The paper shows relations between Ludwik Fleck's philosophy of sciences and paradigm of polish historiography of medicine. The author defines historiographicall paradigm and talk over attributes of specific polish medical historiography. In this context the author shows abilities and limitations for reception desk of Flek's ideas within polish historiography of medicine in XX of age. Especially important place puts hither relations of Fleck's conceptions for traditions so-called ,polish school of history medicine". The author took account of his considerable with T. Bilikiewicz and ideological atmosphere for planting history of medicine after WORLD WAR II in Poland. The important take of the paper is appreciation of importance his (Flack's) ideas for contemporary study on history of medicine in Poland. Author believes, that Flekck's conceptions can be available source of theoretical inspiration in process formations of "theoretical history of medicine".