Li Su-Yun, Zhao Jing-Shen
Institute of Acu-moxibustion, China Academy of Chinese Medical Sciences, Beijing 100700, China.
Zhen Ci Yan Jiu. 2009 Apr;34(2):132-5.
The descriptions about the traveling routes of meridians in ancient Chinese literatures directly reflect the understanding and recognition of the ancient Chinese physicians on "meridians" concept at that time. Therefore, the changes of meridian traveling routes in different ancient Chinese periods certainly reflect the changed connotations of meridians. Beginning from variations of the starting and ending points, direction and traveling routes of book Ling Shu Jing (Miraculous Pivot) and the "eleven meridians" in the Silk Book, the authors of the present article hold that the main factors influencing the variation of meridian traveling pathways are 1) development of the pulse diagnosis, 2) ancient Yin-Yang and math ideology, 3) ancient surface anatomy knowledge, and 4) formation of the concepts of Qi, Xue (blood), and Ying-Wei circulation. The authors also analyze the significant evolution of meridian concept and connotation from the "eleven meridians" to the "twelve regular meridians".
中国古代文献中关于经络循行路线的描述，直接反映了古代医家当时对“经络”概念的理解与认识。因此，中国古代不同时期经络循行路线的变化，必然反映出经络内涵的改变。本文作者从《灵枢经》及帛书“十一脉”起止点、循行方向及路线的变化入手，认为影响经络循行路线变化的主要因素有：1）脉诊的发展；2）古代阴阳及数理思想；3）古代体表解剖知识；4）气血营卫循环概念的形成。作者还分析了经络概念及内涵从“十一脉”到“十二正经”的重大演变。
