中医意象诊疗模式诠释

Interpretation of ideation and manifestation mode of TCM diagnosis and treatment

首先对意象概念进行疏解。意的内涵包括三点:意侧重于忆时,属于短期记忆范畴;侧重于志时,属于长期记忆范畴;侧重于心时,与思、虑、智构成完整的思维行程,属于思维行程中的1个环节。象为表象、征象、法式,又蕴"见乃谓之象"。继而对意象诊疗模式结构进行解析:意象(证候)=意(医者之忆、志、心)(象(患者之舌象、脉象,疾病之征象)。此结构可分属于深层动力系统和表层操作系统,意象诊疗模式通过深层动力系统与表层操作系统有序衔接、流畅通达的动态实施过程得以显现。可以将其划分为4个环节:立"象"(意之志象);立"象"过程(意之忆象形成过程);立"意"(意之心象);综合集成。最后概括出意象诊疗模式具有唯象性、思辩性和动态性特点。

The concepts of ideation and manifestation were explained firstly in the paper.The connotation of ideation includes three points：ideation belongs to the category of short-term memory if it is oriented towards recall;it belongs to the long-term memory if it is oriented towards will;and it will compose the process of thinking with thought,consideration and intelligence together if it is oriented towards heart,which belongs to one of links in the process of thinking.The manifestation is phenomena,signs and models,implicating the things we see.The structure of ideation and manifestation mode of TCM diagnosis and treatment is analyzed as follows：ideation and manifestation （syndromes）=ideation （recall,will and heart of physician）＋ manifestation （tongue manifestation,pulse condition and signs of disease of patients）.The structure falls into deep dynamic system and superficial operative system respectively,while the ideation and manifestation mode of diagnosis and treatment can be joined orderly through these two systems and its smooth dynamic operative process is showed.The mode can be divided into 4 links including manifestation erection （will manifestation of ideation）,the course of manifestation erection （formative process of recall manifestation of ideation）,ideation erection （heart manifestation of ideation） and general integration.Finally,the characteristics of phenomenology,speculation and dynamics of the mode were summed up.