医学叙事与社会互构:大流感历史中的认知演进与应对逻辑
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南京医科大学

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国社科重大项目:当代传染病防治的历史研究与数据库建设(20&ZD224)子课题:我国当代传染病流行态势的变迁及影响因素研究


Medical Narrative and Social Interconstruction: Cognitive Evolution and Response Logic in the History of The Great Flu
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    摘要:

    文章从历史视角审视流感医学叙事演变,揭示其与社会、科技互动逻辑。古代叙事以经验观察和文化逻辑为核心,虽受微生物认知限制,但构建了早期解释模型。近代以1918年“西班牙流感”为标志,呈现“科学理性 - 社会结构”张力叙事特征:科学理性觉醒,系统记录症状、探索病毒作用;社会批判性增强,揭露战时政治扭曲等现象。现代在科技革命与跨学科融合驱动下,呈现“科技 - 社会系统”融合叙事特点:分子生物学解析病毒,防治策略科学化系统化,叙事框架拓展。流感医学叙事演变标志人类对疾病认知跃迁,折射社会文化与科技变迁。其启示为提升公众健康素养、推动医学创新等是应对未来公卫危机关键,目标已转向“生命 - 病毒 - 社会”可持续共生。

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    The article examines the evolution of influenza medical narratives from a historical perspective, revealing their interactive logic with society and technology. Ancient narratives centered on empirical observation and cultural logic, and despite limitations in microbial cognition, they established early explanatory models using Broussonetia papyrifera. The modern era, marked by the 1918 "Spanish Flu," exhibited a tension between "scientific rationality and social critique" in its narrative characteristics: scientific rationality fostered wakefulness, systematically documenting symptoms and exploring viral mechanisms, while social critique intensified, exposing wartime political distortions and other phenomena. In the contemporary era, driven by technological revolution and interdisciplinary integration, narratives demonstrate a fusion of "technology-society systems": molecular biology deciphers viruses, prevention and treatment strategies become scientific and systematic, and narrative frameworks expand. The evolution of influenza medical narratives signifies Homo sapiens' cognitive leaps in understanding disease, reflecting shifts in social culture and technology. Its insights suggest that enhancing public health literacy and advancing medical innovation are key to addressing future public health crises, with the goal now shifting toward sustainable symbiosis among "life-virus-society."

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历史
  • 收稿日期:2025-07-15
  • 最后修改日期:2025-07-31
  • 录用日期:2025-08-01
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