The Transcendent Patterning of Medical Pluralism: Religion and Medical Practices Among Miao Migrants in China

Based on ethnographic fieldwork on the medical practices of Miao internal migrants in China, in this article we critique the hierarchical and discrete ontologies of "pluralism" prevalent in anthropological studies of medical pluralism. It examines how Miao migrants construct an informal pluralistic medical system that integrates shamanistic ritual healing, herbalism, and "folk" biomedicine within a pragmatically grounded yet spiritually coherent framework rooted in Miao religion and cosmologies. Furthermore, we explore how their medical-seeking practices, grounded in a transcendent ontology of well-being, operate through affective economies of trust and renqing, thereby enhancing their medical resilience and socio-economic embeddedness into local society.