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针灸是由中国汉代的解剖学家发明的吗?

Was acupuncture developed by Han Dynasty Chinese anatomists?

作者信息

Shaw Vivien, Mclennan Amy K

机构信息

Department of Physiology, Anatomy and Genetics, University of Oxford, United Kingdom.

Acupuncture-Ecohouse Clinic, Oxford, United Kingdom.

出版信息

Anat Rec (Hoboken). 2016 May;299(5):643-59. doi: 10.1002/ar.23325.

Abstract

Anatomical dissection has begun to reveal striking similarities between gross anatomical structures and the system of nomenclature used in traditional Chinese acupuncture. This paper argues that acupuncture point nomenclature is rooted in systematic anatomical investigation of cadaveric specimens, and that acupuncture points and meridians are purposefully named to reflect observable physical form. Two types of evidence are compared: observations of physical structures based on anatomical dissection, and translation and analysis of original Chinese texts. Evidence is contextualized through in-depth practical understanding of acupuncture. Points designated as [Chinese character] tian (heavenly/superior), [Chinese character] xia (below/inferior), [Chinese character] liao (bone-hole), [Chinese character] fei (flying), [Chinese character] wei (bend), and [Chinese character] xi (mountain stream/ravine) are investigated. These acupuncture point names: (a) specify position; (b) reflect function and/or form; (c) indicate homologous structures; (d) mark unusual structures; and/or (e) describe the physical appearance of a deep (dissected) structure by likening it to a homologous everyday object. Results raise intriguing possibilities for developing an understanding of acupuncture points and meridians firmly based in the material and functional anatomy of the human body. Such an understanding has the potential to open new fields of thought about functional anatomy. It also has implications for future investigations into the mechanisms of acupuncture, and gives some insights into the possible origins of this iconic area of Chinese medicine.

摘要

解剖学研究已开始揭示大体解剖结构与传统中医针灸所用命名系统之间的显著相似性。本文认为,穴位命名源于对尸体标本的系统解剖研究,穴位和经络的命名是为了反映可观察到的身体形态。文中比较了两类证据:基于解剖学研究对身体结构的观察,以及对中文原著的翻译与分析。通过对针灸的深入实践理解来将证据置于具体情境中。对命名为[汉字]天(天/上)、[汉字]下(下/ inferior)、[汉字]髎(骨孔)、[汉字]飞(飞)、[汉字]委(弯曲)和[汉字]溪(山间溪流/沟壑)的穴位进行了研究。这些穴位名称:(a)指明位置;(b)反映功能和/或形态;(c)指示同源结构;(d)标记异常结构;和/或(e)通过将深层(解剖后的)结构的外观比作同源的日常物体来进行描述。研究结果为基于人体物质和功能解剖学来深入理解穴位和经络带来了有趣的可能性。这样的理解有可能开辟功能解剖学的新思维领域。它也对未来针灸作用机制的研究具有启示意义,并为这一中医标志性领域的可能起源提供了一些见解。

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