中医临床思维培养在中西医结合教学的实践

Practice of Traditional Chinese Medicine Clinical Thinking Training in the Teaching of Integrated Traditional Chinese and Western Medicine

在中西医结合教学中,为保持“守正”,必须坚持中医临床思维。文章认为,整体观念是中医临床思维的基本特点,四诊合参是中医临床思维的基本保证,病证结合是现代中医临床思维的重要形式;同时指出,传承传统思维模式是树立中医临床思维的根本保证,坚持衷中参西,中西医优势互补、共同进步是建立中医临床思维的根本遵循,摒弃各种因素的影响是坚守中医临床思维的关键,借鉴现代循证医学证据结局是创新中医临床思维模式的重要途径。

In the teaching of integrated traditional Chinese and western medicine,we must adhere to the clinical thinking of tradi⁃tional Chinese medicine in order to maintain the“integrity”.This paper pointed out that the overall concept is the basic characteristic of clinical thinking of traditional Chinese medicine,the combination of four diagnosis is the basic guarantee of clinical thinking of tra⁃ditional Chinese medicine and the combination of disease syndrome is an important form of clinical thinking of modern traditional Chi⁃nese medicine.At the same time,it is pointed out that inheriting the traditional thinking mode is the fundamental guarantee of estab⁃lishing the clinical thinking mode of traditional Chinese medicine,adhering to the traditional Chinese and Western medicine,comple⁃menting the advantages of traditional Chinese and Western medicine,and making progress together is the fundamental follow of estab⁃lishing the clinical thinking mode of traditional Chinese medicine,abandoning the influence of various factors is the key to adhere to the clinical thinking of traditional Chinese medicine,and learning from the outcome of modern evidence-based medicine is an impor⁃tant way to innovate the clinical thinking mode of traditional Chinese medicine.