Knowledge in the Time of Cholera: The Struggle over American Medicine in the Nineteenth Century

Knowledge in the Time of Cholera: The Struggle over American Medicine in the Nineteenth Century
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霍乱时期的知识:十九世纪美国医学的斗争

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发表时间:
2013
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通讯作者:
Owen Whooley
Owen Whooley
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作者:
Owen Whooley

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呕吐。腹泻。脱水。死亡。困惑。 1832年,霍乱传入美国,在全国范围内引起了广泛的恐慌。在本世纪剩下的时间里,流行病席卷了美国城镇,导致数千人死亡。各行各业的医生对霍乱之谜给出了相互矛盾的答案,用阿片类药物、放血、隔离和各种疗法都无效,直到大约六十年后,这种可怕的感染的身份被疾病的细菌理论所巩固。这些霍乱疫情对医学知识及其合法性提出了根本性的质疑,助长了另类医学流派的发展,这些流派利用这场流行病的混乱来挑战医学正统和新兴的美国医学会的权威。在《霍乱时期的知识》中,欧文·胡利向我们讲述了那些黑暗日子的故事,他的叙述集中在医生和顺势疗法从业者之间的竞争上,并生动地呈现了 19 世纪美国控制公众对疾病、专业权力和民主治理的理解的斗争。
Vomiting. Diarrhea. Dehydration. Death. Confusion. In 1832, the arrival of cholera in the United States created widespread panic throughout the country. For the rest of the century, epidemics swept through American cities and towns, killing thousands. Physicians of all stripes offered conflicting answers to the cholera puzzle, ineffectively responding with opiates, bleeding, quarantines, and all manner of remedies, before the identity of the dreaded infection was consolidated under the germ theory of disease some sixty years later. These cholera outbreaks raised fundamental questions about medical knowledge and its legitimacy, giving fuel to alternative medical sects that used the confusion of the epidemic to challenge both medical orthodoxy and the authority of the still-new American Medical Association. In "Knowledge in the Time of Cholera", Owen Whooley tells us the story of those dark days, centering his narrative on rivalries between medical and homeopathic practitioners and bringing to life the battle to control public understanding of disease, professional power, and democratic governance in nineteenth-century America.