿힐다대처,이재용) psychiatric disorder心靈故障(예시:이건희수준-말데크와룡수준(용산공업고등학교건축과동급생동문김기수,倭막부장수준)) - 惡魔 psychological disability神靈障礙(예시:기미두,말데크곤충룡수준-마거릿힐다대처원종) psychological disorder神靈故障(예시:말데크악룡수준-이건희원종,이재용원종) - 어둠의 군주(디아볼릭) 인도-라마사상체계 : 교묘한 책임회피(우주법칙과원리의 나열,설명,자기책임부정) 나자렛예수사상체계 : 회개,참회,속죄캠페인(자기책임을 깨닫기) 아틀란티스사상체계 : HUMAN-LOGOS사상체계

을지문덕(乙支文德, ?~?)630128-1067814朴鐘權的大億劫的削的磨的滅的處理的서울特別市 永登浦區奉天洞345番地서울特別市 永登浦區奉天洞347番地입자 물리학의 입자기본 입자페르미온쿼크위(u)아래(d)맵시(c)기묘(s)꼭대기(t)바닥(b)렙톤전자(e−)/양전자(e+)뮤온(μ−/μ+)타우 입자(τ−/τ+)중성미자 전자 중성미자/전자 반중성미자뮤온 중성미자/뮤온 반중성미자타우 중성미자/타우 반중성미자보손게이지 보손 (광자W · Z보손글루온)스칼라 보손(힉스 보손)미관측 입자대통일 이론 등액시온(A0)마요론(J)X · Y보손W' · Z' 보손비활성 중성미자자기 홀극테크니컬러 관련 입자초대칭짝게이지노글루이노중력미자 (골드스티노)뉴트랄리노 (포티노힉시노지노)차지노 (위노힉시노)색시온액시노스페르미온스쿼크 (스칼라 위 쿼크, 스칼라 아래 쿼크, 스칼라 맵시 쿼크, 스칼라 기묘 쿼크, 스칼라 꼭대기 쿼크, 스칼라 바닥 쿼크)슬렙톤 (스엘렉트론, 스뮤온, 스타우온, 스뉴트리노, 스뮤온 스뉴트리노, 스타우 스뉴트리노)양자 중력 및 끈 이론중력자딜라톤라디온(중력스칼라)중력광자기타유령 입자골드스톤 보손타키온순간자합성 입자강입자중입자핵자(N) (양성자(p)중성자(n))Δ(델타)Λ(람다)Σ(시그마)Ξ(크시)Ω(오메가)맛깔없는 가벼운 중간자π(파이온)ρ(로)η(에타)·η′(에타 프라임)φ(피)ω(오메가)a(에이)b(비)f(에프)·f′(에프 프라임)h(에이치)·h′(에이치 프라임)맛깔없는 무거운 중간자J/ψ(제이/프시)ϒ(입실론)θ(세타)χ(키)ηc/b/t(에타 쿼코늄)hc/b/t맛깔있는 중간자K(케이온)DBT기타원자핵원자분자별난 원자 오늄포지트로늄뮤오늄 등펜타쿼크미관측 입자테트라쿼크글루볼중간자 분자준입자솔리톤엑시톤마그논포논플라스몬폴라리톤폴라론로톤목록기타 가설 입자무의식초자아트라우마방어기제정신분석게슈탈트 붕괴고전적 조건형성조작적 조건형성인지부조화바넘 효과심리 검사성격 검사초두효과설단 현상칵테일 파티 효과전경-배경 이론깨진 유리창 이론정보처리이론루시퍼 이펙트스탠퍼드 감옥 실험편안한 복제인간 증후군원인론목적론해석 수준 이론심리치료인문학재난심리학(disaster psychology)군사심리학(영어판)군중심리학자살 예방환경심리학깨진 유리창 이론범죄예방 환경설계심리역사학(영어판)로이드 드마우스(영어판)의상심리학(clothing psychology)의사소통(휴먼 커뮤니케이션)대인간 커뮤니케이션(영어판)잔소리 (심리)(영어판)편집성 인격 장애폭력 / 가정폭력아동학대 / 동물학대힐가드와 애트킨슨의 심리학 원론(Atkinson & Hilgard's Introduction to Psychology)볼더 모델찰스 다윈심리학역사심리학자연구 분야감정생물심리학임상심리학인지심리학인지 신경과학비교심리학비판심리학문화심리학발달심리학진화심리학실험심리학개인심리학해방심리학수리심리학매체심리학약물심리학신경심리학수행심리학성격심리학생리심리학정치심리학긍정심리학심리언어학정신병리학정신물리학심리생리학정성적 심리 연구정량적 심리 연구사회심리학이론심리학교육심리학군중심리학스포츠심리학프시응용 분야심리 실험임상심리학상담심리학교육심리학법정심리학건강심리학산업 및 조직 심리학법심리학산업 건강심리학관계심리학학교심리학스포츠심리학음향심리학체제심리학심리철학시각심리학접근 방법분석심리학행동주의인지주의인지 행동 치료기술심리학실존주의 상담가족 치료인지 정서 행동 치료여성주의 상담게슈탈트 치료인본주의심리학초심리학이야기 치료정신분석학정신 역동 치료초개인심리학주요 심리학자버러스 프레더릭 스키너장 피아제지그문트 프로이트오토 랑크멜라니 클라인앨버트 반두라레온 페스팅거로이 샤퍼칼 로저스스탠리 샤흐터닐 엘가 밀러에드워드 손다이크에이브러햄 매슬로고던 올포트에릭 에릭슨한스 아이젠크윌프레드 비용윌리엄 제임스데이비드 맥클랜드앨버트 엘리스아론 벡레이몬드 캐텔존 B. 왓슨쿠르트 르빈도널드 올딩 헤브조지 밀러클라크 헐제롬 케이건카를 융이반 파블로프앙드레 그린알프레트 아들러사회과학주류경제학 거시경제학미시경제학계량경제학수리경제학법학 공법학사법학법계학법제사학판례학사학 경제사학군사사학문화사학사회사학세계사학정치사학역사보조학사회학 농촌사회학도시사회학범죄학인구통계학인터넷사회학언어학 기호학인류학 고고학문화인류학사회인류학체질인류학정치학 국제관계학비교정치학정치철학공공정책학지리학 기술지리학인문지리학자연지리학환경지리학응용개발학경영학군 경영학행정학계획학군 토지이용계획연구지역계획연구도시계획연구공중보건학과학기술학과학철학군 경제철학사회과학철학심리철학역사철학교육학기술사학과학학군 과학사학양자과학학사회복지학상업학언론정보학역사사회학인간동물학인지과학인류생태학정보과학정치경제학정치사회학정치생태학젠더학지역과학지역학환경학군 환경사회과학환경연구문화연구미디어연구세계화연구식품연구지역연구채식연구해부학뼈대뼈몸통뼈대 머리뼈척추가슴우리팔다리뼈대 팔뼈대다리뼈대골수연골유리연골섬유연골탄력연골관절섬유관절연골관절윤활관절근육계골격근민무늬근심장근내분비계뇌하수체시상하부솔방울샘갑상샘부갑상샘가슴샘부신이자정소난소순환계심혈관계심장혈관 동맥정맥모세혈관대동맥대정맥폐동맥폐정맥혈액 혈장적혈구백혈구혈소판림프계림프관림프절비장가슴샘편도파이어판점막관련림프조직비뇨계콩팥요관방광요도생식계남성고환부고환정관정삭요도정낭전립샘망울요도샘음낭음경귀두포피여성난소자궁관자궁질질입구주름음문대음순소음순젖샘소화계소화관입인두식도위작은창자 샘창자공장회장큰창자 맹장결장곧은창자항문소화샘침샘이자쓸개간신경계중추신경계 뇌척수말초신경계 몸신경계자율신경계 교감신경계부교감신경계눈귀코혀피부계피부모낭땀샘피지샘손발톱유방호흡계비강인두후두기관기관지허파외분비계땀샘망울요도샘스킨샘젖샘전립샘전미골부샘점액정낭침샘코딱지큰질어귀샘생물학의 주요 분야생물학의 분야계생명학고생물학고유전학균학기생충학동물학면역학미생물학발생생물학 (발생학)병리학보전생물학분류학분자생물학분자세포유전학생리학생물리학생물정보학생물통계학생태학생화학세포생물학세포유전학수리생물학시간생물학식물학신경과학약리학역학우주생물학유전체학유전학위생학인간생물학조직학진화생물학해부학해양생물학생물학의 가설들자연발생설Personality disorder classificationGeneral classificationsDimensionalCategoricalMulti-axialPrototypalRelationalStructuralICD classifications (ICD-10)SchizotypalSchizotypalSpecificAnankastic personality disorderAnxious (avoidant)DependentDissocialEmotionallyunstableHistrionicParanoidSchizoidOtherEccentricHaltloseImmatureNarcissisticPassive–aggressivePsychoneuroticOrganicOrganicUnspecifiedUnspecifiedDSM classificationsDSM-III-R onlySadisticSelf-defeating (masochistic)DSM-IV onlyPersonality disorder not otherwise specifiedAppendix B (proposed)DepressiveNegativistic (passive–aggressive)DSM-5Cluster A (odd)ParanoidSchizoidSchizotypalCluster B (dramatic)AntisocialBorderlineHistrionicNarcissisticCluster C (anxious)AvoidantDependentObsessive-compulsiveOtherOther specifiedUnspecifiedAlternative DSM-5 Modelfor Personality DisordersSpecificAntisocialAvoidantBorderlineNarcissisticObsessive-compulsiveSchizotypalGeneralTrait SpecifiedvteMental disorders (Classification)Adult personality and behaviorChildhood and learningMood (affective)Neurological and symptomaticNeurotic, stress-related and somatoformPhysiological and physical behaviorPsychoactive substances, substance abuse and substance-relatedSchizophrenia, schizotypal and delusionalSymptoms and uncategorized시시비비 是是非非right and[or] wrong불문곡직without inquiring into the right or 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A mental disorder, also referred to as a mental illness,[6] a mental health condition,[7] or a psychiatric disability,[2] is a behavioral or mental pattern that causes significant distress or impairment of personal functioning.[8] A mental disorder is also characterized by a clinically significant disturbance in an individual's cognition, emotional regulation, or behavior, often in a social context.[9][10] Such disturbances may occur as single episodes, may be persistent, or may be relapsing–remitting. There are many different types of mental disorders, with signs and symptoms that vary widely between specific disorders.[10][11] A mental disorder is one aspect of mental health. The causes of mental disorders are often unclear. Theories incorporate findings from a range of fields. Disorders may be associated with particular regions or functions of the brain. Disorders are usually diagnosed or assessed by a mental health professional, such as a clinical psychologist, psychiatrist, psychiatric nurse, or clinical social worker, using various methods such as psychometric tests, but often relying on observation and questioning. Cultural and religious beliefs, as well as social norms, should be taken into account when making a diagnosis.[12] Services for mental disorders are usually based in psychiatric hospitals, outpatient clinics, or in the community (in the United Kingdom). Treatments are provided by mental health professionals. Common treatment options are psychotherapy or psychiatric medication, while lifestyle changes, social interventions, peer support, and self-help are also options. In a minority of cases, there may be involuntary detention or treatment. Prevention programs have been shown to reduce depression.[10][13] In 2019, common mental disorders around the globe include: major depression, which affects about 264 million people; dementia, which affects about 50 million; bipolar disorder, which affects about 45 million; and schizophrenia and other psychoses, which affect about 20 million people.[10] Neurodevelopmental disorders include attention deficit hyperactivity disorder (ADHD), autism spectrum disorder (autism), and intellectual disability, of which onset occurs early in the developmental period.[14][10] Stigma and discrimination can add to the suffering and disability associated with mental disorders, leading to various social movements attempting to increase understanding and challenge social exclusion. Definition "Nervous breakdown" redirects here. For other uses, see Nervous breakdown (disambiguation). The definition and classification of mental disorders are key issues for researchers as well as service providers and those who may be diagnosed. For a mental state to be classified as a disorder, it generally needs to cause dysfunction.[15] Most international clinical documents use the term mental "disorder", while "illness" is also common. It has been noted that using the term "mental" (i.e., of the mind) is not necessarily meant to imply separateness from the brain or body. According to the fourth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), published in 1994, a mental disorder is a psychological syndrome or pattern that is associated with distress (e.g., via a painful symptom), disability (impairment in one or more important areas of functioning), increased risk of death, or causes a significant loss of autonomy; however, it excludes normal responses such as the grief from loss of a loved one and also excludes deviant behavior for political, religious, or societal reasons not arising from a dysfunction in the individual.[16] The DSM-IV definition states that, like many medical terms, mental disorder "lacks a consistent operational definition that covers all situations". It notes that different levels of abstraction can be used for medical definitions, including pathology, symptomology, deviance from a normal range, or etiology, and that the same is true for mental disorders, so that sometimes one type of definition is appropriate and sometimes another, depending on the situation.[17] In 2013, the American Psychiatric Association (APA) redefined mental disorders in the DSM-5 as "a syndrome characterized by clinically significant disturbance in an individual's cognition, emotion regulation, or behavior that reflects a dysfunction in the psychological, biological, or developmental processes underlying mental functioning."[18] The final draft of ICD-11 contains a very similar definition.[19] The terms "mental breakdown" or "nervous breakdown" may be used by the general population to mean a mental disorder.[20] The terms "nervous breakdown" and "mental breakdown" have not been formally defined through a medical diagnostic system such as the DSM-5 or ICD-10 and are nearly absent from scientific literature regarding mental illness.[21][22] Although "nervous breakdown" is not rigorously defined, surveys of laypersons suggest that the term refers to a specific acute time-limited reactive disorder involving symptoms such as anxiety or depression, usually precipitated by external stressors.[21] Many health experts today refer to a nervous breakdown as a mental health crisis.[23] Nervous illness This article contains too many or overly lengthy quotations. Please help summarize the quotations. Consider transferring direct quotations to Wikiquote or excerpts to Wikisource. (February 2026) (Learn how and when to remove this message) In addition to the concept of mental disorder, some people have argued for a return to the old-fashioned concept of nervous illness. In How Everyone Became Depressed: The Rise and Fall of the Nervous Breakdown (2013), Edward Shorter, a professor of psychiatry and the history of medicine, says: We have had nervous illness for centuries. When you are too nervous to function ... it is a nervous breakdown. But that term has vanished from medicine, although not from the way we speak.... The nervous patients of yesteryear are the depressives of today. That is the bad news.... There is a deeper illness that drives depression and the symptoms of mood. We can call this deeper illness something else, or invent a neologism, but we need to get the discussion off depression and onto this deeper disorder in the brain and body. That is the point. — Edward Shorter, the University of Toronto[24] In eliminating the nervous breakdown, psychiatry has come close to having its own nervous breakdown. — David Healy, MD, FRCPsych, Professor of Psychiatry, University of Cardiff, Wales[25] Nerves stand at the core of common mental illness, no matter how much we try to forget them. — Peter J. Tyrer, FMedSci, Professor of Community Psychiatry, Imperial College, London[26] Classifications Main article: Classification of mental disorders There are currently two widely established systems that classify mental disorders: International Classification of Diseases produced by the WHO. The latest edition is the ICD-11, which is in effect since 1 January 2022.[27] The ICD is a broad medical classification system; mental disorders are contained in Chapter 06: Mental, behavioural or neurodevelopmental disorders (06). Diagnostic and Statistical Manual of Mental Disorders produced by the American Psychiatric Association since 1952. The latest edition is the Fifth Edition, Text Revision (DSM-5-TR), which was released in 2022.[28] Both of these list categories of disorder and provide standardized criteria for diagnosis. They have deliberately converged their codes in recent revisions so that the manuals are often broadly comparable, although significant differences remain. Other classification schemes may be used in non-western cultures, for example, the Chinese Classification of Mental Disorders, and other manuals may be used by those of alternative theoretical persuasions, such as the Psychodynamic Diagnostic Manual. In general, mental disorders are classified separately from neurological disorders, learning disabilities or intellectual disability. Unlike the DSM and ICD, some approaches are not based on identifying distinct categories of disorder using dichotomous symptom profiles intended to separate the abnormal from the normal. There is significant scientific debate about the relative merits of categorical versus such non-categorical (or hybrid) schemes, also known as continuum or dimensional models. A spectrum approach may incorporate elements of both. In the scientific and academic literature on the definition or classification of mental disorder, one extreme argues that it is entirely a matter of value judgements (including of what is normal) while another proposes that it is or could be entirely objective and scientific (including by reference to statistical norms).[29] Common hybrid views argue that the concept of mental disorder is objective even if only a "fuzzy prototype" that can never be precisely defined, or conversely that the concept always involves a mixture of scientific facts and subjective value judgments.[30] Although the diagnostic categories are referred to as 'disorders', they are presented as medical diseases, but are not validated in the same way as most medical diagnoses. Some neurologists argue that classification will only be reliable and valid when based on neurobiological features rather than clinical interview, while others suggest that the differing ideological and practical perspectives need to be better integrated.[31][32] The DSM and ICD approach remains under attack both because of the implied causality model[33] and because some researchers believe it better to aim at underlying brain differences which can precede symptoms by many years.[34] Dimensional models The high degree of comorbidity between disorders in categorical models such as the DSM and ICD have led some to propose dimensional models. Studying comorbidity between disorders have demonstrated two latent (unobserved) factors or dimensions in the structure of mental disorders that are thought to possibly reflect etiological processes. These two dimensions reflect a distinction between internalizing disorders, such as mood or anxiety symptoms, and externalizing disorders such as behavioral or substance use symptoms.[35] A single general factor of psychopathology, similar to the g factor for intelligence, has been empirically supported. The p factor model supports the internalizing-externalizing distinction, but also supports the formation of a third dimension of thought disorders such as schizophrenia.[36] Biological evidence also supports the validity of the internalizing-externalizing structure of mental disorders, with twin and adoption studies supporting heritable factors for externalizing and internalizing disorders.[37][38][39] A leading dimensional model is the Hierarchical Taxonomy of Psychopathology. Disorders See also: List of mental disorders There are many different categories of mental disorder, and many different facets of human behavior and personality that can become disordered.[40][41][42][43] Anxiety disorders Main article: Anxiety disorder An anxiety disorder is anxiety or fear that interferes with normal functioning.[41] Commonly recognized categories include specific phobias, generalized anxiety disorder, social anxiety disorder, panic disorder, agoraphobia, and post-traumatic stress disorder. Obsessive–compulsive disorder was categorized as an anxiety disorder in DSM-III, which was published in 1980, but was later placed in its own section called "Obsessive-Compulsive and Related Disorder" in DSM-5.[44] Mood disorders Main article: Mood disorder Other affective (emotion/mood) processes can also become disordered. Mood disorder involving unusually intense and sustained sadness, melancholia, or despair is known as major depression (also known as unipolar or clinical depression). Milder, but still prolonged depression, can be diagnosed as dysthymia. Bipolar disorder (also known as manic depression) involves abnormally "high" or pressured mood states, known as mania or hypomania, alternating with normal or depressed moods. The extent to which unipolar and bipolar mood phenomena represent distinct categories of disorder, or mix and merge along a dimension or spectrum of mood, is subject to some scientific debate.[45][46] Psychotic disorders Main article: Psychotic disorder Patterns of belief, language use and perception of reality can become dysregulated (e.g., delusions, thought disorder, hallucinations). Psychotic disorders in this domain include schizophrenia, and delusional disorder. Schizoaffective disorder is a category used for individuals showing aspects of both schizophrenia and affective disorders. Schizotypy is a category used for individuals showing some of the characteristics associated with schizophrenia, but without meeting cutoff criteria.[citation needed] Personality disorders Main article: Personality disorder Personality—the fundamental characteristics of a person that influence thoughts and behaviors across situations and time—may be considered disordered if judged to be abnormally rigid and maladaptive. Although treated separately by some[by whom?], the commonly used categorical schemes[which?] include them as mental disorders. Personality disorders, in general, are defined as emerging in childhood, or at least by adolescence or early adulthood. There is an emerging consensus that personality disorders, similar to personality traits in general, incorporate a mixture of acute dysfunctional behaviors that may resolve in short periods, and maladaptive temperamental traits that are more enduring.[47] Furthermore, there are also non-categorical schemes that rate all individuals via a profile of different dimensions of personality without a symptom-based cutoff from normal personality variation, for example through schemes based on dimensional models of personality disorders.[48][49][non-primary source needed] A number of different personality disorders are listed in the DSM-5-TR, including those sometimes classed as eccentric, such as paranoid, schizoid and schizotypal personality disorders; types that have described as dramatic or emotional, such as antisocial, borderline, histrionic or narcissistic personality disorders; and those sometimes classed as fear-related, such as anxious-avoidant, dependent, or obsessive–compulsive personality disorders.[citation needed] While the DSM-5-TR standard model diagnoses personality disorders as distinct categories, the ICD-11 classification of personality disorders contains a single, dimensional personality disorder which is diagnosed according to severity, with the possibility to additionally diagnose trait domains.[50] In the case of the Alternative DSM-5 Model for Personality disorders, the approach chosen is a dimensional–categorical model,[51] in which diagnosis can consist of either predefined categories based on specific combinations of traits and functioning levels,[52] or of a general diagnosis called personality disorder – trait specified.[52] The ICD-11 classifies schizotypal disorder among primary psychotic disorders rather than as a personality disorder as in the DSM-5.[53] Neurodevelopmental disorders Main article: Neurodevelopmental disorder Neurodevelopmental disorders are a group of mental disorders that affect the central nervous system, such as the brain and spinal cord.[54] These disorders can appear in early childhood.[55] They can even persist into adulthood.[56] A few of the common are attention deficit hyperactivity disorder (ADHD), autism spectrum disorder (autism), intellectual disabilities, motor disorders, and communication disorders among others. Some causes can contribute to these disorders, such as genetic factors (genetics, family medical history),[57] environmental factors (excessive stress, exposure to neurotoxins, pollution, viral infections, bacterial infections),[58][59] physical factors (traumatic brain injury, illness),[60] and prenatal factors (birth defects, exposure to drugs during pregnancy, low birth weight).[61] Neurodevelopmental disorders can be managed with behavioral therapy, applied behavior analysis (ABA), educational interventions, specific medications, and other such treatments.[62] Approximately 8 in 10 people with autism suffer from a mental health problem in their lifetime, in comparison to 1 in 4 of the general population that suffers from a mental health problem in their lifetimes.[63][64][65] Eating disorders Main article: Eating disorder An eating disorder is a serious mental health condition that involves an unhealthy relationship with food and body image. They can cause severe physical and psychological problems.[66] Eating disorders involve disproportionate concern in matters of food and weight.[41] Categories eating disorders include anorexia nervosa, bulimia nervosa, exercise bulimia, or binge eating disorder.[67][68] Sleep disorders Main article: Sleep disorder Sleep disorders are associated with disruption to normal sleep patterns. A common sleep disorder is insomnia, which is described as difficulty falling and/or staying asleep. Other sleep disorders include narcolepsy, sleep apnea, REM sleep behavior disorder, chronic sleep deprivation, and restless leg syndrome. Narcolepsy is a condition of extreme tendencies to fall asleep whenever and wherever. People with narcolepsy feel refreshed after their random sleep, but eventually get sleepy again. Narcolepsy diagnosis requires an overnight stay at a sleep center for analysis, during which doctors ask for a detailed sleep history and sleep records. Doctors also use actigraphs and polysomnography.[69] Doctors will do a multiple sleep latency test, which measures how long it takes a person to fall asleep.[69] Sleep apnea, when breathing repeatedly stops and starts during sleep, can be a serious sleep disorder. Three types of sleep apnea include obstructive sleep apnea, central sleep apnea, and complex sleep apnea.[70] Sleep apnea can be diagnosed at home or with polysomnography at a sleep center. An ear, nose, and throat doctor may further help with the sleeping habits. Sexuality related Sexual disorders include dyspareunia and various kinds of paraphilia (sexual arousal to objects, situations, or individuals that are considered abnormal or harmful to the person or others).[citation needed] Other Impulse control disorders: People who are abnormally unable to resist certain urges or impulses that could be harmful to themselves or others, may be classified as having an impulse control disorder, and disorders such as kleptomania (stealing) or pyromania (fire-setting). Various behavioral addictions, such as gambling addiction, may be classed as a disorder.[citation needed] Substance use disorders: This disorder refers to the use of drugs (legal or illegal, including alcohol) that persists despite significant problems or harm related to its use. Substance dependence and substance abuse fall under this umbrella category in the DSM. Substance use disorder may be due to a pattern of compulsive and repetitive use of a drug that results in tolerance to its effects and withdrawal symptoms when use is reduced or stopped.[citation needed] Dissociative disorders: People with severe disturbances of their self-identity, memory, and general awareness of themselves and their surroundings may be classified as having these types of disorders, including depersonalization-derealization disorder or dissociative identity disorder (which was previously referred to as multiple personality disorder or "split personality").[citation needed] Cognitive disorders: These affect cognitive abilities, including learning and memory. This category includes delirium and mild and major neurocognitive disorder (previously termed dementia).[citation needed] Somatoform disorders may be diagnosed when there are problems that appear to originate in the body that are thought to be manifestations of a mental disorder. This includes somatization disorder and conversion disorder. There are also disorders of how a person perceives their body, such as body dysmorphic disorder. Neurasthenia is an old diagnosis involving somatic complaints as well as fatigue and low spirits/depression, which is officially recognized by the ICD-10 but no longer by the DSM-IV.[71][non-primary source needed] Factitious disorders are diagnosed where symptoms are thought to be reported for personal gain. Symptoms are often deliberately produced or feigned, and may relate to either symptoms in the individual or in someone close to them, particularly people they care for.[citation needed] There are attempts to introduce a category of relational disorder, where the diagnosis is of a relationship rather than on any one individual in that relationship. The relationship may be between children and their parents, between couples, or others. There already exists, under the category of psychosis, a diagnosis of shared psychotic disorder where two or more individuals share a particular delusion because of their close relationship with each other.[citation needed] There are a number of uncommon psychiatric syndromes, which are often named after the person who first described them, such as Capgras syndrome, De Clerambault syndrome, Othello syndrome, Ganser syndrome, Cotard delusion, and Ekbom syndrome, and additional disorders such as the Couvade syndrome and Geschwind syndrome.[72] Signs and symptoms Course The onset of psychiatric disorders usually occurs from childhood to early adulthood.[73] Impulse-control disorders and a few anxiety disorders tend to appear in childhood. Some other anxiety disorders, substance disorders, and mood disorders emerge later in the mid-teens.[74] Symptoms of schizophrenia typically manifest from late adolescence to early twenties.[75] The likely course and outcome of mental disorders vary and are dependent on numerous factors related to the disorder itself, the individual as a whole, and the social environment. Some disorders may last a brief period of time, while others may be long-term in nature. All disorders can have a varied course. Long-term international studies of schizophrenia have found that over a half of individuals recover in terms of symptoms, and around a fifth to a third in terms of symptoms and functioning, with many requiring no medication. While some have serious difficulties and support needs for many years, "late" recovery is still plausible. The World Health Organization (WHO) concluded that the long-term studies' findings converged with others in "relieving patients, carers and clinicians of the chronicity paradigm which dominated thinking throughout much of the 20th century."[76][non-primary source needed][77] A follow-up study by Tohen and coworkers revealed that around half of people initially diagnosed with bipolar disorder achieve symptomatic recovery (no longer meeting criteria for the diagnosis) within six weeks, and nearly all achieve it within two years, with nearly half regaining their prior occupational and residential status in that period. Less than half go on to experience a new episode of mania or major depression within the next two years.[78][non-primary source needed] Disability Disorder Disability-adjusted life years[79] Major depressive disorder 65.5 million Alcohol-use disorder 23.7 million Schizophrenia 16.8 million Bipolar disorder 14.4 million Other drug-use disorders 8.4 million Panic disorder 7.0 million Obsessive-compulsive disorder 5.1 million Primary insomnia 3.6 million Post-traumatic stress disorder 3.5 million Some disorders may be very limited in their functional effects, while others may involve substantial disability and support needs. In this context, the terms psychiatric disability and psychological disability are sometimes used instead of mental disorder.[2][3] The degree of ability or disability may vary over time and across different life domains. Furthermore, psychiatric disability has been linked to institutionalization, discrimination and social exclusion as well as to the inherent effects of disorders. Alternatively, functioning may be affected by the stress of having to hide a condition in work or school, etc., by adverse effects of medications or other substances, or by mismatches between illness-related variations and demands for regularity.[80] It is also the case that, while often being characterized in purely negative terms, some mental traits or states labeled as psychiatric disabilities can also involve above-average creativity, non-conformity, goal-striving, meticulousness, or empathy.[81] In addition, the public perception of the level of disability associated with mental disorders can change.[82] Nevertheless, internationally, people report equal or greater disability from commonly occurring mental conditions than from commonly occurring physical conditions, particularly in their social roles and personal relationships. The proportion with access to professional help for mental disorders is far lower, however, even among those assessed as having a severe psychiatric disability.[83] Disability in this context may or may not involve such things as: Basic activities of daily living. Including looking after the self (health care, grooming, dressing, shopping, cooking etc.) or looking after accommodation (chores, DIY tasks, etc.) Interpersonal relationships. Including communication skills, ability to form relationships and sustain them, ability to leave the home or mix in crowds or particular settings Occupational functioning. Ability to acquire an employment and hold it, cognitive and social skills required for the job, dealing with workplace culture, or studying as a student. In terms of total disability-adjusted life years (DALYs), which is an estimate of how many years of life are lost due to premature death or to being in a state of poor health and disability, psychiatric disabilities rank amongst the most disabling conditions. Unipolar depressive disorder (also known as major depressive disorder) is the third leading cause of disability worldwide, of any condition mental or physical, accounting for 65.5 million years lost. The first systematic description of global disability arising in youth, in 2011, found that among 10- to 24-year-olds nearly half of all disability (current and as estimated to continue) was due to psychiatric disabilities, including substance use disorders and conditions involving self-harm. Second to this were accidental injuries (mainly traffic collisions) accounting for 12 percent of disability, followed by communicable diseases at 10 percent. The psychiatric disabilities associated with most disabilities in high-income countries were unipolar major depression (20%) and alcohol use disorder (11%). In the eastern Mediterranean region, it was unipolar major depression (12%) and schizophrenia (7%), and in Africa it was unipolar major depression (7%) and bipolar disorder (5%).[84] Suicide, which is often attributed to some underlying mental disorder, is a leading cause of death among teenagers and adults under 35.[85][86] There are an estimated 10 to 20 million non-fatal attempted suicides every year worldwide.[87] Risk factors Main article: Causes of mental disorders The predominant view as of 2018 is that genetic, psychological, and environmental factors all contribute to the development or progression of mental disorders.[88] Different risk factors may be present at different ages, with risk occurring as early as during prenatal period.[89] Genetics Main article: Psychiatric genetics A number of psychiatric disorders are linked to a family history (including depression, narcissistic personality disorder[90][91] and anxiety).[92] Twin studies have also revealed a very high heritability for many mental disorders (especially autism and schizophrenia).[93] Although researchers have been looking for decades for clear linkages between genetics and mental disorders, that work has not yielded specific genetic biomarkers yet that might lead to better diagnosis and better treatments.[94] Statistical research looking at eleven disorders found widespread assortative mating between people with mental illness. That means that individuals with one of these disorders were two to three times more likely than the general population to have a partner with a mental disorder. Sometimes people seemed to have preferred partners with the same mental illness. Thus, people with schizophrenia or ADHD are seven times more likely to have affected partners with the same disorder. This is even more pronounced for people with autism who are 10 times more likely to have a spouse with the same disorder.[95] Environment Main article: Brain health and pollution The prevalence of mental illness is higher in more economically unequal countries. During the prenatal stage, factors like unwanted pregnancy, lack of adaptation to pregnancy or substance use during pregnancy increases the risk of developing a mental disorder.[89] Maternal stress and birth complications including prematurity and infections have also been implicated in increasing susceptibility for mental illness.[96] Infants neglected or not provided optimal nutrition have a higher risk of developing cognitive impairment.[89] Social influences have also been found to be important,[97] including abuse, neglect, bullying, social stress, traumatic events, and other negative or overwhelming life experiences. Aspects of the wider community have also been implicated,[98] including employment problems, socioeconomic inequality, lack of social cohesion, problems linked to migration, and features of particular societies and cultures. The specific risks and pathways to particular disorders are less clear, however. Nutrition also plays a role in mental disorders.[10][99] In schizophrenia and psychosis, risk factors include migration and discrimination, childhood trauma, bereavement or separation in families, recreational use of drugs,[100] and urbanicity.[98] In anxiety, risk factors may include parenting factors including parental rejection, lack of parental warmth, high hostility, harsh discipline, high maternal negative affect, anxious childrearing, modelling of dysfunctional and drug-abusing behavior, and child abuse (emotional, physical and sexual).[101] Adults with imbalance work to life are at higher risk for developing anxiety.[89] For bipolar disorder, stress (such as childhood adversity) is not a specific cause, but does place genetically and biologically vulnerable individuals at risk for a more severe course of illness.[102] Drug use Mental disorders are associated with drug use including: cannabis,[103] alcohol[104] and caffeine,[105] use of which appears to promote anxiety.[106] For psychosis and schizophrenia, usage of a number of drugs has been associated with development of the disorder, including cannabis, cocaine, and amphetamines.[107][103] There has been debate regarding the relationship between usage of cannabis and bipolar disorder.[108] Cannabis has also been associated with depression.[103] Adolescents are at increased risk for tobacco, alcohol and drug use; Peer pressure is the main reason why adolescents start using substances. At this age, the use of substances could be detrimental to the development of the brain and place them at higher risk of developing a mental disorder.[89] Chronic disease People living with chronic conditions like HIV and diabetes are at higher risk of developing a mental disorder. People living with diabetes experience significant stress from the biological impact of the disease, which places them at risk for developing anxiety and depression. Diabetic patients also have to deal with emotional stress trying to manage the disease. Conditions like heart disease, stroke, respiratory conditions, cancer, and arthritis increase the risk of developing a mental disorder when compared to the general population.[109] Personality traits Risk factors for mental illness include a propensity for high neuroticism[110][111] or "emotional instability". In anxiety, risk factors may include temperament and attitudes (e.g. pessimism).[92] Causal models Mental disorders can arise from multiple sources, and in many cases there is no single accepted or consistent cause currently established. An eclectic or pluralistic mix of models may be used to explain particular disorders.[111][112] The primary paradigm of contemporary mainstream Western psychiatry is said to be the biopsychosocial model, which incorporates biological, psychological and social factors, although this may not always be applied in practice. Biological psychiatry follows a biomedical model where many mental disorders are conceptualized as disorders of brain circuits likely caused by developmental processes shaped by a complex interplay of genetics and experience. A common assumption is that disorders may have resulted from genetic and developmental vulnerabilities, exposed by stress in life (for example in a diathesis–stress model), although there are various views on what causes differences between individuals. Some types of mental disorders may be viewed as primarily neurodevelopmental disorders.[citation needed] A distinction is sometimes made between a "medical model" or a "social model" of psychiatric disability.[113] Diagnosis Psychiatrists seek to provide a medical diagnosis of individuals by an assessment of symptoms, signs and impairment associated with particular types of mental disorder. Other mental health professionals, such as clinical psychologists, may or may not apply the same diagnostic categories to their clinical formulation of a client's difficulties and circumstances.[114] The majority of mental health problems are, at least initially, assessed and treated by family physicians (in the UK general practitioners) during consultations, who may refer a patient on for more specialist diagnosis in acute or chronic cases. Routine diagnostic practice in mental health services typically involves an interview known as a mental status examination, where evaluations are made of appearance and behavior, self-reported symptoms, mental health history, and current life circumstances. The views of other professionals, relatives, or other third parties may be taken into account. A physical examination to check for ill health or the effects of medications or other drugs may be conducted. Psychological testing is sometimes used via paper-and-pen or computerized questionnaires, which may include algorithms based on ticking off standardized diagnostic criteria, and in rare specialist cases neuroimaging tests may be requested, but such methods are more commonly found in research studies than routine clinical practice.[115][116] Time and budgetary constraints often limit practicing psychiatrists from conducting more thorough diagnostic evaluations.[117] It has been found that most clinicians evaluate patients using an unstructured, open-ended approach, with limited training in evidence-based assessment methods, and that inaccurate diagnosis may be common in routine practice.[118] In addition, comorbidity is very common in psychiatric diagnosis, where the same person meets the criteria for more than one disorder. On the other hand, a person may have several different difficulties only some of which meet the criteria for being diagnosed. There may be specific problems with accurate diagnosis in developing countries. More structured approaches are being increasingly used to measure levels of mental illness. HoNOS is the most widely used measure in English mental health services, being used by at least 61 trusts.[119] In HoNOS a score of 0–4 is given for each of 12 factors, based on functional living capacity.[120] Research has been supportive of HoNOS,[121] although some questions have been asked about whether it provides adequate coverage of the range and complexity of mental illness problems, and whether the fact that often only 3 of the 12 scales vary over time gives enough subtlety to accurately measure outcomes of treatment.[122] Criticism icon This section relies excessively on references to primary sources. Please improve this section by adding secondary or tertiary sources. Find sources: "criticism" psychiatric diagnosis – news · newspapers · books · scholar · JSTOR (July 2021) (Learn how and when to remove this message) Since the 1980s, Paula Caplan has been concerned about the subjectivity of psychiatric diagnosis, and people being arbitrarily "slapped with a psychiatric label." Caplan says because psychiatric diagnosis is unregulated, doctors are not required to spend much time interviewing patients or to seek a second opinion. The Diagnostic and Statistical Manual of Mental Disorders can lead a psychiatrist to focus on narrow checklists of symptoms, with little consideration of what is actually causing the person's problems. So, according to Caplan, getting a psychiatric diagnosis and label often stands in the way of recovery.[123] In 2013, psychiatrist Allen Frances wrote a paper entitled "The New Crisis of Confidence in Psychiatric Diagnosis", which said that "psychiatric diagnosis... still relies exclusively on fallible subjective judgments rather than objective biological tests." Frances was also concerned about "unpredictable overdiagnosis."[124] For many years, marginalized psychiatrists (such as Peter Breggin, Thomas Szasz) and outside critics (such as Stuart A. Kirk) have "been accusing psychiatry of engaging in the systematic medicalization of normality." More recently these concerns have come from insiders who have worked for and promoted the American Psychiatric Association (e.g., Robert Spitzer, Allen Frances).[125] A 2002 editorial in the British Medical Journal warned of inappropriate medicalization leading to disease mongering, where the boundaries of the definition of illnesses are expanded to include personal problems as medical problems or risks of diseases are emphasized to broaden the market for medications.[126] Gary Greenberg, a psychoanalyst, in his book "the Book of Woe", argues that mental illness is really about suffering and how the DSM creates diagnostic labels to categorize people's suffering.[127] Indeed, the psychiatrist Thomas Szasz, in his book "the Medicalization of Everyday Life", also argues that what is psychiatric illness, is not always biological in nature (i.e. social problems, poverty, etc.), and may even be a part of the human condition.[128] Potential routine use of MRI/fMRI in diagnosis in 2018 the American Psychological Association commissioned a review to reach a consensus on whether modern clinical MRI/fMRI will be able to be used in the diagnosis of mental health disorders. The criteria presented by the APA stated that the biomarkers used in diagnosis should: