从科学实践哲学的实践性和地方性知识的视角重新审视中医学诊疗实践活动,指出它是不同于西方医学的另一种有效诊疗实践的地方性知识,通过对中医“证”概念的辨析和现代中医诊疗“胸痹”案例的解读,呈现了中医知识的建构过程与它的历史时代、哲学观念、社会结构、价值信念、利益等因素相互交织密切关联的必要性。 To review the practice of traditional Chinese medical practice from the perspective of the practicality and local knowledge of scientific practice philosophy and point out that it is another local knowledge that is different from the western medical practice of effective diagnosis and treatment. Analysis and interpretation of modern TCM diagnosis and treatment “chest paralysis ” shows the necessity of closely interlinking the process of constructing TCM knowledge with its history, philosophy, social structure, value beliefs and interests.