从淳于意与华佗医案比较观汉代医事  

Comparative Study on Medial Cases of Chunyu Yi and Hua Tuo in Han Dynasty

作　　者：于凌[1] YU Ling(Basic Medical College,Shanghai University of Traditional Chinese Medicine,Shanghai 201203,China)

机构地区：[1]上海中医药大学基础医学院,上海201203

出　　处：《医学与哲学》2021年第3期73-76,共4页Medicine and Philosophy

基　　金：2019年上海中医药大学预算内项目(2019WK123);2019年上海市哲学社会科学规划项目(2019BTQ005)。

摘　　要：梳理了《史记》与《三国志》中淳于意与华佗两位名医的医案,在医案概况、病因认识、病种分科、诊断技术、治法运用、医学伦理等方面比较两批医案的异同,以冀能从中找寻到中医理论形成早期的某些学术认知规律,并从局部管窥汉代至三国时期医学及医术的发展概貌。两批医案展现了官方与民间两个不同类型医学的双重形式,也体现了汉代医学理论与临床实践的成熟度。与后世医案专著相比,两位名医的正史医案具备了更广泛的人文价值和社会现实意义,蕴含了中国传统医案中“以人为本”的文化特征,值得当今社会重新审视。Chunyu Yi and Hua Tuo were famous doctors in middle and late Han Dynasty.Their medical cases(existed in Shi ji Records and Records of the Three Kingdoms)were combed and compared in aspects of basic survey,etiology,disorder types,diagnostic technique,treatment application,and even medical ethics.By this research,early-staged cognitive rules of TCM theories was found and generalization of medical development in the period between Han and Three Kingdoms was investigated from a special perspective.These medical cases manifested two different forms of official type and folk type.By this way,grade of maturity in TCM at that time was explored.Compared with the medical cases in later dynasties,these cases possessed wider humanistic value and social reality significance.They contained the cultural characteristics of"people-oriented"in Chinese traditional medical cases and were worthy of re-examine in modern times.

关 键 词：淳于意 诊籍 华佗 医案 汉代医学 病因分类 脉学理论 

分 类 号：R-09[医药卫生]