中西医结合医疗的伦理透视与发展展望OA
Ethical perspective and development prospects of integrated traditional Chinese and Western medicine
中医和西医在思维方式上存在显著差异,但这也使中西医之间获得了交叉互鉴的机会.中医伦理建立在中医坚实的理论和实践基础上,在认知、决策、治疗三维伦理透视下,在"取象运数"的认知法则、"辨证论治"的决策原则、"天人合一"的治疗准则方面具有突出特点.中西医在象思维与还原论、动态非线性与静态线性、整体性与对抗性方面各具特色,影响了二者对医社、医医、医患关系的处理,而二者结合则能够促进中西互鉴、取长补短.在中医现代化逐渐引起重视、健康中国建设稳步推进的背景下,提升医疗体系对多元健康需求的适应能力,应促进医社关系的主客有道、医医关系的和竞多元、医患关系的和谐与共,坚持伦理反思与实践探索并行,为中西医结合医疗的进一步发展提供伦理支撑.
Traditional Chinese medicine and Western medicine exhibit significant differences in their modes of thinking,yet this very distinction creates opportunities for their mutual learning and integration.TCM ethics are grounded in the robust theoretical and practical foundations of TCM.From the three-dimensional ethical perspective of cognition,decision-making,and treatment,it demonstrates prominent characteristics in the cognitive regulation of"taking images to operate numbers,"the decision-making principle of"treatment based on syndrome differentiation,"and the therapeutic criteria of"harmony between humanity and nature."TCM and Western medicine possess distinct features in image-based thinking and reductionism,dynamic nonlinearity and static linearity,as well as holism and antagonism,influencing how they address doctor-society,doctor-doctor,and doctor-patient relationships.Furthermore,the integration of TCM and Western medicine can foster mutual learning and allow them to complement each other's strengths.Against the backdrop of growing emphasis on TCM modernization and the steady advancement of the Healthy China initiative,enhancing the healthcare system's adaptability to diverse health demands is crucial.Efforts should be made to promote proper subject-object regulations in the doctor-society relationship,a harmonious yet competitive plurality in the doctor-doctor relationship,and harmonious coexistence in the doctor-patient relationship.It is also essential to uphold the parallel progression of ethical reflection and practical exploration,thereby providing ethical support for the further development of integrated Chinese and Western medicine.
崔蓓;李彗闻;陈璐;王延隆
浙江中医药大学第一临床医学院,浙江 杭州 310053浙江中医药大学第一临床医学院,浙江 杭州 310053浙江中医药大学第一临床医学院,浙江 杭州 310053浙江中医药大学马克思主义学院,浙江 杭州 310053
医药卫生
中医思维中医伦理医学伦理中西医结合中医实践
traditional Chinese medicine thinkingtraditional Chinese medicine ethicsmedical ethicsintegrated traditional Chinese and Western medicinetraditional Chinese medicine practice
《中国医学伦理学》 2026 (6)
703-708,6
2025年浙江省哲学社会科学规划课题"中国式现代化视域下的中医药文化传承创新发展研究"(25CWT10)2024年国家级大学生创新创业训练项目计划立项"中医伦理与西医伦理的比较研究"(202410344005)2025年浙江省大学生科技创新活动计划(新苗人才计划)"中医伦理对现代医学的价值研究——基于中医经典的文献整理与挖掘"(2025R410A006)
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