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宋代的疫病与医疗应对——摒弃巫医治疗,推广医方治疗。

Epidemics and Medical Responses in the Song Dynasty - Exclusion of Shamanistic Treatment and Propagation of Codified Medicine Treatment.

机构信息

Associate Professor, Kyungnam University, College of Liberal Arts, Department of History.

出版信息

Uisahak. 2022 Dec;31(3):547-577. doi: 10.13081/kjmh.2022.31.547.

Abstract

The efforts of the state and the literati, such as the implementation of beneficent politics and the rectification of folk customs, led to the alteration of the medical environment throughout the Song period. Epidemics with a severe impact that occurred frequently were what started the transition. Urbanization, increased transit accessibility, and population growth have all contributed to the emergence of epidemics. In addition, a disease that was indigenous to southern China, where regional development and population expansion were focused, started to spread widely. When an epidemic spread, the local population occasionally received medical care, but most of the time they relied on spiritual care from the neighborhood shaman or spirit medium. Spiritual treatment is utilized to treat malignant infectious diseases, even though professional doctors primarily focus on treating patients with traditional medicine. By editing and releasing publications on medicine at the national level, the Song dynasty government and intellectuals encouraged the development and transmission of efficient treatment procedures to advance medical practices. Meanwhile, folk remedies or medical prescriptions discovered by renowned scholars like Su Shi and Shen Kuo were included in the medical book and made available to the general public. Although there was a difference of opinion between the Song government and intellectuals, they commonly rejected shamanistic treatment and pursued the spread of medicine treatment through the transmission of codified medical knowledge. In the end, the spread of the epidemic and the subsequent transmission and development of Song dynasty medicine had a significant impact on the emergence of codified medicine treatment, but this was not solely to advance medical knowledge; it also served to further their political and ideological objectives. As a result, the following Jin and Yuan dynasties' physicians instantly criticized the Song dynasty's medical advancements. It is indisputable, however, that the medical development of the Song dynasty had a considerable influence on later Chinese medical practice in that it established the ideological superiority of formal and orthodox therapy over traditional and heterodox spiritual care.

摘要

宋代国家和士人的努力,如实施仁政和整肃民风,导致了整个医学环境的改变。频繁发生的严重影响的传染病是这种转变的开端。城市化、交通便利性的提高和人口增长都导致了传染病的出现。此外,一种起源于中国南方的疾病,那里是区域发展和人口扩张的重点,开始广泛传播。当传染病传播时,当地居民偶尔会接受医疗护理,但大多数时候他们依赖邻里萨满或灵媒的精神护理。精神治疗被用于治疗恶性传染病,尽管专业医生主要专注于用传统医学治疗患者。宋代政府和知识分子通过在国家层面编辑和发布医学出版物,鼓励发展和传播有效的治疗程序,以推进医学实践。同时,像苏轼和沈括这样的著名学者发现的民间疗法或药方被收录在医学书籍中,并提供给公众。尽管宋代政府和知识分子之间存在分歧,但他们普遍拒绝萨满治疗,并通过传播规范的医学知识来追求医学治疗的传播。最终,传染病的传播以及随后的宋代医学的传播和发展对规范医学治疗的出现产生了重大影响,但这不仅仅是为了推进医学知识;它也是为了进一步实现他们的政治和意识形态目标。因此,接下来的金代和元代的医生立即批评了宋代的医学进步。然而,宋代的医学发展对后来的中国医学实践产生了相当大的影响,因为它确立了正规和正统疗法相对于传统和异端精神护理的思想优势。

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