关于中医病机辨证体系中若干问题的探讨

论述了周仲瑛教授病机辨证体系的构建过程、创新性及其意义，并讨论了病机的概念及其与证之间的关系。认为中医辨证论治追求的最高境界是机圆法活，抓住了病机，就抓住了病变的实质。病机是对疾病本质所下的结论，而证是对病机的概括，两者都具有可变性与规律性两个特点。病机辨证体系不仅体现了证随机转的临床特点，亦体现了辨证的活化。提出以后可从不同角度、不同层次对病机进行研究，以指导临床实践。 

Exploration of Several Issues about TCM Pathogenesis Differentiation System

This paper expounds the construction process， innovation and significance of Professor Zhou Zhong-ying's pathogenesis differentiation system， and discusses the concept of pathogenesis and its relationship with syndrome. It is believed that the highest realm of TCM syndrome differentiation is applying the theory flexibly， and understanding the pathogenesis is the understanding of the essence of the disease. Pathogenesis is the definition of the nature of disease， while syndrome is the summarization of pathogenesis. Both of them are characterized by variability and regularity. The pathogenesis differentiation system not only embodies the clinical characteristics of pathogenesis changing in accordance with syndrome， but also presents the flexibility of syndrome differentiation. It also puts forward that future pathogenesis research can be designed from different aspects and levels， in order to guide clinical practice.