十二经脉气血盛衰变化临床意义初探

十二经脉流注次序不是按照三阴三阳排列的,而是根据气血在人体的运行规律确立的。气血在流注过程中的多少盛衰变化,形成了由气血阴阳最盛的太阴与阳明,依次消长转化递减,经少阴与太阳,至气血阴阳衰少的厥阴与少阳,衰尽复生,终而复始。这种终而复始、如环无端的流注次序,不仅反映了经脉上行下循、内注外达的"脉行之逆顺",而且反映了人体阴阳互根、消长转化和气血多少平衡协调的变化关系,以及疾病的虚实病理变化。因而,明辨十二经脉气血多少流注规律,是掌握经脉流注次序意义的前提,是行针施药的基础。

Research on the clinical significance of theory of the ebb and flow of qi-blood in the twelve meridians

The sequence of the circulations of the twelve meridians does not follow on the permutation of the yin and yang meridians,whereas it is based on the law of qi-blood circulation. The relative strength of circulation between yin and yang, the ebb and flow of qi-blood goes around and around as cycles. Yin, yang and qi-blood gather in the meridians of the Taiyin and the Yangming, mutually converting in maximum, passing the meridians of the Shaoyin and the Taiyang, and then reaching the meridians of the Jueyin and the Shaoyang in minimum. It reflects not only the running course of the meridians, the sequential and reverse transmission, but also reflects the mutual supporting of yin-yang, and waxing and waning of yin-yang, the relative equilibrium of qi-blood, the transformation of excess and deficiency of disease. Therefore, the clear inspection of the law of qi-blood circulations of the twelve meridians, which is based on the therapy, is the precondition of the comprehensive significance of the sequence.