Internal medicine nursing is a very important learning course for nursing students. It is divided into two semesters in our university. Because the knowledge of the course is more complex and in-volves a wide range, many students have a poor learning effect. In order to improve the teaching effect of the course, the students leave the time to build the and preview combined guidance method. Summary is on the learning content of the summary, is the effective extension of learning content to the students, preview is the key content of the pre term learning habit. Then, accord-ing to the final score of medical nursing in the last semester, we can flexibly design the teaching link. For students under 60 points, holiday guidance is mainly for the students between 60 points to 85 points, holiday guidance is combined with summary and preview, for students above 85 points, holiday guidance is the main extension. Thus, the students' study and holiday time are integrated into a whole to improve their overall learning efficiency. Key words: Summary, extend and preview combination teaching method; Nursing teach-ing; Holiday counseling