Xiexin decoction analogous prescriptions are a group of formulas, which are used to treat epigastric oppression by acrid opening and bitter downbearing so as to regulate cold and heat mildly as well as recover qi movement. “Formula-pattern elements correspondence” means corresponding relationships between “formula element” and “pattern element”, which belongs to a kind of radical thinking model of clinical prescriptions. It is also an important basis in the process of syndrome differentiation and clinical prescriptions. This thinking model emphasizes the logical relationship between “principles, methods, formulas, and medicines”. The medicines' targets are definite, and the types of medicines can be many and not mixed, or few and easy to understand. The evolutionary regularity of Xiexin decoction analogous prescriptions and its derived prescriptions are analyzed, and the perspective of “formula-pattern elements correspondence” is deeply explored. The modification thinking of Zhongjing's Xiexin decoction analogous prescriptions are clarified, so as to broaden doctors' thinking of syndrome differentiation and point out the regular pattern of clinical syndrome differentiation medication better.