血管区理论对《素问·皮部论篇》解读的启示

"皮部"是《黄帝内经》中的一个重要的人体结构概念,在该书多处条文中均有提及。《素问·皮部论篇》是按照六经体系对人体皮肤分部进行专篇阐述的篇章,但是对皮部的理论研究鲜有开展。1987年澳大利亚学者Taylor基于解剖学发现提出了"血管区"理论,其论文中出现了类似的皮肤血运分区概念。通过比较两个理论的相似之处,发现"血管区"相关理论对于《素问·皮部论篇》相关理论的系统整理和深化认识具有重要参考价值:不仅强化了对皮部以经脉为纪的认识;而且深化了对络脉流注特征的认识;亦为面部色诊提供研究基础。血管区理论的相关启示有益于利用现代医学科技深入理解并进一步探索皮部理论,从而更好地运用皮部理论指导中医的相关临床实践。

Interpretation of Pibulun of Suwen by angiosome theory

Dermal parts (pinyin:píbù;Chinese:皮部),a Chinese medical term of one of important hu-man structure concepts,was referred many times in Huangdi Neijing(Yellow Emperor’s Internal Clas-sic).Pibulun of Suwen was a specific chapter to describe the different human skin parts according to six-meridian system,but the theoretical research on dermal parts has been rarely carried out in these years. In 1987,Australian scholar Taylor put forward a similar concept of skin area — angiosome theory,based on a large number of anatomical experiments.After comparing with both the theories,this paper found that angiosome theory could be helpful for understanding deeply and systematically Pibulun of Suwen.An-giosome theory emphasized the skin partitioned by meridians and made it thorough for understanding of the characteristics of collateral vessels,and it also provided the further research basis for the complexional inspection.It is beneficial to further understanding of related theory to dermal parts and further exploring its characteristics by modern medical science and technology under the enlightenment of the angiosome theory.Moreover,an accurate understanding will make it practicable to guide clinical research and prac-tice based on dermal theory.