Diary


2010-04-03 「ホリスティック医学」と帯津良一さん。

_ このところ,気持ちが落ち着かず,あれこれ手あたり次第に本を乱読していた。ようやく,帯津さんの本で気持ちが落ち着いた。なぜだろう。

シモーヌ・ヴェイユ,外山滋比古,松岡正剛,ルジャンドル,マルセル・モース,バタイユ,湯浅博雄,石川九楊,中川一政,福岡伸一,今福龍太,西谷修,などなど。こちらの気持ちが乱れているので,どの本をとってみても完読はできない。おもしろいと感じたところは集中的に読むのだが,ちょっとはずれると,もう別のことを考えている。こころここにあらずの読書になってしまう。だから,また,別の本に手をだす。こんなことの繰り返し。ときどき,こういうことが起きる。でも,これはいつもなにかの予兆として起きることなので,こんどはなにが始まろうとしているのかな,という楽しみもないではない。

そんな乱雑な読みをしているときなのに,『健康問答』と『養生問答』(いずれも,五木寛之と帯津良一の対談,平凡社ライブラリー)だけは,さっと最後まで読めてしまった。なぜか。帯津さんの発することばがいいのだ。五木寛之は,みずから健康法の本を書いたりしているくらいなので,その知識の豊富さという点では驚くべきものがある。しかし,それらは全部,だれかからの孫引きの知識でしかない。けれども,帯津さんのことばは,みずからの臨床と知識がクロスしたところから発せられるものだけに,とても重みがある。しかも,とてもわかりやすい。

帯津さんのことは,これまでにもいろいろの雑誌などに登場しているものは読んできているので,ある程度は知っていた。しかし,まとめて単行本2冊を読むということはなかったので,今回はとても理解が深まった。

まず,帯津さんは太っ腹である。そして,子どものように好奇心が旺盛である。しかも,その生き方は自然体そのもの。なによりも強く感じられるのは患者さんに対する深い愛。患者さんとどういうコミュニケーションをもつか,これが医者としての最大の課題だ,という。病院は居心地のよさを患者さんたちに感じてもらえる「場のエネルギー」をもっていなくてはならない,という。そのためには,医者と看護士,管理栄養士,介護士,リハビリの指導者,事務職員,などなど全員のチームワークのよさが必要だ,と。みんなが病院を愛している,病院が大好き,という愛情をいだくこと,ここからすべてがはじまる。このとき「場のエネルギー」が高まり,それが患者さんたちのこころを安らげ,治療に最大の効果を発するのだ,と。治療はそれを前提としてはじめて成立する,と。などなど,書いていくと際限がなくなってしまうほどだ。

ついでに,わたしが感動した,帯津語録をいくつか拾っておこう。

「酒はからだにいいと思っているので,欠かさず飲んでいい。ただし,飲みすぎないこと。」

「一日,三十品目食べなければいけないという,栄養学的な根拠はあいまい。基本は好きなものを食べること。こだわる必要はない。」

「空腹を感じていたら,朝食はとるべきだろう。無理して食べることも,無理して飢餓状態をつくることもない。」

「肉はやたちと食べるのではなく,からだが欲しがるとき満を持して,ときめいて食べよう」

「緑茶がガン予防になるかは,なんともいえない。緑茶にかぎらず,食品の効き目に関する医学的根拠はあいまい。効果をあまり期待しないで楽しんで飲むほうが良い。」

「アルカリイオン水の効きめは,軽々しくは断定できない。水は大事だけれども,水だけで病気が治るわけではないから,あまり神経質になつないほうが良い。」

とまあ,こんな調子で「ホワーッ」とした応答をされる。これらの応答には,すべて,五木寛之の問いかけがある。「健康のため,一日三十品目食べなくてはいけないか」という具合に。

帯津さんの目指す医学は「ホリスティック医学」。もともと東大医学部の助教授まで勤めた俊秀である。しかし,西洋医学一本槍の医学の考え方に限界を感じ,辞表を提出して,みずから,病院を設立。自分の理想とする「医療」の実現を目指す。それが「ホリスティック医学」であり,「ホリスティック医療」である。ここは大事なところなので,帯津さんが書いた文章を引いておこう。

「ホリスティック医学を求めて25年,いまだこれを手にしてはいない。

ホリスティック医学とは,身体,心,命が一体となった人間まるごと(ホリスティック)をそっくりそのままとらえる医学である。理想の医学といってよいだろう。

スコットランド・グラスゴーの,ホメオパシック病院のデヴィッド・レイリー院長は,ホリスティック医学がもたもたしているから,代替療法が伸してきたという。

そうかもしれない。そうだとすると,私もその責任の一端を負わなければならない。

代替療法とは,西洋医学以外の治療法のことである。アメリカでいうところのオルタナティブ・メディスン(Alternative Medicine)の邦訳である。大はインドのアーユルヴェーダ医学,中国医学,ホメオパシーといった,伝統と独特の体系を備えたものから,小はサプリメントにいたるまで,百花斉放,さまざまな治療法がここにふくまれる。」

という具合に,じつに明快に帯津さんの世界が語られていく。

最後に,帯津さんは医者はもっと直感・直観力を養わなくてはいけない,という。この根拠については,ぜひ,この本をとおして確認してみてほしい。ここにも,わたしは全面的に賛成である。

長くなってきたので,このあたりでおしまい。あとは,テクストで。

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