人类学学报 ›› 2023, Vol. 42 ›› Issue (02): 201-213.doi: 10.16359/j.1000-3193/AAS.2022.0063
孙晓璠1,2(), 张全超1,2(), 牟萍媛1,2, 杨及耘3, 曹俊3
收稿日期:
2021-08-30
修回日期:
2022-01-06
出版日期:
2023-04-15
发布日期:
2023-04-03
通讯作者:
张全超,教授,主要从事人类骨骼考古学研究。E-mail: 作者简介:
孙晓璠,博士研究生,主要从事人类骨骼考古学研究。E-mail: 基金资助:
SUN Xiaofan1,2(), ZHANG Quanchao1,2(), MU Pingyuan1,2, YANG Jiyun3, CAO Jun3
Received:
2021-08-30
Revised:
2022-01-06
Online:
2023-04-15
Published:
2023-04-03
摘要:
女性缠足是山西洪洞西冯堡墓地埋葬人群中一处值得关注的文化现象,相关人骨遗存为研究山西地区明清时期的缠足习俗提供了珍贵的考古资料。本文主要对山西洪洞西冯堡清代墓地出土的93例女性人骨标本中与缠足行为关系较为密切的骨骼损伤和关节疾病现象进行统计与分析,以窥探缠足与未缠足女性的健康状况。统计结果显示: 1)在膝关节和足部骨关节上,缠足女性有更高的骨性关节炎发生率;2)在肘关节和左侧腕关节的患病程度上,缠足女性与未缠足女性群体基本相当;在右侧和双侧腕关节以及手部关节的患病等级上,缠足女性略大于未缠足女性;3)西冯堡墓地各椎段椎体周缘骨赘患病率上,缠足女性均高于未缠足女性,颈椎和腰椎是所有女性患病最严重的部位;4)两个群体的骨骼损伤和骨性关节炎的患病率和患病程度均未表现出显著差异,这可能是与下层平民家庭对女性经济价值追求的背景下缠足与未缠足女性均需承担体力劳动有关。
中图分类号:
孙晓璠, 张全超, 牟萍媛, 杨及耘, 曹俊. 山西洪洞西冯堡清代墓地缠足女性的骨骼损伤和关节疾病[J]. 人类学学报, 2023, 42(02): 201-213.
SUN Xiaofan, ZHANG Quanchao, MU Pingyuan, YANG Jiyun, CAO Jun. Skeletal injury and osteoarthritis of the foot-binding females from the Xifengbu cemetery of Qing dynasty in Hongtong, Shanxi[J]. Acta Anthropologica Sinica, 2023, 42(02): 201-213.
图1 西冯堡墓地缠足女性骨骼损伤 a. M75(2),左侧胫骨远端(前侧面)the oblique fracture occurred in the left distal tibia (Front view);b. 腓骨近端(外侧面)proximal fibula (Lateral view);c.斜向骨折及其构成的对冲伤(红色方框内为骨折断裂处)the contrecoup injury of the footbinding female M75(2) (the red squares indicate fracture sites);d. M118(2),左右侧胫骨对比(前侧面)the comparison of left and right tibia of the footbinding females M118(2) (Front view);e-f.右侧胫骨近端斜向骨折(红色圆圈内为骨折断裂部位并发生移位骨化)(前侧面-背侧面)the oblique fracture occurred in the right proximal tibia (the red circle indicates the fracture site and the exostosis) (Front-Dorsal views); g. M12(2),第7胸椎压缩性骨折(右侧面)the 7th thoractic vertebrae compression fracture of footbinding females(Right side);h. M118(1),第6胸椎压缩性骨折(右侧面)the 6th thoractic vertebrae compression fracture of footbinding females(Right side)
Fig.1 Skeletal injuries among footbinding females in the Xifengbu cemetery
群体Group | 总数 Total | 发病人数 Diseased persons | 患病时期Diseased period | 发病关节Diseased joint | |||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
未成年 Juvenile | 青年期 Youth | 壮年期 Young adult | 中年期 Middle adult | 老年期 Old adult | 成年期 Adult | 肩部 Shoulder | 肘部 Elbow | 腕部 Wrist | 手部 Hand | ||||
缠足Foot- binding | n | 74 | 22 | 0 | 0 | 6 | 8 | 3 | 5 | 4 | 19 | 1 | 3 |
% | 79.57% | 29.73% | |||||||||||
未缠足 Non-foot-binding | n | 19 | 6 | 0 | 2 | 1 | 1 | 1 | 1 | 0 | 5 | 2 | 3 |
% | 20.43% | 31.58% | |||||||||||
总计Total | n | 93 | 28 | 0 | 2 | 7 | 9 | 4 | 6 | 4 | 24 | 3 | 6 |
% | 100.00% | 30.11% | 0 | 7.14% | 25.00% | 32.14% | 14.29% | 21.43% | |||||
Fisher检验(P) | - | 1.000 | - | - | - | - | - | - | 0.578 | 1.000 | 0.105 | 0.097 |
表1 西冯堡墓地女性上肢骨骨性关节炎统计
Tab.1 Upper limb bones osteoarthritis statistics of female residents in Xifengbu cemetery (n, %)
群体Group | 总数 Total | 发病人数 Diseased persons | 患病时期Diseased period | 发病关节Diseased joint | |||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
未成年 Juvenile | 青年期 Youth | 壮年期 Young adult | 中年期 Middle adult | 老年期 Old adult | 成年期 Adult | 肩部 Shoulder | 肘部 Elbow | 腕部 Wrist | 手部 Hand | ||||
缠足Foot- binding | n | 74 | 22 | 0 | 0 | 6 | 8 | 3 | 5 | 4 | 19 | 1 | 3 |
% | 79.57% | 29.73% | |||||||||||
未缠足 Non-foot-binding | n | 19 | 6 | 0 | 2 | 1 | 1 | 1 | 1 | 0 | 5 | 2 | 3 |
% | 20.43% | 31.58% | |||||||||||
总计Total | n | 93 | 28 | 0 | 2 | 7 | 9 | 4 | 6 | 4 | 24 | 3 | 6 |
% | 100.00% | 30.11% | 0 | 7.14% | 25.00% | 32.14% | 14.29% | 21.43% | |||||
Fisher检验(P) | - | 1.000 | - | - | - | - | - | - | 0.578 | 1.000 | 0.105 | 0.097 |
关节Joints | 侧别Side | 缠足Foot-binding | 未缠足 Non-foot-binding | P value | |||||
---|---|---|---|---|---|---|---|---|---|
最小值 Xmin | 最大值 Xmax | 平均计分 Xave | 最小值 Xmin | 最大值 Xmax | 平均计分 Xave | ||||
肩部Shoulder | 左侧Left | 1 | 2 | 1.33 | - | - | - | - | |
右侧Right | 1 | 1 | 1.00 | - | - | - | - | ||
双侧L&R | 1 | 2 | 1.25 | - | - | - | - | ||
肘部Elbow | 左侧Left | 1 | 4 | 2.00 | 1 | 3 | 1.80 | 0.685 | |
右侧Right | 1 | 4 | 2.00 | 1 | 4 | 2.20 | 0.814 | ||
双侧L&R | 1 | 4 | 2.11 | 1 | 4 | 2.20 | 0.941 | ||
腕部wrist | 左侧Left | 1 | 1 | 1.00 | 1 | 1 | 1.00 | - | |
右侧Right | 2 | 2 | 2.00 | 1 | 1 | 1.00 | - | ||
双侧L&R | 2 | 2 | 2.00 | 1 | 1 | 1.00 | - | ||
手部Hand | 左侧Left | 1 | 2 | 1.67 | 1 | 1 | 1.00 | 0.114 | |
右侧Right | 2 | 2 | 2.00 | 1 | 2 | 1.25 | 0.221 | ||
双侧L&R | 1 | 2 | 1.67 | 1 | 2 | 1.20 | 0.217 |
表 2 西冯堡墓地清代女性上肢骨骨性关节炎患病程度统计
Tab.2 Statistics of the severity of upper limb bones osteoarthritis in the Qing Dynasty females of the Xifengbu cemetery
关节Joints | 侧别Side | 缠足Foot-binding | 未缠足 Non-foot-binding | P value | |||||
---|---|---|---|---|---|---|---|---|---|
最小值 Xmin | 最大值 Xmax | 平均计分 Xave | 最小值 Xmin | 最大值 Xmax | 平均计分 Xave | ||||
肩部Shoulder | 左侧Left | 1 | 2 | 1.33 | - | - | - | - | |
右侧Right | 1 | 1 | 1.00 | - | - | - | - | ||
双侧L&R | 1 | 2 | 1.25 | - | - | - | - | ||
肘部Elbow | 左侧Left | 1 | 4 | 2.00 | 1 | 3 | 1.80 | 0.685 | |
右侧Right | 1 | 4 | 2.00 | 1 | 4 | 2.20 | 0.814 | ||
双侧L&R | 1 | 4 | 2.11 | 1 | 4 | 2.20 | 0.941 | ||
腕部wrist | 左侧Left | 1 | 1 | 1.00 | 1 | 1 | 1.00 | - | |
右侧Right | 2 | 2 | 2.00 | 1 | 1 | 1.00 | - | ||
双侧L&R | 2 | 2 | 2.00 | 1 | 1 | 1.00 | - | ||
手部Hand | 左侧Left | 1 | 2 | 1.67 | 1 | 1 | 1.00 | 0.114 | |
右侧Right | 2 | 2 | 2.00 | 1 | 2 | 1.25 | 0.221 | ||
双侧L&R | 1 | 2 | 1.67 | 1 | 2 | 1.20 | 0.217 |
总数 Total | 发病人数 Diseased persons | 患病时期Diseased period | 发病关节Diseased joint | ||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
未成年 Juvenile | 青年期 Youth | 壮年期 Young adult | 中年期 Middle adult | 老年期 Old adult | 成年期 Adult | 髋部 Hip | 膝部 Knee | 踝部 Anklet | 足部 Foot | ||||
缠足 Non-foot-binding | n | 74 | 24 | 2 | 0 | 4 | 5 | 7 | 6 | 1 | 10 | 2 | 20 |
% | 79.57% | 32.43% | |||||||||||
未缠足 Non-foot-binding | n | 19 | 3 | 0 | 1 | 0 | 1 | 0 | 1 | 0 | 2 | 1 | 2 |
% | 20.43% | 15.79% | |||||||||||
总计Total | n | 93 | 27 | 2 | 1 | 4 | 6 | 7 | 7 | 1 | 12 | 3 | 22 |
% | 100.00% | 29.03% | 7.41% | 3.70% | 14.81% | 22.22% | 25.93% | 25.93% | |||||
Fisher检验(P) | - | 0.256 | - | - | - | - | - | - | 1.000 | 1.000 | 0.500 | 0.224 |
表3 西冯堡墓地女性下肢骨骨性关节炎统计
Tab.3 Lower limb bones osteoarthritis statistics of females in Xifengbu cemetery ( n)
总数 Total | 发病人数 Diseased persons | 患病时期Diseased period | 发病关节Diseased joint | ||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
未成年 Juvenile | 青年期 Youth | 壮年期 Young adult | 中年期 Middle adult | 老年期 Old adult | 成年期 Adult | 髋部 Hip | 膝部 Knee | 踝部 Anklet | 足部 Foot | ||||
缠足 Non-foot-binding | n | 74 | 24 | 2 | 0 | 4 | 5 | 7 | 6 | 1 | 10 | 2 | 20 |
% | 79.57% | 32.43% | |||||||||||
未缠足 Non-foot-binding | n | 19 | 3 | 0 | 1 | 0 | 1 | 0 | 1 | 0 | 2 | 1 | 2 |
% | 20.43% | 15.79% | |||||||||||
总计Total | n | 93 | 27 | 2 | 1 | 4 | 6 | 7 | 7 | 1 | 12 | 3 | 22 |
% | 100.00% | 29.03% | 7.41% | 3.70% | 14.81% | 22.22% | 25.93% | 25.93% | |||||
Fisher检验(P) | - | 0.256 | - | - | - | - | - | - | 1.000 | 1.000 | 0.500 | 0.224 |
关节Joints | 侧别Side | 缠足Foot-binding | 未缠足 Non-foot-binding | P value | |||||
---|---|---|---|---|---|---|---|---|---|
最小值 Xmin | 最大值 Xmax | 平均计分 Xave | 最小值 Xmin | 最大值 Xmax | 平均计分 Xave | ||||
髋部Hip | 左侧Left | - | - | - | - | - | - | - | |
右侧Right | 2 | 2 | 2.00 | - | - | - | - | ||
双侧L&R | 2 | 2 | 2.00 | - | - | - | - | ||
膝部Knee | 左侧Left | 2 | 4 | 3.00 | 2 | 4 | 3.00 | 1.000 | |
右侧Right | 2 | 4 | 3.30 | 4 | 4 | 4.00 | 0.382 | ||
双侧L&R | 2 | 4 | 3.30 | 2 | 4 | 3.00 | 0.727 | ||
踝部Ankle | 左侧Left | 2 | 2 | 2.00 | - | - | - | - | |
右侧Right | 1 | 2 | 1.50 | 2 | 2 | 2.00 | - | ||
双侧L&R | 2 | 2 | 2.00 | 2 | 2 | 2.00 | - | ||
足部Foot | 左侧Left | 1 | 4 | 1.80 | - | - | - | - | |
右侧Right | 1 | 4 | 1.79 | 2 | 3 | 2.33 | 0.186 | ||
双侧L&R | 1 | 4 | 1.87 | 2 | 3 | 2.33 | 0.211 |
表 4 西冯堡墓地女性下肢骨骨性关节炎患病程度统计
Tab.4 Osteoarthritis statistics of lower limb bones of females in Xifengbu cemetery
关节Joints | 侧别Side | 缠足Foot-binding | 未缠足 Non-foot-binding | P value | |||||
---|---|---|---|---|---|---|---|---|---|
最小值 Xmin | 最大值 Xmax | 平均计分 Xave | 最小值 Xmin | 最大值 Xmax | 平均计分 Xave | ||||
髋部Hip | 左侧Left | - | - | - | - | - | - | - | |
右侧Right | 2 | 2 | 2.00 | - | - | - | - | ||
双侧L&R | 2 | 2 | 2.00 | - | - | - | - | ||
膝部Knee | 左侧Left | 2 | 4 | 3.00 | 2 | 4 | 3.00 | 1.000 | |
右侧Right | 2 | 4 | 3.30 | 4 | 4 | 4.00 | 0.382 | ||
双侧L&R | 2 | 4 | 3.30 | 2 | 4 | 3.00 | 0.727 | ||
踝部Ankle | 左侧Left | 2 | 2 | 2.00 | - | - | - | - | |
右侧Right | 1 | 2 | 1.50 | 2 | 2 | 2.00 | - | ||
双侧L&R | 2 | 2 | 2.00 | 2 | 2 | 2.00 | - | ||
足部Foot | 左侧Left | 1 | 4 | 1.80 | - | - | - | - | |
右侧Right | 1 | 4 | 1.79 | 2 | 3 | 2.33 | 0.186 | ||
双侧L&R | 1 | 4 | 1.87 | 2 | 3 | 2.33 | 0.211 |
图2 足骨骨关节炎 a. M41(1)左侧第1跖骨远端外侧关节面(外侧面观)The distal lateral articular surface of the left 1st metatarsal of footbinding women M41(1) (Lateral view);b. M24右侧第3跖骨和外侧楔骨融合(内侧面观)Fusion of left 3rd metatarsal and the 3rd cuneiform in a foot-binding women M24 (Medial view);c. M41(1)双侧第2、第3跖骨融合(背侧面观)Fusion of the 2nd and 3rd metatarsal in a footbinding woman M41(1) (Dorsal view);d. M50(2)双侧跟骨与距骨融合(内侧面观)Fusion of talus and calcaneus in a footbinding woman M50(2)(Medial view)。红色方框内为近端外侧关节面周缘骨赘,红色虚线表示融合部位The red rectangle indicates the marginal osteophyte on the lateral articular surface of the left 1st metatarsal,the dotted line indicates the fusion site.
Fig.2 Osteoarthritis in the foot
部位Location | 缠足Vertebra of footbinding | 未缠足Vertebra of non-footbinding | 卡方检验P(Chi-Square test) | |||||||
---|---|---|---|---|---|---|---|---|---|---|
患病骨n (diseased) | 总数Total | 患病率% (diseased) | 平均分 Xave | 患病骨n (diseased) | 总数Total | 患病率% (diseased) | 平均分 Xave | |||
颈椎(C1-C7) | 60 | 233 | 25.75% | 1.74 | 17/68 | 17/68 | 25.00% | 1.59 | 0.901 | |
上段胸椎(T1-T6) | 115 | 283 | 40.64% | 1.12 | 15/67 | 15/67 | 22.39% | 1.00 | 0.005 | |
下段胸椎(T7-T12) | 143 | 288 | 49.65% | 1.17 | 28/59 | 28/59 | 47.46% | 1.29 | 0.759 | |
腰椎(L1-L5) | 124 | 247 | 50.20% | 1.75 | 22/46 | 22/46 | 47.83% | 1.82 | 0.767 | |
总计Total | 442 | 1051 | 42.06% | 1.38 | 82/240 | 82/240 | 34.17% | 1.44 | 0.025 |
表5 西冯堡墓地女性各椎段周缘骨赘患病情况统计
Tab.5 Statistics of vertebral marginal osteophyte of females in Xifengbu cemetery
部位Location | 缠足Vertebra of footbinding | 未缠足Vertebra of non-footbinding | 卡方检验P(Chi-Square test) | |||||||
---|---|---|---|---|---|---|---|---|---|---|
患病骨n (diseased) | 总数Total | 患病率% (diseased) | 平均分 Xave | 患病骨n (diseased) | 总数Total | 患病率% (diseased) | 平均分 Xave | |||
颈椎(C1-C7) | 60 | 233 | 25.75% | 1.74 | 17/68 | 17/68 | 25.00% | 1.59 | 0.901 | |
上段胸椎(T1-T6) | 115 | 283 | 40.64% | 1.12 | 15/67 | 15/67 | 22.39% | 1.00 | 0.005 | |
下段胸椎(T7-T12) | 143 | 288 | 49.65% | 1.17 | 28/59 | 28/59 | 47.46% | 1.29 | 0.759 | |
腰椎(L1-L5) | 124 | 247 | 50.20% | 1.75 | 22/46 | 22/46 | 47.83% | 1.82 | 0.767 | |
总计Total | 442 | 1051 | 42.06% | 1.38 | 82/240 | 82/240 | 34.17% | 1.44 | 0.025 |
群体Group | 未成年 Juvenile | 青年 Youth | 壮年 Young adult | 中年 Middle adult | 老年 Old adult | Fisher 检验患病率P(Fisher’s test) | |||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
患病 Diseased | 未患病Normal | 患病Diseased | 未患病 Normal | 患病Diseased | 未患病 Normal | 患病Diseased | 未患病 Normal | 患病Diseased | 未患病 Normal | ||||||
缠足Footbinding | 2 | 1 | 3 | 3 | 12 | 4 | 13 | 2 | 4 | 0 | 0.299 | ||||
未缠足Non-footbinding | — | 0 | 1 | 1 | 2 | 4 | 3 | 0 | 1 | 0 | 0.203 |
表6 西冯堡墓地女性椎骨患病人数的年龄分布及差异度分析
Tab.6 Demographic distribution of the diseased women Xifengbu cemetery and the difference test (n)
群体Group | 未成年 Juvenile | 青年 Youth | 壮年 Young adult | 中年 Middle adult | 老年 Old adult | Fisher 检验患病率P(Fisher’s test) | |||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
患病 Diseased | 未患病Normal | 患病Diseased | 未患病 Normal | 患病Diseased | 未患病 Normal | 患病Diseased | 未患病 Normal | 患病Diseased | 未患病 Normal | ||||||
缠足Footbinding | 2 | 1 | 3 | 3 | 12 | 4 | 13 | 2 | 4 | 0 | 0.299 | ||||
未缠足Non-footbinding | — | 0 | 1 | 1 | 2 | 4 | 3 | 0 | 1 | 0 | 0.203 |
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