叙事医学的平行病历与中医学的医案医话

摘要

叙事医学主张通过培养临床医生理解、解释、反馈的叙事能力，提高其对患者的理解、共情、亲和能力，促进其对自身医疗行为的反思。平行病历重视对患者主观痛苦与体验的记录，是将叙事医学理念引进临床的一种方法。中医学临床实践活动始终重视人文关怀，而医案医话正是叙事医学的精神内涵在我国中医学中的具体表现与重要载体。发掘中医医案医话优势，构建中医平行病历，在当前重视临床人文关怀、关注患者主观体验的大背景下，具有重要的理论意义与临床价值。%Narrative medicine advocates that through the training of clinicians'narrative ability of understanding, interpretation and feedback, thus to improve their understanding, empathy and affinity ability to their patients, and to promote the introspection of their own medical behavior.Parallel case emphasizes on the records of patients’ subjective pain and experiences, and it is a way to introduce the idea of narrative medicine to clinic.Traditional Chinese medicine ( TCM) always takes humanistic care as major consideration, and medical records are the specific performance and important carrier of narra-tive medicine’ s connotation in TCM.Under the background of paying attention to humanistic care and patients’ subjective experience, the exploration of TCM’ s advantages and the construction of TCM’s parallel case contains significant theoretical meaning and clinical value.