《黄帝内经》"皮部"立体概念研究OA
A Study on the Stereoscopic Concept of"Skin"in the Inner Canon of Huangdi
本文对《黄帝内经》原文中关于"皮部"纵向深度范围的论述进行了整理,尤其对"皮部"与距离皮肤表面不同深度部位如"腠理""络脉""分肉"等的关系进行梳理和总结,认为"皮部"的立体概念为"从中医的角度来说,皮部为十二经脉及其所属络脉在人体表皮分布的部区,其位置结构层次包括皮肤、毫毛、体表皮肤层面的腠理和分布于皮肤中的络脉,且肌肉不属于皮部;从现代解剖学的角度看,皮部主要指包含表皮层与真皮层的皮肤组织,其纵向范围为从皮肤表面向皮下纵向延伸至真皮层远端的垂直距离,包含了血管、神经、淋巴等".针刺、艾灸、刮痧、拔罐等体表刺激疗法的操作部位皆与"皮部"密切相关,不同的作用深度及强度对机体产生不同的生理及病理改变,这与临床疗效关系密切.因此,明确"皮部"的立体概念,无论对于中医学基础理论还是具体的临床实践,皆有着重要的指导意义.
This article summarizes the discussion on the vertical depth range of the"skin"in the original text of Inner Canon of Huangdi,especially the relationship between the"skin"and different depths from the skin surface,such as"pores","collaterals",and"dividing flesh".It is believed that the three-dimensional concept of the"skin"is"from the perspective of traditional Chinese medicine,the skin is the area where the twelve meridians and their affiliated collaterals are distributed on the human epidermis,including the skin,hairs,pores on the surface of the skin,and collaterals distributed in the skin,and muscles do not belong to the skin.From the perspective of modern anatomy,the skin mainly refers to the skin tissue that includes the epidermal layer and the dermis layer,and its vertical range.The vertical distance that extends longitudinally from the surface of the skin to the distal end of the dermis layer includes blood vessels,nerves,lymph nodes,etc".The operating sites of surface stimulation therapies such as acupuncture,moxibustion,Guasha,cupping,etc.are closely related to the"skin".Different depths and intensities of action produce different physiological and pathological changes in the body,which are closely related to clinical efficacy.Therefore,clarifying the three-dimensional concept of"skin"has important guiding significance for both the basic theory of traditional Chinese medicine and specific clinical practice.
彭鑫;王莹莹;李汪;孙志波;李莎;荆业腾;杨金生
中国中医科学院中医基础理论研究所,北京 100700中国中医科学院针灸研究所,北京 100700中国中医科学院中医基础理论研究所,北京 100700中国中医科学院中医基础理论研究所,北京 100700中国中医科学院中医基础理论研究所,北京 100700中国中医科学院中医基础理论研究所,北京 100700中国中医科学院中医基础理论研究所,北京 100700
医药卫生
皮部概念中医基础理论
SkinConceptBasic theory of traditional Chinese medicine
《中国中医基础医学杂志》 2026 (1)
8-11,4
国家重点研发计划项目(2023YFC3502704)全国科学技术名词审定委员会科研项目(YB2021022)中央级公益性科研院所基本科研业务费专项(YZ-202140)北京市自然科学基金青年项目(7254506)
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