躯体化和心身观:基于医学哲学的审视  

Somatization and Mind-body Relation:Reflection Based on Philosophy of Medicine

作　　者：蒙玲莲[1] 孙增坤[2] 何裕民[2] 

机构地区：[1]南京中医药大学基础医学院,江苏南京210023 [2]上海中医药大学基础医学院,上海201203

出　　处：《医学与哲学（A）》2015年第12期11-14,共4页Medicine & Philosophy:Humanistic & Social Medicine Edition

基　　金：国家社会科学基金重点项目"中医文化核心价值体系及其现代转型研究";项目编号:12AZD094;上海市卫生局资助项目"治未病思想与中医健康管理范例研究";项目编号:2010227

摘　　要：躯体化作为一种病痛现象有两个核心特征:一是心理不适转化为躯体病痛,二是医学无法以合理的生理病因解释这类躯体病痛。现代医学体系下,一般医学学科把躯体化现象解释为功能性疾病,精神病学则将其解释为精神障碍,这种解读都折射出心身分离的二元思维观念。"躯体化"一词是现代医学二元分裂的产物,是精神病学对医学无法解释症状的补救性解释。在中国本土文化背景下,躯体化患者很难接受现代医学体系的二元性解释,提议临床上需要心身医学和中医学这两种力量的介入和整合。As an illness phenomenon, somatization has two core characteristics including transferring psychological discomforts into physical illness and being inexplicable by physiological causes. In modern medical system, somatization is defined as functional disease by general medicine, but mental disorder by psychiatry, which is a reflection of dualism between mind and body. The term of ＂somatization＂ is a product of the division of general medicine and psychiatry, and is a remedial explanation for unexplained symptoms by psychiatry. In China, it is difficult for patients to accept the duality diagnosis of modern medical system. Therefore, it is necessary to integrate psychosomatic medicine and Traditional Chinese Medicine in clinical practice.

关 键 词：躯体化 精神病学 心身二元 中医 

分 类 号：R-02[医药卫生]