阴谷穴与曲泉穴定位探讨  

Discussion on Localization of Yingu (KI10) and Ququan (LR08)

作　　者：钟晓玲 徐沙丽 游世晶[1] 陈采益[1] 郭婉清 罗彩云 林驰[1] ZHONG Xiaoling;XU Shali;YOU Shijing(School of Acupuncture and Moxibustion,Fuyjian University of Traditional Chinese Medicine,Fiuzhou(350122),China)

机构地区：[1]福建中医药大学针灸学院,福州350122 [2]福建中医药大学附属第三人民医院

出　　处：《浙江中医药大学学报》2023年第2期198-202,共5页Journal of Zhejiang Chinese Medical University

基　　金：国家自然科学基金项目(82004457);福建省自然科学基金资助项目(2019J01353)。

摘　　要：[目的]厘清阴谷与曲泉两穴的准确定位。[方法]查阅相关古籍、教材、著作及文献,比较分析古籍原文中关键词“膝内辅骨”“大筋”“小筋”“之下”“之上”的含义,并从经脉循行规律、局部解剖特点、临床实际运用方面,考证各种定位的合理性。[结果]有别于现代文献,不同古籍文献对两穴的位置记载较统一,“膝内辅骨”指股骨内上髁和胫骨内侧髁两部分,“大筋”“小筋”分别指半腱肌和半膜肌,“之下”“之上”分别指外侧和内侧。当阴谷穴定位“在膝后区,腘横纹上,半腱肌肌腱外侧缘”,曲泉穴定位在“膝部,腘横纹内侧端,半腱肌内缘凹陷中”时,两穴的定位既符合经典古籍描述,又符合经脉循行规律、局部解剖特点和临床实际运用,并且两穴定位之间相互印证,没有矛盾。[结论]阴谷与曲泉的上述定位较其他定位更为合理,更有利于指导临床运用。[Objective] To clarify the precise positioning of Yingu(KI10) and Ququan(LR08). [Methods] Through checking the relevant ancient books, teaching materials, works and literature, comparing and analyzing the meanings of the key words “internal knee auxiliary bone” “large tendon” “small tendon” “below” and “above” in the ancient texts, the rationality of various positioning was verified from the regularity of meridian circulation, local anatomical characteristics and clinical practice. [Results] Different from modern documents,the records of the positions of the two acupoints were relatively uniform in different ancient books and documents. “Internal knee auxiliary bone” referred to the medial epicondyle of the femur and the medial condyle of the tibia, “large tendon” and “small tendon”referred to the semitendinosus and semimembranosus muscles respectively. And “below” and “above” referred to the outside and inside respectively. When Yingu(KI10) was located “in the posterior region of the knee, on the transverse crease of the popliteus, at the lateral border of the semitendinosus tendon”, and Ququan(LR08) was located “at the knee, at the medial end of the transverse crease of the popliteus, and in the depression of the inner border of the semitendinosus”, both locations were simultaneously in line with the classics,the rules of meridian circulation, local anatomical characteristics and clinical application. And there was no contradiction between each other. [Conclusion] The locations of Yingu(KI10) and Ququan(LR08) mentioned above are more reasonable and more conducive to guide clinical application than other locations.

关 键 词：腧穴 定位 阴谷穴 曲泉穴 半腱肌 半膜肌 大筋 小筋 

分 类 号：R245[医药卫生—针灸推拿学]