以“救亡”实现疗愈——论草明的小说《陈念慈》中医学伦理困境及其解决

Realizing healing through"saving the nation"on the medical ethical dilemma and its solution in Cao Ming's Chen Nianci

医生的本职理应是救治患者的生命,然而这种朴素的伦理观念在复杂的现实中却很容易遭遇矛盾。草明的小说《陈念慈》就通过陈念慈的经历讲述了这种困境:“救”或“不救”成为一种哈姆雷特式的难题。然而这种医学伦理的困境终究是腐败社会制度下的症候表现,任由他人操持的医生本身也不得不沾染上这种社会疾病,成为一个“患者”。因此,必须实现从对身体的治疗到对社会制度的治疗的转变,陈念慈就是通过拥抱“救亡”的呼声,摆脱了伦理的困境,同时也实现了自我的疗愈。

The duty of a doctor should be to save the lives of patients,but this simple ethical view is easily contradicted in the complex reality.Cao Ming's novel Chen Nianci tells the story of this dilemma through Chen Nianci's experience:"to save"or"not to save"becomes a Hamlet-style problem.However,this medical ethical dilemma is ultimately a symptom of the corrupt social system,and the doctor who is manipulated by others also has to be infected with this social disease,becoming a"patient".Therefore,it is necessary to achieve a transformation from treating the body to treating the social system.Chen Nianci is able to escape the ethical dilemma and achieve self-healing by embracing the call for"saving the nation".