☉morpheus
希波克拉提斯(Hippocrates, 460-377 B.C.)被尊稱為「醫學之父(Father of Medicine)」,兩千多年後的今天,希波克拉提斯誓詞(the Hippocratic oath,據說其作者並非希波克拉提斯)仍然是「醫師就職宣言」:
准許我進入醫業時:
我鄭重地保證自己要奉獻一切為人類服務。
我將要給我的師長應有的崇敬及感戴;
我將要憑我的良心和尊嚴從事醫業;
病人的健康應為我的首要的顧念;
我將要尊重所寄託予我的秘密;
我將要盡我的力量維護醫療的榮譽和高尚的傳統;
我的同業應視為我的同胞;
我將不容許有任何宗教、國籍、種族、政見、或地位的考慮介乎我的職責和病人之間;
我將要最高地維護人的生命,自從受胎時起;
即使在威脅之下,我將不運用我的醫業知識去違反人道。
我鄭重地、自主地並且以我的人格宣誓以上的約言。
I swear by Apollo the physician, and Aesculapius, and Health, and All-heal, and all the gods and goddesses, that, according to my ability and judgment, I will keep this Oath and this stipulation- to reckon him who taught me this Art equally dear to me as my parents, to share my substance with him, and relieve his necessities if required; to look upon his offspring in the same footing as my own brothers, and to teach them this art, if they shall wish to learn it, without fee or stipulation; and that by precept, lecture, and every other mode of instruction, I will impart a knowledge of the Art to my own sons, and those of my teachers, and to disciples bound by a stipulation and oath according to the law of medicine, but to none others.
I will follow that system of regimen which, according to my ability and judgment, I consider for the benefit of my patients, and abstain from whatever is deleterious and mischievous.
I will give no deadly medicine to any one if asked, nor suggest any such counsel; and in like manner I will not give to a woman a pessary to produce abortion. With purity and with holiness I will pass my life and practice my Art.
I will not cut persons laboring under the stone, but will leave this to be done by men who are practitioners of this work. Into whatever houses I enter, I will go into them for the benefit of the sick, and will abstain from every voluntary act of mischief and corruption; and, further from the seduction of females or males, of freemen and slaves.
Whatever, in connection with my professional practice or not, in connection with it, I see or hear, in the life of men, which ought not to be spoken of abroad, I will not divulge, as reckoning that all such should be kept secret.
While I continue to keep this Oath unviolated, may it be granted to me to enjoy life and the practice of the art, respected by all men, in all times! But should I trespass and violate this Oath, may the reverse be my lot!
成功大學醫學院圖書館前「石泉廣場」的陶壁誓言,即是希波克拉提斯誓詞,令人敬重的創院院長黃崑巖特別寫了一篇短文記述其由來。
多年前的某一天,站長和其他同班同學魚貫走入大禮堂,把希波克拉提斯誓詞念完,然後正式成為實習醫師。念誓詞的那一幕,其實站長早就差不多忘光了。眼看就要開始過一整年詭異(這個形容詞比「非人」好一些吧?)的生活,當時心情很糟,根本無暇深思誓詞本身的意義(或荒謬?)。
站長一直不願意再去回想那一年實習醫師的點點滴滴,也一直不敢讓父母知道那一年站長是怎麼過的,不然父母如果知道站長大部分時間都在做阿嫂和護士該做的工作,不知會有多傷心。
當年年少無知,向阿波羅等諸神發下這等重誓;事隔多年,重讀希波克拉提斯誓詞,回想起多年來身在醫界聽說過或親身經歷過的喜劇、悲劇甚至鬧劇,百感交集,不禁想起林語堂寫的「蘇東坡傳」裡有這麼一段:「有一天蘇東坡吃完飯在房裡踱來踱去,心滿意足捧著肚子。他問家中婦女,他肚內藏些什麼。中文常說一個人滿腹思想、滿腹情感、滿腹經綸。一個侍兒說,『都是文章』,另一個說,『滿腹都是識見。』東坡不以為然。最後聰明的侍妾朝雲說,『學士一肚子不合時宜。』『對!』東坡捧腹大笑。」
兩天多年前的誓詞真的已經不合時宜了,不合時宜到站長甚至懷疑起自己當年是不是真的念過它?
今天台灣的醫療業落到這步田地,是大勢所趨嗎?還是醫療從業人員念了太多自己做不到的誓詞,所以被希波克拉提斯詛咒了?
▲morpheus註:
很多鬧劇都是令台灣公衛界沾沾自喜的全民健保制度造成的。我猜公衛專家沒有必要讀希波克拉提斯誓詞吧。
▲相關連結:
The Ever-changing Oath of Hippocrates—–The Oath of Hippocrates...or the lack thereof
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