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经络系统解构与重构的思考OA

Thoughts on the deconstruction and reconstruction of jingluo system

中文摘要英文摘要

本文首先分析了经络学说形成的历史与价值取向,认为体表动脉是古人构建经络系统的最初选择,当(血)脉无法满足临床与经络理论构建的需要之时,经(脉)概念便随后出现;经络学说的价值取向是构建人体上下内外联系的经验性规律,并作为指导和解释针灸治病的理论系统.经络系统的构建标志着该学说的基本成熟,并为针灸学作为一门独立学科奠定了核心理论基础.笔者提出,将经络系统解构为3个子系统,即脉系行气血、濡养周身,经系调阴阳、联系协调全身,筋系束骨而利关节.最后,对每个子系统的构建提出了设想,包括构建原则、理论模型、循行路径参照的经典文本、临床知识域及诊疗维度.通过将经络系统解构为3个子系统,再根据经典文献和中医有关理论对其进行重构,旨在建立一个新的经络理论框架,以期为进一步的针灸临床应用和科学研究提供新的思路.

This paper analyzes the historical development and value orientation of jingluo(meridians and collaterals)theory,proposing that the superficial arteries of body are the initial choice for constructing jingluo system by ancient practitioners.When(blood)vessels no longer met the clinical and theoretical requirements for constructing jingluo system,the concept of jing(meridian)emerged subsequently.The value of jingluo theory orients towards the empirical laws that establish the connections between the upper and the lower,as well as the internal and the external of the body,serving as a theoretical framework to guide and explain the therapeutic effect of acupuncture and moxibustion.The construction of jingluo system marks the fundamental maturity of this theory and lays the core theoretical foundation for acupuncture and moxibustion as an independent discipline.The authors propose to deconstruct the jingluo system into three subsystems,namely,mai(vessel)system regulates the flow of qi and blood to nourish the entire body;jing(meridian)system balances yin and yang to coordinate systemic functions;and jin(tendon)system stabilizes bones and facilitates joint movement.Finally,the conceptual framework for each subsystem is presented,including construction principles,theoretical models,classical text references for meridian running path,clinical knowledge domains,and diagnostic and therapeutic dimensions.After deconstructing the jingluo system into three subsystems,this study reconstructs it based on classical literature and relevant theories of traditional Chinese medicine,aiming to establish a new theoretical framework for jingluo theory,thereby providing novel insights for further clinical applications of acupuncture and moxibustion as well as scientific research.

杜元灏;曹江鹏

天津中医药大学第一附属医院,天津 300381||天津中医药大学针灸标准化研究所,天津 301617||天津中医药大学郭霭春医史文献研究所,天津 301617天津中医药大学第一附属医院,天津 300381||中医国家临床医学研究中心

经络学说经络系统脉系经系筋系解构与重构

jingluo theoryjingluo systemmai systemjing systemjin systemdeconstruction and reconstruction

《中国针灸》 2026 (8)

1234-1240,7

天津市名中医传承工作室建设项目:tjmzy2401

10.13703/j.0255-2930.20251105-0001

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