Hong Xiao-Fan, Chen Si-Ting, Li Hong-Xia
Second Clinical Medical School of Guangzhou University of CM, Guangzhou 510405, Guangdong Province, China.
Zhongguo Zhen Jiu. 2021 Mar 12;41(3):349-53. doi: 10.13703/j.0255-2930.20200106-0006.
The evolution from "vessel dominated by heart" of "heart dominating pericardium meridian of hand-" was sorted out. It was the process in which the heart concept was understood from two aspects rather than from one. The statement, "heart dominating pericardium meridian of hand-" is originated from Chapter Ten of (). But such pericardium meridian has not be mentioned in the early bamboo slip and silk, i.e. () and (). "Twelve meridians" unearthed from Laoguanshan is named as the trajectory of "vessel dominated by heart", which was originally recorded for the diseases of heart system. In later evolution, in order to match three hand meridians with two organs in the upper , the ancient physicians proposed the theory as heart dominating meridian, "enveloping heart system" "heart being not be attacked by pathogens" and "pathogen attacking the vessel covered around heart" along with following the records of "twelve meridians" unearthed from Laoguanshan, i.e heart dominating heart system and hand- entering heart. Hence, it stands to reason that heart matches with and the acupoints are selected from the meridian dominated by heart. In this evolution process, "pericardium" is generated and becomes the third organ in the upper , thus the meridian dominated by heart is named as "hand- meridian".
梳理了从“心主手厥阴心包经”之“心主脉”的演变过程。这是一个从单一角度到从两个方面来理解心概念的过程。“心主手厥阴心包经”的表述出自《黄帝内经》第十篇。但在早期竹简和帛书，即《足臂十一脉灸经》和《阴阳十一脉灸经》中并未提及这样的心包经。从老官山出土的“十二经脉”被命名为“心主脉”的循行路线，其最初是记载心系疾病的。在后来的演变中，为了使上肢的三条手经与两个脏腑相匹配，古代医家在遵循老官山出土的“十二经脉”记载的基础上，提出了心主经脉、“心包络心系”“心不受邪”“邪犯心之包络”等理论，即心主心系且手厥阴经入心中。因此，心与心包相匹配且穴位从心主之经中选取是合理的。在这个演变过程中，“心包”产生并成为上肢的第三个脏腑，于是心主之经被命名为“手厥阴经”。
