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[汉代前线士兵的疾病与治疗]

[The disease and treatment of the frontline soldiers in Han dynasty].

作者信息

Min Hookie

机构信息

Institute of Media Arts, Yonsei University Address: Room #626, College of Liberal Arts Building, 50 Yonsei-ro, Seoul, 120-749, KOREA.

出版信息

Uisahak. 2015 Apr;24(1):67-109. doi: 10.13081/kjmh.2015.24.67.

Abstract

This paper purports to identify and analyze the medical information of the frontline soldiers in the Northwest borderland provinces of Han Dynasty, especially Juyan and Dunhuang region, through an heuristic reading of the Juyan Bamboo Slips and the Dunhuang Bamboo Slips of the Han Dynasty. My findings are as follows. The most frequent disease found in the bamboo slips was the external injury. The injury of the frontline soldiers mainly occurred from the quarrels among armed soldiers using weapons. The bamboo slips also demonstrate that the quarrels usually arose due to the fierce tension caused by the frontier line service such as heavy guard activity and labour duty. Undernourishment and chronic stress the soldiers suffered might be another reasons. The second most common disease harassing the soldiers was exogenous febrile disease. In most cases reviewed in this paper, the exogenous febrile disease was usually concurrent with complex symptoms such as chills, fever, headache, etc. The bamboo slips show that the exogenous febrile disease was related to the harsh climate of the Northwest provinces, featuring extremely dry weather and the large magnitude of diurnal temperature fluctuations. In addition, the annual temperature range in the Northwest province was huge, fluctuating between very cold and dry winter and very hot and dry summer. The third most common disease this study identified was the disorder of the digestive system and respiratory system. However, these two types of disease were virtually indistinguishable in the bamboo slips, because the ancient Chinese chroniclers did not distinguish them, usually dubbing both diseases simply 'abdominal pain.' It should be mentioned that a few slips mention contagious disease such as dysentery and dermatolosis, and sudden death, as well. Overall, the bamboo slips demonstrate extremely poor status of the soldiers' heath condition and poor medical environment surrounding the soldiers stationing in the Northwest borderland military camps. The records also show that acupuncture, applying a plaster, drugs were the most common medical treatment. Drugs among them was the most frequently used. Whereas Acupuncture, applying a plaster were very rarely used. Medication has been used in three ways: powdered medicine, medicinal decoction and pill. Medicinal decoction was the most commonly used way.

摘要

本文旨在通过对汉代居延简牍和敦煌简牍进行启发式阅读,识别并分析汉代西北边疆诸郡,尤其是居延和敦煌地区一线戍卒的医疗信息。我的研究结果如下。简牍中发现的最常见疾病是外伤。一线戍卒的受伤主要源于武装士兵使用武器时的争吵。简牍还表明,争吵通常是由于边境戍守任务如繁重的警卫活动和劳役所导致的激烈紧张局势引起的。戍卒所遭受的营养不良和长期压力可能是另一个原因。困扰戍卒的第二常见疾病是外感热病。在本文所回顾的大多数案例中,外感热病通常伴有寒战、发热、头痛等复杂症状。简牍显示,外感热病与西北诸郡恶劣的气候有关,其特点是天气极度干燥,昼夜温差极大。此外,西北诸郡的年气温范围很大,在非常寒冷干燥的冬季和非常炎热干燥的夏季之间波动。本研究确定的第三常见疾病是消化系统和呼吸系统疾病。然而,在简牍中这两种疾病几乎难以区分,因为中国古代编年史家并未对它们加以区分,通常将这两种疾病统称为“腹痛”。应该提到的是,有几枚简牍还提到了痢疾和皮肤病等传染病以及猝死情况。总体而言,简牍显示出戍卒健康状况极差,驻守在西北边疆军营的戍卒所处的医疗环境恶劣。记录还表明,针灸、敷药、药物是最常见的医疗手段。其中药物使用最为频繁。而针灸、敷药则很少使用。药物有三种使用方式:散剂、汤剂和丸剂。汤剂是最常用的方式。

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