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1、試論“骨空”趙文麟,紀智,謝曉佳,郭文,朱華超,劉清國(北京中醫(yī)藥大學針灸推拿學院,北京100029)摘要:“骨空”是《內(nèi)經(jīng)》腧穴體系中的一個重要概念,然而世人對其理解并不全面和明確。本文明確了“骨空”的具體涵義,即“骨骼之孔隙”。因而其所指腧穴的涵義和范圍有別于“腧穴”,亦與“氣穴”、“氣府”不同?!肮强昭ā碧幱诠趋揽紫吨?,內(nèi)通于重要的腦脊骨髓,并有大的神經(jīng)血管經(jīng)過,具有滋養(yǎng)于髓,溝通于外的生理特性。然也也正是由于其孔隙狹小的結(jié)構(gòu)特點,致使其局部容易產(chǎn)生氣血津液的淤滯,邪氣不容易散除的病理特性
2、。因此于“骨空”施以針灸,貫通內(nèi)外陰陽氣血津液,起到“引氣遠入抽病”之效。由此我們可以根據(jù)“骨空穴”獨特的結(jié)構(gòu)和功能,開發(fā)新的“骨空穴”,并為“骨空病”的治療提供新的治療思路;亦可據(jù)此開辟“筋空穴”、“肉空穴”等新的腧穴分類方式,并為針灸術(shù)語標準的制定提供理論支持。關(guān)鍵詞:骨空;黃帝內(nèi)經(jīng);腧穴;術(shù)語TheexplanationofGukongZHAOWenlin,JIZhi,XIEXiaojia,GUOWen,ZHUHuachao,LIUQingguo(CollegeofAcupuncture&M
3、oxibustionandTuina,BeijingUniversityofChineseMedicine,Beijing100029,China)Abstract:ThetermGukongisaveryimportantconceptintheacupointsystemofInnerCanonoftheYellowEmperor.However,people’srecognitionofGukongisnotclearandcomprehensiveenough.Thus,thisartic
4、ledeterminedtheexactmeaningofGukong,whichistheinterspacesbetweenbonesortheholeonthebones.ThenthedifferentmeaningandcategorybetweenGukongandQixue,Qifuisclear.Basedonitsstructuralcharacteristics,GukongisconsideredtobethechanneltocommunicateQiandbloodbet
5、weenthedeepinsidetotheoutsidetissue.Alsobecauseofitsspecialcharacter,theGukongareatendstogetstagnationofQi,blood,liquidandsomeevilQifromtheoutside.ThereforwecanpracticemoxibustionoracupunctureonthesepointstogetthroughthechannelofYinandYang,smooththeci
6、rculationofQiandblood,andrevealtheevilqitotheoutside.Basedonthat,wecanexplorenewacupointsthatfitthedefinitionofGukong,findoutnewmethodstocurediseasesrelatedtoGukongandtrysomenewwaystoclassifyacupointssoastoprovidegoodreferencetothenationalstandardofac
7、upunctureterminologyandclinicalacupuncturetreatment.Keywords:Gukong;Inner?Canon?of?the?Yellow?Emperor;Acupoint;TerminologyFundassistance:NationalStandardizationServiceProjectSubsidization(No.ZYYS-20060003),NationalKeyTechnologyR&DProgram(No.2006BAI21B
8、03),BeijingUniversityofChineseMedicineService?Project?Subsidization(2014-JYBZZ-XS-051;2014-JYBZZ-XS-046)“骨空”一詞首見于《素問·骨空論》,并作為其篇名出現(xiàn)。《骨空論》主要討論風病、水病、寒熱病、任督?jīng)_脈病證的針刺與艾灸之法。其針灸治療皆當取適宜的孔穴,而所取孔穴位于骨骼空隙之中,故以《骨空論》為篇名。歷代醫(yī)家校注此篇,均認為所論之“骨空”,即“骨孔”指骨骼之孔竅。而在現(xiàn)代教材中