十二经脉流注、标本根结理论与五输穴出入合论

Combined Discussion on Cycling (Liu Zhu), Branch-Root(Biao Ben),Root-Knot(Gen Jie) Theories of Twelve Meridians and Circulation(Chu Ru)Theory of Five-Shu Points

唐卫华

云南 会泽县金钟镇西内街97号会泽县中医院针灸科 654200

云南

中国医药学报.-2004,19(4) 197-199

由于气血流注的物质基础及其范围的不同,十二经脉的经气存在着3种不同的流注方式:根据营气在十二经脉之间的逐经循行而产生的十二经脉气血流注,它活动的范围是在整个十二经脉之间;根据卫气在其中某一条经脉的运行情况来确定的标本根结理论,它活动的范围只局限在一条经脉之中,用以强调四肢末端是该条经脉的根本所在,在临床时要引起足够的重视;五输穴理论是标本根结理论在针灸临床中的具体表现,它在根结理论的基础上进一步强调四肢远端腧穴的重要性,用以说明在具体的某一条经脉中,随卫气运行的气血(主要是血)的运行方式,强调位于四肢末端的井穴是该经脉气血产生运动的根源,四肢末端腧穴在针灸治疗中具有非常重要的地位。

Because of the different material basis and region of the qi-blood circulation in the twelve meridians, there are three kinds of circulation forms of the meridian-qi. Firstly, it is the qi-blood circulation of the twelve meridians according to the gradual and slow circulation of nutritious-qi in the meridians, and its range is the whole twelve meridians. Secondly, it is the branch-root (Biao Ben), root-knot (Gen Jie) theories according to the circulation of defensive-qi in one of the twelve meridians, and its range is one meridian, which emphasizezes that the four limbs are the place where the root locates and this must be considered in clinical practice. Thirdly, the theory of five-shu points is the concrets application of branch-root (Biao Ben), root-knot (Gen Jie) theeories in acupuncture clinical practice. And based on the root-knot (Gen Jie) theory, it further emphasizes the importance of the acupoints at the terminal part of the four limbs; therefore it explains the circulation form of qi and blood (mainly blood) together with defensive qi in a concrete meridian, which emphais that the Jing (well) point is the root and origin of the movement of qi and blood of the meridian and the acupoints at the terminal of the four limbs are very important in the acupuncture therapies.

历史文献(PT); 中文摘要; 英文摘要

经络学说/历史；流注；十二经脉；标本；根结；穴，五输；卫气；经气；营气；《素问》；《难经》；《灵枢经》；《医宗金鉴》；中国

医学史，古代 (公元500年以前)；医学史，战国 (475-221 B.C.)；医学史，秦朝(221-207 B.C)；医学史，汉朝(206 B.C -220 A.D)；医学史，18世纪；医学史，清朝(1644-1911 A.D)；医学史，17世纪；医学史，19世纪；医学史，20世纪

十二经脉流注；标本根结理论；五输穴理论

R26; R224; R2-52; R2; R242; R223; R221; R223.14; R224.2