Mirtz Timothy A
Department of Secondary and Physical Education, Bethune-Cookman University, 640 Dr. Mary McLeod Bethune Blvd., Daytona Beach, FL 32114 USA.
Chiropr Man Therap. 2017 Mar 6;25:7. doi: 10.1186/s12998-017-0138-y. eCollection 2017.
The philosophy of chiropractic has been a much debated entity throughout the existence of the chiropractic profession. Much criticism has been passed upon the historical philosophy of chiropractic and propagated by contemporary adherents. To date, a new philosophy has not been detailed nor presented that demonstrates principles by which to follow.
The purpose of this paper is to expand upon the work of Russell Kirk (b.1918, d. 1994), an American political theorist, as a basis for principles to guide the formation of a philosophy of chiropractic medicine (PCM). Each of Kirk's principles will be explained and expounded upon as applicable to a PCM. The addition of the term "medicine" to chiropractic is indicative of a new direction for the profession.
The ten principles that provide a foundation for a PCM include: (a) moral order, (b) custom, convention and continuity, (c) prescription, (d) prudence, (e) variety, (f) imperfectability, (g) freedom and property linkage, (h) voluntary community and involuntary collectivism, (i) prudent restraints upon power and human passions, and (j) permanence and change. Each of these principles offers not a dogmatic approach but provides insight into the application of chiropractic medicine to the entire station of the patient and society at large especially that of the economic, social and political. These principles provide direction in not only the approach to the doctor-patient encounter but can be used to visualize the wider world and its potential impact. Instead, these principles examine many tangential issues worthy of discussion that may impact health, social, political, and economic policy and how the chiropractic profession can approach these issues.
This paper provides the initial steps in formulating a PCM using principles from a sociological, political and economic standpoint which may impact on how chiropractic medicine approaches the patient and society in totality. In addition, these principles provide the necessary first steps in the arena of the social, political and economic aspects and how chiropractic medicine can advance.
整脊疗法的理念在整脊疗法专业的发展历程中一直是备受争议的话题。对整脊疗法的历史理念存在诸多批评，且当代支持者也在不断传播这些批评。迄今为止，尚未有详细阐述或呈现出可供遵循的原则的新哲学理念。
本文旨在扩展美国政治理论家拉塞尔·柯克（生于1918年，卒于1994年）的著作，以此作为指导整脊医学哲学（PCM）形成的原则基础。柯克的每条原则都将结合适用于PCM的情况进行解释和阐述。在整脊疗法中加入“医学”一词，标志着该专业的新方向。
为PCM奠定基础的十条原则包括：（a）道德秩序，（b）习俗、惯例与连续性，（c）规定，（d）审慎，（e）多样性，（f）不完美性，（g）自由与财产联系，（h）自愿社群与非自愿集体主义，（i）对权力和人类激情的审慎约束，以及（j）永恒与变化。这些原则并非提供一种教条式的方法，而是深入探讨整脊医学在患者乃至整个社会，尤其是经济、社会和政治层面的应用。这些原则不仅为医患接触的方式提供指导，还能用于审视更广阔的世界及其潜在影响。相反，这些原则探讨了许多值得讨论的相关问题，这些问题可能影响健康、社会、政治和经济政策，以及整脊疗法专业应对这些问题的方式。
本文从社会学、政治和经济角度出发，迈出了制定PCM的初步步伐，这可能会影响整脊医学对待患者和整个社会的方式。此外，这些原则为社会、政治和经济方面提供了必要的初步步骤，以及整脊医学如何向前发展。
