“血头行走穴道歌”与经脉流注的关系刍议

Discussion on xuetou xingzou xuedao ge and meridian qi flowing cycle

"血头行走穴道歌"是少林伤科中循穴治伤代表作,论述了一天之中不同时辰,血头行走经于任督二脉不同穴位的循环流注过程。本文探讨了血头在任督二脉中循行与任督流注及十二正经流注的关系,发现血头的过穴时间与经脉流注时辰有较为密切的关系;血头所过之穴与十二经脉、络脉、经别、经筋均有着一定的关联,与各脏腑功能也息息相关。此外,本文阐述了不同学者对于血头流注穴位的不同见解,并就存在争议的"屈井""六宫"等的位置作了一些分析,但什么观点是正确的尚需等待临床实践的评判。我们认为,弄清并掌握这一理论,对指导伤科按时施治、提高临床疗效具有积极的作用。

The xuetou xingzou xuedao ge is the representative for traumatic injury treated with acupoints of shaolin traumatology.It is mentioned that blood circulates to different acupoints in the governor vessel and the conception vessel at different time divisions a day.In the paper, the relationship is discussed between the blood circulation and the qi flowing cycle in the governor vessel, the conception vessel and the 12 regular meridians.It is found that the time for blood passing by at acupoint is closely related to the time division in meridian qi flowing.The acupoints involved are related to the 12 regular meridians, the collaterals, the divergent regions of meridians and the muscle regions of meridians, and closely associated with zangfu functions.Additionally, the different views of scholars on the aucpoints to which blood flows were explained and the disputes on the location of qujing and liugong were analyzed.It needs clinical practice to give the rational judgment.Understanding and grasping this theory guides positively the proper treatment of traumatic injury at specific time a day and improves clinical therapeutic effects.