基于“一源三歧”理论源流探析前列腺经络气血辨证的初步构建  

A Preliminary Framework for Syndrome Differentiation of Prostate Meridian,Qi And Blood Based on the“Conception Vessel,Governor Vessel and Thorough Vessel Sharing the Same Origin”Theory

作　　者：于旭东 张耀圣[1,2] YU Xudong;ZHANG Yaosheng(Dongzhimen Hospital,Beijing University of Chinese Medicine,Beijing,100700;Beijing Tumor Minimally Invasive Medical Center of Integrated Traditional Chinese and Western Medicine)

机构地区：[1]北京中医药大学东直门医院,北京市100700 [2]北京市中西医肿瘤微创医学中心

出　　处：《中医杂志》2023年第24期2588-2592,共5页Journal of Traditional Chinese Medicine

基　　金：吴阶平医学基金会临床科研专项基金(320.6750.2022-25-2);北京中医药“薪火传承3+3工程”。

摘　　要：“一源三歧”指任、督、冲三脉皆起于胞中而同出于会阴,结合现代研究McNeal前列腺分区理论,认为任、督、冲三脉在起源与循行上与前列腺的关系最为密切。提出“一源三歧”与前列腺关系的实质内涵为任脉、督脉和冲脉分别络属于前列腺的移行区、外周区和中央区,且任、督、冲三脉阴阳属性的差异在前列腺不同分区表现出不同的作用特征,此为前列腺不同分区生理及病理差异的重要基础;进一步提出前列腺经络气血辨证方法,即任、督、冲三脉经络特点的差异决定了前列腺不同分区气血阴阳的差异,临证时应充分考虑前列腺不同分区固有的生理差异,在此基础上辨析疾病的病理特点,从而指导临床相关疾病的诊疗。The“conception vessel,governor vessel and thorough vessel sharing the same origin”theory refers to the concept that the conception vessel,governor vessel and thorough vessel all originate from the same source within the uterus and emerge from the perineum.Based on the modern research of McNeal's prostate zonal anatomy theory,it is believed that the conception vessel,governor vessel and thorough vessel have the closest relationship with the prostate in terms of their origin and running course.It is proposed that the essential meaning of the‘conception vessel,governor vessel and thorough vessel sharing the same origin’theory in relation to the prostate is that the conception vessel,governor vessel and thorough vessel respectively connect to the transition zone,peripheral zone,and central zone of the prostate.Moreover,the differences in the yin-yang attributes of the conception vessel,governor vessel and thorough vessel exhibit distinct functional characteristics in different zones of the prostate,which serve as an impor⁃tant basis for the physiological and pathological differences in various prostate zones.Based on this premise,a pros⁃tate meridian,qi and blood syndrome differentiation method is further proposed,wherein the differences in the meridi⁃an characteristics of the conception vessel,governor vessel and thorough vessel determine the differences in the yinyang aspects of qi and blood in different prostate zones.When clinical diagnosis is conducted,the inherent physiologi⁃cal differences of the different prostate zones should be fully taken into account,as well as the pathological characteris⁃tics of the disease,in order to guide the diagnosis and treatment of related clinical conditions.

关 键 词：一源三歧 前列腺 经络气血辨证 

分 类 号：R277.5[医药卫生—中医学]