张介宾处理医患关系的特点及其现实启示

ZHANG Jie-bin's Point of View on Doctor-patient Relationship and Its Realistic Enlightenment

明代医学家张介宾在处理患者关系方面具有如下特点:摄生为医学首务,不贸然诊治死证疑证,任医如任将忌猜疑,明白治病是艰难涉险的过程,鼓励病患树立信心等。将其中涉及到医患关系的几个基本问题,引申至当前现实中,分析了其在医疗公益性与营利性之选择、医生处置权与患者同意权之对立,医疗受益与风险之冲突中的应用,以助我们把握医患关系的底线,找到良好医患关系的起点。

The characteristics of the relationship between the medical scientist ZHANG Jie-bin in the Ming dy- nasty and his patients is that the primary task of medical science is the regimen, and not to cure of the diseases which inevitable causing the death and which the doctors are not sure of, and no suspicion in choosing a doctor such as appointing a general, and treatment is a difficult venture, etc. They are involved in several basic problems of the general relationship between doctors and patients. The author also nalyzed the medical doctor selection, disposition of public welfare and profit-making and patient consent, medical benefit and risks of conflict, the application of in order to help us grasp the bottom of the doctor-patient relationship, find the starting point of a good doctor-patient relationship.