This article considers the idea of medicine’s internal morality as it is understood by its various proponents. Although the use of the phrase ‘internal morality’ in relation to medicine predates Edmund Pellegrino, he can be credited with cementing its place in the vocabulary of medical ethics. Yet, while ‘internal morality’ and its related terms are now readily recognizable, they are used to denote irreconcilable ideas. Our aims, therefore, are to, firstly, clarify and, secondly, evaluate the different uses of ‘internal morality’, showing that there is little agreement on its definition. Thirdly, we argue that the terminology relating to ‘internal morality’ requires substantial revision, and that the term itself should be jettisoned. Finally, we briefly set out our own account of how morality should be understood in relation to the practice of medicine along similar but clearer lines to Pellegrino.

本文考虑了医学的内在道德理念，正如其各种支持者所理解的那样。尽管与医学有关的“内部道德”一词的使用早于埃德蒙·佩莱格里诺，但他在医学伦理学词汇中巩固了其地位。然而，虽然“内在道德”及其相关术语现在很容易识别，但它们被用来表示不可调和的想法。因此，我们的目标首先是澄清，其次是评估“内部道德”的不同用途，表明对其定义几乎没有达成一致。第三，我们认为与“内在道德”相关的术语需要大量修订，并且该术语本身应该被抛弃。最后，