民国时期岭南中医医德思想演变探析

Analysis on Evolution of Medical Ethics in Lingnan Practitioners During the Era of the Republic of China

1912年至1949年之民国时期是社会大变革和思想大发展的时期,岭南名医为适应社会变革形势发展了中医医德思想。在医患间利益关系上,岭南名医不再固守"正其义不谋其利"的思想,提出医者有其合理利益诉求;在医者间关系上,既重视相互合作,也强调相互竞争和批判;在医业与政府关系上,不再受"犯上非仁"观念束缚,与政府废止中医的行径抗争。岭南名医顺应时代发展、革新中医医德的思想和实践,对建构新时代中医药话语权、增强文化自信具有启发意义。

The period of 1912 to 1949 for the Republic of China was an era when great social transformation and ideological development took place. To adapt to the social changes, celebrated practitioners in Lingnan area developed the thoughts of traditional Chinese medicine(TCM)ethics. When discussing their relationships with patients,the practitioners in Lingnan area no longer stick to the idea of "pursue the right without seeking profit"and raised the idea that practitioners had their reasonable interest demands;in dealing with the relationship with other practitioners,they emphasized that competition and criticism were as important as close cooperation;for managing the relationship of the government with medical industry,the practitioners were no longer confined by the idea of superiors and started to fight against the abolition of TCM by the government. The thinking and practice of reforming medical ethics for TCM by the previous generation of practitioners played an important role in constructing the discourse power of TCM and enhancing cultural self-confidence today.