“颈夹脊”从形态到功能视角转换的思考  

Reflections on the perspective transformation of‘cervical Jiaji’from morphology to function

作　　者：张馨月 张树剑[2] ZHANG Xinyue;ZHANG Shujian(Institute of Chinese Medical Literature and Culture,Shandong University of Traditional Chinese Medicine,Jinan 250355,China;Institute of Acupuncture and Moxibustion,China Academy of Chinese Medical Sciences,Beijing 100700,China)

机构地区：[1]山东中医药大学中医文献与文化研究院,济南250355 [2]中国中医科学院针灸研究所,北京100700

出　　处：《中华中医药杂志》2024年第12期6305-6309,共5页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：国家重点研发计划“中医药现代化”重点专项(No.2022YFC3500500);中央级公益性科研院所基本科研业务费专项资金资助项目(No.ZZ-2023001)。

摘　　要：“颈夹脊”在临床应用中的概念使用和取穴操作呈现一定的混乱现象,主要涉及两个问题:一是“颈夹脊”与“华佗夹脊穴”的关系,二是“颈夹脊”的穴数、旁开尺寸等取穴标准问题,二者都与针灸学对“颈夹脊”的体表形态认识视角有关。对形态视角产生问题的纠偏应回归于对功能主治的总结。文章通过经典中“颈夹脊”相关部位表述如“侠颈”、颈项穴“天柱”,及关联经脉足太阳经、督脉的主治分析,强调脑对认识“颈夹脊”的重要性,结合“颈夹脊”与“华佗夹脊”的联系,试图反思今天形态视角影响下,将“颈夹脊”排除在外的针灸标准“夹脊穴”定义,理解后出的“夹脊”延伸概念“颈夹脊”从概念使用到功能主治的局限性和制约性,从而推动对“颈夹脊”认识从形态到功能视角的转换。The use of the concept of‘cervical Jiaji’in clinical application and the operation of acupoint selection present a certain confusion,which mainly involves two issues,one is the relationship between the‘cervical Jiaji’and the‘HUA Tuo Jiaji’,the other is the standard of acupoint selection,such as the number of‘cervical Jiaji’and the distance of the‘cervical Jiaji’on either side of the pinched spine from the spinal column,both of which are related to the perspective of acupuncture on the body surface morphology of‘cervical Jiaji’.The rectification of problems arising from morphological perspective should return to the summary of functional indications.This article attempts to reflect on the definition of the acupuncture standard of‘Jiaji’which excludes‘cervical Jiaji’under the influence of today’s morphological perspective,by analyzing the expression of related parts of‘cervical Jiaji’in ancient classics,such as‘Xiajing’and‘Tianzhu’,foot Taiyang bladder meridian and governor vessel,combining the relationship between‘cervical Jiaji’and‘HUA Tuo Jiaji’,also emphasizes the importance of the brain in understanding‘cervical Jiaji’,in order to understand the limitations and constraints of‘cervical Jiaji’,which extended from‘Jiaji’,thus promoting the transformation of the understanding of‘cervical Jiaji’from morphological to functional perspective.

关 键 词：颈夹脊 华佗夹脊 夹脊穴 体表形态 功能主治 督脉 脑 视角转换 

分 类 号：R24[医药卫生—中医临床基础]