从“卫生现代性”重审鲁迅的弃医从文
作者简介:王宇,厦门大学中文系教授(福建厦门 361005)
摘要: 根据近代日本医学社会史,鲁迅所一再表达的“日本维新是多半发端于西方医学”的观点,其实更准确的含义应该是:日本维新发端于西方医学的重要派生物−“卫生现代性”。从个体医学、临床救治层面而言,医学对于民族的现代转型,确实正如鲁迅所看到的那样未必有多大立竿见影的意义。这也是鲁迅弃医从文的主要原因之一。但是从群体医学及其重要派生物“卫生现代性”角度,医学却在生命政治层面对于民族的现代转型意义重大。晚清“医学救国”论述对医学、“卫生”的理解一直停留于个体健康管理的层面,受此影响,加上自身“掊物质而张灵明,任个人而排众数”的个性主义思想,青年鲁迅忽略或无法认同明治日本式的“卫生现代性”,因为后者意味着将最具个人性的身体国有化、制度化。否则,从民族救亡角度而言,他的弃医从文就没有逻辑的必然性。
Re-research on Lu Xun’s Choice of Being a Literary Physician Instead of a Western Medicine Doctor from the Perspective of “Hygienic Modernity”
- Available Online:
2021-08-20
Abstract: As Lu Xun pointed out that medicine might not play a vital function in national modern transformation in the areas of individualized medicine and clinical treatment, which is the primary reason for his choice of being a literary physician instead of a Western medicine doctor. However, “hygienic modernity”, which is the main derivative of population medicine, has contributed significantly to this transformation in terms of the development of bio-politics. According to the history of modern Japanese social medicine, the accurate implication of “Meiji Restoration originated from Western Medicine” (propounded repeatedly by Lu Xun) means that Japanese restoration is the derivation of “hygiene modernity” derived from Western medicine. But due to the assertion of “medical salvation” during the late Qing Dynasty, Lu Xun’s understanding of modern medicine and hygiene would be limited. And he also insisted on his individual pursuit of “supporting the individual and ostracizing the mob”. For these reasons, Lu Xun neglected or disagreed Japanese “hygiene modernity”which could make the most personalized individual body become nationalized and institutionalized, and this may shape him as a literary physician rather than a Western medicine doctor. Otherwise, his termination of studying Western medicine has no logical necessity, at least in the sense of national modern transformation.