Pugh Judy F
Department of Anthropology, Michigan State University, Baker Hall 342, East Lansing, MI 48824, USA.
Soc Sci Med. 2003 Jan;56(2):415-24. doi: 10.1016/s0277-9536(02)00049-7.
Anthropology and other social sciences have not given detailed attention to cultural constructions of arthritic disorders and their place in traditional medical systems. Humoral medicine and its numerous crosscultural variants offer an important perspective on the conceptualization and treatment of arthritis. The present paper provides a descriptive account of rheumatic disorders in India's Ayurvedic and Unani medical traditions. Data derive from anthropological fieldwork in the New Delhi metropolitan area and from Ayurvedic and Unani texts and secondary sources. The discussion explores these two traditions together as a polysynthetic field of ideas, practices, and materials, and it highlights their congruent concepts of arthritis and related somatic concepts, etiologies, and treatments. It reveals parallels in the clinical practices of Ayurvedic and Unani practitioners and identifies a broadly shared model of arthritis that circulates between these practitioners and their ethnically diverse patient-clienteles. The paper suggests that this South Asian humoral model provides a framework that may be useful in anthropological studies of arthritis in other humoral traditions.
人类学和其他社会科学尚未对关节炎疾病的文化建构及其在传统医学体系中的地位给予详细关注。体液医学及其众多跨文化变体为关节炎的概念化和治疗提供了重要视角。本文对印度阿育吠陀医学和尤那尼医学传统中的风湿性疾病进行了描述性阐述。数据来源于新德里大都市区的人类学田野调查以及阿育吠陀医学和尤那尼医学的文本及二手资料。讨论将这两种传统作为一个思想、实践和材料的多元综合领域进行探讨，并突出它们关于关节炎的一致概念以及相关的躯体概念、病因和治疗方法。它揭示了阿育吠陀医学从业者和尤那尼医学从业者临床实践中的相似之处，并确定了一种在这些从业者及其不同种族的患者群体之间流传的关于关节炎的广泛共享模型。本文表明，这种南亚体液模型提供了一个框架，可能有助于在其他体液传统中开展关节炎的人类学研究。
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