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奇经八脉EightExtraMeridians(一)奇经八脉的命名
NameoftheEightExtraMeridians
(二)奇经八脉的分布概况
DistributionoftheEightExtraMeridians(三)奇经八脉的特点CharacteristicsoftheEightExtraMeridians(四)奇经八脉的作用及临床意义ClinicalsignificanceoftheEightExtraMeridians(一)奇经八脉的命名奇经八脉指别道奇行的经脉,有督脉、任脉、冲脉、带脉、阴维脉、阳维脉、阴跷脉、阳跷脉共8条,故合称奇经八脉。TheEightExtraMeridiansincludestheGovernorVessel,theConceptionVessel,thePenetratingVessel,theBeltVessel,theYinandYangHeelVessels,aswellastheYinandYangLinkVessels.ThereareeightmeridiansoftheEightExtraMeridians.奇(qi):奇怪、奇特,不同于十二正经“Qi”ispronouncedas“Qi”,whichmeansstrange.ItisdifferentfromtheTwelveRegularMeridians.奇(ji):单、单数,无表里属络关系"Qi"isreadas"Ji",whichmeanssingularnumber.Thereisnorelationshipbetweenexteriorandinterior奇:与奇恒之腑有一定联系Another"Qi"showsthatithasacertainconnectionwithExtraordinaryOrgans.督脉:督,总督,统帅之意。能总督诸阳。TheGovernorVessel:“governor"hasthemeaningofgovernorandcommander-in-chief.SotheGovernorVesselcangovernor“YangQi”任脉:任,总任,妊养之意。能总任诸阴。TheConceptionVessel:"conception"isthemeaningofemploymentandpregnancy.BecausetheConceptionVesselisinchargeofallyin.冲脉:冲,冲要,要道之意。为气血运行的通路。thePenetratingVessel:"penetrating"isthemeaningofthemainpoint.SoitisthemainpointofthemovementofQiandblood.带脉:带,束带,腰带之意。循行腰部一周,状如束带。TheBeltVessel:"belt"meansrestraintandbelt.TheBeltVessellikeagirdleandabelt.维脉:维,维系,能维系、联络诸经。TheLinkVessels:"link"meansmaintenance.Itcanmaintainandcontactallthemeridians.蹻脉:蹻,足跟,有轻捷、矫健之意。能够令人步行矫健。TheHeelVessels:“heel”hasthemeaningoflightnessandagility.Itcankeepthehumanbodywalkingasfastasflying.(二)奇经八脉的分布概况ThedistributionoftheEightExtraMeridians督脉:腰、背、头面正中(后正中线)GovernorVessel:alongthemidlineofbackandhead(posteriormedian).任脉:腹、胸、颏下正中(前正中线)ConceptionVessel:alongthemidlineofabdomen,chestandchin(anteriormidline).冲脉:与足少阴经相并上行,环绕口唇,且与任、督、足阳明等有联系PenetratingVessel:combinedwiththekidneyMeridianofFoot-Shaoyin,andtheyfinallysurroundthelipofthemouth.TherearesomerelationsbetweenthePenetratingVesselandGovernorVessel,theConceptionVesselandFoot-YangmingChannel.带脉:起于胁下,环腰一周,状如束带BeltVessel:risesintheribsandsurroundsthewaistandabdomen.It'sshapedlikeastrap,abelt.阴维脉:小腿内侧,并足太阴、厥阴上行至咽喉合于任脉YinLinkVessel:runsalongtheinnersideoftheleg,upwiththechannelsofFoot-TaiyinandFoot-Jueyin,allthewaytothethroat,andconvergestotheConceptionVessel.阳维脉:足跗外侧,并足少阳经上行,至颈后会合于督脉。YangLinkVessel:originatedfromtheoutsideofthetarsal,paralleltotheascendingoftheFoot-ShaoyangandFoot-Jueyin,andthentothebackoftheneck,andthentotheGovernorVessel.阴跷脉:足跟内侧,伴足少阴等经上行,至目内眦与阳跷脉会合YinHeelVessel:originatesfromtheinsideoftheheel,paralleltotheascendingofFoot-Shaoyinandothermeridians,totheinnercanthusoftheeyes,andconvergedwithYangHeelVessel.阳跷脉:足跟外侧,伴足太阳等经上行,至目内眦与阴跷脉会合YangHeelVessel:originatedfromtheoutersideofthelowerlimbs,accompaniedbyascendingalongtheFoot-Taiyangchannel,totheinnercanthusoftheeyes,andconvergedwithYinHeelVessel.【十四经】
TheFourteenthMeridians.任、督2脉各有其所属腧穴不同,后者与十二经相提并论,合称为“十四经”。TheConceptionandGovernorhavetheirownacupoints.Therefore,weoftenaddConceptionVesselandGovernorVesseltotheTwelveRegularMeridians,whichtogetherarecalledtheFourteenthMeridians.【一源三歧】“Onesource,threebranches"八脉中的督脉、任脉、冲脉皆起于胞中,同出于会阴,称为“一源三歧”TheGovernorVessel,theConceptionVesselandthePenetratingVesseloriginatefromtheperineum,sowecallthem"onesource,threebranches".
三、奇经八脉的特点
ThecharacteristicsoftheEightExtraMeridians不直属五脏六腑,多联属奇恒之腑TheEightExtraMeridiansdonotdirectlyconnecttheFive-zangandSix-fu,butconnecttheExtraordinaryOrgans.虽别道奇行,但它有一定的循行路线theEightExtraMeridiansaredifferentfromthatoftheotherthemeridians.buttheyalsohaveacertainroute.无表里配合关系theEightExtraMeridianshavenoexteriorinteriorcoordination.无逐经相接的规律theEightExtraMeridiansdonothavetherulesofintersectionandflow除任、督2脉外,无自己的专穴apartfromtheGovernorVesselandtheConceptionVessel,therearenospecialacupointsfortheothersixextrameridians.(四)奇经八脉作用及临床意义
TheclinicalsignificanceoftheEightExtraMeridians沟通联络作用:沟通了十二经脉之间的联系。Theroleofcommunication.
Itcommunicatestheconnectionbetweenthetwelvemeridians蓄积渗灌作用:对十二经脉气血有着蓄积和渗灌的调节作用。TheeffectofaccumulativeinfiltrationirrigationItcanregulatetheaccumulationandinfiltrationofQiandbloodintwelvemeridians.
统率、主导作用:将作用和性质相近的经脉联系在一起。Commandandleadingrole:Connectthemeridianswithsimilarfunctions.主持生殖、影响衰老。Inchargeofreproductionandaging.督脉:总督诸阳,调节全身阳经经气,为“阳脉之海”TheGovernorVesselcangovernyang,regulatethewholebodyyangmeridiansandQi,andbecome“theseaofyangmeridians”.任脉:总任阴经,调节全身阴经经气,为“阴脉之海”;任主胞胎,与生殖功能密切相关;TheConceptionVesseliscloselyconnectedwitheachYangmeridians,called“theseaofYinmeridians”.冲脉:涵蓄十二经气血,故称“血海”、“十二经之海”ThePenetratingVesselwascalled“theseaoftheTwelveRegularMeridians”and“theseaofBlood”.ItcancontainQiandbloodoftwelvechannels.带脉:约束纵行躯干的诸条经脉TheBeltVessel:restrainlongitudinalmeridians.维脉:调节阴、阳经经气,维持阴阳经之间的协调平衡。LinkVessels:regulateYinandyangmeridiansandmaintainaharmoniousbalancebetweenthem.跷脉:调节肢体运动,司眼睑开合HeelVessels:regulatethemovementoflimbs,anditisalsorelatedtotheopeningandclosingofeyelids.三、经络学说的临床应用
Clinicalapplicationofmeridiantheory
(一)诊断上Diagnosis《灵枢·卫气》篇”能别阴阳十二经者,知病之所生,候虚实之所在,能得病之高下也”Itissaidinthechapterof"LingShu·WeiQi"that“ThosewhocandistinguishthetwelvemeridiansofyinandYang,wouldknowthecauseofthedisease.Thosewhocanmasterthedeficiencyandtherealityofthediseaseandthepeopleintheplace,wouldknowtheseverityofthedisease.”1、经络辩证:辨证归经,辨位归经
Differentiationofmeridiansandpositionofmeridians2、经络望诊望鱼际2.ObservationofmeridiansThenar“鱼上白肉有青血脉者,胃中有寒”——《灵枢·论疾诊尺》“YuShangBaiRouYouQingXueMaiZhe,WeiZhongYouHan.”"——"LingShu·LunJiZhenChi"Iftherearebluebloodvesselsinthethenar,itmeansthatthepatientmayhavecoldinthestomach.“胃中寒,手鱼之络多青;胃中有热,鱼际络赤;其鱼黑者,留久痹也;其有赤有黑有青者,寒热气也”——《灵枢·经脉》"Thereiscoldinthestomach,blueintheMajor-thenar;hotinthestomach,redintheMajor-thenar.IfMajor-thenar'sblack,itmeansit'sbeencoldandwetforalongtime."——"LingShu·LunJiZhenChi"3、经络腧穴按诊3.Pressdiagnosisofmeridiansandacupoints经络反应:循经疼痛(酸痛、抽痛、压痛)、敏感、麻木、寒凉、灼热或肿块、结节、条索状反应物等;Meridiansreaction:painalongmeridians(soreness,soreness,tenderness),sensitivity,numbness,coldness,scorchingormass,nodule,cordlikereactant,etc;腧穴反应:压痛、敏感、麻木、舒适或结节、松软、凹陷等Acupointresponse:tenderness,sensitivity,numbness,comfortornodule,softness,depression,etc4、经络腧穴电测定4.Electricalmeasurementofmeridiansandacupoints原理:人体在健康状态下体表的电阻是平衡的,尤其在同一水平的对应点上存在着高度的平衡性,当
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