Omata Waichiro
Seishin Shinkeigaku Zasshi. 2003;105(2):200-6.
Before the beginning of the Modernization in 1868, there were no psychiatric hospitals in the sense of Modern-Western in Japan. Instead of them, as far as I ascertained, altogether 30 asylums are existed in the whole country. They are mainly buddhistic temples and shrines, where psychotic patients and their families are treated by monks in various way. The ways of treatment are quite different, so that the typological classification of asylums is possible according to this point: 1. treatment by waterfall or water, 2. treatment with old Chinese herbal medicine, 3. treatment with collaborative conjuration associated musical instrument (drum). From the historical standpoint of view the Type 1 has oldest tradition. In the late of 11th century a daughter of the emperor was psychotic and sent into the temple Iwakura-Daiunji in northern suburb in Kyoto-City. She was treated successfully with holly waterfall and water and after this legend many psychotic patients gathered there. From the end of 14th century the Temple Juninji near the City of Okazaki began treatment with Chinese herb for the psychotics. Compared to Daiunji which belongs to Mikkyo-sect in the national Buddhism Juninji belongs to Jodoshin-sect in the frame of the reformed Buddhism. Altogether 4 temples of Type 2 are belonging to this new sect without exception and after the Modernization (Meiji-Restoration in 1868) became psychiatric hospitals. The all temples belonging to Type 3 are Nichiren-sect also in the reformed Buddhism and began the conjuration-treatment after 17th. century. The typology of asylums before the Modernization brings us necessary to the question on the origin of the ways and methods in psychiatric treatments in the history.
在1868年明治维新开始之前,日本没有西方现代意义上的精神病院。据我所知,全国共有30所收容所。它们主要是佛教寺庙和神社,精神病患者及其家属在那里由僧侣以各种方式进行治疗。治疗方式差异很大,因此可以据此对收容所进行类型分类:1. 利用瀑布或水进行治疗;2. 使用古老的中药进行治疗;3. 配合念咒并使用乐器(鼓)进行治疗。从历史角度来看,第一种类型有着最古老的传统。11世纪后期,天皇的一位女儿患有精神病,被送到京都北郊的岩仓大云寺。她通过冬青瀑布和水成功治愈,此后,许多精神病患者聚集到那里。从14世纪末开始,冈崎市附近的寿林寺开始用中药治疗精神病患者。与属于日本佛教密宗的大云寺相比,寿林寺属于改革后的佛教净土真宗。属于第二种类型的4座寺庙毫无例外都属于这个新教派,并且在明治维新(1868年)后成为了精神病院。属于第三种类型的所有寺庙也都属于改革后的佛教日莲宗,并且在17世纪之后开始进行念咒治疗。现代化之前收容所的类型划分使我们有必要探讨历史上精神病治疗方法和手段的起源问题。