试论摸骨循筋取穴法  

Discussion on the way of point locating of ‘Mo Gu Xun Jin'

作　　者：廉金玉 李志道 陈波 郭义[2,3] 陈泽林 耿连岐 LIAN Jinyu;LI Zhidao;CHEN Bo;GUO Yi;CHEN Zelin;GENG Lianqi(School of Acupuncture&Moxibustion and Tuina,Tianjin University of Traditional Chinese Medicine,Tianjin 301617,China;National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion,Tianjin 300381,China;Tianjin Key Laboratory of Modern TCM Theory Innovation and Transformation,Tianjin 301617,China;Tianjin Binhai New Area Traditional Chinese Medicine Hospital(The Fourth Affiliated Hospital of Tianjin University of Traditional Chinese Medicine),Tianjin 300451,China)

机构地区：[1]天津中医药大学针灸推拿学院,天津301617 [2]国家中医针灸临床医学研究中心,天津300381 [3]天津市现代中医理论创新转化重点实验室,天津301617 [4]天津市滨海新区中医医院暨天津中医药大学第四附属医院,天津300451

出　　处：《中华中医药杂志》2025年第1期347-349,共3页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：第五届中国科协青年人才托举工程项目(No.2019-2021ZGZJXH-QNRC001);国家中医药管理局标准化项目(No.GZTFJS-2020-202)。

摘　　要：腧穴理论发展伊始,囿于彼时对人体结构的认知水平,相当数量的腧穴无法进行规范定位,而是以取穴的过程来代替。不同时期各医家对于腧穴定位的描述都略有差别,关于腧穴定位指导取穴的考辨亘古通今。摸骨循筋取穴法是基于对定位与取穴的认识,在经典腧穴定位法的基础上,突出表面解剖学的应用,取穴的同时察经审穴。即揣摸清楚穴位所在位置的骨骼、肌肉、血管等解剖结构,摸其筋骨,循其走行,以腧穴标准定位为导航,以指下筋骨缝隙为路径,从而选取精准下针的施术部位。文章从文献溯源及鉴古知今两个方面为摸骨循筋取穴法构建理论框架。摸骨循筋取穴法符合经典腧穴定位本义,临床应用有助于更精准找到有效穴位。At the beginning of the development of the theory of acupoints,limited by the cognitive level of the human body structure at that time,a considerable number of acupoints can not be located in a standard way,but are replaced by the process of acupoint selection.Different doctors in different periods have slightly different descriptions of the location of acupoints,and the examination on the location of acupoints to guide the selection of acupoints is up to now.The way of point locating of ‘Mo Gu Xun Jin' is based on the understanding of location and acupoint selection,which attaches importance to the application of surface anatomy and meridian diagnosis and treatment.With the standard location of acupoints as the navigation and the gap of the lower muscles and bones as the path,the precise acupuncture location is selected.This paper builds a theoretical framework through taking history as a mirror for the way of point locating of ‘Mo Gu Xun Jin',which conforms to the essence of the location of the classical acupoints and helps to find the acupoints more accurately in clinical application.

关 键 词：摸骨循筋取穴法 定位 取穴 腧穴本义 

分 类 号：R245[医药卫生—针灸推拿学]