首页|"先解后治"还是"先治后解"——一个布朗族村寨的多元医疗实践策略研究

"先解后治"还是"先治后解"——一个布朗族村寨的多元医疗实践策略研究

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有关多元医疗的研究,多认为人们依据疾病种类以及疾病解释的不同自由地穿梭于多元医疗之间,却对"自由穿梭"的具体规律语焉不详.本文基于云南省勐海县下寨及其周边村寨多个就医实践个案研究发现,该区域社会存在"先解后治""先治后解""解治并施"三种具体的医疗策略,这三种策略的成因源于当地"魂体杂糅"的疾病观与日常伦理.在"魂体杂糅"的基础上和具体的医疗实践中,下寨人进行多元医疗实践抉择的逻辑是以"效信结合"为核心原则的具身性家庭医疗主义.这一逻辑的发现,一方面有助于加深对多元医疗体系间"非简单的替代与非简单的并存"等复杂交织关系的理解,另一方面或可以进一步丰富与延伸有关多元医疗主题的研究.
"Solution First and Treatment Later"or"Treatment First and Solution Later"——A Study on the Multi-medical Practice Strategies in a Bulang Ethnic Village
In the previous researches on multi-medicine,it is believed that people freely shuttle between multi-medicine according to different conditions or types of diseases and different explanations of diseases,but the specific rules of"free shuttle"are not detailed.Based on the case study of several medical practices in Xiazhai and its surrounding villages in Menghai County,Yunnan Province,this paper finds out that there are three specific diversified medical strategies in this region:"solution first and treatment later","treatment first and solution later"and"solution and treatment combined".The causes of these three strategies are derived from the local view of disease and daily ethics of"hybridness of soul and body".On the basis of this,in specific medical practice,the logic of Xiazhai people's choice of multiple medical means is embodied family medicalism with"combination of effect and trust"as the core principle.On the one hand,the discovery of this logic helps to deepen the understanding of the complex interweaving relationship of"non-simple substitution and non-simple coexistence"among multiple medical systems,and on the other hand,it may further enrich and extend the research on the theme of multiple medical care.

multiple medical caremedical strategiesfamily medicalism

王舫、张宸溪

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云南民族大学云南省民族研究所(民族学与历史学学院)

国家民委人文社会科学重点研究基地西南民族研究中心

兰州大学西北少数民族研究中心

多元医疗 医疗策略 家庭医疗主义

2025

湖北民族大学学报(哲学社会科学版)

湖北民族大学学报(哲学社会科学版)

北大核心
ISSN:
年,卷(期):2025.43(1)