宋代泉州安溪县的医疗与地方社会初探

Medical Treatment and Local Society in Anxi County of Quanzhou in Song Dynasty

为解决地方医疗资源的不足,我国宋代在各地设置了大量的官药局。这一机构的设立对宋代社会医疗起到了相当积极的影响,客观上降低了各地普通百姓的医疗成本,改善了地方上的医药卫生条件,对当地的医疗风气的改变也有积极的影响。当官方组织的社会公共医疗进入地方,并与地方社会上的其他势力发生竞争时,医疗活动不再是单纯的医疗活动,而成为一种政府进入地方社会的中介手段,并以此来树立政府形象。以宋代泉州安溪县官药局而言,官药局的设立展示了政府权力如何通过医疗这一手段,实现其对地方社会的渗入与引导,从而将各地方纳入到政府的统治体系内。

In order to solve the shortage of local medical resources,a large number of official medicine bureaus were set up in Song Dynasty of China.The establishment of this institution has played a quite positive impact on social medical care in the Song Dynasty,objectively reduced the medical costs of ordinary people everywhere,improved the local medical and health conditions,and also had a positive impact on the change of local medical atmosphere.When the social public medical care of the official organization entered the place and competes with other forces in the local society,the medical activity is no longer a simple medical activity,but a kind of intermediary means for the government to enter the local society,and thus to establish the image of the government.Song Dynasty Quanzhou Anxi County officials For the drug administration,the establishment of the government drug bureau shows how the government power through the medical treatment means to achieve its infiltration and guidance to the local society,so that the medical treatment was brought into the government's ruling system.