Analyzing YE Tianshi's Analogy and Metaphorical Thinking from Case Records as A Guide to Clinical Practice
10.16466/j.issn1005-5509.2025.09.007
- VernacularTitle:从《临证指南医案》探析叶天士的法象思维
- Author:
Jiayue XU
1
;
Yuqi SHENG
;
Zi YANG
Author Information
1. 浙江中医药大学基础医学院 杭州 310053
- Publication Type:Journal Article
- Keywords:
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
- From:
Journal of Zhejiang Chinese Medical University
2025;49(9):1132-1138
- CountryChina
- Language:Chinese
-
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.
