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成都中医药大学针灸推拿学院,四川成都 610075
针灸效应作用机理研究团队,四川成都 610075
针灸防治老年疾病教育部重点实验室,四川成都 610075
针灸脑科学研究中心
✉余曙光,研究员。E-mail:ysg@cdutcm.edu.cn
收稿:2024-09-03,
网络首发:2024-12-19,
纸质出版:2025-03-12
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陈晓红, 刘德坤, 张瑞斌, 等. 战国秦汉经脉–脏腑相关理论演变史考略[J]. 中国针灸, 2025,45(3):280-287.
CHEN Xiaohong, LIU Dekun, ZHANG Ruibin, et al. Textual research on the evolution of the meridian-
陈晓红, 刘德坤, 张瑞斌, 等. 战国秦汉经脉–脏腑相关理论演变史考略[J]. 中国针灸, 2025,45(3):280-287. DOI: 10.13703/j.0255-2930.20240903-0002.
CHEN Xiaohong, LIU Dekun, ZHANG Ruibin, et al. Textual research on the evolution of the meridian-
梳理战国秦汉时期经脉-脏腑相关理论的演变过程,以揭示其发展规律和价值。通过分析历史文献,特别是《足臂十一脉灸经》《阴阳十一脉灸经》、老官山汉简和经穴髹漆人像等资料,探讨经脉与脏腑理论的萌芽、发展和成熟阶段。在战国秦汉时期,经脉-脏腑相关理论经历了从萌芽到成熟的转变。早期文献如《足臂十一脉灸经》和《阴阳十一脉灸经》展示了经脉与脏腑理论的初步联系,主要关注足三阴脉与脏腑的生理联系和病候;老官山汉简和经穴髹漆人像进一步明确了手足阴脉与五脏的生理联系和相关病候,并发展了经脉-脏腑的诊断和治疗理论;到了《灵枢·经脉》,经脉循行与脏腑生理联系的描述多达31次,标志着经脉“环形”流注体系及脏腑表里沟通联系的构建,同时丰富了经脉-脏腑的病候、诊断和治疗内容,标志着经脉-脏腑理论体系的成熟。经脉-脏腑相关理论的演变梳理有助于补充和完善早期经脉-脏腑理论的发展史,进一步认识其规律与价值。这一理论体系的成熟,不仅串联了经脉与五脏六腑,而且为中医的诊断和治疗提供了重要的理论基础。
The paper reviews the evolution of the theory related to meridians and
zangfu
organs during the Warring States
Qin and Han dynasties
so as to reveal the rules and value of its development. By analyzing historical documents
especially
Zubi Shiyimai Jiujing
(
Moxibustion Classics of Eleven Meridians of Legs and Arms
)
Yinyang Shiyimai Jiujing
(
Moxibustion Classic on Eleven Yin and Yang Meridians
)
Laoguanshan
bamboo medical slips of Han Dynasty and lacquer figure of meridian points
the evolutionary stages
i.e. the germination
development
and maturity of meridian-
zangfu
theory
are explored. In the time of the Warring States
Qin and Han dynasties
the meridian-
zangfu
related theory was developed from the germination to the maturity. In the classics of the early time
Zubi Shiyimai Jiujing
and
Yinyang Shiyimai Jiujing
demonstrated the preliminary relationship between meridians and
zangfu
organs
focusing on the physiological connection and pathogenesis of three
yin
meridians of foot and
zangfu
organs. In the literature of
Laoguanshan
bamboo medical slips of Han Dynasty and lacquer figure of meridian points
the physiological connection between the
yin
meridians of hand and foot
and five
zang
organs
as well as the related diseases were further clarified; additiona
lly
the meridian-
zangfu
theory had been developed in the field of diagnosis and treatment. In the era of Chapter of Meridians in
Lingshu
(
Miraculous Pivot
)
there were up to 31 descriptions relevant with the connection of meridian distribution and
zangfu
physiological functions. It marks the construction of the "circular" flow of meridians and the interior-exterior communication of
zang
and
fu
organs; and enriches the knowledge in diseases
diagnosis and treatment with meridians and
zangfu
organs involved. The review on the evolution of the meridian-
zangfu
theory is conductive to supplementing and improving the development history of this theory of early time
and further recognizing its development rules and value. The maturity of this theoretical system not only links the meridians with the five
zang
and six
fu
organs
but also provides an important theoretical basis for the diagnosis and treatment of traditional Chinese medicine.
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