"六不治"观念的传变通考与价值刍议OA
'Six principles'in Chinese medicine:Historical evolution and contemporary relevance
"六不治"首载于《史记·扁鹊仓公列传》,该论述既借医事喻政事,也符合医理,受后世医著广泛引用.经历代传抄沿革,"六不治"被冠以扁鹊、仓公之名,从判断预后性质的医论,发展为求医之人的道德行为准则,成为古代医患伦理思想发展的种子和重要的载体.其释义与内容随我国古代医事活动的变化发展而变,映射出历朝医疗生态的特点.文章厘清"六不治"的历史沿革,解读其产生、演变背后所蕴含着的丰富的历史信息,以扬弃的眼光探讨"六不治"带来的启示.
The'Six Principles'was first recorded in Biographies of Bian Que and Cang Gong in Records of the Grand Historian.The exposition not only used medical matters as a metaphor for state governance but also conformed to medical principles,hence being widely quoted in medical works of later generations.Through transcription and evolution over successive dynasties,the'Six Principles'was attributed to both Bianque and Canggong.It evolved from a medical discourse on prognostic judgment into a moral code of conduct for patients seeking medical treatment,and thus became the seed and an important carrier of the development of ancient doctor-patient ethics.Its interpretations and content changed alongside the development of medical practices in ancient China,reflecting the characteristics of the medical ecology of each dynasty.This paper clarifies the historical evolution of the'Six Principles',interprets the rich historical information embedded in its emergence and evolution and explores,the inspirations from a critical inheritance perspective.
王以洲;陈仁寿
南京中医药大学中医药文献研究院,南京 210023南京中医药大学中医药文献研究院,南京 210023
六不治《史记》扁鹊医学伦理学医患关系
Six principlesRecords of the Grand HistorianBian QueMedical ethicsPhysician-patient relationship
《中华中医药杂志》 2026 (1)
26-29,4
2023年度江苏高校哲学社会科学研究项目(No.2023SJYB0321)
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