头部诸"角"考义OA
A study on the meanings of various"angles"in the head
人体身形概念术语的厘清,不仅关系着术语研究,还关系着针灸临床.本文对古代针灸文献术语中的额角、头角、左角、耳角进行了分析.研究认为额角有4种含义,《灵枢·经筋》中额角指头角;若作为穴位定位的标志,额角指额际线和耳前发际线形成的交角处;若作为额部的骨性标志,额角还常指额骨正中和两侧的骨性突起,即"伏犀骨(凌云骨)"和额结节.头角常与额角混同,作为"精识之主"的头角指额结节处之额角;足少阳经脉循行之头角指发际额角;作为骨度中的骨性标志,头角指今之顶结节,又名后额角、脑角、山角骨.左角在不同语境下,含义有所区别,足少阳经筋之左角指左侧顶结节;手阳明经筋之左角指左侧发际额角;《素问·缪刺论》中的左角指男女未成年时留发之处.耳部诸角中耳上角疑为句读问题,当作"至耳/上角",此角与耳后上角皆指头角部的顶结节;耳后尖角指颞骨乳突;耳前角,又名曲角,指发际颞角.
The clarification of the terms related to the human body shape not only concerns the study of terminology but also the clinical practice of acupuncture.This paper analyzes the terms of"frontal angle""head angle""left angle",and"ear angle"in ancient acupuncture literature.The research suggests that"frontal angle"has 4 meanings:in LingShu-Meridians,it refers to the"head angle";when used as a landmark for locating acupoints,it refers to the intersection of the frontal hairline and the anterior hairline;when used as a bony landmark of the forehead,it often refers to the bony prominences on the midline and both sides of the frontal bone,namely"FuXi Bone(Lingyun Bone)"and the frontal eminence."Head angle"is often confused with"frontal angle".As the"master of intelligence and perception",the"head angle"refers to the"frontal angle"at the frontal eminence;in the context of the Meridian of the Foot-Shaoyang,the"head angle"refers to the frontal angle of the hairline;as a bony landmark in bone measurement,the"head angle"refers to the current"parietal eminence",also known as the"posterior forehead angle""brain angle"or"mountain angle bone".The"left angle"has different meanings in different contexts:in the sinew of the Foot-Shaoyang Meridian,the"left angle"refers to the left parietal eminence;in the sinew of the Hand-Yangming Meridian,the"left angle"refers to the left frontal angle of the hairline;in SuWen-The Theory of Miu Ci,the"left angle"refers to the place where men and women keep their hair before reaching adulthood.Among the various"angles"of the ear,the"upper angle of the ear"is suspected to be a punctuation issue and should be read as"up to the ear/upper angle".This angle and the"upper angle behind the ear"both refer to the parietal eminence of the head angle;the"sharp angle behind the ear"refers to the mastoid process of the temporal bone;the"angle in front of the ear",also known as the"curved angle",refers to the temporal angle of the hairline.
王锐卿;叶明柱;杨峰
中国中医科学院针灸研究所,北京 100700上海市长宁区江苏社区卫生服务中心,上海 200050中国中医科学院针灸研究所,北京 100700
角头角额角左角经脉身形
AngleHead angleFrontal angleLeft angleMeridian and body shape
《针刺研究》 2026 (4)
509-515,7
国家自然科学基金面上项目(No.81873390)中国中医科学院优青人才专项项目(No.ZZ13-YQ-137)中国中医科学院科技创新工程项目(No.C12021A03401)
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