《疏五过论》《征四失论》对叙事医学反思性的启示  

Implications for the reflexivity of narrative medicine from the Shu Wu Guo Lun(The Five Failings of Physicians)and Zheng Si Shi Lun(The Four Lapses of Physicians)

作　　者：王睿琼 杨秋莉[2] 王子旭 杜渐[2] 韩佳桐 赵晶晶 杨茜 郭琦 王昊[2] WANG Ruiqiong;YANG Qiuli;WANG Zixu;Du Jian;HAN Jiatong;ZHAO Jingjing;YANG Qian;GUO Qi;WANG Hao(Shandong University of Traditional Chinese Medicine,Ji’nan 250000;Institute of Basic Medicine in Clinical Medicine,China Academy of Chinese Medical Sciences)

机构地区：[1]山东中医药大学,济南250000 [2]中国中医科学院中医临床基础医学研究所

出　　处：《现代中医临床》2023年第3期1-5,共5页Modern Chinese Clinical Medicine

基　　金：科技部重点研发计划(No.2019YFC1711705);中国中医科学院一带一路项目(No.Z0611);中国中医科学院创新工程项目(No.CI2021A00705-2);中国中医科学院科技创新工程中医临床基础学科创新团队项目(No.CI2021B003)。

摘　　要：叙事医学于2001年兴起于美国,是新兴的医学人文实践方式,通过阅读和写作,用语言的方式表达医学人文的共情与反思。中医学具有浓厚的人文内涵,作为《黄帝内经》中的重要篇章,《疏五过论》《征四失论》指出了医者可能会犯的五种过错和四种过失,除了有很多深刻的医理之外,还有丰富的人文反思。研究者从对病因反思角度,分析了两文中对问社会生活变化及重大负性生活事件的反思、对问情绪的反思、对问饮食居处生活方式的反思,以及对问个性体质的反思。从对医者自身的反思角度,分析了对医理掌握不精的反思,对从医态度不够专注的反思,对医者轻率、自大、贪婪等心理的反思。两文充满了对医道的反思,具有叙事医学主体间性、重视共情及反思性的特点,对叙事医学的在地化发展具有启示作用。Narrative medicine,which emerged in the United States in 2001,is a new branch of medical humanities.It expresses empathy and reflection of medical humanities in language through reading and writing.Traditional Chinese medicine contains rich humanistic elements.As important chapters in Huangdi Neijing,Shu Wu Guo Lun and Zheng Si Shi Lun pointed out the five failings and four lapses that healers may make.In addition to profound medical theories,there is also rich humanistic reflection to be found in the two chapters.From the perspective of etiology,the researchers analyzed the reflections on the changes of social life and major negative life events,on the emotions,on lifestyle of diet and residence,and on personalities and constitutions.From the point of reflection on the doctors themselves,this paper analyzes the reflection on the poor mastery of medical science,on the lack of concentration on the medical profession,and on the psychology of the thoughtless,arrogant and greedy doctors.The two pieces are full of reflections on medicine and have the characteristics of intersubjectivity,empathy and reflection of narrative medicine,which can enlighten the local development of narrative medicine.

关 键 词：疏五过论 征四失论 叙事医学 

分 类 号：R2-03[医药卫生—中医学]