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Synthesize evidence into a structured narrative (`output/SYNTHESIS.md`) grounded in `papers/extraction_table.csv`, including limitations and bias considerations. **Trigger**: synthesis, evidence synthesis, systematic review writing, 综合写作, SYNTHESIS.md. **Use when**: systematic review 完成 screening+extraction(含 bias 评估)后进入写作阶段(C4)。 **Skip if**: 还没有 `papers/extraction_table.csv`(或 protocol/screening 尚未完成)。 **Network**: none. **Guardrail**: 以 extraction table 为证据底座;明确局限性与偏倚;不要在无数据支撑时扩写结论。