台湾近50年中西医结合之发展

民国肇始,中医被排除于政府体制之外,台湾的中西医结合,直到1958年之后,才有了实际的进展.私立中国医药学院之创设,被视为台湾中西医结合发展的里程碑.在中西医双轨并行的教育模式中,学生们对于两种医学知识都有了实际的认知,但“结合”上仍有许多不足.初期的医学系实际上是中西医双主修.恽子愉是此时期培养出的代表性医家.1980年中国医药学院附设医院成立之后,中西医学在临床上有组织、有一定规模的结合才真正开始.该院成立30多年来,从“中西合作医院”到“中西合作医疗中心”,再到“中西医结合科”,中西医结合机构的层级逐渐下降,而同时期台湾各公私立教学医院设立中医部门越来越普遍,其中的中西医的交流互动,主要是透过会诊及研究工作来进行.

The development of integrated Chinese and western medicine in recent 5 decades

Traditional Chinese medicine was excluded from the governmental system in the Republican period since its establishment.The work of integrating Chinese and western medicine in Taiwan only got its real development until 1958.The founding of the China Medical College in the private sector is considered to be a milestone of the development of integrative medicine in Taiwan.It provided students with practical understanding of both Chinese and western medicine,but achieved little in regard to integrating the two medical systems.In the beginning years,students in the Department of the Medicine in China Medical College actually majored in both Chinese and western medicine.A representative physician of this period is Yun Zi-yu,who was educated at China Medical College.It was not until 1980 when the China Medical College Hospital was founded,the integration of the Chinese and Western medicine began to carry out and take shape within a well-organized clinical field in certain scale.For over 3 decades since its establishment,the Hospital was founded,the executing level of the integration of both medical systems has been gradually descended with different tiers of its executive levels,viz.,from the ＂Chinese and Western Medicine Cooperation Hospital＂ through the ＂Center for Integrative Chinese and Western Medicine＂,to the ＂Department of Integration of Chinese and Western Medicine＂.In the same period,more departments of Chinese medicine were set up in the teaching hospitals,private and public,in Taiwan,and the interaction and,mutual cooperation of the Chinese and western medicine has been mainly practiced through clinical consultation and research projects.