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北京中医药大学针灸推拿学院,北京 100029
刘尚瑾,北京中医药大学硕士研究生。E-mail:13621182248@163.com
✉李瑞,教授。E-mail:tingxuezhai@126.com
收稿:2025-04-08,
网络首发:2026-04-27,
纸质出版:2026-07-12
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刘尚瑾, 李瑞, 吴昊吉, 等. 耳前三穴定位的构建与演变探析[J]. 中国针灸, 2026,46(7):1180-1187.
LIU Shangjin, LI Rui, WU Haoji, et al. Construction and evolution of the localization of the three preauricular acupoints[J]. Chinese Acupuncture & Moxibustion, 2026, 46(7): 1180-1187.
刘尚瑾, 李瑞, 吴昊吉, 等. 耳前三穴定位的构建与演变探析[J]. 中国针灸, 2026,46(7):1180-1187. DOI: 10.13703/j.0255-2930.20250408-k0008.
LIU Shangjin, LI Rui, WU Haoji, et al. Construction and evolution of the localization of the three preauricular acupoints[J]. Chinese Acupuncture & Moxibustion, 2026, 46(7): 1180-1187. DOI: 10.13703/j.0255-2930.20250408-k0008.
自《黄帝明堂经》提出耳前三穴(耳门、听宫、听会)的定位后,古代文献对其定位的文字描述基本没有变化。但依据古代文献描述共识,结合解剖构建的定位与当前经穴定位的国家标准不同。通过系统收集整理历代文献对耳前三穴的定位描述,结合耳前部解剖重新定位耳前三穴;并依据文献和针灸铜人、明堂图探讨耳前三穴定位的演变过程,分析其重要的演变节点与演变原因。此外,现代对耳前三穴主治的表述基本传抄或改写自明以前的针灸文献,其主治内容实为明以前古代文献定位腧穴的实践总结。鉴于此,结合耳前部解剖结构,耳前三穴的定位应以古代文献共识所确定的定位为准,即耳门在耳屏上切迹前凹陷中,听宫在耳屏上,听会在耳屏前的颞浅动脉搏动处。
Since
Huangdi Mingtang Jing
(
Yellow Emperor's Illustrated Manual of Acupuncture Points
) proposed the localization of the three preauricular acupoints
namely Ermen (TE21)
Tinggong (SI19)
and Tinghui (GB2)
the textual descriptions of their localization in ancient literature have basically remained unchanged. However
according to the consensus of ancient literature descriptions
the localization combined with anatomy differs from the current national standard for acupoint localization. By systematically collecting and organizing the localization descriptions of the three preauricular acupoints in literature throughout different dynasties
and combining them with the anatomy of the preauricular region
this paper r
e-localizes the three preauricular acupoints. Based on literature records
acupuncture bronze figures
and Mingtang diagrams
the evolution process of the localization of the three preauricular acupoints is discussed
and the important evolutionary nodes and reasons for their evolution are analyzed. In addition
modern descriptions of the indications of the three preauricular acupoints are basically copied or rewritten from acupuncture literature before the Ming dynasty
and their indications are in fact practical summaries of acupoint localization in ancient literature before the Ming dynasty. In view of this
combined with the anatomical structure of the preauricular region
the localization of the three preauricular acupoints should follow the localization determined by the consensus of ancient literature
namely
Ermen (TE21) is located in the depression anterior to the supratragic notch
Tinggong (SI19) is located on the tragus
and Tinghui (GB2) is located at the pulsation of the superficial temporal artery anterior to the tragus.
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