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[鲁道夫·菲尔绍生物学思想在路德维希·阿绍夫著作中的重生]

[The rebirth of Rudolf Virchow's biological thought, in the work of Ludwig Aschoff].

作者信息

Benaroyo L

机构信息

Université de Lausanne.

出版信息

Rev Hist Sci Paris. 1997;50(4):447-60. doi: 10.3406/rhs.1997.1303.

Abstract

Rudolf Virchow's teaching was challenged by German physicians in the 1920s. Scientific medicine, they argued, did not provide sufficient tools for patient care. They held Virchow responsible for this state of things. According to Ludolf von Krehl, Gustav von Bergmann or Ferdinand Sauerbruch, Virchow fostered a mechanistic trend in medicine which neglected the human dimension in medical practice. These clinicians claimed that scientific medicine should therefore be complemented at the bedside by a teleological approach, taking into account the purposiveness of vital processes. This was the methodological core of the reform that they intended to promote. Many pathologists alike were preoccupied with the reformatory trend launched by the physicians. Ludwig Aschoff, Paul Ernst, Max Borst and Walter Pagel endeavoured to reform the theoretical foundations of their discipline. However, they did not agree with the physicians' view of Virchow's teaching. Aschoff especially showed that Virchow's initial writings provided in fact an epistemological basis supporting the clinicians' endeavour. In this paper, I examine Aschoff's argumentation. I hope thereby to improve our knowledge of one of the components of the medical reform which took place in Germany during the Weimar period.

摘要

鲁道夫·菲尔绍的学说在20世纪20年代受到德国医生的挑战。他们认为,科学医学没有为患者护理提供足够的工具。他们认为这种情况应归咎于菲尔绍。据卢多尔夫·冯·克雷尔、古斯塔夫·冯·贝格曼或费迪南德·绍尔布鲁赫所说,菲尔绍助长了医学中的机械论倾向,这种倾向在医疗实践中忽视了人的因素。这些临床医生声称,因此科学医学在床边应该辅以目的论方法,要考虑到生命过程的目的性。这是他们打算推动的改革的方法核心。许多病理学家也同样关注医生发起的改革趋势。路德维希·阿绍夫、保罗·恩斯特、马克斯·博斯特和瓦尔特·帕格尔努力改革他们学科的理论基础。然而,他们不同意医生们对菲尔绍学说的看法。阿绍夫尤其表明,菲尔绍最初的著作实际上提供了一个支持临床医生努力的认识论基础。在本文中,我将审视阿绍夫的论证。我希望借此增进我们对魏玛时期德国发生的医学改革的一个组成部分的了解。

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