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解剖学认识论方法的演变:从古至今。

The evolution of epistemological methodologies in anatomy: From antiquity to modern times.

机构信息

Department of Anatomy, All India Institute of Medical Sciences, Patna, Bihar, India.

出版信息

Anat Rec (Hoboken). 2022 Apr;305(4):803-817. doi: 10.1002/ar.24781. Epub 2021 Sep 24.

Abstract

Present day scenario regarding epistemological methods in anatomy is in sharp contrast to the situation during ancient period. This study aimed to explore the evolution of epistemological methodologies in anatomy across centuries. In ancient times Egyptian embalmers acquired anatomical knowledge from handling human bodies and likewise anatomical studies in India involved human dissection. Ancient Greeks used theological principles-based methods, animal dissection and human dissection in practice of anatomy. Human dissection was also practiced in ancient China for gaining anatomical knowledge. Prohibition of human dissection led to use of animal dissection in ancient Rome and the trend continued in Europe through Middle Ages. Epistemological methods used by Muslim scholars during Middle Ages are not clearly chronicled. Human dissection returned as primary epistemological method in Renaissance Europe and empirical methods were reinstated after ancient period in human dissection during 16th century. The situation further improved with introduction of pragmatic experiment based approach during 17th century and autopsy-based methods during 18th century. Advances in anatomical knowledge continued with advent of microscope-based methods and emergence of anatomical sections in practice of human dissection in 19th century. Introduction of human observational studies, medical imaging, and molecular methods presented more options in terms of epistemological methods for investigating the human body during 20th century. Onset of 21st century has witnessed dominance of technology-based methods in anatomy. Limited emphasis on ethics in epistemological methodologies since antiquity is a dark aspect of otherwise an eventful evolutionary journey but recent developments are in positive direction.

摘要

当今在解剖学中的认识论方法的情况与古代时期形成鲜明对比。本研究旨在探讨几个世纪以来解剖学认识论方法的演变。在古代,埃及人通过处理人体获得解剖学知识,同样,印度的解剖学研究也涉及人体解剖。古希腊人在实践中运用基于神学原理的方法、动物解剖和人体解剖。古代中国人也通过解剖人体来获取解剖学知识。由于禁止人体解剖,古罗马开始使用动物解剖,这一趋势在中世纪的欧洲一直延续。中世纪穆斯林学者使用的认识论方法没有明确记载。在文艺复兴时期的欧洲,人体解剖重新成为主要的认识论方法,并且在 16 世纪的人体解剖中恢复了古代的经验主义方法。随着 17 世纪基于实用实验的方法和 18 世纪基于尸检的方法的引入,情况进一步得到改善。随着显微镜方法的出现以及在人体解剖实践中出现解剖切片,解剖学知识的进步在 19 世纪得以继续。在 20 世纪,人体观察研究、医学成像和分子方法的引入为研究人体提供了更多的认识论方法选择。21 世纪的开始见证了基于技术的方法在解剖学中的主导地位。自古代以来,认识论方法中对伦理学的重视有限,这是一个充满事件的进化过程中的一个黑暗方面,但最近的发展是朝着积极的方向发展。

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