Li Yong-Ming
American Traditional Chinese Medical Society, New York 10016, USA.
Zhen Ci Yan Jiu. 2018 May 25;43(5):294-5. doi: 10.13702/j.1000-0607.180068.
The "superficial fascia" is often interpreted as "tendon-membrane like structure" in acupuncture field and it is speculated that acupuncture stimulation-induced structural alteration of the superficial fascia may contribute to the alleviation of many medical conditions. The fact is that the superficial fascia mainly consists of subcutaneous adipose tissue and fibrotic network (which function in storing, supporting and buffering external pressure and are not responsible for producing "" or "needling sensations"), and has no typical tendon or membrane structure in hypodermis. In the present paper, the author tries to clarify its incorrect translation, misinterpretation, and misunderstanding in acupuncture and propose that the target of acupuncture stimulation is probably not only the subcutaneous soft tissue per se, but also the contents in subcutaneous soft tissue network as the nerves, blood vessels, lymph-vessels, cutaneous accessory structures, mast cells, multiple movable cells, related receptors, etc.
在针灸领域，“浅筋膜”常被解释为“腱膜样结构”，据推测，针灸刺激引起的浅筋膜结构改变可能有助于缓解多种病症。事实上，浅筋膜主要由皮下脂肪组织和纤维网络组成（其功能是储存、支撑和缓冲外部压力，并不负责产生“得气”或“针感”），皮下并没有典型的腱或膜结构。在本文中，作者试图澄清其在针灸方面的错误翻译、错误解读和误解，并提出针灸刺激的靶点可能不仅是皮下软组织本身，还包括皮下软组织网络中的内容物，如神经、血管、淋巴管、皮肤附属结构、肥大细胞、多种可移动细胞、相关受体等。
