醫博英語真題摘要寫作範文

1. An approach to successful English writing
Ladies and gentlemen,
First of all, I’d like to extend my sincere congratulations to your success of sitting here as a
candidate of Master degree which results from your great efforts of years.
This is the first time that we have met here for my English writing course. It is also a
beginning of new experience, a new leaf of your life, of which you may have good reasons to
cherish many wonderful wishes and expectations.
It is pleasing that you are no longer to be supposed to learn just for passing some kind of
compulsory exam, such as CET Band 6, though all of you will have to write a conventional
composition in your finals. You come here mainly for something practical, useful and necessary in
your future career, written skills of English communication. You come here to learn more about
English writing, to polish what you have commanded and to enhance your current writing
proficiency. You may want to be able to write an English medical paper to publish your findings,
an English abstract for your Chinese article, or an English report to your foreign colleagues on
your recent project. Some of you will sit for the English entrance examination for medical doctoral
candidates. I will try to meet these different needs with something that I call essential notions and
functions （意念功能）of English writing.
The proficiency of English writing is a very broad concept which involves not only many
notions （意念） but also countless communicative functions. If we say someone is good at
English writing, we actually mean that he is capable of expressing some notions and his English
writing skills are just sufficient to perform the needed functions. In this sense, to learn English
writing is to learn the skills needed to express one’s specific notions and functions. From the point
of view of linguistic communication, to write is to perform many specific communicative tasks of
expressing necessary notions and completing necessary functions. It seems that communicative
notions and functions are too various and too great in number, but we should know that they are
not equally important, useful, essential, practical, or necessary for us. The most essential and
frequently used ones are limited in number but enable us to perform the majority of our
communicative tasks. What we are going to learn and try to command are essential notions and
functions （意念功能）of English writing.
To make a good beginning, you should first know what I am going to do and what you are
going to do with this course.
I am not going to conduct my course in a traditional way. I am not going to make me speak
all the time on the platform and you just sit and listen down there as well as make daydreams. I am
going to base my course on my teaching experience and findings of ages, on the theory of task-
based communicative approach.
I am no longer a teacher in a traditional sense, one who dominates the classroom because he
teaches his students what he knows but they do not know. I am going to be a guide who is just able
to help you with what I know but you do not know, or are not good at, to acquire what you need to
know.
The first thing you are going to do is to attend my classes. Attendance is compulsory no
matter how skillful you are at English writing. If you are a proficient writer, you can make
contributions to the course by helping me and your classmates. Class activities are centered round
practical communicative tasks which you are supposed to get involved. Class participation is
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2. encouraged and so part of the classroom time will be devoted to it.
Next you are going to perform and complete written communicative tasks assigned by me.
They will take you lots of time out of class if you want to do a good job. In this way, I will show
you how you can really master what you need in your future written communication and develop
competence in medical English writing by yourselves.
Classroom time will be devoted to illustration, explanation, discussion, group work, and
students’ participation. Classroom activities will be decided not only by me but also by you. Part
of the contents of the course has been prepared by me in advance but part of the contents is going
to be decided by you, by what you do and by how you perform the tasks. As a result of this
arrangement, different classes will have different tasks or contents.
Assignments must be submitted to a designated e-mail address where they will be recorded
and checked. A special exercise-book and computer work are necessary.
The final exam is based on what we have done in class, and the final evaluation is based on
attendance, classroom participation, assignment and final exam.
I hope all of you will have a wonderful and fruitful time in the next four months being with
me. I hope you will find a successful approach to English writing.
Last, I’d like to ask for your understanding and tolerance for my lack of personal attention,
for I am overloaded with 22 periods a week and more than 1000 students to be attended in writing.
A、应试要点
一
写文章摘要，最忌讳逐字逐句地翻译汉语原文中的一些句子。不幸的是，许多考生往往
这么做，尤其喜欢翻译第一句，这是因为他们不得写文章摘要的要领。在英语写作水平还没
有到达高级程度的情况下，死译的结果就是写出来的东西错误百出，让人不忍卒读。由于时
间和英语水平的限制，许多考生翻译的句子往往是东一句西一句，写出来的摘要没有逻辑
杂乱无章，成绩自然不会好。写好摘要的要点是：
.1 文摘写作成功的关键的第一点。总结出原文的中心思想。拿到原文，不要马上动
笔，要用 5――10 分钟对原文进行再加工。这点非常重要，考生千万要记住。首先，
看看阐述的是什么事物或事情，也就是文章的主题。看看是说明或描写事物的客观
性质、作用、特征、前因后果、过程、意义、及方法，还是表明对事物的主观看法与态
度。这样，找出作者的主要观点或论点。其次，看看作者是如何表达他的中心思想
的，是描述、说明、比较、例证、定义、还是分类，并找出主要的论点。这里特别要注
意的是，由于中文写作的散点思维的特点或者作者的思维素质，医学博士生英语
入学考试所节选的中文文章，往往显得内容杂乱、观点不明，条理不清，很难总结。
但无论如何，考生必须总结出一个条理大致清楚的、有若干主要论点支持的中心思
想来。再加工是关键。在总结的过程中，考生可以将原文中的带有结论性的重要句
子用笔划出来，帮助自己整理思想。近年来写作考试反映出来的考生的一个最大问
题是，写出来的东西杂乱无章，东一句西一句，大大影响了考生作文的得分。记住，
一定要使你写出来的摘要有一个明确中心思想，语句要连贯，有逻辑。
.2 文摘写作成功的关键的第二点。尽管时间很紧张，但还是最好写出一个粗略
的非常简单的汉语提纲和中心思想，形式不拘。汉语提纲和中心思想必须简单。语
言和思想都要简单，否则考生无法用简单的规范的英语表达出来。可以说，总结再
加工就是简化。考生要时刻想象，你的短文的读者是小学三年级的学生，你写出的
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3. 东西要让他们明白。做到这一点，考生要摆脱原文语句的影响和束缚，因为那是为
成年人看的。
.3 文摘写作成功的关键的第三点。汉语提纲和中心思想必须要有足够的概括性和
总结性。概括性和总结性的语句往往是原文中没有的，需要考生自己写出来。许多
考生往往受原文语句的影响和束缚，爱用原文中的一些语句，这样写出来的话缺
乏概括性和总结性，影响了摘要的质量。
.4 文摘写作成功的关键的第四点。说你会说的。同一篇文章，不同人有不同的概括
和总结；同一个意念，不同人有不同的语言表达。所以，文摘写作是允许有合理的
个人再加工的差异的。考生在选择表达的语句时，要考虑自己的英语表达能力。也
就是说，考生要尽量展示自己会的东西，尽量用有把握的表达方式表达原文的意
思，或者说，尽量把原文的意思往自己掌握的句型上靠。
在以后的实战练习部分，将用例证说明如何写出粗略的非常简单的汉语提纲和中心思
想。
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考生在进行英语写作时，往往是先用汉语思维，再经过一个翻译转换的过程，表达成
英语的。这样写出的英语毫无疑问地会受到汉语语句的表达方式的影响。面对一篇汉语原文
时，情况就更是如此了。中国学生的英语写作中出现的种种毛病，根源就在此。然而，英语
思维的能力，或者说习惯，决不是一年半载能够培养出来的。那么，考生首先要做到的是，
有意识地尽量克服汉语语句对自己英语语句写作的束缚和不良影响。头脑中出现的要写成英
语的汉语语句，不能基本上字对字地直接转换成英语的语句。要找一个规范的符合英语思维
表达习惯的英语句型，来表达大体相当的意思。字面上不要相等，但只要意思或者说意念大
体相同就行了。这是一个从汉语思维到英语思维的过渡阶段，这种过渡能力就是我们考生应
该慢慢培养的能力和习惯。有了这种能力和习惯，考生写出的英语才能象英语，才基本规范。
考生怎样才能培养和运用这种过渡能力呢？
就目前考生的水平而言，我们提出一条很实用很奏效的建议，希望考生牢记心中，尤
其是在开始阶段以及考试的时候，那就是，写你会写的，不要写你想写的。这一点前面
提到过，这里再详细说明。
出现在考生头脑中的，首先是具有成人特点的地道的汉语思维的语句，把这种语句直
接写成英语，难度很大，结果往往弄巧成拙、适得其反、出力不讨好。我们需要把具有成人思
维特点的地道的汉语的语句转换成具有儿童思维特点的简单的汉语语句，再转换成我们能
够掌握和表达的规范的简单英语，这样就容易多了。
具体到医学博士生英语入学考试的摘要写作，要做到“写你会写的，不要写你想写
的”， 有两个技巧。一是规避，二是变通。下面举例说明规避。
规避不仅仅是因为意思及语句复杂，难以用英语表达，而且因为其意思及语句不属于
主要论点，避而不谈之后，对中心思想的完整性影响不大。例如：
在 97 年的考题中，“碳水化合物是最主要也是最经济的功能营养素。1 克碳水化合物能
提供的热量为 16.7 千焦。蛋白质的供热量虽与碳水化合物相同，但价格较贵。1 克脂肪能提
供的热量为 37.7 千焦，但食物易产生饱腻感，无法摄入过多。”，“但是在碳水化合物提供热
量不足的情况下，蛋白质和脂肪将首先被消耗以提供热量，不能发挥它们原有的功能，从
而导致肌体生长发育迟滞。严重者可引起营养不良，表现为体重不增、食欲不振、各器官功能
低下、容易反复感染等。”，“以 3 岁小儿为例，每日应得到的总热量为 5.86 兆焦，其中碳水
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4. 化合物提供的热量应为 3.5 兆焦，约需碳水化合物 210 克，折合大米约 280 克。”，这些句子
都可以避而不写。
又如，在 04 年的考题中，“民营医院的出现让人想起十几年前人们对超市的概念认识
也是比较模糊的。即使总认为里面装修豪华、高档，但因货物很贵而不愿意进门。而今超市大
大普及了，人们纷纷进入购物，因为物有所值。民营医院或许正有类似的经历，它也将有一
个自然成长的过程。而 2002 年我国政府又提出了在卫生资源相对过剩的地方，鼓励投资者
通过收购、重组现有公立医院的方式举办赢利性医疗机构和民办非赢利性医疗机构，提出了
社会资本投资着重于目前服务能力较欠缺的老年慢性病护理、康复、婴幼儿保健等领域”，
“不同于民营医院的是，医药费还可以报销。”，这些大段的话都可以基本不去考虑怎么用英
语表达。
有时原文的语句很重要，不能规避，但用英语表达又有困难，这时可以考虑部分规避，
也就是简化。如在 04 年的考题中，“随着社会观念的变化和政策环境的改善，民营医院必能
与公立医院相辅相成，互争高低，成为医疗卫生界一道独特的风景，从而为人民群众提供
更多更好的医疗服务。”是一句重要的结论性的句子，最好用英语表达出来。那么可以简化为
“随着社会观念的变化和政策的改善，民营医院必能与公立医院一道为人民提供更好的医疗
服务。”还有，“为了留住病人，公立医院开始实施全方位的改革措施，不仅在管理体制上、
人事制度上进行改革，而且更多的是纷纷打起了技术、服务、环境、价格牌。”也可以简化为
“为了留住病人，公立医院在管理上开始实施全面改革”。
在摘要写作的考试中，规避是比较容易掌握的技巧，但规避得恰到好处还需要有意识
的注意，考生可以通过实战练习提供的参考摘要细心揣摩。
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一个意念功能，可以用几种大体相当的语言方式表达出来，这是语言能力熟练的表现
和结果。英语专业的学生，都经过长期的这方面的训练，才达到熟练的英语表达能力。这种
训练叫 paraphrase。Paraphrase 的能力，就是变通的能力。非英语专业的学生，往往没有这种
训练，也就很难用多种不同形式来表达同一种意念。但他们在培养英语写作能力的过程中，
要有意识地注意练习和培养这种能力。
一个重要的意念，我们不能规避，但它的汉语表达形式让我们感到用英语表达不出来，
或者感到硬用英语表达出来，结果多半是错的。这时，我们就需要运用变通的技巧，或者说
能力。变通就是将汉语的意念，用我们能够掌握的英语形式大体相当地表达出来。变通的原
则是把不会的变成会的，把复杂的变成简单的。这和上面说讲的“写你会写的，不要写你
想写的”原则是一致的。后面课文中的句型讲解与练习，有大量的变通的实例，尤其是斜体
标明的句子，考生们可以自己体会。
变通有词与词组层面上的和句子层面上的两种，下面再举例说明。
雌激素（estrogen）可以用 female hormone 来表示，冲动（impulse）可以用 sudden
excitement 来表示，悲剧（tragedy）可以用 sad result 来代替，诱发（induce）可以 lead to 或
result in 来代替，慢跑（jog）可以用 slow running 来表示。“打技术、管理牌”肯定不能说成
“play technological and management cards”，可以根据不同上下文，变通成“改善技术、管理”
（improve technology and management）或者“利用技术、管理”（make use of technology and
management）。
要表达“乡村一级卫生院医疗质量无法保证。”，如果有考生觉得“质量无法保证”不好说，
一下子又想不起来“保证”如何拼写，最好变通一下，说一个大概类似的意念就行了：“乡村
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5. 一级卫生院医疗质量通常不好。”或者“你无法有好的医疗质量在乡村一级卫生院。”变通成我
们熟悉的形式之后，表达起来成功的把握就大多了：You can not have good medical services
in village clinics.，或者 The quality of medical services in village clinics is usually poor.
另外，同一种意念有多种表达方式时，我们的选择要注意使得文章中的句式有变化，
或者是我们最有把握的那一种。如果原句为“洋医院的优势在于，病人能得到医务人员的尊
重和周到的服务。”，可以表达的句式有“The advantage of foreign-invested hospitals is that a
patient can enjoy respect and considerate medical services from medical workers.”（表语从句），
“It is to the advantage of foreign-invested hospitals that a patient can enjoy respect and considerate
medical services from medical workers.”（主语从句），“ It is a great advantage of foreign-
invested hospitals that a patient can enjoy respect and considerate medical services from medical
workers.”（主语从句），以及“Foreign-invested hospitals have an advantage that a patient can
enjoy respect and considerate medical services from medical workers.” （ 同 位 语 从 句 ） ，
“ Foreign-invested hospitals have an advantage, because a patient can enjoy respect and
considerate medical services from medical workers.”（原因状语从句）。考生可以根据自己的
具体情况来选择。再例如，“忽视人的心理社会背景，影响了医疗服务的质量。”可以有以下
表达：“If a doctor overlooks the social and mental background of his patient, his medical service
can be weakened.”（条件关系、忽视），“Ignorance of the social and mental background of a
patient can have a negative effect on the outcome of the medical service.”（忽视、影响），
“Neglect of the social and mental background of a patient can harm the medical service.”（忽视、
有 害 ） ， “ When a doctor does not pay attention to the social and mental background of a
patient, he can not provide good medical services.”（注意、提供），以及“Ignorance of the
social and mental background of a patient can result in poorer outcome of the medical service.”
（忽视、因果关系）。考生可以根据自己所掌握的句型的熟练程度或上下文，在心中作出选
择。
变通是一种必需的、有效的写作策略，考生在后面的句型讲解和练习中可以看到更多的
运用。随着英语语言能力的提高，变通的能力和技巧也会日益熟练，写作不再是一件让人头
痛的苦差事。
1．汉语提纲
健康教育的重要性与必要性
原因：影响人类健康的因素及医学模式改变
好处：促进健康，花费比治疗少，大大降低慢性病发病率
必要：卫生工作的根本目的和发展的战略重点：以健康为中心，而不应以疾病为中心，保
障全体人民群众的健康
目前我国健康教育方面的不足：投入、人员、设备不足
任务：加强医学院校健康教育与促进健康专业的建设、完善社区卫生服务、建立各类健康服
务中心。
B、参考摘要
Passage 1
With the development of modern society, the causes and patterns of diseases are changing
and so is the medical mode. The focus of the future medicine will be on the prevention of diseases
and self health care. Therefore, health education will become more and more important in the new
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6. century.
In a modern society, an increasing number of people will suffer from chronic noninfectious
diseases, but their conventional treatments are usually very expensive but effects are far from
satisfactory. Medical practice in the western developed countries has proved that health care is a
good economical way to greatly reduce incidences of chronic noninfectious diseases and to keep
fit. Consequently, both WHO and our country call for a great development and promotion of
public health education since the future medical work should be centered on people and their
health rather than on diseases. In order to improve people's health and reduce health risk factors,
the best way is to develop public health education that can involve the participation of all the
people.
There are, however, many problems in health education in our country. The major ones are:
lack of investment and specialists, poor facilities, and poor community health services. In order to
change this situation, we should take effective measures to promote health education in medical
colleges. Moreover, we should set up all kinds of health service centers in local communities. (230
words)
Passage 2
In this article the author talks about the importance of health education in the future
medicine. In the future modern society, chronic and noninfectious diseases will become the
greatest threats to people’s health. As a result, health education will be a chief concern for the
medical workers in our country and will play a more and more important role in public health care
and prevention of chronic diseases. Many western developed countries have made great
achievements by carrying out health education. There is no doubt that health education can
improve people's health by reducing occurrence of chronic diseases among people. It costs much
less money than ordinary treatment of chronic diseases. So medical units at all levels should take
it as one of their basic daily tasks.
The author also holds that our country has not had much experience and has much to do in
health education. The money, facilities, devices, teachers for health education are not enough. We
should carry out health education in more local communities and pay more attention to it. In
conclusion, the writer suggests that all the medical workers should take part in health education,
because prevention of diseases is more important and effective than treatment of diseases.
(203words)
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1．汉语原文
育儿谨防入“误区”
一般来说，如今大中城市里的年轻父母对子女的营养问题相当重视，他们也有足够的
经济实力为子女提供良好的膳食。然而，我们在临床工作中却看到，有些小儿面黄肌瘦、体
重偏低。对这些小儿进行膳食营养调查后发现，其中多数小儿存在着热量摄入不足的问题。
不少小儿在增加热量摄入后，症状得到明显改善。显然，热量的缺乏是导致这些小儿消瘦的
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7. 主要原因。
我们还发现，家长中普遍存在着一种错误的“共识”。他们认为有营养的事物就是鸡、鸭、
鱼、肉等含蛋白质较多的动物性食品，这些食品的市场价格也却是较高。据观察，家长为孩
子提供的食谱中不乏此类食品，甚至还有乌骨鸡、甲鱼等比较昂贵的食品。但是综观这些孩
子的全部饮食，粮食所占的比例往往少得惊人，常常是几匙米饭或半碗稀粥，仅此而已。这
些家长们认为，粮食所具有的营养价值就像它们的市场价值一样，无法与动物性食品相比
简直可以不屑一顾。现在，人们的消费能力提高了，也舍得为孩子买高价的营养品。但是家
长们不曾想到，由粮食等淀粉事物或糖提供的碳水化合物，在体内的物质代谢中同样具有
非常重要的作用。
碳水化合物是最主要也是最经济的功能营养素。1克碳水化合物能提供的热量为16.7千
焦。蛋白质的供热量虽与碳水化合物相同，但价格较贵。1克脂肪能提供的热量为37.7千焦，
但食物易产生饱腻感，无法摄入过多。
所以说，碳水化合物提供的热量是人体热量的主要来源，约占总热量的60%。蛋白质和
脂肪在体内代谢中，除提供热量外还有许多重要功能，如构成组织细胞的成份、传递遗传信
息、帮助维生素吸收等。但是在碳水化合物提供热量不足的情况下，蛋白质和脂肪将首先被
消耗以提供热量，不能发挥它们原有的功能，从而导致肌体生长发育迟滞。严重者可引起营
养不良，表现为体重不增、食欲不振、各器官功能低下、容易反复感染等。
营养的关键在于平衡。人类所需要的各种营养素包括蛋白质、脂肪、碳水化合物、维生素
和微量元素，虽然其市场价格有高低之分，但是它们在体内的物质代谢中均具有及其重要
的作用，缺一不可。只有均衡营养素，而且在膳食中各种营养素之间的比例适当，这才称得
上是平衡营养，才能维持小儿的正常发育和健康。
近年来，在上海市区小儿中进行的局部调查显示，幼儿和学龄前儿童，甚至部分小学
生，热量摄入不足的现象比较普遍，这与家长错误理解粮食类食品的价值观不无关系。这种
现象也多见于经济水平高的其他城市家庭中，并不是因经济的贫困而造成的。解决这个问题
的方法不言而明，那就是走出“误区”，为孩子提供足够的粮食类食品，使碳水化合物提供
的热量达到总热量的60%左右。以3岁小儿为例，每日应得到的总热量为5.86兆焦，其中碳
水化合物提供的热量应为3.5兆焦，约需碳水化合物210克，折合大米约280克。其次，蔗糖
也能提供碳水化合物，在牛奶中加糖5%—8%，也是提高热量摄入的一种有效方法。 (1141
字)（97考题）
汉语提纲
本文 了父母在小孩 方面的 念及其 致部分儿童 不良的效果。讨论 营养 错误观 导 营养
错误观念：动物食品营养高，粮食营养差。
后果：体重低、瘦
原因：热量摄入不足
碳水化合物的重要作用
营养的关键在于平衡。
3．参考摘要
A wrong idea in raising children
7

8. Passage 1
In this article, the author writes about a wrong idea held by many young parents in rearing
their children. Nowadays, young parents in big cities attach great importance to the care and
nutrition of their children. But in the clinical investigations many children are found to be
underweight and thin. The main cause, the author believes, is lack of calories in their diet.
Many young parents feed their children under the mistaken idea that animal food is much
more nutritious than grain. So they provide their children with too much protein-rich meat but
without enough carbohydrate food, such as rice and corn, which is also indispensable in children’s
diet.
Carbohydrate is a major source of calories for the human body. It supplies 60% of the
calories the body needs. Moreover, carbohydrate plays an important role in maintaining the proper
functioning of the body. When carbohydrate is in short supply, the normal growth of children is
affected and they show signs of malnutrition.
A health diet is one that keeps a nutritional balance. Animal protein, carbohydrate and food
rich in vitamins are equally important for children’s health. Young parents should fully realize this
and provide their children with nutritionally balanced diet.
In conclusion, the writer says that people should get rid of the wrong idea and provide
enough grain food for the children. (223 words)
Passage 2
Nowadays young parents in cities pay much attention to the nutrition of their children and
can provide them with good food, but doctors find that many children are poorly nourished. They
are thin, pale and underweight. Obviously they do not take in enough heat or energy.
The reason for this problem is that there is a commonly accepted wrong idea among young
parents. They believe that animal food or expensive food is more nutritious while grain food or
cheap food is insignificant in nutrition. As a result, there is too much animal food but little grain in
the diet of the children. These parents do not know that grain food, namely carbohydrate, is the
main source of the heat that the body needs and plays an important role in the metabolism of the
body. If carbohydrate is insufficient and cannot produce enough heat, protein and fat can not play
their proper roles either. Lack of heat will eventually leads to many development problems to the
body, such as malnutrition, thinness, and slow growth.
To resolve the above problem, young parents should realize that the key point of nutrition is a
balanced diet. Human body needs all kinds of nutrition, including protein, fat, carbohydrate,
vitamins and trace elements. They are all essential to the health. (214 words)
1．汉语原文
大学生，心理咨询是你的朋友
1994 年秋，香港一位心理学家到南京大学找部分学生开座谈会，问了一个问题：如果
你有心理障碍，怎么办?许多学生淡然一笑：自己解决!
时过境迁，两年后，南京大学“大学生心理健康教育与研究中心”向学生发放了咨询卡。
8

9. 出乎意料的是，学生们表现出了很高的参与热情，发放问卷 2132 份，回收 2118 份。在填写
过程中，好多学生的思想经历了嬗变的阵痛。在“你认为你有没有心理卫生问题?”及“你有心
理卫生问题或障碍怎么办?”一栏中做出了勇敢的抉择。对回收的问卡，咨询员送行综合统计，
最终筛选出 209 名重点对象，向其发出了“邀请信”，有针对性地开展心理疏通，为许多学
生解开了“心头疙瘩”。
有关资科表明：我国 7O~80％的大学生有心理问题，20.3％有心理障碍。心理的不正常
严重影响了大学生的生活、学习。为了使大学生有一个健康的心理，全国各高校一直致力于
大学生心理保健工作。在南京地区，解放军南京政治学院、南京大学分别形成了具有“军、地”
特色的心理保健机构体系，其他高校也纷纷提出了“让大学生精神走出回形谷”的口号，通
过发放“个性问卷 UPI 卡”、开办讲座、重点谈心等活动，使学生对心理问题有了科学的认识。
南京大学于去年 9 月份设立了“心理门诊”。挂牌后，不少学生下课后在门外打转转，互
相鼓励着走进去向咨询人员敞开了心扉，使得内心压抑得以释放。类似的情况在军校同样存
在，军中骄子们也冲破思想樊篱，以不同方式进行咨询，诸如“经济条件差、优越感不强、为
纪律约束难受、对前途信心不足”等心头疙瘩也被一一解开。但是，在另外一些高校，不少学
生仍不好意思进行心理咨询，有的甚至步入认识的误区：一些人认为心理问题是任何外界
的力量所无法校偏的。某学院一名学生对我们说，我们本来没有心理问题，硬是让“心理咨
询”给弄出来的。还有的学生认为, 心理咨询是“去痛片”、“麻醉药”，只能隔靴搔痒，无法从根
本上解决问题。江苏省大学生心理专业委员会主任桑志芹副教授说，许多学生由于没有及时
找医生进行“心理按摩”，使得心理问题发展为“障碍”，再发展成为“疾病”。江苏每年均有大
学生因心理疾病导致精神畸变而自尽或入院治疗。
在一些高校调查时，我们发现了一些触目惊心的事例。某学院一名班长因成绩下降，被
免去了职务后，竟导致了精神病。某学院一名“三好生”因为“永不满足”产生焦虑，竟跳楼自
尽……其实，这些学生的心理疾病的产生部有一个渐变过程，遗憾的是，他们没有正确认
识到心理咨询的地位和作用，不愿意向他人倾吐心声，长期郁闷压抑，最终导致症状出现。
医生把这称之为“量的积累，导致质的变化”。
高校心理咨询经过不长时间的发展，己初步发展成为一门独具特色的教育学科，为高
校的发展，学生的健康成长，为校园精神文明建设发挥着突出的作用。然而，目前高校的心
理咨询喜忧参半，不少高校还没有认识到心理咨询的作用，有些高校即使有了咨询室，也
仅是由内、外科医生兼职。同时，不少大学生对心理咨询还没有一个理性的认识，使得校方
的心理咨询不能充分发挥作用。因此，如何使学生正确认识心理咨询，并能主动参与，是个
亟待解决的问题。(1239 字) （98 考题）
汉语提纲
本文介 了心理咨 的作用以及在我国高校的 展 程绍 询 发 过
94 年知之甚少，96 年热情参与
大部分有心理问题，20％有心理障碍
严重影响；采取心理咨询的措施
心理咨询的作用：
有则思想问题解决、无则后果严重
存在的问题
9

10. 3．参考摘要
Psychological consultation is a friend of college students
Passage 1
In this article, the author introduces the development of psychological consultation in
Chinese colleges. In 1994, a psychologist found that many college students knew little about
psychological consultation. Only two years later, however, a psychological survey showed that
there was great enthusiasm about it in college students.
The data indicate that 70 – 80 % of college students have mental problems while 20.3% of
them even have mental disorders. Some become mental cases or even commit suicide just because
they fail to have their mental problems resolved. Since mental abnormalities greatly affect the life
and work of college students, colleges all over the country have been working hard to provide
mental health care for students. Institutes of mental health care have been set up and activities,
such as surveys, lectures and talks, have been carried out. The author cites examples to show that
these measures help students get rid of their mental problems.
Within a short time psychological consultation has developed into a special subject in
colleges and plays an important role in the healthy growth of students and construction of campus
spiritual civilization.
The article also points out some problems in the development. Some students are still too shy
to consult a mental clinic. Others fail to realize the great function of psychological advice or even
have wrong ideas about it. In conclusion, the writer emphasizes that it is a great task to make
students understand its advantages and take an active part in it. (245 words)
Passage 2
In this article, the author writes about mental consultation. In 1994, a Hong Kong mental
scientist asked students in Nanjing University a question," What will you do when you have
mental disorders?" At that time many students did not know such a thing as mental consultation.
But two years later, students in the same university showed much concern about mental health and
mental advice.
The data show that 70—80% of college students have mental problems and 20.3% of them
have mental illness. The writer also cites examples to show that mental disorders have greatly
affected the life and study of college students. Some have become mental patients or even killed
themselves because their mental problems were not resolved through psychological advice.
Therefore colleges in our country have taken a lot of effective measures to promote mental health
care for students. This has helped many students solve their mental problems.
But there are still some problems for the development of mental consultation. Some students
still have many wrong ideas about it. Many colleges have not realized the role of mental
consultation. In conclusion, the writer points out that it is a great challenge to make all the
students have correct ideas about it and take an active part in it. (210 words)
10

11. 4
1．汉语原文
19 世纪德国人 F. Tonnies 提出社区是由共同生活的同质人口组成。他们向往有共同价值、
关系密切、守望相助、防御病痛、富有人情味的共同体。笔者曾提出，要用整体医学观、社会医
学观和人文医学观指导卫生改革，引导医学新潮流。社区卫生服务是以个人为中心，以家庭
为单位，以社区为范围的基层卫生服务。医学服务不能把病与人分离，把病人的主观自我与
客观自我分离。单凭几个检验数据来判断疾病，忽视处于第三状态的人，忽视人的心理社会
背景，“物化医患关系”。怎能实现医学的最终目的，还“医乃仁术”的本来面目？
我国传统医学是人文主导型医学，“仁者爱人”，“医者仁也”。西方医学为科技主导型医
学。两者需互补优缺，绝不能搞单纯技术主义。社区卫生服务的连续性、系统性、综合性和方
便性，能使人文医学和技术医学相得益彰。目前医院有些医生，冷面孔待病人，病人姓甚名
谁不知，年龄职业不问，家庭情况不闻，心理社会因素置若罔闻，难免有失偏颇，造成误
诊，临床诊断与病理诊断不符合。20 多年前，某医学院有位老师，出差回来肝剧痛，同位
素诊断怀疑肝癌，请内、外科专家会诊，两位专家都主张剖腹探查。该老师的邻居也是医生，
由于了解其肝大肝硬已有十几年，认为肝痛是工作紧张引起的，休息一段时间会好转，不
同意专家建议。该老师目前仍健康地工作，免挨一刀。此种案例还有不少。对病人的心理和社
会情况全面了解，真正把病人当作人而不是“物化”，全科医生的服务质量会比目前不到 15
分钟看一个门诊病人的医疗质量高得多、好得多。
人有男女老少之分，工农商学兵之分，贫富地位高低之分，ABC 型性格之分，四种气
质之分等。只有社区全科医生才有条件去全面了解人、关心人、尊重人和服务人。医学服务还
有照顾、保护、关怀之意，绝不是开个处方、取几瓶药、打一下针就能实现的，社区全科医学
服务就体现此种人文精神。医学与居民做到守望相助，关系密切，富有人情味。WHO 公布
影响健康的四个因素中，不良生活方式和行为占全球死亡因素的 60%，我国也占 50%以上，
愈发达的地区，此比例也越大。它受社会心理因素影响，要靠全科医学服务才能很好地解决。
医生成为家庭的医学顾问，不是亲人，胜似亲人。在日本，有的全科医护人员，为了劝
人戒烟酒，天天上门做健康教育工作，诚之所至，金石为开，感动人们戒烟酒成功，使近
20 年来，高血压患病率下降 3/4，心血管患病率下降 2/3，成绩卓著。美国开展健康助手活
动，签订家庭服务协议书，帮助慢性病人的家属了解防治疾病和急救知识，使近 20 年来心
脏病死亡率下降 30%，脑血管病死亡率下降 50%。
正当社区卫生服务方兴未艾之际，我认为，在理解此种服务的战略意义中，应体现人
文医学精神，在全科医学培养教育中要贯彻此种精神，加强人文社会学科教育。古希腊一位
哲学家说过：“医学治好身体的毛病，哲学解除灵魂的烦恼。”社区医生用人文医学精神武装
头脑，不但能防治好躯体疾病，还能解除人们行为心理上的烦恼，使卫生服务提高一个档
次，人民健康水平更上一层楼。（1197）（99 考题）
1． 汉语提纲
本文介 了社区 生服 的必要性及其好绍 卫 务 处
医疗服务不能把病与人分开，忽视人的心理社会问题
社区卫生服务结合人文医学和技术医学的长处，连续、系统、综合、方便
11

12. 关爱人、尊重人、对病人有全面了解
服务比一般门诊好，有时比专家好
对慢性病和不良生活方式有很好的作用
不仅防治身体疾病，还解除心理烦恼
3．参考摘要
Community health service
Passage 1
In this article the author discusses the necessity and advantages of community health service.
Medical service should not separate a disease from the patient but should pay much attention at
the same time to the mental and social background of the patient. It is just in this sense that
community health service is necessary and helpful, because it combines the advantages of humane
medicine and technical medicine.
Community health service can provide people living in the neighborhood with continuous,
systematic, general, and convenient medical service, because the general practitioners there have a
close contact with their patients. They are usually very familiar with the psychological and social
backgrounds as well as the history of their patients. The author cites a vivid example to illustrate
that in many cases full understanding of the overall conditions of the patients can result in a better
treatment result than ordinary clinic therapy by experts.
Community health service provides not only medical treatment but also care, love, concern,
and kindness. Therefore, it is a better way to solve problems resulting from bad living style or bad
living habits. Experiences in some developed countries have proved that it can play an important
role in prevention and treatment of many chronic conditions, such as hypertension and heart
attack. In conclusion, the author thinks that doctors in local community health service should cure
people of both physical diseases and mental disorders. (233 words)
Passage 2
In this article the writer discusses the advantages of community health service. First it tends
to be continuous, systematic, general and convenient, because it serves every person and family
living in the community. Second, doctors in community health service know clearly the overall
psychological and social conditions of their patients. So their service quality is likely to be better
than 15- minute service of many clinical doctors in an outpatient department. Third, since there are
many different kinds of patients in the world, only the general doctors (practitioners) in
community health service have the conditions to fully understand, take care of and respect their
patients. As a result, besides clinical treatment, community health service can take care of, protect
and show concern about the patients. Next the writer points out that in many developed countries
community health service has succeeded in reducing many chronic diseases, such as high blood
pressure and heart attack. In conclusion, the writer thinks that community health service should be
greatly developed in our country. It can play an important role in the improvement of people's
12

13. health conditions, because it not only treats physical diseases but also mental disorders of the
patients. (196 words)
1．汉语原文
尽管冬季寒冷，但是仍需进行必要的体育锻炼。寒冷的气候条件下进行体育锻炼，一定
要注意自我保健，否则，会适得其反，冻坏身体。冬季体育锻炼项目主要有滑冰、滑雪、晨练、
冬泳等，下面结合冬季气候作介绍。
首先是着装问题。服装的隔热值必须与运动中增强的代谢产热过程平衡。在冷天中多穿
衣服，衣服在皮肤之外包住一层温暖的空气，使传导散热过程减弱。但在运动时，机体的产
热大大增加，如果穿得过多，反而有害，应穿轻便的衣服。这样在运动中产热增加时，可以
方便地脱掉。近年来服装制造商在发展轻质服装方面不断改进，这样可以保证良好的隔热性，
同时又保证了活动的自由性。
在寒冷环境下运动时，机体能量代谢增强，产热增加，此时机体血管扩展，大大降低
了身体对寒冷的抵抗能力。因此，在运动间隙要特别注意保暖，及时加衣。寒冷环境中运动
时能量消耗大，代谢水平高，使身体内的能源物质消耗增多，在代谢过程中还需要各种维
生素的参与，如维生素 B1、B2、B3、烟酸、维生素 C 等需求增加。
因此，对于从事滑冰、滑雪及在寒冷环境下锻炼者的膳食，应注意增加较多的热量。一
般来说，冬季比春季从事同等强度的运动热量消耗高 10％左右。据测算，一个成年人两小
时的滑冰练习可增加消耗 1000—1500 千卡热量。在三大物质的比例中，因脂肪具有产热量
多的特点，且增加脂肪有助于机体御寒，故应适当增加脂肪的供能比例，一般可占全部热
量的 25％—30％；而蛋白质也应偏高，占 12％—18％；其余由糖来供给。体育运动者按每
天消耗 3500 卡热量计算，蛋白质约需 130 克，脂肪 150 克，糖约 480 克。相当于每天应摄
入米饭或馒头 600 克左右，鸡肉 100 克，瘦猪肉 200 克，鸡蛋两个，牛奶两杯，植物油 50
克等。
冰雪项目锻炼中，膳食中维生素也应相应增加，维生素 C 能增强人体对寒冷的适应能
力。据文献，摄人大量维生素可明显减少寒冷环境中的体温下降幅度，缓解机体肾上腺的过
度应激反应，增加机体耐寒能力。
冬泳是我国北方的一大特色，冬泳健身在理论上有其科学性，但冬泳毕竟是一项冒险
的运动，必须掌握科学的方法。反之，就会影响身体健康，甚至诱发疾病。一是冬泳锻炼应
从秋季的冷水浴开始，逐渐提高对寒冷的适应能力；冬泳期间应加强高能量饮食的补充，
冬泳前不要喝酒：对于心、肝、肾有严重疾病的人或脑血管病、溃疡、关节炎患者，以及妇女
在月经期均不宜冬泳。
冬季有晨练习惯的人，遇大雾天，最好在室内进行，一是雾天能见度低，容易发生交
通事故；二是冬雾中含有对人体有害的酸和胺等污染物，吸入人体易引起气管炎、喉炎、结
膜炎和一些过敏性疾病。另外，冬季晨炼应尽量用鼻呼吸，鼻道能对吸人的冷空气预热，鼻
粘膜能阻止吸入空气中的灰尘。对于严重的疾病患者，冬天的耐寒锻炼更应适度。锻炼时应
根据病情变化适当减少或增加幅度，以防旧病复发。注意循序渐进，掌握体育锻炼与药物治
疗相结合的原则。在天气过于寒冷时，最好不要外出锻炼。（1157）
13

14. 6
1．汉语原文
如何保持充沛的精力
现代社会生活节奏日益加快，竞争日趋激烈，面对工作上的挑战，生活上的各种压力，
许多人都有过在一段时间内情绪低落、容易疲劳、不愿运动、失眠、头痛、注意力不集中等经历，
有的甚至长期或经常出现这种情况。因此，怎样才能长时间精力充沛地工作和轻松自如地生
活越来越被人们所重视和关注。一些著名的医学和健康专家对这种现代人的通病进行了研究，
提出了一系列简便可行的办法。
及时补充能量 在正常的一日三餐之外，每隔 2－3 小时少量进餐，目的是使血糖维持在
能保证满足身体能量需求的水平。从生理上讲，血糖代谢是人体能量的主要来源。因此，不
断补充血糖是保持精力充沛的前提，过度节食者难免精疲力尽。所以，选择食物时应选择富
含碳水化合物(carbohydrate)，同时有适量的纤维素(cellulose)和少量的脂肪的食物。
试试香味提神 实验表明吸入含有薄荷(mint)和百花香味(fragrance)的气体能使计算机操
作人员明显减少操作失误。具体选择哪种香味并无特殊限制。只要是你喜欢，能带来愉悦感
觉的气味都有助于提高大脑的觉醒程度。
补充维生素和矿物质 虽然维生素和矿物质(mineral substances)具有立竿见影的提神醒脑
功效，但他们却是机体正常新陈代谢不可缺乏的营养物质，其中 B 族维生素、镁
（magnesium）、铁尤其重要。医学调查发现相当部分的妇女缺乏某些种类的维生素和矿物
质。每日可服用复合维生素药物，但注意不能超过人体实际需要量。
健身锻炼 定期锻炼的最大受益者是你的心脏。故有“完美的体型意味着完美的心脏”之说。
此外积极的锻炼能够提高机体产能的效率。当快节奏、高强度的工作需要你付出更大能量时，
健康的身体能够游刃有余地释放潜能。现在，城市空气污染严重，对人体危害不浅。在假期
和周末远离喧嚣的都市，每隔一段时间到林木茂盛的风景区踏青，可以令人体吐故纳新、调
和呼吸、阴阳协调。在绿色植物密集的公园、森林，空气里的负离子(anion)浓度较高。在负离
子充沛的地方，人们感到心旷神怡、精神振奋。空气中的负离子不仅能调节神经系统，而且
可以促进胃肠消化、加深肺部的呼吸。深呼吸不仅可以摄取更多的氧气，同时能刺激副交感
神经(parasympathetic nerve)系统，有助于放松。深呼吸时可以躺下或端坐，一只手放于体侧，
另一只手放于腹部，用鼻子吸气，同时排除杂念，想象胸部充分扩展、肺内正充满氧气，然
后感觉二氧化碳从体内排出，同时颈肩放松。每次不少于 3－5 分钟。（926）
14

15. 7
1．汉语原文
健康从早餐开始
很多人不重视早餐，常常是随便凑合一下或者干脆不吃。其实早餐对保障人体健康、维
持体能、提高学习和工作效率有着至关重要的作用。不仅如此，专家还认为，应该根据人的
不同年龄和体质状况，科学合理地搭配早膳，以满足人体健康的需要。
幼 儿 的 早 餐 幼儿正值生长发育的旺盛时期，应当注重补充丰富的蛋白质和钙
(calcium)，尽量少吃含糖较高的食物，以免引起龋齿（decayed tooth）和肥胖。如果在条件
许可的情况下，幼儿的早餐通常以适量的牛奶、鸡蛋和面包为佳。当然，也可以用果汁或粥
来代替牛奶，或者用饼干、馒头代替面包。
青少年的早餐 青少年时期身体发育较快，是肌肉和骨骼生长的重要时期，需要足够
的钙、维生素 C、维生素 A 等营养成分，尤其是要保证充足的热量供应。青少年比较合理的早
餐是一杯牛奶、适量的新鲜水果或蔬菜、100 克干点（面包、馒头、大饼或饼干等合碳水化合
物 (carbohydrate) 较高的食品）。所含的热量要充分满足青少年脑力活动与体力活动的需要。
中年人的早餐 人到中年，肩挑工作、家务两副重担，身心的负荷相当重，加上中年时
期组织器官的功能和生理功能日渐减退，其体力和精力都不如青少年。为了减缓中年人衰退
的过程，推迟“老年期”的到来，除了要保持乐观的思想情绪和进行必要的体育锻炼之外，
合理地搭配膳食也非常重要。中年人的饮食，既要含有丰富的蛋白质、维生素、钙、磷
（phosphorus）等。还应保证低热量、低脂肪并适当地控制碳水化合物的摄人量。中年人较理
想的早餐是：鸡蛋、豆浆或粥、干点（馒头、大饼、饼干和面包均可）和适量的蔬菜。
老年人的早餐 老年人的新陈代谢(metabolism)已经明显衰退，但必需的营养成分不能
减少，尤其是要保证钙的供应，以防止老年人的骨质疏松 (osteoporosis)。老年人的早餐除了
供应牛奶和豆浆以外，还可多吃粥、面条、肉松和花生酱等既容易消化、又含有丰富营养的食
物。除此之外，老年人的早餐应注意少吃油炸类食品。因为这类食物脂肪含量高，胃肠一般
难以承受，容易出现消化不良，并易诱发胆、胰疾患，或使这类疾病复发、加重。多次使用的
油里往往含有较多的致癌物质，如果常吃油炸的食品，可增加患癌症的危险。老年人还要少
吃甜食，因为多余的糖在体内转化为脂肪，容易引起无机盐缺乏。动物内脏类如肝、肾、脑等
胆固醇 (cholesterol) 含量甚高，老年人如经常食用，会使血中胆固醇增高，从而容易引发
冠心病、肝病、动脉硬化、高血压等心脑血管疾病，或使原有的疾病加重。（953）
15

16. 8
1．汉语原文
入世后看病如何挑医院
合资医院服务好，价格高
入世后，许多人需要医疗保健时，总是毫不犹豫地选择洋医院，理由很简单，就是冲
着洋医院的服务去的。一般来说，洋医院医生中大多数持有外国医师职业执照，在候诊室里，
沙发、电视、茶点、杂志一应俱全，大厅里有儿童乐园，走廊里还播放着轻松优雅的背景音乐。
在这里，病人被视为“客人”，他们不必排队挂号，不必楼上楼下跑，划价、交费、取药在一
个窗口。病人的候诊时间不超过 10 分钟，看病时，每位病人不能少于 45 分钟，病人可以充
分地向医生表述病情，医护人员保证全方位服务。在诊疗时，医生还会增加心理咨询、健康
教育等内容。来到这里，病人可以感到家一样的温馨。
不过洋医院目前的收费是很高的，在北京的洋医院里，看一次感冒需要 500 元左右，
在这 500 元左右的费用中药费仅占 100 元左右。洋医院所收费用的 80％是患者为院方提供的
高质量服务而付的，而公立医院的收入则主要来自药品差价，有的达到了总收入的 90％。
可见，洋医院与公立医院最大的不同是，前者挣的是服务费，后者挣得是药品钱。
民营医院有发展空间
民营医院一般是指民间、社会资本占主体的医院。目前，我国约有民办医院 400 多家，
私人诊所 137 万个，个体医生近 20 万名。从总体看民办医疗机构虽然在数量上占全国卫生
机构综述的 41％，但主要为规模较小的私人诊所，每年为社会提供的医疗服务量大约占总
量的百分之几，目前的基础设施、诊疗设备、技术水平等方面，还难以与具备优势的公立医
院形成公平、有效的竞争局面。
民营医院的出现让人想起十几年前人们对超市的概念认识也是比较模糊的。即使总认为
里面装修豪华、高档，但因货物很贵而不愿意进门。而今超市大大普及了，人们纷纷进入购
物，因为物有所值。民营医院或许正有类似的经历，它也将有一个自然成长的过程。而 2002
年我国政府又提出了在卫生资源相对过剩的地方，鼓励投资者通过收购、重组现有公立医院
的方式举办赢利性医疗机构和民办非赢利性医疗机构，提出了社会资本投资着重于目前服
务能力较欠缺的老年慢性病护理、康复、婴幼儿保健等领域。据悉，5 年内全国 65 万家医院
的 40％要办成民营医院。政府目前正会同有关部门研究其中的一些政策性问题。随着社会观
念的变化和政策环境的改善，民营医院必能与公立医院相辅相成，互争高低，成为医疗卫
生界一道独特的风景，从而为人民群众提供更多更好的医疗服务。
公立医院正进行全方位的改革
长期以来，我国的公立医院一直享有政府支持和财政补贴。其基础建设、技术力量、医疗
设备堪称雄厚，且明显高于民营医院。老百姓看病已经习惯去公立医院，更何况到公立医院
看病的各种费用低于合资医院。不同于民营医院的是，医药费还可以报销。但是公立医院存
在的问题，又使老百姓看病时满腹牢骚。比如挂号时间长、交费时间长、候诊时间长、看病时
间短等问题。尤其公立医院的服务问题，一直困扰着医患关系实行正常化。
加入 WTO 后，洋医院先进的医疗技术、仪器和管理手段对公立医院将构成威胁。为了
留住病人，公立医院开始实施全方位的改革措施，不仅在管理体制上、人事制度上进行改革，
而且更多的是纷纷打起了技术、服务、环境、价格牌。比如许多公立医院花巨资增添先进仪器
16

17. 和对门诊进行全面改造。据悉，有的医院开始了医生预约制，不管患者到不到，在预约的时
间里，医生都得等病人。还比如公立医院之间共同组建医疗协作体，其用意一是提高医疗技
术，二是扩大服务阵营。（1360）
17

18. 9
1．汉语原文
艾滋病是全社会的威胁
什么是艾滋病(AIDS)?
艾滋病是一种由艾滋病病毒、即人类免疫缺陷病毒(human immunodeficiency virus，简称
HIV)侵入人体后破坏人体免疫功能，使人体发生多种不可治愈的感染和肿瘤，最后导致被
感染者死亡的一种严重传染病。艾滋病的医学全称为“获得性免疫缺陷综合症”(Acquired
Immune Deficiency Syndrome)。这个命名表达了艾滋病的完整概念，从中我们可以了解到艾
滋病的三个明确定义：“获得性”表示在病因方面是后天获得而不是先天具有的。“免疫缺陷”
表示在发病机理方面，主要是造成人体免疫系统的损伤而导致免疫系统的防护功能减低或
丧失。免疫缺陷病的共同特点是对感染的易感性明显增加和易发生恶性肿瘤。“综合症”表示
在临床症状方面，由于免疫缺陷导致的各个系统的感染和肿瘤而出现的复杂症状群。
艾滋病发源于非洲。1981 年全球首例艾滋病病例在美国被发现。1985 年在中国发现了首
例艾滋病例。全世界共有艾滋病病毒携带者和患者 4990 万，大多数在发展中国家，其中非
洲约 3700 万。截止 2002 年，我国艾滋病病毒感染总人数已突破一百万，所有省、自治区、直
辖市都有艾滋病病例报道。
艾滋病的传播途径和发病过程
艾滋病病毒感染者虽然外表和正常人一样，但他们的血液、精液、阴道分泌物、皮肤粘膜
破损或炎症溃疡的渗出液里都含有大量艾滋病病毒，具有很强的传染性。乳汁也含病毒，有
传染性。唾液、泪水、汗液和尿液中也能发现病毒，但数量很少，传染性不大。已经证实的艾
滋病传染途径主要有三条：性传播、血传播和母婴传播，其核心是通过性传播和血传播。
从感染艾滋病病毒发展成艾滋病病人一般可分为四期。第一期为急性期，是指从受到感
染至血清中出现抗艾滋病病毒抗体这段时期。此期往往因症状轻微而被人们忽视。第二期为
无症状期，也称潜伏期。除血清中抗艾滋病病毒抗体阳性外无任何临床症状。第三期为艾滋
病前期，其主要表现是，持续性全身淋巴结肿大，而无其他临床症状。第四期为完全艾滋病
期或艾滋病晚期。此期表现较为复杂，可出现各种各样症状，如：不明原因的发热、腹泻、体
重减轻、二重感染和继发肿瘤等。
艾滋病的治疗和预防
艾滋病是一种病死率极高的严重传染病，目前还没有治愈的药物和方法，但可预防。治
疗药物可分为三大类：抗 HIV 病毒药物，免疫调节剂和抗感染药物。近年来艾滋病的治疗
研究有了很大进展，有些新药将要上市，不久的将来一定能攻克治疗上的难关。中国的一些
中药亦有调整免疫功能的作用。目前有些研究已发现，某些中药或其成分在体外实验过程中
能抑制 HIV，且价格便宜，预计会有很好的应用前景。对艾滋病的治疗目前还没有传出令人
乐观的消息。美籍华裔科学家发明的联合药物疗法“鸡尾酒疗法”曾轰动一时，但现在研究发
现即使同时使刚 3 种甚至 4 种药物也不能完全清除人体内的艾滋病病毒。相反，在体内潜伏
一段时间后，病毒数量还可能大规模上升。
艾滋病威胁着每一个人和每一个家庭，预防艾滋病是全社会的责任。绝大多数感染者要
18

19. 经过五到十年时间才发展成病人，一般在发病后的 2—3 年内死亡。与艾滋病人及艾滋病病
毒感染者的日常生活和工作接触不会感染艾滋病，艾滋病不会经电话机、餐饮具、卧具、游泳
池或浴室等公共设施传播，也不会经咳嗽、喷嚏、蚊虫叮咬等途径传播。遵守性道德是预防经
性途径传染艾滋病的根本措施。共用注射器、吸毒是传播艾滋病的重要途径，因此要拒绝毒
品，珍爱生命。避免不必要的输血、注射、使用没有严格消毒器具的不安全拔牙和美容等，使
用经艾滋病病毒抗体检测的血液和血液制品。(1372)
To simplify calculation, femur midshaft transverse plane can be proximately regarded as
homogeneous round, the place where screw going straight through the bone give it a largest bony
destroy will be the most weak in all diaphysis, a fracture may take place through the screw holes.
To simplify calculation, the cross section of femur midshaft was proximately regarded as a
homogeneous round and so the weakest point of the diaphysis is where screws go straight through
the bone and a fracture is likely to occur.
To simplify calculation, the cross section of femur midshaft is proximately regarded as a
homogeneous round and so the weakest point of the diaphysis is where screws go straight through
the bone because this part is most invaded so that a fracture is likely to occur.
The weakest point of the diaphysis is where screws go straight through the bone and invade
the bone tissue so hard that a fracture is likely to occur, if the cross section of femur midshaft is
proximately regarded as a homogeneous round.
As expected, better fixation was obtained with the combination of rigid and flexible fixation,
a high quality animal modal developed, having accurate defect dimension, reliable fixation
stability, less liability of comminuted fracture.
As expected, better fixation was obtained with the combination of rigid and flexible fixation
to develop a high quality animal model with accurate defect dimensions and less liability of
comminuted fracture.
As expected, a high quality animal model with accurate defect dimensions and less liability
of comminuted fracture was developed through better reliability provided by combination of rigid
and flexible fixations.
There are many factors which affect recovery of bone defects, in which the defect length is
of the most importance, that is, the recovery is length or/and size-dependent, the else include
experimental animal species, age, et al [19,23,30]. Additionally, defect site, blood flow of the soft
tissue around defect, with or without filler such as bone debris, new formed periosteum from
nearby phoroplast metaplasia, every factor of them plays a part in osseous recovery potential.
Many factors have been found to affect the recovery of bone defects, such as the defect
length, experimental animal species, defect site, blood flow of the soft tissue around defect, fillers
such as bone debris, newly formed periosteum from nearby phoroplast metaplasia, and age.
[19,23,30] The length of the empty defect segment is of the most importance so that the recovery
was called length or/and size-dependent [19,23,30].
As people say, the period in campus is the most colorful time in your whole life time, during
which you can show all your talent and skill.
(As people often say, the most colorful time in your whole life is your college days, during
which you can show all your talents and skills.)
They report school sirs, but it is hard to solve this problem. (They reported the theft events to
the related leaders, but they said it was hard to solve this problem. / They reported their thefts to
19

20. some related leaders who said it was hard to solve this problem.)
Second, some students pay little attention to those of their own, lack of sense of security,
laying things here and there. (Second, some students pay little attention to their belongings and
leave them here and there carelessly, due to lack of sense of security./ Second, as some students
lack sense of security, they do not take good care of their belongings, leaving them here and there./
Second, those who lack a sense of security usually are not careful about their personal articles,
leaving things here and there.)
63 例中 57 例术后骨折对线满意，6 例出现成角畸形,其中 4 例在矢状面上成角 10°，2
例在冠状面上成角 9
The postoperative alignment of fracture was satisfactory in 57 of the 63 cases, and the
angulation was found in 6 cases, in which 4 cases for 10°in the sagittal plane and 2 cases for 9°in
the coronal plane.
The postoperative alignment of fracture was satisfactory in 57 of the 63 cases, and the
angulation was found in 6 cases, of which 4 showed 10°angulation in the sagittal plane and 2 had
9°angulation in the coronal plane.
1 例股骨头缺血性坏死；2 例异位骨化＋股骨头缺血性坏死导致髋关节骨融合。
Ischemia necrosis of femoral head occurred in 1 case, and 2 cases experienced heterotopic
ossification with ischemia necrosis of femoral head which led to osseous fusion of hip joint.
Ischemia necrosis of femoral head occurred in 1 case, and 2 cases experienced heterotopic
ossification with ischemia necrosis of femoral head which led to osseous fusion of hip joint.
Conclusion The
不同体重患者手术后腰背部疼痛明显缓解、日常生活质量改善，
All of the patients had reduction in pain , improvement in activities of daily living.
All the patients experienced relief of pain, and improvement in daily activities.
Medical Mode
1
Title: On current medical mode
Controlling idea:
Current medical mode is a bio-psycho-social one.
Current medical mode is concerned not only with the biological factors but also the psychological
and social factors of a patient.
Current medical mode pays much attention to the psychological and social factors that affect
human health as well as to the biological factors.
I definition of medical mode:
The chief characteristics of medicine of an era
The main concerns of medicine of a time
II. development of medical mode
A. Old medical mode: biological Centered on diseases
B. Current medical mode: bio-psycho-social Centered on patients as a social human being
III the reasons why medical mode changed from a bio-medical one to a bio-psycho-social
medical one.
20

21. A. social changes
B. changes of disease spectrum
C. progress of medicine
IV. conclusion
A. Nations health education
B. medical workers Holistic therapy
Take social and psychological factors into consideration in diagnosis and treatment
Current Medical Mode
The medical mode may be regarded as the chief characteristics of medicine of an era, and it
mainly concerns of medicine of a time. With the development of society, two main medical modes
exist: old one and new one.
Old medical mode is also called biological one, and it is centered on diseases. That is, the
doctor only focuses on illnesses, not social human beings. Instead, new or current medical mode is
bio-psycho-social one, and it is centered on patients as social human beings. The doctor pays
attention to not only the sick man or woman, but his or her psychological status and social
environment. Compare with the former, the latter takes more factors into consideration.
Why does medical mode change from a bio-medical one to a bio-psycho-social medical one?
The reasons maybe have many, however, three major causes must be considered. First of all,
social changes may rank the top. With the entrance to 21st century, our society becomes more and
more modernized, and more and more people move to cities, thus cities become more crowd than
before, but modern people possess fewer time to communicate each other because of heavier
burdens or some other reasons, as a result, some of them become anxious, lonely, angry, crazy and
so forth mental problems. Next, nowadays, disease spectra have been greatly changed, heart and
brain diseases and malignant neoplasms rank the top three death-caused illnesses ， infectious
diseases are no longer the main reason of death. Finally, progress of medicine should not be
overlooked. With the advance of modern medical technology, more and more sophisticate
apparatus, such as CT, NMR, FCM and so on, have been invented. So many diseases are easier
and easier to diagnose and therapy, thus changes the medical mode.
In conclusion, with current medical mode having been established, on one hand, we should
enhance health education around the country, on the other hand, medical workers should set up
ideas of holistic therapy, taking social and psychological factors into consideration in diagnosis
and treatment as well as biological ones. Thus we can keep up with the requirement of current
medical mode. （356）
Improvements One:
Topic: On current medical mode
Controlling idea:
Current medical mode is a bio-psycho-social one.
Current medical mode is concerned not only with the biological factors but also the
psychological and social factors of a patient.
Current medical mode pays much attention to the psychological and social factors that affect
human health as well as to the biological factors.
21

22. Changes in society and disease spectrum and progress of medicine have caused the medical
mode to develop from a biological one into a bio-psycho-social one.
I definition of medical mode:
The chief characteristics of medicine of an era
The major (governing/prevailing) features of medical practice of an era
The main concerns of medicine of a time
II. Development of medical mode
A. Old medical mode: biological,
centered on diseases
B. Current medical mode: bio-psycho-social
centered on patients as a social human being
III Reasons why medical mode changed from a bio-medical one to a bio-psycho-social medical
one.
A. social changes
B. changes of disease spectrum
chronic and non-infectious diseases have imposed the greatest threats to health
C. progress of medicine
inventions of antibiotics and vaccine
IV. conclusion
Measures suitable to current medical mode
A． nations
health education
B． medical workers
Holistic therapy
Take social and psychological factors into consideration in diagnosis and treatment
Current Medical Mode
The medical mode may be regarded as the chief characteristics of medicine of an era, and it
mainly concerns of medicine of a time. With the development of society, two main medical modes
exist: old one and new one.
（The medical mode may be regarded as the chief characteristics of medicine of an era, and
the main concerns of medicine of a time. With the development of society, two main medical
modes exist: an old one and a new one. [With the development of society, a new medical mode has
been developing from the traditional one.]）
Old medical mode is also called biological one, and it is centered on diseases. That is, the
doctor only focuses on illnesses, not social human beings. (The old medical mode is also called a
biological one in which interests of medical workers are usually centered on biological aspects of
a patient. That is to say, doctors focus their attention only on illnesses, not on social beings of a
patient.) Instead, new or current medical mode is bio-psycho-social one, and it is centered on
patients as social human beings. The doctor pays attention to not only the sick man or woman, but
his or her psychological status and social environment. Compare with the former, the latter takes
more factors into consideration. (By contrast, the new current medical mode is bio-psycho-social
in nature because it demands medical workers to center their interests on all the aspects of a
patient as a social human being. In current medical mode, doctors are supposed to pay attention
22

23. not only to the sickness of a patient but also to his or her psychological status and social
environment. Compared with the former, the latter takes more factors into consideration.)
Why does medical mode change from a bio-medical one to a bio-psycho-social medical one?
The reasons maybe have many, however, three major causes must be considered. (Why has the
bio-medical mode been changing into a bio-psycho-social one? There are three major causes.)
First of all, social changes may rank the top. With the entrance to 21st century, our society
becomes more and more modernized, and more and more people move to cities, thus cities
become more crowd than before, but modern people possess fewer time to communicate each
other because of heavier burdens or some other reasons, as a result, some of them become
anxious, lonely, angry, crazy and so forth mental problems. (Social development may rank the
first. In modern times, more and more people can enjoy a comfortable and decent life. Increased
living standards have made people raised their demands on health. People are not satisfied with
mere absence of physical diseases, but want to be happy in mentality as well as in relationship
with other people and environment.) Next, nowadays, disease spectra have been greatly changed,
heart and brain diseases and malignant neoplasms rank the top three death-caused
illnesses ， infectious diseases are no longer the main reason of death. (Next, diseases that
endanger human health the most have greatly changed. Infectious diseases are no longer the main
cause of death, but heart and blood-vessel diseases and malignant neoplasms rank the top three
death-related illnesses.) Finally, progress of medicine should not be overlooked. With the advance
of modern medical technology, more and more sophisticate apparatus, such as CT, NMR, FCM
and so on, have been invented. So many diseases are easier and easier to diagnose and therapy,
thus changes the medical mode. (Finally, progress of medicine should not be overlooked. With the
advance of modern medical technology, more and more sophisticated apparatuses, such as CT,
NMR, FCM, and effective medications, such as antibiotics and vaccine, have been invented. So
many physical diseases are easier to diagnose and treat than before. [It is easier for people to
diagnose and treat physical diseases than before.] Now contemporary people are capable of
expanding their medical interests to further improve their health and thus enhance their quality of
life.)
In conclusion, with current medical mode having been established, on one hand, we should
enhance health education around the country, on the other hand, medical workers should set up
ideas of holistic therapy, taking social and psychological factors into consideration in diagnosis
and treatment as well as biological ones. Thus we can keep up with the requirement of current
medical mode. (In conclusion, to accelerate the establishment of modern medical mode, nations
should take effective measures to enhance health education around the world. On the other hand,
to keep up with the current medical mode, medical workers should set up ideas of holistic therapy,
taking social and psychological factors as well as biological ones into consideration in diagnosis
and treatment.)
2
Outline:
Heading: On current medical mode
I the description of medical mode:
 Medical mode
23

24.  Old medical mode: bio-medical mode
 Current medical mode: bio-psycho-social medical mode
II the reasons that medical mode changes from bio-medical mode to bio-psycho-social medical
mode.
 changes of disease spectrum
 advance of sociality
 changes of life style
 improving demands of health
 concern of social-psychological-biological health instead of concern
of physical health
 improvement of life quality
III the ways to turn our steps to bio-psycho-social medical mode
 the conversion of national health policy
 the changes of medical workers
IV the conversion of medical mode is not invariableness, it according to the social mode.
Current medical mode
Medical mode is a sum of important medical views, such as health views, disease views,
death views, etc. Specific medical mode is according to the character, level, tendency and goal of
medical development history. In history, there are many forms of medical mode, bio-medical
mode and bio-psycho-social medical mode are the main forms after 20 century. Compared with
bio-psycho-social medical mode, Bio-medical mode is a traditional and single medical mode
which often emphasizes pathology and symptom management, but it can not fit for the
requirement of modern medicine. Current medical mode, bio-psycho-social medical mode, is
careful about physical health, psychological health and social problem.
Why does traditional model change to the current medical model? The first reason is that
during the past fifty years, a lot of diseases can be cured by new methods and medical equipments.
And there are many other diseases emerging because of the changes of modern life styles. All of
these caused the spectrum of disease to change. The second, with the development of economy
and society, people not only pay attention to dress warmly and ear their fill, but also the high
quality of life. Finally, modernist show more and more concern of bio-psycho-social health instead
of only concern of physical health. They do not only comfort with the physical healthy, they need
to make friends with others, hygeian mentality too.
Although, demands from society and people put a requirement of change the medical model,
the change is still difficult. It needs the government and people especially medical workers try
hard together. First, government should set down new correlative national health policy. Second,
the doctors should change their opinions. Modern medicine is not only to treat with body disorder,
but also with the psychological disorder, the life style disorder, and so on. Doctors should pay
more attention to their patients, and try them hard to alter the distant relationship between doctor
and patient to warmly relationship. Third, health education can help people to improve their
behaviors, such as do more exercise, not to watch TV too much, not sit down too long without any
movement, etc.
In general, medical mode is a variableness concept and should fit for the changes of society,
diseases spectrum, demands of health. (375)
24

25. Improvements Two:
Outline:
Heading: On Current Medical Mode
I Description of the medical mode:
 Medical mode
 Old medical mode: bio-medical mode
 Current medical mode: bio-psycho-social medical mode
II Reasons why the medical mode has changed from the bio-medical mode into the bio-psycho-
social medical mode.
 Changes in disease spectrum
 advances in society
 changes of life style
 Enhanced demands on health
 concern about social-psychological-biological health in addition to
concern about physical health
 improvement in life quality
III Ways to keep up with the bio-psycho-social medical mode
 Changes in national health policy
 Changes in medical workers
IV The medical mode is not invariable, but develops with the social progress.
On Current Medical Mode
Medical mode is a sum of important medical views, such as health views, disease views,
death views, etc. (A medical mode is a sum of important medical views, including health views,
disease views, and death views. [A medical mode is a sum of important medical views, involving
health, disease and death. / A medical mode is a sum of important medical views about health,
disease, death and so on.]) Specific medical mode is according to the character, level, tendency
and goal of medical development history. (A specific medical mode is determined usually by the
social and medical developments / different requirements [needs] of medicine at different times.)
In history, there are many forms of medical mode, bio-medical mode and bio-psycho-social
medical mode are the main forms after 20 century. (There have been two main medical modes
since 20 century, the biological one and bio-psycho-social one.) Compared with bio-psycho-social
medical mode, Bio-medical mode is a traditional and single medical mode which often
emphasizes pathology and symptom management, but it can not fit for the requirement of modern
medicine. (The traditional bio-medical mode is a single-element one which focuses only on
pathology and treatment of a disease. It has no longer been fit for the needs of modern people in
health.) Current medical mode, bio-psycho-social medical mode, is careful about physical health,
psychological health and social problem. (On the contrary, the current medical mode, a bio-
psycho-social one, is multiple, for it is concerned about not only a physical disease but also the
psychological health and disease-related social problems of a patient.)
Why does traditional model change to the current medical model? (Why is the traditional
medical mode changing?) The first reason is that during the past fifty years, a lot of diseases can
be cured by new methods and medical equipments. (The first cause [reason] is that the spectrum
25

26. (list) of diseases that harm human health the most has changed. A lot of human diseases can be
cured by new medical methods and devices since the 20th
century. Infectious diseases and plagues
that were the greatest threat to human health and claimed millions of lives seem to have been
conquered by human beings with antibiotics and vaccines.) And there are many other diseases
emerging because of the changes of modern life styles. (Instead, chronic, non-infectious and
mental diseases that result from modern life styles have caused the main proportion of human
deaths.) All of these caused the spectrum of disease to change. (All these have changed the major
tasks a medical worker should fulfill in modern and future society.) The second, with the
development of economy and society, people not only pay attention to dress warmly and ear [eat]
their fill, but also the high quality of life. Finally, modernist show more and more concern of bio-
psycho-social health instead of only concern of physical health. They do not only comfort with the
physical healthy, they need to make friends with others, hygeian mentality too. (Secondly, with the
development of economy and society, modern people have higher demands on their health. They
have been no longer content with absence of diseases, but desired a high quality of life. They are
concerned about not only physical health but also psychological health as well as harmony
relationship with their living environment.)
Although, demands from society and people put a requirement of change the medical model,
the change is still difficult. It needs the government and people especially medical workers try
hard together. (Although the changed tasks of medicine and enhanced demands on health have
made the reform of medical mode necessary, efforts from governments and medical workers are
needed.) First, government should set down new correlative national health policy. (First,
governments should lay down appropriate national health policies to promote development of the
bio-psycho-social medical mode.) Second, the doctors should change their opinions. (Secondly,
doctors should change their old medical ideas [concepts].) Modern medicine is not only to treat
with body disorder, but also with the psychological disorder, the life style disorder, and so on.
(They should be aware that modern medicine is not only to treat body disorders, but also deals
with mental disorders and health-related risks.) Doctors should pay more attention to their
patients, and try them hard to alter the distant relationship between doctor and patient to warmly
relationship. (They should pay more attention to health promotion, not just to disease
management.) Third, health education can help people to improve their behaviors, such as do more
exercise, not to watch TV too much, not sit down too long without any movement, etc. (Thirdly,
governments and medical workers should make joint efforts to carry out health education in all
kinds of forms, because it is an effective and economical way for people to raise their awareness
of health and get rid of risky life styles.)
In general, medical mode is a variableness concept and should fit for the changes of society,
diseases spectrum, demands of health. (In general, a medical mode changes with social
development and medical progress so as to meet the increasing demands of people.)
3
Outline
Ⅰ The term "medical model" refers to a philosophy of health and wellness.
Medical Model developed a great change results in changes of doctor’s role.
Ⅱ In the past, Medical Model is Bio-Medical Model.
①what reason results in this model.
26

27. ②The physician's task is to treat disease.
Ⅲ At present, Medical Model has turned into Bio-Psycho-Medical Model.
1 what reason results in this model.
2 The characteristic of this model has a great change.
3 The physician's task focuses on persons.
Ⅳ we should understand this change of Medical model.
Medical Model
The term "medical model" refers to a philosophy of health and wellness that is medically
based and looks at fitness as part of a lifelong pursuit of total wellness. With the improvement of
medical levels and the diversify of diseases, Medical Model developed a great change results in
changes of doctor’s role.
In the past, Medical Model is Bio-Medical Model. this medical model centers on disease in
many respects. In this time, it is a peak period of acute and infectious diseases. the physician's task
is to diagnose diseases, to discover their causes and symptoms, and design treatments. The
treatments are aimed at eliminating or minimizing the symptoms of the disease, or the cause of the
disease, or the disease itself.
At present, with the progressive urbanization of life accompanied by the industrial and
technologic revolutions humankind has seen the development of new and very different
adversities, particularly stress related diseases, acute and chronic that are directly linked to
personal attitudes and lifestyle. As a result, a Bio-Medical Model that cannot effectively
incorporate psychological, psychosocial, or spiritual factors-factors has become increasingly
evident. In order to suit for this diversify. Medical Model has turned into Bio-Psycho-Medical
Model. His concept of person-centered care focuses on persons, not patients; illness rather than
disease; an understanding of the personal situation, not just the biologic situation; clinical
judgment rather than diagnosis alone; healing rather than curing; collaboration with patients, not
just treatment of them; and the achievement of health rather than the eradication of sickness. This
concept emphasizes the responsibility of the individual patient in health maintenance and disease
prevention, with the physician acting as a partner. The physician's role in patient-centered care is
involved, not detached. Ignorance of the social and mental background of a patient can have a
negative effect on the outcome of the medical service.
As practitioners, we should understand this change of Medical model, approach our patients and
their problems within the framework of a conceptual model, make Bio-Psycho-Medical Model
served us well. (333)
Improvements Three：
Outline
Ⅰ The term "medical model" refers to a philosophy of health and wellness.
(Ⅰ The term "medical mode" refers to a philosophy of health and wellbeing.)
Medical Model developed a great change results in changes of doctor’s role.
(Great changes in the medical mode have resulted in changes of a doctor’s roles.)
Ⅱ In the past, Medical Model is Bio-Medical Model.
(ⅡThe medical mode in the past is biological.)
①what reason results in this model. (① The reason for this mode: task to treat diseases)
27

28. ②The physician's task is to treat disease. (////////)
Ⅲ At present, Medical Model has turned into Bio-Psycho-Medical Model.
(Ⅲ The medical mode at present has turned into a bio-psycho-social one.)
1 What reason results in this model. (Reasons for the new mode: )
2 The characteristic of this model has a great change. (////////)
3 The physician's task focuses on persons. (////////)
Ⅳ We should understand this change of Medical model.
(Ⅳ We should understand this change of Medical model.)
Medical Model
The term "medical model" refers to a philosophy of health and wellness that is medically
based and looks at fitness as part of a lifelong pursuit of total wellness. (The term "medical mode"
refers to a medical philosophy of health and wellbeing that looks upon physical and mental fitness
as a lifelong pursuit.) With the improvement of medical levels and the diversify of diseases,
Medical Model developed a great change results in changes of doctor’s role. (With constant
advancement of medical levels and changing spectrum of diseases that pose the gravest threats to
human health, great changes have taken place in the medical mode and consequently resulted in
changes in a doctor’s role.)
In the past, Medical Model is Bio-Medical Model. this medical model centers on disease in
many respects. In this time, it is a peak period of acute and infectious diseases. (The medical mode
in the past was biological and centered main efforts of medical workers upon diseases, because it
was a peak period of acute and infectious diseases.) the physician's task is to diagnose diseases, to
discover their causes and symptoms, and design treatments. The treatments are aimed at
eliminating or minimizing the symptoms of the disease, or the cause of the disease, or the disease
itself. (The chief tasks of medical workers in the past were to diagnose and treat diseases in
clinics, as well as to do medical research on diseases in labs.)
At present, with the progressive urbanization of life accompanied by the industrial and
technologic revolutions humankind has seen the development of new and very different
adversities, particularly stress related diseases, acute and chronic that are directly linked to
personal attitudes and lifestyle. (Since the industrial and technological revolutions accompanied
by global urbanization, the humankind has undergone a series of dramatic progress and changes in
every aspect of life. With advanced medicine, acute infectious diseases caused by harmful
microorganisms have no longer been the chief killer of human lives. When people can now enjoy
a much longer life expectancy, they find that chronic infectious diseases related to their life styles
and environments, including mental problems, have become the main danger to their health.
Modern people not only want to get rid of sufferings from diseases as much as possible, but also
want to stay healthy as long as possible. All these place/put increased demands on medical
workers, as they are supposed to promote human health instead of just curing diseases. To be
absent of diseases is just part of the new concept about health. [Health has been regarded as much
more than being absent of diseases.] Modern people have come to realized that health is closely
related not only to physical, or biological, factors but also to psychological, environmental and
social factors of a person.) As a result, a Bio-Medical Model that cannot effectively incorporate
psychological, psychosocial, or spiritual factors-factors has become increasingly evident. In order
to suit for this diversify. Medical Model has turned into Bio-Psycho-Medical Model. (As a result,
28

29. as the traditional bio-medical mode cannot meet the needs of contemporary people, a new bio-
psycho-social medical mode is developing.) His concept of person-centered care focuses on
persons, not patients; illness rather than disease; an understanding of the personal situation, not
just the biologic situation; clinical judgment rather than diagnosis alone; healing rather than curing;
collaboration with patients, not just treatment of them; and the achievement of health rather than
the eradication of sickness. This concept emphasizes the responsibility of the individual patient in
health maintenance and disease prevention, with the physician acting as a partner. The physician's
role in patient-centered care is involved, not detached. Ignorance of the social and mental
background of a patient can have a negative effect on the outcome of the medical service. (The
new mode requires [asks] a medical worker to focus his attention on the overall conditions of a
patient, including his disease, mental status, social background and living environment. Ignorance
of the social and mental backgrounds of a patient can have a negative effect on the outcome of the
medical service offered by a doctor. The new mode also calls for collaboration between a doctor
and a patient. Maintenance of health and prevention of diseases are not just the business of a
doctor, but a responsibility of a patient. To a great extent, to keep away from health risk factors
and to follow a healthy life-style are a task to reduce chronic and non-infectious [life-style-related]
diseases much more for a patient than for a doctor.)
As practitioners, we should understand this change of Medical model, approach our patients and
their problems within the framework of a conceptual model, make Bio-Psycho-Medical Model
served us well . (As medical practitioners, it is beneficial for us to understand changes in the
medical mode. The philosophy of the bio-psycho-social medical mode will serve as a guideline for
our clinic and research work.)
4
On Current Medical Mode
Outline
Thesis: The current medical mode is concerned about not only diseases and patients, but also the
psychosocial impact.
Ⅰ. Introduction:
A. Definition of medical mode
B. Importance: protection of health; development of medicine
C. Great changes in medical mode
Ⅱ. Past medical mode:
A. Definition:
1. Biomedical mode
2. Reasons:
a. Main diseases affecting people’s health—infectious diseases
b. Definition of health: absence of disease or injury
B. Characteristics:
1. Attention to diseases
2. Ignorance of psychology and society
29

30. Ⅲ. Definition of Current medical mode:
A. Bio-psycho-social medical mode: 1977,Engel
B. Reasons:
1. Change in spectrum of disease: main diseases—noninfectious diseases
2. Change in life style
3. Change in definition of health
Ⅳ. Characteristics of current medical mode:
A. Attention to both patients and diseases
B. Attention to psychology
C. Attention to social factors
Ⅴ.Conclusion:
A. A systemic and integrated medical mode
B. The need for a new medical mode
Medical mode is regarded as a sum of radical views and opinions about human’s life activity,
health and diseases. It is important for health protection and medical development. Medical mode
varies in different stages and can reflect the level of medical development. In the recent years,
great changes have taken place in medical mode. Biomedical mode was replaced by bio-psycho-
social medical mode.
Biomedical mode is disease-centered and focuses on the diagnosis and treatment of diseases.
In the past years, infectious diseases were the leading diseases affecting people’s health. Many
people died from these diseases such as smallpox, cholera and tuberculosis. It is necessary for
doctors to treat and control infectious diseases. On the other hand, people defined health as
absence of disease or injury and neglected other aspects such as psychology. Biomedical mode
was characterized by concern about diseases and treatment of diseases rather than human being.
This mode ignored the influences of social environmental and psychological factors on people’s
health.
Current medical mode, which is bio-psycho-social mode was brought out by American
psychiatrist Engel in 1977. He points out an integrative concept of health and disease should
include the interaction of biology, psychology and sociology. This mode meets the need of the
development of medicine, industry and technology. In the recent years, infectious diseases have
been controlled and cured by vaccine and antibiotics. Chronic noninfectious diseases increase
gradually and become a great threaten to people’s health. With the development of society, people
are no longer satisfied with simple life and pursue higher material and mental civilization. WHO
defines health as a state of complete physical, mental, and social well-being and not just the
absence of disease or infirmity.
Current medical mode treats not only diseases, but also patients or human and pays more
attention to psychology that plays an important role in people’s health. The mode is also
concerned about social factors. Human is not only a natural one, but also a social one. Social
environmental factors, such as culture background, occupation, family and human relationship can
affect the psychosomatic health of human being.
In conclusion, current medical mode is a systemic and integrated medical mode, which cares
for both diseases and psychosocial factors. The outbreaks of SARS and avail flu make us realize
the damage of new infectious diseases and the importance of environment and ecosystem. So a
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31. new medical mode is needed to serve us better. (399 words)
Improvements Four:
Outline
Thesis: The current medical mode is concerned about not only diseases and patients, but also the
psychosocial impacts on human health.
Ⅰ. Introduction:
A. Definition of a medical mode
B. Importance: promotion of health; development of medicine
C. Great changes in the medical mode
(Ⅰ. Introduction:
Definition of a medical mode:
1. based on the concepts about human life, health and diseases
2. reflect the level of medical development
3. changes with time and social progress)
Ⅱ. Past medical mode: (The past medical mode:)
A. Definition: (///////)
1. Biomedical mode (1. Biomedical)
2. Reasons:
a. Main diseases affecting people’s health—infectious diseases
b. Definition of health: absence of disease or injury
B. Characteristics: (Results:)
1. Attention to diseases
2. Ignorance of psychology and society
(II. The past medical mode:
1. Biomedical
2. Reasons:
a. Main diseases affecting people’s health—infectious diseases
b. Views on health: absence of disease or injury
3. Results (Features):
a. Attention to diseases
b. Ignorance of psychological and social factors)
Ⅲ. Definition of Current medical mode: (The current medical mode:)
A. Bio-psycho-social medical mode: 1977,Engel
B. Reasons:
1. Change in spectrum of disease: main diseases—noninfectious diseases
2. Change in life style
3. Change in definition of health
Ⅳ. Characteristics of current medical mode:
A. Attention to both patients and diseases
B. Attention to psychology
C. Attention to social factors
Ⅴ.Conclusion:
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