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[纳瓦特尔医学中的疾病与肾脏疾病概念。中美洲前哥伦布时期医学综述]

[The concept of illness and kidney diseases in Nahuatl medicine. Synthesis of Mesoamerican pre-Columbian medicine].

作者信息

Peña José Carlos

机构信息

Unidad de Hemodiálisis, Hospital Mocel, México, D.F. México.

出版信息

Rev Invest Clin. 2002 Sep-Oct;54(5):474-81.

Abstract

Medicine in Mesoamerican cultures began in the year 1,500 BC and ended with the conquest and destruction of Mexico-Tenochtitlan in 1521 by the Spanish conquerors. Mesoamerica began with the Olmec civilization followed by the Teotihuacans, Toltecs and Mayans, and perished during the Nahoa empire. The medicine used by the Aztecs (ticiotl) is undoubtedly the sum of all Mesoamerican medicine. The medical history of the ticiotl was recovered in the years that followed the conquest from the works of Bernardino de Sahagún, Francisco Hernández and the Cruz-Badiano codex. All these works described the use of plants and herbs in the treatment of diseases, including edema, urinary retention, kidney stones, and podagra. The Aztec doctors (Titici) were well acquainted with innumerable diseases and were excellent healers of wounds and fractures. The works of modern historians confirm the theory of the ticiotl medicine. The later used a complex and philosophically elaborated medical theory based on, religion, astronomy, divination and the polarity cold/warm; different from the four humor theory of galenic medicine. They demonstrated that every culture is capable of understanding and "inventing" the meaning of disease and its cure, even when it is different from our modern medical views.

摘要

中美洲文化中的医学始于公元前1500年,随着西班牙征服者于1521年征服并摧毁墨西哥 - 特诺奇蒂特兰而告终。中美洲始于奥尔梅克文明,随后是特奥蒂瓦坎人、托尔特克人和玛雅人,并在纳瓦帝国时期灭亡。阿兹特克人使用的医学(ticiotl)无疑是所有中美洲医学的总和。在征服后的几年里,通过贝尔纳迪诺·德·萨哈贡、弗朗西斯科·埃尔南德斯的著作以及《克鲁兹 - 巴迪亚诺抄本》,ticiotl的医学历史得以重现。所有这些著作都描述了植物和草药在治疗疾病中的用途,包括水肿、尿潴留、肾结石和痛风。阿兹特克医生(Titici)熟知无数疾病,是出色的伤口和骨折治疗者。现代历史学家的著作证实了ticiotl医学的理论。后者使用了一种基于宗教、天文学、占卜和冷/热极性的复杂且经过哲学阐述的医学理论;不同于盖伦医学的四体液理论。他们证明了每种文化都有能力理解并“发明”疾病的意义及其治疗方法,即使这与我们现代的医学观点不同。

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