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1. 中国中医科学院针灸研究所
2. 北京中医药大学针灸推拿学院
纸质出版日期:2018
移动端阅览
张维波, 王燕平, 李宏彦. 《黄帝内经》经脉脏腑相关解析[J]. 针刺研究, 2018,43(7):424-429.
ZHANG Wei-bo, WANG Yan-ping, LI Hong-yan. Analysis on Correlation Between Meridians and Viscera in Book The Yellow Emperor's Internal Classic[J]. Acupuncture research, 2018, 43(7): 424-429.
张维波, 王燕平, 李宏彦. 《黄帝内经》经脉脏腑相关解析[J]. 针刺研究, 2018,43(7):424-429. DOI: 10.13702/j.1000-0607.180185.
ZHANG Wei-bo, WANG Yan-ping, LI Hong-yan. Analysis on Correlation Between Meridians and Viscera in Book The Yellow Emperor's Internal Classic[J]. Acupuncture research, 2018, 43(7): 424-429. DOI: 10.13702/j.1000-0607.180185.
经络和脏腑是中医的两大系统
在马王堆帛书时代只有初步融合
到了《内经》中已形成系统的经脉脏腑相关学说。对《灵枢·经脉》中经脉病候进行分类统计
发现最多的为循经病候
占一半以上
与经脉所属脏腑同名西医脏器相关的病候约10%
除此以外与所属中医脏腑相关的病候约占30%。现代经脉脏腑相关研究以脏器为主
且主要集中在胃与心两个脏器上
以针刺即时效应为指标的经脉脏器研究与神经节段有复杂的关系
表现为"多经司一脏"
具有经脉的相关特异性。堵塞经脉的慢性实验提示经脉与中医脏腑病候存在相关性
用体表客观指标测量及数学分析
可验证经脉体表-体表相关规律
是未来经络研究的一个方向。脏器功能的稳态依赖于负反馈
脏器通过内脏躯体双投射神经和经络组织液通道的容积传输实现负反馈稳态调节。针刺远隔部位的穴位通过神经体液接力传递
开通经络负反馈渠道
实现针刺的双向调节
同时在向中枢的传递过程中产生循经感传现象。
The meridians and Zangfu-organs(viscera)are two major systems in the basic theory of traditional Chinese medicine(TCM).They were primarily emerged together in simple form possibly in the Han Dynasty shown by the unearthed silk manuscripts of Changsha Mawangdui Han Tomb
and became a systematic theory in classical book "Neijing"(The Yellow Emperor's Internal Classic).After classification of the meridians' disease manifestations described in book "Ling Shu-Jing Mai"(Miraculous Pivot:Meridians)we found that more than half of the manifestations appear along the running course of meridians.The symptoms and signs of disorders of the meridians correlated with viscera which have the same name in western medicine account for approximately 10%
and the rest pathologic manifestations correlated with the viscera in terms of TCM are approximately 30%.Current researches about meridian and viscera mainly focus on viscera
particularly on the stomach and heart.The researches on meridians and viscera that use real-time effects of acupuncture as indicators have a complicated relationship with the nerve segments
which presented as that"multiple meridians control one viscus"and the specificity of meridian.Our chronic experiment about blocking the meridians suggested an association between meridian and pathologic manifestations of viscera.Physical index measurement and mathematical analysis can verify certain patterns of meridian-physical appearances
which would be a direction for future meridian research.The stabilities of visceral functions rely on negative feedback regulation
which are probably realized by way of somatic and visceral afferent and efferent nerves and volume transmission of the tissue fluid channels of meridians.Therefore
signals of acupuncture stimulation of the distant acupoints might be transmitted to the central nervous system through neurohumor relay
open of the "negative feedback channels of meridians"
achieving a bidirectional regulation
and at the same time
producing aphenomenon of"sensation propagated along the meridian"during signal transmission.
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