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中医师承班考试:考核内容、历年真题与通关备考技巧

  • 2026-04-13 22:21:33
中医师承班考试:考核内容、历年真题与通关备考技巧
3. 中医师承班考试：考核内容、历年真题与通关备考技巧
去年考试前一周，一个学员拿着三本手抄笔记来找我，密密麻麻全是字。我翻了翻说：“你这里面有一半不会考。”他脸当场就白了。后来我给他划了重点，他用最后七天过了。不是他笨，是根本没人告诉他考试考什么。
考核内容拆解
📜
实操和笔试各占多少
考核结构
出师考试分两部分：实践技能考核和综合笔试
实践技能考核（100分，60分及格）和综合笔试（300分，180分及格）。技能考四站：基本操作、临床答辩、病史采集、病历书写。
笔试考九门：中基、中诊、中药、方剂、中内、针灸、中外、中妇、中儿。
我统计了近三年真题，中内和针灸加起来占了笔试的40%。这两门必须死磕。
历年真题里的出题规律
📊
多选题喜欢考“病因病机”
案例分析爱考“辨证论治”
出题规律
我把2019年到2025年的真题全部复盘过，发现一个规律
多选题喜欢考“病因病机”，案例分析爱考“辨证论治”。比如感冒，年年考，但从来不考风寒风热怎么区分，而是考“患者恶寒重发热轻，无汗，脉浮紧，是什么证型”。
说白了，考的是你从症状到证型的判断能力。
去网上找近五年的真题，至少做三遍，错题抄下来反复看。
通关技巧
🎯
别在冷门考点上浪费时间
先抓高频考点
备考策略
中药考300味常用药，方剂考150首，但每年高频考点就那60味药和40个方
比如麻黄汤、桂枝汤、银翘散，几乎年年出现。我的策略：先把高频考点背到滚瓜烂熟，再去碰那些偏门的。
还有一点，病历书写一定要练，很多人技能挂在这上面。
格式错了直接扣10分，你后面答得再好也难及格。
❓ 互动提问
你手里有历年真题吗？缺哪一年的评论区告诉我，我帮你找找。
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2026年北京市西城区高三一模数学试卷及答案

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  137. /yingpanguazai/ssd/ssd1/www/www.sjds.net/vendor/topthink/think-template/src/template/driver/File.php ( 2.41 KB )
  138. /yingpanguazai/ssd/ssd1/www/www.sjds.net/vendor/topthink/think-template/src/template/contract/DriverInterface.php ( 0.86 KB )
  139. /yingpanguazai/ssd/ssd1/www/www.sjds.net/runtime/temp/5febe16c9207553ef9b4c4406f7af920.php ( 12.06 KB )
  140. /yingpanguazai/ssd/ssd1/www/www.sjds.net/vendor/topthink/think-trace/src/Html.php ( 4.42 KB )
  1. CONNECT:[ UseTime:0.000601s ] mysql:host=127.0.0.1;port=3306;dbname=www_sjds;charset=utf8mb4
  2. SHOW FULL COLUMNS FROM `fenlei` [ RunTime:0.000843s ]
  3. SELECT * FROM `fenlei` WHERE `fid` = 0 [ RunTime:0.000424s ]
  4. SELECT * FROM `fenlei` WHERE `fid` = 63 [ RunTime:0.000395s ]
  5. SHOW FULL COLUMNS FROM `set` [ RunTime:0.000667s ]
  6. SELECT * FROM `set` [ RunTime:0.000322s ]
  7. SHOW FULL COLUMNS FROM `article` [ RunTime:0.000779s ]
  8. SELECT * FROM `article` WHERE `id` = 473972 LIMIT 1 [ RunTime:0.000557s ]
  9. UPDATE `article` SET `lasttime` = 1776429030 WHERE `id` = 473972 [ RunTime:0.007068s ]
  10. SELECT * FROM `fenlei` WHERE `id` = 65 LIMIT 1 [ RunTime:0.000358s ]
  11. SELECT * FROM `article` WHERE `id` < 473972 ORDER BY `id` DESC LIMIT 1 [ RunTime:0.000580s ]
  12. SELECT * FROM `article` WHERE `id` > 473972 ORDER BY `id` ASC LIMIT 1 [ RunTime:0.001447s ]
  13. SELECT * FROM `article` WHERE `id` < 473972 ORDER BY `id` DESC LIMIT 10 [ RunTime:0.002160s ]
  14. SELECT * FROM `article` WHERE `id` < 473972 ORDER BY `id` DESC LIMIT 10,10 [ RunTime:0.003752s ]
  15. SELECT * FROM `article` WHERE `id` < 473972 ORDER BY `id` DESC LIMIT 20,10 [ RunTime:0.006591s ]
0.122705s