Yoeli-Tlalim Ronit
Wellcome Trust University Award Holder, Department of History, Goldsmiths, University of London, New Cross, London SE14 6NW.
Stud Hist Philos Biol Biomed Sci. 2010 Dec;41(4):318-24. doi: 10.1016/j.shpsc.2010.10.005.
This article discusses the Tibetan notion of rlung, usually translated as: 'wind', but perhaps better understood as a close equivalent of pneuma in the Greek tradition, or qi in the Chinese tradition. The article focuses on the way rlung provides a useful prism through which concepts of health, illness and disease may be observed in a cross-cultural perspective. An analysis of syndromes linked with rlung in a Tibetan cultural context illuminates some of the ways in which culture determines particular syndromes. The article raises a number of questions which are relevant for a more general multicultural approach to concepts of health, illness and disease. The article argues that notions of rlung/pneuma/wind/ qi constitute a particularly interesting area for an exploration of culture-bound syndromes, as they reside in the meeting point between material and non-material, physical and mental, as well as the psychological, spiritual and religious. They are hence fundamental for a more cross-cultural approach to the mind-body problem. The article also deals with the significance of history of medicine, particularly histories of medicine, which attempt to widen the scope of the traditional Eurocentric narrative of the history of medicine, in dealing with questions such as concepts of health and illness. Allowing alternative narratives-whether narratives of patients, other cultures or historical ones-can enhance our understanding of what health, illness and disease are. Discussing perceptions of the body as culturally defined is not only important from a philosophical or historical point of view, but also has important practical ramifications, which are particularly crucial in our global age.
本文探讨了藏医学中的“隆”这一概念,通常被译为“风”,但或许理解为与希腊传统中的“普纽玛”或中国传统中的“气”相近更为贴切。本文重点关注“隆”如何提供了一个有用的视角,通过它可以从跨文化的角度观察健康、疾病和病症的概念。对藏文化背景下与“隆”相关的病症进行分析,揭示了文化决定特定病症的一些方式。本文提出了一些问题,这些问题与采用更普遍的多元文化方法来理解健康、疾病和病症的概念相关。本文认为,“隆/普纽玛/风/气”的概念构成了一个特别有趣的领域,可用于探索文化束缚性病症,因为它们处于物质与非物质、身体与精神以及心理、精神和宗教的交汇点。因此,它们对于以更跨文化的方式解决身心问题至关重要。本文还论述了医学史的重要性,尤其是那些试图拓宽传统以欧洲为中心的医学史叙事范围,以处理诸如健康和疾病概念等问题的医学史。允许采用不同的叙事方式——无论是患者的叙事、其他文化的叙事还是历史的叙事——都能增进我们对健康、疾病和病症本质的理解。从哲学或历史角度探讨将身体视为文化定义的观念不仅很重要,而且具有重要的实际影响,在我们这个全球化时代尤为关键。