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The interpretation of traditional Chinese medical professionalism

The Chinese culture emphasizes the family harmony and development. ... ethics pay great attention to the opinion family members on the basis of that of ...

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The interpretation of traditional Chinese medical professionalism

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    Slide 1:The interpretation of traditional Chinese medical professionalism Zhang Daqing

    Slide 2:  1?Medical beneficence: the sources of traditional Chinese medical ideas

    «Ling Qu· Shizhuan»: ????,??“????,????,?????,????,????…… Zhang Zhongjing: ???????,???????,??????,????? (1)Medicine as Humanity Art:the basis of Confucian tradition of medicine

    Slide 4:The Confucian principle of “love others” expresses the idea of respecting human lives. «????»:????,????,????????:“????,?????” ??????????????? ??????????“????,?????,?????……” ???????????????,?????????“??”?“????”? ??:???,?????,????,?????,????,?????,???????????,??????,????????

    Slide 5:??:“????,???????????,?????,?????,???????”“?????,??????” ????,??????????????????? ??????????,??????????,???????????????????

    (2)?the benevolence in Taoism

    Slide 6:Under the influence of the Buddhist ideas of "cause and effect" and "donation causing happiness" , many Buddhists take the practice of medicine as a way to do good. The idea of rebirth and retribution of good and evil is an important part of Buddhist ethics. Buddhist takes Great Compassion as the first principle, "bemoaning the state of the universe and pitying the fate of humankind" as the starting point of morality and "not doing any evil and offering up all good conduct" as personal behavior rules.

    (3) the influence of Buddhist ethics to medical ethics

    There are three moral perspectives in the ancient Chinese medical ethics: Confucianism, Daoism and Buddhism. So many moral theory coexist in Chinese medical ethics: deontology, value theory, virtue ethics, consequentialism,etc.. Although there are differences and interpretations to medical benevolence among these moral theory, the good in the value of medical care is shared unanimously by all? 2?Medical beneficence:the moral value of medical technology

    Slide 9: The traditional Chinese doctors think much of the moral implications of medical technology. They deem the practice of medicine and saving lives as a benevolent morality intrinsically. The traditional Chinese medicine emphasize the integrity of technology and virtue of doctors. The excellent skills and good professionalism indicate the good virtue of doctors.

    (1)?Clinical therapy: the moral implications of medical technology

    Slide 10: Medical good expresses the moral value of medical care, while this good can not be identified with that of medical professionals. The medial good and the professional good can be unified. But there are conflicts if we can not take their relationship rightly. So the traditional Chinese medicine emphasized this harmonious relation.

    (2)?Medical good & doctors’ good: conflicts and harmony

    Slide 11:Medical good & doctors’ good: conflicts and harmony

    Their relationship includes: (1)harmonious relation (2)the gap of the two goods (3)the conflicts

    Slide 12:The conflicts between morality and benefits Confucianism holds that the morality takes precedence over benefits. This moral value is the central focus of ideal moral person, which has great influence on medicine. Physicians born in this atmosphere will take medicine as a means to construct the world and take the morality as practice of ideal person. Many Confucian doctors deem the practice of medicine as a benevolent cause to do good.

    Slide 13:The patient-doctor relationship (PDR) The traditional Chinese medicine considers the equal and close cooperation as the basis of medical trust of PDR. ?????“????,????”,???:“?????,??????,????,????,??????,????,?????????”

    Slide 14:3?From individual to society: medical benevolence in the context of Confucian culture

    Slide 15:(1)Medical benevolence: an approach to realize self-value

    ?????:“???????,???????????,……???????,???????????,??????????,???????????,???????,???????,????????????????,????,??????”

    Slide 16:  (2)?benevolence and filial pity: from individual to family

    The Chinese culture emphasizes the family harmony and development. The Confucian idea of “humanity and love” indicates this characteristics of Chinese culture which is attached to family blood. The meaning of humanity is based on this father-son love in the patriarchal clan system.

    Slide 17:(3)?Medical benevolence: from religious philanthropy organization to civil health protection organization

    The Taoism and Buddhism deem medical care as a benevolent activity. This leads to the wide spread of using medicine as a means by missionary. Relieving pain and suffer is a way to believe the God. The benevolence of medicine and Confucian morality meet the moral standards of feudalism ethics. So many Confucians choose the practice as their life goals.

    Slide 18:(4)?The strategy of benevolence: the prescription for government to do good

    Health care is good to heal the wounded and rescue the dying, which involves the interests of the vast people. So the rulers of Chinese government in the history took the practice of medicine as an important strategy to practice humanity in politics.

    Slide 19:4?medical benevolence: the differences between Chinese and the west

    Slide 20:The traditional Chinese medical ethics emphasizes the duty to “heal the wooded and rescue the dying”, and takes the human life as the first good. The traditional Chinese medical ethics pay great attention to the opinion family members on the basis of that of individual patient. The traditional Chinese medical ethics takes the patients’ interests as the first principle. It is justifiable that the doctor does not inform the patient personally if that information is adverse to treatment and cure.

    Slide 21: In the context of Chinese culture, medical benevolence is a core part of medical practice for doctors, an important approach for doctors to realize their personal ideal and social value and a good description of “doctors and Confucians choosing the same way of life”. In the history of medical development, the idea of medical benevolence correspond with medical model in moral value. This is different from the west idea that morality separates with the medical technology.

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