喻昌《医门法律》医德思想研究

发布时间：2018-02-28 12:07

本文关键词： 医门法律医德规范医德思想　出处：《广州中医药大学》2017年硕士论文　论文类型：学位论文

【摘要】：《医门法律》是我国第一部全面探讨医德规范的专著,为清初名医喻昌阐述临床辨证论治之法则,揭示临床诊治之禁律的力作。该书共六卷,卷一论四诊治法则,申《内经》及《伤寒论》治病之律例;卷二至卷六论中寒、中风、热湿暑三气等外感内伤杂病的证治、方药、律例。论文结合喻昌所在时代,及他本人的坎坷经历,对《医门法律》的医德思想进行剖析,指出诸如得出"为医门立律立规"、"医者笃于情"、"医为人之司命,不精则杀人"、"当为自讼之医"等医德思想,析理透彻,有法有律,令人深思。论文还指出《医门法律》重视扬弃前人医德思想。书中记叙了历史上诸多医学大家的医德箴言、医德理论和医德实践,在医学价值、医生修养、医德养成和医德评价等方面也有诸多论述。论文认为《医门法律》在临床医德体系的构建上采用以"论、法、律"结合的方式,以"论"支撑医德思想,以"法"落实医德思想,以"律"规范医德思想的实践,这种体系化的医德思想,有利于医德思想落实到具体的临床诊疗中,指导临床并保证诊疗操作。论文对《医门法律》理论缺陷和时代局限性进行了评述,指出《医门法律》医德规范讲得多,也颇完备,但如何用法用律不够,同时指出佛学价值导向太多地影响了医德取向。论文提出《医门法律》医德思想对当今医院医德医风建设和中医药文化核心价值观建设具有指导意义。以"规范"落实抽象的医德理念,以"诊治戒律"预防医德越轨行为,有利于医务人员戒除空谈,达到知行合一,实现优秀的医德思想与临床实践的结合,从而培养医德高尚的医务人员,提高中医服务质量。2016年《中医药发展"十三五"规划》再次的将弘扬中医药文化作为重点,强调要提炼中医药文化核心价值和精神实质,构建具有中国特色和中医特点、行业特征并体现时代精神的中医药文化核心价值观。《医门法律》中的医德思想是中医药文化核心价值观的重要体现。研究和发掘《医门法律》中的优秀医德思想对整理和阐发中医药文化核心价值观,弘扬我国优秀传统文化,丰富和创新医学伦理学学科内容,改善医院医德医风有理论意义和实践意义。
[Abstract]:The law of medicine is the first monograph in China that comprehensively discusses the norms of medical ethics. Yu Chang, a famous doctor in the early Qing Dynasty, expounded the principles of clinical dialectical treatment and revealed the prohibitive laws of clinical diagnosis and treatment. The book consists of six volumes, one volume and four rules of diagnosis and treatment. Shen Neijing and the Treatise of febrile febrile Diseases; the second to sixth volumes on the syndromes, prescriptions, laws and regulations of external internal injury and miscellaneous diseases, such as cold, stroke, heat dampness and summer heat, etc. The paper combines Yu Chang's time and his own rough experiences. This paper analyzes the medical ethics thought of "the law of medicine", points out that the moral thought of medical ethics, such as "establishing laws and regulations for the medical profession", "the doctor is obedient to the feeling", "the doctor is responsible for his life, if he is not good at it, he kills", and "when he is a self-litigant doctor", he has a thorough analysis of the reason and has laws and regulations. The paper also points out that "the law of medicine" attaches importance to sublimating and abandoning the thought of medical ethics of predecessors. The book describes many medical ethics maxim, medical ethics theory and practice, in medical value, medical cultivation, medical ethics, medical ethics, medical ethics, medical ethics, medical ethics, medical ethics, medical ethics, medical ethics, medical ethics, medical ethics, and medical ethics. There are also many expositions on the cultivation of medical ethics and the evaluation of medical ethics, etc. The paper holds that the medical ethics system is constructed in the form of "theory, law and law", and supports the thought of medical ethics by "theory", "theory" and "theory". It is beneficial to carry out the thought of medical ethics by "law" and to standardize the practice of medical moral thought by "law". This kind of systemized medical ethics thought is beneficial to the implementation of medical ethics thought in the concrete clinical diagnosis and treatment. To guide clinical practice and ensure diagnosis and treatment operation. This paper comments on the theoretical defects and limitations of the Medical Law, and points out that the medical ethics and norms of "Medical Law" are more and more complete, but how to use them is not enough. At the same time, it is pointed out that the value orientation of Buddhism has too much influence on the orientation of medical ethics. The paper points out that the thought of medical ethics is of guiding significance to the construction of medical ethics and core values of traditional Chinese medicine culture in today's hospitals. "the implementation of abstract medical ethics, The prevention of deviant behavior of medical ethics by "the precepts of diagnosis and treatment" is beneficial to the medical personnel to abstain from empty talk, to achieve the unity of knowledge and practice, to realize the combination of excellent medical ethics and clinical practice, and to train the medical personnel with noble medical ethics. In 2016, the 13th Five-Year Plan for the Development of traditional Chinese Medicine once again focused on carrying forward the culture of traditional Chinese medicine, emphasizing on refining the core value and spiritual essence of the culture of traditional Chinese medicine, and building up features with Chinese characteristics and traditional Chinese medicine. The core values of traditional Chinese medicine culture embodied in the characteristics of the industry and the spirit of the times. The thought of medical ethics in the law of medicine is an important embodiment of the core values of Chinese medicine culture. Study and explore the excellent medical ethics thought in the law of medicine. To collate and expound the core values of traditional Chinese medicine culture, It is of theoretical and practical significance to carry forward Chinese excellent traditional culture, to enrich and innovate the subject contents of medical ethics and to improve the medical ethics of hospitals.
【学位授予单位】：广州中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R2-03

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