髓海理论考探与脑户穴应用

Investigation on sea of marrow and the application of Naohu(GV 17)

四海理论是古人阐述经络纵横关系的一个角度,笔者从文献角度试以髓海理论为例探索之。《灵枢·海论》所载的髓海所输之两处,并非髓海理论的应用性腧穴,以文献综合考证,得知此为髓海所输界限确定所应用的参照系,藉此确定髓海之输的范围面,并探究髓海之功能,解决"心主神明"与"脑主"神志之矛盾争论,将髓海功能明确为主一切生命活动信息调控的大概念之神。结合经络文献,由面到线,再辅以腧穴考证,由线到点,最后发现髓海理论应用的首要关键点在于脑户穴,临床髓海理论的应用需要重视督脉和脑户穴及与此相关的骨空体系。

The theory on four seas is a kind of view to explain the longitudinal and horizontal distribution relationship of meridians and collaterals by ancient scholars. The authors were attempted to explore it by taking the theory on sea of marrow as example in terms of literature analysis. In Lingshu: Hailun(Chapter 33 of Miraculous Pivot), it is recorded that sea of marrow flows into two locations, but they are not the acupoint sites for treatment. Based on the comprehensive literature investigation, it is known that such two sites to which sea of marrow flows refer to a kind of boundaries so that the range of sea of marrow is determined, the function of it explored, and the controversy on "heart dominating mind" and"brain governing spirit" solved. It is defined that the function of sea of marrow is the macro-conception of shen(mind, spirit) that is modulated by vital movement information. Additionally, in association with meridian literature analysis, as well as acupoint textual research, it finally focuses on Naohu(GV 17) that is the critical point in the application of the theory on sea of marrow. In clinical application of such theory, the importance should be attached to the governor vessel, Naohu(GV 17) and their spatial system of bone.