Yang Chun, Du Yi-Kuan, Wu Jian-Bin, Wang Jun, Luan Ping, Yang Qin-Lao, Yuan Lin
Key Laboratory of Optoelectronic Devices and Systems of Ministry of Education and Guangdong Province, College of Optoelectronic Engineering, Shenzhen University, Shenzhen 518060, China ; School of Medicine, Shenzhen University, Shenzhen 518052, China.
Department of Anatomy, Southern Medical University, Guangzhou 510515, China.
Evid Based Complement Alternat Med. 2015;2015:303769. doi: 10.1155/2015/303769. Epub 2015 Aug 25.
The anatomical basis for the concept of acupuncture points/meridians in traditional Chinese medicine (TCM) has not been resolved. This paper reviews the fascia research progress and the relationship among acupuncture points/meridians, primo vascular system (PVS), and fascia. Fascia is as a covering, with common origins of layers of the fascial system despite diverse names for individual parts. Fascia assists gliding and fluid flow and holds memory and is highly innervated. Fascia is intimately involved with nourishment of all cells of the body, including those of disease and cancer. The human body's fascia network may be the physical substrate represented by the meridians of TCM. The PVS is a newly found circulatory system; recent increased interest has led to new research and new discoveries in the anatomical and functional aspects of the PVS. The fasciology theory provides new insights into the physiological effects of acupuncture needling on basic cellular mechanisms including connective tissue mechanotransduction and regeneration. This view represents a theoretical basis and means for applying modern biomedical research to examining TCM principles and therapies, and it favors a holistic approach to diagnosis and treatment.
中医中穴位/经络概念的解剖学基础尚未得到解决。本文综述了筋膜研究进展以及穴位/经络、原血管系统(PVS)和筋膜之间的关系。筋膜作为一种覆盖物,尽管各个部分有不同的名称,但筋膜系统各层有着共同的起源。筋膜有助于滑动和液体流动,具有记忆功能且神经高度分布。筋膜与身体所有细胞的营养密切相关,包括疾病和癌细胞。人体的筋膜网络可能是中医经络所代表的物质基础。PVS是一个新发现的循环系统;最近人们对其兴趣增加,导致了在PVS的解剖学和功能方面有了新的研究和发现。筋膜学理论为针刺对包括结缔组织机械转导和再生在内的基本细胞机制的生理效应提供了新的见解。这一观点代表了将现代生物医学研究应用于检验中医原理和疗法的理论基础和手段,并且有利于采用整体的诊断和治疗方法。