探讨中国传统医疗器具在地方性知识视角下的文化内涵与理论逻辑,揭示其作为医疗实践物质载体内涵的地方性知识。基于克利福德·格尔兹的“地方性知识”理论,通过考古实证与文献分析,系统梳理中国传统医疗器具的历史演进,剖析其与精气、阴阳、五行学说的理论关联,揭示医疗器具中地方性知识的产生逻辑与文化内涵。研究发现传统医疗器具的材质选择、形制设计及使用方法,均植根于特定地域的自然环境、哲学思想与社会传统,是地方性知识中医疗实践的物质转化。

The work aims to explore the cultural connotations and theoretical logic of traditional Chinese medical instruments from the perspective of local knowledge and reveal the local knowledge contained in them as material carriers of medical practice. Based on Clifford Geertz's theory of "local knowledge", the historical evolution of traditional Chinese medical instruments is systematically sorted out through archaeological evidence and document analysis, the theoretical connections of medical instruments with the theories of vital qi, yin-yang, and the five elements are analyzed, and the generative logic and cultural connotations of local knowledge in medical instruments are revealed. It is found that the material selection, shape design, and usage methods of traditional medical instruments are all rooted in the natural environment, philosophical thoughts, and social traditions of specific regions, representing the material transformation of medical practice in local knowledge.