医学异化实质上就是医德异化。医德异化有五种现实表现形式:科技的至高权威化、诊疗的过度物理化、医疗的局灶分割化、经营的资本商业化和医患关系的对立与激化。其根源在于人文与科技体用关系的错位倒置;生物医学模式思维范式尾大难掉;现代医学模式对伦理建设的忽视;医疗资本化对医德的诱惑与腐蚀;医患利益共同体的瓦解与敌对化。消解医德异化的有效途径有三:复兴人文精神、构建新医德观和变革医学模式。人文整体的医德观和医学模式对21世纪人类医学的发展,具有医学哲学的指导意义。 Medical alienation is essentially medical alienation. Medical ethic dissimilation has five realistic manifestations: the supremacy of science and technology, the excessive physical and medical treatment, the fragmentation of medical treatment, the commercialization of capital, and the antagonism and intensification of the doctor-patient relationship. The root cause lies in the dislocation of the relationship between the humanities and science and technology, the disorganization of human and science and technology, the failure of the paradigm of biomedical thinking, the neglect of modern medical model for ethical construction, the temptation and erosion of medical ethics for medical ethics, the collapse and rivalry of medical community The There are three effective ways to eliminate the alienation of medical ethics: rejuvenating the humanistic spirit, building a new medical ethics and changing the medical model. Humanity as a whole medical ethics and medical model for the development of human medicine in the 21st century, with the guiding significance of medical philosophy.