仲景医德研究和学习*

Research and study on medical morality of ZHANG Zhong-jing

关键词:  张仲景  医德  医术

Key words:  ZHANG Zhong-jing  medical morality  research and study

摘要:

从三方面探讨了张仲景的高尚和值得学习的地方。第一方面是行医的目的。首先是为大众百姓服务,张仲景不计个人名利,不分服务对象的贫富贵贱,在当时是难能可贵的,在当前仍有教育意义。其次是"卫生"与"护生"。张仲景"保身长全,以养其生"的理念,提示医生的根本性职责在于保护人的生命,保卫人类的繁衍生息。第二方面是医生的行为品格。一是要认真仔细,可表现在诊察患者,治疗观察,药后护理等多方面;二是要沉着冷静,面对危重病或病情突变,应具有沉着应对,冷静思考,临变不慌的品格;三是要关爱体恤患者,首先体现在重视预防,早期治疗,及时给药,尤其要保护妇女儿童,其次,适当地、恰如其分地调整患者的心理,既是对患者的关爱,又能起到治病的作用;四是要克服私念,医生治病要做到不求功名,实事求是,不患得患失等,要一切从患者实际情况出发,履行治病救人的职责。第三方面是当好医生的基本要求:一是要有博采众方,不陋已见的学风;二是要有辨证论治,精益求精的技术;三是要有通晓药剂,杜绝误用的广博知识,除了掌握药物的基本功效外,还包括了解药物的剂量、剂型、煎煮法,药物服用后的反应以及毒副反应的消除等。

Abstract:

The objective of this article was to explore the medical morality of ZHANG Zhong-jing from three aspects.The first was the purpose of medicine and protecting life.The doctor must service the people and couldn't distinguish the patients from poor and rich people.The life-cultivation idea of ZHANG Zhong-jing indicated that the responsibility of a doctor was to protect the life of patients.The second was the behavior and personality of a doctor.The doctor would be careful and graveness on diagnosis,treatment and nursing of the disease,etc.The doctor must be calm and steady when treating severe illness and mutation state of an illness.The third was to pay careful attention to the patients.The content included to emphasize the prevention,early treatment,medication in time and protection woman and Children.They would properly regulate the psychological damage and overcome selfish ideas.The third was basic requirement of a good doctor.The doctor must determine the treatment based on pathogenesis obtained through differentiation of symptoms and signs and basic prescription usage,including the dosage,dosage form,decocting method and treatment of adverse reaction,etc.