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天津中医药大学第一附属医院,天津 300381
天津中医药大学针灸标准化研究所,天津 301617
天津中医药大学郭霭春医史文献研究所,天津 301617
中医国家临床医学研究中心
杜元灏,主任医师。E-mail:ddyh64@163.com
收稿:2025-11-05,
网络首发:2026-04-16,
纸质出版:2026-08-12
移动端阅览
杜元灏, 曹江鹏. 经络系统解构与重构的思考[J]. 中国针灸, 2026,46(8):1234-1240.
DU Yuanhao, CAO Jiangpeng. Thoughts on the deconstruction and reconstruction of
杜元灏, 曹江鹏. 经络系统解构与重构的思考[J]. 中国针灸, 2026,46(8):1234-1240. DOI: 10.13703/j.0255-2930.20251105-0001.
DU Yuanhao, CAO Jiangpeng. Thoughts on the deconstruction and reconstruction of
本文首先分析了经络学说形成的历史与价值取向,认为体表动脉是古人构建经络系统的最初选择,当(血)脉无法满足临床与经络理论构建的需要之时,经(脉)概念便随后出现;经络学说的价值取向是构建人体上下内外联系的经验性规律,并作为指导和解释针灸治病的理论系统。经络系统的构建标志着该学说的基本成熟,并为针灸学作为一门独立学科奠定了核心理论基础。笔者提出,将经络系统解构为3个子系统,即脉系行气血、濡养周身,经系调阴阳、联系协调全身,筋系束骨而利关节。最后,对每个子系统的构建提出了设想,包括构建原则、理论模型、循行路径参照的经典文本、临床知识域及诊疗维度。通过将经络系统解构为3个子系统,再根据经典文献和中医有关理论对其进行重构,旨在建立一个新的经络理论框架,以期为进一步的针灸临床应用和科学研究提供新的思路。
This paper analyzes the historical development and value orientation of
jingluo
(meridians and collaterals) theory
proposing that the superficial arteries of body are the initial choice for constructing
jingluo
system by ancient practitioners. When (blood) vessels no longer met the clinical and theoretical requirements for constructing
jingluo
system
the concept of
jing
(meridian) emerged subsequently. The value of
jingluo
theory orients towards the empirical laws that establish the connections between the upper and the lower
as well as the internal and the external of the body
serving as a theoretical framework to guide and explain the therapeutic effect of acupuncture and moxibustion. The construction of
jingluo
system marks the fundamental maturity of this theory and lays the core theoretical foundation for acupuncture and moxibustion as an independent discipline. The authors propose to deconstruct the
jingluo
system into three subsystems
namely
mai
(vessel) system regulates the flow of
qi
and blood to nourish the entire body;
jing
(meridian) system balances
yin
and
yang
to coordinate systemic functions; and
jin
(tendon) system stabilizes bones and facilitates joint movement. Finally
the conceptual framework for each subsystem is presented
including construction principles
theoretical models
classical text references for meridian running path
clinical knowledge domains
and diagnostic and therapeutic dimensions. After deconstructing the
jingluo
system into three subsystems
this study reconstructs it based on classical literature and relevant theories of traditional Chinese medicine
aiming to establish a new theoretical framework for
jingluo
theory
thereby providing novel insights for further clinical applications of acupuncture and moxibustion as well as scientific research.
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