从一个特殊病例看经络的实质

THE ESSENCE OF CHANNEIS OBSERVED IN A SPECIAL CASE

曾收治１例出现经络病态显现的病人。该病人右胸腹部皮下出现２条索状物。经检查，发现该索状物位置不符合该部皮下血管、神经及淋巴管的走行途径而符合右侧脾经走行途径。对索状物进行针刺可产生阵发性酸、麻、胀、疼感并沿脾经放射。活检２次３个切口之索状物残端均在脾经经气来源方向形成块状物，提示该索状物可能为脾经的病态显现。经组织切片发现该索状物除了大片增生的平行排列之胶原纤维和具有长杆状细胞核之细胞外，在局部尚可见到一种纤维－管状结构，即细胞彼此联结形成小管状，管内为胶原纤维物质，彼此之间有清楚的间隔分开，若干纤维集合在一起。这种纤维－管状结构可能即是经络的物质基础。

The author treated a patient whose channels showed pathosis. Two cord like things were seen under the skin of the right side of the thorax and belly. The examination found that the location of the cord like things didn't tally with the regular place of the subcustaneous blood vessel, nerve, lymphatic vessel in that area, but tallied with the course of the spleen channel. Needing the cord like thing generated the sensations of sorenens numbness, distension and pain, which radiated along the spleen channel. Two biopsies found that the stumps of the cord like things at three incisions formed tuberose things towards the movement of qi of the spleen channel. It suggested that the cord like thing was possible the manifestation of the diseased spleen meridian. Histological examination found that in the cord like thing existed local fiber tubiform structures, that is, the cells combined to form tubules filled with fibers, which separated from each other by clear spaces and some of which gathered together, in addition to a lot of hyperplastic collagenous fibers arranged in parallel and cells with long rod shaped nucleus. This fiber tubiform structure is the substance basis of the meridians.