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[被莱比锡驱逐?哈内曼在莱比锡的医疗实践:1821年转往科滕的原因——患者数量及论战情况]

[Expulsion from Leipzig? Hahnemann's medical praxis in Leipzig: reasons for transferring to Kothen in 1821 - frequency of patients and polemics].

作者信息

Schreiber K

出版信息

Med Ges Gesch. 1999;18:137-48.

Abstract

Recent research has concurred that Samuel Hahnemann enjoyed a flourishing medical practice in Leipzig. However, a close look at the physician's years in Leipzig reveals that his patient list was not exactly growing. Rather, his medical practice followed a trajectory similar to that of a roller coaster: due to crucial events - successful treatment during the typhus epidemic, lecturing at the University of Leipzig, treating influential public figures - Hahnemann was able to restructure the composition of his clientele. More precisely, he was able to work his way into the upper classes, increase his recognition, and spread into other regions. Hahnemann's reputation attracted patients from all over Germany and even neighboring countries. The improvement in the social structure of Hahnemann's clientele also reflects important changes in the spread of homeopathy. Hahnemann's transfer to Kothen can be explained by a number of factors: his prohibition against dispensing medicines, declining personal prestige, decreasing number of patients and ensuing financial difficulties, fruitless university employment, continually increasing subjective and objective pressures and last but not least, the privileges of leadership.

摘要

最近的研究一致认为,塞缪尔·哈内曼在莱比锡拥有繁荣的医疗业务。然而,仔细审视这位医生在莱比锡的岁月就会发现,他的病人名单并没有真正增加。相反,他的医疗业务遵循着类似于过山车的轨迹:由于一些关键事件——斑疹伤寒疫情期间的成功治疗、在莱比锡大学讲学、治疗有影响力的公众人物——哈内曼得以重塑他的客户群体构成。更确切地说,他得以打入上层阶级,提高自己的知名度,并扩展到其他地区。哈内曼的声誉吸引了来自德国各地甚至邻国的病人。哈内曼客户群体社会结构的改善也反映了顺势疗法传播方面的重要变化。哈内曼转至科滕可以由多种因素来解释:他被禁止配药、个人威望下降、病人数量减少以及随之而来的经济困难、在大学工作无果、主观和客观压力不断增加,最后但同样重要的是,领导特权。

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