中医药研究论丛

201.4《灵枢经脉篇》十五络脉临床应用解析与探讨

 

《灵枢经脉篇》十五络脉临床应用解析与探讨
Investigate the Clinical Application of Fifteen Network Vessels in “Lingshu Chapter 10: The Conduits”
黄晓怡1 邹牧帆1 张霺馨1 龚彦纶1 刘欣怡1 陈怡真1*
1 花莲慈济医院中医部,花莲,台湾
【摘要】
黄帝内经《灵枢经脉篇》首度记载十五络脉的络穴名称、循行及虚实病候。十五络脉的组成,由十二经脉在四肢部各分出一络,再加上躯干前後之任脉络、督脉络及躯干侧面脾之大络,共成为十五络脉。其中,十二络脉能沟通表裏两经,加强十二经脉中表裏两经联系,能反应表裏两经病候;躯干部分出的三络,如网状系统般散布身体前後及侧面,起着渗灌濡养全身气血的作用。每一别络有一所属络穴,具备独特的循行与虚实病候主治,临床功用明确且疗效显着,值得深入探究。本论文将依《灵枢经脉篇》之原文记载为主,辅以其它古籍文献及现代研究期刊等论述为佐证,进行十五络穴临床应用解析与探讨,将其主治病候进行归类与统总,以期能够对十五络脉有更深入的理解,於临床诊疗时产生助益与启发。
【关键词】
十五络脉、络穴、循行、病候
 
Hsiao-Yi Huang1 Mu-Fan Tsou1 Wei-Hsin Chang1 Yen-Lun Kung1
Xin-Yi Liu1 Yi-Chen Chen1*
1Department of Chinese Medicine, Buddhist Tzu Chi General Hospital, Hualien, Taiwan
【Summary】
“Huangdi Neijing Lingshu Chapter 10: The Conduits” firstly record the names, circulation and syndromes of fifteen network vessels. Fifteen network vessels is composed of the branch in four limbs from twelve meridians, plus “controlling vessel” in the front of the body, “governing vessel” in the back of the body and “great network vessel of the spleen” in the side of the body. Among them, each two of the twelve branch of twelve meridians can communicate with its exterior or interior meridian, which can reflect syndromes of both of the two meridians. The three network vessels of the body, controlling vessel, governing vessel and great network vessel of the spleen, like a net covers the whole body,provide qi and blood nursing the body. Each of network vessels have its own network point, which can cure specific disease that include repletion(shi)and depletion(xu)pattern. The clinical application of fifteen network vessels is clear and having significant effect, and worth further study. This article based on original text from “Lingshu Chapter 10: The Conduits”, supplemented by literature from ancient books and article from modern studies ,investigates the clinical application of fifteen network vessels and classifies syndromes that each network point can cure, which may inspires more strategies on treatment.
Keywords:Fifteen network vessels, network point, circulation, syndrome