Chao Yu-Qiao, Chen Bi-Wei, Chen Shao-Zong, Hou Yi
School of Acupuncture and Massage, Shandong University of Traditional Chinese Medicine, Jinan 250355, China.
Institute of Acupuncture and Moxibustion, Shandong University of Traditional Chinese Medicine, Jinan 250355.
Zhen Ci Yan Jiu. 2023 Jan 25;48(1):37-43. doi: 10.13702/j.1000-0607.20221030.
The regularity of acupoint-viscera correlation is a basic problem in the study of acupuncture and moxibustion. At present, there are two main theories of the regularities: (1) the law of acupoint effect determined by meridian circulation; (2) segmental dominance of acupoint effect. These two regularities belong to different paradigm systems, they are not complementary relations within the same conceptual system. Based on the evidence of clinical practice of acupuncture and moxibustion, combined with the research on biological mechanisms, this paper analyzed the objectivity and universality of the regularities of acupoint-visceral correlation. The law determined by meridian of acupoint effect does not manifests the universality guiding role in the clinical practice of modern acupuncture and moxibustion, which is obviously divorced from the needs of modern clinical practice. The segmental dominance of acupoint effect has been strongly supported by the clinical practice of modern acupuncture and moxibustion, which is highly consistent with the clinical practice. The regularity of acupoint effect needs to be tested and re-identified in practice.
腧穴-脏腑相关性规律是针灸研究中的一个基本问题。目前，关于该规律主要有两种理论：（1）由经络循行所决定的腧穴效应规律；（2）腧穴效应的节段性支配。这两种规律属于不同的范式体系，并非同一概念体系内的互补关系。本文基于针灸临床实践证据，结合生物学机制研究，分析了腧穴-脏腑相关性规律的客观性和普遍性。由经络所决定的腧穴效应规律在现代针灸临床实践中未体现出普遍的指导作用，明显脱离了现代临床实践的需求。腧穴效应的节段性支配得到了现代针灸临床实践的有力支持，与临床实践高度契合。腧穴效应规律需要在实践中进行检验和重新认定。
