The accelerating pace of exchanges and cooperation in medical field between China and foreign countries demands a large number of medical papers， medical-related materials to be ac-curately translated into multiple languages， especially between English and Chinese. Oriented at English majors （medicine directed）， based on eco-translatory approach and student-centered teaching method by creating simulations of the medical English ecological translation environment， this paper provided a better and effective practice-based teaching idea， which can promote students' medical English translation competence and strategies， even cultural consciousness and pragmatic ability in a comprehensive manner.