早期腧穴形态观念阐微

Early morphological concepts of acupoint

考察《内经》对腧穴的认识观念,认为腧穴所在之处具有明显的体表形态特征,表现在气穴、骨空、溪谷、络脉、脉动、筋结、压痛等。腧穴的形态特征符合腧穴的本来意义。结合腧穴的形态取穴,可以令临床取穴有形迹可循,有助于临床。后世由于腧穴的定位渐趋于固化,以骨度分寸作为主要取穴依据的方法成为腧穴应用的常态,渐渐疏离了经典与临床实际。

The idea of acupoint in Internal Classic was investigated in this article. And it is held that obvious morphological features, including sunk surfaces, joint caves, gaps between muscles, collate-rals, pulses, blocked tendons and tenderness at the surface of the body can be found at where acupoints locate. The morphological characters of acupoint conform to its original meanings. To locate acupoints by their morphological features provides evidence basis for point locating in clinic, which is considered to be favourable for clinical practice. Since locations of aeupoints gradually fixed in later ages, which take proportional measurement as the main method, acupoint locating is also gradually divorced from their early concepts and practice.