解释学视域下中医辨证论治"证-治-效"内在逻辑探讨OA

The concept of syndrome differentiation and treatment is often misunderstood as"arbitrary empiri-cism"or dismissed as unjustifiable when judged by a single external indicator.To address it,this paper draws on hermeneutics,especially the idea that"tradition,understanding,and practice"are mutually generative,to elucidate the object levels,inferential pathways,and efficacy-based validation and correction mechanisms underlying this approach in the clinical process.It is argued that"syndrome"is not a substitute for a disease label or an isolated indicator,but rather a structured configuration of manifestations and an evolving trajectory of illness situated in a specific clinical context.The correlation of all four examinations and physician-patient dialogue form a reasoned chain for the selection of diagnoses,through which discrete signs and symptoms are organized into a syndrome judgment that can be articulated and debated.Therapeutic principles and prescriptions externalize clinical understanding and,through feedback from therapeutic effects,reflexively prompt re-differentiation,thereby forming a cyclical,self-corrective dynamic loop of"syndrome,treatment and effect".Accordingly,syndrome differentiation and treatment should not be regarded as a contingent accumulation of experience,but as a form of clinical rationality under multiple constraints,including clas-sical methods,communal training,and clinical verification.