中医杂志2026，Vol.67Issue(1)：2-9,8.DOI:10.13288/j.11-2166/r.2026.01.001
"象"与"形"的哲学意蕴及其在中医药领域的理论建构与未来价值
The Philosophical Implications of"Xiang(Manifestation)"and"Xing(Physique)"and Their Theoretical Construction and Future Value in Traditional Chinese Medicine
摘要
Abstract
As a pair of core categories in traditional Chinese philosophy,"xiang(manifestation)"and"xing(physique)"together construct a cognitive paradigm distinct from the western subject-object dichotomy.Both origi-nate from the common ontological foundation of"qi",exhibiting a dialectical unity between"xiang"which is charac-terized by change,virtuality,and functionality,and"xing"which is characterized by determinacy,substance,and structure.Their relationship achieves profound unity through shared origins,mutual transformation,and interdepen-dence as substance and function.This dialectical"xiang-xing"paradigm is deeply embedded in the theoretical system of traditional Chinese medicine(TCM).It is reflected in the multi-layered construction of visceral manifestation theory,the cognitive approach of"inferring the viscera through manifestation",the clinical practice of"treating the physique by observing the manifestation",and the academic feature of"emphasizing qi and body,unifying body and qi".Looking to the future,the"xiang-xing"paradigm can not only provide a philosophical foundation and methodological guidance for the modernization of TCM theory and the integration of Chinese and western medicine,but also demon-strate unique practical value in areas such as clinical precision diagnosis and treatment,innovative development and quality control of Chinese herbal medicine.Therefore,it can promote the creative transformation and innovative deve-lopment of TCM,and contribute holistic and dynamic Chinese wisdom to contemporary life sciences.关键词
象/形/中医药理论Key words
xiang(manifestation)/xing(physique)/traditional Chinese medicine theory引用本文复制引用
王永炎,马艳,范逸品.."象"与"形"的哲学意蕴及其在中医药领域的理论建构与未来价值[J].中医杂志,2026,67(1):2-9,8.基金项目
中国中医科学院基本科研业务费自主选题项目(ZZ032,ZZ016) （ZZ032,ZZ016）
