脏腑背俞穴与十二经脉关系再识

Rediscussion on the relationship between back-shu points and twelve meridians

现行理论将脏腑背俞穴皆归于足太阳膀胱经,不仅理论上难通,也不能有效指导针灸临床。针灸理论的形成演变过程表明,经脉标本初步确立了五脏背俞与相应经脉的关系,并由《千金翼方》丰富发展,但在《外台秘要方》中转变为足太阳经而影响至今。分析这一学术演变的过程及认识基础,认为背俞经脉关系问题,在今天主要是如何选择既有的理论;提出应挖掘和弘扬脏腑背俞十二经脉联系理论的学术价值,确立其理论形式和相应结构关系,以完善理论建设,提高对临床的指导性。

In current theory,back-shu points are categorized into the bladder meridian of foot-taiyang,resulting in difficulties in interpretation and ineffective guide for clinical acupuncture.The development of acupuncture theory indicates that the relationship between back-shupoints and corresponding meridians is established by manifestation and root cause of meridian,and enriched in Qianjin Yifang（A Supplement to Recipes Worth a Thousand Gold）,but it has been categorized into the bladder meridian of foot-taiyangsince Waitai Miyao Fang（Arcane Essentials from the Imperial Library）and its influences remain so far.After analysis on this academic development and basis of understanding,it is believed that the problems of back-shu points and twelve meridians are presented with how to select existing theories;it is proposed that the academic value of relationship between backshupoints and twelve meridians should be explored and promoted to establish the theory form and structure relationship.As a result,the theory can be completed to guide the clinical treatment.