中医叙事思维及其对当代医学教育的启示  

Narrative thinking in traditional Chinese medicine and its implications for contemporary medical education

作　　者：杨晓霖 金惠 刘志挺 林挺葵 YANG Xiaolin;JIN Hui;LIU Zhiting;LIN Tingkui(Narrative Medicine Research Center,Shunde Hospital of Southern Medical University,Foshan 528000,China;Department of General Education,Southern Medical University,Guangzhou 510515,China;School of Health Management,Southern Medical University,Guangzhou,510515,China;Guangdong Pharmaceutical University,Guangzhou 510006,China;Affiliated Hospital of Guangdong Medical University,Zhanjiang 524001,China)

机构地区：[1]南方医科大学顺德医院叙事医学研究中心,广东佛山528000 [2]南方医科大学通识教育部,广东广州510515 [3]南方医科大学卫生管理学院,广东广州510515 [4]广东药科大学,广东广州510006 [5]广东医科大学附属医院,广东湛江524001

出　　处：《中国医学伦理学》2024年第11期1270-1277,共8页Chinese Medical Ethics

基　　金：2021年度湛江市科技发展专项“叙事医学对临床学科综合实力提升的作用研究”(2021A05066);2021年国家社会科学后期资助项目“生命健康与叙事生态”(21FSHB007)。

摘　　要：中国叙事医学语境下,叙事思维是医学思维中与循证思维同样重要的一种思维模式,是患者生命安全与医疗质量的基石。以“中国叙事医学话语体系”中的“叙事中医学”为框架,探讨中医理论中蕴含的叙事思维(“观物取象”“参合而行”“心身之易”“叙事处方”“辨证论治”)、中医医者具备的生命健康叙事素养(“保生素养”“人际叙事连接意识”)与职业叙事思维(“任物能力”“处物能力”“四诊合参”“治病求本”“形神共调”),阐明叙事思维对于医疗质量提升的重要价值,同时提出中国叙事医学理念对于医学教育机制、教学内容与教学方法方面的建议,期待启发更多当代医学教育者和临床医者重视叙事思维培养和叙事医学实践。In the context of Chinese narrative medicine,narrative thinking is a thinking mode in medical thinking,which is as important as evidence-based thinking,and is also the cornerstone of patient life safety and healthcare quality.Taking“narrative traditional Chinese medicine(TCM)”in the“Chinese narrative medicine discourse system”as the framework,this paper explored the narrative thinking contained in the theory of TCM(“observing phenomena to capture essence”,“acting by combining and integrating”,“the ease of mind and body”,“narrative prescription”,and“syndrome differentiation and treatment”),the life and health narrative literacy(“life-preserving literacy”,“interpersonal narrative connection awareness”),as well as professional narrative thinking(“ability to handle things”,“ability to deal with things”,“combination of the four diagnostic methods”,“treating the disease from its root”,and“coordination of body and spirit”)possessed by TCM practitioners.Besides,it clarified the important value of narrative thinking in improving healthcare quality,while proposed suggestions for the mechanism of medical education,teaching content,and teaching method based on the concept of Chinese narrative medicine.Looking forward to inspiring more contemporary medical educators and clinical practitioners to value the cultivation of narrative thinking and the practice of narrative medicine.

关 键 词：中国叙事医学体系 中医医者 叙事素养 叙事思维 

分 类 号：R-05[医药卫生]