明清时期的男色疾病文献研究

MSM- related STDs in the Ming and Qing dynasty in China

与男色同性恋相关的疾病在明清时期有所讨论,诸医家及社会道德人士立足于阴阳观念,认为男男性行为是两阳相并,亢阳则诸疾丛至。所言男色男科病包括有浊病、疳病等,由男色引起的普通疾病包括有目损、艰嗣、体虚等,而"龙阳毒"的概念尤其引人瞩目。医家们用道德观念来推断病因,先下结论再找理由,为医学唯心主义提供了一个典型例证。

Discussions can be seen on the sexually -transmitted diseases related to male homosexuality in the Ming and Qing Dynasty.Based on the conceptions of yin and yang,medical professionals and moralists argued that male homosexuality leads to the intercourse between two yangs,on the top of which the hyperactive yang （kan-gyang）results in diseases.The andrology diseases referred to include turbidity （zhuobing）,and malnutrition （gan-bing）.The commonly seen diseases related to male homosexuality were vision -impairment,infertility,strength -exhaustion,in which the concept of male homosexual toxin （longyangdu）was particularly prominent.Medical pro-fessionals grounded their pathological reasoning on the basis of moral ideas,by which conclusions were reached prior to their proofs.This is an enlightening illumination of medical idealism.