摘要
“象”与“形”作为中国传统哲学的一对核心范畴,共同构筑了迥异于西方主客二分思维的认知范式。二者源于共同的“气”本体,呈现“象”主变易、虚灵、功能与“形”主确定、实体、结构的对立统一关系,并通过同源共生、互化互生、体用相涵达到深层统一。这一“象-形”辩证范式深度嵌入中医药理论体系,从藏象学说的多层次建构,到“以象测藏”的认知路径、“观象治形”的诊疗实践,再到“重气兼形、形气合一”的学术特色,均是其具体体现。面向未来,“象-形”范式不仅能为中医药理论现代化与中西医互补提供哲学基础和方法论指导,亦能在临床精准诊疗、中药创新研发及质量控制等领域彰显独特的实践价值,推动中医药的创造性转化与创新性发展,为当代生命科学贡献整体、动态的中国智慧。
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 originate from the common ontological foundation of"qi",exhibiting a dialectical unity between"xiang"which is characterized 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 interdependence 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 demonstrate 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 development of TCM,and contribute holistic and dynamic Chinese wisdom to contemporary life sciences.
作者
王永炎
马艳
范逸品
WANG Yongyan;MA Yan;FAN Yipin(Institute of Basic Research in Clinical Medicine,China Academy of Chinese Medical Sciences,Beijing,100700)
出处
《中医杂志》
北大核心
2026年第1期2-9,共8页
Journal of Traditional Chinese Medicine
基金
中国中医科学院基本科研业务费自主选题项目(ZZ032,ZZ016)。
关键词
象
形
中医药理论
xiang(manifestation)
xing(physique)
traditional Chinese medicine theory
