為理解我國近年高中選修歷史之改變，本文以中國醫學史為中心，分析並比 對《101 課綱》、《95 暫綱》之教授內容。研究發現，學習醫學史有助於學習者思 考中國社會的生命意識。《101 課綱》將《95 暫綱》的專題史架構改回《88 課標》 的時序史架構。在原單元「醫療與社會文化」中，主題「針灸與本草」被大部分 保留；主題「宗教醫療」不見於多數教科書，而主題「中西醫的相遇」則悉數遭 刪除。此外，「講述」可能取代「討論」，成為主要的教授方法。研究建議，教師 可適時將原專題史的跨時代、議題導向、本土化等特色整合於授業活動，俾利學 生培養歷史思維、發展核心能力。

In order to recognize the changing of Taiwanese Senior High School Elective History in recent years, this research analyzed and compared the contents and textbooks between “2006 temporary curriculum guideline” and “2012 curriculum guideline”, but focus on the parts related with Chinese medical history. It is found that the students will think the life awareness in Chinese society through learning medical history. “2012 curriculum guideline” changes the topic-based framework back to the chronological framework in “1999 curriculum standard”. Except the related contents of former topic “Acupuncture and Materia Medica” was mostly retained, the majority of other topics on former unit “the Medical and Social Culture” are deleted. Besides, “lecture” may replace “discussion” as the main teaching method. To help the students develop historical thinking and core competencies, it is suggested that teachers can integrate the three characteristics (cross-era, issue-oriented, and localizable) of the topic-based framework into the teaching activities.