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[论穴位及其特异性]

[On the acupoint and its specificity].

作者信息

Zhu Bing

机构信息

Institute of Acupuncture and Moxibustion, China Academy of Chinese medical Sciences, Beijing 100700, China.

出版信息

Zhongguo Zhen Jiu. 2021 Sep 12;41(9):943-50. doi: 10.13703/j.0255-2930.20210701-k0002.

Abstract

Although acupuncture has spanned thousands of years in the history of traditional medicine, still some basic questions are not clarified. Acupuncture is the theory based on long time medical practice of the ancient sage, combined with objectivesymptom and medical expertise from diseases, and being applied for the instruction in clinic. In this way, acupoint is discovered by doctors in the practice of disease treatment other than a natural occurrence in the healthy population. And acupoint specificity is attached to the target organ involved in pathological condition. In our opinion, acupoint originates from somatic referred area reactive to visceral disorders. And accordingly, referred hyperesthesia of the somatic area is phenomenon of acupoint sensitization. Acupoint is the situ having health code formed in the biological evolution. Corresponding acupoint of a given organ is the alarmer for the state of health, and also is the trigger for self-healing where acupuncture can work as a gating-button. Therefore, acupoint must be accompanied with diseases in that it is reinforced by, relayed on, responsive to and neutralize by the pathological course. In conclusion, acupoint cannot exist without the disease. In another word, acupoint will be unshown, or be functionally hidden, under physiological condition.

摘要

尽管针灸在传统医学历史中已历经数千年,但仍有一些基本问题尚未阐明。针灸是基于古代圣贤长期医疗实践的理论,结合疾病的客观症状和医学专业知识,并应用于临床指导。通过这种方式,穴位是医生在疾病治疗实践中发现的,而非健康人群中的自然存在。并且穴位特异性与病理状态下所涉及的靶器官相关。我们认为,穴位起源于对内脏疾病产生反应的躯体牵涉区。相应地,躯体区域的牵涉性感觉过敏是穴位敏化现象。穴位是在生物进化过程中形成的具有健康密码的部位。特定器官的相应穴位是健康状态的报警器,也是自我修复的触发点,针灸可作为开启按钮发挥作用。因此,穴位必然伴随着疾病,因为它受到病理过程的强化、依赖、响应并被其中和。总之,没有疾病就不存在穴位。换句话说,在生理状态下,穴位将不会显现,或在功能上处于隐藏状态。

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