Bioethics journalBioethics journal2070-15862782-6589Volgograd State Medical University55168Research ArticleTibetan medicine: features of bioethical and ethical conceptsZhabonU. Z.Hcandidate of Sciences (History), senior researcheryumzhan@gmail.comRinchinovaO. Scandidate of Sciences (History), research assosiaterinchinova.o@gmail.comInstitute for Mongolian, Buddhist and Tibetan Studies SB RAS151220181126915122020Copyright © 2018, Zhabon U.Z., Rinchinova O.S.2018The article presents Tibetan views on the key problems of medical ethics, based on the materials of Tibetan sources, mainly on the 31st chapter of the second volume of rGyud bzhi (the 12 century). The aim of the study is an attempt to review medieval Tibetan medical ethics in the context of ethical models of modern medicine. It is shown that the ethical norms of the Tibetan physician's activities, unlike the often transformed European ethical principles, have remained absolutely unchanged for several centuries, and are still practiced. Particular attention is paid to six types of relationship between the Tibetan physician and the patient; although, they bear significant similarities to European models, specific approaches to solving some problems differ. The attitude of Tibetans to euthanasia and abortion that was seriously influenced by the Buddhist teachings on karma, reincarnation, is analyzed in detail. It is concluded that despite the corporate, paternalistic nature of the ancient medical ethics of Tibet in general, there is an obligatory true informing of the patient about the diagnosis and prognosis of the disease that recalls one of the basic principles of modern bioethics.history of medicinerGyud bzhiTibetan medicinebioethicsmedical ethicsTibetTibetansистория медицины“Чжуд-ши”тибетская медицинабиоэтикаврачебная этикаТибеттибетцы[Бонгард-Левин Г. М. Древнеиндийская цивилизация: история, религия, философия, эпос, литература, наука, встреча культур. М.: Вост. лит.,2007.][Еремеева О.И., Сайфуллина Н.А. К вопросу о понятии и правовом положении эмбриона человека // Инновационная наука. 2016. № 3-2 (15). С. 40-44.][Жабон Ю.Ж. Медицинские обрядовые тексты (на материалах тибетского фонда Центра восточных рукописей и ксилографов Института монголоведения, буддологии и тибетологии СО РАН) // Вестник БНЦ. 2014. № 2 (14). С. 172176.][Жабон Ю.Ж. Тибетский медицинский канон «Чжуд-ши» об этике // Культура Центральной Азии: письменные источники. 2016. Вып. 9. С. 64-92.][Курленкова A.C. Биоэтика в российской культуре: мнения экспертов // Медицинская антропология и биоэтика. 2013. №1 (5). http://www.medanthro.ru/?page id=1156][Силуянова И.В. От клятвы Гиппократа до биоэтики. Моральные принципы и исторические модели биомедицинской этики // Биоэтика: реальность жизни. Человек и его образ в современной медицине и философской антропологии. Учебно-методическое пособие / Отв. ред. И.В. Силуянова. М.: изд-во РГМУ, 2001. С. 5-17.][Чжуд-ши - канон тибетской медицины / Пер. с тибетского Д.Б. Дашиева. М.: Восточная литература, 2001.][Boesi A. Plant categories and types in Tibetan Materia Medica // The Tibet Journal. Vol. XXX & Vol.XXXI, No.4 & No.1, Winter 2005 & Spring 2006. P. 66-90.][Garrett F. Religion, medicine and the human embryo in Tibet. London; New York: Routledge, 2008.][Hopkins J. Death, Intermediate State and Rebirth. In collaboration with Lati Rinpoche, translated and annotated from the Tibetan by Yang-jen-ga-way-lo-drö with an introduction. Ithaca: Gabriel Press, 1980.][Hughes J., Keown D. Buddhism and medical ethics: a bibliographic introduction // Journal of Buddhist ethics. 1995. Vol. 2. P. 105-124.][Khenchen Thrangu. Medicine Buddha Teachings. New-York: Snow Lion Publications, 2004.][Lunrik Dandar. rGyud bzhi’i brda bkrol rnam rgyal a ru re’i phreng ba’i mdzes rgyan. Dharamsala: Bod gzhung sman rtsis khang, 2004.][Pordié L. Buddhism in the Everyday Medical Practice of the Ladakhi Amchi // Indian Anthropologist. 2007. № 37 (1). P. 93-116.][Schrempf M. (ed.) Soundings in Tibetan Medicine: Anthropological and historical perspectives. Leiden: Brill Academic Publishers, 2007.]