基于进化视角下的儿童皮肤发育特征探讨小儿推拿的潜在作用机制

Exploration on Potential Action Mechanism of Infantile Tuina Based on Characteristics of Children's Skin Development from an Evolutionary Perspective

小儿推拿体系于明清时期形成并兴盛,其在特定穴分布、穴位形态、刺激强度等方面有别于成年人经络系统,但科学内涵及作用机制鲜有学者深入研究。皮肤作为小儿推拿的直接作用对象,婴幼儿皮肤在形态及功能方面皆与成年人存在差异,具有显著的发育阶段性特征。两栖动物东方蝾螈的皮肤在胚胎发育早期能够对机械刺激进行传导,而在漫长的自多细胞生物到高等脊椎动物的进化过程中,人类可能同样在发育的特定阶段存在以皮肤为主导的信息处理系统。故本文从进化视角下的儿童皮肤发育特征浅析小儿推拿的潜在作用机制,以期为小儿推拿的科学研究提供新方向。

The system of infantile tuina was formed and flourished during the Ming and Qing dynasties.It differs from the adult meridian system in terms of specific acupoint distribution,acupoint morphology,and stimulation intensity,but the scientific connotation and action mechanism behind it have rarely been deeply studied by scholars.Skin,as the direct target of infantile tuina,differs from adult skin in terms of morphology and function in infants and young children,showing significant developmental stage characteristics.The skin of the amphibian Cynops Orientalis can conduct mechanical stimuli in the early stages of embryonic development.In the long evolutionary process from multicellular organisms to higher vertebrates,humans may also have a skin-dominated information processing system at specific stages of development.Therefore,this article briefly analyzes the potential action mechanism of infantile tuina from the perspective of the developmental characteristics of children's skin from an evolutionary perspective,in the hope of providing a new direction for the scientific research of infantile tuina.