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《塔木德》文献中的肾脏病学史。

The history of nephrology in the Talmudic corpus.

作者信息

Dvorjetski Estée

机构信息

Department of Jewish History, University of Haifa, PO Box 2060, Kiryat-Bialik, 27120 Israel.

出版信息

Am J Nephrol. 2002 Jul;22(2-3):119-29. doi: 10.1159/000063749.

Abstract

The kidneys, the bladder and nephrology in general were discussed in the Talmudic literature from their anatomical, pathological and philological aspects. The Sages' deliberations were based on the Biblical texts. The characteristic phraseology of the scriptures uses the kidneys as symbols of the human emotions, contrary to the heart, which is regarded as the location of wisdom. The kidney is considered to be the individual's seat of their deepest desires--perhaps because it is an "internal" organ, well hidden, surrounded by a capsule and by a layer of perinephric fat. The Talmudic corpus considers the kidneys to be the origin of secret counsels--"the kidneys advise". An injury to the kidneys is used symbolically as an example of a cruel and serious injury. The sages were concerned with nephrological problems such as a diseased kidney of small size, fluid and pus in the kidney, injuries, perforations and more. Fascinating advice is given regarding micturition, its timing, characteristics and significance. The Halakhah is concerned with the kidneys during the examination of an animal after slaughter for the fitness for its ritual consumption. The paper presents various nephrological diseases from the Talmudic corpus. Among them are, for example, "Tzemirtha"--urolithiasis; "Hydrakon"--hydronephrosis; "Suskhinta"--urinary retention; "Tzinit"--podagra, gout, and "Yerakon"--icterus. A survey of some Talmudic personalities will exemplify the existence of these conditions.

摘要

《塔木德》文献从解剖学、病理学和语文学等方面对肾脏、膀胱及一般肾脏病学进行了探讨。贤哲们的思考基于《圣经》文本。经文中独特的措辞将肾脏用作人类情感的象征,这与被视为智慧所在之处的心脏形成对比。肾脏被认为是个人最深切欲望的所在——或许是因为它是一个“内部”器官,深藏不露,被一层包膜和一层肾周脂肪所包裹。《塔木德》文集认为肾脏是隐秘 counsel 的源头——“肾脏给出建议”。肾脏损伤被象征性地用作残酷和严重伤害的例子。贤哲们关注肾脏病问题,如小尺寸的患病肾脏、肾脏中的液体和脓液、损伤、穿孔等等。关于排尿的时间、特征和意义,给出了引人入胜的建议。在检查屠宰后的动物是否适合用于宗教仪式食用时,犹太教律法关注肾脏。本文展示了《塔木德》文集中的各种肾脏病。其中包括,例如,“Tzemirtha”——尿石症;“Hydrakon”——肾积水;“Suskhinta”——尿潴留;“Tzinit”——足痛风、痛风,以及“Yerakon”——黄疸。对一些《塔木德》人物的调查将例证这些病症的存在。

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