DOI：10.12201/bmr.202604.00097

The Redefinition and Reconstruction of Qi in the Medicine of Heaven-Human System

• 摘要：“气”是中医学的核心范畴，但长期以来被定位为“精微物质”，这一实体化理解遮蔽了气的本质属性，导致理论解释力的贫乏与临床指导价值的弱化。本文基于“天人系统医学”的理论框架，提出气的根本属性是“过程”而非“物质”——气是生命系统维持自身有序性的、携带方向性指令的能量-信息-物质统一流。通过对胃气、卫气、水谷精微之气及总气等概念的重新阐释，论证过程论定义较物质论定义在理论自洽性、临床指导性与现代对话性三个维度上的优越性。气的重新定义，为中医理论的系统论转型提供了元范畴的支撑。

  关键词： 气; 生生唯物运动观; 天人系统医学; 胃气; 卫气; 系统论

   

  Abstract: "Qi" is the core category of traditional Chinese medicine, yet it has long been positioned as a "refined and subtle substance." This substantialist understanding obscures the essential nature of Qi, leading to weakened theoretical explanatory power and diminished clinical guidance. Based on the theoretical framework of the "Medicine of Heaven-Human System," this paper proposes that the fundamental attribute of Qi is "process" rather than "substance"—Qi is the unified flow of energy, information, and matter that maintains the organism's orderliness and carries directional directives. Through a reinterpretation of key concepts such as stomach Qi, defensive Qi, Qi derived from food and water essence, and total Qi, this paper demonstrates the superiority of the process-oriented definition over the substance-oriented definition in three dimensions: theoretical coherence, clinical applicability, and capacity for dialogue with modern science. The redefinition of Qi provides meta-categorical support for the systemic transformation of traditional Chinese medical theory.

  Key words: Qi; Sheng-Sheng Materialist Movement View; Medicine of Heaven-Human System; Stomach Qi; Defensive Qi; Systems Theory

  提交时间：2026-05-08

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• 序号	提交日期	编号	操作
  1	2026-04-11	10.12201/bmr.202604.00097V1	下载

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