带脉结构的解剖还原  

Anatomical revivification of the structure of the belt vessel

作　　者：马宁 MA Ning(Cornerstone Acupuncture PC,New York NY 10016,USA)

机构地区：[1]针灸基石医疗中心,美国纽约NY 10016

出　　处：《中国针灸》2020年第10期1133-1135,1148,共4页Chinese Acupuncture & Moxibustion

摘　　要：基于《黄帝内经》和相关古籍记载,对带脉的解剖结构进行还原。带脉在腰背部覆盖肾脏并嵌入第十四椎,在腹股沟部会于气街,并与冲、任、督脉和足阳明经筋等连接,与此对应的解剖结构是肾筋膜和腹横筋膜,腹横筋膜是带脉结构的主体。腰上三角既是腹壁结构的薄弱环节,又符合“于腰相去三寸”的定位条件,是刺激带脉的最佳选择。后世将“总约诸脉”补充为带脉的功能,横膈通过膈下筋膜与腹横筋膜和肾筋膜延续,又是唯一能够连接十二经脉和五脏器官的结构,因此现代针灸学实际上已经将带脉的结构中心从腹横筋膜转移到横膈上。On the base of the records in Huangdi Neijing(Yellow Emperor′s Inner Classic)and relevant ancient literature,the anatomical structure of the belt vessel was revivified.The belt vessel covers the kidneys and inlays in the 14th vertebrae on the lumbar region.It joints qijie(qi street)at the groin and connects with the thoroughfare vessel,the conception vessel and the governor vessel,as well as the muscle region of foot-yangming meridian.Correspondingly,the related anatomic structure includes renal fascia and transversalis fascia.The transversalis fascia is the main part of the belt vessel structure.The superior lumbar triangle is the vulnerable spot of abdominal wall structure and also coincident with the localization of"3 cun away from the spinal column bilaterally".It is the optimal selection when stimulating the belt vessel.In late generations,"governing all of meridians"has been supplemented as the function of the belt vessel.The diaphragm extends to the transversalis fascia and renal fascia through the inferior diaphragmatic fascia and it is also the only structure that connects with the twelve meridians and five zang organs.Hence,modern acupuncture and moxibustion has actually transferred the structural center of the belt vessel from the transversalis fascia to the diaphragm.

关 键 词：带脉 解剖还原 肾筋膜 腹横筋膜 膈下筋膜 横膈 

分 类 号：R224.1[医药卫生—中医基础理论]