摘要
中医脑病学是医学生中普遍公认的比较难以学习和掌握的学科之一，在中医内科学的教学内容中占据着较为重要的地位。对于中医专业的学生而言，在临床教学的过程中培养中医辨证思维、增强临床实践能力是必不可少的。传统的教学方法在临床实践中的作用较为局限，而案例教学法（case-based leaning，CBL）作为一种新型的教学方法，可以在中医脑病科的教学过程中发挥出积极的作用。在中医脑病科教学中应用案例教学法不仅可以充分地调动学生的主观能动性，培养其运用中医思维思考问题的良好习惯，而且可以引导学生在案例中思考，在问题中探索，是提高学生临床思维能力，增强其实践操作能力的重要教学方法之一。本综述拟通过概述中医脑病科CBL的特点，对CBL在中医脑病科临床教学的应用和实际意义进行分析，以期为进一步临床推广CBL、提高学生中医辨证以及独立开展临床诊疗工作的能力提供理论依据。
关键词： 案例教学法；中医脑病；教学模式；中医思维；临床案例；辨证论治
Abstract
Chinese medicine cerebral pathology is generally recognized as one of the more difficult subjects for medical students to learn and master, and occupies a more important position in the teaching content of Chinese medicine internal medicine. For TCM students, it is indispensable to cultivate TCM evidence-based thinking and enhance clinical practice ability in the process of clinical teaching. The role of traditional teaching methods in clinical practice is relatively limited, and case-based leaning (CBL), as a new type of teaching method, can play a positive role in the teaching process of cerebral diseases of Chinese medicine. The application of case-based leaning in the teaching of Cerebral Diseases in TCM can not only fully mobilize students' subjective initiative and cultivate their good habit of thinking in TCM, but also guide students to think in cases and explore in problems, which is one of the most important teaching methods to improve students' clinical thinking ability and enhance their practical operation ability. This review intends to analyze the application and practical significance of CBL in the clinical teaching of TCM encephalopathy by outlining the characteristics of CBL in TCM encephalopathy, with a view to providing a theoretical basis for the further clinical promotion of CBL and improving the students' ability to discriminate Chinese medicine as well as to independently carry out clinical diagnosis and treatment work.
Key words： case teaching method; Chinese medicine brain disease; teaching mode; TCM thinking; clinical cases; evidence-based treatment
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