经世致用思想对清代医家医德医风的影响——以《医门法律》之医德观为例

Analysis of the Influence of the Idea of Statecraft and Pragmatic Application on the Medical Ethics of the Qing Dynasty Physicians——Medical Ethics Based on Medical Law

  • 摘要: 经世致用思想的核心在于强调学问与实践相结合,解决现实问题。在医学领域,可具体化为将医学理论与临床实践紧密结合,以提高疗效。以喻嘉言《医门法律》为例,探讨经世致用思想对清代医家医德医风的影响,揭示其在医学领域的独特价值。喻嘉言在《医门法律》中不仅论述了病因病机,还详细阐述了治疗方法和医律,即医疗行为规范,将经世致用思想融入医疗实践,提出“精、仁、慎”的医德观,注重医者的社会责任和道德修养,效仿佛门戒律为医者立法,规范医疗行为,强调理论与实践相结合的重要性以及医德在医学发展中的核心地位,对后世医学发展产生了深远影响。

     

    Abstract: The essence of the "Statecraft and Pragmatic Application" philosophy lies in integrating scholarship with practice to address real-world issues. In the field of medicine, this translates to a close alignment between medical theory and clinical practice to enhance therapeutic efficacy. Taking Yu Jiayan's Medical Law as an example, this paper explores the influence of the "Statecraft and Pragmatic Application" philosophy on the medical ethics and conduct of Qing Dynasty physicians, revealing its unique value in the medical domain. In his work, Yu Jiayan not only discusses disease etiology and mechanisms but also elaborates on treatment methods and medical laws-standards for medical conduct-thereby embedding the "Statecraft and Pragmatic Application" philosophy into clinical practice. He advocates a medical ethic centered on "precision, benevolence, and prudence, " emphasizing the physician's social responsibility and moral cultivation. Inspired by Buddhist precepts, he establishes rules to standardize medical practice, underscoring the importance of combining theory with practice and the pivotal role of ethics in medical advancement. His ideas have had a profound impact on the development of later medical practices.

     

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