谈允贤,明代名医,中国古代4位女医之一,南直隶常州府无锡县人。出生于医学世家,其祖父曾任南京刑部郎中,是当地的名医,其祖母对医药也十分精通。秉承家学,从十来岁时即“昼夜不辍”地攻读各种医学典籍、著作有《女医杂言》一书传于世。
谈允贤,其祖父谈复、祖母茹氏为当时名医,伯父谈经官至户部主事,父亲谈纲官至南京刑部主事,母钱氏,有一弟谈一凤。自小聪慧,祖母就让她学医,就在祖母的教导下学会医术,祖母去世前将一生所收集、编写的药方病理都传给了谈允贤。
谈允贤,后嫁杨姓男子为妻,婚后不久患上气血失调,就自我诊治、试药,后来生了三女和一子杨濂,每当子女有病,她都亲自为他们诊治,直至其祖母去世,她才真正在外行医。谈允贤依照祖母的嘱咐,开始为人医病,一些女性患者,患了妇科或外科疾病,不愿让男医生诊视,就纷纷来找她医治,每每获得奇效。
在当时的封建社会中,许多上流社会的妇女因男女之防,不愿请男医生诊治,因此常常发生贻误病情的情况,谈允贤女医的名声使这些妇女纷纷找她治病,在许多成功的案例后,谈允贤的名声也渐渐的传遍各地。
谈允贤对她所医治的女性对象的认知,是建立在亲密接触上的平等对话,是对她们情感和生活的仔细观察,是来自于女性对女性身体的同情,所有这一切内化为谈允贤的医学思想,最后反映到她的技术方法之中,形成她的风格。在谈允贤这里,作为医学对象的女性的身体和性别,得到更为亲切的医学认识,她们受社会压制的声音也得到放大和彰明。《女医杂言》中有则医案颇见意味:“一妇人,年三十二岁,其夫为牙行,夫故商人,以财为欺,妇性素躁,因与大闹,当即吐血二碗,后兼咳嗽,三年不止,服药无效。其先有止血凉血,次用理气煎药,再用补虚丸药。四生丸(出良方),去生荷叶,用生地黄、扁柏叶、加黄连、山栀仁、杏仁、贝母各二两。”
谈允贤50岁时,想到离梦中祖母告诉她的“汝寿七十有三”已经过去了三分之二,便根据祖母传授的医理和自己的临证所得,写成了《女医杂言》一书。《女医杂言》共收载病案31例,是中医史上较早成书的个人医案之一。该书主要记载的是妇科病案,其中涉及性流产、经病、产后诸疾、腹中结块诸证,并记载了谈氏对灸法十分娴熟的动用,因而又是我国古代很少见的专科医案书。《女医杂言》采用追忆的方式撰写医案,因而,每一医案的诊治过程都很清楚明晰。其中记录的案例不多,但是从临床治疗角度看,都是十分成功的案例,很值得后世医家参考。由于当时女子不便抛头露面,所以《女医杂言》一书是由谈允贤的儿子杨濂抄写付梓的。
明代,民间精通医术的妇女渐多,皇帝规定由衙门选取其中佼佼者,到司仪监御医处会选,选中的入官册,以备召用,许多民间女医都以此为荣。当时,医术精妙,颇有名气的医婆叫谈允贤,凡皇家眷属生病,羞于请男御医诊治的,都请谈允贤入宫医治。
宫廷医婆的身份地位和荣华富贵,也是十分令人羡慕的,但是对于入宫的医婆,朝廷也要派专人经过一番严格的检查的。《明宫秘史》上记载,有一位姓彭的医婆,因为怕失去这一荣耀乡邻的美差,也贪恋宫廷丰厚的赏赐,她隐瞒了自己已怀孕的真情。后来,她将孩子产在便桶中溺死了。太后知道了这件事,就将彭氏鞭打出宫。不到一年,太后病死,宫中把此事归罪于彭氏,认为医婆怀孕入宫是凶祸的象征。此后,凡入宫的医婆,都要再三审验以后,才放入后宫行医。
奶婆、稳婆和医婆是中国古代女性中较为特殊的人物,也是深为妇女所羡慕的。然而,成为奶婆就要离开自己嗷嗷待哺的幼子,用自己的**去喂养他人,而且,饮食起居、服饰举止都必须按一定的规定执行,还有的奶婆被强迫天天吞食糖煮蹄膀等增加**的食物。实际上,奶婆已相当于一台产奶的机器。但是,优越的地位和丰厚的财物使得她们不但不以此为辱,反而争相入选。
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