象思维视域下中医诊断原理内涵析微与应用举隅  

Connotation analysis and application examples on principles in the diagnosis of Chinese medicine under the vision of Xiang thinking

作　　者：唐文 王洋[1] 柴瑞婷 童康[1] 王志斌 陈斌斌 李灿东[1] TANG Wen;WANG Yang;CHAI Ruiting;TONG Kang;WANG Zhibin;CHEN Binbin;LI Candong(College of Traditional Chinese Medicine,Fujian University of Traditional Chinese Medicine,Fuzhou 350122,China;School of Basic Medicine,Guangzhou University of Chinese Medicine,Guangzhou 510006,China)

机构地区：[1]福建中医药大学中医学院,福州350122 [2]广州中医药大学基础医学院,广州510006

出　　处：《中华中医药杂志》2025年第2期562-565,共4页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：国家中医药管理局第二届全国名中医传承工作室建设项目(No.国中医药办人教函[2022]245号)。

摘　　要：中医诊断是沟通中医基础理论与中医临床的桥梁,其基本原理是中医诊断理论体系的内在依据。梳理象与象思维基本概念,从象思维视域出发,系统分析中医诊断原理“见微知著”“司外揣内”“以常衡变”与“因发知受”的基本内涵,并以闻诊中的“声象”为例,具体阐述象思维视域下中医诊断原理在临床诊疗中的具体应用,揭示其在实际诊断过程中的价值和意义,进一步明确象思维在中医诊断中的重要作用。Traditional Chinese medicine(TCM)diagnosis serves as a bridge connecting the foundational theories of TCM with its clinical practice.Its core principles from the intrinsic basis of TCM diagnostic system.This paper outlines the fundamental concepts of Xiang and Xiang thinking,systematically analyzing the essential tenets of principles in the diagnosis of Chinese medicine such as‘seeing the significant in the subtle','assessing the internal from the external',using constancy to gauge changes',and inferring pathogenic factors from manifestations'.Through the example of‘voice Xiang in the diagnosis process,this study demonstrates the practical application of these principles within clinical settings,highlighting their value and significance in actual diagnostic procedures,and further clarifies the pivotal role of Xiang thinking in TCM diagnosis.

关 键 词：象思维 中医诊断原理 见微知著 司外揣内 以常衡变 因发知受 

分 类 号：R241[医药卫生—中医诊断学]