摘要
临床思维是指医者在临床诊疗过程中,应用掌握的理论知识和实践经验,在判断分析疾病本质、发病规律、制定治疗原则及处方用药中所表现的思维活动。每一次具体临床思维过程都是一次科学假说,而这是临床医疗实践中最有价值的思维方法,经验思维、取象思维、辨证思维、系统思维、直觉和灵感思维等为典型特点的中医思维方式深藏在浩瀚的历代医案典籍中,通过对典籍的阅读研习才能揣摩领悟其内在思维本质。故而在新的学科体系取代"经典学习"的今天,"读经典、做临床"重新唤起对中医临床思维的培养和研究有一定的深远意义。
Clinical thinking refers to the theoretical knowledge and practical experience that doctors grasp in the process of clinical diagnosis and treatment. They are thinking activities in judging and analyzing the nature of disease, rule of onset, formulating therapeutic principles and prescribing medication. Every specific clinical thinking process is a scientific hypothesis.And this is the most valuable way of thinking in clinical practice. Experience thinking, image thinking, dialectical thinking, systems thinking, intuition and inspiration, typical of Chinese way of thinking is deep in the vast ancient medical record books.Reading the TCM medicine cases is the best way to comprehend the essence of its inner thinking. Although, the new discipline system has replaced the ‘classical learning' today. ‘Reading classics, doing clinical' is of great significance to the training and research of clinical thinking of traditional Chinese medicine.
出处
《中华中医药杂志》
CAS
CSCD
北大核心
2018年第3期811-815,共5页
China Journal of Traditional Chinese Medicine and Pharmacy
基金
国家自然基金面上项目(No.81473627)
上海市自然科学基金面上项目(No.14ZR1439000)
上海申康医院发展中心
上海市市级医院新兴前沿技术联合攻关项目(No.SHDC12014127)~~
关键词
中医
医案
临床思维
Traditional Chinese medicine
Medicine cases
Clinical thinking
作者简介
通讯作者:孙长岗,山东省潍坊市潍州路1055号潍坊市中医医院肿瘤中心,邮编:261041,E-mail:zhongliuyike@163.com;李雁,上海市闸北区芷江中路274号上海中医药大学附属上海市中医医院肿瘤科,邮编:200071,E-mail:18916767226@163.com