日记所见清代士人就医行为的地域差异  

Regional difference of scholars＇ health - seeking behavior of the Qing dynasty as seen in diaries

作　　者：张博[1] 

机构地区：[1]南开大学中国社会史研究中心暨历史学院,天津300071

出　　处：《中华医史杂志》2014年第1期23-27,共5页Chinese Journal of Medical History

摘　　要：由《寻乐堂日录》、《甲初日记》、《康复日记》、《李文清公日记》等几种日记可知，清代身处不同地域的士人由于医疗资源的差异而有着不同的“就医行为”。经济发达的城市中从医人员数量多，医疗资源易于获取，所以病患倾向于有病即刻求医，甚至频繁更换医者，期望获得最佳诊疗效果，医患双方的关系也相对简单。县域中由于医者数量较少，医疗资源获取不易，所以病患就医往往费时费事，有可能迁延很久，因而不得不自我诊疗，而一旦选定医生，医患双方会维持着相对稳定的密切联系。由于整体医疗水平的限制，不同地域的不同士人在无助时也往往寻求于外在的神秘力量。It is obvious that from the Xunletang Sanctum Catalogue, Jiachu Diary, Genffu Diary, Diary of Master Li Wenqing, the difference in the scholars＇ ＂health - seeking behavior＂ in different regions in the Qing dynasty due to the difference in medical resources can be figured out. In the cities with devel- oped economy, the medical resources were abundant and readily accessible, patients tended to visit the doc- tors once they got sick, some even changed their doctors frequently for seeking better therapeutic effects. Accordingly, the doctor - patient relationship was rather simple. In terms of the little town or county, since professional medical workers were much less, and medical, resources scarce, patients had to spend more time to search for a doctor, and his/her sickness was thus delayed and lingered for a long time. As a result, such patients had to remedy themselves. Once they chose a doctor, their relation might be maintained for a longer time in a stable and close contact. Restricted by the overall therapeutic level, different scholars in different regions might always pursue help from external mystic energy when they were helpless.

关 键 词：清代士人 就医行为 日记 

分 类 号：R2-09[医药卫生—中医学]