中华中医药杂志2024,Vol.39Issue(3) :1359-1362.

"腰背委中求"的体表-体表间联系规律及其物质基础

Body-surface connection law and its material basis based on the theory of'treatment of the back pain at the Weizhong(BL40)acupoint'

郑思懿 沈琼颖 吕政仪 黄孝笑 刘祎玥 聂娜 梁宜 方剑乔
中华中医药杂志2024,Vol.39Issue(3) :1359-1362.

"腰背委中求"的体表-体表间联系规律及其物质基础

Body-surface connection law and its material basis based on the theory of'treatment of the back pain at the Weizhong(BL40)acupoint'

郑思懿 1沈琼颖 1吕政仪 1黄孝笑 1刘祎玥 1聂娜 2梁宜 3方剑乔3
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作者信息

  • 1. 浙江中医药大学第三临床医学院,杭州 310053
  • 2. 浙江中医药大学附属第三医院,杭州 310005
  • 3. 浙江中医药大学第三临床医学院,杭州 310053;浙江中医药大学附属第三医院,杭州 310005
  • 折叠

摘要

"腰背委中求"是《针灸大全》中收录的临床指导性语句,为针灸学者所熟知,现今仍广泛应用于临床;该规律是前人基于大量临床实践总结得出,后人多基于经络循行,以"委中穴-足太阳膀胱经-腰背"为其提供理论支持.随着科技的发展,或可从一个更客观的视角,为"腰背委中求"提供新的阐释与支持.笔者尝试基于现有临床及基础研究,以理化特性、神经解剖、神经影像、皮肤微循环、肌肉骨骼病变等多角度阐释其科学内涵.

Abstract

The clinical guiding sentence'treatment of the back pain at the Weizhong(BL40)acupoint'is included in The Complete Compendium of Acupuncture and Moxibustion,which is still widely used in clinical practice.Predecessors summarized this rule based on clinical experience and clinical practice,while later generations explained this rule using channels and collaterals,and took'Weizhong(BL40)point-bladder meridian of foot sun-lumbar area'as its theoretical support.With the advancement of science and technology,however,a more objective viewpoint may provide new interpretation and support for'treatment of the back pain at the Weizhong(BL40)acupoint'.The authors attempt to discuss its scientific connotation from multiple perspectives,including physical and chemical properties,neuroanatomy,neuroimaging,skin microcirculation,and musculoskeletal lesions,based on existing clinical and basic research.

关键词

腰背/委中/科学内涵/表征/物质基础

Key words

Lumbar area/Weizhong(BL40)/Scientific connotation/Physical manifestation/Material basis

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基金项目

国家重点研发计划中医药现代化研究重点专项(2018YFC1704600)

全国老中医药专家学术经验继承工作建设项目方剑乔项目(第七批)(国中医药人教函[2022]76号)

出版年

2024
中华中医药杂志
中华中医药学会

中华中医药杂志

CSTPCD北大核心
影响因子:1.135
ISSN:1673-1727
参考文献量39
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