陈实功的医学伦理思想及其当代价值  

Chen Shigong’s medical ethical thought and its contemporary value

作　　者：李颖 李红文 LI Ying;LI Hongwen(School of Humanities and Management,Hunan University of Chinese Medicine,Changsha 410208,China;School of Marxism,Hunan University of Chinese Medicine,Changsha 410208,China)

机构地区：[1]湖南中医药大学人文与管理学院,湖南长沙410208 [2]湖南中医药大学马克思主义学院,湖南长沙410208

出　　处：《中国医学伦理学》2025年第3期364-369,共6页Chinese Medical Ethics

基　　金：2023年湖南省高校思想政治工作研究项目“人类卫生健康共同体的叙事伦理话语构建研究”(23A16);2024年“芙蓉计划”--高校优秀思想政治工作者项目(青年骨干队伍建设项目)。

摘　　要：陈实功是明代著名中医外科医家,他的医学伦理思想是中国古代医学伦理思想的重要组成部分。他所著的《外科正宗》中“医家五戒”与“医家十要”被认为是中国传统医德发展史中的第三座丰碑。陈实功的医学伦理思想主要受宋明理学所影响,形成了“天人合一”的世界观、“知行合一”的人生观。他还提倡医者仁心和淡泊名利的价值观,一视同仁、保守隐私的医患观,尊重同行、广传医术的医际观,恪尽职守、辨证论治的诊疗观。陈实功的医学伦理思想提倡医德与医术并重,其在加强当代医学伦理教育、改善医患关系、培养医者“仁爱”精神方面仍然具有旺盛的生命力和重要的参考价值。Chen Shigong is a renowned traditional Chinese medical surgeon in the Ming Dynasty,and his medical ethical thought is an important part of ancient Chinese medical ethical thought.The“five precepts of physicians”and the“ten essentials for physicians”in his book Orthodox Manual of External Diseases are regarded as the third monument in the history of the development of traditional Chinese medical ethics.Chen Shigong’s medical ethical thought was mainly influenced by the Song and Ming philosophies,forming the worldview of“unity of heaven and humanity”and a philosophy of life of“unity of knowledge and action.”He also advocated the values of benevolence among physicians and indifference to fame and fortune,the doctor-patient view of treating patients equally and preserving privacy,the medical view of respecting peers and spreading medical skills,and the diagnosis and treatment view of fulfilling duties and treating patients based on syndrome differentiation.Chen Shigong’s medical ethical thought advocated that medical ethics and skills should be given equal importance,which has a strong vitality and important reference value in strengthening medical ethical education,improving doctor-patient relationships,and cultivating the spirit of“benevolence”among physicians.

关 键 词：陈实功 医学伦理思想 外科正宗 中医 

分 类 号：R-052[医药卫生]