Cruz-Coke R
Musco Nacional de Medicina, Facultad de Medicina de la Universidad de Chile.
Rev Med Chil. 1999 May;127(5):611-4.
The art of medicine was formed in Greece in close relationship to culture and philosophy. During the Christian era, it was projected through the Corpus Hippocraticus, in several ethical and philosophical documents such as The Oath of Medical Science, Medical Law, Decency, Precepts, Antique Medicine, Airs and Aphorisms, Waters and places. The central idea of Hippocratic philosophy is the principle of wholeness, summarized by Plato in the sentence "The certain knowledge of nature is solely possible from medicine and only when it is correctly approached as a whole". Clinical actions, are imbued by Hippocratic ethics; their aim is the ill that is an anthropos, a human being. The physician must take care of the ill with devotion, selflessness, comprehension and compassion. The oath is the supreme deontological code that summarizes the essential concepts of Hippocratic philosophy. Recent studies suggest that there is a great distance between the thinking of Hippocrates and present scientific medicine. Hippocratic philosophy rejects the epistemological principles of modern science. The Hippocratic logic is probabilistic and temporal and rejects the principles of noncontradiction, of identity and therefore the abstract determinism of contemporary science. The present force of the oath is explained because its ethics and epistemology are matters of medicine that understands the real world of the ill, trying to avoid suffering and injustice. Only Hippocrates can defend each ill as a whole with the wisdom of its philosophy.
医学艺术在希腊与文化和哲学紧密相关的情况下形成。在基督教时代,它通过《希波克拉底文集》在一些伦理和哲学文献中得以体现,如《医学誓言》《医学法则》《得体》《箴言》《古代医学》《空气、水和地方》。希波克拉底哲学的核心思想是整体性原则,柏拉图将其总结为“唯有从医学中,且唯有当医学被正确地作为一个整体来对待时,才能获得关于自然的确切知识”。临床行为充满了希波克拉底伦理;其目标是患病的人,即人类。医生必须以奉献、无私、理解和同情来照顾病人。誓言是总结希波克拉底哲学基本概念的最高道义准则。最近的研究表明,希波克拉底的思想与现代科学医学之间存在很大差距。希波克拉底哲学拒绝现代科学的认识论原则。希波克拉底逻辑是概率性和时效性的,拒绝矛盾律、同一律,因此也拒绝当代科学的抽象决定论。誓言目前的影响力可以这样解释,因为其伦理和认识论是医学的问题,这种医学理解病人的现实世界,努力避免痛苦和不公。只有希波克拉底能用其哲学智慧将每个病人作为一个整体来捍卫。