Title

從《王叔和脈訣》的爭議看明清醫學知識的建構

Translated Titles

Wang Shuhe Maijue (The Pulse-diagnostic Song of Wang Shuhe) Controversy and the Construction of Scholarly Medical Knowledge in Late Imperial China

DOI

10.6464/TJSSTM.201210.0065

Authors

謝柏暉(Po-Huei Hsieh)

Key Words

王叔和脈訣 ; 中醫 ; 醫學史 ; 科學史 ; 科學爭議 ; Wang Shuhe Maijue ; Chinese Medicine ; History of Medicine ; History of Science ; Scientific Controversy

PublicationName

科技醫療與社會

Volume or Term/Year and Month of Publication

15期(2012 / 10 / 01)

Page #

65 - 116

Content Language

繁體中文

Chinese Abstract

明清醫療史的研究,近來廣受學界的關注。本文將會指出,自明代中葉開始,隨著以行醫為職業的正統醫者群體輪廓愈趨明晰,醫家對何謂正統醫學知識,越來越感到有嚴格定義的需要。因此,在以《內經》為依歸的新標準檢驗之下,以往被視為理所當然的醫學知識,也有必須重新裁汰的必要。而在被指明剔除的醫學知識當中,《王叔和脈訣》無疑最為重要。不僅因為其診脈理論和「七表」、「八裏」、「九道」的脈象分類,自北宋以來,長期主導脈學的理論和實踐;更因為肇端自明代的新醫學理論,如膻中與手厥陰經的搭配、大小腸診的脈部位等等,都是奠基在對《王叔和脈訣》徹底的批判之上,而有以致之。明末醫家破而後立的新理論塑造,更導致了明清醫學知識建構大規模的變化,《瀕湖脈學》取代了《王叔和脈訣》及其脈象分類架構,成為新的診脈理論基礎。然而,由相似的理論爭議,在清代並未導致像明末一般的知識大變動,可以看出其實明清醫學知識的建構,與其說是要解決理論的錯誤,不如說是體現了在社會和文化上,區隔其他醫療競爭者,以定義並提升自身地位的意圖。

English Abstract

The complicated aspects of the scholarly medical knowledge in late imperial times are on path to be the focus of attention in academic studies in the history of Chinese medicine. Among different facets pointed out by scholars, social and cultural distinction is highlighted to be an important driving force that motivated the scholarly physicians to construct and reconstruct the medical orthodoxy they held to be of utmost importance for their status and dignity. Since the middle of Ming dynasty, because of the increase in the number of medical practitioners, it's important for the scholarly physicians to establish their own orthodox tradition, to distinguish themselves from other practitioners in order to cement their status and clientele. This paper is tasked with indicating that, with this background, specific knowledge, i.e. Wang Shuhe Maijue (王叔和脈訣), was culled to be the target of repudiation. The reason why Wang Shuhe Maijue was crucial is because of its undoubted eminence in the history of Chinese medicine since its appearance in northern Song dynasty. From then on, Wang Shuhe Maijue was so popular that not only lowbrow practitioners practiced it to earn their living, but scholars who were familiar with medicine were also deeply affected by its pulse-diagnostic theory. Its popularity was not eclipsed by the continuous fulminations from scholars and physicians during southern Song and Yuan Dynasties for its vulgarity and peccadillo in theory. However, it's worth noting that only from the middle of Ming dynasty on that orthodox physicians contended to veto its status as legitimate knowledge of orthodox medicine. The repudiation of Wang Shuhe Maijue not only defined the orthodox medicine ever since then, but the orthodox medical knowledge invented by the orthodox physicians in late imperial China was also deeply influenced by the repudiation of Wang Shuhe Maijue. It is against this background that new orthodox knowledge was produced, and the boundary of the community of orthodox physicians was delineated.

Topic Category 人文學 > 人文學綜合
醫藥衛生 > 醫藥衛生綜合
醫藥衛生 > 醫藥總論
醫藥衛生 > 基礎醫學
醫藥衛生 > 預防保健與衛生學
醫藥衛生 > 社會醫學
社會科學 > 社會科學綜合
Reference
  1. 祝平一(2010)。藥醫不死病,佛度有緣人:明、清的醫療市場、醫學知識與醫病關係。中央研究院近代史研究集刊,68,1-48。
    連結:
  2. (1997)。中國醫學大成三編。中國中醫藥出版社。
  3. (2000)。中國醫學大成續集。上海:上海科學技術出版社。
  4. (2000)。中國醫學大成續集。上海:上海科學技術出版社。
  5. (2000)。中國醫學大成續集。上海:上海科學技術出版社。
  6. (1991)。日本現存中國稀觀古醫籍叢書。北京:人民衛生出版社。
  7. 古本小說集成。上海:上海古籍出版社。
  8. (1986)。赤水玄珠全集。北京:人民衛生出版社。
  9. (2005)。脈學名著十二種。北京:中醫古籍出版社。
  10. (2005)。脈學名著十二種。北京:中醫古籍出版社。
  11. (2005)。脈學名著十二種。北京:中醫古籍出版社。
  12. (1999)。張璐醫學全書。北京:中國中醫藥出版社。
  13. (1986)。景印文淵閣四庫全書。台北:台灣商務。
  14. (1986)。景印文淵閣四庫全書。台北:台灣商務。
  15. (1997)。續修四庫全書。上海:上海古籍出版社。
  16. (1997)。續修四庫全書。上海:上海古籍出版社。
  17. (1997)。續修四庫全書。上海:上海古籍出版社。
  18. (1997)。續修四庫全書。上海:上海古籍出版社。
  19. (1997)。續修四庫全書。上海:上海古籍出版社。
  20. 永瑢等編(1933),《四庫全書總目提要》。上海:商務印書館。
  21. Bates, Don(ed.)(1995).Knowledge and Scholarly Medical Tradition.Cambridge:Cambridge University Press.
  22. Berg, Daria(2002).Carnival in China: A Reading of Xingshi Yinyuan Zhuan.Leiden:Brill.
  23. Bray, Francesca(1997).Technology and Gender: Fabrics of Power in Late Imperial China.California:University of California Press.
  24. Brokaw, Cynthia(2002).The Sibao Book Trade in the Qing and Republican Periods.Cambridge:Harvard University Asian Center.
  25. Brokaw, Cynthia(2007).Book History in Premodern China.Book History,10,259-262.
  26. Chao, Yüan-ling(2009).Medicine and Society in Late Imperial China: A Study of Physician in Suzhou, 1600-1850.New York:Peter Lang.
  27. Chao, Yüan-ling(2000).The Ideal Physician in Late Imperial China: The Question of Sanshi三世.EASTM,17,66-93.
  28. Chartier, Roger(2007).The Order of Books Revisited.Modern Intellectual History,4(3),509-519.
  29. Chia, Lucille(2002).Printing for Profit: The Commercial Publishers of Jianyang, Fujian (11th-17th Centuries).Cambridge:Harvard University Asian Center.
  30. Cooter, Roger(1984).The Cultural Meaning of Popular Science: Phrenology and the Origination of Consent in Ninethheth-Century Britain.Cambridge:Cambridge University Press.
  31. Cullen, Christopher(1993).Patients and Healers in Late Imperial China: Evidence from the Jinpingmei.History of Science,31,99-150.
  32. De Meyer, Jan A. M.(edited),Engelfriet, Peter M.(edited)(2000).Linked Faiths: Essays on Chinese Religions and Traditional Culture in Honour of Kristofer Schipper.Leiden:Brill.
  33. Eisenstein, Elisabeth(1979).The Printing as an Agent of Change.Cambridge:Cambridge University Press.
  34. Elman, Benjamin A.(2001).A Cultural History of Civil Examinations in Late Imperial China.California:University of California Press.
  35. Elman, Benjamin A.(2005).On Their Own Terms: Science in China, 1550-1900.Cambridge:Harvard University Asian Center.
  36. Furth, Charlotte(2007).The Physician as Philosopher of the Way: Zhu Zhenheng(1282-1358).HJAS,66(2),423-459.
  37. Grant, Joanna(2003).A Chinese Physician.New York:Routledge.
  38. Grant, Joanna(1998).Medical Practice in the Ming Dynasty-A Practitioner's View: Evidence from Wang Ji's Shishan yi' an.Chinese Science,15,37-80.
  39. Hanson, Marta(1995).Merchants of Medicine: Huizhou Mercantile Conciousness, Morality and Medical Patronage in Seventeenth-Century China.East Asian Science: Tradition and Beyond,Osaka:
  40. Hanson, Marta(2003).The Golden Mirror in the Imperial Court of Qianlong Emperor, 1739-1742.Early Science and Medicine,8(2),11-147.
  41. Henderson, John B.(1991).Scripture, Canon, and Commentary: A Comparison of Confucian and Western Exegesis.New Jersey:Princeton University Press.
  42. Idema, Wilt(1997).Diseases and Doctors, Drugs and Cures. A very preliminary list of passages of medical interest in a number of Chinese novels and related plays.Chinese Science,2,37-63.
  43. Kastan, David Scott(2007).Humphrey Moseley and the Invention of English Literature.Agent of Change: Print Culture Studies after Elizabeth L. Eisenstein,Amherst:
  44. Leung, Angela Ki-Che(2003).Medical Instruction and Popularization in Ming Qing China.Late Imperial China,24(1),131-152.
  45. Lu, Gwei-Djen,Needham, Joseph(1980).Celestial lancets: a History and Rationale of Acupuncture and Moxa.Cambridge:Cambridge University Press.
  46. McDermott, Joseph P.(2006).A Social History of The Chinese Book: Book And Literati Culture in Late Imperial China.Hong Kong:Hong Kong University Press.
  47. Nappi, Carla(2009).The Monkey and the Inkpot: Natural History and Its Transformations in Early Modern China.Cambridge:Harvard University Press.
  48. Needham, Joseph(1970).Clerks and Craftsmen in China and the West.Cambridge:Cambridge University Press.
  49. Parssinen, T. M.(1974).Popular Science and Society: The Phrenology Movement in Early Victorian Britain.Journal of Social History,8(1),1-20.
  50. Porter, Roy(2000).Quacks: Fakers and Charlatans in English Medicine.Gloucestershire:Tempus.
  51. Rosenberg, Charles(ed.),Golden, Janet(ed.)(1997).Framing Disease: Studies in Cultural History.New Brunswick:Rutgers University Press.
  52. Scheid, Volkar(2007).Currents of Tradition in Chinese Medicine, 1626-2006.Seattle:Eastland Press.
  53. Shapin, Steven(1979).Homo Phrenologicus: Anthropological Perspectives on an Historical Problem.Natural Order: Historical Studies of Scientific Culture,London:
  54. Smith, Paul J.(edited),von Glahn, Richard(edited)(2003).The Song-Yuan-Ming Tradition in Chinese History.Cambridge:Harvard University Press.
  55. Sutton, Donald S.(2000).From Credulity to Scorn: Confucians Confronts the Spirit Mediums in Late Imperial China.Late Imperial China,21(2),1-39.
  56. Unschuld, Paul U.(1985).Medicine in China: A History of Ideas.California:University of California Press.
  57. Volkmar, Barbara(2000).The Physician and Plagiarists: The Fate of the Legacy of Wan Quan.The East Asian Library Journal,9(1),1-77.
  58. Wechsler, Judith(1982).A Human Comedy: Phsiognomy and Caricature in Nighteenth Century Paris.Chicago:University of Chicago Press.
  59. Widmer, Ellen(2003).The Huanduzhai of Hangzhou and Suzhou: A Study in Seventeenth-Century Publishing.HJAS,56(1),77-122.
  60. Wright, Peter W. G.(1979).A Study in the Legitimisation of Knowledge: the 'Success' of Medicine and the 'Failure' of Astrology.On the Margins of Science: the Social Construction of Rejected Knowledge,Keele:
  61. Wu, Yi-Li(2000).The Bamboo Grove Monastery and Popular Gynecology in Qing China.Late Imperial China,21(1),41-76.
  62. 丹波元胤編(1983)。中國醫籍考。北京:人民衛生出版社。
  63. 方以智(1988)。方以智全書。上海:上海古籍出版社。
  64. 王肯堂(1997)。醫統正脈全書。臺北:新文豐。
  65. 王倫、王旭東(1993)。醫史與文明。北京:中國中醫藥出版社。
  66. 西周生(1978)。醒世姻緣傳。臺北:世界書局。
  67. 吳承恩(1983)。西遊記。臺北:桂冠。
  68. 吳謙輯(1995)。醫宗金鑑。北京:中國中醫藥出版社。
  69. 李建民(2005)。生命史學:從醫療看中國史。臺北:三民。
  70. 李建民(2000)。死生之域:周秦漢脈學之源流。臺北:中研院史語所。
  71. 李建民(2004)。中國醫學史研究的新視野。新史學,15(3),203-225。
  72. 李時珍(1975)。本草綱目。北京:人民衛生出社。
  73. 李時珍(1997)。瀕湖脈學。北京:學苑出版社。
  74. 周鳳梧編(1995)。中國醫學源流概要。太原:山西科學技術出版社。
  75. 岡西為人(1977)。宋以前醫籍考。臺北:南天。
  76. 林之翰(2008)。四診抉微。北京:人民軍醫出版社。
  77. 林麗月(1992)。科場競爭與天下之「公」-明代科舉區域配合問題的一些考察。師大歷史學報,20,43-73。
  78. 邱仲麟(2004)。明代世醫與府州縣醫學。漢學研究,22(2),327-359。
  79. 邱仲麟(2003)。綿綿瓜瓞-關於明代江蘇世醫的初步考察。中國史學,13,45-67。
  80. 范家偉(2007)。大醫精誠:唐代國家、信仰與醫學。臺北:東大出版社。
  81. 范家偉(2004)。六朝隋唐醫學之傳承與整合。香港:中文大學出版社。
  82. 唐明邦(1991)。李時珍評傳。南京:南京大學出版社。
  83. 徐春甫(1978)。古今醫統大全。臺北:新文豐。
  84. 祝平一(2006)。宋、明之際的醫史與「儒醫」。中央研究院歷史語言研究所集刊,77(3),401-449。
  85. 張同君(1990)。《崔真人脈訣》辨偽。中醫雜誌,10,47-49。
  86. 張伯瑞、王木淺解(1990)。悟真篇淺解。北京:中華書局。
  87. 張秀民(2006)。中國印刷史。杭州:浙江古籍出版社。
  88. 張谷銘(2006)。評介Andrian Johns, The Nature of the Book: Print and Knowledge in the Making。新史學,16(1),183-195。
  89. 梁其姿(2002)。明代社會中的醫藥。法國漢學,北京:
  90. 梁頌名、榮向路、江潤祥(1999)。中醫臟腑概說。香港:香港中文大學。
  91. 脫脫(1980)。宋史。臺北:鼎文。
  92. 陳士鐸(1999)。陳士鐸醫學全書。北京:中國中醫藥出版社。
  93. 陳元朋(1997)。兩宋的尚醫士人與儒醫。臺北:國立台灣大學。
  94. 陳言(2005)。陳無擇醫學全書。北京:中國中醫藥出版社。
  95. 陳夢雷(1995)。古今圖書集成。臺北:鼎文書局。
  96. 陸以湉(1996)。冷廬醫話。北京:中國中醫藥出版社。
  97. 傅維康(1990)。中國醫學史。上海:上海中醫學院出版社。
  98. 費俠莉、甄橙譯、吳朝霞校(2006)。繁盛之陰中國醫學史中的性(960-1665)。南京:江蘇人民出版社。
  99. 項長生(1981)。我國歷史上最早的醫學組織-宅仁醫會。中華醫史雜誌,11(3),144-146。
  100. 葉德輝(1998)。書林清話。臺北:文史哲出版社。
  101. 蓋建民(2001)。道教醫學。北京:宗教文化出版社。
  102. 劉祖貽編、孫光榮編(2002)。中國歷代名醫名術。北京:中醫古籍出版社。
  103. 鄭曼青、林品石(1987)。中華醫藥學史。臺北:商務。
  104. 鄭樂明(2005)。李時珍在江蘇。現代中藥研究與實踐,19,63-65。
  105. 盧嘉錫編(1998)。中國科學技術史。北京:科學出版社。
  106. 賴錫三(2000)。博士論文(博士論文)。新竹,國立清華大學中文系。
  107. 謝柏暉(2009)。碩士論文(碩士論文)。臺北,國立台灣師範大學歷史系。
  108. 顧啟元(2005)。客座贅語。南京:鳳凰出版社。
Times Cited
  1. 蔡忠志、郝保華(2014)。《王叔和脈訣》重探-以「五臟」歌為研究中心。中醫藥雜誌,25(S),213-231。