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可以说,儒家思想深刻地影响着中国古代的医学和医家,儒和医是相通的,“不为良相,愿为良医”就是二者关系的生动写照。
可惜儒家的“仁爱”精神,在近代的变革特别是最近二三十年来,随着市场等价交换原则的流行,在医院和医生身上日见稀薄了。
近读友人写清嘉庆年间御医汪必昌之文,深为汪身上留存的儒家“仁爱”之心感动。汪本是书香之家,在当地颇有名望,但后来因为父老母病,家境渐入贫寒,出于谋生压力,他没有走向科举而是走上学医行医之路。汪以自己精湛的医术做到太医,告老还乡后,一边行医,一边著述,留有《聊复集》五卷和《伤寒三说辨》等珍贵医书。
汪必昌在《聊复集》中写道:“是集无浮文,无余白,一字一句,惟求实学。”其在《医阶辨证》自序中又写道,对疑似之症辨认后“再用前贤诸方,虚则补之,实者泻之,寒者温之,热者清之,不致疑误,而病者不致含冤于地下。”这种精神和医德,正是我们当下欠缺的。汪在晚年把大量时间用在整理记录古今秘方,目的是让它传布后世,使人们少受一点疾病之苦。
这样的儒医仁心,恰恰是我们今天所欠缺的,而解开医患之间的矛盾和冲突,需要医院和医生多一些“仁术”和“仁心”。
(作者:邓聿文 原标题:多一些医者仁心就会少一些医患冲突)
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