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[明治日本(1868 - 1905年)卫生现代性的形成]

[The making of hygienic modernity in Meiji Japan, 1868-1905].

作者信息

Lee Jong-Chan

机构信息

Department of Medical humanities and Social Medicine, Ajou University, Department of the History of Science, Harvard University.

出版信息

Uisahak. 2003 Jun;12(1):34-53.

PMID:14565202
Abstract

This article is based on conceptual and methodological understanding of hygienic modernity in the nineteenth-century Western countries: one is the concept of modern hygiene in the context of modern state and the other is methodological relation of modern hygiene to scientific theory of germ . While modern state calls for the institutionalization of medical police as an administrative tool for consolidating the governmentality what Michel Foucault calls, scientific 'invention' of germ may be considered as 'logical, philosophical and historiographical'. Furthermore, the Meiji medicine men preferred Koch's to Pasteur's laboratory framework, not because the former was scientific than the latter but because Koch's programs were more compatible with imperial needs. The objective of this paper is to investigate four ways in which hygienic modernity had been established in Meiji Japan; (i) how Meiji imperialists perceived and managed to control Japanese hygienic condition, (ii) how Meiji-leading doctors learned about the German modern system of hygiene to consolidate Meiji empire; (iii) how modern germ theory functioned as the formation of imperial bodies in Meiji period; and (iv) how modem military hygiene contributed to Japanese defeat of Russia. Although I try to contend that modern hygiene was adopted as one of the most significant strategies for intensifying and extending the Meiji empire, this paper has some limits in not identifying how Japanese perception of infectious diseases were culturally adaptive to science-based hygienic programs the Meiji administrators had installed.

摘要

本文基于对19世纪西方国家卫生现代性的概念和方法论理解:一是现代国家背景下的现代卫生概念,二是现代卫生与细菌科学理论的方法论关系。现代国家要求将医疗警察制度化为巩固政府权力的行政工具,用米歇尔·福柯的话说,细菌的科学“发明”可被视为“逻辑、哲学和史学的”。此外,明治时期的医学人士更喜欢科赫的实验室框架而非巴斯德的,并非因为前者比后者更科学,而是因为科赫的方案更符合帝国需求。本文的目的是探究卫生现代性在明治日本得以确立的四种方式:(i)明治帝国主义者如何看待并设法控制日本的卫生状况;(ii)明治时期的主导医生如何学习德国现代卫生体系以巩固明治帝国;(iii)现代细菌理论在明治时期如何作为帝国身体的构成要素发挥作用;以及(iv)现代军事卫生如何促成日本战胜俄国。尽管我试图主张现代卫生被采纳为强化和扩张明治帝国的最重要策略之一,但本文在未能确定日本人对传染病的认知如何在文化上适应明治行政人员所推行的基于科学的卫生计划方面存在一些局限。

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