摘要本文运用跨文化交流的理论，从不同的文化维度分析中医哲学与西方医学主流思想的差异发现，这种差异主要体现在中国古代?天人合一?的哲学思想与西医?二元论?的差异；中医的直觉性思维方式和西方的机械性思维方式的差异；表意丰富的古典中医语言与客观精确的西医描述的差异。并从跨文化交际的视角解释中医翻译中应遵循的原则，提出中医英译应转变思维方式，尊重?接收者的特权?，创制?亲近性?文本，理解双语差异，以提高中医翻译中的传播效率。

abstractsAnalysis of differences between traditional Chinese medicine (TCM) philosophy with malnstream western medicine was done with reference to intercultural communication theory. It was found that the differences are malnly manifested through "holism" philosophy of TCM and "dualism" of Western medicine, intuition thinking mode of TCM and mechanical thinking mode of western medicine, and ideographic Chinese language and objective description of the Western medicine. The translation principle was also discussed with the perspective of intercultural communication. It is of great significance to respect the "recipient’s privilege", to create "intimate" text, and to understand the bilingual differences if TCM translation is to be promoted.