脊柱疾患临床诊断的辩证思维

脊柱外科是骨科学的一个亚专科,也是外科学领域中发展最为迅速的一个分支学科。脊柱外科疾患的正确诊断有赖于诊断过程中的正确辩证思维。在临床诊断思维中,从疾病学角度和症状学角度,需要正确处理几个辨证关系,同时要避免临床思维常见误区,才能提高诊断正确性。     

易道:中国古代文论的哲学基础

《周易》是中国文化的宝贵遗产,它影响了中国文化的诸多方面。《周易》中的天人合一、阴阳互动、通变致久理论,为中国古代文论的主要哲学基础。     

荀爽"乾坤坎离"说浅议

“乾坤坎离”说是研究乾、坤、坎、离四卦关系的学说,先儒对此内容多有涉及。其中东汉易学家荀爽,在前人研究的基础上,将《周易》中的乾坤坎离四卦与阴阳观念相结合,融卦气于象数,阐发了他的“乾坤坎离”思想。本文对荀爽“乾坤坎离”说的内容、渊源以及意义等方面做了初步的探讨。     

《周易》中的和谐观

《周易》充满了和谐思想：人与自然的和谐,通过阴阳和谐、尚中正、交感比应等表现出来;人际关系的和谐,通过培养诚信、谦虚、宽容的性格、讲求家庭和谐,当政者和民众的交往沟通表现出来。这些思想对我们当今时代具有很好的借鉴意义。     

Dialectics and practical wisdom

Dialectics is essentially the method or logos in which categories of forms are combined to explain things. Dialectics was developed because reason faces difficulties in grasping the sensible world. Practical wisdom is knowledge about some things or certain person or persons because of its variable objects. But it is not entirely specific or only about a particular thing and without universality in any sense. As one kind of dialectics, it combines various elements to accord with the right logos, similar to the way in which various forms are combined in theory. Therefore practical wisdom as a combination or polymerization of elements can be regarded as another kind of logic, namely practical logic or dialectics. __________ Translated from Zhexue Dongtai 哲学动态 (Philosophical Trends), 2005 (4) by Xie Yongkang     

Making meaning of parenting from the perspective of alienated parents

More than 13% of parents identify as being alienated by at least one of their children. Parental alienation often occurs after divorce when one parent (un)intentionally persuades his or her children to distance themselves from or reject the other parent. This study, couched in relational dialectics theory, explores the meaning of parenting from the perspective of 40 alienated parents. This analysis yielded two competing discourses: the culturally dominant discourse of parental norms (DPN) and the culturally marginalized discourse of parental victimization (DPV). Throughout the narrative interviews, the DPV resisted the DPN in four ways (diachronic separation, entertaining, countering, and negating). This study's findings provide insights into the perspective of the alienated parents, advance what we know about family distancing, and provide practical implications.     

Rationale for a pragma-dialectical perspective

Starting from a concept of reasonableness as well-consideredness, it is discussed in what way science could serve as a model for reasonable argumentation. It turns out that in order to be reasonable two requirements have to be fulfilled. The argumentation should comply with rules which are both problem-valid and intersubjectively valid. Geometrical and anthropological perspectives don't meet these criteria, but a critical perspective does. It is explained that a pragma-dialectical approach to argumentation which agrees with this critical perspective is indeed problem-valid and that strong pragmatic and utilitarian arguments can be given for its intersubjective validity. Thus, conventional validity is promoted for a code of conduct for discussants who want to resolve their disputes reasonably by way of a critical discussion.     

Sur la tête de Gorgias. Le “parler beau” et le “dire vrai” dans Le Banquet de Platon

Rhetoric is at present the object of a rehabilitation on a grand scale, all the more as it overlaps the fields of literature, linguistics, and philosophy. Actually, if philosophy rejects and removes rhetoric, it is nevertheless, as a method of word, wholly impregnated with it. To investigate the complex relationship of mutual implication in which rhetoric and philosophy are involved is part and parcel of this plan of re-evaluation of rhetoric as “discourse art” with a view to a re-definition of its field and functions. In this perspective, rhetoric articulates itself within, in relation to, and with Plato's dialogues in a much more subtle and complex manner than warranted by the process of “anti-rhetoricalness” initiated by philosophy against rhetoric after Plato. Going back to the origins of this conflict and recalling the system of oppositions supporting the official Platonic vulgate, this study begins to pave the way for a micr-reading of the Platonic text regarded as a paradigm of philosophic textuality. It is certainly true that the Phaedrus, the Gorgias, and the Symposium set up a system of oppositions between between rhetoric and dialectrics which are in contrast with each other in the word practices, in the rules and methods of discourse, and which are antinomic in their ends. This system of oppositions always seems to be referable to the opposition between “speaking fair” and “speaking the truth”. But the strategies and procedures set going in the Symposium, in particular in “Agathon's speech” and in “Diotima and Socrates' speech” betray a much closer connection between the supposed “bad rhetoric” revealed by Phaedrus and the “good rhetoric” which is dialectrics. The search for this connection is conducted through two types of reading of the Symposium. In actual fact, between the paronomasia on the agathoi and that on “Gorgias' head” (this Gorgon of rhetoric) there takes place a speech, Agathon's, whose parodied, exacerbated, and counterfeit rhetoric allows us to gauge Plato's own rhetoric in this artefact which distances itself, more or less openly, from Gorgian rhetoric. This “hyper-rhetoricalness” and “over-grammaticalness” cannot be there with the sole aim of serving as evidence against rhetoric. It is in fact possible to perceive through the web of the text the ends, quite rhetorical themselves, which preside over the structure of Agathon's speech, seen from the viewpoint of the figure of the antithesis. Thus, it is in the play of a “neo-rhetoricalness” where we must, in the last analysis, look for the spring allowing the philosophical discourse to overturn the rhetorical one. And while in Giorgias what clothes the discourse is actually the truth, in Plato it is the antinomy between “speaking fair” and “speaking the truth”, conveniently set up, which forms the basis of the function of diversion by which Socrates points out — in the complex network of the continuity and discontinuity existing between rhetoric and philosophy — the structures of reversal and the original upheavals which Plato imposes on the relation between rhetorical and dialectric discourse. Actually, dialectrics is found in “Socrates and Diotima's speech”, not as “anti-rhetoric”, but rather as a “transposition” of the rhetorical discourse, thus acquiring the traits of a “neo-rhetoric”. The analysis of this discourse, which constitutes the second reading exercise of the Symposium, allows us to pick out the aversion and inversion strategies that turn dialectrics in an overtuned rhetoric. The founding deed of this “inversion” (rather than “separation”) is recognizable in the alteration it introduces in the first plase in the type of discourse, which from a rhetorical, explicitly addressed, macrological, monological, and continuous discourse turns into a dialectical, brachylogous, dialogic discourse with partners and interlocutors, i.e. into a dialogue; in the second place, the subject of the discourse shifts from the locuteur, author and signer of the discourse to ever-present interlocutors who end up by making room for a talking and knowing speaker in a regime of anonymous subjectivity: this is an extreme alteration of the anthropological and epistemic subject, culminating in the scientific discourse of Euclidean geometry. Finally, the inversion is recognizable in the object of the discourse, whose prâgma slips from being the predicate of a qualified grammatical subject into a process of objectivation and substantivation, thereby moving from the rhetorical question “What is beautiful?” to the philosophical question “What is the beautiful?”. The hypothesis of a “neo-rhetoricalness” of dialectics, underlying this research, is therefore more Platonic than it appears, insofar as between rhetoric and dialectics there has been a tradition which has tried to wipe out the traces of its transmission, but where the neo-rhetoricalness of dialectics shows through quite clearly, taking advantage, without admitting it, from a more ancient rhetoric than it is itself. (A.T.)     

中医辨证思维的常法与变法

中医辨证思维涉及到"常法"与"变法"的概念,对反映在辨证分析方法中的常法与变法、中医辨证的思辨方法中的常法与变法、中医辨证原理应用的常法与变法加以研究,有利于思辨能力和医疗水平的提高.     

临床肝移植的几点思考

近几年临床肝移植发展极为迅速,也因此产生了许多热点问题,本文对我国目前临床肝移植中存在的几个热点问题加以阐述,同时运用系统和辩证的观点进行分析,针对这些问题提出了自己的观点。