骨会大杼与骨会大椎考辨

A Textual Research on Guhui Dazhu and Guhui Dazhui

先秦文献中“椎骨”亦称“杼骨”,“大椎”与“大杼”存在混用情况。《难经》中“骨会大杼”所指应为杼骨而非大杼穴。“大椎”与“大杼”解剖位置、主病相近,别名又存在音近、形近情况,加之医学概念的变迁,导致后世医家误认为“骨会大杼”。而大椎穴与肾经、髓的关系比大杼更为密切,在骨病治疗中应用更为广泛。因此,无论从文献本源还是临证应用来看,将“骨会”归于“大椎”更为合理。

In the pre-Qin literature, "Zhuigu"(vertebrae) was also called "Zhugu",thus "Dazhui" and "Dazhu" were used in a mixed manner.In Nan Jing, the "Guhui Dachu" should refer to the Zhugu born rather than the Dazhu acupoint.The anatomical position and the related disease of "Dazhui" and "Dazhu" are similar, and the aliases are similar in sound and shape.In addition, the changes in medical concepts have led later physicians to mistakenly believe that "Guhui Dazhu".However, Dazhui acupoint is more closely related to Kidney meridian and marrow than that of Dazhu, and is more widely used in treatment of bone diseases.Therefore, it is more reasonable to attribute "Guhui" to "Dazhui" in terms of literature origin and clinical application.