DOI：10.12201/bmr.202604.00102

The Primacy of Relations over Entities: The First Principle of Heaven-Human System Medicine——On the Xing-Qi Synthesis of Traditional Chinese Medicine and Systems Medicine

• 摘要：中医与系统医学的关系是当代医学理论建构中的核心议题。学界已有的讨论多从方法论的互补切入，未能揭示二者共享的本体论根基。本文提出一个第一原理命题：关系优先于实体。在这一命题下，中医是关系医学的古代朴素形态——以“气”的直觉把握了人体关系网络的动态平衡；系统医学是关系医学的现代科学形态——以“形”的精确重建了关系网络的可操作模型。二者同源而异构：同源于关系优先的本体论，异构于“形”的建构水平。天人系统医学是二者的形气综合——让中医之“气”赋予系统医学以方向，让系统医学之“形”赋予中医以精确。本文系统论述这一综合的逻辑必然性、可行性及其对医学理论变革的深远意义。

  关键词： 关系本体论; 天人系统医学; 气论; 系统医学; 形气综合; 第一原理

   

  Abstract: The relationship between traditional Chinese medicine (TCM) and systems medicine constitutes a central issue in contemporary medical theory construction. Existing scholarship predominantly approaches this topic from the perspective of methodological complementarity, yet fails to uncover the shared ontological foundation of the two systems. This paper proposes a first-principle proposition: relations are prior to entities. Under this proposition, TCM represents the ancient, rudimentary form of relational medicine—grasping the dynamic equilibrium of the human body's relational network through the intuition of "Qi"; systems medicine represents the modern scientific form of relational medicine—reconstructing an operable model of the relational network through the precision of "Xing" (form). The two share a common origin yet differ in structure: they converge in the ontology of relational primacy, but diverge in the level of formal construction. Heaven-Human System Medicine is the synthesis of Xing and Qi—enabling the "Qi" of TCM to provide direction for systems medicine, and enabling the "Xing" of systems medicine to provide precision for TCM. This paper systematically expounds the logical necessity, feasibility, and profound implications of this synthesis for the transformation of medical theory.

  Key words: relational ontology; Heaven-Human System Medicine; Qi theory; systems medicine; Xing-Qi synthesis; first principle

  提交时间：2026-05-08

  版权声明：作者本人独立拥有该论文的版权，预印本系统仅拥有论文的永久保存权利。任何人未经允许不得重复使用。
• html

• 图表

• 郑建宇. 天人系统医学下中医学的理论边界和可证伪性探讨. 2026. doi: 10.12201/bmr.202604.00099

  郑建宇. 天人系统医学中对气的重新定义与架构. 2026. doi: 10.12201/bmr.202604.00097

  郑建宇. 生生唯物运动观下关系演算学的本体论与边界. 2026. doi: 10.12201/bmr.202604.00101

  郑建宇. 关系演算学：以解决中医数学化为目标的数学框架. 2026. doi: 10.12201/bmr.202604.00096

  王奕程, 钟远鸣, 付小鹏. 基于“气逆挟脊”探讨脊髓型颈椎病的中医证治. 2025. doi: 10.12201/bmr.202512.00028

  陈书逸, 何飞. “保胃气”在辨治非结核分枝杆菌肺病的应用. 2024. doi: 10.12201/bmr.202407.00002

  郑建宇. 从阴阳五行到动力系统控制论：中医理论的现代数学重构. 2026. doi: 10.12201/bmr.202603.00075

  赵嘉彤, 姚美玉. 基于形气神三位一体生命观探究异位妊娠的发病和预防. 2025. doi: 10.12201/bmr.202509.00051

  袁欣可, 夏淇, 王真权. 由“壮火食气”理论论治溃疡性结肠炎名医经验. 2025. doi: 10.12201/bmr.202510.00006

  王萍, 谷雨, 崔群颖. 《大医精诚》涵养医学生“三气”的三重论析. 2024. doi: 10.12201/bmr.202410.00036

• 序号	提交日期	编号	操作
  1	2026-04-12	10.12201/bmr.202604.00102V1	下载

• 公开评论  匿名评论  仅发给作者 提交评论