摘要
足太阴脾经在腹部(除冲门外)的4个穴位——府舍、腹结、大横、腹哀都距腹中线4寸,这4寸怎么确定,几乎所有的针灸教材甚至国家标准都没有文字说明,但在图示中一般都是以乳头直下为准,因为乳头距胸部中线为4寸。笔者认为这样定位有欠妥当,因为腧穴的定位首先应以最近的体表解剖标志为依据。腹部和胸部毕竟是两个解剖部位,用胸部的体表标志来定取腹部的穴位经常会出现较大的偏差,因为很多人的体型并不是那么匀称、标准,而且成年人的腹部胖瘦差别也很大。腹部穴位最好用腹部的解剖标志来定取,如腹直肌外缘、腹侧外缘等。
The four acupoints Fushe（SP 13）,Fujie（SP 14）,Daheng（SP 15） and Fuai（SP 16）（except SP 12） of the Spleen Meridian of Foot-Taiyin in the abdomen are all 4 cun lateral to the abdominal midline.The origin of ＂4-cun＂ distance and the related explanations have not been found in any books including textbooks and related Chinese national standards about acupuncture and moxibustion.In the graphical representations,these 4 acupoints are directly below the nipple,because the nipple is 4 cun from the chest midline.The authors of the present paper don＇t think that is right,because in locating the acupoint,the nearest body surface anatomical landmarks should be used first as the basis.The abdomen and the chest are two anatomic sites after all,locating the abdominal acupoints with the chest surface landmarks often results in larger deviation,because many people＇s bodies are not so symmetrical and standard,and the adult abdominal fat difference is very big.Therefore,it is highly recommended that the abdominal acupoints are located by using the abdominal anatomical landmarks,for example,the outer edge of rectus abdominis,the outer edge of abdomen,etc.
出处
《针刺研究》
CAS
CSCD
北大核心
2010年第5期391-393,共3页
Acupuncture Research
关键词
腧穴
定位
探讨
Acupoints
Location
Discussion
