Hernández Berrones Jethro
Med Hist. 2017 Oct;61(4):568-589. doi: 10.1017/mdh.2017.59.
This paper focuses on homeopaths' strategies to popularise homeopathy from 1850 to 1870. I argue that homeopaths created a space for homeopathy in Mexico City in the mid-nineteenth century by facilitating patients' access to medical knowledge, consultation and practice. In this period, when national and international armed conflicts limited the diffusion and regulation of academic medicine, homeopaths popularised homeopathy by framing it as a life-enhancing therapy with tools that responded to patients' needs. Patients' preference for homeopathy evolved into commercial endeavours that promoted the practice of homeopathy through the use of domestic manuals. Using rare publications and archival records, I analyse the popularisation of homeopathy in Ramón Comellas's homeopathic manual, the commercialisation of Julián González's family guides, and patients' and doctors' reception of homeopathy. I show that narratives of conversion to homeopathy relied on the different experiences of patients and trained doctors, and that patients' positive experience with homeopathy weighed more than the doctors' efforts to explain to the public how academic medicine worked. The fact that homeopaths and patients used a shared language to describe disease experiences framed the possibility of a horizontal transmission of medical knowledge, opening up the possibility for patients to become practitioners. By relying on the long tradition of domestic medicine in Mexico, the popularisation of homeopathy disrupted the professional boundaries that academic physicians had begun to build, making homeopaths the largest group that challenged the emergent medical academic culture and its diffusion in Mexico in the nineteenth century.
本文聚焦于顺势疗法从业者在1850年至1870年间推广顺势疗法的策略。我认为,顺势疗法从业者在19世纪中叶通过便利患者获取医学知识、咨询和实践,在墨西哥城为顺势疗法创造了空间。在这一时期,国内和国际武装冲突限制了学术医学的传播和规范,顺势疗法从业者将顺势疗法塑造成一种能提升生活质量的疗法,并借助满足患者需求的工具来推广它。患者对顺势疗法的偏好演变成了商业活动,通过使用家庭手册来促进顺势疗法的实践。利用珍稀出版物和档案记录,我分析了拉蒙·科梅拉斯顺势疗法手册中顺势疗法的推广、胡利安·冈萨雷斯家庭指南的商业化,以及患者和医生对顺势疗法的接受情况。我表明,转向顺势疗法的故事依赖于患者和受过培训的医生的不同经历,而且患者对顺势疗法的积极体验比医生向公众解释学术医学如何运作的努力更为重要。顺势疗法从业者和患者使用共同语言来描述疾病经历这一事实,构建了医学知识横向传播的可能性,为患者成为从业者开辟了道路。通过依赖墨西哥国内医学的悠久传统,顺势疗法的推广打破了学术医生开始构建的专业界限,使顺势疗法从业者成为19世纪墨西哥挑战新兴医学学术文化及其传播的最大群体。