Ma Ning
Cornerstone Acupuncture PC, New York NY 10016, USA.
Zhongguo Zhen Jiu. 2020 Oct 12;40(10):1133-5. doi: 10.13703/j.0255-2930.20190822-0001.
On the base of the records in ( ') and relevant ancient literature, the anatomical structure of the belt vessel was revivified. The belt vessel covers the kidneys and inlays in the 14th vertebrae on the lumbar region. It joints ( street) at the groin and connects with the thoroughfare vessel, the conception vessel and the governor vessel, as well as the muscle region of foot- meridian. Correspondingly, the related anatomic structure includes renal fascia and transversalis fascia. The transversalis fascia is the main part of the belt vessel structure. The superior lumbar triangle is the vulnerable spot of abdominal wall structure and also coincident with the localization of "3 away from the spinal column bilaterally". It is the optimal selection when stimulating the belt vessel. In late generations, "governing all of meridians" has been supplemented as the function of the belt vessel. The diaphragm extends to the transversalis fascia and renal fascia through the inferior diaphragmatic fascia and it is also the only structure that connects with the twelve meridians and five organs. Hence, modern acupuncture and moxibustion has actually transferred the structural center of the belt vessel from the transversalis fascia to the diaphragm.
依据( )中的记载及相关古代文献,还原了带脉的解剖结构。带脉覆盖肾脏,嵌入腰椎第14椎体。它在腹股沟处与(街)相连,与冲脉、任脉、督脉以及足经的肌肉区域相连。相应地,相关解剖结构包括肾筋膜和腹横筋膜。腹横筋膜是带脉结构的主要部分。腰上三角是腹壁结构的薄弱点,也与“双侧距脊柱3寸”的定位相符。它是刺激带脉时的最佳选择。后世补充了“总督诸经”作为带脉的功能。膈肌通过膈下腹膜延伸至腹横筋膜和肾筋膜,它也是与十二经脉和五脏相连的唯一结构。因此,现代针灸实际上已将带脉的结构中心从腹横筋膜转移至膈肌。