非物质文化遗产传承语境中谢氏正骨疗法参与乡村振兴的双维协同机制探索

Exploring the Dual-Dimensional Synergistic Mechanism of Xie’s Bone-Setting Therapy in Rural Revitalization within the Context of Intangible Cultural Heritage Inheritance

摘要: 在乡村振兴战略与非物质文化遗产(Intangible Cultural Heritage, ICH)系统性保护深度耦合的政策背景下，传统医药类ICH作为兼具文化资本价值、公共卫生价值与产业转化潜力的复合型资源，日益成为激发乡村内生性发展能力的关键文化资本载体。本文以“谢氏正骨疗法”这一具有清晰家族源流谱系(眉山谢氏)与地域文化根系的传统中医正骨技艺为分析单元，系统考察其在ICH传承与乡村振兴双重制度语境下的协同演进逻辑。文献计量与内容分析表明，既有研究虽已证实ICH与乡村振兴存在显著正向耦合关系，但针对具体ICH项目、尤其是中医正骨类技艺的微观作用路径仍显薄弱；现有实践多集中于文化旅游融合或产业园区建设等单维干预模式，缺乏对“文化传承力–产业转化力”双维动态互构机制的学理阐释。本研究基于协同理论与系统耦合模型，整合30篇文献覆盖的学术共识与实证案例，重点解析谢氏正骨疗法在文化本体活化、乡村健康服务嵌入、产业链条延伸及数字化传承创新四个维度的实践进展与结构性张力。研究表明，其双维协同路径的核心机制在于构建“以技载道、以业固本、以数赋能、以人继脉”的闭环系统。未来亟需突破传承人老龄化、技术标准化缺失、知识产权法律保障缺位及城乡要素配置失衡等系统性瓶颈。本综述为传统医药类ICH的创造性转化与创新性发展提供了兼具理论解释力与实践操作性的分析框架。

Abstract: Against the policy background of the deep coupling between the rural revitalization strategy and the systematic protection of Intangible Cultural Heritage (ICH), traditional medicine-related ICH, as a composite resource integrating cultural capital value, public health value, and industrial transformation potential, has increasingly become a key carrier of cultural capital for stimulating endogenous rural development. This paper takes Xie’s Bone-Setting Therapy, a traditional Chinese orthopedic manipulation technique with a clearly traceable family lineage (the Meishan Xie family) and strong regional cultural roots, as the unit of analysis, and systematically examines its logic of collaborative evolution under the dual institutional contexts of ICH inheritance and rural revitalization. Bibliometric and content analyses indicate that, although existing studies have confirmed a significant positive coupling relationship between ICH and rural revitalization, the micro-level pathways of action for specific ICH projects, especially traditional Chinese bone-setting techniques, remain insufficiently explored. Current practices are largely concentrated on single-dimensional intervention models such as the integration of culture and tourism or the construction of industrial parks, while lacking a theoretical explanation of the dual-dimensional dynamic interactive mechanism between cultural inheritance capacity and industrial transformation capacity. Based on synergy theory and a system coupling model, this study integrates academic consensus and empirical cases drawn from 30 references, with a focus on analyzing the practical progress and structural tensions of Xie’s Bone-Setting Therapy in four dimensions: activation of cultural ontology, embedding into rural health services, extension of the industrial chain, and innovation in digital inheritance. The findings show that the core mechanism of its dual-dimensional synergistic pathway lies in building a closed-loop system characterized by “carrying the Dao through technique, consolidating the foundation through industry, empowering through digitalization, and continuing the lineage through people.” In the future, it is imperative to overcome systemic bottlenecks such as the aging of inheritors, the lack of technical standardization, insufficient legal protection of intellectual property rights, and imbalances in the allocation of urban-rural factors. This review provides an analytical framework with both theoretical explanatory power and practical operability for the creative transformation and innovative development of traditional medicine-related ICH.