Yang Shi-zhe
China Medical University, Taichung, Taiwan 404, China.
Zhonghua Yi Shi Za Zhi. 2006 Apr;36(2):75-8.
What Nan-jing (Classic of Questioning) contributes to the anatomical discoveries and concepts of human body structure in TCM is that it clarifies the concept, function and anatomical essence of viscera and bowels. It is the first. book that clearly defines the triple jiao as a "qi bowel", This statement is a typical example of Chinese dualistic system of its view on the human body, consisting of physical and spiritual components. This has stirred up confusion for modern interpretation and, as a result, some thought the visceral theory in the book is not based on substantial basis of anatomy. However, the Forty-second Question in Nan-jing not only carries the contents about Wei (stomach), Xiaochang (small intestine), Huichang (large intestine) and Guangchang (anus) in the chapter of "Intestine and Stomach" in Lingshu Jing (Miraculous Pivot), but also changes these names to those we actually use today in the latter chapters; and it also records the gross anatomical shape and size of gall bladder, urinary bladder and all the five viscerae. So, Nan-jing discusses the structure of human body in ancient times, and is equivalent to an integrated science of modern physiology and anatomy, and establishes a solid basis for the fundamental theory of TCM.
《难经》对中医人体结构解剖发现和概念的贡献在于,它阐明了脏腑的概念、功能和解剖实质。它是第一本明确将三焦定义为“气腑”的书籍。这种表述是中国人体观二元体系的典型例子,该体系由物质和精神成分组成。这给现代解读带来了困惑,因此,有些人认为该书的脏腑理论并非基于解剖学的实质基础。然而,《难经》第四十二难不仅载有《灵枢经》“肠胃”篇中关于胃、小肠、大肠、广肠(肛门)的内容,还在其后篇章中将这些名称改为我们现今实际使用的名称;并且它还记载了胆囊、膀胱以及所有五脏的大体解剖形态和大小。所以,《难经》探讨了古代人体结构,相当于现代生理学和解剖学的综合学科,为中医基础理论奠定了坚实基础。