中醫近世外科「反常」手術之謎— 中醫為什麼沒有「手術」傳統?
Silk Sutures: Trachea Surgery in Sixteenth-Century China
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Is the history of surgery an independent field of research into Chinese medicine? Thehistorical sources are fragmentary, scattered, and riddled with fantastical descriptions. To unlockthe references made in sixteenth-century texts to the use of silk thread to stitch up damagedtracheas, which are taken to be factual, the author of this article proposes a research methodhe calls “investigating precedents.” Every independent reference to this kind of surgery must bedealt with separately. We cannot assume, a priori, that a reference to what must have been avery sophisticated procedure is either a far-fetched interpretation or a fabrication, nor shouldwe evaluate it according to modern surgical criteria. Apart from extraordinary cases, we haveno records of other types of surgery in the history of Chinese medicine, therefore we must finda method that allows us to investigate these records on their own terms.
Abstract
Is the history of surgery an independent field of research into Chinese medicine? Thehistorical sources are fragmentary, scattered, and riddled with fantastical descriptions. To unlockthe references made in sixteenth-century texts to the use of silk thread to stitch up damagedtracheas, which are taken to be factual, the author of this article proposes a research methodhe calls “investigating precedents.” Every independent reference to this kind of surgery must bedealt with separately. We cannot assume, a priori, that a reference to what must have been avery sophisticated procedure is either a far-fetched interpretation or a fabrication, nor shouldwe evaluate it according to modern surgical criteria. Apart from extraordinary cases, we haveno records of other types of surgery in the history of Chinese medicine, therefore we must finda method that allows us to investigate these records on their own terms.