《洄溪医案》的叙事价值及现代启示  

The Narrative Value and Modern Implications of Huixi Medical Cases

作　　者：韦俊安 张宗明[1] WEI Jun'an;ZHANG Zongming(School of Marxism,School of Medical Humanism,Nanjing University of Chinese Medicine,Nanjing 210023,China)

机构地区：[1]南京中医药大学马克思主义学院•医学人文学院,江苏南京210023

出　　处：《医学与哲学》2024年第18期55-58,63,共5页Medicine and Philosophy

基　　金：2018年国家社会科学基金重大项目(18ZDA322);2022年江苏省研究生科研创新计划项目(KYCX23_1999)。

摘　　要：通过对《洄溪医案》的精读与剖析,探讨其作为中医医案对叙事医学理论的案例支持及其医学价值。《洄溪医案》不仅记录了患者的症状和治疗过程,还详尽展现了医疗过程中医者对医者、患者及家属的多维度互动关系,并通过叙事反思医者及患者在医疗过程的身份认知,体现中医对医疗过程参与者的重视。进一步剖析医案中具体病例的诊疗细节、医患互动、患者体验以及病情发展等叙事要素,揭示其如何印证叙事医学的核心理念。以《洄溪医案》为代表的中医医案既可以丰富叙事医学的理论内涵,还为其在现代医学中的发展提供了重要的实践启示,推动医学实践向更全面、更人性化的方向发展。This study examines the case of Huixi Medical Cases through close reading and analysis,exploring its role as a case study of Chinese medical records in supporting narrative medicine theory and its medical value.Huixi Medical Cases not only records patient symptoms and treatment processes,but also provides a comprehensive view of the multidimensional interactions between the physician,patient,and family members during the medical process.Through narrative reflection,it highlights the identity recognition of both physicians and patients within the medical process,demonstrating Traditional Chinese Medicine's emphasis on the involvement of all participants in medical care.By further analyzing the diagnostic and therapeutic details,physician-patient interactions,patient experiences,and disease progression in the case records,this study reveals how these elements validate the core principles of narrative medicine.As represented by Huixi Medical Cases,Chinese medical records can enrich the theoretical framework of narrative medicine and offer significant practical insights for its development in modern medicine,advancing medical practice towards a more comprehensive and humanistic direction.

关 键 词：叙事医学 《洄溪医案》 徐大椿 

分 类 号：R-0[医药卫生]