CAJ | 학술논문

浅田宗伯是日本＂最后的汉方医学家＂,活跃在江户末期至明治初期。对《橘窗书影》470条医案的分析发现,书中记录的患者疾痛叙事包括疾痛感受、病情变化、生活工作事件及既往治疗史,医生据此做出解释疾痛、再次诊断或者放弃治疗的选择,并根据患者反馈是否有效及有效程度,补充新的疾痛信息,以确定或者修改诊治方案;男性家庭成员决定女性成员治疗方法和用药时间,而单身女性也有自主选择就医和治疗方案的决定权;医患双方均有从生活工作、社会及心理角度认识病因的叙述特征;从整个诊治过程来看,医生需要得到患者许可后才能给药,但治疗环节则完全由医生推进,并完成整个医疗过程。
천전종백시일본＂최후적한방의학가＂,활약재강호말기지명치초기。대《귤창서영》470조의안적분석발현,서중기록적환자질통서사포괄질통감수、병정변화、생활공작사건급기왕치료사,의생거차주출해석질통、재차진단혹자방기치료적선택,병근거환자반궤시부유효급유효정도,보충신적질통신식,이학정혹자수개진치방안;남성가정성원결정녀성성원치료방법화용약시간,이단신녀성야유자주선택취의화치료방안적결정권;의환쌍방균유종생활공작、사회급심리각도인식병인적서술특정;종정개진치과정래간,의생수요득도환자허가후재능급약,단치료배절칙완전유의생추진,병완성정개의료과정。
Asada Sōhaku is the last great Kampo therapist flourished during the period between the end of Edo and the beginning of Meiji-Japan. Kissō Shoei is the collection of his clinical records of 470 cases in his whole life. Patient illness narratives in this book include their discomforts,the changes of discomforts,their life history,working experiences and treatment history. Doctors explained the illness,or rediagnosed the patients or just gave up medical help to the patient. According to patients＇ feedback,doctors added new information as for the illness to determine the treatment scheme. Male family members could decide for female family members which kind of therapies to follow and how long they would be treated,and a single woman could make a decision by herself,too. Both the doctor and the patient got to know the narrative characteristics of the illness from the perspective of the patient＇s life and working experience,society and their psychology. Medicines could be given only after the patients agreed to it,but the treatment was advanced absolutely and completed by the doctor.