叙事探究——一种值得借鉴的研究中医经验的方法

针对当前实证主义主导的学术环境中,中医理论研究存在的理论与临床实践、医生经验和患者体验脱节,倾向"去人化"、"简约化"、"线性化"的问题,探讨方法论和研究范式转变的可能性。在介绍、解读"叙事探究"方法的基础上,提出运用最具"质的研究"特点的"叙事探究"方法开展中医医生经验、内在思维和患者体验的研究,对于更好地诠释中医实践经验的意义、丰富中医理论内涵、发掘中医经验人文内涵具有积极意义;开展中医叙事探究有利于拓展中医理论思维与理论研究方法,有利于探索基于中医经验的理论方式,也有利于更好地留存中医经验的探究史料。

Narrative inquiry:A reliable method in research of TCM experiences

This paper aims at the predominance of positivism,detachment of TCM theories from clinical practice,separation of experiences of doctors’ from patients’,and with the tendency to "dis-humanization","over-simplification" as well as "linearization" to discuss the possibility of transition between methodology and research paradigm.This paper proposed that research on TCM doctors’ experiences,thought process and patients’ experiences should be applied narrative method,which was characterized by qualitative research,by means of the introduction and analysis of the narrative inquiry.This has the positive significance on explaining the practical experience of TCM,enriching the connotation of TCM theory,and exploring the humanist values of TCM.It holds that narrative inquiry is beneficial to expand the theoretical thought and research method of TCM experience as well as to preserve historical materials on the exploration of TCM experience.