至晚到光绪初年,天津几乎没有“施医舍药”功能的慈善组织。不论是官府还是士绅的个人努力都较少介入到公共医疗领域中来。“丁戊奇荒”之后天津广仁堂医疗机构的开办既是对“丁戊奇荒”灾后疫情的应对措施,也是对天津医疗慈善事业的重要补充。天津广仁堂医疗机构仍有很重的慈善色彩,但是医疗功能大大拓展。这些医疗机构主要靠普通士绅所建立、管理以及维系,但是自从这些机构被提议建立以后,就受到官方经常性的管理,并得到官方的资助,官方色彩浓厚,这可能是天津地方性的表现。 By the early years of the Guangxu period, there was almost no charity in Tianjin that had the function of “giving medicine to hospitals”. Efforts by individuals, both official and gentry, are less involved in the public medical field. The opening of the Guang Yan Ren Tang medical institution in Tianjin after the start of the “Ding wilderness shortage” is both a response to the outbreak of the “Ding wilderness shortage” and an important supplement to Tianjin’s medical philanthropy. Tianjin Guang Ren Tong medical institutions still have a heavy charitable color, but the medical function greatly expanded. These medical institutions are mainly established, managed and maintained by ordinary gentry, but since these institutions were proposed and established, they have been officially managed and received official financial support. This may be the endemic performance of Tianjin.