基于虚实相兼、寒热错杂为基本证型的《中医内科学》临床实践理论的构建

Construction of clinical practice-theory in Zhongyi Neikexue based on Xushi Xiangjian and Hanre Cuoza syndromes

临床实践理论教学在目前的《中医内科学》教学中是缺失的,但它是在《中医内科学》基础理论教学和临床实践之间客观存在的桥梁环节,它主要包括临床思维和临床操作流程理论。以虚实相兼、寒热错杂为基本证型是构建《中医内科学》临床实践理论基础的现实选择。它实现了中医内科病症的病人具有相对固定的病因病机、证型、治法、用药方向,实现了中医内科病症的基础理论教学和临床实践的吻合,使中医内科病症临床实践具较强的操作性、相对的可重复性和科学性。在实际教学取得了良好的教学效果,值得进一步探讨、研究和推广。

Clinical practice-theory teaching is insufficient inZhongyi Neikexueteaching, it is a bridge betweenZhongyi Neikexue basic theory teaching and clinical practice. Clinical practice-theory teaching included clinical thinking and theory of clinical operational processes. Clinical practice-theory inZhongyi Neikexue is based on Xushi Xiangjian and Hanre Cuoza syndromes. Therefore, patients with internal diseases appeared relatively unified pathogenesis, syndromes, treatment and medicating directions. Internal diseases’ basic theory teaching coincided with clinical practice. Clinical practice was full of greater operability, relative repeatability and science. Clinical practice-theory teaching had achieved good results, and was worthy of further study and promotion.