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基层医疗机构中拥有为数不少的具有“一技之长”的中医从业者,他们多为非名中医群体,但长期工作在中医预防和治疗关口的前沿,有着丰富的临床经验和独特的用药方法与特色手法,对某些病证具有显著的疗效,是鲜活的中医文献和原创思维的凝练。通过对上海市572家二级以下医疗机构中的“中医一技之长”群体的调研,从就业状况、学术思想、临床经验和学业传承等方面进行分析,发现这些群体有一定的优势,但也面临许多困境,有些一技之长甚至到了濒临消亡之境,为此对抢救和传承一技之长提出了一些建议与思考。
There are a large number of TCM practitioners in the primary medical institutions that have “skills” and are mostly non-famous Chinese medicine practitioners. However, they have long been working at the forefront of prevention and treatment of traditional Chinese medicine and have extensive clinical experience and unique drug treatment methods With the characteristics of practices, for some syndromes have a significant effect, is the conciseness of fresh Chinese literature and original thinking. Through the investigation of “the skill of Chinese medicine” in 572 second-class medical institutions in Shanghai, this paper analyzes the employment status, academic thought, clinical experience and academic inheritance, and finds that these groups have certain advantages, but also In the face of many difficulties, some skills even went to the verge of extinction, and made some suggestions and reflections on the rescue and inheritance skills.