常见中医证型 + 判断条件 + 推荐方剂（简表）

编号	证型名称	症状关键词（选1~3）	舌象	脉象	推荐方剂
01	痰热咳嗽	咳嗽、痰黄、口干	黄腻	滑数	清金化痰汤
02	风寒咳嗽	咳嗽、怕冷、流涕	苔薄白	浮紧	三拗汤
03	气血两虚	乏力、面色淡白、心悸	淡	细	八珍汤
04	肝郁气滞	胸闷、易怒、叹气	正常或红	弦	柴胡疏肝散
05	阴虚火旺	口渴、盗汗、五心烦热	红	细数	知柏地黄丸
06	阳虚畏寒	畏寒、四肢冷、腰酸	淡白	迟	金匮肾气丸
07	肾阴虚	腰膝酸软、耳鸣、盗汗	红	细	六味地黄丸
08	肾阳虚	畏寒、下肢冷、夜尿频	淡胖	沉弱	右归丸
09	脾阳虚	腹泻、食少、怕冷	淡白	迟弱	附子理中丸
10	胃热炽盛	胃脘痛、口臭、便秘	黄	滑数	清胃散
11	肝火上炎	头痛、易怒、面红	红	弦数	龙胆泻肝汤
12	风热感冒	发热、咽痛、头痛	红、薄黄	浮数	银翘散
13	风寒感冒	恶寒、头痛、无汗	淡、薄白	浮紧	荆防败毒散
14	湿热下注	小便黄赤、带下黄臭	黄腻	滑数	龙胆泻肝汤
15	痰湿中阻	胸闷、痰多、体重困重	白腻	滑	二陈汤
16	脾虚湿盛	食欲差、腹胀、腹泻	白腻	缓	参苓白术散
17	血瘀阻络	刺痛、舌紫、瘀斑	紫暗	弦涩	血府逐瘀汤
18	心血不足	心悸、失眠、多梦	淡	细	养心汤
19	肝肾阴虚	头晕、耳鸣、腰酸	红	细	左归丸
20	心阴虚	心悸、五心烦热、失眠	红少苔	细数	天王补心丹
21	心阳虚	心悸、胸闷、怕冷	淡	沉细	桂枝甘草汤
22	脾气虚	乏力、纳差、腹泻	淡	缓	四君子汤
23	肺气虚	咳嗽无力、自汗	淡	弱	玉屏风散
24	肺阴虚	干咳、口干、潮热	红少苔	细数	沙参麦冬汤
25	痰火扰心	失眠、烦躁、痰多	黄腻	滑数	温胆汤
26	肝风内动	眩晕、震颤、手抖	红绛	弦	镇肝熄风汤
27	气滞血瘀	胁肋胀痛、舌紫	紫暗	弦涩	膈下逐瘀汤
28	湿阻中焦	腹胀、恶心、食欲差	白腻	缓	平胃散
29	胃寒	胃痛、喜热饮、遇冷加重	淡	迟	良附丸
30	肝气犯胃	胃胀、嗳气、易怒	正常	弦	柴胡疏肝散

推荐写法（PHP 规则）

举例：将“肝郁气滞”写成一段 PHP 判断逻辑

elseif (
    (in_array('胸闷', $symptoms) || in_array('叹气', $symptoms) || in_array('易怒', $symptoms)) 
    && $pulse === '弦'
) {
    $diagnosis = "肝郁气滞";
    $formula = "柴胡疏肝散";
}

高效建议（进阶）

如果你希望：

目标	实现方式
批量维护规则	将上表做成 JSON 或 MySQL 表
自动匹配最接近证型	遍历规则集，匹配条件越多分数越高
可视化规则管理	制作后台界面管理规则条件
模糊关键词搜索	使用 PHP 函数 strpos() 替代 in_array()

如你希望我现在就为你：

1. 🛠️ 整理成 PHP if...elseif... 代码段；
2. 📦 打包成 JSON / SQL 格式（适合数据库读取）；
3. 📋 提供配套前端/后台 UI（规则库管理页面）；

请告诉我你偏好哪一种，我立即为你生成！

整理成 PHP if...elseif... 代码段；

// 模糊匹配函数：同时支持精确匹配与关键词包含

function match_symptom($symptoms, $keyword) {
foreach ($symptoms as $s) {
if ($s === $keyword || strpos($s, $keyword) !== false) {
return true;
}
}
return false;
}

// 诊断规则匹配逻辑（模糊与精确兼容）
if (match_symptom($symptoms, ‘咳’) && match_symptom($symptoms, ‘痰’) && $tongue === ‘黄腻’ && in_array($pulse, [‘滑’, ‘数’])) {
$diagnosis = “痰热咳嗽”;
$formula = “清金化痰汤”;
} elseif (match_symptom($symptoms, ‘咳’) && match_symptom($symptoms, ‘怕冷’) && match_symptom($symptoms, ‘流涕’) && $tongue === ‘薄白’ && $pulse === ‘浮紧’) {
$diagnosis = “风寒咳嗽”;
$formula = “三拗汤”;
} elseif (match_symptom($symptoms, ‘乏力’) && match_symptom($symptoms, ‘心悸’) && $tongue === ‘淡’ && $pulse === ‘细’) {
$diagnosis = “气血两虚”;
$formula = “八珍汤”;

} elseif ((match_symptom($symptoms, ‘胸闷’) || match_symptom($symptoms, ‘叹气’) || match_symptom($symptoms, ‘易怒’)) && $pulse === ‘弦’) {
$diagnosis = “肝郁气滞”;
$formula = “柴胡疏肝散”;
} elseif (match_symptom($symptoms, ‘口渴’) && match_symptom($symptoms, ‘盗汗’) && $tongue === ‘红’ && $pulse === ‘细数’) {
$diagnosis = “阴虚火旺”;
$formula = “知柏地黄丸”;
} elseif (match_symptom($symptoms, ‘畏寒’) && match_symptom($symptoms, ‘四肢冷’) && match_symptom($symptoms, ‘腰酸’) && $tongue === ‘淡白’ && $pulse === ‘迟’) {
$diagnosis = “阳虚畏寒”;
$formula = “金匮肾气丸”;
} elseif (match_symptom($symptoms, ‘腰膝酸软’) && match_symptom($symptoms, ‘耳鸣’) && match_symptom($symptoms, ‘盗汗’) && $tongue === ‘红’ && $pulse === ‘细’) {
$diagnosis = “肾阴虚”;
$formula = “六味地黄丸”;

} elseif (match_symptom($symptoms, ‘畏寒’) && match_symptom($symptoms, ‘夜尿频’) && $tongue === ‘淡胖’ && $pulse === ‘沉弱’) {
$diagnosis = “肾阳虚”;
$formula = “右归丸”;
} elseif (match_symptom($symptoms, ‘腹泻’) && match_symptom($symptoms, ‘食少’) && $tongue === ‘淡白’ && $pulse === ‘迟弱’) {
$diagnosis = “脾阳虚”;
$formula = “附子理中丸”;
} elseif (match_symptom($symptoms, ‘胃脘痛’) && match_symptom($symptoms, ‘口臭’) && match_symptom($symptoms, ‘便秘’) && $tongue === ‘黄’ && $pulse === ‘滑数’) {
$diagnosis = “胃热炽盛”;
$formula = “清胃散”;
} elseif (match_symptom($symptoms, ‘头痛’) && match_symptom($symptoms, ‘面红’) && $tongue === ‘红’ && $pulse === ‘弦数’) {
$diagnosis = “肝火上炎”;
$formula = “龙胆泻肝汤”;
} elseif (match_symptom($symptoms, ‘发热’) && match_symptom($symptoms, ‘咽痛’) && match_symptom($symptoms, ‘头痛’) && $tongue === ‘红’ && $pulse === ‘浮数’) {
$diagnosis = “风热感冒”;
$formula = “银翘散”;
} elseif (match_symptom($symptoms, ‘恶寒’) && match_symptom($symptoms, ‘无汗’) && $tongue === ‘薄白’ && $pulse === ‘浮紧’) {
$diagnosis = “风寒感冒”;
$formula = “荆防败毒散”;

} elseif (match_symptom($symptoms, ‘小便黄赤’) && match_symptom($symptoms, ‘带下黄臭’) && $tongue === ‘黄腻’ && $pulse === ‘滑数’) {
$diagnosis = “湿热下注”;
$formula = “龙胆泻肝汤”;
} elseif (match_symptom($symptoms, ‘痰多’) && match_symptom($symptoms, ‘体重困重’) && $tongue === ‘白腻’ && $pulse === ‘滑’) {
$diagnosis = “痰湿中阻”;
$formula = “二陈汤”;
} elseif (match_symptom($symptoms, ‘食欲差’) && match_symptom($symptoms, ‘腹胀’) && match_symptom($symptoms, ‘腹泻’) && $tongue === ‘白腻’ && $pulse === ‘缓’) {
$diagnosis = “脾虚湿盛”;
$formula = “参苓白术散”;
} elseif (match_symptom($symptoms, ‘刺痛’) && $tongue === ‘紫暗’ && $pulse === ‘弦涩’) {
$diagnosis = “血瘀阻络”;
$formula = “血府逐瘀汤”;
} elseif (match_symptom($symptoms, ‘心悸’) && match_symptom($symptoms, ‘失眠’) && $tongue === ‘淡’ && $pulse === ‘细’) {
$diagnosis = “心血不足”;
$formula = “养心汤”;
} elseif (match_symptom($symptoms, ‘头晕’) && match_symptom($symptoms, ‘耳鸣’) && match_symptom($symptoms, ‘腰酸’) && $tongue === ‘红’ && $pulse === ‘细’) {
$diagnosis = “肝肾阴虚”;
$formula = “左归丸”;
} elseif (match_symptom($symptoms, ‘心悸’) && match_symptom($symptoms, ‘五心烦热’) && match_symptom($symptoms, ‘失眠’) && $tongue === ‘红少苔’ && $pulse === ‘细数’) {
$diagnosis = “心阴虚”;
$formula = “天王补心丹”;
}