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20 December 2025

“One Main Thread, Two Carriers”: A Discussion on Curriculum Reform for Systematically Cultivating Classical Thinking in Warm Diseases

Yichun Shang1,2* Chenxi Ma1,2 Bohan Li3 Qiutong Dong1 Shufeng Chang1,2 Chunyue Yu1,2 Mingyan Zhang1,2 Yajun Yu1,2, Yitian Dou4 *
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1 College of Traditional Chinese Medicine, Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China
2 Institute of Febrile Disease and Respiratory Disease of TCM, Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China
3 Graduate School, Nanjing University of Chinese Medicine, Nanjing 210023, Jiangsu, China
4 Department of Nephrology, First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin 300381, China
AMCMR 2025 , 1(4), 20–24; https://doi.org/10.61369/AMCMR.202504003
© 2025 by the Author. Licensee Art and Design, USA. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution -Noncommercial 4.0 International License (CC BY-NC 4.0) ( https://creativecommons.org/licenses/by-nc/4.0/ )
Abstract

Background: This paper addresses the challenges observed in the Warm Diseases (Wen Bing Xue) course at Tianjin University of Traditional Chinese Medicine, where students struggle to effectively master classical texts and their corresponding TCM clinical thinking. Methods: A teaching reform model named “One Main Thread, Two Carriers” was proposed and implemented. This approach takes the spirit of “Great Physician’s Sincerity” (Da Yi Jing Cheng) exemplified by renowned Warm Diseases scholars as its central thread (“One Main Thread”). It utilizes both the classical texts of Warm Diseases and the medical cases of famous practitioners as its foundational elements (“Two Carriers”). This framework aims to construct an integrated teaching system combining ideological and political education, knowledge acquisition, and ability cultivation. Results: Practice indicates that this model significantly enhances students’ intrinsic motivation for learning the classics of Warm Diseases studies and bolsters their professional confidence. Reforms led to top national rankings in Warm Diseases sections of licensing exams and awards for student research papers. Conclusion: The “One Main Thread, Two Carriers” reform represents an effective approach to cultivating classical thinking, integrating moral education with professional competency development in Warm Diseases education. Future work will focus on optimizing the teaching content and structure.

Keywords
Warm diseases
Curriculum ideological and political education
Classical original texts
TCM thinking patterns
Curriculum reform
Funding
This work was supported by: National Natural Science Foundation of China (Project No.: 81703968); Tianjin Higher Education Institution Postgraduate Education Reform Research Plan Project (Project No.: TJYG125); Tianjin Municipal Health Commission TCM & Integrated Traditional Chinese and Western Medicine Scientific Research Project (Project No.: 2023086); Tianjin University of Traditional Chinese Medicine “Xinglin Yuxian Class” Quality Engineering Construction Project (Project No.: 2021XLYX-18); Tianjin University of Traditional Chinese Medicine College of Traditional Chinese Medicine Education and Teaching Reform Research General Project (Project No.: 2021−005, ZYXY−2022−001).
References

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[2] Guo Y, Wang B, Wang H, et al., 2024, Exploration of a “Three-Stage” Teaching Reform in Warm Diseases Based on Curriculum System Reconstruction. Journal of Chengdu University of Traditional Chinese Medicine (Education Science Edition), 26(02): 14–16.

[3] General Office of Tianjin Municipal People’s Government, 2018, Notice on Printing and Distributing the Implementation Plan for Deepening the Coordination of Medical Education and Further Promoting the Reform and Development of Medical Education. Tianjin Municipal People’s Government Gazette, 2018(01): 29–33.

[4] Dou D, Bai C, Yu H, et al., 2025, “Three-Way Objectives, Four Major Connotations, Five-Context Education” — A Brief Discussion on the Design of the Ideological and Political Education Plan for the Warm Diseases Course. TCM Education, 1–6.

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[6] Hu J, Zhang W, Chen S, 2019, Attribution of Attention Loss in College Students’ Fragmented Learning: A Qualitative Study Based on Grounded Theory. E-education Research, 40(12): 36–43.

[7] Su L, Li X, He Y, et al., 2023, Research and Construction of a Four-Dimensional Dual-Track Teaching Model for Warm Diseases: Taking Hunan University of Chinese Medicine as an Example. Chinese Medicine Modern Distance Education of China, 21(24): 52–55.

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