Correlation analysis of structured level of traditional Chinese medicine clinical thinking, classical theory learning, and syndrome differentiation practice among rehabilitation resident physicians

Li Xiaoyun; Wang Liugen; Li Qingfu; Deng Sudan

doi:10.3760/cma.j.cn116021-20260201-02343

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Correlation analysis of structured level of traditional Chinese medicine clinical thinking, classical theory learning, and syndrome differentiation practice among rehabilitation resident physicians

更新时间：2026-07-31

- Correlation analysis of structured level of traditional Chinese medicine clinical thinking, classical theory learning, and syndrome differentiation practice among rehabilitation resident physicians
- Chinese Journal of Medical Education Research Pages: 1-6(2026)
- 作者机构：
  
  郑州大学第一附属医院康复医学科，郑州 450040
- 作者简介：
  
  Wang Liugen, Email: kfwlg@126.com
- 基金信息：
  
  Project of the Chinese Association of Rehabilitation Medicine(KFKT-2023-031)
- DOI：10.3760/cma.j.cn116021-20260201-02343
  CLC： R-0;R-4
- Received：01 February 2026，
  
  Online First：31 July 2026，
- 稿件说明：
移动端阅览
Li Xiaoyun, Wang Liugen, Li Qingfu, et al. Correlation analysis of structured level of traditional Chinese medicine clinical thinking, classical theory learning, and syndrome differentiation practice among rehabilitation resident physicians[J/OL]. Chinese Journal of Medical Education Research, 2026, 1-6.
DOI：

Li Xiaoyun, Wang Liugen, Li Qingfu, et al. Correlation analysis of structured level of traditional Chinese medicine clinical thinking, classical theory learning, and syndrome differentiation practice among rehabilitation resident physicians[J/OL]. Chinese Journal of Medical Education Research, 2026, 1-6. DOI： 10.3760/cma.j.cn116021-20260201-02343.

摘要

目的

分析康复住院医师经典理论学习、辨证实践频率与中医临床思维结构化水平的关系，并检验结构化水平的中介作用。

方法

采用便利抽样法，选取2021年1月至2024年12月期间于郑州大学第一附属医院参加住院医师规范化培训的118名康复专业住院医师作为研究对象。使用一般资料问卷、中医临床思维能力评价问卷、经典理论学习自评量表和辨证实践频率自评量表进行横断面调查。通过SPSS 27.0软件进行描述性和Pearson相关分析，使用Process 4.2宏程序结合Bootstrap法检验中医临床思维结构化水平的中介效应。

结果

康复住院医师中医临床思维结构化水平总分为（84.56±5.10）分，处于中等水平；经典理论学习总分为（86.25±6.84）分，达到较高水平；辨证实践频率总分为（81.88±5.01）分，处于中等偏上水平。Pearson相关分析显示，经典理论学习与辨证实践频率呈正相关（

=0.563，

0.01），与中医临床思维结构化水平呈正相关（

=0.603，

0.01）；中医临床思维结构化水平与辨证实践频率呈正相关（

=0.623，

0.01）。中介效应检验表明，中医临床思维结构化水平在经典理论学习与辨证实践频率之间起部分中介作用，间接效应值为0.197（

0.001），占总效应的比例为47.72%。

结论

经典理论学习与辨证实践频率存在正向关联，且这种关联在一定程度上与住院医师中医临床思维的结构化水平有关。因此，在康复医学人才培养中，建议注重经典理论知识的系统传授，增加辨证实践机会，并关注中医临床思维的结构化培养。

Abstract

Objective

To analyze the relationships among classical theory learning

frequency of syndrome differentiation practice

and the structured level of traditional Chinese medicine (TCM) clinical thinking among rehabilitation resident physicians

and examine the mediating role of the structured level.

Methods

A convenience sampling method was used to select 118 rehabilitation residents who participated in standardized residency training at The First Affiliated Hospital of Zhengzhou University from January 2021 to December 2024. A cross-sectional survey was conducted using a General Information Questionnaire

a TCM Clinical Thinking Ability Evaluation Questionnaire

a Classical Theory Learning Self-Rating Scale

and a Syndrome Differentiation Practice Frequency Self-Rating Scale. Descriptive analysis and Pearson correlation analysis were performed using SPSS 27.0. The mediating effect of the structured level of TCM clinical thinking was tested using the PROCESS macro 4.2 combined with the bootstrap method.

Results

The total score for the structured level of TCM clinical thinking among rehabilitation residents was (84.56±5.10)

indicating a moderate level. The total score for classical theory learning was (86.25±6.84)

reaching a relatively high level. The total score for syndrome differentiation practice frequency was (81.88±5.01)

reflecting an upper-moderate level. Pearson correlation analysis showed that classical theory learning was positively correlated with syndrome differentiation practice frequency (

=0.563

0.01) and the structured level of TCM clinical thinking (

=0.603

0.01). The structured level of TCM clinical thinking was positively correlated with syndrome differentiation practice frequency (

=0.623

0.01). Mediation analysis indicated that the structured level of TCM clinical thinking partially mediated the relationship between classical theory learning and syndrome differentiation practice frequency

with an indirect effect value of 0.197 (

0.001)

accounting for 47.72% of the total effect.

Conclusions

A positive correlation exists between classical theory learning and syndrome differentiation practice frequency

and this correlation is

to some extent

related to the structured level of TCM clinical thinking among resident physicians. Accordingly

within the context of rehabilitation medicine education

it is recommended to prioritize the systematic teaching of classical theoretical knowledge

increase opportunities for syndrome differentiation practice

and pay attention to the structured cultivation of TCM clinical thinking.

关键词

Keywords

references

Wu Y , Zhu Y , Zhao Y , et al . Perception of traditional Chinese medicine (TCM) among Chinese medical and non-medical students taking the all-English-taught TCM course [J ] . Natl Med J Ind , 2025 , 38 : 221 - 225 . DOI: 10.25259/nmji_21_2023 http://dx.doi.org/10.25259/nmji_21_2023 .

董艳，周文爽 . 基于柯氏评估模型分析中医本科实习生中医临床思维效果 [J ] . 中医药管理杂志， 2025 ， 33 （ 22 ）： 195 - 197 . DOI: 10.3969/j.issn.1007-9203.2025.22.071 http://dx.doi.org/10.3969/j.issn.1007-9203.2025.22.071 .

Feng S , Wu X , Dai X , et al . Comparative effectiveness of multiple different non-pharmacologic interventions for post-stroke constipation: a Bayesian network meta-analysis [J ] . Front Neurol , 2025 , 16 : 1591620 . DOI: 10.3389/fneur.2025.1591620 http://dx.doi.org/10.3389/fneur.2025.1591620 .

Han Z , Chen J , Yu C , et al . A hybrid approach for exploring real-world linear causality under multicollinearity based on ischemic post-stroke case series treated with integrated traditional Chinese and modern medicine therapies [J ] . J Evid Based Med , 2025 , 18 ( 4 ): e70070 . DOI: 10.1111/jebm.70070 http://dx.doi.org/10.1111/jebm.70070 .

王爱娟，王勤俭，王朱苗，等 . 基于中医临床思维能力提升的康复技术应用探索 [J ] . 中医药管理杂志， 2025 ， 33 （ 9 ）： 103 - 105 .

杨颖，李鲜，王丽辉，等 . “ 读、辩、悟、践” 四字教学法在中医重症经典教学中的实践探讨 [J ] . 时珍国医国药， 2025 ， 36 （ 2 ）： 340 - 343 . DOI: 10.70976/j.1008-0805.SZGYGY-2025-0224 http://dx.doi.org/10.70976/j.1008-0805.SZGYGY-2025-0224 .

熊鑫，高占华，赵玉堂，等 . 中医思维指导下辨证论治能力培养的教学实践 [J ] . 承德医学院学报， 2025 ， 42 （ 3 ）： 256 - 258 .

高彬 . 中医学专业学生中医思维能力评价问卷的编制 [D ] . 济南：山东中医药大学， 2016 .

王娇娇，许西子，吴梦，等 . 基于中医学理论的特色康复管理研究与实践 [J ] . 中医药管理杂志， 2025 ， 33 （ 4 ）： 239 - 241 . DOI: 10.3969/j.issn.1007-9203.2025.4.zyyglzz202504092 http://dx.doi.org/10.3969/j.issn.1007-9203.2025.4.zyyglzz202504092 .

范淑华，相恒杰，黄文龙 . 基于临床教学案例库的PBL教学法在中医儿科研究生教学中的应用 [J ] . 中国继续医学教育， 2025 ， 17 （ 10 ）： 82 - 86 . DOI: 10.3969/j.issn.1674-9308.2025.10.017 http://dx.doi.org/10.3969/j.issn.1674-9308.2025.10.017 .

古柱亮，谢韶东，何芬 . “三师同堂” 教学模式在中医康复规范化培训中的应用研究 [J ] . 中国康复医学杂志， 2026 ， 41 （ 1 ）： 141 - 143 . DOI: 10.3969/j.issn.1001-1242.2026.01.021 http://dx.doi.org/10.3969/j.issn.1001-1242.2026.01.021 .

卢姬，郑萍，李春凤，等 . Sandwich教学法在康复科医师中医临床思维能力培养中的应用 [J ] . 中医药管理杂志， 2025 ， 33 （ 17 ）： 59 - 62 .

Sireerat K , Seki N , Akiyama M , et al . Critical thinking disposition among Thai dental students [J ] . J Dent Educ , 2022 , 86 ( 8 ): 968 - 975 . DOI: 10.1002/jdd.12913 http://dx.doi.org/10.1002/jdd.12913 .

齐晶晶，朱欣欣，刘志芳，等 . 案例教学法联合微格教学法模式应用于康复科护士带教中的效果 [J ] . 现代医院， 2025 ， 25 （ 3 ）： 480 - 482 .

齐晶晶，刘延锦，刘腊梅，等 . 微格教学结合Seminar教学模式在专科护士培训中应用的成效研究 [J ] . 卫生职业教育， 2025 ， 43 （ 12 ）： 36 - 39 . DOI: 10.20037/j.issn.1671-1246.2025.12.10 http://dx.doi.org/10.20037/j.issn.1671-1246.2025.12.10 .

沈婷，刘晨萍，祁方，等 . “中医经典理论”在本科生实习阶段的教学方法探讨 [J ] . 中医药管理杂志， 2020 ， 28 （ 3 ）： 32 - 33 .

聂钊源，冯崇廉，崔志忠，等 . 多元化教学结合师承模式的探索：基于伤寒论教学 [J ] . 中国中医药现代远程教育， 2025 ， 23 （ 19 ）： 50 - 53 . DOI: 10.3969/j.issn.1672-2779.2025.19.015 http://dx.doi.org/10.3969/j.issn.1672-2779.2025.19.015 .

张俐敏，温煜杰，黄益清，等 . 中医各家学说病案导入式双主教学与临床思维模式培养探析 [J ] . 中国中医药现代远程教育， 2025 ， 23 （ 5 ）： 31 - 34 . DOI: 10.3969/j.issn.1672-2779.2025.05.011 http://dx.doi.org/10.3969/j.issn.1672-2779.2025.05.011 .

楼军飞，郭丽 . 中医住院医师规范化培训中临床思维培养的重要性 [J ] . 中医药管理杂志， 2022 ， 30 （ 8 ）： 109 - 110 .

洪曹栋，尹嘉，王婧，等 . 中医住院医师规范化培训中医临床思维培养模式的调查 [J ] . 中医药管理杂志， 2024 ， 32 （ 24 ）： 51 - 53 .

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