Abstract:Prescriptions corresponding to syndromes means one-to-one correspondence between syndromes and prescriptions. Prescription is established by syndrome. There is a high correspondence between prescription and syndrome, and that is the key of clinical efficacy. And Image thinking is an important concept widely applied in traditional Chinese Medicine, playing an important role in the original stage, the mature stage, and even the inheritance and development stage of the correspondence between prescriptions and syndromes. No matter what kind of way or method we choose in the process of prescriptions corresponding to syndromes, image thinking cannot be ignored. Therefore, the grasp of image thinking in correspondence between prescriptions and syndromes will be of great help to enlighten the clinical thinking of traditional Chinese Medicine and thus improve the clinical diagnosis and treatment.