Discussion on the thinking behind the diagnosis and treatment of visceral diseases and the clinical application from the perspective of a "Broad Governor Vessel"

ZHANG Xueping; ZHANG Jiale; JI Chenyang; BAI Xinghua

doi:10.3969/j.issn.1006-2157.2023.01.016

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Discussion on the thinking behind the diagnosis and treatment of visceral diseases and the clinical application from the perspective of a "Broad Governor Vessel"

Clinical Studies | 更新时间：2023-02-03

- Discussion on the thinking behind the diagnosis and treatment of visceral diseases and the clinical application from the perspective of a "Broad Governor Vessel"
- Journal of Beijing University of Traditional Chinese Medicine Vol. 46, Issue 1, Pages: 100-105(2023)
- 作者机构：
  
  1.北京中医药大学针灸推拿学院　北京　102488
  2.中国中医科学院中医基础理论研究所
  3.江西中医药大学科技学院
- 作者简介：
  
  Prof.BAI Xinghua, Chief Physician, Master’s Supervisor. School of Acupuncture-Moxibustion and Tuina, Beijing University of Chinese Medicine, Northeast Corner of Yangguang Nandajie Street and Baiyang Donglu Road, Fangshan District, Beijing 102488. E-mail: 13520437158@163.com
- 基金信息：
  
  The World Federation of Acupuncture and Moxibustion Societies 2020 International Standard Projects(WFASRP202001-SC09)
- DOI：10.3969/j.issn.1006-2157.2023.01.016
  CLC： R246
- Received：23 June 2022，
  
  Published：30 January 2023
- 稿件说明：
移动端阅览
ZHANG Xueping, ZHANG Jiale, JI Chenyang, et al. Discussion on the thinking behind the diagnosis and treatment of visceral diseases and the clinical application from the perspective of a "Broad Governor Vessel"[J]. Journal of beijing university of traditional chinese medicine, 2023, 46(1): 100-105.
DOI：

ZHANG Xueping, ZHANG Jiale, JI Chenyang, et al. Discussion on the thinking behind the diagnosis and treatment of visceral diseases and the clinical application from the perspective of a "Broad Governor Vessel"[J]. Journal of beijing university of traditional chinese medicine, 2023, 46(1): 100-105. DOI： 10.3969/j.issn.1006-2157.2023.01.016.

摘要

督脉属奇经八脉，是经络系统中具有主导作用的经脉之一，能调控人体生长发育、全身脏腑经脉正常运行。基于“脊柱相关疾病”“背俞功能带”及神经相关理论，发现督脉与夹脊穴及背俞穴三者关联密切，具有影响脏腑器官的重要作用。文章通过分析督脉背段区域及背俞穴、夹脊穴的循行分布、生理功能、关联作用，结合西医学神经系统相关认识，提出可能存在“泛督脉”区带，认为督脉背段及其两侧背俞穴、夹脊穴具有经气关联，且与五脏六腑联系紧密。在“泛督脉”视域下，督脉背段区域不同脊柱节段出现的如压痛反应、结节、穴区温度变化等病理改变能反映不同脏腑疾病，能够辅助相应脏腑疾病的临床诊断；在督脉背段区域不同脊柱节段应用包括纠正脊柱实质病变、穴位刺激等方法，能够治疗对应脏腑疾病。“泛督脉”的提出对督脉背段功能作用进行了总结及理论延伸，或将进一步探索督脉临床诊疗应用思路。

Abstract

The governor vessel belongs to one of the Eight Extra-Meridians

which plays a leading role in the meridian system. The governor vessel can regulate the growth and development of the human body and the normal operation of the viscera and meridians of the whole body. Based on the "spine-related diseases" "back-shu function band" and neural related theory

the governor vessel is closely related to the back-shu point and EX-B2

and plays an important role in affecting viscera organs. By analyzing the circulation

physiological function

and correlation of the dorsal segment of the governor vessel and the back-shu point and EX-B2

combined with the relevant understanding of the nervous system of western medicine

we propose the existence of a "Broad Governor Vessel" zone. We believe that the governor vessel and its two sides

the back-shu point and EX-B2

are associated by channel qi

and are closely related to the viscera. From the perspective of the "Broad Governor Vessel

" pathological changes such as tenderness reaction

nodule

and temperature change in the acupoint area at different spinal segments in the dorsal segment of the governor vessel can reflect different visceral diseases and further assist in the clinical diagnosis of corresponding visceral diseases. The application of different spinal segments in the dorsal segment of the governor vessel

including the correction of spinal parenchyma lesions

acupoint stimulation

and other method

can treat the corresponding visceral diseases. The proposition of a "Broad Governor Vessel" summarizes the function of the dorsal segment of the governor vessel and extends the theory

which may allow further exploration of the application of clinical diagnosis and treatment to the visceral diseases.

关键词

Keywords

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