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古代中医如何"育人"?从宋代太医局看教育传承与现实启发OA

How Did Ancient Traditional Chinese Medicine"Cultivate Talents"?Educational Transmission and Contemporary Implications from the Imperial Medical Bureau of the Song Dynasty

中文摘要英文摘要

宋代是中医药发展的鼎盛时期,其医疗卫生制度具有先进性和代表性.通过梳理宋代太医局的典制与源流,可以发现宋代太医局教育具有仁政导向下的医学官学化、系统授学与实践运用相结合、崇经重典与官修医籍并行的显著特点,但也有医学教育质量下降、办学效果不尽如人意等局限.考察太医局的发展历程及其医学教育的特点与不足,可见其教育思想对现代中医教育具有深远启示.应从兴医立教、固本培元,官学立制、师承互补,典籍为纲、强化传承,规范立学、质量固本四个方面汲取历史经验.对宋代医学教育典范的深入剖析,以及对官办医学制度认知的深化,可为当代中医药事业的规范发展、中医药人才培养模式的创新提供历史借鉴与理论支撑.

The Song Dynasty marked the golden age of Traditional Chinese Medicine(TCM),and its healthcare system was both advanced and representative of its time.By examining the institutional framework and origin of the Imperial Medical Bureau during the Song Dynasty,its medical education exhibited several distinctive characteristics:the institutionalization of medicine under a benevolent governance model;the integration of systematic instruction with practical application;and the parallel emphasis on classical texts and officially compiled medical literature.However,it also faced limitations,such as a decline in the quality of medical education and unsatisfactory educational outcomes.By examining the developmental trajectory of the Imperial Medical Bureau,along with the characteristics and limitations of its medical education,it becomes evident that its educational philosophy offers profound insights for modern TCM education.We should draw upon historical experience in four key areas:revitalizing medicine and establishing education to strengthen the fundamentals;establishing official educational systems while complementing them with master-apprentice traditions;using classical texts as a framework to reinforce inheritance and transmission;and standardizing academic practices to ensure quality.An in-depth analysis of the Song Dynasty's exemplary medical education system,coupled with an in-depth understanding of the state-run medical system,can provide historical references and theoretical support for the standardized development of contemporary TCM and the innovation of talent cultivation models in the field.

赵法政;陈一驰;佟欣

浙江中医药大学浙江中医药文化研究院,杭州 310053浙江中医药大学人文与管理学院,杭州 310053浙江中医药大学人文与管理学院,杭州 310053

医药卫生

太医局宋代医学教育中医教育

Imperial Medical BureauSong DynastyMedical EducationTraditional Chinese Medicine Education

《中医药文化》 2026 (2)

165-172,8

浙江省习近平新时代中国特色社会主义思想研究中心浙江中医药大学研究基地项目(2024ZTYB03)浙江省哲学社会科学规划领军人才培育专项重大课题(25QNYC014ZD)国家级大学生创新训练计划项目(202510344075X)

10.16307/j.1673-6281.2026.02.005

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