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古典经脉理论的两个阶段及阴阳脉的解剖科学内涵OA

Two Stages of Classical Meridian Theory and Anatomical Science of Yin and Yang Meridians

中文摘要英文摘要

古典经脉理论的发展可分为两个阶段,西汉的初期经脉学说是建立在解剖结构和实证的基础之上,如文章25条证据所示,以"阴脉为动脉,阳脉似神经"为特征,同现代生物医学吻合度较高;以传世《内经》为代表的经脉理论继承了初期的解剖基础框架及大部分实证内容,同时引进了古代儒家思想和整体观及虚拟概念,扩展了临床范围,发展成为有明显人文医学特征的实用经脉理论.其主要特征是建立了"12经脉相连归属脏腑表里循环模型",以兼顾实体和虚拟的结构、功能及临床应用.古典经脉学说的生命力,根植于古代医家对人体结构的深刻洞察和临床实用价值,重审其解剖本质和科学内涵,将推动传统医学与现代医学的深度融合及催生现代经脉理论.

The development of classical meridian theory can be divided into two stages.The early meridian theory of the Western Han Dynasty was based on the anatomical structures and the empirical evidence,with the features of"Yin meridians as arteries and Yang meridians like nerves".It has a high degree of consistency with modern biomedicine as shown in the 25 pieces of supporting evidence.The meridian theory represented by the handed-down Neijing inherits the early anatomical basic frame-work and most of the empirical content.While introducing the ancient Confucianism,the holistic views and the virtual concepts,it expands the clinical scope and develops into a practical meridian theory with obvious humanistic medical characteristics.Its main feature is the establishment of the"circulation model of 12 meridians connecting the Zang-Fu organs and the exterior and the interior",which takes into account the physical and virtual structures and functions as well as the clinical applications.The vitality of the classical meridian theory is rooted in the ancient doctors' profound insight into the human body structures and the value of clinical application.Reexamining its anatomical basis and scientific connotation will promote the deep integration of tra-ditional medicine and modern medicine and give birth to modern meridian theory.

李永明

美国中医药针灸学会,纽约10016

医药卫生

经脉解剖经络实质经脉理论脉书天回医简经脉篇

meridian anatomymeridian essencemeridian theoryMeridian BookTianhui Medical NotesMeridian Chapter

《中华中医药学刊》 2026 (1)

13-19,后插6-后插7,9

10.13193/j.issn.1673-7717.2026.01.003

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