“医者意也”与叙事医学认知哲学的交集  

Cognitive Philosophy Intersection of “Yizhe Yi Ye(医者意也)”and Narrative Medicine

作　　者：王一方[1,2] 方洪鑫 WANG Yifang;FANG Hongxin(Peking University,School of Medicine and Humanities,Beijing,100191;Department of Science,Technology and Medical History,Peking University)

机构地区：[1]北京大学医学人文学院,北京市100191 [2]北京大学科学技术与医学史系

出　　处：《中医杂志》2020年第16期1387-1390,共4页Journal of Traditional Chinese Medicine

摘　　要："医者意也",由意达悟一直被认为是中医学认知思维的特征之一,与叙事医学原理中的主客间性有着深刻的哲学关联。在对象化、客体化盛行的现代医学认知范式的强势挤压下,逐渐被边缘化,受现象学哲学启发的叙事医学的诞生,松解了逻辑实证主义的思维板结,具有时间性、独特性、主客间性、因果偶然性、伦理性的叙事医学特征则与"医者意也"之间存在着相同与相近的认知路径。通过"医者意也"古典意涵的阐释,结合叙事医学原理的钩沉,尤其是主客间性的开掘,意在拓展"医者意也"的现代价值。Yizhe Yi Ye(医者意也, meaning doctor′s imagery in medical practice), the meaning conveying to the thinking has always been considered as one of the characteristics of traditional Chinese medicine(TCM) cognitive thinking, having a profound philosophical connection with the "objects and subjects" in narrative medicine. Under the strong squeeze of the modern medical cognitive paradigm popularized by objectification and objectification, it is gradually marginalized. The birth of narrative medicine inspired by phenomenological philosophy has loosened the thinking of logical positivism. The same and similar cognitive paths exist between Yizhe Yi Ye and narrative medicine which is characterised by time liness, uniqueness, inter-subjectivity, causal contingency and ethics. This paper combines the interpretation of the classical meaning of "Yizhe Yi Ye" with the principle of narrative medicine. In particular, the excavation between the subject and the guest is intended to expand the modern value of "Yizhe Yi Ye."

关 键 词：叙事医学 象思维 现象学 循证医学 

分 类 号：R2-03[医药卫生—中医学]