谿谷结构的现代解剖学印证

Modern anatomy proves the structure of muscular interspace

谿谷是《黄帝内经》中一个重要的人体结构概念,被用于阐发几乎各种骨病的发生、发展机制。谿谷的结构特征可以总结为:谿谷肉会、毗邻孙络、连属于骨3方面。但是谿谷及其结构特征在后世文献中鲜被提及,由此现代中医研究者对此术语的解读多含糊其辞。1987年澳大利亚学者Taylor基于解剖学发现提出了"血管区"理论,在其论文中提到类似谿谷的结构。两者结构特征惊人的相似,如皮穿支血管在深筋膜紧系于骨的部位穿出其外层,这一特征在肌肉交汇的部位更易于发现,表现为肌肉周缘的沟和谷。中西医学在谿谷结构上的相互印证是偶然也是必然。血管区理论的相关启示有益于利用现代医学科技深入理解并进一步探索谿谷结构,从而更好地运用于指导中医临床实践。

Muscular interspace（ Chinese： 谿谷; pinyin： xīgǔ）,a TCM term used to explain the occurrence and development of almost all bone diseases,was a very important human structural concept in Huangdi Neijing. In Neijing,the muscular interspace was clearly described as a depression that muscles interdigitated,which was adjacent to minute collaterals and belonging to bones. However,these features were rarely mentioned in later literature,leading to modern TCM researchers＇ evasive explanation for the term. In 1987,a scientist from Australia,Taylor,put forward ＂angiosome＂based on anatomical findings in his published article which mentioned a structure analogous to muscular interspace. Angiosome was described as ＂the cutaneous perforators pierce the outer layer of the deep fascia near where it anchored to bone and they are easily seen as grooves and valleys around the perimeter of muscles-espescially where they interdigitate＂. The validity of the muscular interspace and angiosome was verified by the highly accordance between the anatomical structures. It is beneficial to deeper understand and explore muscular interspace by the way of modern medical technologies,so as to guide TCM clinical practice.