魏晋痈疽和明代梅毒发生与流行的社会因素研究

A study of the Influence of Social Factors on the Prevalence of Carbuncle-abscess in the Wei & Jin Dynasties and Syphilis in the Ming Dynasty

目的:探讨痈疽在中国魏晋时期、梅毒在明代中后期广泛流行的社会因素。方法:通过引用中医文献、史学资料及相关研究成果进行对比论证,从内史与外史结合的角度,探讨痈疽在魏晋时期、梅毒在明代中后期广泛流行的表现特点及其社会因素。结论:魏晋战乱造成的战伤感染,环境污染及服食丹石风气是痈疽发生与流行的主要社会文化因素;明代中后期梅毒的广泛流行与对外商贸开放、纵欲风气有关,而晚明时期社会淫欲世风才是梅毒大肆泛滥的根本因素。

Objective： To investigate the influence of social environment, cultural factors on the prevalence of carbuncle - abscess in the Wei ＆ Jin Dynasties and syphilis in the latter half of the Ming Dynasty in China. Methods： Traditional Chinese medicine literatures, historical data, and related research findings have been retrieved and compared with each other. In the article, we are to explore the epidemic features and the influenced social factors of carbuncle - abscess in the Wei ＆ Jin Dynasties and of syphilis in the latter half of the Ming Dynasty with referring to official and unofficial history records. Conclusion： It is believed that infection in war wounds, environmental pollution and the popular Taoist magical pellets taking accounted for the prevalence of carbuncle - abscess in the Wei ＆ Jin Dynasties. And that open foreign trade and sexual indulgence resulted in widely prevalence in the latter half of the Ming Dynasty. Furthermore, lust social environment was the root cause of pandemic syphilis.