隐喻与规训——关于安多藏区疾病叙事的医学人类学阐释  

Metaphor and Discipline:Medical Anthropological Interpretation of Disease Narrative in Ando Tibetan Region

作　　者：郑宏颖 ZHENG Hong-ying(School of Marxism,Zunyi Medical University,Zunyi 563000,China)

机构地区：[1]遵义医科大学马克思主义学院,贵州遵义563000 [2]贵州省高校人文医学研究中心,贵州遵义563000

出　　处：《医学与哲学》2022年第23期61-64,共4页Medicine and Philosophy

基　　金：2018年遵义医科大学博士科研启动项目(FB-2018-1)。

摘　　要：四川安多藏区佛教文献和民间仪式中保存的疾病叙事借助象征与隐喻的作用在藏族社群内部衍生出诸多行为、道德规范,起到了塑造、巩固社群内部秩序的作用。这种关于疾病的叙事是藏族佛教知识精英进行构建的历史结果,它作为藏族传统文化的特定组成部分与藏区社会医疗卫生现代化之间存在一定张力。因此,想要正确理解、妥善处理当今安多地区藏族社会医疗卫生文化中存在的传统与现代之间的冲突,就必须借助医学人类学方法转变藏区民众对疾病的传统式文化解读,以基于病患主体的疾病叙事取代宗教性的疾病叙事。The narratives of disease preserved in the Buddhist literature and folk rituals in Ando Tibetan Region, Sichuan Province, has derived many rules of behavior and moral norms within the local Tibetan community, with the help of symbols and metaphors, which has played a role in shaping and consolidating the internal order of the community. This interpretation of disease is the historical result of the construction by Tibetan Buddhist elites. As a specific part of Tibetan traditional culture, it shows a certain tension between the healthcare modernization in Tibetan area. Therefore, in order to properly understand and deal with the conflict between tradition and modernity in the medical and health culture of contemporary Ando, we should use the method of medical anthropology to change the traditional cultural interpretation of diseases by the Tibetan people, and replace the religious narratives of disease with the narratives of disease based on the patient subjects.

关 键 词：疾病叙事 医学人类学 安多藏区 

分 类 号：R-05[医药卫生]