主 办:北 京 中 医 药 大 学
ISSN 1006-2157 CN 11-3574/R

北京中医药大学学报 ›› 2021, Vol. 44 ›› Issue (6): 491-495.doi: 10.3969/j.issn.1006-2157.2021.06.002

• 理论研究 • 上一篇    下一篇

基于《黄帝内经》探讨骨骼肌归属范畴*

赖宇阳1, 李楠1,2#   

  1. 1 福建中医药大学中医学院 福建 350122;
    2 中医骨伤及运动康复教育部重点实验室
  • 收稿日期:2020-12-13 出版日期:2021-06-30 发布日期:2021-06-25
  • 通讯作者: #李楠,男,博士,教授,主要研究方向:中医药防治骨病,E-mail:mr.linan@126.com
  • 作者简介:赖宇阳,男,在读硕士生
  • 基金资助:
    *国家自然科学基金项目(No.81973880)

Discussion of the category that skeletal muscle belongs to based on Huangdi Neijing*

LAI YE YANG1, Li Nan1,2#   

  1. 1 School of TCM, Fujian University of Traditional Chinese Medicine, Fujian 350122, China;
    2 Ministry of Education Key Laboratory of TCM Orthopedics, Traumatology, and Rehabilitation, Fujian 350122, China
  • Received:2020-12-13 Online:2021-06-30 Published:2021-06-25
  • Contact: Prof. Li Nan, M.D., Fujian University of Traditional Chinese Medicine. No. 1 Qiuyang Road, Minhoushangjie Street, Fuzhou 350122. E-mail: mr.linan@126.com
  • Supported by:
    National Natural Science Foundation of China (No. 81973880)

摘要: 筋骨并重是中医骨伤科中指导诊治的重要理念。然而,时至今日,对于筋的解剖实质尚未达成共识,争议点之一就在对骨骼肌的归属认识上。因骨骼肌具有运动功能所以多被认为归属筋的范畴,但这就与《黄帝内经》“五体”中的肉相冲突了。因此,首先以《黄帝内经》中关于肉与筋的生理、病理描述为依据;其次从疾病诊治上来探讨骨骼肌的归属问题;最后,提出骨骼肌可分属筋、肉范畴,其中骨骼肌的形态偏重肉的范畴,骨骼肌的运动功能偏重筋的范畴。希望此认识可作为筋骨理论的补充并应用于临床实践。

关键词: 黄帝内经, 骨骼肌, 筋,

Abstract: Emphasis on both sinews and bones is an important guiding principle in the diagnosis and treatment of orthopedics and traumatology in traditional Chinese medicine. However, even until today, no consensus has been reached on the anatomical nature of sinews as different scholars explain its essence from different angles. The present authors believe that one of the controversies lies in skeletal muscle. Most of the time it is regarded as sinew in TCM because of its motor function. If that be the case, then the flesh of five body constituents in TCM would fail to correspond to any anatomical structure. Therefore, based on the physiological and pathological descriptions of sinew and flesh in Huangdi Neijing (Huangdi’s Internal Classic), this paper discusses the TCM category to which skeletal muscle belongs from the perspective of diagnosis and treatment of diseases. Finally, it is concluded that skeletal muscle falls into the category of muscle tissue. In terms of form, it belongs to the category of flesh and in terms of motor function, it belongs to the category of sinew. It is hoped that this understanding can complement the theory of sinews and bones and provide reference for clinical application.

Key words: Huangdi Neijing, skeletal muscle, sinew, flesh

中图分类号: 

  • R221