Pathogenesis is an important concept in TCM,which is closely related to the theory and practice of TCM.This paper firstly combed the space-time concept in TCM,and then analyze and discuss the spatiotemporal pathogenesis combined with the literature and clinical practice in the philosophical background of TCM theory from the perspective of "intermingling with phlegm and blood stasis",and proposed that the pathogenesis of TCM is a process of dynamic change with spatial attributes,as well as discussed the research methods of pathogenesis of space-time attribute,in order to help better understand the connotation of pathogenesis and cognitive and thinking of TCM,providing more ideas for the study of pathogenesis.%病机是中医学中的重要概念,紧密联系着中医理论和临床实践.首先梳理了中医学的时空概念,然后从痰瘀互结切入,结合文献报道及临床实际,回归中医理论产生的哲学背景,分析和探讨中医病机的时空属性,提出中医病机是具有时空属性的动态变化过程,并探讨了基于时空属性的病机研究思路,以期帮助更好地理解病机的内涵和其所承载的中医学认知和思维方法,为病机研究提供更多的帮助.
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