In this paper,author discussed in two respects the details of historical culture construction through historical analysis. On the one hand, author analyzed the historical context and the cause of physician - patient relationship evolution from angle of the medical history, and agreed that establish or remove of " intimate relationship" is an important factor affecting physician - patient relationship in the history of Western medicine, Through the study of survey data, discussed the main ways to construct " intimate relationship" in the Chinese medical environment. On the other hand, author reviewed the new problems for the physician - patient relationship brought by methodology of bioethics in recent years. In this paper, author agreed that too much emphasis on individual rights will undermine the doctor - patient relationship, but pay more attention to personal obligations will ease this contradiction.%从医学史的角度对医患关系演变的历史脉络及其原因做出分析,提出“亲密关系”的建立或消解是西方医学史上影响医患关系的重要因素,通过对调查数据进行研究,论述了在中国医疗语境下建构“亲密关系”的主要途径；还回顾近年来生命伦理学的方法论为医患关系带来的新问题,认为过多地强调个人权利将损害医患关系,而对个人义务的重视将缓和这一矛盾.
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