陕西省洛川县人民法院民事判决书（2020）陕0629民初53号 原告：雷小玲，女，1974年4月19日出生，汉族，陕西省洛川县槐柏镇上操行政村村民，现住该地址。委托诉讼代理人：雷红军，男，1975年4月11日出生，汉族，陕西省洛川县槐柏镇上操行政村村民，现住该地址。系原告之夫。被告：李英杰，男，1947年7月19日出生，汉族，陕西省洛川县旧县镇九郎头行政村村民，现住该地址。原告雷小玲与被告李英杰医疗服务合同纠纷一案，本院于2020年1月7日立案后，依法适用简易程序，公开开庭进行了审理。原、被告均到庭参加诉讼。本案现已审理终结。 原告雷小玲向本院提出诉讼请求：1.请求判令被告赔偿原告医疗费11177.24元、护理费2280元、住院伙食补助费570元、营养费570元，交通费1177元，共计15774.24元；2.残疾赔偿金、后续治疗费、误工费、鉴定费由二被告承担；3.赔偿原告精神抚慰金5000元；4.本案诉讼费由被告承担。事实与理由：2019年5月10日，原告雷小玲因感手部不适，到被告李英杰所经营的“洛川道康五行养生馆”治疗，被告给原告开具“酸碱平渗吸草本膏”外敷并开具中药“松脂”内服，两天后，原告出现过敏症状出现全身红斑、皮肤脱屑、瘙痒、发热。原告于2019年5月12日至2019年5月20日在洛川医院治疗，诊断为：药物性皮炎，共住院8天，治疗费3570.8元。于2019年5月21日转院至中国人民解放军第四军医大学唐都医院治疗，诊断为：药物性皮炎。2019年5月31日出院，住院10天,治疗费7607元。2019年7月12日洛川县卫生健康局做出洛卫健发（2019）49号文件对被告作出处罚：认为原告雷小玲在洛川道康五行养生馆看病事实清楚，证据确凿。“洛川道康五行养生馆”未取得医疗机构执业许可证而开展诊疗活动违反了相关法律规定，因此对被告李英杰作出行政处罚决定：1.没收非法所得2500元，2.罚款3000元，3.暂停李英杰六个月执业活动。庭审中原告变更诉讼请求：1.请求判令被告赔偿原告医疗费11177.24元、护理费2280元、住院伙食补助费660元、误工费7200元、营养费570元，交通费1177元，以上共计15774.24元；2.赔偿原告精神抚慰金5000元；3.本案诉讼费由被告承担。被告李英杰辩称，原告在养生馆治疗属实，但他给原告使用的酸碱平渗吸草本膏及口服松脂都是安全的药方，不会引起药物过敏。原告原本就有皮肤病，并非用他的药才得病。为支持其诉讼请求，原告提供证据如下：证据1.2019年6月12日洛川县医院住院病例一份，证实原告在洛川县医院就诊，住院9天，诊断结果为：1.药物性皮炎、2.接触性皮炎、3.银屑病、4.低钾、低钠血症、5.贫血（轻度），住院费用共计3570.08元；证据2.2019年5月31日西安市解放军第四军医大学唐都医院就诊，住院10天，诊断结果为：1.脓疱性银屑病2.药物性皮炎；证据3.西安市解放军第四军医大学门诊收费票据2份、门诊预交收据2份、住院收据票据2份，证实原告医院花费共计9363.39元；证据4.交通费18张，共计1170元。西安医院旁边的小店住宿，住了11晚上，共计花费1100元；证据5.2019年7月12日洛川县卫生健康居文件洛卫健发（2019）49号一份，证实洛川县卫生健康局对此案进行调查及处理意见。被告提交证据如下：证据1.2017年10月11日公司资质证明复印件一份，证实被告开店的资格；证据2.2018年1月8日成品检测报告一份，证实原告所用的品牌是合格的。证据3.2019年农历12月15日证明一份，证实原告在我店里理疗时候，有付彩琴以及淑芳、侯艾莲在场给证明。                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       经过证据交换和庭审质证、认证，原、被告对对方提交的证据均有异议，本院认为，原告提交的证据形式合法，与本案有关联性，与双方当事人陈述可以相互印证，本院予以采信。被告递交证据1、2的真实性予以认可，证明目的不予认可；被告递交证据3由于证人未出庭作证，其书面证言不具有证明效力，由此对被告的证据3不予采信。经审理查明，2019年5月3日至5月4日，原告雷小玲到被告李英杰所经营的“洛川道康五行养生馆”治疗银屑病，被告给原告“酸碱平渗吸草本膏”外敷并开具中药“松脂”内服，原告口服松脂后出现不适。于2019年5月12日至2019年5月20日在洛川医院治疗，诊断为：药物性皮炎，共住院8天，治疗费：3570.8元。于2019年5月21日转院至中国人民解放军第四军医大学唐都医院治疗，诊断为：药物性皮炎。2019年5月31日出院，住院10天,治疗费7607元。2019年7月12日洛川县卫生健康局做出洛卫健发（2019）49号文件对被告作出处罚：认为原告雷小玲在洛川道康五行养生馆看病事实清楚，证据确凿。“洛川道康五行养生馆”未取得医疗机构执业许可证而开展诊疗活动违反了相关法律规定，因此对被告李英杰作出行政处罚决定：1.没收非法所得2500元，2.罚款3000元，3.暂停李英杰六个月执业活动。本院认为，被告李英杰开办“洛川道康五行养生馆”，未取得医疗机构执业许可证而开展诊疗活动，属于非法行医，依据侵权责任法58条的规定，推定被告存在过错。由此给原告造成的损害，应当予以赔偿。对松脂过敏的人很多，被告给原告开具松脂口服，却没有进行过敏试验，导致原告药物性过敏，由此给原告身体造成的损害，应当赔偿。原告雷小玲主张由被告李英杰给付医疗费11177.24元、住院伙食补助费660元，予以支持。误工费主张7200元，没有依据。原告共住院18天，误工费确定为2160元，护理费亦确定为2160元。原告主张被告赔偿营养费570元、后续治疗费5000元的诉讼请求，没有证据证明，不予支持。交通费与住宿费没有正规发票证明，不予认可。主张赔偿精神抚慰金5000元没有法律依据，不予支持。综上，原告雷小玲主张由被告李英杰给付医疗费11177.24元、住院伙食补助费660元、误工费7200元、护理费2280元，部分予以支持，原告的主张超出法律规定的部分，不予支持。原告主张被告赔偿营养费570元、交通费1177元、住宿费700元、后续治疗费5000元的诉讼请求，不予支持。依照《中华人民共和国民法通则》第一百零六条、第一百一十九条《中华人民共和国侵权责任法》第十六条、第五十八条第一项《最高人民法院关于审理人身损害赔偿案件适用法律若干问题的解释》第十七条、第十九条、第二十条、第二十一条、第二十三条、第二十四条《最高人民法院关于确定民事侵权精神损害赔偿责任若干问题的解释》第八条及《中华人民共和国民事诉讼法》第六十四条第一款的规定，判决如下：一、被告李英杰于本判决生效之日起十日内赔偿原告雷小玲16157.24元（其中医疗费11177.24元、住院伙食补助费660元、误工费2160元、护理费2160元）。二、驳回原告的其他诉讼请求。如果未按本判决指定的期间履行给付金钱义务，应当依照《中华人民共和国民事诉讼法》第二百五十三条规定，加倍支付迟延履行期间的债务利息。 案件受理费394元，减半收取197元，由被告李英杰负担。 如不服本判决，可以在判决书送达之日起十五日内，向本院递交上诉状，并按对方当事人的人数提出副本，上诉于陕西省延安市中级人民法院。                          审  判  员     李  晓  峰                          二〇二〇年六月十八日                             书  记  员   高     婷