普通的疟疾?丹麦间歇性发烧,1826-1886。

IF 0.9 2区 哲学 Q4 HEALTH CARE SCIENCES & SERVICES
Mathias Mølbak Ingholt
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引用次数: 0

摘要

间断热是一种具有争议意义的历史诊断。历史学家将其与现代早期和19世纪早期的良性疟疾和严重流行病联系在一起。当其他老的医学诊断在不断变化的医学范式下消失时,间歇性发烧“幸存”到了20世纪。本文通过术语、临床症状和病因学研究了1826年至1886年间丹麦间歇性发热的发展情况。在19世纪20年代和30年代,间歇性发烧是一个广泛的疾病类别,被诊断为“koldfeber”。19世纪早期,丹麦医生受到希波克拉底学说的启发,病人被认为具有独特的体格。因此,间歇性发热表现为良性和严重,具有广泛的临床症状。19世纪中叶,随着巴黎学派逐渐取代体液病理学,间断性发热和麻疹病成为一种疾病的代名词,其病源学类似于现代疟疾。在整个19世纪后半叶,间歇性发热的医院诊断保持一致。尽管在19世纪的大部分时间里,间歇性发烧都被认为是由瘴气引起的,但1880年疟原虫的发现导致了对瘴气概念的改变。这篇文章的结论是,间歇性发烧的发展是如何被框定的,它遵循了19世纪丹麦医学不断变化的科学范式。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
An ordinary malaria? Intermittent fever in Denmark, 1826-1886.

Intermittent fever is a historical diagnosis with a contested meaning. Historians have associated it with both benign malaria and severe epidemics during the Early Modern Era and early nineteenth century. Where other older medical diagnoses perished under changing medical paradigms, intermittent fever 'survived' into the twentieth century. This article studies the development in how intermittent fever was framed in Denmark between 1826 and 1886 through terminology, clinical symptoms and aetiology. In the 1820s and 1830s, intermittent fever was a broad disease category, which the diagnosis 'koldfeber'. Danish physicians were inspired by Hippocratic teachings in the early nineteenth century, and patients were seen as having unique constitutions. For that reason, intermittent fevers presented itself as both benign and severe with a broad spectrum of clinical symptoms. As the Parisian school gradually replaced humoral pathology in the mid-nineteenth century, intermittent fever and koldfeber became synonymous for one disease condition with a nosography that resembles modern malaria. The nosography of intermittent fever remained consistent throughout the second half of the nineteenth century. Although intermittent fever was conceptualized as caused by miasmas throughout most of the nineteenth century, the discovery of the Plasmodium parasite in 1880 led to a change in the conceptualization of what miasmas were. The article concludes that the development of how intermittent fever was framed follows the changing scientific paradigms that shaped Danish medicine in the nineteenth century.

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来源期刊
Medical History
Medical History 医学-科学史与科学哲学
CiteScore
1.60
自引率
0.00%
发文量
25
审稿时长
>12 weeks
期刊介绍: Medical History is a refereed journal devoted to all aspects of the history of medicine and health, with the goal of broadening and deepening the understanding of the field, in the widest sense, by historical studies of the highest quality. It is also the journal of the European Association for the History of Medicine and Health. The membership of the Editorial Board, which includes senior members of the EAHMH, reflects the commitment to the finest international standards in refereeing of submitted papers and the reviewing of books. The journal publishes in English, but welcomes submissions from scholars for whom English is not a first language; language and copy-editing assistance will be provided wherever possible.
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