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论宋代医学的儒家化转向

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宋代医学的儒家化转向在现实中的直观反映是儒医阶层的崛起与发展,在思想观念上的反映则是医者仁心、医乃仁术、医为仁政等观念的流行与践行.宋儒对经世致用的强调推动了医疗技术的文本化、医学教育的官方化、知医习医的伦理化,为医学传承方式出现"学以成医"的新变化提供了文本、师资、学校、观念等支持,进而推动了儒医阶层的崛起与发展.宋儒以仁爱之士与有德之医、恻隐之心与医疗之职、生生之德与仁人之心的内在关联为基础,将"医者仁心"确立为儒医的衡量标准.宋儒提倡和践行了以医说仁、以医穷理、以医行仁、以医行政等方式与主张,强化了医术与仁术的关联性,推进了医术由"技"进于"艺",由"术"进乎"道",由"医"近于"儒"的变化.宋儒还将医政纳入仁政的考量范围,推动了医药制度的改革与发展,提高了医者与医学的地位,促进了医药卫生事业的进步.
The Shift of Medicine towards Confucianization in the Song Dynasty
The shift of medicine towards Confucianization in the Song Dynasty was directly reflected in the emergence and development of the Confucian physician class.In ideology,this shift was mirrored through the prevalence and practice of concepts such as"benevolent heart of doctors,""medical practice as benevolence and benevolent governance."Emphasizing the practical application of medicine,the Song Confucian scholars promoted the textualization of medical technology,the officialization of medical education,and the ethicaliza-tion of learning and practicing medicine.By providing texts,faculty,schools,and ideas,this trend facilitated the new change that scholars pursued learning to become a doctor in medical inheritance.These factors collec-tively led to the emergence and development of the Confucian physician class.According to the intrinsic con-nections between benevolent scholars and virtuous physicians,compassion and medical profession,as well as the virtue of life and benevolent heart,the Song Confucian scholars set the"benevolence of doctors"as the criterion for a Confucian physician.They advocated and implemented approaches and propositions of illus-trating benevolence,probing into the root of things,practicing benevolence and governing the state,etc.,all through medical practice.This strengthened the connection between medical skills and humaneness,and thus facilitated the transformation of medical practice from"skill"to"art,"from"technique"to"Tao",and from"medicine"to a"near-Confucianism"philosophy.Moreover,by incorporating medical governance into the scope of benevolent governance,they advanced the reform and development of healthcare systems,and im-proved the status of physicians and medicine,which eventually brought about the progress in medicine.

Song DynastymedicineConfucian physiciansConfucianizationbenevolent heart of doctorsmedical practice as benevolencemedical practice as benevolent governance

谢海金

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中共中央党校(国家行政学院)哲学教研部,北京 100091

宋代 医学 儒医 儒家化 医者仁心 医乃仁术 医为仁政

2024

兰州大学学报(社会科学版)
兰州大学

兰州大学学报(社会科学版)

CSTPCDCSSCICHSSCD北大核心
影响因子:1.029
ISSN:1000-2804
年,卷(期):2024.52(5)