女性不孕的多元医疗实践及其文化逻辑--基于广西富川瑶族自治县的田野调查

Practice of Medical Pluralism of Female Infertility and Its Cultural Logic:Based on the Fieldwork in Fuchuan Yao Autonomous County,Guangxi

本文基于广西富川瑶族自治县的田野调查,聚焦女性不孕这一特殊病痛,探讨女性不孕的多元医疗实践及其背后的文化逻辑。生育不仅是家庭生命链条的延续,也是女性性别角色和人生意义的彰显。不孕意味着“与众不同”,它使女性的自我认同感降低、社会关系受损、婚姻关系炭炭可危,因此追求生育的成功成为许多不孕女性生活的重心。在当地女性不孕的多元医疗实践中,辅助生殖技术克服身体上的“障碍”,中医治疗调节身体的平衡,仪式治疗缓解心理上的压力,三者相辅相成,最终促成生育的成功。

Based on the fieldwork in Fuchuan Yao Autonomous County,Guangxi,this paper focuses on the special illness of female infertility,discussing the practice of medical pluralism and its cultural logic.Reproduction is not only the continuation of the family's life chain,but also the manifestation of women's gender role and life value.Infertility is considered as"different",which lowers a woman's self-identity,damages her social relationships and puts her marriage at risk.As a result,pursuing reproductive success becomes the life center of many infertile women.In the local pluralistic medical practice of female infertility,assisted reproductive technologies can overcome physical"obstacles",traditional Chinese medicine treatments can regulate the balance of the body,and ritual healing can relieve psychological stress.The three strategies complement each other and ultimately contribute to successful reproduction.