Unschuld P U
Med Ges Gesch. 2000;19:33-54.
For the past 2.500 years, the civilizations of Europe and China have integrated heterogeneous therapeutic systems. This paper discusses the circumstances that account for a) basic paradigmatic changes in health care and b) acceptance of mutually antagonistic health care systems within one society. A survey of European and Chinese medical history suggests that conceptualizations of disease and health, prevention and therapy, reflect the political and socio-economic environment affecting a given social group. As emerging concepts of threats, defenses and treatments relating to the social organism arise, they are projected onto the human organism and give rise to new notions of disease. While there are always those who insist on the exclusive validity of a specific theory or treatment, such claims have never been realistic. Both in Europe and in China, most people patronize various treatments, which rest on different and even contradictory conceptualizations of the organism, health and therapy.
在过去的2500年里,欧洲和中国的文明融合了不同的治疗体系。本文探讨了导致以下情况的因素:a)医疗保健领域的基本范式转变;b)一个社会内部对相互对立的医疗保健体系的接纳。对欧洲和中国医学史的考察表明,疾病与健康、预防与治疗的概念化反映了影响特定社会群体的政治和社会经济环境。随着与社会有机体相关的威胁、防御和治疗等新观念的出现,它们被投射到人体有机体上,并产生了新的疾病观念。虽然总是有人坚持特定理论或治疗方法的唯一有效性,但这种说法从来都不现实。在欧洲和中国,大多数人都光顾各种基于对有机体、健康和治疗的不同甚至相互矛盾概念化的治疗方法。