世界中医药
文章摘要
引用本文:康鹏飞1,孟佳1,郝颖2,秦建国1.《黄帝内经》卫气昼夜循行节律及针刺时间研究[J].世界中医药,2021,(20):.  
《黄帝内经》卫气昼夜循行节律及针刺时间研究
Study on the Circadian Rhythm of Defensive Qi and Acupuncture Time in Huangdi Neijing
投稿时间:2020-02-16  
DOI:10.3969/j.issn.1673-7202.2021.20.023
中文关键词:  黄帝内经  卫气  分肉  经络  滴漏计时  时间点  时间段  针刺
English Keywords:Huangdi Neijing  Defensive qi  Boundary between muscles  Meridians  Drip timing  Time point  Time period  Acupuncture
基金项目:北京市中医管理局北京中医药“薪火传承3+3工程”建设项目(2011-SZ-A-27,2011-SZ-C-33)
作者单位
康鹏飞1,孟佳1,郝颖2,秦建国1 1 北京中医药大学东方医院,北京,100029
2 北京市第一中西医结合医院,北京,100039 
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中文摘要:
      卫气循行的昼夜节律在《黄帝内经·灵枢·卫气行》中呈现出疑似前后不一致的现象,文章对此问题进行分析。通过《黄帝内经》原文对比互证的方法,结合总结分析诸家观点,讨论比较《黄帝内经》中水下刻数、营卫气速度、经络分肉等相关经文,对矛盾处提出反向假设,并对其他疑问点进一步梳理分析等。结果发现,水下刻数有时间点和时间段2种含义,水下刻数表示时间段时卫气运行的时间难以自圆其说,并且昼日气行速度不规律不均匀,然后气行之六阳代表六阳分肉,现有气行路线外还有隐藏的路径。最终得出结论,昼夜各25圈是卫气主要的循行方式,日行于六阳分肉和阴分分肉为主要路径,主路径之外还有四末、骨节、络脉、筋部等部位也有卫气分布;夜行五脏为主兼及六腑,而水下某刻对应气所在应是指昼日内卫气在某时间点出现在某经对应的分肉,失常时则按照日出人醒为始,四刻为间隔,太阳、少阳、阳明、阴分4部分循环计时,候气而针刺对应的分肉,按照虚实迎随补泻进行针刺治疗。
English Summary:
      The circadian rhythm of defensive qi circulation appears to be inconsistent in Huangdi Neijing Lingshu Circulation of Defensive Qi.This paper analyzed this issue.Through the method of comparison and mutual verification of the original text of Huangdi Neijing and summarizing and analyzing various viewpoints,this paper discussed and compared relevant text such as the number of underwater engravings,the speed of the nutrient qi and defensive qi,and the boundary between muscles of the meridians in Huangdi Neijing,and put forward reverse hypotheses for contradictions,and then further analyzed other question points.It was found that underwater engravings may have 2 meanings of time point and time period.Then underwater engravings indicate that the qi circulation time conflicts during the time period,and the speed of qi circulation is irregular and uneven during the daytime.Six yang of qi circulation may represent six yang boundary between muscles,and there may be hidden paths outside the existing qi circulation routes.In the end,it was concluded that 25 laps each day and night may be the main way of defensive qi circulation.In the day time,it circulates in six yang boundary between muscles and yin level boundary between muscles.In addition to the main path,there are four ends,bone joints,collaterals,tendon and other parts also have defensive qi distribution.In the night time,it circulates in five zang-organs,and involves six fu-organs,while qi location in a certain moment underwater may refer to the boundary between muscles of specific meridian with appearance of defensive qi at a certain point in the day.In case of disorder,it starts with the sunrise and wakes up,with a moment as the four ke.Taiyang,Shaoyang,Yangming and Yin are divided into four parts for cyclic timing.The meat corresponding to acupuncture is divided according to the specific time law of waiting for qi,and acupuncture treatment is carried out according to the deficiency and excess to meet the tonic and diarrhea.
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