北京中医药大学学报2025，Vol.48Issue(2)：174-180,7.DOI:10.3969/j.issn.1006-2157.2025.02.005
《灵枢·经脉》中心的经脉病症特点及病机探讨
Characteristics and pathogenesis of heart meridian diseases in the Lingshu·Meridians chapter
摘要
Abstract
By analyzing the meridian related diseases of the heart in the Lingshu·Meridians chapter,this study summarizes the characteristics of heart diseases caused by the Heart Channel of Hand-Shaoyin,Pericardium Channel of Hand-Jueyin,and other meridians from the perspectives of pathogenic meridians,lesion sites,and disease nature.The pathogenesis and connotation of these diseases are analyzed,providing new ideas for the prevention and treatment of heart related diseases.Among the twelve meridians,besides the Heart Channel of Hand-Shaoyin and Pericardium Channel of Hand-Jueyin,there are five meridians that cause heart diseases,namely the Lung Channel of Hand-Taiyin,Stomach Channel of Foot-Yangming,Spleen Channel of Foot-Taiyin,Kidney Channel of Foot-Shaoyin,and Gallbladder Channel of Foot-Shaoyang.Diseases are more common in the yin meridian,with pain and heat as the main symptoms.They are related to the fact that the heart is a yang zang-organ,and evil qi is easily converted from yang to heat,causing diseases through the transmission of heart fire.There are three mechanisms by which other meridians can affect the Heart Channel of Hand-Shaoyin and Pericardium Channel of Hand-Jueyin,leading to symptoms such as heart pain and palpitations.Firstly,pathogenic factors can be transmitted along the meridians,causing discomfort and heartache to the heart;secondly,due to the abnormal pathogenic behavior of the Five Elements,where the gallbladder wood do not generate heart fire,and the heart yang is weak and painful;kidney water does not control heart fire,and the heat disturbs the mind and causes palpitations;thirdly,qi function is abnormal,which leads to abnormal opening and closing of the Yangming and Shaoyang channels,causing palpitations due to insufficient yin qi in the pericardium meridian or pain due to yang deficiency in the heart channel.External pathogens enter the lung through the channels,causing obstacles in the generation and distribution of pectoral qi,affecting the qi function of the heart channel and causing distress.The three mechanisms can exist independently or simultaneously as diseases.关键词
心/经脉/病机/灵枢Key words
heart/channels/pathogenesis/Lingshu分类
医药卫生引用本文复制引用
刘孚嘉,李汪,卢红蓉..《灵枢·经脉》中心的经脉病症特点及病机探讨[J].北京中医药大学学报,2025,48(2):174-180,7.基金项目
国家重点研发计划项目(No.2023YFC3502703) （No.2023YFC3502703）
中国中医科学院科技创新工程创新团队项目(No.CI2021B001) （No.CI2021B001）
中央级公益性科研院所基本科研业务费项目(No.YZX202333) National Key R&D Program of China(No.2023YFC3502703) （No.YZX202333）
