Dutch ambassador Isaac Titsingh did not refuse to kowtow during the course of his 1794–1795 mission to the Imperial Court of Emperor Qianlong.
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In 1636, Injo, king of the Korean Joseon Dynasty had to kneel three times on the ground and touch his head nine times on the ground (三拜九叩頭禮), to show his allegiance to Hóng Tàijí, the Manchu emperor.
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The King of the Ryukyu Kingdom also had to kneel three times on the ground and touch his head nine times to the ground (三拜九叩頭禮), to show his vassal status to the Chinese Dynasty.
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The details of the subsequent events are not well-recorded, but according to reports in The Times, one Private John Moyse, of the 3rd (East Kent) Regiment (commonly known as "the Buffs") refused to kowtow to his captors.