Cai Yu
Tianjin Medical University, Tianjin, China.
J Med Philos. 2013 Apr;38(2):149-59. doi: 10.1093/jmp/jht007. Epub 2013 Feb 28.
This article examines the impact of traditional Chinese culture on organ donation from the perspective of Confucianism, Buddhism, and Taoism. In each of these cultural systems, it appears that there are some particular sayings or remarks that are often taken in modern Chinese society to be contrary to organ donation, especially cadaveric organ donation. However, this article argues that the central concerns of Buddhism, Confucianism, and Taoism are "great love," "ren," and "dao," which can be reasonably interpreted to support organ donation. The author understands that each cultural system, in order to play its cultural function, must have its central concerns as well as relevant ritual practices (li) that incarnate its religious and ethical commitments. That is, each plays a general cultural role, which influences organ donation in particular not merely through abstract or general ethical principles and teachings, but through a combination of ethical teachings and the forming of particular ritual practices. This article contends that the primary reason Chinese individuals fail to donate sufficient cadaveric organs for transplantation is not because particular remarks or sayings from each of these systems appear to conflict with donation. Neither is it that the central concerns of these systems cannot support cadaveric donation. Rather, it is that modern Chinese individuals have failed to develop and secure relevant ritual practices that support the central concerns of organ transplantation. The article concludes that in order to promote more donations, there is a need to form relevant ritual practices supporting organ donation in conformity with the central concerns of these cultural systems.
本文从儒家、佛教和道教的视角探讨了中国传统文化对器官捐赠的影响。在这些文化体系中,似乎都存在一些特定的言论或说法,在现代中国社会中常被认为与器官捐赠相悖,尤其是尸体器官捐赠。然而,本文认为,佛教、儒家和道教的核心关注点分别是“大爱”、“仁”和“道”,这些都可以得到合理阐释以支持器官捐赠。作者认为,每种文化体系为了发挥其文化功能,都必须有其核心关注点以及体现其宗教和伦理承诺的相关礼仪规范(礼)。也就是说,每种文化体系都发挥着一般的文化作用,它对器官捐赠的影响,尤其不仅仅是通过抽象的或一般性的伦理原则和教义,而是通过伦理教义与特定礼仪规范的形成相结合来实现的。本文认为,中国个人未能为移植提供足够尸体器官的主要原因,既不是因为这些文化体系中的特定言论或说法似乎与捐赠相冲突,也不是因为这些体系的核心关注点不能支持尸体捐赠。相反,是现代中国个人未能发展并确立支持器官移植核心关注点的相关礼仪规范。文章得出结论,为了促进更多的捐赠,有必要根据这些文化体系的核心关注点形成支持器官捐赠的相关礼仪规范。