区别于西方社会的医患论辩情形,中国医生与患者之间的意见分歧部分地来源于医患论辩中特殊的言语行为类型.首先,关注传统中医理论包含大量隐喻性语词的现象.其次,探讨患者常使用的言语行为包括间接言语行为和隐喻化言语行为.第三,阐明具有专业医学知识的中医医生同样会采用隐喻化言语行为,并指出四种主要的表现形式.继而,指出医患交流语境下隐喻化言语行为和间接言语行为的区别.“,”Different from the doctor-patient arguments in western society, the disagreements between doctors and patients in China partly come from the special types of speech acts in doctor-patient arguments. Firstly, this paper focuses on the large number of metaphorical words contained in Theory of Traditional Chinese Medicine (TCM). Secondly, the speech acts fre- quently used by Chinese patients are discussed, including indirect speech acts and metaphoriz- ing speech acts. Thirdly, the fact that TCM doctors with professional medical knowledge may also use metaphorizing speech acts is illustrated, and the four main forms are clarified conse- quently. Finally, the differences between metaphorizing speech act and indirect speech act in the context of Chinese doctor-patient communication are pointed out.