李叶军1，2
(1.湖南工学院 体育教学科研部，湖南 衡阳 421002；2.中国教育科学研究院，北京 100088)
摘 要：《黄帝内经》体育养生观下的“未变先防、初动防变、稳后防复”之预防观、“阴阳、五行、动静”之平衡观、“身心一致、天人合一、适境疗养”之整体观，为多维度、多视角体重管理实践提供预防调节、平衡控制和整体把握的应用指导。当下，“身体异化”的畸形审美瓦解了个体体重管理的审美认知，逆时而为的生活作息方式使得体重管理被桎梏在难以健康循环的失控状态，阴阳乖离的生命价值取向使现代体重管理深陷阴阳失序的窘境。因此，从哲学层面审视健康体重管理十分必要，中华医学智慧更适华夏民族体质：回归生命本原的三重认知，划清多元伦理指导下的三域实践，追求生命主体性的三维价值，以体育理念、方式、方法和手段践行“防养结合”为特点的体重管理，筑牢健康底线。期许以传统养生智慧为活水，个体体重管理为实践，助力社会健康生态体系的多维共建，促进国民健康素质的有机跃升，全面推进“健康中国”战略。
关 键 词：体重管理；《黄帝内经》；哲学省思；体育养生观
中图分类号：G80-05 文献标志码：A 文章编号：1006-7116(2026)03-0066-10
Philosophical reflections on weight management
——From the concepts of sports and health in Huangdi Neijing to modern weight management practice
LI Yejun1, 2
(1.Department of Physical Education Teaching and Scientific Research，Hunan Institute of Technology，Hengyang 421002，China；2.National Institute of Education Sciences，Beijing 100088，China)
Abstract: Based on the concepts of sports and health from Huangdi Neijing, the preventive concept of "prevention before change, disease prevention before change, and relapse after recovery", the balanced concept of "yin-yang, five elements, movement and stillness", and the holistic concept of "the unity of body and mind, man being an integral part of nature, and environment-adapted recuperation", providing applicable instructions with preventive adjustment, balancing control, and holistic grasp for multi-dimensions and multi-perspectives in terms of weight management practice. At present, distorted aesthetics of "alienated bodies" have undermined aesthetic perception of individuals' weight management, and living against the natural rhythm of time leads to weight management being trapped in an unhealthy and uncontrolled cycle, and also the life value attitude of the separation of yin-yang has plunged contemporary weight management into a dilemma where the balance of yin-yang is lost. Thus, it is essential to view healthy weight management through the philosophical layer, and the wisdom of Chinese medicine will be better suited to the Chinese nation, such as returning to the threefold cognition of life essence, drawing the three dominant practices under the guidance of pluralistic ethics, and pursuing the three dimensional values of life's subjectivity, implementing weight management featured by the principle of "combining prevention and nurturing" through sports concepts, manners, methods, and means to solidify healthy baseline. We hope to use traditional health wisdom as living water and individual weight management as practice, so as to help establish multi-dimensional construction with the social health ecosystem, promoting the organic elevation of national health quality, and also contributing to the comprehensive advancement with the "Healthy China" strategy.
Keywords: weight management；Huangdi Neijing；philosophical reflections；concepts of sports and health