在罗贯中的《》中，神医共有两次出场，当关云长在襄阳之战时为魏军毒箭所中时，华佗不请自来，在观察了的伤口后，他说：毒已至骨，需用刀刮骨。回答：任汝医治。于是，华佗开始在血流盈盆中挖肉刮骨，悉悉有声，旁边的人看得目瞪口呆，掩面失色;而 却是神态自若，虽然汗流如注却依然大口喝酒大块吃肉，谈笑奕棋至华佗手术完毕，华佗也果真是手到病除。为此， 很高兴地送给了华佗百两黄金的“大红包”，华佗却坚决不收，于是留下了“华佗手术不收礼”的千古美谈。
In Luo Guanzhong's the miraculous doctor appeared twice. When Guan Yunchang was killed by the Wei army's poison arrows during the Xiangyang war, Hua Tuo came uninvited. After observing the wound, he said: the poison has reached the bone, so you need a knife to scrape the bone. Guan Yu replied: let you heal. As a result, Hua Tuo began to dig meat and scrape bones in the blood filled basin. When he heard that there was a sound, the people beside him were stunned and lost their color. However, Guan Yu was self-sufficient. Although he was sweating, he still drank a lot of wine and ate meat. He talked and laughed and played chess until Hua Tuo's operation was completed, and Hua Tuo really fell ill. For this reason, Guan Yu was very happy to give Hua Tuo a hundred Liang gold "big red bag", but Hua Tuo resolutely refused to accept it, so he left a beautiful talk of "Hua Tuo does not accept the gift of surgery".
If the last appearance was somewhat romantic, then Hua Tuo's other appearance was somewhat tragic. When the famous white face in the romance of the Three Kingdoms suffered from headache and wind disease, Cao Cao, who was well aware of Hua Tuo's excellent medical skills, invited him to the clinic. Hua Tuo said after understanding the disease: the root of the disease is in the head. You need to drink Mafeng Decoction first, then split the head with a sharp axe, take out the wind saliva, and then remove the root. Cao Cao was so angry that he thought it was Hua Tuo who wanted to do harm to him, so he ordered him to be taken down, imprisoned and tortured. A generation of famous doctors died in prison. After killing Hua Tuo, Cao Cao's illness became more and more serious. No one was able to cure him, so he died.
In fact, the relationship between Hua Tuo and Guan Yu and Cao Cao is also the relationship between doctors and patients. The relationship between Hua Tuo and Guan Yu is based on a certain degree of openness. The doctors try their best to help, while the patients cooperate with all their heart. In this way, the treatment will get the best effect. On the one hand, patients respect and trust doctors, on the other hand, doctors are responsible and take care of patients.
But it was also a doctor-patient relationship, but there seemed to be a big mountain between Hua Tuo and Cao Cao. Today, Hua Tuo's bold proposal seems to be really shocking. What's more, Cao Cao, who has a lot of doubts, chose the right treatment, but chose the wrong treatment, which makes Hua Tuo's situation very delicate. Of course, from the perspective of modern medical psychology, Cao Cao is a paranoid personality disorder. Such people are suspicious, subjective, sensitive and unwilling to trust others. As a doctor, Hua Tuo was supposed to give proper psychological guidance to such patients and explain their cognitive delay. However, he just told Cao Cao Cao's suspicious weakness in front of him and compared it with Guan Yunchang: "the king once heard of Guan Gong's poisoned arrow, injured his right arm, some bone scraping therapy poison, Guan Gong had no fear of color; now the king's disease, how suspicious is it?"?
Therefore, Cao Cao's expectation of Hua Tuo's wonderful anecdotes and anecdotes turned into rage, and from the beginning, his suspicion turned into the last "you must be familiar with Guan Gong, take this opportunity, and want to avenge your ears"! So the assassin was in pain, and he also crossed the good opportunity to cure the disease. But Hua Tuo couldn't get good communication with the patients, and he couldn't get the diagnosis basis and data that Cao Cao believed, which was also the cause of the tragedy. As for the death of Hua Tuo, some experts have also proved that it was not the case that Luo Guanzhong said in the romance of the three kingdoms that he wanted to perform craniotomy for Cao Cao and suspected that Cao Cao wanted to murder himself, which finally brought him misfortune. It is said that Hua Tuo has always been haunted by his identity as a doctor. History said, "however, I am a scholar, and I always regret myself when I see my career with medicine.". Doctor, it's impossible to have a single biography when it's included in the biography of local skills in the historical books. From this, we can see one or two. Therefore, Hua Tuo is always looking for opportunities to go on official career.
Hua Tuo's chance came because Cao Cao, the king of Wei, had a headache, especially later. Hua Tuo was famous for his medical skills, so Cao Cao "made him see it specially", and Hua Tuo became Cao Cao's "royal doctor". After seeing Cao Cao's condition, Hua Tuo said that it was difficult to cure the disease for a while, and it needed time to treat it. In the course of his treatment for Cao Cao, Hua Tuo began to deliberately delay the process, and he also made an excuse to "be a family secretary, Fang would like to return to his ears for the time being." It's home. When he got home, he took leave of his wife's illness and failed to return several times. The original intention is to blackmail Cao Cao and seek official positions.
Cao Cao wrote greetings in calligraphy many times, and ordered the counties to dispatch them. However, Hua Tuo always went his own way until the lies were exposed and sent to prison.
From this textual research, as a doctor, Hua Tuo deliberately delayed treating patients as a means of going on official career and threatened them with it, which is really harmful to medical ethics and can be called a bad doctor. Medicine and medical technology have strong moral attributes. In the Analects of Confucius, Zi Lu points out that "human beings can't be a witch doctor without permanence." It means that a person can't be a doctor without perseverance and virtue. It can be seen that the doctor-patient relationship is a "complex" social relationship, not only a "trust" relationship with strong moral value, but also a "contract" relationship with special legal significance. No matter from which point of view, the importance of medical ethics and good communication should be the essential conditions in the doctor-patient relationship. From the experience of Hua Tuo, we can also see that the doctor-patient relationship requires not only doctors to have excellent medical skills, but also good psychological quality and interpersonal coordination ability, so as to ensure the satisfaction of patients and get the trust, cooperation and cooperation of patients Support is the key point in medical disputes, and patients' understanding, acceptance and cooperation of doctors are the key to reduce the gap between the two sides.
Therefore, when we are constantly discussing the role of system and Reform in the doctor-patient relationship, we may as well think about the human factor first
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