从气血角度论经筋

Discussion on Tendon System from Perspective of Qi-Blood

经筋是经络体系中的重要组成部分,与肌肉关节功能密切相关,而现代研究趋于结构化、解剖化,缺乏中医学理论支撑。气血作为具有滋润濡养、滑利关节作用的精微物质,其盛衰变化伴随经筋生理病理过程的始终。该文讨论气血与经筋结构之相会,功能之相合;并从经筋病命名、结筋病灶点规律以及筋性脏腑病的发病机制三方面辨析二者关系,以期从气血角度解读经筋本质,为建立经筋与气血多维互参的诊疗思路提供方向,让经筋理论重归于中医学框架。

The meridian tendon is an important part of the meridian system,which is closely related to the function of muscle and joint.However,modern research tends to be structured and anatomical,and lacks the theoretical support of traditional Chinese medicine.Qi and blood are the fine substances which have the function of nourishing and smoothing joints,and the deficiency and excess are accompanied by the physiological and pathological process of the meridian tendons.This paper discussed the meeting of Qi and blood and the function of the meridian tendons.The relationship between the two was analyzed from three aspects:the naming of Jingjin diseases,the regularity of focal points and the pathogenesis of Jingjin Zang-Fu diseases,so as to interpret the essence of Jingjin from the perspective of Qi and blood,provide directions for the establishment of the diagnosis and treatment of Jingjin and Qi and blood and return the Jingjin theory to the framework of traditional Chinese medicine.