社会杂志 ›› 2020, Vol. 40 ›› Issue (1): 45-74.

• 专题:道德与秩序 • 上一篇    下一篇

整合药礼:阿卡医疗体系的运作机制

王瑞静   

  1. 重庆大学人文社会科学高等研究院人类学研究中心
  • 发布日期:2020-01-14
  • 作者简介:王瑞静,E-mail:rjwang12@163.com
  • 基金资助:
    本文是重庆大学2017年度中央高校基本科研业务费“建国后国家治理框架下的多元医疗资源开发利用研究”(106112017CDJXY470006)的阶段性成果。

Integrating Medicine and Rituals: The Operating Mechanism of the Medical System among the Akha

WANG Ruijing   

  1. the Division of Anthropology Studies, Institute for Advanced Studies in Humanities and Social Science, Chongqing University
  • Published:2020-01-14
  • Supported by:
    The research is funded by the Institutional Special Program of the Fundamental Research Fund for the Central Universities (No. 106112017CDJXY470006).

摘要: 本文以云南省普洱市哈尼族阿卡人的整体宇宙秩序为观照,运用文化阐释方法剖析其病痛观及相应医疗实践,以理解其“药礼结合”的治病方式,并挖掘阿卡社会医疗体系的运作机制。研究发现,阿卡人认为人包括人体与人魂,有些病痛只是身体的病痛,可以用药物治疗;有些病痛则被视为人与不可见的灵、鬼、神、老天爷等非人存在物互动交流的渠道,是人违背宇宙秩序招致的惩罚,需诉诸献祭仪式以求病愈。社会—宇宙的集体道德通过这些病痛被内化到个体当中,后者在不确定的病痛及相应治疗仪式中反复确认和维护宇宙秩序的权威,维持了社会—宇宙的更新与延续。正是“药礼结合”的多元实践,保证了阿卡礼成功以病痛作为落点来整合社会—宇宙秩序,从而保证了阿卡礼的持续运作。

关键词: 礼, 身体, 病痛, 秩序, 社会—宇宙道德力

Abstract: By using cultural interpretation method in reference to the cosmic belief of the Akha at the Sino-Myanmar border, this paper analyzes the Akha people's view on illness and their corresponding treatment practice in order to understand the integration of medicine and rituals and the operating mechanism of this system. The finding points out that the Akha people believe that humans possess both body and soul. Some illnesses are physical and can be healed by drugs, while others involve the soul, ghosts, spirits, deities and the Supreme God, and need to resort to ritual treatment. Ritual therapy in a set of socio-cosmological rules called "Li", is closely related to the Akha's cosmology, social organization, kinship system, temporal and spatial arrangements, behavioral norms and so on.Li defines the overall cosmic order of the Akha, coordinates the rules of interaction between people and ghosts, gods, spirits and other living things in the universe, as well as regulates the life of the human world. In this intermingled world, manifested in illness, human body is the carrier of messages given by nonhuman beings. Such illnesses are regarded as punishments from the divine for discordance with the socio-cosmological order and a call for people to correct mistakes and restore harmony. Therefore, the proper way to heal illness is to remove physical discomfort by taking medicine, and to satisfy nonhuman beings with sacrificing rituals. In so doing, the collective socio-cosmological morality is internalized into the individual through uncertain ailments and healing rituals that repeatedly confirm and maintain the authority of the social-cosmic order. It is this pluralistic medical practice of combining medicine with rituals that keeps the Akha Li alive.

Key words: Li, body, illness, order, socio-cosmic moral power