华佗能为关羽刮骨疗伤为何不能为曹操治病?-看世界

华佗能为关羽刮骨疗伤为何不能为曹操治病?

  如果说上一次出场颇有几分“浪漫”,那么华佗的另一次出场却显得有几分“悲壮”。那是在三国演义中的著名白脸曹操患头痛风疾之时,深知华佗医术不俗的曹操星夜请他入诊。华佗在了解了病情后说:病根在脑袋,需先饮麻肺汤,然后用利斧劈开头颅,取出风涎,方可除根。曹操听罢大怒,认为是华佗要加害于他,遂急令拿下,囚禁追拷,一代名医冤死狱中。杀了华佗后,曹操的病势愈重,无人能治,遂一命归西。

  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。关羽回答: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;而关羽却是神态自若,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,关羽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".

  如果说上一次出场颇有几分“浪漫”,那么华佗的另一次出场却显得有几分“悲壮”。那是在三国演义中的著名白脸患头痛风疾之时,深知华佗医术不俗的曹操星夜请他入诊。华佗在了解了病情后说:病根在脑袋,需先饮麻肺汤,然后用利斧劈开头颅,取出风涎,方可除根。曹操听罢大怒,认为是华佗要加害于他,遂急令拿下,囚禁追拷,一代名医冤死狱中。杀了华佗后,曹操的病势愈重,无人能治,遂一命归西。

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.

  华佗与关羽、曹操之间的关系,事实上也就是医患之间的关系,与关羽的医患关系是建立在一定的坦诚相待的基础之上的,医生竭尽所能的救助,而病人则全心全力的配合,这样,治疗就得到了最佳的效果。这其中一方面是患者对医生的尊重与信任,另一方面也是医生对患者的负责与照顾。

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.

  可同样是医患关系,华佗与曹操之间却仿佛隔着一座大山。华佗的大胆提案在今天看来也的确有惊世骇俗之处,更何况疑心多多的曹操,选择对了治疗方法,但选错了治疗手段,让华佗的处境非常微妙。当然,以现代医学心理学角度分析,曹操属于偏执型人格障碍,此类人疑心重,主观性强,过分敏感,不愿信任别人。而作为医生的华佗本应循循善诱,对这样的病人加以合适的心理引导,并说明其认知上的误期,可是他却偏偏在当面前说出了曹操担心多疑的弱点并以关云长作比:“大王曾闻关公中毒箭,伤其右臂,某刮骨疗毒,关公略无惧色;今大王小可之疾,何多疑焉”?

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?"?

关羽

Guan Yu

  于是,曹操对华佗妙手回春的轶事奇闻的期许一下变成了震怒,并从开始的将信将疑变成了最后的“汝必与关公情熟,乘此机会,欲报仇耳”!于是痛下杀手,自身也与治病的良机交臂而过。而华佗因为与病人无法得到良好的沟通,又拿不出令曹操信服的诊断依据和资料,也是最终酿成悲剧的缘由。关于华佗之死,也有专家考证说其绝非是如罗贯中在《三国演义》里说的那样,是要为曹操做开颅手术而为曹操怀疑要谋害自己,终于不幸蒙难。据说,历史上华佗对自己的医生身份,一直是耿耿于怀的。史曰其:“然本作士人,以医见业,意常自悔”。医生,在史书上归入《方技传》,绝无可能单列一传,从这个上面也可窥知一二。所以,华佗时刻在寻找走上仕途的机会。

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.

  华佗的机会到来是因为魏王曹操患有头痛病,后来尤甚。华佗医术出名,曹操遂“使佗专视”,华佗成为了曹操的“御医”,华佗看了曹操的病情后表示这个病一时难以治好,需要假以时日方可。在为曹操治疗的过程中,华佗便开始故意拖延进程,并又借口“当得家书,方欲暂还耳。”乃归家。而到家以后,又假辞以妻子生病,数次逾期不归。究其本意,乃是意图要挟曹操,谋取官职。

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.

  曹操屡次手书招呼,又敕令郡县发遣,但华佗却始终我行我素,直到谎言被揭穿,下狱。

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.

  从这段考证来看,作为一个医生,把为病人治病当作一个走上仕途的手段而故意拖延并以此为要挟,华佗此举实在是有损医德,是可称为无良医生。医学和医术本身具有极强的道德属性,《论语·子路》中指出“人无恒,不可作巫医。”是说一个人如果没有恒心厚德,就不可以做医生。由此可见,医患关系是一种“复杂”的社会关系,既是一种具有较强道德价值的“信托”关系,又是一种具有特殊性法律意义的“契约”关系。而无论从哪个方面来看,医德的重要以及良好的沟通都应该是医患关系中必不可少的中要条件,从华佗的遭遇中,我们也可看出医患关系不仅要求医生有过人的医术,还要有良好的心理素质和人际关系协调能力,这样才能保证患者的满意,得到患者的信任、配合与支持都是医疗纠纷中的关键点,而患者对医生的理解、接纳与合作更是减少双方隔阂的关键。

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.

  所以,在我们不停探讨体制与改革在医患关系中产生的作用之时,不妨先静下心来想想人的因素……

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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