对中西医的视角差异的思考——患者与医者视角  

Reflections on the Perspective Differences between Traditional Chinese and Western Medicine:Patient and Physician View-points

作　　者：王睿哲 郑晓微 WANG Ruizhe;ZHENG Xiaowei(The First Clinical Medical School,Guangzhou University of Chinese Medicine,Guangzhou 510405,China)

机构地区：[1]广州中医药大学第一临床医学院,广东广州510405

出　　处：《医学与哲学》2024年第23期19-23,共5页Medicine and Philosophy

摘　　要：探讨中西医的视角差异,并分析其对于诊疗的影响。首先论述西医以医者视角为特点,着重探究疾病的发生机制,诊疗过程主要依赖于检查结果。相较之下,中医更注重从患者视角出发,关注个体差异和整体状况。基于此,进一步论述了中医所具备的五大必然特征:隐喻语言、整体观、辨证论治、治疗手段多样与医德的必然性。指出缺乏对患者视角的重视是中医现代化过程中面临的关键问题。为了实现中医药的持续发展和现代化,有必要坚持以患者视角为中心的诊疗理念,从而提高医疗服务质量和效果,为人类健康事业的发展提供新的角度。This paper aims to explore the differences in perspectives between Traditional Chinese and Western medicine,and analyzes their impact on the diagnosis and treatment process.First of all,Western medicine is characterized by an objective physician perspective,focusing on exploring the mechanisms of disease occurrence,and the diagnostic and treatment process primarily relies on examination results and data.In contrast,Traditional Chinese Medicine places more emphasis on the patient's subjective perspective,paying attention to individual differences and the overall condition of the patient.Based on these perspective differences,this paper further thoroughly discusses five essential characteristics of Traditional Chinese Medicine:metaphorical language,holistic view,syndrome differentiation and treatment,diverse therapeutic methods,and the necessity of medical ethics.This paper points out that the lack of emphasis on the patient's perspective is the key issue faced by Traditional Chinese Medicine in the process of modernization.In order to achieve the sustainable development and modernization of Traditional Chinese Medicine,it is necessary to adhere to a patient-centered diagnostic and treatment concept,fully reflect the unique value and advantages of Traditional Chinese Medicine,bring more comprehensive and profound understanding to human health,and ultimately improve the quality and effectiveness of medical services.

关 键 词：患者视角 具身认知 中西医结合 中医现代化 

分 类 号：R-02[医药卫生]