The invention relates to a full-extraction molecular diagnosis microfluidic chip and a microfluidic system. The full-extraction molecular diagnosis microfluidic chip includes a storage cavity, a sample cavity, a first liquid adding cavity, a first buffer cavity, at least one controlled liquid adding cavity, a second liquid adding cavity, a distribution cavity, a first liquid waste cavity, a buffering cavity, a second liquid waste cavity, at least one measuring cavity and at least one PCR amplification cavity. The portions, near the rotating center of a target, of the controlled liquid adding cavities are communicated with the second liquid adding cavity through air pipelines, the air pipelines are internally provided with phase change valves, and the controlled liquid adding cavities are communicated with the distribution cavity through liquid adding pipelines. Sample splitting, nucleic acid purification, equal distribution of reagents, amplification of nucleic acids in the chambers under restrictions of specific primers and other processes are all integrated in the centrifugal microfluidic chip, subsequent analysis work such as fluorescence signal collection and analysis can be achieved, a single-sample multi-index diagnosis mode is achieved, and it is possible to screen multiple pathogens of diseases through molecular diagnosis.