浙江中医药大学学报2025，Vol.49Issue(9)：1132-1138,7.DOI:10.16466/j.issn1005-5509.2025.09.007
从《临证指南医案》探析叶天士的法象思维
Analyzing YE Tianshi's Analogy and Metaphorical Thinking from Case Records as A Guide to Clinical Practice
摘要
Abstract
[Objective]From the perspective of the analogy and metaphorical thinking,to explore YE Tianshi's characteristics in syndrome differentiation,treatment and medication in his work Case Records as A Guide to Clinical Practice.[Methods]The connotations of analogical and metaphorical thinking are discussed based on Yi·Xici(The Book of Changes)and Huangdi Neijing(The Yellow Emperor's Inner Canon).By studying Case Records as A Guide to Clinical Practice,the study analyzes disease mechanisms by referring to Five Movements and Six Qi,establishes therapeutic principles and methods by referring to organs and body functions,and guides medication by considering the"form"and"properties"of herbs.The influence of constitution and seasons on diagnosis and treatment is also considered.By employing research methods such as literature review and case analysis,particular attention is given to how YE Tianshi utilized analogy and metaphorical thinking to guide medication and treatment during the diagnostic process.[Results]The philosophical connotation of the concept of the analogy and metaphorical thinking mainly refers to the relationship of imitation among things.In traditional Chinese medicine,it can be divided into three categories:classification based on imitation,analogy based on imitation and interpretation of the Tao based on imitation.YE Tianshi applied analogy and metaphorical thinking clinically by referring Qi in analyzing disease mechanisms,referring to organs and body functions when establishing treatment principles,and using the"form"and"properties"of herbs to guide medication.He also emphasized constitution-based syndrome differentiation and seasonal treatments,highlighting the influence of the"harmony between heaven and humans"on human health.[Conclusion]In-depth study of YE Tianshi's application of analogy and metaphorical thinking in syndrome differentiation,treatment and medication can help better understand and apply analogy and metaphorical thinking,guiding modern traditional Chinese medicine clinical practice.关键词
法象思维/叶天士/理论研究/取象比类/治法治则/《临证指南医案》/学术思想/用药特点Key words
analogy and metaphorical thinking/YE Tianshi/theoretical research/analogy/therapeutic principles and methods/Case Records as A Guide to Clinical Practice/academic thoughts/medication characteristics分类
医药卫生引用本文复制引用
徐嘉悦,盛雨奇,杨梓,赵华,冯立,王颖..从《临证指南医案》探析叶天士的法象思维[J].浙江中医药大学学报,2025,49(9):1132-1138,7.基金项目
国家中医药管理局2024年度中医药国际合作专项(中心类):中国-新西兰中医药中心(XDZYJZC-001) National Administration of Traditional Chinese Medicine 2024 International Cooperation Special Project for Traditional Chinese Medicine(Center Category) （中心类）
China-New Zealand Traditional Chinese Medical Center(XDZYJZC-001) （XDZYJZC-001）
