| 摘要: | 中西結合歷史自十六世紀末，由西方醫學開始傳入東方，到十七世紀中葉產生「中西結合」的觀念，到十九世紀中葉，出現了「中西匯通派」到二十世紀中葉，隨著現代醫學的發展，以及對中西藥學科學認識的提高，中國明確提出中西醫要加強團結互相學習，取長補短，共同承擔起中國人民的醫療及衛生、保健任務。在中西結合的實務上，多年來努力發展的成果及廣泛的被應用和承認的事實。已證明了中西醫結合的科學價值。在骨科中西醫結合尤為顯著。以傳統和現代而言，雖然針對傳統的再改進的中西醫結合的臨床報告較為普遍，也帶來了大量的臨床實用價值，但對於傳統典籍的新生與保存，賦予中西醫結合的著作，確是不多見。
本文研究目的在於能否用於傳統醫學古籍給予現代化的可能性，作實例探討，經過取材選取及文獻選評的步驟，加以電子學術資料的輔助，將以《御纂醫宗金鑑》骨傷科傳統典籍作為藍本，透過各類工具書的內容注釋，及中西醫病名對照的連結，將西文現代骨科學教科書的治療總結融入傳統典籍中，再以期刊網的證據資料作成整體的綜論心得。這種結果的具體呈現，因為具備了中西醫結合的特性及實證醫學的精神，才能夠使古籍得到新生，獲得全新面貌，爲傳統和現代新融合新結晶。在廣泛材料收集及材料的高可信度，嚴選資料，透過方法學的運用，必定可以產生優質的新著述。最後，我們依新書的具體呈現，說明ㄧ部傳統典籍的存在與否可藉由中西醫結合的新模式融合，再創新，重新賦予新生命，得以流傳下來，位後世的學術奠定一些成就。依本研究的結論，亦可推廣於各種中醫典籍的中西醫結合現代化。
Integrated traditional Chinese and western medicine in history could be traced back since the end of the 16th century, while the west medicine first had been introduced to the east. The concept of " integrated traditional Chinese and western medicine" in the mid- 17th century had be en made, until the mid- 19th century, the traditional Chinese and western medicine is gathered together. By the mid- 20th century , with the development of modern medical science , and the improvement of understanding to Chinese and Western medicine for researches, China proposes strengthening unity in traditional Chinese and western medicine clearly, learns from each other, by learning from other''s strong points to offset one''s weaknesses, promotes the Chinese people''s medical treatment , hygiene , health care task. In practice the value of integrated Chinese and Western had been approved. It is particularly apparent to the treatments of the orthopedics by integrated traditional Chinese and western medicine. Though the improved clinical reports that integrated traditional Chinese and western medicine is comparatively superior to the ones of the traditional medicine or modern west medicine bring a large amount of clinically practical value, but the new life of the traditional ancient medical books and records that must entrust to integrated traditional Chinese and western medicine is really rare.
So, the purpose of this study lies in being used in the traditional medical ancient book and offers modernized possibility, makes instance discussion, and the step of the document selected that comments through all the ancient books is to choose for draw materials, and via internet, with traditional ancient books and records of the bone traumatology "Yi-Zong-Jin-Jian " regarding as original version, added explanatory notes by reference books such as dictionary, and the linking the synonym of disease in integrated traditional Chinese and western medicine, and combined summaries and incorporation for the treatment of the modern scientific textbook of modern orthopedic surgery with the evidence-based medicine.
The appearing of this kind of result, because it has possessed the spirit of the characteristic of combining traditional Chinese and western medicine, can just make the ancient book get new ideas, obtain the brand-new appearance. Extensive material collection and high credibility of materials, through modern method, can certainly produce high-quality piecework.
Finally, we prove in accordance with the appearing of new book whether the existence of the traditional ancient books and records of the department can be merged in a new way of integrated traditional Chinese and western medicine. Depending on the conclusion of this research, we can also popularize the modernization of integrated traditional Chinese and western medicine to various kinds of Chinese medicine ancient books and records. |
