追溯人类医疗文化的古老历史,对于医原病的问题,保加利亚的精神病学医生西普柯文斯基有过多方面广泛的考察。他把由于医生自身非有意行为而引起的病情加重或恶化称作广义的医原病。为区别身因性和心因性两者,又称身因性者为医原病,心因性者为医原症。他主要论述了后者。然而,西普柯文斯基是东欧范围内的学者,他的思想未必完全被人们所接受。欧美范围内的教科书对医原性疾患的定义是:由医生引起偶发的病情恶化疾患。主要指作用于神经系统药物的副作用等,在精神医疗领域,医原病较常见。从神经医学方面看,狭义的医原症多 Tracing back to the ancient history of human medical culture, there are too many areas of extensive examination of Bulgarian psychiatrist Sibko Vivenki for the cure of the disease. He described the aggravating or deteriorating condition caused by the doctor’s unintended behavior as a generalized pathogen. In order to distinguish between causes and causes of both, also known as the cause of those who are ill for the original disease, the cause of the original cause of illness. He mainly discusses the latter. However, Sibko Vivenski is a scholar in Eastern Europe and his ideas may not be completely accepted by people. Textbooks in Europe and the United States within the scope of the definition of idiopathic disorders are: occasional illness caused by a doctor’s condition. Mainly refers to the side effects of drugs for the nervous system, etc., in the field of mental health, medical disease is more common. From a neuromedical point of view, the narrow sense of the original medicine more