澤瀉久敬の医学概論と現代医学

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About fifty years ago, Hisayuki Omodaka set out a "philosophy of medicine" comprising three important and closely related philosophies: the philosophy of science, the philosophy of life and the philosophy of medicine. Medicine has changed dramatically since Omodaka's time, especially with the development of molecular biology, which has brought new forms of diagnosis and new therapies for patients and in turn altered humanity's view of life. The purpose of this paper is to reexamine Omodaka's philosophy of medicine to determine whether it continues to offer some benefit to modern medicine. Omodaka described the human body as having two conflicting and mutually dependent natures, one without extensibility ("α") and the other with extensibility ("β"). The former enables our bodies to be active and is the reason our bodies function harmoniously. We now know that scientific approaches describe in detail the molecular mechanisms of life, with genes having the ability, for example, to begin transcription after transcriptional factors bind to the specific binding motif located throughout the DNA. This reflects the nature of "α". Therefore, molecular biology does not necessarily deny or devalue Omodaka's philosophy of medicine. Omodaka explained that the purpose of his philosophy of medicine was to reflect the present state of medicine, clarify the principles on which that medicine was based, and try to establish better medicine for the people. As has been discussed by many authors, science does not have the ability to reflect science itself. The nature of science lies in "control", as pointed out by Henri Bergson. Therefore, in order to clarify the principles of medicine, develop better medical education and provide better medical care, scientific methods are not sufficient, and a "philosophy of medicine" is indispensable to the achievement of a better medicine.
日本医学哲学・倫理学会の論文
2005-10-26

澤瀉久敬の医学概論と現代医学

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