针刺研究2026，Vol.51Issue(4)：536-544,9.DOI:10.13702/j.1000-0607.20250039
基于现代医学构建针灸学知识体系理论框架的思考
Thoughts about constructing the theoretical framework of the knowledge system of acupuncture-moxibustion based on modern medicine
摘要
Abstract
In the present paper,it is first proposed that the acupuncture-moxibustion medicine can be divided into 2 branches,namely,traditional acupuncture-moxibustion and modern acupuncture-moxibustion,and then makes a comparative analysis on their connotations of the theoretical knowledge systems and cognitive methodology.It is believed that the conditions for the construction of the theoretical system of modern acupuncture-moxibustion are basically mature.It also puts forward that the three basic principles must be adhered to in the construction of the knowledge of theoretical framework of modern acupuncture-moxibustion,namely,to follow the attributes of modern natural science,to follow the basic findings of modern clinical and basic research,and to follow the basic characteristics of external treatment techniques.This article mainly explains the author's personal views on the construction of the basic theory of modern acupuncture-moxibustion,and puts forward the macroscopic ideal model of surface stimulation medicine on the human body,that is,the theoretical model is divided into"three-layer(three-facet)system"and"three-line network system"at the macro level.The so-called"three-layer system"refers to the peripheral tissue from the body surface to the deep layer,which can be divided into 3 different tissue layers:the superficial(upper)layer,the connective tissue layer and the skeletal muscle layer at the macro level,which mainly guides the external treatment and local treatment of acupuncture,as well as the depth of acupuncture needle insertion.The so-called"three-line network system"refers to the neural network composed of nerve tissue,the myofascial force line network composed of myofascial fascia in the connective tissue,and the vascular network composed of muscle tissue(smooth muscle)and connective tissue.The"three-line network"functions in connecting the whole body,and mainly guides the internal treatment via external stimulation,distal treatment or holistic treatment.In this paper,the tissue structure and functional characteristics involved in the"three-layer system"and"three-line network system"of modern research in recent years are integrated and refined,which is helpful to guide treatment of clinical disorders by using acupuncture and moxibustion,and the two theoretical systems of"nonlinear structure system"(three-layers)and"linear structure system"(three-line network)of modern acupuncture-moxibustion are formed.In view of the modern acupuncture stimulation point theory,several categories of acupuncture points are proposed based on the nerves,blood vessels,myofascial trigger points,skin,muscle and related soft tissues.Finally,it is pointed out that the construction of modern acupuncture-moxibustion will complement and promote each other with the traditional one,enrich its knowledge system,and thus promote the development of this subject.关键词
现代针灸学/知识体系/线性结构系/非线性结构系/理论体系构建Key words
Modern acupuncture science/Knowledge system/Linear structure system/Nonlinear structure system/Theoretical system construction引用本文复制引用
杜元灏..基于现代医学构建针灸学知识体系理论框架的思考[J].针刺研究,2026,51(4):536-544,9.基金项目
天津市名中医传承工作室建设项目(No.tjmzy2401) （No.tjmzy2401）
