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从希波克拉底到现代医学。

From Hippocrates to modern medicine.

作者信息

Orfanos C E

出版信息

J Eur Acad Dermatol Venereol. 2007 Jul;21(6):852-8. doi: 10.1111/j.1468-3083.2007.02273.x.

Abstract

Hippocrates was the first to introduce the concept of 'physis' and to transform hieratic or theocratic medicine into rational medicine. The overall construction of the Asclepieion on Kos clearly indicates that he and his school followed a holistic concept, combining scientific thought with drug therapy, diet schedules, and physical and mental exercise, also asking for God's help. Hippocrates also formulated the first standards and ethical rules to be followed in medical profession, which are still valid today. The knowledge of Graeco-Roman medicine has been transferred by Arab scholars into the West, whereas renaissance, urbanization, and industrialisation have changed its face over the centuries. With the entrance of molecular technology and economy, modern medicine now faces the risk of becoming itself industrialized. Correct use of new scientific knowledge, individualized management with a Hippocratic holistic approach and compassionate sympathy for the patient who suffers, should be considered in the years to come for maintaining the level of medical profession. The venue of our European Congress in Rhodes is very close to Kos, another historic Aegean island, the place where Hippocrates has given the first professional standards in European medicine and in medicine in general. They were established 2600 years ago and are still valid today.(1,2) If one draws a red line and marks some cornerstones of the evolution that has taken place in medicine over the past centuries, it is evident that these first rules formulated by Hippocrates and his school also reveal the future responsibilities for our profession and make them better recognizable and more conclusive.

摘要

希波克拉底是第一个引入“自然”概念并将僧侣医学或神权医学转变为理性医学的人。科斯岛阿斯克勒庇俄斯神庙的整体建筑清楚地表明,他和他的学派遵循了一种整体观念,将科学思维与药物治疗、饮食计划以及身心锻炼相结合,同时也祈求神灵的帮助。希波克拉底还制定了医学职业中应遵循的第一批标准和道德准则,这些准则至今仍然有效。希腊-罗马医学知识由阿拉伯学者传播到西方,而几个世纪以来,文艺复兴、城市化和工业化改变了它的面貌。随着分子技术和经济的介入,现代医学如今面临自身被工业化的风险。在未来的岁月里,为了保持医学职业的水准,应该考虑正确运用新的科学知识,采用希波克拉底式的整体方法进行个性化管理,以及对受苦患者怀有同情之心。我们在罗德岛召开的欧洲大会的举办地离科斯岛非常近,科斯岛是爱琴海上另一个历史悠久的岛屿,是希波克拉底给出欧洲医学乃至整个医学领域第一批专业标准的地方。这些标准在2600年前制定,至今仍然有效。(1,2)如果划一条红线并标记过去几个世纪医学发展历程中的一些基石,很明显,希波克拉底及其学派制定的这些最初规则也揭示了我们这个职业未来的责任,使其更易于识别且更具决定性。

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