对络脉及其气血循行规律再探讨  

Discussion on the Circulation Rules of Collaterals and Its Qi and blood

作　　者：向丽华[1] 张治国[1] 陈彦静[1] 王筠[1] 

机构地区：[1]中国中医科学院中医基础理论研究所,北京100700

出　　处：《辽宁中医药大学学报》2012年第8期118-119,共2页Journal of Liaoning University of Traditional Chinese Medicine

基　　金：中国中医科学院自主选题资助项目(YZ-0904)

摘　　要：文章通过对《内经》相关章节的复习,重新认识了络脉及其气血的循行规律。首先,认为孙脉是从经脉别出的,别出点为经脉上的气穴,孙脉散布并参与肌肤筋骨的组成,其气血渗灌营养肌肤筋骨,孙脉收集肌肤筋骨的表阳之气后汇入络脉,汇入点是十五络脉上的气穴。十四经脉和十五络脉各有孙脉出入的三百六十五气穴,为气的门户,可能是所谓的气口。气口的开合和孙络的开闭调节经脉内气血的分布。孙脉横行,分布具有节段性,每一孙络从节的相交处渗灌营养相邻节段。其次,认为脏腑之络也是从经脉别出的,脏腑之络参与脏腑的组成,收集脏腑产生的气血津液后汇入大络,转注入经脉,再由孙络将其气血津液送达肌肤筋骨,濡养周身。再者,认为十五络脉从络穴别出后大部分要分成两部分:一部分向四肢末端分布,在附近别入它经,阴经别走阳经,阳经别走阴经,起沟通阴阳经脉的作用;另一部分行程较长并与本经伴行,走向头、胸、腹等部位汇入经脉,这部分络脉可称为大络或主络。十五络脉络收集孙络气血,大络与经脉均是运行气血的主干。最后,经络中的气血由五谷生化而成,营卫气血相随,而且可互相转化,营行脉中,卫行脉外,是经络中气血的循行特点。In this article we discussed our newly recognition about the circulation rules of Collaterals and its Qi and blood after reviewing some chapters and sections of Internal Classic（Nei Jing）.First,we think Minute Collaterals do separate from Meridian and the separation point is Qi point on Meridian.Minute Collaterals scatter around and partake in to form skin,flesh,muscle and bones.The Qi and blood in Minute Collaterals irrigate and provide nutrition to skin,flesh,muscle and bones.Then Minute Collaterals gather the Yang Qi come from skin,flesh,muscle and bones and import into Fifteen Large Collaterals.The import points are Qi points on Fifteen Large Collaterals.So,there are 365 Qi points both on Fourteen Meridians and Fifteen Large Collaterals.They are the gateway of Qi and referred as＂Qi Opening＂.Opening and closing of＂Qi Opening＂and Minute Collaterals adjust the distribution of Qi and blood in Meridians and Collaterals.Minute Collaterals circulate transversely and are segmental distribution.Each Minute Collateral irrigates and provides nutrition to adjacent segments from the intersection.Second,Internal Collaterals also separate from Meridians and partake in to form viscera.After gathering the Qi,blood and body fluid come from viscera Internal Collaterals will merge into Fifteen Large Collaterals,etc.Furthermore,after Fifteen Large Collaterals separate from Meridians,most of them will be divided into two parts,one part distribute into extremities and go to adjacent Meridians.In this way Yin-Meridians and Yang-Meridians link up with each other.The next part has a long journey and accompanying with Meridians,going to head,chest and abdomen.This part is referred as Main Collaterals.Fifteen Large Collaterals collect Qi and blood from Minute Collaterals and same as Meridians,also are main channel to translate Qi and blood.Finally,the Qi and blood in Meridians and Collaterals come from food.Ying Qi,Wei Qi and blood circulate together and can reciprocal transformation.Ying Qi moves in inner part of Meridians

关 键 词：经络 孙络 脏腑之络 十五络脉 气血循行 

分 类 号：R224[医药卫生—中医基础理论]