论穴位与穴位特异性  被引量:70

On the acupoint and its specificity

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作  者:朱兵[1] ZHU Bing(Institute of Acupuncture and Moxibustion,China Academy of Chinese medical Sciences,Beijing 100700,China)

机构地区:[1]中国中医科学院针灸研究所,北京100700

出  处:《中国针灸》2021年第9期943-950,共8页Chinese Acupuncture & Moxibustion

基  金:中国中医科学院科技创新工程项目:CI2021A03402;国家自然科学基金项目:81873389。

摘  要:针灸是横跨数千年的传统医学,但还有许多基本问题没有得到厘清。针灸学是古代先贤们在长期的医学实践中,通过客观存在的表象,结合相关病候,总结医疗经验,并用于指导针灸临床实践的学说。因此,穴位是医者诊治患者时的发现而不是健康人群的天然存在;穴位特异性依附于因病所牵涉的靶器官。我们将这种靶器官病变牵涉性体表反应区认识为"穴位"的起源,体表这些部位牵涉性出现的"感觉异变"特征称之为"穴位敏化"现象:亦即体表出现的病理性"牵涉位";它是生物进化过程形成的具有"健康信息密码"的体表位域。换言之,在生理情况下穴位不具备显现的要素,只是功能"潜伏"的穴位。Although acupuncture has spanned thousands of years in the history of traditional medicine,still some basic questions are not clarified.Acupuncture is the theory based on long time medical practice of the ancient sage,combined with objective symptom and medical expertise from diseases,and being applied for the instruction in clinic.In this way,acupoint is discovered by doctors in the practice of disease treatment other than a natural occurrence in the healthy population.And acupoint specificity is attached to the target organ involved in pathological condition.In our opinion,acupoint originates from somatic referred area reactive to visceral disorders.And accordingly,referred hyperesthesia of the somatic area is phenomenon of acupoint sensitization.Acupoint is the situ having health code formed in the biological evolution.Corresponding acupoint of a given organ is the alarmer for the state of health,and also is the trigger for self-healing where acupuncture can work as a gating-button.Therefore,acupoint must be accompanied with diseases in that it is reinforced by,relayed on,responsive to and neutralize by the pathological course.In conclusion,acupoint cannot exist without the disease.In another word,acupoint will be unshown,or be functionally hidden,under physiological condition.

关 键 词:穴位 特异性 广谱效应 穴位敏化 牵涉性感觉异变 

分 类 号:R245[医药卫生—针灸推拿学]

 

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