晚清江南儒医陆以湉《冷庐医话》及其传统医德文化
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摘要
晚清儒医陆以湉,浙江桐乡乌青镇人,业儒入仕,精擅医学。自幼力学,先中举人后成进士,无意宦海改官选任台州府、杭州府教授,期间深研医典,考古论今,垂教后人。咸丰八年(1858年),陆氏将平昔读书感悟、临证经验、见闻掌故等漫录载述,撰成《冷庐医话》五卷。著作言简意赅,针砭时弊,涉及医范医鉴、诊法用药、名医验案等诸多内容,展现其对医家品行和诊治实践的更高诉求。陆以湉及其《冷庐医话》,可以对现今提高医德修养、和谐医患关系有所启迪。
LU Yitian,a Confucian physician in the late Qing Dynasty,was born in Tongxiang County,Wuqing Town,Zhejiang Province. He became an official by studying Confucianism,being good at medicine. Since childhood,he studied hard,passing the imperial examinations to become a Jinshi. But he was disinterested in officialdom. Then he resigned the office to teach students in Taizhou and Hangzhou prefectures. During this period,he studied medical classics deeply,exploring ancient times and commenting on current affairs,which inspired future generations. In 1858,he wrote five volumes of Leng Lu Yi Hua by describing his reading experience,clinical experience and anecdotes. The book is concise in language and complete in meaning. It points out the bad atmosphere in society by means of criticism,which involves many contents such as medical model,medication for diagnosis and treatment,and effective cases of famous doctors. This shows its higher demands for doctors' morality and practical skills in diagnosis and treatment. LU Yitian and his book Leng Lu Yi Hua can give some enlightenment to improve medical ethics and make doctor-patient relationship harmonious in today.
LU Yitian,a Confucian physician in the late Qing Dynasty,was born in Tongxiang County,Wuqing Town,Zhejiang Province. He became an official by studying Confucianism,being good at medicine. Since childhood,he studied hard,passing the imperial examinations to become a Jinshi. But he was disinterested in officialdom. Then he resigned the office to teach students in Taizhou and Hangzhou prefectures. During this period,he studied medical classics deeply,exploring ancient times and commenting on current affairs,which inspired future generations. In 1858,he wrote five volumes of Leng Lu Yi Hua by describing his reading experience,clinical experience and anecdotes. The book is concise in language and complete in meaning. It points out the bad atmosphere in society by means of criticism,which involves many contents such as medical model,medication for diagnosis and treatment,and effective cases of famous doctors. This shows its higher demands for doctors' morality and practical skills in diagnosis and treatment. LU Yitian and his book Leng Lu Yi Hua can give some enlightenment to improve medical ethics and make doctor-patient relationship harmonious in today.
引文
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[17]杜晓明,朱建平,朱定华.清代医家陆以湉传略与年谱简编[J].中医杂志,2011,52(19):1700-1702.
[18]陆以湉.冷庐医话[M].晏婷婷,沈健,校注//周仲英,于文明.中医古籍珍本集成·医案医话医论卷.长沙:湖南科学技术出版社,2014:导读5.
[2]严辰等纂修.(光绪)桐乡县志·卷十五·人物下·宦绩[M].据光绪十三年(1887年)刊本影印.台北:成文出版社,1970:519.
[3]陆以湉.冷庐医话[M].北京:中国中医药出版社,1996:4,5,6,7,8,10,11,12,18,26,35,36,37,39,47,54,56,62,66,68,73,74,82,181.
[4]陆以湉.冷庐杂识[M].上海:上海古籍出版社,2012:259.
[5]张撝之,沈起炜,刘德重,主编.中国历代人名大辞典[M].上海:上海古籍出版社,1999:1316.
[6]卢学溥修,朱辛彝,张惟骧,等纂.乌青镇志·卷二十九·人物下[M]//中国地方志集成·乡镇志专辑23.据民国二十五年(1936年)刻本影印.上海:上海书店,1992:717.
[7]刘勰.文心雕龙译注[M].王运熙,周锋,译注.上海:上海古籍出版社,2010:218.
[8]张其成.中医药文化核心价值“仁、和、精、诚”四字的内涵[J].中医杂志,2018,59(22):1895-1900.
[9]张其成.论中医药文化核心价值“仁和精诚”的凝练[J].中国医学伦理学,2018,31(10):1229-1232.
[10]洪晓丽.从古“仁”字到孔子的“仁学”——“仁”的原始与变迁及其道德性的构建[J].道德与文明,2013(3):75-82.
[11]石超.“仁”之古义:勇壮强力有威仪[J].学术交流,2016(10):36-41.
[12]洪晓丽.儒家视阈内群己关系之考察——以“仁”为中心的展开[J].道德与文明,2018(5):65-70.
[13]余琳.西周“礼文”建构与“中和”审美形态发生[J].华南师范大学学报(社会科学版),2018(5):171-177.
[14]郭刚.意象思维:中医哲学的原创思维意蕴——兼论其对中国哲学的贡献[J].自然辩证法通讯,2014,36(1):87-91.
[15]杨辉.儒家的“修身”论及其内生现代性转化[J].河南师范大学学报(哲学社会科学版),2017,44(2):66-70.
[16]孙悦,王河宝,方华珍,等.从中医文化视角探讨医案医话中的真善美[J].中国中医基础医学杂志,2018,24(9):1236-1238.
[17]杜晓明,朱建平,朱定华.清代医家陆以湉传略与年谱简编[J].中医杂志,2011,52(19):1700-1702.
[18]陆以湉.冷庐医话[M].晏婷婷,沈健,校注//周仲英,于文明.中医古籍珍本集成·医案医话医论卷.长沙:湖南科学技术出版社,2014:导读5.