中医药文化是中医药事业发展的根基和灵魂，社会主义文化建设的重要组成。本文考察改革开放40年以来中医药文化发展的演进过程，从“社会矛盾—政策方针—中医药文化发展”的中观视角，构建了中医药文化发展分析模型，发现中医药文化先后经历了资产化发展（1978年-21世纪初）、情景化发展（21世纪初-中国共产党第十八次全国代表大会（中共十八大）前后）、生态化发展（中共十八大至今）三个阶段，每个阶段中医药文化发展的策略、重点和面临的问题具有明显的不同特点。因此，本文提出以社会矛盾为导向，优化政策引导，构建中医药文化生态体系，从个人、社会和国家发展的不同层面采取多元双向发展路径，推进健康中国发展，提升文化自信，打造文化强国。

Traditional Chinese medicine （TCM）culture is the foundation and soul of the development of TCM and an important component of socialist culture construction. This paper examines the evolution of TCM culture in the past 40 years of reform and opening, from the Medium View of “Social Contradictions - Policy Guidelines - Development of TCM culture” establishing an analytical model for the development of TCM culture and found that the evolution of TCM culture has experienced three stages: Asset development (1978-early 21st century), Situational development (early 21st century-around the 18th Communist Party of China （CPC） National Congress), and Ecological development(since the 18th CPC National Congress). The strategies, priorities and problems faced in the development of TCM culture at each stage have distinct characteristics. Therefore, this paper proposes to guide social contradictions, optimize policy guidance, and build a ecological system of TCM cultural. Adopting a diversified two-way development path from different levels of personal, social and national development, promoting healthy China s development, enhancing cultural self-confidence and building a cultural power.

国家社会科学基金重点项目（19AZD018）：中医知识组织模式创新研究，负责人：申俊龙；国家中医药管理局研究项目（GZY-BGS-2018-01（2））：改革开 放40年中医药的改革经验项目，负责人：沈劼。