十二经脉与人体动脉的相关性探析  

Analysis of the correlation between the twelve meridians and human arterial system

作　　者：龚元戎 刘旭斌 阎亦舒 黄宗跃 关玲[1] GONG Yuanrong;LIU Xubin;YAN Yishu;HUANG Zongyue;GUAN Ling(Department of Acupuncture and Moxibustion,The Sixth Medical Center of PLA General Hospital,Beijing 100048,China)

机构地区：[1]解放军总医院第六医学中心中医医学部针灸科,北京100048

出　　处：《中华中医药杂志》2025年第3期1125-1130,共6页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：国家自然科学基金面上项目(No.82174480)。

摘　　要：目的:通过古典文献与现代解剖学的关联分析,探讨十二经脉与人体动脉的相关性。方法:对《黄帝内经明堂》《针灸大成》等8部代表性的针灸典籍中关于经脉和经穴的文献进行整理,并分析其与动脉的关系。结果:共筛选出以动脉搏动为取穴指征的35个“脉动穴”,其在四肢分布较多,占肢体经穴总数的18.42%;且“脉动穴”在阴经的分布显著高于阳经;结合标本脉诊法的特点,十二经标本脉的位置多与动脉搏动点对应;“脉动穴”的主治分析也显示多以治疗心脑血管疾病为主。结论:古典针灸的穴位中部分是通过动脉搏动点进行定位,其结构可能以动脉为本质;部分经脉的分布及触诊的特征符合人体大动脉的解剖定位;古典针灸的经典诊断方法关注于重要大血管的变化;“脉动穴”的主要治疗范围离不开重要血管和血供。可见经脉理论与动脉系统在结构、功能及诊疗层面均存在本质关联,早期经络理论的形成可能脱胎于对血管的解剖认知。Objective:This study explores the intrinsic relationship between the twelve meridians and the human arterial system through an interdisciplinary analysis of classical texts and modern anatomy.Methods:We systematically reviewed descriptions of meridians and acupoints in eight representative acupuncture classics,including Huangdi Neijing Mingtang and Zhenjiu Dacheng,focusing on their anatomical correlations with arteries.Results:Thirty-five'pulse-dynamic acupoints'(identified by arterial pulsation as localization criteria)were identified,predominantly distributed on limbs(18.42%of total limb acupoints).Yin meridians exhibited significantly higher concentrations of pulse-dynamic acupoints than yang meridians.The root-and-branch pulse diagnosis method revealed correspondence between classical meridian measurement points and arterial pulsation sites.Therapeutic analysis indicated these acupoints primarily target cardiovascular and cerebrovascular disorders.Conclusion:Some acupoints are located by arterial plusation sites.Arterial structures likely underlie the anatomical basis of certain classical acupoints.Meridian distributions align with major arterial pathways.Vascular changes constitute a critical diagnostic focus in traditional pulse examination.This demonstrates fundamental structural,functional,and clinical correlations between meridian theory and the arterial system,suggesting early meridian theories originated from vascular anatomical observations.

关 键 词：十二经脉 动脉 血管 相关性 

分 类 号：R224.2[医药卫生—中医基础理论]