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笔者调查华东六省77家地级市中医医院内科门诊科室的设置情况后发现:许多中医医院仿照临床医学内科的分科模式,将内科门诊细化分为多个专科,并且有将近半数未设置传统中医内科科室。过度细化的分科体系与中医学的思维有着较大的差异,不仅导致患者就诊盲目,而且使医生的思维局限、缺失整体观念、忽视辨证,极易造成误诊。因此,笔者从患者和医生的角度探析中医医院内科门诊分科过细容易导致中医误诊的原因,并且对中医医院内科门诊的设置形式,导诊人员的中医基本素养的提高等避误方法提出了一些思考和探索。
After investigating the settings of internal medicine departments in 77 prefecture-level cities of eastern China, the author found that many traditional Chinese medicine hospitals follow the division model of clinical medicine and divide the outpatient department into several specialized departments, and nearly half of them have no traditions Chinese medicine department. Subdivision of the sub-system and the thinking of traditional Chinese medicine has a greater difference, not only led to the patient blindness, but also to limit the thinking of doctors, the lack of overall concept, neglect syndrome differentiation, can easily lead to misdiagnosis. Therefore, from the perspective of patients and doctors, the author explores the reason why the internal medicine outpatient department of Chinese medicine hospital is too small and easily leads to misdiagnosis of traditional Chinese medicine, and puts forward some thoughts on the ways of setting up internal medicine clinics in TCM hospitals and improving the basic literacy of Chinese medicine practitioners And explore.