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派普医生的行医实践:泰国北部本土治疗方式的延续与变迁

The practice of 'Dr' Paep: continuity and change in indigenous healing in northern Thailand.

作者信息

Weisberg D H

出版信息

Soc Sci Med. 1984;18(2):117-28. doi: 10.1016/0277-9536(84)90032-7.

Abstract

Dr. Paep Plienphleng is an indigenous curer in a rural district in Chiang Mai Province, Northern Thailand, where he is numbered among the group of healers known as mqq mueang ('Northern doctors'). He specializes in curing saan or 'tumors' by combining several techniques: indigenous surgery, herbal curing and supernatural curing. Other aspects of Dr Paep's practice have been due to larger trends in indigenous healing that have affected him and other curers over past decades. This paper describes the practice of Dr Paep and some aspects of his healing, and examines the context of his practice by exploring other categories of indigenous healers found in this area of the North. It is concluded that Northern Thai healing is undergoing a transformation from a stress on general healing to an emphasis on the use of supernatural cures, more specialization among healers and efforts to adapt services to fit the plural system of care found in this rural Northern Thai environment. Thus, we find the skills of indigenous healers and the nature of indigenous Northern Thai medicine allow for creative adaptation to a changing medical environment.

摘要

派普·连蓬医生是泰国北部清迈府一个农村地区的本土治疗师,他属于被称为“mqq mueang”(“北方医生”)的治疗师群体。他擅长通过多种技术结合来治疗“saan”或“肿瘤”:本土手术、草药治疗和超自然治疗。派普医生行医的其他方面归因于过去几十年来影响他和其他治疗师的本土治疗的更大趋势。本文描述了派普医生的行医方式及其治疗的一些方面,并通过探索在泰国北部这个地区发现的其他本土治疗师类别来审视其行医背景。研究得出结论,泰国北部的治疗正在经历一场转变,从强调一般治疗转向侧重于使用超自然疗法、治疗师之间更多专业化以及努力调整服务以适应泰国北部这个农村环境中多元的医疗体系。因此,我们发现本土治疗师的技能以及泰国北部本土医学的性质允许对不断变化的医疗环境进行创造性适应。

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