河北大学学报(哲学社会科学版) ›› 2023, Vol. 48 ›› Issue (4): 45-54.DOI: 10.3969/j.issn.1005-6378.2023.04.006

• 宋史研究 • 上一篇    下一篇

王安石市易法与官药局流变新探

杨小敏   

  1. 河北省社会科学院 历史研究所, 河北 石家庄 050051
  • 收稿日期:2022-10-20 出版日期:2023-07-25 发布日期:2023-09-18
  • 作者简介:杨小敏(1979—),女,河北定州人,博士,河北省社会科学院历史研究所副研究员,主要研究方向:宋史、医疗社会史。
  • 基金资助:
    河北省社会科学基金项目“宋元时期北方药材市场变迁研究”(HB22LS002);国家社会科学基金一般项目“宋代货币比价研究”(22BZS035)

New Research on the Change of Shi Yi Fa Proposed by Wang Anshi and the Evolution of Official Pharmacy

YANG Xiaomin   

  1. Institute of History, Hebei Academy of Social Sciences, Shijiazhuang, Hebei 050051, China
  • Received:2022-10-20 Online:2023-07-25 Published:2023-09-18

摘要: 两宋时期是古代官药局的初创期和蜕变期。王安石推行的市易法是官药局创置、发展、流变过程中尤为关键的制度链条。首先,官药局的创置,缘起于市易务卖药所垄断销售太医局熟药的争议。神宗就此诏令市易务卖药所改隶并重组太医局,统筹太医局熟药的制售机构资源,力图实现平价营利与慈善惠民的双重目标。其次,官药局的运行及发展,是市易法实施后专卖制度在医药领域的实践拓展。北宋中后期,地方上的市易抵当监官也是地方药局的主要负责人。再次,市易抵当机构在市易法被废除后依然在央地之间官药的统购分销中发挥着基础性作用。官药局在北宋末到南宋的流变,根源于官药营利与惠民之间的矛盾难以调解。徽宗在崇宁至政和年间围绕太医局进行的再造,结果也适得其反。这最终导致南宋中后期依靠地方力量捐助或另筹资金重新开设的地方药局,不再具有“官”的职能特点,而是蜕变为以赠药和义诊为主的慈善医疗机构。

关键词: 市易法, 王安石, 官药局, 流变

Abstract: The Song Dynasty was the initial period and the transformation period of the ancient Official Pharmacy.The Shi Yi Fa proposed by Wang Anshi is a key institutional chain in the process of establishment,development and change of the Official Pharmacy.The creation of the Official Pharmacy stemed from the dispute over the monopoly sale of the medicine by the Shi Yi wu medicine shop.In this way,Shen Zong ordered the medicine shop of Shi Yi wu to be a department and reorganize the Tai Yi Ju,coordinated the resources of the manufacturing and selling institutions of the Official Pharmacy,and wanted to achieve the dual goals of making profits at stabilize prices and benefiting the people with charity.The operation and development of the Official Pharmacy was the practical expansion of the government monopoly system in the field of medicine after the implementation of the Shi Yi Fa.In the middle and later period of the Northern Song Dynasty,the rulers of Shi Yi wu, as a supervisor was the main person in charge of the local Official Pharmacy.After the abolition of the Shi Yi Fa,the institutions levels still played a fundamental role in the unified purchase and distribution mode between central and local governments.The evolution of the Official Pharmacy from the end of the Northern Song Dynasty to the Southern Song Dynasty was rooted in the contradiction between the profit making and the benefit of the people.The reconstruction of the Official Pharmacy by Huizong from Chongning to Zhenghe was also counterproductive.As a result,the local Official Pharmacy,which were re-established in the middle and later period of the Southern Song Dynasty,no longer had the functional characteristics of “official”,but transformed into charitable medical institutions with medicine donation and free diagnosis.

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