“骨玄府”理论初探  

Preliminary Discussion on the Theory of“Bone Xuanfu”

作　　者：曹金凤 赵宏艳[1] 徐慧慧 刘梅洁[1] 王鹤迪 鞠大宏[1] CAO Jinfeng;ZHAO Hongyan;XU Huihui;LIU Meijie;WANG Hedi;JU Dahong(Experimental Research Center,China Academy of Chinese Medical Sciences,Beijing,100700;Rehabilitation Institute,Shandong University of Traditional Chinese Medicine)

机构地区：[1]中国中医科学院医学实验中心 [2]山东中医药大学康复学院

出　　处：《中医杂志》2020年第12期1037-1041,共5页Journal of Traditional Chinese Medicine

基　　金：国家自然科学基金(81573845,81673841);中医药防治重大疾病基础研究北京市重点实验室;中央级公益性科研院所基本科研业务费专项资金(zz2018001)。

摘　　要：玄府狭义指汗孔,广义指孔、窍、道等一类具有运行气机、流通津液、渗灌血脉、运转神机功能的微细结构。完善"骨玄府"理论假说,认为骨骼中的孔、窍、道等空腔结构以及形态各异的血管、淋巴管是骨玄府的结构基础。骨膜、骨质、骨髓中的骨玄府具有运行气血、滋养骨骼、沟通内外、支撑运动的生理功能以及易于郁滞、易于折损、易于疏松、难于恢复的病理特点。试从骨膜、骨质、骨髓三方面对骨玄府理论进行初步探讨,以期为进一步认识骨与关节疾病的发病机理提供理论依据,为临床治疗提供新思路。Xuanfu(玄府)refers to sweat pores in a narrow sense and pores,in a broad sense it refers to pores,orifices and channels,which are fine structure with the functions of operating qi movement,circulating blood and ve-ssels,and running spiritual mechanism.The author perfects the theoretical hypothesis of"Bone Xuanfu"and believes that the hollow structures such as holes,orifices and channels in bones,as well as blood vessels and lymphatic vessels with different shapes are the structural basis of"Bone Xuanfu".The"Bone Xuanfu"in periosteum,bone and bone marrow has physiological functions of running qi and blood,nourishing bones,communicating inside and outside,supporting movement,and pathological characteristics of easy stagnation,easy breakage,easy loosening and difficult recovery.In this paper,the theory of"Bone Xuanfu"is preliminarily discussed from three aspects such as periosteum,bone and bone marrow in order to provide theoretical basis for further understanding the pathogenesis of bone and joint diseases and to provide new ideas for clinical treatment.

关 键 词：骨玄府 玄府学说 骨膜 骨密质 骨松质 骨髓 

分 类 号：R274[医药卫生—中医骨伤科学]