Ma Qiang, Wang Jing, Zeng Yong-Lei
Graduate School of Anhui University of CM, Hefei 230038, China.
Key Laboratory of Xin'an Medicine, Ministry of Education, Anhui University of CM, Hefei 230038.
Zhongguo Zhen Jiu. 2022 May 12;42(5):569-72. doi: 10.13703/j.0255-2930.20210617-k0003.
The characteristics of meridian sinew theory at the early era have been collected. It is believed that the running courses and indications of twelve meridian sinew regions in () are closely associated with () and (). Due to the attachment of twelve regular meridians, the development of its own theory is blocked. Meridian sinew theory guides the diagnosis and treatment of many dominant disorders (e.g. pain disorder and syndrome) with acupuncture and moxibustion. The defensive is circulated among meridian sinews, which is the core of meridian sinew theory. The acupoint selection relies on the meridian sinew theory at the early era, such as "consolidating muscles when they involved in disorders, using painful sites as acupoints to treat diseases" "interaction of the associated muscles" and "conducting meridian along with the running courses of meridians". The crack needling (one of the nine needling techniques exerted between two muscles to treat muscular pain) is adopted generally to mobilize the defensive so as to resist pathogens, relieve the compression in foci and promote and blood circulation in meridians. The rational understanding of meridian sinew theory may improve the accuracy of diagnosis and treatment of meridian sinew disorders, "reduce the pressure" on meridian theory and contribute to the enrichment of the theoretical framework of acupuncture and moxibustion.
早期经络经筋理论的特点已被收集。人们认为，（）中十二经筋区域的循行路线和所主病症与（）和（）密切相关。由于十二正经的附着，其自身理论的发展受到阻碍。经筋理论指导着许多优势病症（如疼痛性病症和（）证）的针灸诊疗。卫气在经筋中运行，这是经筋理论的核心。穴位选取依赖早期经筋理论，如“治在燔针劫刺，以知为数，以痛为腧”“诸经筋者，皆属于节”以及“随其经脉上下左右，取其阿是之穴”。一般采用分刺（九刺之一，刺两筋间以治肌肉疼痛）来调动卫气，以抵御病邪，解除病灶处的压迫，促进经络气血运行。对经筋理论的合理认识可提高经筋病症诊疗的准确性，减轻经络理论的“负担”，并有助于丰富针灸理论框架。
