内科临床推理系统Internal Medicine Clinical Reasoning System

怎么用这套系统How to use this system

• 这里的推导器不问病名，问的是气机。每一步追问都在把你导向病机——用升降出入描述的气机动态；教材证型名只作桥接，常见病名只作参考。病无数而病机有数，病机一致则同法同治。This navigator asks not for the disease name but for the qi movement. Each question steers you toward the pathomechanism — the dynamics of qi described by ascending, descending, exiting and entering. Textbook pattern names serve only as bridges; common disease names, only as reference. Diseases are countless, but pathomechanisms are finite: when the pathomechanism is the same, the treatment is the same.
• 每步选项按临床常见程度排序，常见的在前——大多数人前两三步就能走对方向。At each step, options are ordered by clinical frequency, the common ones first — most people reach the right direction within the first two or three steps.
• 没人按固定模式生病。走到任何一步觉得不对，点该步「改选」回退换路；到了终点先看「核对清单」，不符就退回来换一条。推理是可检验、可修正的。No one falls ill by a fixed template. If any step feels wrong, tap "revise" on that step to go back and take another path; at the endpoint, check the "confirmation list" first, and if it does not match, return and try another route. Reasoning is verifiable and correctable.
• 若几种表现并存，以最早出现、最困扰的那个为主诉入口；走完一条，兼症可再走一条。If several presentations coexist, use the earliest and most distressing one as the chief-complaint entry; once one path is done, concurrent symptoms can be traced along another.
• 每个病都先有一段「总论」，讲这个病所在系统的Every disease opens with an "Overview," explaining how the system it belongs to runs in its 正常normal状态是怎么运转的——知常才好言变。读懂正常这条链，病的每一种，都不过是链条上某一环的失败。 state — know the normal before speaking of change. Once you grasp this chain of normalcy, every form of the disease is nothing but the failure of one link in the chain.
• 本系统是理解与学习的工具，不替代面诊与诊疗；文中提示需要专业评估之处，请务必当真。This system is a tool for understanding and study, not a substitute for in-person consultation and treatment. Where the text flags the need for professional evaluation, please take it seriously.