基于要素分析的名老中医传承多元方法探索--以孔光一教授名医传承为例

摘要

名老中医的传承内容应包含临床、教学、科学研究及成果几个方面的传承，其中临床传承内容不仅包括临床经验和学术思想，还应包括名老中医的人文文化信息。而如何对名老中医的技术、经验、思想、人文、文化等元素进行传承，建立行之有效的方法学模式是解决以上问题的关键。文章介绍了目前名老中医传承方法和存在问题及原因分析，提出名老中医诊疗为复杂干预，多要素与效果相关，并分析了传承效果构成要素，进而为名老中医传承相关要素匹配适合的研究方法，并推荐评价名老中医传承要素的方法。以国家级名老中医、首都国医名师孔光一教授名医传承为例，尝试应用多元方法探索孔光一教授临床诊疗过程可能发生的疗效相关要素，以创建名老中医传承模式。%Inheriting from the famous veteran practitioners of Traditional Chinese Medicine (TCM)should include clinical prac-tice,teaching,scientific research and academic achievements,as well as humanistic culture of the practitioners.Therefore,it is necessary to build a inheriting pattern to consolidate and summarize the therapeutic behavior of famous veteran practitioners of TCM.This study stated the status and the common problems in inheriting works of the famous senior practitioners of TCMcurrent-ly,and their medical behavior was a sort of complex intervention with certain therapeutic components which should be associated with patients′outcome.It is meaningful to match appropriate methods to detect those therapeutic components and provide the criti-cal appraisal projects involved.In addition,the authors try to build a inheriting pattern from analyzing Professor Kong Guangyi′s clinical practice who is known as one of the famous national veteran TCMexperts to find out the therapeutic components contribu-ting to inheriting works,thus to build a pattern.