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关于足三里、上巨虚、下巨虚的下合顺序与主治特异性思考 被引量:29

Lower He-sea sequence and indication specificity analysis regarding Zusanli(ST 36),Shangjuxu(ST 37)and Xiajuxu(ST 39)
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摘要 足三里、上巨虚和下巨虚均归属于下合穴,自上而下依次分布于足阳明胃经下肢循行线上,按其在下合穴对应的脏腑来看,自上而下的分布顺序为胃、大肠、小肠。这与现代医学胃、小肠、大肠的消化道生理功能顺序存在明显差异,但却符合三者在解剖位置中由上而下的排列顺序。为了进一步证实足三里、上巨虚和下巨虚的穴位主治特异性与解剖位置有紧密的联系,查阅大量古今文献发现,这3个下合穴的功能主治分别与胃、大肠、小肠确实存在明显相关性,进而提示足三里、上巨虚和下巨虚排列顺序与所通之腑的解剖位置的排列顺序相关,而这一研究的发现,可有助于探讨解剖定位在认识穴位主治特异性过程中的重要作用。 Zusanli(ST 36),Shangjuxu(ST 37)and Xiajuxu(ST 39)are considered as the lower He-sea points,which are located along the leg lines of stomach meridian of foot Yangmingfrom top to bottom.According to the corresponding zang-fu of lower He-sea points,the distribution order from top to bottom is stomach,large intestine and small intestine.This is significantly different from digestive physiology function sequence of stomach,small intestine and large intestine in modern medicine.However,it conforms to their anatomical position from top to bottom.In order to make a further confirmation that the indication specificity of Zusanli(ST 36),Shangjuxu(ST 37)and Xiajuxu(ST 39)is closely associated with anatomical location,agreat number of ancient and modern literature is reviewed.It is found that the functions of the three acupoints are obviously related to stomach,large intestine and small intestine,respectively,indicating that the sequence of Zusanli(ST 36),Shangjuxu(ST 37)and Xiajuxu(ST 39)is related to anatomical position of corresponding zang-fu.This study conclusion could play an important role for exploring the significance of anatomical location in indication specificity of acupoints.
出处 《中国针灸》 CAS CSCD 北大核心 2015年第11期1167-1170,共4页 Chinese Acupuncture & Moxibustion
关键词 下合穴 足三里 上巨虚 下巨虚 主治特异性 lower He-sea point Point ST 36(Zusanli) Point ST 37(Shangjuxu) Point ST 39(Xiajuxu) indication specificity
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