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古代アーユルヴェーダの終末期医療
https://doi.org/10.15083/00037005
https://doi.org/10.15083/000370052796686e-a54d-4c02-abb9-a54bb05b0b31
| 名前 / ファイル | ライセンス | アクション |
|---|---|---|
ib015003.pdf (1.1 MB)
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| Item type | 紀要論文 / Departmental Bulletin Paper(1) | |||||
|---|---|---|---|---|---|---|
| 公開日 | 2011-06-30 | |||||
| タイトル | ||||||
| タイトル | 古代アーユルヴェーダの終末期医療 | |||||
| 言語 | ||||||
| 言語 | jpn | |||||
| 資源タイプ | ||||||
| 資源 | http://purl.org/coar/resource_type/c_6501 | |||||
| タイプ | departmental bulletin paper | |||||
| ID登録 | ||||||
| ID登録 | 10.15083/00037005 | |||||
| ID登録タイプ | JaLC | |||||
| その他のタイトル | ||||||
| その他のタイトル | End-of-life Care in Ancient Āyurvedic Medicine | |||||
| 著者 |
吉次, 通泰
× 吉次, 通泰 |
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| 著者別名 | ||||||
| 識別子Scheme | WEKO | |||||
| 識別子 | 87839 | |||||
| 姓名 | Yoshitsugu, Michiyasu | |||||
| 著者所属 | ||||||
| 著者所属 | 東京大学大学院 | |||||
| 抄録 | ||||||
| 内容記述タイプ | Abstract | |||||
| 内容記述 | End-of-life care often requires aggressive treatment of a patient's symptoms because a cure might not be possible. This is in order to provide the greatest quality of life for as long as possible. Good end-of-life care is very individual, based upon the patient's philosophy of life, and their goals. In order to carry out holistic care, we must attend to the three indivisible facets of the human condition -- mind, body and spirit. In Japan many advances have been made in the physical treatment of terminal patients, but psychosocial care is left behind. On the other hand, ancient Āyurvedic medicine is based on the belief that health depends on wholeness and balance between mind, body and spirit. This research was carried out by analyzing care of patients with incurable diseases in ancient Āyurvedic literature, such as Carakasaṃhitā, Suśrutasaṃhitā, Aṣṭāṅgahṛdayasaṃhitā. Āyurveda has classified the prognosis of diseases under two categories, sādhya (curable) and asādhya (incurable). These two are further subdivided into two categories each, sādhya into susādhya (easily curable) and kṛcchrasādhya (curable with difficulty); asādhya into yāpya (diseases which remain throughout the life, and can be mitigated by appropriate treatment) and anupakrama or pratyākhyeya (diseases which are not effected by any treatment). Incurable diseases were vātavyādhi, epilepsy, leprosy, edema, abdominal diseases, gulma, diabetes, phthisis etc. in ancient India. According to ancient Āyurvedic texts, the physician should not treat such a patient with ariṣṭa (signs foretelling death), because the physician, treating an incurable disease certainly suffers from the loss of wealth, learning and reputation, and from censure or unpopularity. The treatment was generally continued by pure brāhmaṇas devoted to rasāyana, penance or recitation of mantra till the end of the patient's life. The physician needed to decide whether he should accept the patient for treatment or not. In other words he needed to recognize when it is time to transition from "diagnose and treat" to "palliate". It was important for the physician to be aware of significant fatal signs, and they helped him to decide whether to treat or palliate. A lot of scientific and superstitious fatal signs are described in ancient Āyurvedic texts. The physician should not disclose to a patient or his relatives that he has observed the signs of imminent death without having been requested to do so; he should withhold this information even on request if it is liable to become grief-stricken. Conclusions: This study showed an attitude toward care of patients with terminal illnesses in ancient India, and might provide new perspectives to end-of-life care in Japan. | |||||
| 書誌情報 |
インド哲学仏教学研究 巻 15, p. 57-70, 発行日 2008-03-31 |
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| ISSN | ||||||
| 収録物識別子タイプ | ISSN | |||||
| 収録物識別子 | 09197907 | |||||
| 書誌レコードID | ||||||
| 収録物識別子タイプ | NCID | |||||
| 収録物識別子 | AN10419736 | |||||
| 日本十進分類法 | ||||||
| 主題Scheme | NDC | |||||
| 主題 | 126 | |||||
| 出版者 | ||||||
| 出版者 | 東京大学大学院人文社会系研究科・文学部インド哲学仏教学研究室 | |||||
| 出版者別名 | ||||||
| Department of Indian Philosophy and Buddhist Studies, Graduate School of Humanities and Sociology, University of Tokyo | ||||||
