中医叙事医学的反思与再现

The Reflection and Reappearance of Narrative Medicine in Traditional Chinese Medicine

中医领域的叙事医学研究目前正蓬勃发展,但叙事实践的理论基础不充分、缺乏中医叙事特色。为解决叙事医学研究历史跨度不足、古代医籍与现今临证叙事关系不清晰的问题,在诠释学视域下考察中医叙事,发现各家理论和临证诊疗均具有浓厚的诠释学特质、理论发展和临证实践均属于诠释过程,符合叙事医学的“反思”与“再现”。在此基础上,叙事医学的理论研究可归纳为三个反思与再现的阶段,分别以《黄帝内经》、各家学说、临证实践为叙事主体,具有各自的叙事阵地和叙事方式。

Narrative medicine research in Traditional Chinese Medicine(TCM)is currently flourishing,but the theoretical basis of narrative practice is inadequate and lacks TCM narrative characteristics.In order to solve the problems of insufficient historical span of narrative medicine research and unclear relationship between ancient medical texts and present-day clinical narratives,we examine the narratives of TCM under the perspective of hermeneutics,and find that theories and clinical treatment have strong hermeneutic qualities,and theoretical development and clinical practice are both interpretive processes,which are in line with the"reflection"and"reappearance"of narrative medicine.On this basis,the theoretical study of narrative medicine can be summarized into three stages of reflection and reproduction,with Yellow Emperor's Classic of Internal Medicine,the doctrines of various schools,and clinical practice as the main narrative subjects,with their own narrative positions and narrative methods.