基于汉墓出土医学材料的经脉理论演变过程探析  

Exploration of the Evolution Process of Channels Theory Based on Medical Materials Excavated from Han Tombs

作　　者：孙晨耀 张其成[2] SUN Chenyao;ZHANG Qicheng(Peking University,Beijing,100091;Beijing University of Chinese Medicine)

机构地区：[1]北京大学,北京100091 [2]北京中医药大学

出　　处：《中医杂志》2024年第22期2281-2286,共6页Journal of Traditional Chinese Medicine

基　　金：国家社会科学基金(17ZDA331)。

摘　　要：通过对马王堆汉墓出土的帛书《足臂十一脉灸经》和《阴阳十一脉灸经》甲本、乙本,张家山汉墓出土的《脉书》第二部分,老官山汉墓出土的天回医简《脉书·下经》《经脉》残篇以及髹漆经脉人像,双包山汉墓出土的人体经脉漆木模型等出土医学材料进行梳理和分析,从早期经脉文献缺失的臂厥阴脉并非手厥阴心包经的推断出发,递进论证,提出早期经脉文献的臂厥阴脉可能是被特意隐去,现今通行的三阴三阳范式曾经历太阴、厥阴位置互换,藏象与三阴三阳的配属衍生于经脉理论,同时指出心包对应的实体脏器为心脏,并简要分析了经脉理论的认知模型,可以为相关研究提供参考。Through combing and analysing the Silk Texts of Hand-Foot-11-Channels by Moxibustion(《足臂十一脉灸经》)and Yin-Yang-11-Channels by Moxibustion(A and B)(《阴阳十一脉灸经》)unearthed from the Mawangdui Han Tomb,the second part of The Book of Vessels(《脉书》)unearthed from the Zhangjiashan Han Tomb,The Vessels Book-Second Part(《脉书·下经》)in Tianhui medical bamboo slips and the fragmentary text of the Channels(《经脉》)and the painted channel portrait unearthed from the Laoguanshan Han Tomb,and the lacquered wooden human body's model of channels unearthed from the Shuangbaoshan Han Tomb,it is argued that the channels starts from the arm jueyin channel which was missing in the early literature of channels,instead of the the hand jueyin pericardium channel,and then argues progressively.It is proposed that the arm jueyin channel in the early meridian literature may have been purposely omitted,that the three yin and three yang paradigms that prevails nowadays has experienced the interchange of the positions of taiyin and jueyin,and that the correspondences between visceral manifestation and the three yin and three yang are derived from the channels theory,and that the pericardium corresponds to the sol-id organ of the heart,and that the cognitive model of the channels theory has been briefly analysed,which can provide references to the related research.

关 键 词：经脉理论 出土材料 马王堆汉墓 天回医简 三阴三阳 心包 

分 类 号：R-09[医药卫生]