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《针灸甲乙经》与现行国家标准定位差异的比较研究OA

Comparative Study of the Differences in Acupoint Localization between Zhenjiu Jiayi Jing and the Current National Standard——A Case Study of the Hand-Taiyin Lung Meridian

中文摘要英文摘要

为阐明经典文献与现行国家标准在腧穴定位方面的差异,助力针灸学由经验性学科向规范化发展,此文对《针灸甲乙经》与《经穴名称与定位(GB/T 12346-2021)》进行比较.选取手太阴肺经11个腧穴,从定位参照、表述方式及体例结构等方面分析差异.结果表明,《针灸甲乙经》依凭触诊感知、体表相对距离及经脉循行,强调临床操作经验;现行国家标准基于现代解剖、体表标志及骨度分寸,对腧穴定位加以量化规范,突出一致性与可重复性.此文认为,现行腧穴定位可分为标准定位、文本定位与操作定位:临床应以现行国家标准为依据,参照经典经验加以融通,利于迅速进入临床情境,进而形成操作定位,以此提高腧穴定位的准确性与可靠性.

To clarify the differences in acupoint localization between classical literature and the current national standard,and to facilitate the transition of acupuncture from experience-based practice to standardized development,a comparative analysis was conducted between the Zhenjiu Jiayi Jing and Name and Location of Acupoints(GB/T 12346-2021).The study focused on 11 acupuncture points along the Hand-Taiyin lung meridian,examining differences in reference points,descriptive methods,and structural formats.The results indicated that Zhenjiu Jiayi Jing primarily relies on palpation,relative surface distances,and meridian pathways,emphasizing clinical experience.In contrast,the current national standard quantified and standardized acupuncture point localization based on modern anatomy,surface landmarks,and bone measurements,highlighting consistency and repeatability.These differences reflected the development of acupuncture from empirical practice to standardized methodology,influencing clinical point selection.This article argued that current acupoint localisation could be divided into textual localisation,standard localisation and operational localisation:in clinical practice,the current national standard should be used as a basis,referencing classical experience to achieve a synthesis,which facilitates rapid adaptation to clinical contexts and thereby forms operational localisation,thereby improving the precision and reliability of acupoint localisation.

张静;张莉

河北大学,河北 保定 071000河北大学中医学院,河北 保定 071000

医药卫生

《针灸甲乙经》腧穴定位手太阴肺经国家标准

Zhenjiu Jiayi Jingacupoint locationHand-Taiyin lung meridiannational standard

《光明中医》 2026 (12)

34-39,6

10.70976/j.issn.1003-8914.2026.12.007

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