|国家科技期刊平台

奇经跷脉名实考辨OA北大核心CSTPCD

Study on the name and essence of qiaomai,eight extraordinary meridians

中文摘要英文摘要

跷脉,古作"蹻脉",属奇经八脉,因其相关理论处于经络学术研究的边缘地位,故学术价值和应用价值没有得到足够的关注和重视.本文基于《黄帝内经》相关理论,结合先秦出土文献及《黄帝内经》经脉理论体系中体现的各类医学流派的思想交融状态,考蹻脉名实.本团队认为,蹻脉的形成是中原医学长期探索运用导引按蹻术的结果,与导引按蹻术从"病筋调筋"到"由筋引气"的实践发展和临床思维相吻合.蹻脉之名应源于按蹻术之手足四肢抚按、伸展、抬举等各类肢体动作的含义,蹻脉原始的生理功能在于主导人体运动,生理层次应定位于人体之筋.而在《黄帝内经》时期的经脉理论与脏腑医学交融后,蹻脉与足太阳膀胱经、足少阴肾经不断交叉、混淆,蹻脉的定位和功能日渐模糊,这种认知混乱是蹻脉理论发展与应用长期受滞的根本原因,也提示《黄帝内经》理论研究应对先秦各种医学理论体系进行充分甄别、剖析和还原,以正本清源不同来源的理论.

Qiaomai is one of the eight extraordinary meridians,and its theory has long been marginalized in academic research on meridians.So its academic and practical value has not received sufficient attention.This article is based on the theory in Huangdi Neijing,combined with unearthed literature from the Pre-Qin period and the fusion of various medical schools reflected in the meridian theory system,to explore qiaomai's name and essence.Our team believes that the formation of qiaomai is the result of the long-term exploration and application of somatic twisting daoyin in Central Plains medicine.The formation of qiaomai coincides with the practical process and therapeutic thinking of somatic twisting daoyin,which has gone through a transformation from directly treating sick tendons to treating sick qi by adjusting tendons.The name of qiaomai may originate from the meanings of various movements such as limb touching,stretching,and swinging in the somatic twisting technique.The primitive physiological function of qiaomai is to dominate human movement,and its physiological level should be located in the tendons of the human body.Qiaomai constantly intersected and was confused with the bladder meridian of foot-taiyang and the kidney meridian of foot-shaoyin after the integration of meridian theory and visceral medicine during the period of Huangdi Neijing,and the positioning and function of qiaomai gradually became blurred.This cognitive confusion has become the fundamental reason why the academic exploration and clinical application of qiaomai has been hindered for a long time.This also suggests that when studying various Pre-Qin medical theoretical systems in Huangdi Neijing,sufficient screening,analysis,and restoration should be carried out to ensure that theories from different sources are authentic.

余君豪;贺娟

北京中医药大学 北京 100029

中医学

蹻脉奇经黄帝内经导引按蹻

qiaomaiextraordinary meridiansHuangdi Neijingsomatic twisting daoyintendons

《北京中医药大学学报》 2024 (005)

625-632 / 8

国家社会科学基金重大项目(No.21&ZD349) National Social Science Foundation of China(No.21&ZD349)

10.3969/j.issn.1006-2157.2024.05.005

评论