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病例分享:早期现代医学中的《观察报告》

Sharing cases: the Observationes in early modern medicine.

作者信息

Pomata Gianna

机构信息

Institute of the History of Medicine, School of Medicine, Johns Hopkins University, USA.

出版信息

Early Sci Med. 2010;15(3):193-236. doi: 10.1163/157338210x493932.

Abstract

This paper examines the rise of an epistemic genre, the Observationes, a new form of medical writing that emerged in Renaissance humanistic medicine. The Observationes (collections of case-histories) originated in the second half of the sixteenth century, grew rapidly over the course of the seventeenth, and had become a primary form of medical writing by the eighteenth century. The genre developed initially as a form of self-advertisement by court and town physicians, who stressed success in practice, over and above academic learning, as a core element of their professional identity. This unprecedented emphasis on practice as a source of knowledge remained a key feature of the Observationes in its subsequent development. As the genre evolved, the original emphasis on therapeutic success gave way to a new focus on the descriptive knowledge of disease through detailed observation. The authorial identity projected by the writers of Observationes was increasingly that of the learned and experienced observer, bent on comparing notes and sharing his cases with the fellow members of the res publica medica. This paper charts the development of the genre, examining how its growth contributed to the new epistemological value of observation in the age of the Scientific Revolution.

摘要

本文考察了一种认知体裁——《观察报告》的兴起,这是文艺复兴时期人文主义医学中出现的一种新的医学写作形式。《观察报告》(病例史汇编)起源于16世纪下半叶,在17世纪迅速发展,并在18世纪成为医学写作的主要形式。这种体裁最初是宫廷和城镇医生的一种自我宣传形式,他们强调实践中的成功,而非学术知识,将其作为职业身份的核心要素。这种对实践作为知识来源的前所未有的强调在《观察报告》随后的发展中仍然是一个关键特征。随着这种体裁的演变,最初对治疗成功的强调让位于通过详细观察对疾病描述性知识的新关注。《观察报告》的作者所展现出的身份越来越像是有学识、有经验的观察者,一心想要与医学同仁交流并分享自己的病例。本文梳理了这种体裁的发展历程,考察了它的发展如何促进了科学革命时代观察的新认识论价值。

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