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经脉-脏腑相关理论探析

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通过对近年来经脉-脏腑相关文献进行系统查阅及逻辑学研究,发现脏腑病变时,体表经脉会在其特定穴所居部位出现结节条索以及电阻、经络能量值、温度与血流量等改变.基于"明知其源,睹其应,而知五藏之害矣""穴位所在,主治所在""经脉所过,主治所及"理论探讨脏腑功能于相应经脉系统的反映以及针刺十四经脉穴位调节相应脏腑的功能,本研究进一步围绕肺、胃和肠探讨经脉-脏腑的治疗特异性,为指导临床应用提供思路.近年来探讨经脉-脏腑相关从经络诊察法到关注患者异常感觉变化再到基于表征的物理检测手法,研究手段逐步提高,结论更具客观性,但研究仍集中于肺、胃和大肠等脏腑,存在一定局限性,未来研究应注重指导临床诊断治疗、扩大研究范围,增加脏腑器官的普适性,为寻找更系统更全面的依据做进一步研究.
Theory of Correlation between Meridians and Zang-Fu Organs
Through the systematic review and logic study of the correlation between meridians and Zang-Fu organs in recent years,it is found that the pathological changes of the internal organs will be perceived from acupoints on the correspondent meridians,manifested by the abnormal manifestations of nodular bands,electrical resistance,energy values of meridians,temperature,and blood flow changes in the location of specific points.Based on the theory of'knowing the root,observing the manifestation,one can understand the harm to the five organs','where the acupoints are located,there lies the treatment principle',and'where the meridians pass through,there lies the treatment effect',this study explored the reflection of visceral functions in the corresponding meridian systems,as well as the modulation of visceral functions by needling acupoints of fourteen meridians.Furthermore,focusing on Lung,Stomach,and Intestine,it discussed the therapeutic specificity of the meridian-visceral relationship,aiming to provide insights for guiding clinical applications.In recent years,exploration of the relationship between meridians and visceral organs has progressed from meridian examination methods to monitoring abnormal sensory changes in patients,and further to characterization-based physical detection techniques.The research methods have gradually improved,leading to more objective conclusions.However,studies still primarily focus on organs such as Lungs,Stomach,and Large Intestine,which poses certain limitations.Future researches should emphasize guiding clinical diagnosis and treatment,expanding the scope of investigation,enhancing the universality of visceral organs studied,and conducting further researches to find more systematic and comprehensive evidence.

MeridianCorrelation between meridians and Zang-Fu organsCorrelation between Zang-Fu and body surfaceMeridian examination methodAcupoint sensitization

侯林茹、赵文君、杨元祯、李姗姗、赵素红、徐明杰、徐枝芳、郭义、公一囡

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天津中医药大学,天津 301617

天津市现代中医理论创新转化重点实验室,天津 301617

天津中医药大学第一附属医院国家中医针灸临床医学研究中心,天津 300380

经脉 经脉-脏腑相关 脏腑体表相关 经络诊察法 敏化现象

国家自然科学基金重点项目国家重点研发计划天津市大学生创新创业训练计划

820301252022YFC3500404202210063035

2024

针灸临床杂志
中华中医药学会 黑龙江中医药大学 中国针灸学会临床分会

针灸临床杂志

CSTPCD
影响因子:1.242
ISSN:1005-0779
年,卷(期):2024.40(3)
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