躯干腹、背侧同一神经节段腧穴主治功效的分析

Analysis of indications of the acupoints in the same nervous segment on back and abdomen

目的:探寻躯干腹、背侧T1—T12同一神经节段十四经穴主治功效的规律。方法:查阅林昭庚《新针灸大成》及沈雪勇《经络腧穴学》所记载的位于T1—T12支配区内的十四经穴的主治功效,分别将皮区和肌层位于同一神经节段的十四经穴的主治功效进行分类统计。结果:躯干部穴位在皮区和肌层主治上具有明显的神经节段性规律,相邻节段的穴位主治相近,并与其相关脏腑有着密切的关系。结论:腧穴的主治功效是由支配其相关脏腑神经节段的空间决定的。本文从神经结构方面证实了经穴的主治功效以神经节段为中心,实现经穴对脏腑功能的调节作用,即对与经穴处于同一或相邻神经节段的脏腑病变,有良好的调节作用。

Objective T12 explore the lndlcatton law of fourteen channels acupoint that is located in the same nervous segment of Tj-T12 on the back and abdomen. Methods By retrieving indications of fourteen channels acu- point that is located in the dominating areas of T1 --TI~ in LIN Zhao-geng ~s New Collection of Acupuncture-mox- ibustion and SHEN Xue-yong ~s Science of meridian-collateral and acupoint, indications of fourteen channels acu- point in the same nervous segment of skin and muscle were statistically managed, respectively. Results There was an obvious nervous segmental law of acupoint in the skin and muscle. The acupoint indication of neighboring ner- vous segment was similar, which was closely related to corresponding internal organs. Conclusion The acupoint indication is decided by the space of nervous segment which dominats their related organ. From aspect of nervous structure, this article confirms that acupoint indications focus on nervous segment to carry out the regulation effect of acupoint on internal organs function, which means it has superior regulation effect on internal organs disease that is located in the same or neighboring nervous segment of acupoint.